NORMAL HISTOLOGY BY EDWARD K. DUNHAM, Ph.B., M.D., PROFESSOR OF GENERAL PATHOLOGY, BACTERIOLOGY, AND HYGIENE IN THE UNI\ liRSITY AND BELLEVUE HOSP.TAL MEDICAL COLLEGE, NEW YORK. THIRD EDITION, REVISED AND ENLARGED. ILLUSTRATED WITH 260 ENGRAVINGS. LEA BROTHERS & CO., NEW YORK AND PHILADELPHIA. 1904. fpfflTME-NT -OF SNUNGV LIBRARY Entered accordiug to Act of Congress in the year 1904, by LEA BROTHERS & CO., in the Office of the Librarian of Congress, at Washington. All rights reserved. 882019 ELCCTROTYPEO BY WESTCOTT & THOMSON. PHILADA. PRESS OF WILLIAM J DOHNAN. PHILADA. PREFACE TO THE THIRD EDITION. The general plan and scope of this outline of histology are the result of experience in teaching this subject to students of medicine under conditions which require economy of time. In order to accomplish the greatest amount of instruction under these circum- stances it seemed necessary to present, early in the course, certain generalizations which might be kept constantly in mind and assist the memory in retaining facts by showing their logical correlation. The broad ideas of almost universal applicability which were chosen for this purpose were : first, the conception of the cell as the active constituent of tissues ; second, the general rule that the ele- mentary tissues are composed of cells and intercellular substances, and that their differences depend upon the proportions or characters of those constituents ; third, that the structural details of the dif- ferent tissues are intimately correlated to their usefulness — i. e., that function and structure are mutually dependent upon each other, being but two aspects of a single device or arrangement ; and, fourth, that the ability of tissues to perform active functions is, in the main, roughly proportional to the number or size of the cells entering into their structure. The author believes that his experience has shown that the early introduction of these fundamental ideas has been a distinct aid to the student ; and it is his belief that such would also be the case no matter to what limits the course of instruction in this subject might be extended. In the elaboration of these ideas the author has been in the habit of arbitrarily dividing the activities of the cells of the body into four theoretical groups : the reproductive activities, leading to the production of new cells; the formative activities, through which the structural modifications resulting in the formation of different varie- ties of tissue were brought about ; the nutritive activities, maintain- ing the integrity of the tissues already formed ; and the functional 3 4 PREFACE. activities, through which the tissues serve the whole organism of which they are constituent parts. Assuming that histology should invariably be taught largely by practical work and experience in the laboratory, and recognizing the fact that it must have a place in the beginning of a medical curriculum when the student's technical facility is least developed, the writer believes that the best way to teach the subject is by means of demonstrations at which the students have ample oppor- tunities to become familiar with the structural details of the best attainable specimens so prepared as to reveal the presence and arrangement of the tissue-elements. In addition to such a course of demonstrations he should receive practical instruction in histo- logical technique, during which he may become versed in the methods employed in the preparation of the specimens he uses in the demonstration course. This work may be so arranged as to permit his preparing a collection of specimens for himself. With such related courses of instruction in mind, the writer has added a section on Histological Technique to the present volume. In this part of the book he has endeavored to make clear those various methods of preparing tissues for microscopical study which he has found to yield excellent results, not only in his own hands, but also when employed by those who have had no previous experi- ence in such work. The more complicated methods, requiring such experience, have been omitted. The student occasionally desires to consult the original sources of information which has been published. To encourage this prac- tice, the author refers him to The Journal of the Royal Microscopical Society, Arc/iiv fur mikroskopische Anatomie, the Zeitschrift fur uris- senschaftlichi Mikroskopie, Merkel and Bonnet's Ergsbuisse der Anat- omie und Enturicklungsgeschichte, and Anatomische TIefte, in which abstracts of the current literature will be found. Admirable text- books upon technique are Lee's Microtomists} Vade Mecum, of which a more recent revised edition is Lee and Mayer's Grundzuge der mikroskopisehen Technik, and Mai lory and Wright's Pathological hnique. E. K. D. - Twenty-sixth St., New York, May, 1r attached to the latter. Their purpose is not known, but it is thought that they are not essential parts of the cell but correspond more or less closely to the metaplasm in the cell-body. Owing t<> their affinity for certain coloring matters, the substances composing the nuclear filaments are called chromatin, or chromo- 1 Tlit- reticulated appearance of the cytoplasm may also be explained by assum- ing it to have an alveolar structure, and the theory that such is its actual structure possesses much plausibility. In that case the visible reticulum would be formed by the walls of the alveoli and their lines and points of intersection, all of which would be included in the spongioplasm, while the contents of the alveoli would constitute the hyaloplasm. A line emulsion presents such an apparent structure. THE CELL. 35 plasm. The hyaline substances making up the rest of the nucleus do not receive those coloring matters, and for this reason and in this situation are called achromatin. These terms are used only in a morphological sense and do not specify any definite chemical com- pounds, though they are distinguished from each other by staining affinities which are based on chemical differences. The chromatin has been further resolved into a ground-substance, giving form to the reticulum of the nucleus and called linin, and to granules of chromatin (the term being used in a more restricted sense), and this chromatin has in turn been subdivided according to staining characteristics, into oxy- chromatin (or lanthanin) and basichromatin, embedded in the linin in the form of minute granules. The achromatin has also been observed to contain granules, not stained with the usual nuclear dyes, which have been called oedematin granules. The behavior of the nucleoli toward dyes is somewhat different from that of the chromo- plasm, which leads to the inference that they are of a different chemical nature. Except during cell-division, the nucleus usually lies quiescent within the cytoplasm, but some observers have seen it execute ap- parently spontaneous movements, and it is evidently possible for its position in the cell to vary from time to time. In marked contrast to this apparently dormant state, as far as visible alterations of structure are concerned, is the role played by the nucleus during the reproduction of the cell. There are two modes of cell-division, the " indirect " and the " direct," but they are by no means equivalent to each other. The former, also termed karyokinesis because of the active changes in the nucleus, appears to be the only truly reproductive process. Direct cell-division results in the formation of new cells, but they seem to lack that perfection of organization which would be required for the complete and indefinite transmission of all the characters of the parent cells. Before entering into a description of karyokinesis, a few words must be said concerning the centrosome. This is an extremely min- ute granule which is usually situated in the cytoplasm not far from the nucleus. It is often surrounded by a thin zone of hyaloplasm which facilitates its recognition among the fibres and nodal points of union of the spongioplasm. The fibres of the latter are also fre- quently arranged in a radial manner for a short distance around the centrosome. But in many instances it is extremely difficult to dis- 30 NORMAL HISTOLOGY. tinguish the centrosome, and its constant presence in cells is largely a matter of inference. Sometimes the centrosome is double, the two granules lying close to each other and often being surrounded by a common clear zone of hyaloplasm. The first step in the process of cell-division by the indirect method, or karyokinesis, is a division of the centrosome into halves (Fig. 15), which separate and pass to opposite points in the cytoplasm. These points are called the poles of the cell, and when the new cen- trosomes reach them they are called the polar bodies. In these situa- tions they are surrounded by a more distinct zone of hyaloplasm than that which enclosed the original parent centrosome, and beyond this the spongioplasm is frequently arranged in radiations of unusu- ally thick fibres. The polar bodies with their clear envelopes and the prominent radiations about them are collectively known as the attraction-spheres (Fig. 8). Fig. 8. Dividing cell from ovum of ascaris megalocepkahis. (Kostanecki and Siedlecki.) a, polar body, centrosome, surrounded by a clear zone ; b, chromosomes of the dividing nucleus. Be- tween the polar bodies is the achromatic spindle, and radiating from each attraction- sphere are delicate lilaments of spongioplasm. The cytoplasm presents indications of vacuolation. While the polar bodies are separating, or after they have passed into the polar regions of the cell, the nucleus begins to show those changes in structure which constitute karyokinesis. This process may be divided into a number of phases, as follows: 1. The Formation of the Spirem (Fig. 9 ).— This consists in a con- densation of the chromoplasm. The branches of the nuclear fila- ments are withdrawn into the substance of the main fibres, into which the unclear membrane or peripheral network bounding the THE CELL. 37 nucleus is also absorbed. The vesicular character of the nucleus is Lost during these changes in the arrangement of the chromoplasm, which appears as a loose tangle or skein of one or more threads of uniform diameter lying freely in the body of the cell. This skein is called the spirem. The chromoplasm in this condensed con- dition stains more deeply with nuclear dyes than in the resting con- dition of the nucleus. The nucleoli in the meantime become faint and seem to ultimately disappear. They play no part in the process of cell-division, unless they participate in the formation of the achromatic spindle. 2. The Monaster Phase (Fig. 10). — The threads of the spirem suffer a rearrangement, resulting in the formation of a sort of wreath, situated midway between the poles, in the equatorial plane, i. e., the plane perpendicular to and passing through the centre of a line joining the two polar bodies. This wreath is called the monaster, because of its star-like configuration when seen from above. When viewed in profile it appears as a band of fibres lying in the equator. It is at first made up of a single thread or only a few threads, but subsequently breaks into a number of similar frag- ments, called chromosomes. The exact number of these varies in different species of animal, but is constant for each species and is always divisible by two. In man it is thought to be sixteen. The chromosomes are all of nearly, if not quite, the same size, and, in the same kind of cell, closely resemble each other in shape. The most common form appears to be a V-shaped rod lying with its angle directed toward the centre of the wreath or monaster. 3. Metakinesis (Figs. 11, 12, 16). — In this phase of karyokinesis the chromosomes split along their axes into two exactly equal parts of similar shape, and these halves separate, each passing toward one of the attraction-spheres. Meanwhile, the structure known as the achromatic spindle has been formed. This is a system of fibres resembling those that have already been described as radiating from the polar bodies, but of even greater prominence. They are arranged to form a spindle with its apices at the polar bodies and its equator coincident with that of the cell and the plane of the monaster. It is along the lines of this spindle that the chromosomes travel toward the centres of the attraction-spheres occupied by the polar bodies. NORMAL HISTOLOGY. Fig. 9. Fig. 10. Fig. 11. Fig. 12. Fig. 14. Fig. 13. Diagrams illustrating the phases of karyokinesis. (Flemniiiig.) Fig. 9. — Spirem. i ig. 10. — Monaster. Fig. 1 1.— Metakinesis, early stage. Pig. 12.— Metakinesis, late stage. Fig. 18.— Diaster. Fig. 11. — Dispirem. The achromatic spindle is represented, but not the centrosomes (polar bodies'). The cell- body is also omitted. THE CELL. 39 The phases of karyokinesis that follow metakinesis are similar to those that preceded it, but occur in inverse order. 4. The Diaster Phase (Fig. 13). — The chromosomes, having reached the attraction-spheres, group themselves around the polar body to form a wreath on a plane perpendicular to the axis joining the poles. These wreaths, with the achromatic spindle, have an appearance somewhat resembling the letter H, with a long cross- Fig. 15. Fro. 16. <^£'s Y .' ' ■, '•' .V-' Karyokinetic figures in epithelial cells. From a carcinoma removed by operation. (Lustig and Galleotti.) Fig. 15.— The centrosome has divided, but the nucleus is still in the resting condition. Five nucleoli are represented within the nucleus. Fig. 16.— Metakinesis. The polar bodies have divided. piece, formed by the spindle, remaining uncolored or only faintly tinged by nuclear dyes, while the uprights, made up of the chromo- somes, are deeply stained. The ends of the chromosomes now unite to form a thread, and the wreath-like arrangement gradually passes into that of the dispirem. 5. Dispirem (Figs. 14 and 17). — The halves of the original chro- moplasm of the nucleus are now arranged in two skeins about the poles. From these the two daughter-nuclei of the future cells are formed (Fig. 18). During metakinesis the cytoplasm of the cell begins to show signs of division. This may be accomplished through a constric- tion of the body of the cell, which gradually becomes deeper and finally severs the two portions ; or a series of punctiform or short linear enlargements of the lines of the achromatic spindle appear in its equator, and through these a plane of cleavage, dividing the two new cells from each other, is finally established. It is rarely that any biological process assumes such mathemat- ical precision as is displayed in karyokinesis. The purpose of that 40 NORMAL HISTOLOGY, mode of cell-division appears to be an exactly equal partition of all parts of the chromoplasm between the young cells. Whether the amount of cytoplasm given to the daughter-cells is the same or different, the division of the chromoplasm is exactly equal, not only in its whole bulk, but each chromosome, which appears to be the morphological unit of the chromoplasm, is split into exactly equivalent halves, one of which is contributed to the formation of each daughter-nucleus. It is for this reason that the chromoplasm is looked upon as the carrier of hereditary peculiarities. Fig. 17. Fig. 18. Fig. 17.— Dispirem. In this case the polar bodies have not divided (compare Fig. 16). Fig. 18.— Daughter-nuclei which have nearly reached their full development. Centrosomes present in the cytoplasm. In these figures the structure of the cytoplasm is not given. After the formation of the daughter-nuclei, the centrosome usually passes from it into the cytoplasm. It may divide earlier than has been described, the division taking place while it exists as the polar body, or even earlier (Fig. 16). A cell nearly always divides to form two new cells, but some- time- three or more cells may be produced, the chromosomes being distributed among them (Fig. 19). Such cases are probably always morbid, and the resulting cells are not wholly the equiv- alents of the parent cell. It occasionally happens that the cytoplasm fails to divide after the formation of the daughter-nuclei, and cells with two or more nuclei result. When the nuclei continue to multiply and the cytoplasm increases in amount, but does not suffer division, large multinucleated cells are produced, which have been called "giant- cells." They occur normally in the marrow of bone and are pro- duced in many of the inflammatory processes. The direct or amitotic method of cell-division is inaugurated by THE CELL. 41 an active change in the shape of the nucleus, which may have pre- viously increased in size and become richer in chromoplasm. The nucleus becomes constricted and finally separated into two portions, Fig. 19. Epithelial cell from a carcinoma. (Galeotti.) The centre-some has divided into four portions,, and the chromosomes are arranged with reference to these. The figure represents the meta- kinetic phase of karyokinesis, which will result in the formation of four imperfect nuclei. which are not necessarily equally rich in chromoplasm. The cyto- plasm, either at the same time or later, becomes similarly con- stricted until it is divided into .two parts, each containing one of the nuclear divisions (Figs. 20, 21, 22). Fig. 20. Fig. 21. Fig. 22. Amitotic cell-division. (Flemming.) Epithelial cells from the bladder of a salamander. Figs. 20 and 21 contain nuclei with constrictions dividing them into nearly equal portions. Fig. 22.— Contiguous cells, each containing a nucleus about half the size of those prevailing- in the tissue, and, therefore, probably the result of cell-division by the direct process. It is believed that this mode of division does not result in the formation of cells that have the complete character of the parent- cell, and that their descendants form a degenerate race that is destined to extinction. It is quite obvious that no such precise .partition of the chromatic substance is likely to take place as that 42 NORMAL HISTOLOGY. which is characteristic of karyokinesis, and if the chromosomes are really the carriers of hereditary peculiarities, this mode of division can hardly favor their perfect transmission. The minute structures of the nucleus and cytoplasm described have been studied in cells that were rapidly killed and then stained. In the living cells these details cannot be detected, and it is still uncertain whether they may not be in part due to the methods employed in their study. If the superficial layer of a frog's cornea be carefully stripped off and placed upon a slide in a drop of the aqueous humor of the eye, covered with a cover-glass and then quickly observed, the nuclei of the cells may be seen as round and somewhat more highly refracting bodies than the surrounding cyto- plasm. The nucleoli may also be made out, but the outlines of the individual cells and the internal differentiation of the nucleus cannot be seen. If the specimen be observed for a few minutes, there will come a moment at which the whole picture changes. The nuclei suddenly become distinct ; an intranuclear network appears and the cell outlines are more sharply defined. These changes may be has- tened by placing a drop of acetic acid at the edge of the cover-glass. From this point the changes start and rapidly occur in the adjacent cells until the whole specimen is affected. It is as though the definite structures described in the foregoing parts of this chapter abruptly crystallized out of a nearly homogeneous medium. These changes probably mark the instant of death. The chromosomes present in cells dividing by karyokinesis are visible in the living cells. The intranuclear network of resting cells is not visible during the life of the cell. It is not defmitelv known whether it and the minute structures of the cytoplasm, as seen in dead cells, existed in the liv- ing cells, or whether they wTere formed by a species of coagulation at the moment of death or were merely rendered more dense and there- lore clearlv visible. CHAPTER II. THE ELEMENTARY TISSUES. The various parts of the body are composed of a small number of " elementary tissues." Each of these elementary tissues has a definite structure, but the details of that structure may vary within certain lim- its in different parts of the same mass or in different situations within the body. Such variations can usually be referred to differences in the functional activity assigned to the tissue, which is not always exactly the same throughout the body. For example, epithelium is an ele- mentary tissue consisting of cells which are nearly always rich in cytoplasm and are separated from each other by a very small amount of homogeneous intercellular substance. Wherever epithelium is found it has these general peculiarities of structure. But the func- tions demanded of epithelium are of widely diverse character in different situations, and its structure shows a corresponding diversity in its details. The fact that it is made up almost exclusively of cells leads to the natural inference that the usefulness of epithelium depends upon cellular activities. Inasmuch as these may be of very different character, we should expect the tissue to vary chiefly in the structure and arrangement of its component cells according to the particular activity which was needed and the manner in which it was utilized. Such, as a matter of fact, is the case. These considerations will be made clearer if we follow a little more closely the example offered by epithelium. In some situations epithelium serves to protect the underlying tissues from injury. But the usual injurious influences which threaten the tissues differ in different parts of the body, and must, therefore, be averted by different means. Upon the sur- face of the skin they are chiefly of a mechanical or chemical nature, and to resist them the cells of the epithelium forming the epidermis undergo a modification in structure, resulting in the formation of a superficial horny layer which is highly resistant to abrasion and chemical change. Upon the inner surfaces of the 43 44 NORMAL HISTOLOGY. respiratory passages the conditions are different. Here the tissues require protection from particles of dust that may be inhaled. For this purpose the epithelial cells lining those passages are provided with minute, hair-like processes, "cilia," which execute lashing move- ments toward the outlets of the passages and occasion the transpor- tation of substances coming into contact with them toward the outer world. In the digestive tract the conditions are again differ- ent. The tissues underlying the epithelial lining need protec- tion from the chemical action of the fluids in the stomach and intes- tine, as well as from friction with their solid contents. The cells of the epithelium meet these needs by a secretion of mucus, which is discharged upon the inner surfaces of the digestive organs, where it serves as a protective layer and as a lubricant. In other situations epithelium has an excretory function, which is less clearly of value in protecting its immediate surroundings, but is essential for the protection of the whole organism from substances which would exert an injurious effect if they were permitted to ac- cumulate in the circulating fluids of the body. These substances are absorbed from those fluids by epithelial cells, from which they are discharged from the body either unchanged or after transforma- tion into other chemical compounds. Here the most obvious prod- ucts of cellular activity are of no use in the economy, and are elim- inated from it; but it is not improbable that the cells which separate them or their antecedents from the circulating fluids may also discharge useful substances into those fluids (" internal secretion "). We must not assume that the most obvious function exercised by a tissue is the only service it does to the organism. The epithelium which carries on this eliminative function is nearly always associated with other elementary tissues to form an organ, called a "gland," in which the epithelium is the functionally active tissue, the other tissues being subservient to it. The glands of the body differ considerably in both structure and function, but in all of them it is epithelium which elaborates the materials essential to the formation of their normal secretions. Mention has already been made of those glands which furnish secretions charged with waste materials to be eliminated from the body. Such glands are called excretory glands, and are exemplified by the kidney. Other glands, distinguished as secretory in a restricted sense, furnish secre- tions which are of service to the organism. Examples of such glands are those which discharge their secretions into the alimentary THE ELEMENTARY TISSUES. 45 iract where, by virtue of the ferments they contain, they prepare the food for absorption. Another example of a secretory gland is furnished by the sebaceous glands of the skin, which produce an oily substance serving to keep the epidermis upon which it is discharged soft and pliable. In the secretory glands the cells of the functional epithelium elaborate within their bodies the substances necessary to give the glandular secretion its peculiar and useful characters. These sub- stances accumulate within the cells, where they are stored until required, when they are discharged into the secretion. While in the stored condition within the cells these substances may have a different chemical constitution from that which they acquire when they are discharged from the cells. A simple example of this chemical transformation is furnished by the liver, in the epithelial cells of which carbohydrates are stored as glycogen, to be liberated as a closely related chemical substance, glucose. In like manner the ferments stored in the epithelial cells of the digestive glands are not fully formed while in that situation, but exist in states known as " zymogens," from which the potent ferment appears to be readily formed when the cells are called upon to furnish it. It is apparent, then, that the elementary tissue, epithelium, can- not have the same microscopical structure in all the situations in which it is found ; but, notwithstanding these variations, wherever epithelium occurs it presents certain general structural peculiarities which are constant and which distinguish it from the other element- ary tissues. Similarly, each of the other elementary tissues pre- sents variations in the details of its structure in different situations, but always retains certain general structural characteristics dis- tinguishing it from all the other elementary tissues. It is the first task of the student of histology to learn to recognize and identify these elementary tissues wherever they occur and however they may vary from the type which is first presented to him for study. In the following chapters an attempt is made to give the student an idea of the essential structure of the elementary tissues, so that he may recognize them in specimens which he examines with the microscope. For this purpose they have been arranged in the order of their structural simplicity. When examining a specimen under the microscope with a view to recognizing the elementary tissues it contains, the student should habitually ask himself the following questions : (1) What are the 40 NORMAL HISTOLOGY. general characters of the cells entering into the structure of the tis-ue? (2) What kind of intercellular substances separates those cells? (3) How arc the cells arranged with reference to each other and the intercellular substances? Correct answers to these three questions will enable him to quickly determine the nature of the tissue he is observing, even if it should vary considerably in struct- ural details from examples of the same tissue with which he has already become familiar. CHAPTER III. THE EPITHELIAL TISSUES.1 I. ENDOTHELIUM. General Characters. — (1) The cells possess thin membranous bodies, except at the site of the nucleus, to enclose which the cell-body is thickened. (2) The intercellular substance is minimal in amount ; clear and homogeneous in character. (3) The cells are arranged, edge to edge, in a single layer. The wavy or denticulate edges of neighboring cells fit into each other, being separated by a mere line of the intercellular substance which in this tissue has received the name of " cement-substance " (Fig. 23). It appears probable that the connection between neighboring cells is really much more intimate, and that what appears to be a homogeneous cement-substance is in reality a fluid derived from the lymph, and that the cells are con- nected with each other by exceedingly delicate cytoplasmic projec- tions which join each other, the tissue fluid lying in the spaces between these cytoplasmic bridges. This arrangement is analogous to that described in connection with the prickle-cells which have for a long time been known to exist in the epidermis (see Stratified Epithelium). Endothelium forms a thin membranous tissue composed almost exclusively of cells. It occurs in its most isolated form in the cap- illary bloodvessels, the walls of which are simply tubes of endo- thelium, supported externally by the surrounding tissues and fluids and internally by the enclosed blood. It also covers the tissues surrounding the serous cavities of the body, where it serves both as a lining to the cavities and a smooth covering to the organs, dimin- 1 The term " epithelial " is used here in its most inclusive sense to designate those tissues which cover surfaces, whether those surfaces are exposed to the outer world, as, for example, the skin and the mucous membranes, or are wholly enclosed, as are the inner surfaces of the bloodvessels, lymphatics, and serous surfaces. Some- times all these tissues are called epithelium and the term endothelium is discarded. Other authors use endothelium to designate only the cells lining the bloodvessels and lymphatics and similar cells occurring in connective tissue. The term endothe- lium is retained here to distinguish cells derived from the mesoblast, from the epi- thelium arising from the epiblast and hypoblast, and because there are morpho- logical differences between these groups of tissues in the adult. 47 is NORMAL HISTOLOGY. ishing the friction resulting from their movements against each • it her. It does not occur in any situation where it would be exposed directly to the air. The eells of endothelium vary somewhat in size and shape. They mav be polygonal, rhomboid, or stellate in form, and during life are soft and extensible so that their sizes may be modified by stretch- ing; or tension in one or more directions. The cell-bodies, or cytoplasm, are usually clear and apparently structureless or only slightly granular, but occasion- ally some of the cells are smaller and more granular than the majority. This is especially marked in the cells surroundino; minute apertures that are found here and there in the endothelial lining of the serous cavities (Fig. 24). These stomata furnish a direct communication between the serous cavities and the lym- phatic spaces in the tissues sur- rounding them. These openings virtually convert the serous cavities into enormous lymph- spaces forming a part of the general lymphatic system. The edges of contiguous endo- thelial cells are not everywhere in equally close approximation to each other (Fig. 25). The points where they are more widely separated than usual are occupied by an increased amount of the cement-substance, or processes from cells in the underlying tissues are here intercalated between the endothelial cells, reaching the surface of the serous membrane. In either case these points of separation of the endothelial cells are not openings through the tissue, though they are spots where the tissue is relatively more Mesentery of frog treated with silver nitrate. The mesentery is covered on both surfaces with a layer of endothelium. Between these is areolar connective tissue contain- ing bloodvessels, lymphatics, ami nerves. In this figure only the two endothelial layers and a capillary bloodvessel are represented: ", nucleus of endothelial cell belonging to uppermost layer; 6, nu- - of cell belonging to deep layer form- ing the lower surface of the specimen; c, intracellular cement between cells of upper layer of endothelium ; ' ?b Cubical epithelium. Fig. 27.— Sis cells from the sublingual gland of a man who was executed. (Schiefferdecker.) Fig. 28.— Three isolated cells fr«>m the gastric tubules of the dog and cat. (Trinkler.) Fig. 29.— Cell with highly granular cytoplasm, the result of stored metaplasm, chiefly gly- cogen. (Barfurth.) as to render the detection of the nucleus difficult in unstained speci- mens (Figs. 27, 28, and L'i)). In this form of epithelium the presence of two nuclei in a single cell is mote frequent than in the other varieties. THE EPITHELIAL TISSUES. 53 2. Pavement-epithelium. — This variety of epithelium consists of thin cells arranged edge to edge to form a single layer. With the exception of certain regions on the surfaces of the pulmonary alveoli, the cells are more cytoplasmic and granular than are those of endothelium which this tissue in other respects closely resembles. During feetal life the smaller air-passages and alveoli of the lung are lined by a pavement-epithelium, the cells of which are nearly as thick as those of some varieties of cubical epithelium. When, however, the lung is expanded by the respiratory acts following birth, many of the cells lining the alveoli become greatly extended and flattened until their bodies are thin and membranous and their nuclei inconspicuous or even destroyed (Fig. 30). These greatly flattened epithelial cells are found covering those portions of the Fig. 30. Pavement-epithelium. Surface view of the lining of a pulmonary alveolus ; man. (Kolliker.) «, membranous cell without a nucleus ; 6, nucleated granular cell ; c, cut surface of the vertical wall of the alveolus, the structure of which is not represented. alveolar walls in which the capillary bloodvessels are situated and permit a ready interchange of gases between the air in the alveolar cavities and the blood circulating in their walls. Many of the epithelial cells covering the tissues in the meshes between the capillaries retain the cytoplasmic and granular character possessed before birth and appear capable of multiplying and, perhaps, replacing such of the thinner cells as may be thrown off or destroyed. It will be evident, from the foregoing descriptions, that there 54 NORMAL HISTOLOGY. is do sharp structural Line separating cubical from pavement-epithe- lium. Functionally, pavement-epithelium is a much less active tissue than the cubical variety. :>. Columnar Epithelium (Figs. 31, 32, 33). — The cells of this Fig. 31 Columnar epithelium. From tongue of pseudopits. (Seiler.) a, three cells with intact cyto- plasm, except the central one, which contains a vacuole ; b, three cells of which the dis- tal ends contain drops of fluid (vacuoles) or of metaplasm. form of epithelium are of a general columnar or prismatic shape and possess a single nucleus and a cytoplasm that is usually dis- tinctly granular. They are arranged with their long axes parallel to each other, so that their free ends form the surface of the epithe- Fig. 32. Fig. 33. f% '■"'•;5-; Ppfe «» "■ * '; y Columnar epithelium. ' 8.— From small intestine of the mouse. (Paueth.) a. pyramidal reserve cell, nucleus not included in section ; b, "goblet" cell, enclosing a large drop of secretion. Fig. 33.— From small intestine of the mouse. (Paneth.) Columnar epithelial cells seen from above : b, goblet-cell, the mucous contents darkened by the hardening process; s, s, highly granular cells which have recentlj discharged their secretion. Hum, while their deeper cuds either rest upon the tissues beneath the epithelium or upon other epithelial cells of different shape which form one or more layers between the columnar cells and the underlying tissue-. When they rest directly upon the tissues beneath there are usually other epithelial cells of a pyramidal or oval shape which may be regarded as immature cells ready to take the place of such fully developed cells a> may become detached or destroyed. The presence of these cells occasions a narrowing of THE EPITHELIAL TISSUES. 55 the deep ends of the columnar cells, so that they are not strictly prismatic in form. In cross-section, or when viewed in a direction parallel to their long axes, the cells have a polygonal form due to the lateral pressure they exert upon each other (Fig. 33). The nuclei of the columnar cells are oval, situated nearer the base of the cell than its superficial end with their long axes parallel to those of the cells themselves, and are vesicular in structure with a distinctly reticular arrangement of the chromatin filaments. Columnar epithelium is found chiefly upon the free surfaces of mucous membranes, but also occurs in some of the secreting glands. The minute structure of the cells varies somewhat in different situ- ations, but the consideration of these minutiae must be deferred until a description of the structure of the different organs is under- taken in a subsequent chapter. 4. Ciliated Epithelium (Figs. 34, 35, 36).— Ciliated epithelium Fig. 34. Fig. 35. Fig. 36. f» Wm Ciliated epithelium. (Frenzel.) Fig. 34.— Cubical cells with long cilia (hb). The nuclei of the cells are obscured by the gran- ular cytoplasm. Fig. 35.— Columnar ceils. The rodded margin, /s, corresponds to the cuticle in Fig. 37. Fig. 30.— Diagram illustrating variations in the structure of the ciliated ends of cells. The rodded portion, ok to uk, corresponds to the cuticle of other varieties of epithelium, though the latter do not possess the knobbed ends of the rods represented in this figure ; hb, cilia. is merely a variety of either columnar or cubical epithelium in which the free ends of the cells are beset with delicate hair-like processes, which execute lashing movements in some one direction. It is found lining the trachea and bronchi, the cilia here serving to propel toward the larynx such particles of dust as are brought into the respiratory passages by the currents of air during respiration. Ciliated epithelium also occurs on the lining membranes of the nose 56 NORMAL HISTOLOGY. and the adjoining bony cavities, the mucous membrane of the uterus and the Fallopian tubes, the vasa efferentia of the testis and a part of the epididymus, the ventricles of the brain (except the fifth), the (•(Mitral canal of the spinal cord, and the ducts of some glands. The possession of cilia, which are very motile organs, presents a marked departure in specialization from the usual metabolic func- tions of epithelium. Ciliated epithelium rarely exercises a secretory function, its stock of energy being utilized to produce motion instead of chemical change. But there are secreting varieties of epithelium possessing a " cuticle " which appears to be morphologically anal- ogous to the cilia, but in which the fibrils are less highly developed, probably not motile, and, therefore, functionally not the equiva- Fig. 37. mmmmmiBimwmwwm Cuticularized epithelium, intestine of dog. (Paneth.) Rodded cuticle of the free ends of columnar cells. In most specimens of ciliated epithelium from human tissues, where no special care has been taken to preserve the cilia, the ciliated border presents the appear- ances shown in Fig. 37. lents of cilia. This cuticle is highly developed in the cells cover- ing the mucous membrane of the intestine (Fig. 37). o. Stratified Epithelium. — In the varieties of epithelium hitherto considered the cells are, in the main, disposed upon some surface in a single layer, some, at least, of the cells usually extending from the bottom of the layer to its surface. Stratified epithelium is distinguished from these by being of greater depth and consisting of several layers of cells. The epithe- lium lining the cheek or the (esophagus may be taken as a typical example of this variety. The most deeply situated cells are small and nearly filled by the round or oval nucleus. They undergo frecjuent division, and as they multiply -one of them are crowded toward the surface. For a time these increase in size through a growth of their cytoplasm. But as they are pushed nearer to the surface and farther from the sources of nutrition in the vascular tissues underlying the epithe- lium, they become flattened and their bodies lose their cytoplasmic character, being converted into a dry, horny substance, keratin. THE EPITHELIAL TISSUES. 57 Upon the free surface they are reduced to thin scales, closely adhering to each other and their subjacent neighbors, but entirely devoid of both cytoplasm and nucleus (Fig. 38). Stratified epithelium is found upon surfaces exposed to friction, which it serves to protect against mechanical injury, and, in some Fig. 38. Stratified epithelium, oesophagus of the rabbit: a, karyokinetic figure in a cell of the deep layer, demonstrating the fact that the cells multiply in this region ; 6, larger flattened cell nearer the surface ; c, horny layer made up of cells that have undergone keratoid degeneration ; rf, underlying fibrous tissue. In one place, near the centre of the figure, six blood-corpuscles reveal the presence of a small vessel ; e, tangential section of a small fibrous papilla extending into the epithelium and surrounded by young epithelial cells. cases, against desiccation. It forms the epidermis of the skin, and lines the mouth, oesophagus, rectum, and vagina. In these situ- ations the scaly or squamous cells of the surface are constantly being removed by the attrition to which they are exposed, but are as constantly replaced by fresh cells from the deeper layers of the epithelium. Pressure and moderate friction stimulate the multi- plication of the cells in the deepest layers of the tissue, so that parts, e. g. of the skin which are especially subjected to such influ- ences acquire a thicker epidermis (callus). Where the stratified epithelium consists of many layers of cells, as is the case, for instance, upon the skin, there is a provision for the nourishment of the growing cells which are somewhat removed from the vascularized subjacent tissues. The cells of the deeper layers are somewhat separated from each other, leaving a space between them through which nutrient fluids can circulate. Across this space numerous minute projections or "prickles," springing from neighboring cells, join each other, forming connecting bridges between the cells. When isolated, such cells appear covered with these small spicules (" prickle-cells "), and their presence probably 58 NORMAL HISTOLOGY. increases the tenacity with which the cell-remains adhere to each other when they become hardened and toughened on the surface of the epithelial layer (Fig. 39). These delicate bridges connecting neighboring cells are not pecu- liar to stratified epithelium, though they are more conspicuous in that tissue than elsewhere. They have been observed between the cells of the columnar epithelium of the intestinal mucous mem- brane, and also between the cells of other elementary tissues; e.g., smooth muscular tissue. 6. Transitional Epithelium (Figs. 40 and 41). — This variety re- sembles stratified epithelium in forming layers several cells in thick- Fig. 39. W Prickle cells from human stratified epithelium. (Rabl.) Four cells with delicate processes unit- ing across an intervening space are represented. The lower right-hand cell is just below the upper surface of the section, so that its surface is seen. This is covered with minute spots, which are end views of the prickles directed toward the observer. The nucleus of this cell is not in sharp focus, a fact indicated by the fainter outline in the figure. ness, but differs in the character of its superficial cells. These do not undergo the horny change peculiar to stratified epithelium, but con- tinue to increase in size, forming a covering; of verv large cells lving upon those beneath. Under these largest superficial cells are pyri- forra cells lying with their larger, rounded ends next to the topmost layer, while their deeper and more attenuated ends lie between the oval or round cells that form the one or two deepest layers of the epithelium and rest upon the underlying tissues. Transitional epithelium is found lining the renal pelves, ureter-, and bladder. Its structure permits of a considerable stretching of the tissues beneath without rupture of the epithelial layer over them, the cells of which become flattened to cover the increased surface, to return to their first condition when the viscus which they line is emptied. This is notably the case in the bladder, the epi- THE EPITHELIAL TISSUES. 59 thelial lining of which may he taken as a type of this variety of tissue. The functional activities of epithelium are in marked contrast to the comparatively inert character of endothelium. The cytoplasmic Fig. 40. - m m — H- d Transitional epithelium from bladder of the mouse. (Dogiel.) 1, 2, 3, and 4 indicate the layers of cells, not everywhere equally well defined, a, hyaloplasmic surface, and, 6, cyto- plasmic body of large superficial cell ; c, leucocyte— i. e., white blood-corpuscle that has wandered into the epithelium by virtue of its amoeboid movements ; d, karyokinetic figure in a cell belonging to the deepest layer. Beneath this layer is the fibrous tissue, which is covered by the epithelium and forms a part of the wall of the bladder. The superficial cell, which is fully represented, contains two nuclei, a not very infrequent occurrence in these cells. nature of the epithelial cell, when contrasted with the poverty in cytoplasm of the cell in endothelium, would lead us to expect this difference in the cellular activities of the two tissues. At the begin- ning of this chapter a sketch of the manifold functions of epithe- Fio. 41. Transitional epithelium. Isolated cells from the bladder of the frog. (List.) lium was given. It is a fair general statement of its usefulness to say that epithelium is chiefly concerned in bringing about chemical changes in substances brought to it. Sometimes these substances are elaborated into fresh cell-constituents, and the activity of the 60 NORMAL HISTOLOGY. tissue is displayed chiefly in an active multiplication and growth of its cells. This is especially true in the stratified variety, where pro- tection is provided by a constantly renewed supply of cells. In other cases the substances received by the cells are elaborated into definite compounds destined to form the essential constituents of a secretion. This secretory function of epithelium is an extremely important one, and for its performance that tissue is usually ar- ranged in a special structure or organ, called a gland. A brief state- ment of the general characters and classification of these organs may here appropriately find a place. Secreting Glands. — The simplest type of secreting structure con- sists of a surface covered with a layer of epithelium, the cells of which are endowed with the power of elaborating a secretion and discharg- ing it upon their free surfaces (Fig. 32, b). The tissues supporting the epithelium belong to the connective tissues, and are fibrous in character and well provided with bloodvessels, lymphatics, and nerves. These bring to the epithelium the substances necessary for its nourishment and work, and place its activities under the control of the nervous system. Between the epithelium and the fibrous tissue supporting it there is frequently a thin membranous layer of tissue that often appears quite homogeneous, evidently belongs to the connective tissues, and has received the name of "basement-mem- brane." This appears to offer a smooth surface for the attachment of the epithelial cells, which receive their nourishing fluids through it. The epithelial surfaces of many of the mucous membranes are examples of the foregoing simple secreting structure. The secretory function is here of use as an adjunct to the protective function assigned to the epithelial covering, and the quantity of secretion is but slight under normal conditions. Where the volume of secre- tion required i- considerable some provision for an increase in the extent of secreting surface is necessary. This maybe accomplished by an invagination of that surface, which then forms the lining of one or more tubes or sacs, into which the secretion furnished by the epithelial cells is discharged. Such an arrangement of the tissues constitutes a gland, and it is evident that these may be arranged into groups or classes according to whether the secreting surface forms a single tube or sac, or several such tubes or sacs, uniting to forma single gland. Thus, there may be simple or compound tubular glands, or simple or compound saccular glands. Whether the deeper portion^ of the -land have a tubular or saccular structure, the secre- THE EPITHELIAL TISSUES. 61 tion of the gland is discharged upon some free surface through a tubular outlet, called the duct. This is frequently lined with a non- secreting layer of epithelial cells differing in character from the actively secreting epithelium in the deeper portions of tire glandular passages (Figs. 42-47). Fig. 42. Fig. 43. Fin. 44. Fig. 45. Diagrams representing various types of gland. Fig. 42.— Simple tubular gland : a, epithelium covering the surface on which the secretion is discharged; b, mouth of gland; c, epithelium lining the duct. This gradually passes into the secreting epithelium. Some simple tubular glands have no such distinction between the cells near the mouth and those nearer the fundus, but all the cells are of the secreting variety — i.e., exercise that function, e, secretory epithelium ; d, lumen. The sweat-glands are simple tubular glands which are coiled in their lower part to form a globular mass. Fig. 43. — Compound tubular gland : /, duct ; g, acinus. Fig. 44.— Racemose tubular gland : /,/,/, ducts ; g, g, acini. Fig. 45.— Simple saccular gland : /, duct ; g, acinus. (>2 NORMAL HISTOLOGY. Fig. 46. Fig. 47. Diagrams representing various types of gland. Fig. 46.— Racemose saccular gland : /,/, ducts; g, acinus. Fig. 47.— Compound tubular gland, with a marked distinction in the character of the epi- thelium in the duct and acini: c, duct epithelium; /, duct; d, lumen of the acinus; e, secreting epithelium. This type of gland is common. This figure is introduced to show how difficult it might be to detect the lumen of the acinus in sections of such a gland. The lumen is of very small diameter (its size is exaggerated in this diagram) and runs such a tortuous course among the epithelial cells that even perfect cross-sections of the acinus might fail to reveal it if it happened at that point to run obliquely to the axis of the acinus. It would then appear merely as a small clear spot upon the granular cytoplasm of the cell that lay immediately beneath it. ,«, s', represent the way in which two such sections would contain portions of the acinus. The lumen in .s' would be more easily detected than in s, because its general direction is more rectilinear and more nearly coincident with the line of vision. It is rarely possible to trace the connection between the ducts and other portions of a gland in sections, for the axes of these dif- ferent parts seldom lie in one plane. As a result of this circum- stance, sections of glands usually present a collection of round or oval sections of tubes or sacs, which are lined with a single layer of epithelial cells, surrounding a lumen. The cells in the deeper por- tions arc usually granular and cubical ; those lining the ducts are generally more columnar in shape and less granular in character. The deeper portions are called the alveoli or acini of the gland, to dis- tinguish them from the duets, and the character of the epithelium they contain differs according to the function of the gland. Sometimes the cells are so large that they nearly fill the acini, leaving a scarcely perceptible lumen. In other glands the cells are less voluminous and the lumen of each acinus is distinct. It occasionally happens, e.g., in the submaxillary glands, that the acini contain two sorts of cells which secrete different materials. Both kinds of cell may be present in the Bame acinus, or each kind may be confined to differ- ent acini. In studying sections of glands it must be borne in mind that the tangential section of an acinus would appear as a group of THE EPITHELIAL TISSUES. 63 cells surrounded by fibrous tissue, with no trace of a lumen among the epithelial cells (Fig. 48). Glands develop from surfaces which are covered by epithelium. Fia. 48. Section of gland from human lip. (Nadler.) a, duct, cut in slightly oblique direction (lumen oval), and probably near a branch, which would account for the apparent thickness of its epithelial lining in the lower half; b, cross-section of acinus secreting mucus ; c, tan- gential section of a similar acinus near its extremity and beyond the end of the lumen. Cross-sections of the cells at the fundus occupy the centre, d, cross-section of an acinus secreting a serous fluid, revealing a small lumen ; d', a similar acinus with a larger lumen, probably cut near its junction with a duct; e, acinus with crescentic group of cells with granular cytoplasm (e')> and other cells like those in b. The granular cells of small size are considered to be cells which have discharged their secretion and are accumulating material for a fresh supply. /, nearly axial longitudinal section of a portion of a mucous acinus ; g, tangential section of a serous acinus ; h, fibrous connective tissue between the acini; ?', capillary bloodvessel in the fibrous tissue. The cells of this epithelium multiply and penetrate into the under- lying tissues, forming little solid tongues or columns of cells (Fig. 181). If the gland is destined to be of the simple tubular variety, this col- umn of cells then becomes hollowed to form the lumen, the cells being 64 NORMAL HISTOLOGY. arranged in a single layer lining the tubule. If the gland is to be compound, the solid column of cells branches within the tissues, and then the luminaof the different portions are formed, the epithelium in the different parts becoming differentiated as specialization of function develops. The foregoing general description of the structure of secreting glands applies to those glands which have a purely secretory func- tion, discharging the products of their activities upon some free surface, such as the skin or a mucous membrane. There are other glandular organs which perform more complicated functions and the structure of which deviates from that of .the simpler glands. Examples of these are furnished by the liver and kidney, the struct- ures of which must be deferred to a subsequent chapter. Other exceptions are exemplified in the thyroid body and other "duct- less" glands, which discharge no secretion into a viscus or upon a free surface, but which have an alveolar structure similar to an ordinary secreting gland. These alveoli do not communicate with ducts, which are wanting ; but whatever products they may con- tribute to the whole organism are apparently discharged into the circulating fluids of the body by a process of absorption similar to that through which the glandular epithelium obtains its materials from those fluids, or by a direct discharge into the lymphatics. (See chapter on Ductless glands.) This process is indicated by the term " internal secretion," and is probably of commoner occurrence than is usually supposed. In fact, it but represents a special interpretation of the phenomena of interchange of material that is constantly going on between all the cells of the body and its circulating fluids. Epithelium is developed from the epiderm or hypoderni ; never from the mesoderm. In this respect, as well as in its functional rule, it differs from endothelium. CHAPTER IV. THE CONNECTIVE TISSUES. The two varieties of elementary tissue that have just been con- sidered— namely, endothelium and epithelium — owe their qualities directly to the characters of the cells that enter into their composi- tion. The intercellular substances are insignificant in amount and subordinate in function. In marked contrast to these are the tissues composing the group known as the " connective tissues." Here the usefulness of the tissues depends upon the character of the intercellular substances which confer upon the tissues their physical properties. The activities of the cells entering into the composition of these tissues appear to be confined to the production of those important inter- cellular substances and the maintenance of their integrity. The (•ells may, therefore, be considered as of secondary importance in determining the immediate usefulness of the tissues, the first place being1 given to the intercellular substances. As was stated in the introductory chapter, these connective tissues are essentially passive — i. e., they are useful because of their physical characters rather than because of any ability to transform either matter or energy. Where the ability to accomplish those transformations is of importance the tissues are found to be essentially cellular in char- acter, as we have already seen to be the case in the epithelial tis- sues. The connective tissues may be divided into three main groups : the cartilages, bone, and the fibrous tissues. Each of these groups has certain general structural characters that distinguish it from the other elementary tissues, but within each group there are varieties which differ considerably in the detailed character of their intercellular substances and in the arrangement of these with re- spect to the cells. All the elementary tissues belonging to the connective-tissue group are developed from the mesoderm. 5 65 66 NORMAL HISTOLOGY. I. THE CARTILAGES. General Characters. — (1) The typical cell of cartilage is round or oval in shape, rich in cytoplasm, and possesses one (rarely two) nucleus of oval form and vesicular and reticulated structure. Within the cytoplasm there are frequently one or more clear spots, which are drops of homogeneous fluid, "vacuoles." The cells fre- quently depart somewhat from this type. Where the tissue is growing they are usually flattened on the sides turned toward their nearest neighbors. This is because they are the offspring of a cell that has recently divided, and are as yet separated by only a small amount of intercellular substance. Under these circumstances each cell is frequently surrounded by a thin layer of intercellular sub- stance, probably of relatively recent formation, which differs a little from that further from the cell and gives an appearance as though the cell were enclosed in a capsule. With some dyes this recently formed intercellular substance receives a somewhat different color from that of the older intercellular substance. In older cartilage this difference is no longer evident. Where cartilage is being replaced by Fig. 49. 6 Hyaline cartilage. Section of human costal cartilage: a, nearly spherical cell containing two vacuoles ; b, recently formed intercellular substance (" matrix "), separating two cells that have been produced by the division of a single cell. There are several other examples of a similar grouping of cells, due to the same cause, in the figure. Between the cells is the hyaline, nearly structureless " matrix." bone, " ossification," the cells are arranged in columns, with only a -mall amount of intervening intercellular substance, and have a general cubical form. THE CONNECTIVE TISSUES. 67 (2) The intercellular substance is abundant in amount and has received the special designation " matrix." According to the char- acter of this matrix, the cartilages have been divided into three varieties : hyaline cartilage, fibro-cartilage, and elastic cartilage. In hyaline cartilage the matrix is clear and homogeneous and has the consistency of gristle. In fibro-cartilage it is traversed by or nearly wholly composed of delicate fibres similar to those of white fibrous tissue, which will be described presently. In elastic cartilage the matrix contains coarse, branching, and anastomosing fibres similar to those of elastic fibrous tissue (vide infra). (3) The arrangement of the cells and intercellular substances varies considerably. Sometimes the cells are pretty uniformly distributed throughout the intercellular substance. Sometimes they Fig. 50. Hyaline cartilage and perichondrium. Human costal cartilage. Same specimen as Fig. 49 . a, group of cells formed by division, but not yet separated by matrix ; b, matrix ; c, cells with a comparatively slight amount of cytoplasm, marking the transition from cartilage to fibrous tissue ; d, perichondrium, composed of fibrous tissue (spindle-shaped cells with a fibrous intercellular substance). are arranged in groups of from two to four or even six cells. To- ward the surface of a piece of cartilage the cells are apt to be smaller than those nearer the centre, and are frequently flattened. Here, also, they often lose the characters that distinguish them in the body of the tissue, and more and more closely resemble the cells of the fibrous tissue surrounding the cartilage. This fibrous tissue is called the " perichondrium," and is usually not sharply defined from the cartilage itself, the matrix of the latter becoming more and more fibrous in character and the cells less distinctly like those 68 NOJi M. I L HIS TO LOG Y. Fig. 51. l**>v Hyaline cartilage. Section fmra human thyroid cartilage. I Wolters.) a, perichondrium : b, peripheral /one of cartilage with flattened cells. In the deeper portions of the car- tilage the cells are larger, are arranged in groups, and are surrounded by recently formed matrix. The cells in the deepest portions of the cartilage are vacuolated, and about the groups of cells arc fine granules of lime salt-. In the matrix are numerous anastomosing lines, which are interpreted as fine canals, serv- ing to carry nourishment to the ceils in the cartilage. tion some of the cells typical of cartilage until the distinction between the two tissues is lost. The peri- chondrium is wanting over the free surfaces of the articular cartilages. 1. Hyaline Cartilage (Figs. 49, 50, and 51). — Although under ordinary powers of the microscope and in specimens which have not been specially prepared the matrix of hyaline cartilage appears clear and almost, if not quite, homogeneous, closer study reveals the presence of a fine network within the clear intercellular sub- stance. This network is thought to be a system of minute channels through which the nutrient fluids permeate the tissue and reach its cells. It may be, however, that this reticulum is of fibrous character in which case the fibres might be more pervious than the surrounding matrix, and bear the same relations to the nutrition of the tissue as a system of minute channels. In sections stained with haematoxylin the matrix of hyaline cartilage often acquires a faint bluish tinge, the cytoplasm of the cells a deeper shade of the same color, and the nuclear chromatin a very dark blue. Hyaline cartilage forms the costal car- tilages, the thyroid cartilage, the ensiform process of the sternum, the cartilages of the trachea and bronchi, and the tem- porary cartilages which are subsequently replaced by bone. 2. Fibro-cartilage (Fig. 52). — This va- riety of cartilage is found in only a few situations: in the interarticular cartilages of joints, in some of the synchondroses, in one region in the heart, and in the intervertebral disks. In the latter situa- possess branching processes, extending for THE CONNECTIVE TISSUES. 69 some distance between the fibres of the intercellular substance, and giving the whole tissue a character closely resembling that of Fig. 52. Fibrocartilage. Section from human intervertebral disk. (Schkfer.) The cell to the left presents a branching process extending into the intercellular substance. white fibrous tissue. The cells are, however, more cytoplasmic than those of ordinary fibrous tissue. 3. Elastic Cartilage (Figs. 53 and 60). — This form of cartilage Fig. 53. Elastic cartilage. Section from cartilage of human external ear. (Bohm and Davidoff.) a, cartilage-cell; b, c, network of elastic fibres in the intercellular substance; b, with large meshes ; c, fine-meshed. Opposite a is a cell showing indications of a division of the cyptoplasm following division of the nucleus. is found in the epiglottis, the cornicula of the larynx, the ear, and the Eustachian tube. The coarseness of the anastomosing fibrous network of the matrix varies in different situations and in different 70 NORMAL HISTOLOGY. parts of the same piece of cartilage. The reticulum is usually more open and composed of larger fibres toward the centre of the tissue than at the periphery, where it becomes more delicate and finally blends with the fibrous intercellular substance of the peri- chondrium. It is evident, both from the structure of the cartilages and from the situations in which they are found, that they constitute elastic tissues suitable for diminishing the effects of mechanical shock. This is obviously the case in the joints, where both the hyaline and the fibrous varieties are found. Their elasticity and moderately firm consistency are also of obvious utility in the larynx and other air-passages and in the ear, nose, and synchondroses. II. BONE. General Characters. — (1) The cells of bone, called " bone-corpus- cles," have an oval vesicular nucleus, surrounded by a moderate amount of cytoplasm, which is prolonged into delicate branching processes that join those of neighboring cells. (2) The intercellular substance is composed of an intimate association of an organic substance and salts of the earthy metals. (3) The arrangement of these constituents is as follows : the organic basis of the inter- cellular substance is arranged in laminae, which are closely applied to each other except at certain points where there are cavities, called " lacunae," giving lodgement to the bone-corpuscles. Joining these lacunse with each other are minute channels in the intercellular substances, " canaliculi," which are occupied by the fine processes of the corpuscles. In the compact portions of the long bones, and wherever the osseous tissue is abundant, the laminae are arranged concentrically around nutrient canals, the " Haversian canals," which traverse the bone, anastomosing with each other and contain- ing the nutrient bloodvessels of the tissue. In cancellated bone these Haversian canals are absent, and the thin plates of bone are made up of parallel laminae of intercellular substance, between which are the lacunse, connected with each other by canaliculi. The bone-corpuscles are nourished from the fluids circulating in the marrow, which occupies the large spaces of this spongy variety of bone. It is not possible in a single preparation to study even these gen- eral characters of bone. The earthy salts in the intercellular sub- THE CONNECTIVE TISSUES. 71 stance prevent the preparation of sections by means of the knife, and, unless they be removed, specimens of bone must be made by grinding. This can best be accomplished after the bone has been dried. But drying the bone destroys the corpuscles, which appear as little desiccated masses, devoid of structure, within the lacuna?. Ground sections of bone can, therefore, give only an idea of the in- tercellular substance and the arrangement of the lacuna?, canaliculi, Haversian canals, etc. (Figs. 54 and 55). Sections may be cut if Fig. 54. Ground section of dried bone. Human femur, a, Haversian canal in cross-section; a', Ha- versian canal occupied by debris ; a", anastomosing branch from a', in nearly longitud- inal section; b, lacuna belonging to the Haversian system, of which a' occupies the centre ; c, lacuna in excentric laminae of bone between the Haversian systems. The delicate lines connecting the lacunse are the canaliculi. the bone be first decalcified — i. e., if the earthy salts be dissolved through the action of acids. This treatment not only removes the earthy constituents of the intercellular substance, rendering it soft and pliable, but causes the organic constituents to swell. The effect of this swelling upon the appearance of the bone is very marked. The fine canaliculi are closed and the lacuna? diminished in size, so that the structure of the bone appears much simplified, being reduced to a nearly homogeneous mass of intercellular sub- stance in which there are spaces arranged in definite order and enclosing the somewhat compressed bone-corpuscles. The delicate processes of the latter are not discernible within the canaliculi, but blend with the swollen intercellular substance forming the walls of those minute channels. It is important that the student should learn to recognize these mutilated preparations of bone, since it is 72 NORMA L 1IIST0L OG Y. in this form that the tissue will most frequently come under his observation ( Fig. 56). Minute study of the structure of the intercellular substance of bone makes it appear that the organic basis is not homogeneous, but is composed of minute interlacing fibres, held together by From a section through the bone of a roebuck. The bone cavities (lacuna) are seen from the side. X 850. a cement or "ground" substance, containing the deposit of earthy salts. To these salts, which are chiefly phosphate and carbonate of calcium, the bone owes its hardness, while the fibres contribute toughness and elasticity to the tissue. The general arrangement of the fibres in the intercellular substance is in lamina1, which have a general parallel direction ; but there are occasional fibres of some size which pierce these laminae in a perpendicular direction and appear to bind them together, very much as a nail would hold a series of thin boards in place, " Sharpey's fibres." Bone occurs in two forms, the compact and the cancellated. These do not differ in the nature of the tissue itself, but merely THE CONNECTIVE TISSUES. 73 in the arrangement of that tissue with respect to its sources of nourishment. Where the bone is massed in compact form, as in the shafts of the long bones, special means for supplying it with nourishment is provided by a series of channels, the Haversian Fig. 56. Section of decalcified bone, parallel to axis of human femur, a, longitudinal section of Haversian canal giving off transverse branch to the left; 6, tangential section of a trans- verse branch ; c, lacuna occupied by bone-corpuscle ; d, intercellular substance deprived of its earthy salts and so swollen that the canaliculi are obliterated. canals, which contain the nutrient bloodvessels, and which anasto- mose with each other throughout the whole substance of the tissue. The nourishing lymph, derived from the blood, reaches the cells through the canaliculi and lacunae, which connect with each other to form a network of minute channels and spaces pervading the bone, and not only opening into the Haversian canals, but also upon the external and internal surfaces of the tissue. In the shafts of the long bones the Haversian canals lie for the most part parallel with the axis of the bone, with short transverse branches connecting them with each other. It is around these lon- gitudinal Haversian canals that the lamina? of bone are arranged in concentric tubular layers. Each Haversian canal, with the laminae surrounding it, is known as an Haversian system. Between these Haversian systems there are excentric laminae of bone, which do not conform to the concentric arrangement of the Haversian systems. 74 NORMAL HISTOLOGY. In the spongy or cancellated variety of hone the thin plates of that tissue derive their nourishment from the lymph of the con- tiguous marrow rilling the spaces between them, and there is no occasion for Haversian canals. The concentric arrangement of the laminae is, therefore, absent. Except where bounded by cartilage at the joints, the external surfaces of the bones are covered by a fibrous investment, the periosteum, in which the bloodvessels supplying the bone ramify and subdivide before sending their small twigs into the Haversian canals of the compact bone. A few nerve-fibres also penetrate into the bone from the periosteum. The deep surface of the periosteum contains connective-tissue cells, " osteoblasts," capable of assuming the functions of bone-corpuscles and producing bone. In places where the bone is developing, these osteoblasts are large and cyto- plasmic, somewhat resembling the cells of cuboidal epithelium. These facts explain the importance of the periosteum for the nutrition and growth of bone. The tendons and ligaments attached to the bones merge with the periosteum, which has a similar fibrous struct- ure and serves to connect them firmly with the surface of the bone. The central cavities of the long bones and the spaces of cancel- lated bone are occupied by marrow, which may be of two kinds, the " red " or the " yellow." A description of the structure of marrow must be deferred until the other varieties of the connective tissues have been considered. In the embryo the parts which are destined to become bony first consist of some other variety of connective tissue, either cartilage or fibrous tissue. This subsequently "ossifies," during which proc- ess it is not really converted into bone, but is gradually absorbed as that tissue develops and replaces it. Because of its hardness and compact structure it is, perhaps, a little difficult to realize the plastic character of bone, and to under- stand the growth and gradual changes that take place in a tissue that would seem to be so permanent. These changes are wrought by the absorption of bone already formed and the deposition of new bone. The long bones increase in length as long as the epiphyseal cartilage persists; this cartilage grows and is constantly being replaced by bone formed at its junction with the shaft. Bones increase in diame- ter by the deposition of fresh osseous tissue produced by the osteo- blasts forming the deep layer of the periosteum. As the osteoblasts THE CONNECTIVE TISSUES. 75 niultiplv some of them become bone-corpuscles and through their action new intercellular substances are produced. The marrow cavity also enlarges. This is brought about by large multinuclear cells, " osteoclasts," which cause the absorption of the intercellular sub- stances of the bone with which they lie in contact, producing little excavations, the Howship's foveolse or lacunae (Fig. 57). Through Fia 57. Lacuna (.jmit ^ / osteoclast) Vr^ ' s •?*—Bone Marrow cells *■«.. ---\ «• • • • •»** • ••■>•• G?'«»/ (W/ <&_ (osteoclast) .*• ' '•* From a longitudinal section of the femur of a rabbit's embryo. X 335. the agency of the osteoblasts and osteoclasts the bone is gradually moulded to meet the demands upon it. In muscular individuals the ridges and spines to which the tendons or muscles are attached become larger and more prominent and the arrangements of the bony plates in cancellous tissue are adapted to withstand the strains result- ing from pressure bearing on the surfaces of the bones. The eccentric larninse of bone already mentioned as existing between the Haversian systems of compact bone are probably remains of former complete systems which have been partially absorbed and replaced by the existing systems of more recent production. 76 NORMAL HISTOLOGY. III. THE FIBROUS TISSUES. General Characters. — This group of elementary tissues, which may he said to constitute the connective tissues par excellence, includes a number of varieties which are not very sharply defined, because of transitional modifications which bridge over the differ- ences between the more distinct types. It will, therefore, be best to describe these well-marked types of structure, and then to indi- cate the direction in which they are modified in particular cases so as to simulate in greater or less degree other typical varieties of the same group. (1) The cells of the fibrous tissues vary considerably in character, three more or less distinct forms being distinguishable. First, flat- tened, almost membranous cells with oval nuclei and nearly clear and homogeneous bodies, possibly identical with the cells that form endothelium ; second, granular cells, rich in cytoplasm and usually ovoid or cubical in shape, though sometimes elongated; third, elon- gated or fusiform cells, with oval nuclei surrounded by a moderate amount of cytoplasm which is frequently prolonged into processes of greater or less length and delicacy, and sometimes dividing into branches. These three sorts of cell are present in varying relative proportions in the different tissues belonging to this group. (2) The intercellular substance is composed of distinct fibres, asso- ciated with a homogeneous cement- or "ground-substance," lying between the fibres. The fibres are of two kinds : the " white," non-elastic, and the elastic or "yellow." The relative abundance of these and of the ground-substance associated with them, and also their arrangement, vary greatly in the different members of the group. (3) The arrangement of the constituents of the fibrous tissues in the different varieties is so diverse that a statement of the variations would amount to a description of the tissues themselves. The general characters already enumerated will serve to distinguish the whole group from all the other elementary tissues, and enable the student to recognize the fact that a given form of the tissue which he may have under observation belongs to this group. Before entering upon a description of the varieties of fibrous tissue, it will be of advantage to note the peculiarities of the two kinds of fibres that are found among their intercellular substance. The white, non-elastic fibres (Fig. 58) are exceedingly delicate, THE CONNECTIVE TISSUES. 77 Fig. 58. and appear, even under high powers of the microscope, as fine, trans parent, homogeneous lines. They are usu- ally aggregated into bundles of greater or less thickness, being held together by a small amount of the cement-substance already re- ferred to. In these bundles the fibres run a somewhat wavy course from one end of the bundle to the other, but lie parallel to each other and never branch. When treated with dilute acetic acid, without previous hardening, they swell and become almost invisible. They are converted into gelatin when boiled in water. The yellow, or elastic, fibres (Figs. 59-61) are coarser than the white and more highly refracting, appearing more conspicuous when viewed under the microscope. They may be nearly straight, but more usually run a sinuous course. At intervals they divide, and the branches anastomose with each other to form a fibrous network, the Fibres of white fibrous tissue teased apart to show the individual fibrils. Fig. 59. Fig. 60. 4* 9.— From the subcutaneous areolar tissue of the rabbit. (Schafer.) Fig. 60.— Section of ear. (Hertwig.) The intercellular substance contains a reticulum of coarse anastomosing elastic fibres. (See Fig. 53.) Fig. 61.— Fenestrated membrane from a branch of human carotid artery. (Triepel.) meshes of which may be large, as is the case in areolar tissue, or so small and bounded by such broad fibres that the network resembles 78 NORMA L HISTOLOG Y. a membrane pierced by somewhat elongated apertures, as is exem- plified in the fenestrated membranes of the arteries. The forma- tion of such a network is, however, not an essential characteristic of these fibres, for they appear as isolated wavy fibres in some of the fibrous tissues of open and loose structures. Elastic fibres are not affected by acetic acid, nor do they yield gelatin on boiling in water. According to Schwalbe, they have a tubular structure, con- sisting of a membrane enclosing a substance called "elastin." We may now turn our attention to the different varieties of the fibrous tissues. Fig. 62. Mucous tissue. (Ranvier.) a, stellate cells with long and branching processes ; b, elastic fibres in the homogeneous, mucoid, intercellular substance, which is not visible under the microscope unless artificially colored. Three of the cells are represented in cross-section. 1. Mucous Tissue (Fig. 62). — The cells of this elementary tissue are chiefly of the third variety mentioned above. They are spindle- shaped or stellate in form, and many of them possess processes that extend far into the intercellular substance, Avhere they may branch and unite with the processes of neighboring cells. The predominant constituent of the intercellular substance is a gelatinous ground-substance, which contains a variable amount of mucin and appears nearly, if not quite, homogeneous under the microscope. It is this which gives the whole tissue its soft and gelatinous con- sistency. A variable number of fibres of both the kinds already described run through this ground-substance. The white fibres are arranged in fine bundles, but the elastic fibres appear to be isolated and, though they may branch, do not appear to form a network. The manner in which the fibres in the intercellular substances of this and other forms of connective tissue are formed is not understood. THE CONNECTIVE TISSUES. 79 According to one view, they are produced from and by the cytoplasm of connective-tissue cells, which, in consequence are often called fibroblasts (Fig. 65). It is difficult to understand how this can be true in all cases, and mucous tissue offers an example of one of these. Another view is that the fibres are formed within the inter- cellular " ground substance " — i. e., the apparently homogeneous material lying between the cells and fibres — as a sort of coagulum or segregation of the substances constituting the fibres. Mucous tissue of a rather highly cellular character is abundant in the embryo, where it constitutes an early stage in the development of the fibrous tissues (Fig. 63). A variety less rich in cells forms Ftg. 63. Embryonic connective tissue (mesenchymatous tissue). (Bohm and Davidoff.) a, nucleus of stellate cell ; b, cytoplasmic process. The intercellular substance is of gelatinous con- sistency and optically bomogeneous. the Whartonian jelly of the umbilical cord. It does not occur in the adult under normal conditions, except, perhaps, in the vitreous humor of the eye. 2. Reticular Tissue (Fig. 64). — The fibres of this variety of ele- mentary tissue are disposed in extremely delicate bundles, which anastomose with each other to form a fine mesh work. The spaces between the fibrous bundles are filled with lymph, which is usually so crowded with cells similar to the white blood-corpuscles that the structure of the tissue is masked by their presence. The cells of 80 XORM. I L IflSTOL OG Y. this tissue are flattened and closely applied to the surfaces of the bundles of fibres, which arc SO fine that they simulate delicate branching processes emanating from the cells. The cement- or ground-suhstancc is reduced to a minimum, only a small amount lyine between the fibres and the cells of the reticulum. The tissue is bounded by denser forms of fibrous tissue, with the fibrous bundles of which the reticulum is continuous. It is possible that reticular tissue contains stellate cells of the third variety mentioned as occur- Fig. G4. Reticular tissue. Section through a lymph-sinus in a lymph-node of the rabbit. (Ribbert.) a, nuclei of stellate cells of the reticulum; b, endothelial cells which are closely applied to the reticulum. The lymphoid cells, or leucocytes, have been removed from the meshes of the reticulum. ring in fibrous tissues, as well as the thin cells already described, which belong to the first variety. Where this is the case it is probable that the branching processes of those cells take part in the formation of the reticulum. Where the meshes of the reticulum are crowded with lymphoid cells — i. c, cells identical with some of the white corpuscles of the blood — the tissue has received the name " lymphadenoid tissue." This tissue is the chief constituent of lymph-glands and follicles, and i- also found in a more diffuse arrangement in many of the mucous membranes (Fig. 114, L). :'.. Areolar Tissue. — This is the most widely distributed variety of fibrous tissue. It contains all three kinds of cells mentioned at the beginning of this section, though not always in the same relative abundance. The intercellular substance consists chiefly of bundles and laminae of fibres, which interlace in all directions. The white fibres predominate over the elastic, but there are always some of the THE CONNECTIVE TISSUES. 81 latter which either form a wide-meshed reticulum, interlacing with the bundles of white fibres, or are applied to the latter in a sort of open spiral, binding them together. In the developing tissue the cement- or ground-snbstance at first fills all the interspaces between the cells and the fibres ; but as development proceeds spaces appear in the tissue, which are occupied by lymph and intercommunicate throughout the tissue. The ground-substance is then restricted to a mere cement uniting the fibres within the bundles and laminae. The flat or endothelial cells of the tissue lie within these bundles or are applied to their surfaces, forming a more or less perfect lining to the lymph-spaces within the tissue and becoming continuous with the endothelial walls of the lymphatic vessels. It is within these spaces that the lymph accumulates after its passage through the walls of the smaller bloodvessels, to find its way into the lymphatic circulation. The spindle-shaped and cuboidal cells of the tissue lie between or within the bundles of fibres embedded in the cement- substance (Figs. 65 and G6). Fig. 65. Areolar tissue. Preparation from the subcutaneous tissue of a young rabbit. (Schafer.) c\ endothelioid cell; p,p, cells with granular cytoplasm ; c, c, /, cells of the fusiform or stellate variety not yet fully developed. The white fibres are in bundles pursuing a wavy course; the elastic fibres are delicate and forma very open network; g, leucocyte of a coarsely granular variety. Areolar tissue varies greatly in different situations in the density of its structure — i.e., in the size of the fibrous bundles and their relative abundance, as compared with the number and size of the 6 82 NORMAL HISTOLOGY. spaces separating them. The name is derived from that form in which the structure is open and the courses of the fibrous bundles very diverse, so that thev interlace, leaving relatively large spaces betweeu them. In this form it occurs in the subcutaneous tissues, between the muscles, forming the loose fascia? in that situation, and in many other parts of the body where adjacent structures are loosely connected with each other. The sinuous course of the in- terwoven fibrous bundles renders the tissue easily distensible in all directions and permits considerable freedom of motion between the parts which it unites. In other situations the spaces in the tissue are smaller and the fibrous bundles closer together and less tortuous in their arrange- \\ ment, so that the parts connected with each other are more firmly held in place. This form of the Fig. 66. - \ \ M fb' V- -/» \ ■ ■ tissue occurs in all the glandular organs of the body, supporting and holding in place the func- tional] v active tissues of the or- gans and constituting the chief constituents of their interstitia (see Chapter VII.). To distin- guish this form of fibrous tissue from the areolar or more open form it may be designated as con- nective tissue in a more restricted use of that term than has hitherto been employed or as interstitial connective tissue (Fig. 67, b, b'). A still denser form of the tis- sue occurs in the fascia? and apo- neuroses, in which the fibres are aggregated in thick bundles and layers that run a comparatively straight course and are firmly held together. Ligaments and tendons differ from these only in the greater density of the fibrous bundles and in their parallel arrange- ment These denser varieties of the tissues may be designated by a restricted use of the term, fibrous tissue. • Cell from subcutaneous tissue of human embryo. (Spuler.) c, centrosomc ; fb, fibrilke in the cytoplasm of the cell : fV, fibril detached from the cell, but evi- dently derived from it. This cell corre- sponds to c, C, and/, in Fig. 63. They are sometimes called fibroblasts because of their activity in the formation of fibres. THE CONNECTIVE TISSUES. 83 4. Adipose Tissue (Fig. 67). — Fat or adipose tissue is a modifica- tion of the more open or loosely-textured areolar tissue, caused by the accumulation within the cytoplasm of the cuboidal cells of drops of oil or fat. The cells which have become the seat of this fatty infiltration are enlarged, and their cytoplasm, with the enclosed nucleus, is pressed to one side, the great bulk of the cell being occu- pied by a single large globule of fat. This globule, together with the cytoplasm, is enclosed in a delicate cell-membrane. The fatty cells may occur singly in the midst of an apparently normal areolar tissue of the usual type, but they are more frequently grouped to- form " lobules," held in position within the tissue by bands and layers of unaltered areolar tissue. In sections of adipose tissue prepared after hardening the tissue in alcohol the fatty globules can no longer be seen, since the alco- hol dissolves the fat from the tissues. The partially collapsed Fig. 67. Section from the tongue of a rabbit : a,a,a, groups of fat-cells forming small masses of adipose tissue in the connective tissue ; b, b', fibrous tissue, b in longitudinal, and b' in cross-section ; c, small vein containing a few red blood-corpuscles. Near the centre of the figure is another bloodvessel filled with corpuscles. The remainder of the figure represents striated muscle-fibres in nearly longitudinal section. In the upper left hand corner these show a tendency to split into longitudinal fibres (sarcostyles). membranes of the cells, with the cytoplasm and contained nucleus forming an apparent thickening at one side, are all that remain to distinguish the tissue (Figs. 67, a, and 68). Adipose tissue is widely distributed in the body. It serves as a store of fatty materials which can be drawn upon as a reserve %4 NORMA L JIISTOL 0 G V. stock of food when the nutrient supply of the body falls below its needs. The usefulness of the fibrous tissues can be readily inferred from their structure. The more open varieties of areolar tissue serve to (jive support to the structures they unite and to the blood- vessels, lymphatics, and nerves supplied to them. They also atford spaces and channels for the return of the lymph, which transudes through the walls of the capillary bloodvessels, carries nourishment to the tissue-elements it bathes, and then returns to the blood in the veins through the interstices and lymphatic vessels contained in the areolar tissue. In pursuance of these functions, areolar tissue pervades nearly all parts of the body. Wherever bloodvessels are found, there more or less areolar tissue is present, surrounding them, giving them support, and furnishing channels for the lym- phatic circulation. As has already been stated, this areolar tissue varies in the closeness of its texture in different parts of the body. The fibrous tissues of tendons and ligaments form inextensible Fig. 68. Fat crystals Blood capillary' Connective tissue ffibrils \_Fal cell, in- face view \_Fat cell, ■ lateral vieiv Fat from the subcutaneous layer of the skin of a white mouse X 200. bands or cords highly resistant to tensile stress, but very pliable. They consist of bundles of fibres lying parallel to each other and to the direction in which they are to resist pulling forces. Layers of loose areolar tissue penetrate the ligaments and tendons, dividing them into fasciculi, which in turn are united into larger bundles by THE CONNECTIVE TISSUES. 85 thick layers of areolar tissue (Fig. G9). These sheaths of areolar tissue support the vessels and nerves supplied to the denser forms of the fibrous tissue making up the ligaments or tendons. The thicker aponeuroses of the body may be regarded as broad and flat Portion of a large tendon in transverse section. (Sehafer.) a, sheath of areolar tissue sur- rounding the tendon ; 6, longitudinal fasciculus of fibres within that sheath ; I, lymphatic space ; c, section of a broad extension of the ensheathing areolar tissue, dividing the tendon into larger bundles ; d, e, more delicate layers of areolar tissue subdividing the larger bundles of fibres. Between these areolar septa are the bundles of fibres constitut- ing the tendon. The cells which lie between the smallest fasciculi of fibres appear in stellate form ; the cross-sections of the individual fibres, among which these cells lie, are not represented. They would appear as minute dots. ligaments, in which the bundles of fibres run in various directions. They present a structural transition between the fibrous arrange- ment in ligaments and tendons and that in the more open varieties of areolar tissue. The fibres of these tissues are mostly of the white variety, but in some situations, notably in the ligamentum nucha?, they are chiefly of the elastic variety. Reticular tissue may be regarded as a special modification of areolar tissue, in which the main bulk of the tissue consists of a series of freely intercommunicating lymph-spaces. These are often densely crowded with lymphoid cells, among which the lymph slowly circulates, thereby being subjected to the modifying influ- ences of their activities. CHAPTER V. TISSUES OF SPECIAL FUNCTION. The elementary tissues included in this group are highly differ- entiated in structure so as to adapt them for the performance of some special function of a high order. The constituent of the tissues which appears most highly specialized is the cell, which is often so greatly modified in structure as to have lost many of the general characters of the cells hitherto studied. Thus, for example, the cells of striated muscle are multinucleated, and the cytoplasm has become transformed into a substance known as contractile sub- stance, which occupies nearly the whole bulk of the cell, leaving only a small amount of relatively undifferentiated cytoplasm imme- diately surrounding the nuclei. In like manner the intercellular substances of some of these tissues show a complexity of structure in great contrast to those with which we have become familiar in the preceding tissues. In fact, it is stretching a point to regard the tissues lying between the cells of striated muscle as forming an intercellular substance belonging to that tissue. In this case those tissues are identical in structure with the loose areolar tissue that was described in the preceding chapter. We may, therefore, with propriety, regard the striated muscles as organs in which the muscle-cells constitute the parenchyma and this areolar tissue the interstitium (see Chapter VII.). But in other tissues of the group there is either an inter- cellular substance resembling those of the preceding tissues, or some special form of sustentacular tissue — e. g., the neuroglia of the central nervous system. The tissues of special function are arranged in two groups : the muscular tissues and the nervous tissues. As is implied in the title, these tissues are grouped together because of their functional powers, and not with regard to peculiarities of structure, so that it is impossible to give concise statements of any common general structural characters possessed by all the members of each of these 86 TISSUES OF SPECIAL FUNCTION. 87 two groups. Thus, the individual muscular tissues differ consider- ably from each other in structure, but are closely related in function, each variety being specialized so as to execute a particular kind of contraction when functionally active. We must also assume that the variations in structure met with in the nervous system have reference to the translation of various impressions into nervous impulses, or the liberation of such impulses under different condi- tions, as well as to their transmission and application to the func- tional activities of other tissues. The complex functions exercised by the nervous system appear to necessitate a great variety of nervous structures, and it would be a matter for surprise to find the visible structure of the nervous system as simple as it is, were it not for the fact, already learned, that cells apparently similar in structure may have widely different, though related, functional powers. I. THE MUSCULAR TISSUES. There are three varieties of muscular tissue, which differ from each other both in structure and in the character of their functional activities. One variety is that found in the walls of the hollow viscera and larger bloodvessels. Its activities are not under the control of the will, and the cells are devoid of marked cross-stri- ation of the contractile substance. It has, therefore, received the names, " involuntary " or " smooth " muscular tissue. The other two varieties present distinct and rather coarse cross-striation of the contractile substance, but differ in other structural details. One of these is called "voluntary" or " striated" muscle; the other is found only in the heart, is not under the control of the will except in rare instances, and is known as "cardiac" muscular tissue. 1. Smooth Muscular Tissue. — This elementary tissue is composed of elongated or fusiform cells, which gradually taper to a sharp point. The body of the cell, except close to the ends of the nucleus, consists of a modified cytoplasm, called "contractile substance," which stains a coppery red with eosin, and presents fine, indistinct, longitudinal and transverse markings, possibly the optical expression of certain ridges that are in contact with similar ridges on neigh- boring cells. Each cell has a single, greatly elongated, rod-shaped nucleus situated in its centre, with the long axis coincident with that of the cell (Fig. 70). The nuclei are vesicular and possess NX NORMAL HISTOLOGY. Fig. 70. a distinct intranuclear reticulum of chromatin. The intercellular substance is a mere cement of homogeneous character. The cells are arranged with their long axes parallel to each other and with the tops of their minute ridges in contact, So that fine channels exist between the contiguous cells. This is apparently a provision for the circulation of nutrient fluids between the cells (Fig. 71). Recent studies of the intercellular regions of smooth muscular tissue cast some doubt upon the existence of the minute ridges described above. The appearances taken for such ridges may, in reality, be produced by a fine mesh work of delicate fibrils which encircle the muscle- cells and bind them together. In the spaces between these fibrils there is opportunity for circulation of the tissue- fluids. This view also does away with the idea of a cement- substance holding the cells together. The reactions which led to the belief in a cement may be due to proteids in the tissue-fluids present in this situation. This conception would make the structure of smooth muscular tissue, as far Fig. 71. Smooth muscular tissue. Pig. 70.— An isolated fibre from the muscular coat of the small intestine. (Schiifer.) The nucleus is somewhat contracted, so as to appear broader and shorter than when in the extended state. Fig. 71. -Cross-section of smooth muscular tissue : human sigmoid flexure. (Barfurth.) Two of the muscle-cells have been cut in the region occupied by the nucleus, which appears in round cross-section. The other cells have been cut between the site of the nucleus and the end of the cell. The structural details of the cytoplasm or contractile substance are not represented, but the connecting ridges of the cells, with the channels between them, are shown. These minute ridges can, however, only be seen when the tissue has been exceptionally well preserved ami is studied under a high power of the microscope. as the intercellular substances or structures are concerned, analogous to those of striated and cardiac muscles. TISSUES OF SPECIAL FUNCTION. 89 Smooth muscular tissue occurs in the form of bundles or layers, in each of which the cells or fibres run in the same direction. The tapering ends of the individual cells interdigitate with each other, masking the intercellular substance, so that the tissue appears as though wholly composed of cells. Surrounding the muscular bundles or between the layers of that tissue is vascularized areolar tissue, giving it support and containing its nerve-supply. The microscopical appearances of sections of smooth muscular tissue depend upon the direction in which the individual cells have been cut. A brief analysis of the different appearances that may result will be useful as an illustration of the way in which micro- scopical appearances must be interpreted in order to gain a correct conception of the structure of an object under observation. It is rarely that sections happen to be made in such a direction that they reveal the complete structure of an object. It is nearly always necessary to study the appearances presented by the section, and to infer what the structure of the object must be in order to yield the appearances seen. This is sometimes a matter of considerable difficulty. If the plane of the section lie parallel with the long axes of the cells, the nuclei of the latter will appear as rod-like or long, oval bodies lying parallel to each other and distributed at regular intervals throughout the tissue. The outlines of the cells will be distinctly visible in some places, but in most of the section the boundaries of the deeper cells will be obscured by the bodies of the cells at the surface of the section, and the borders of the latter will be difficult of detection, because in many places the knife has left only a portion of the cell with a very thin and transparent edge (Figs. 72 and 73). For the practical recognition of the tissue, when cut in this direction, we must, therefore, in many cases, depend solely upon the shape and distribution of the nuclei and the color of the material between them after the section has been treated with certain stains (e. g., eosin). If the cells of the tissue have been cut perpendicular to their long axes, the section will contain true cross-sections of the indi- vidual fibres. These appear as round, oval, or, more usually, polygonal areas of various size, according to the part of the cell included in the section. If the cell has been cut near one of its ends, the cross-section will be small ; if near the middle, it will be large, and will contain a cross-section of the nucleus, situated near 90 NORMAL HISTOLOGY. Fig. 73. Diagrams illustrating the appearance of a longitudinal section of smooth muscular tissue. The distance between the lines A A and B B in the upper figure represents the thickness of the section, the line A A being in the plane of its upper surface. The line rein the lower figure is in the plane of the transverse section represented in the upper figure. It will he noticed that only portions of the cells, h, a. z $Ml$gi&Q&-?.m1 :^i£6?l '"•i-f.T '0S^ t'V'1 Section of human heart. The direction of the section is such thatthe muscular cells are cut exactly perpendicular to their long axes, a, intermuscular areolar tissue. From this, more delicate fibrous tissue penetrates between the muscle-fibres forming the muscular bundles, which are imperfectly separated from each other by the broader septa of fibrous tissue. b, muscle-cell cut beyond the nucleus; c, cell cut so as to include the nucleus; d, cell cut jus! below a branch. The index line d points to that part of the cell which passes into the branch. The granular character of the contractile substance when seen in cross- section has been omitted from the figure. At the lower edge of the figure the section has been torn, but a small amount of the subpericardial areolar tissue is represented. situated near the centre of the cell, and is surrounded by a small amount of cytoplasm, which is a little more abundant at the ends of the nucleus. The rest of the cell-body is composed of contractile TISSUES OF SPECIAL FUNCTION. 95 substance, a modification of the cytoplasm of which the cell was first composed, which presents a tine longitudinal and a somewhat coarser transverse striation due to the arrangement of the " sarco- plasmic disks " of which the contractile substance or sarcoplasm is composed. The proper intercellular substance was formerly regarded as a homogeneous cement, which lay between the ends of the cells, but there appear to be delicate protoplasmic bridges connecting con- tiguous cells (Figs. 78 and 79). The cells are arranged end to Fig. 79. Fig. 80. Longitudinal section of adult human heart muscle, showing the junction of two cells. (MacCallum.) Longitudinal section of heart muscle Irom an adult dog, showing protoplasmic bridges between two cells. (MacCallum.) end so as to form fibres, the lines of junction between them being usually invisible. The cells give off branches which unite with each other in such a way as to convert the heart-muscle into a reticulum of muscular fibres. The meshes of this reticulum are occupied by areolar tissue, in which the vascular and nervous supply of the tissue is situated. Where this tissue is abundant it may also contain a few fat-cells. The cardiac muscle-cells are destitute of a cell-membrane, in which respect they differ from the fibres of voluntary striated muscle. When seen in longitudinal section it is difficult to trace a given muscle-fibre for any considerable distance, because the occasional anastomosing branches of the cells cause a blending of the neigh- boring fibres with each other. In cross-section the cells have a 96 NORMAL HISTOLOGY. round, oval, or polygonal shape, and vary considerably in size, owing to the branching. Their cut surfaces are dotted with the minute polygonal cross-sections of the elements of the contractile substance, which give the cell its appearance of longitudinal stri- ation. These elements are called the " sarcostyles." Cardiac muscle occurs only in the heart. It is not under the control of the will, but differs from the other involuntary muscles in the force and rapidity of its contractions, which resemble those of the voluntary muscles. 3. Striated Muscular Tissue (Figs. 81-84). — The voluntary muscles have for their characteristic tissue-element greatly elongated, multi- Fig. 81. Fig. 82. r^;:::::::;::::;::::::;:::::::-, <""" u ' tn*1 ..','. ' *••'"- V r. .'... "•■'; ;■:;:::--'■; K::"£ -", ' 4,,, *.' I,;::::::::: ■■;: :::--::::::.:;' fti; ' ,'.'....' '■■■'■'■ t....:::::;::.v.:::.:::::;:::;:;;;..:.,. ; iili.'!:::.-::::::"5fe:"i:;::::::;;:;;..i*i ^;..,:::::::::::::::::;::::::::,..^; |ii;:;::;:;::4::::;;:;::::::i 3 <■■;, . | ;::■•>. ;.j .:::: r. - t ;:::::::::::::;::^::::::::':::::::>-; :,.• :;:. „;; ' •!• .„i s!:.-::::::::::::::::::;;::::::;;;...,.^ Striated muscular tissue. Fig. 81. — Portion of a muscle-fibre from a mammal. (Schafer.) This figure represents the appearances of the fibre when the surface is in sharp focus. Pig. 82.— Termination of a muscle-fibre in tendon. (Ranvier.) c, contractile substance: p, retracted end of contractile substance, separated from the sarcolemma during the prep- aration of the specimen; in, sarcolemma, slightly wrinkled; 8, sarcolemma in contact with fibrous tissue of tendon; t, tendon. nucleated, cylindrical cells. The body of these cells is almost ex- clusively composed of a very complex, contractile substance which pre- sents both longitudinal and transverse striatums, the latter much coarser TISSUES OF SPECIAL FUNCTION. 97 Fig. 83. 7. •♦•♦•••••»•«••••«»,» wwmwnmm j jh life ••«•«••••< ••»••♦« ilill ■••!••■ ■• ■••••• I II • 11 IHIIM it < On '» ♦z 5 Striated muscular tissue. Fig. 83.— Diagrams of the structure of the contractile substance. (Rollet.) Q, sarcous elements, appearing dark in A, light in B; Zand J, sarcoplasm. The sarcoplasm also lies between the sarcous elements in Q, appearing as light bands in A and as dark lines in B. A is the appearance of the fibre when the focal plane is deep ; B, the appearance when the focal plane is superficial (see Fig. 81). The dots Z in A and Jin B are optical expressions of differences in the refraction of the sarcoplasm and sarcous elements, and do not repre- sent actual structures. A complete explanation of the way in which a microscopical im- age may contain apparent objects which have no actual existence cannot be entered into here. It is due to the fact that regularly alternating structures of different powers of re- fraction affect rays of light very much as they are affected by a fine grating, producing diffraction spectra. These spectra may interfere with each other, occasioning an alter- nation of light and dark bands or areas above the specimen. When the focal plane is changed the light areas become dark and the dark areas light, but sometimes with an alteration in their outline and relative sizes, as exemplified in the cuts. Fig. 84.— Cross-section of a muscle-fibre. (Rollet.) The fine reticulum, collected into larger masses at a few points in the midst of the contractile substance, is composed of sarco- plasm. The clear areas within this reticulum are the cross-sections of the sarcous ele- ments. These cross-sections are sometimes called "Cohnheim's areas." Immediately beneath the sarcolemma are cross-sections of two nuclei. and prominent than the former. It must suffice us to consider this contractile substance as made up of a number of prismatic bodies, 7 98 NORMAL HISTOLOGY. " sarcous elements," which are arranged end to end to form eol- umns, sarcostyles, extending parallel to eaeh other, from one end of the cell to the other. The sarcous elements of all the sarcostyles lie in planes perpendicular to the long axis of the cell. It isr therefore, possible to separate the contractile substance into a number of fibre-like columns (sarcostyles, Fig. 67), made up of sar- cous elements attached at their ends, or to split it transversely into disks composed of sarcous elements lying side by side. Between the sarcous elements is a substance which has received the name " sarcoplasm." The contractile substance is enclosed in a thin, homogeneous mem- branous envelope, called the " sarcolemma." The nuclei of the cell lie immediately beneath the sarcolemma, between it and the contractile substance, and are surrounded by a small amount of unmodified cytoplasm. The muscle-fibres lie parallel to each other and to the general direction of the muscle which they compose, and are separated by loose areolar tissue, containing their vascular and nervous supplies. The areolar tissue between the individual muscle-fibres is called the endomysium and supports an abundant network of capillary blood- vessels lying parallel to the fibres with numerous transverse anas- tomoses. Broader septa of areolar tissue divide the whole muscle into fasciculi and support the larger bloodvessels and nerves. These septa are collectively known as the perimysium. Surrounding the whole muscle and continuous with the perimysium and endomysium is a thicker sheath of fibrous tissue, the epimysium. When seen in noss-section the muscle-fibres are circular or polygonal in form, and the cut surface of the contractile substance appears crowded with small polygonal areas, the sections of the sarcous elements, between which is the sarcoplasm. Where the nuclei are included in the sec- tion they appear somewhat flattened and lie at the edge of the con- tractile substance, where a thin zone of cytoplasm may sometimes be detected around them. The sarcolemma which lies outside of these constituents of the cell is so thin that it can rarely be distinctly seen. The muscle-fibres are in close contact at both ends with the dense fibrous tissue of the tendons attached to the muscle, or with the peri- osteal fibrous tissue when the muscle appears to be attached directly to bone — e. g., the scapula. In most of the voluntary muscles there are occasional groups of small fibres which differ in structure from the majority and appear to be subordinate to and certainly TISSUES OF SPECIAL FUNCTION. 99 form a part of the " muscle-spindles," structures that contain nerve- endings which have to do with the muscular sense. These muscle- spindles have not been observed in the pharynx and oesophagus or in the muscles of the eye, larynx, and penis. In other voluntary muscles they appear to be present in the proportion of about one spindle to one hundred muscle-fibres. The muscle-fibres connected with these spindles are grouped in collections of from three to twenty individual fibres. They are much smaller than the ordinary muscle- fibre and their cross-striations much coarser. They possess a sarco- lemma and nuclei situated immediately beneath it, but in addition contain oval or round nuclei situated in the contractile substance- itself. These fibres, sometimes called the fibres of Weismann, pass, through the muscle-spindles, so that one may distinguish an intrafusal Fig. 85. - - -y >I4i ■ ~ Cross-section of muscle-spindle from plantar muscle of cat : c, capsule ; a. s., axial sheath ; i. /., intrafusal fibre with central nucleus ; p. a. s., periaxial space ; s. n., medullated nerve ; s. m., ordinary muscle-fibres. (After Huber.) portion and extrafusal parts. Toward the centre of the intrafusal part the nuclei within the contractile substance are more abundant than elsewhere and may entirely displace the contractile substance, so that the fibre in this region consists of a sarcolemma so crowded with nuclei that they flatten each other where in contact. The muscle-spindle consists of a capsule, continuous with the general perimysium, which here becomes laminated and much thicker, resem- bling in structure the outer layers of a Pacinian corpuscle. The sheaths of the nerves which pass into the spindle blend with its capsule, and the nerve-fibres then branch and form a spiral about the muscle-fibres, often ending in flattened expansions in close con- nection with the latter. Besides these sensory nerves there are motor nerves ending in motor plates similar to those terminating the motor nerves distributed to the ordinary muscle-fibres (Fig. 85). CHAPTER VI. TISSUES OF SPECIAL FUNCTION (continued). II. THE NERVOUS TISSUES. The nervous tissues, like the muscles, are tissues of special func- tion, and are composed of highly specialized structures. Of these, only the ganglion-cells, the nerve-fibres, the neuroglia, and a few of Fig. 86. Nerve- and neuroglia-cells from gray matter of spinal cord ; calf. (Lavdowsky.) The figure represents two isolated ganglion-cells, with branching protoplasmic processes, and each with a single axis-cylinder process, en. The axis-cylinder process of the lower cell gives off a branch a short distance from the cell. Between the ganglion-cells are those of the neuroglia. The protoplasmic processes of the nerve-cells subdivide into very delicate fibres, which lie among those of the neuroglia-cells. the modes of terminal distribution of the nerves will be considered here. 100 TISSUES OF SPECIAL FUNCTION. 101 1. Ganglion- or Nerve-cells (Figs. 86 and 87). — Nerve-cells vary greatly both in shape and size. They are rich in cytoplasm, and con- tain an unusually large nucleus, generally spherical in shape, within the reticulum of which there is nearly always at least one conspicu- Fig. 87. *» i / V'. ¥■ 1 k ■ & m i ■ :;>:■■ Section of unipolar nerve-cell from gray matter of spinal cord. (Flemming.) This figure shows the fibrillation of the axis-cylinder process and the cytoplasm of the cell, as well as the prominent chromophilic granules in the latter. ous nucleolus. The cell-bodies may be spherical, ovoid, polyhedral, or stellate in form, and are prolonged into one or more long pro- cesses. Some of these taper and branch repeatedly, the ultimate delicate fibrils terminating in free extremities lying in the inter- cellular substance, " dendritic processes." At least one of the processes emanating from each cell is coarser than these dendritic processes, and is prolonged into a nerve-fibre, forming the essen- tial constituent of that structure. This process is called the "axis-cylinder process." It does not branch as freely as the other processes, but may give off one or more lateral twigs near its origin. It is customary to divide the nerve-cells into unipolar, bipolar, and multipolar cells, according to the number of processes proceed- ing from them. The unipolar cells are connected by their single processes with nerve-fibres, and many of the bipolar cells, which have a fusiform shape, lie in the course of a fibre with which the two processes are continuous. In such cases one of the 102 NORMAL HISTOLOGY. processes is an axis-cylinder process. The multipolar cells have one axis-cylinder process, the rest being of the dendritic type already mentioned, which are distinguished as "protoplasmic" processes. Nerve-cells are, as a rule, larger than the other cytoplasmic cells of the body, with the exception of the larger epithelial cells. Their cytoplasm is so finely granular that the cells look much more trans- parent than those of epithelium. With a high power the cytoplasm frequently exhibits fine striations, which are prolonged into the processes, giving them an appearance of longitudinal fibrillation. These appearances are due to the arrangement of the fibrils of spongioplasm. Considerable attention has of late been given to certain granules, which become evident in the cytoplasm when nerve-cells have been fixed in alcohol or in acid solutions. These granules have an affinity for dyes, " chromophilic granules," and usually occur in groups in the neighborhood of the nucleus. Their significance is not yet understood. The protoplasmic processes of the nerve-cells diminish in diam- eter as they branch, and they also present occasional varicosities, which give them an irregular contour. They terminate either in fine-pointed extremities or in little, knobbed ends, and do not unite with those of neighboring cells, but form with them an intricate interlacement of delicate nervous twigs. The axis-cylinder processes arise in conical extensions of the cell, and then become uniform in diameter and of a smooth contour without varicosities. When they branch the two divisions retain their size throughout their course until they enter into the forma- tion of some terminal structure. The average size of the nuclei of nerve-cells is greater than that of the other nuclei in the body, but they appear to contain less chromatin, and therefore stain less deeply and present a less distinct intranuclear reticulum. Nerve- or ganglion-cells are found in the gray matter of the (•■iitral nervous system, in the ganglia, and sometimes in the course of nerves and in their peripheral terminations (Fig. 88). 2. Nerve-fibres. — There are two varieties of nerve-fibres : the white, or medullated, and the gray, or non-medullated. These differ both in their appearance when seen by the unaided eye and in their microscopical structure. (a) Medullated nerve-fibres eonsist of a central cylindrical struct- TISSUES OF SPECIAL FUNCTION. 103 ure running a continuous course from the cell giving it origin to the peripheral termination of the nerve, called the "axis-cylin- der" ; an external membranous envelope, the " neurilemma" ; and a semisolid material, the " myelin," " white substance of Schwann," or " medullary sheath," lying within the neurilemma and surround- ing the axis-cylinder. The axis-cylinder is a greatly elongated process (axis-cylinder process) springing from a nerve-cell. It is marked by longitudinal Fic4. 88. Small ganglion in the tongue of a rabbit: a, a', ganglion-cells ; a', cell, with the beginning of its axis-cylinder process ; b, medullated nerve-fibre in cross-section ; c, fibrous tissue within the ganglion (part of this fibrous structure may be composed of non-medullated nerve-fibres) ; d, areolar tissue surrounding the ganglion and containing adipose tissue in the upper and lower parts of the figure. To the left is a striated muscle-fibre. The gan- glion is seen in cross-section, so that its connection with the nerves, in the course of which it lies, is not visible. striatums, which appear to represent exceedingly delicate fibrils composing the axis-cylinder. These fibrils frequently separate at the distal extremity of the nerve and take part in the construction of the various forms of nerve-endings. A more minute study of the axis-cylinder leads to the inference that it is composed of spongioplasm, continuous with that of the body of the cell, and that the appearance of longitudinal striation is due to the elongated shape of the spongioplasmic meshwork and the greater thickness of its longitudinal threads, the transverse threads uniting them being much less conspicuous. 104 NORMAL HISTOLOGY. Fig. 89. der; p, neurilemma, rendered distinct by the retraction of the myelin of the medullary The neurilemma, or external in- vestment of the nerve-fibre, called also the " primitive sheath," or " sheath of Schwann," is a thin, homogeneous membrane enclosing the medullary substance or myelin. At regular intervals, upon the in- ner surface of the neurilemma, and surrounded by a small amount of cytoplasm, are flattened, oval nu- clei, which appear to belong to the neurilemma. About midway be- c tween these nuclei the nerve-fibre Meduiiated nerve-fibre. (Key jg COnstricted, forming the " nodes " andRetzius.) A, node of Ran- m r ° vier: b, nucleus belonging to of Ranvier. The neurilemma ap- the neurilemma ; c, axis-cvlin- ,1 .1 ,1 „ i pears to pass through these nodes without interruption, so that the sheath, in the left-hand fig- neurilemma ol one internode is ure the clefts of Lanterman continilOUS with that of the adja- are shown as white lines in the ^ dark myelin. These figures are cent illternodes. At the nodes, taken from specimens treated i ,i -.i • ,1 with osmic acid, which colors and apparently within the neun- the fatty constituent of the lemma, is a disk, perforated for the myelin a dark brown or black. . . passage 01 the axis-cylinder, called the " constricting band " of Ranvier. It may be that this band is of the nature of a cement-substance, joining the neurilemma of neighboring internodes ; for the latter ap- pear to be developed from cells, probably of mesoblastic origin, which surround the nerve-fibres after their for- mation, becoming flattened to form membranous invest- ments of the nerve-fibre. If this view be correct, the neurilemma of each internode, with its single nucleus, is to be regarded as a single, specialized cell, derived from the surrounding connective tissues, and serving to protect the nerve-fibre. In perfect harmony with this conception of its nature are the facts that the nerves within the brain and spinal cord are destitute of neurilemma, and that when a nerve-fibre branches in its course the point of division is always at one of the nodes of Ranvier (Fig. 89). The medullary sheath, or myelin, is a soft material inter- TISSUES OF SPECIAL FUNCTION. 105 posed between the neurilemma and axis-cylinder. It is not a simple substance, but contains at least one constituent closely re- sembling fat or oil in its chemical nature ; also a substance chemi- cally allied to the keratin of horns and the superficial cells of the epidermis, called neurokeratin ; and a homogeneous, clear fluid. The way in which these constituents are combined is a matter of doubt, the apparent structure of the medullary sheath varying greatly when different modes of preparing the nerve for micro- scopical study have been employed. But the neurokeratin appears to exist as a delicate reticulum pervading the medullary substance. The medullary sheath appears to be interrupted at irregular inter- vals by oblique clefts, which surround the axis-cylinder like the flaring portion of a funnel. These " Lanterman's " clefts are occupied by a soft material, probably similar to that composing the constricting bands (Figs. 90 and 91). Fig. 90. Fig. 91. ^lf greater length than the others. The small bodies of these cells serve to distinguish them from nerve-cells, with which they might otherwise be easily confounded. This type predominates in the white matter. Aside from the processes of the glia-cells already mentioned, the TISSUES OF SPECIAL FUNCTION. 109 central nervous system contains fibrous prolongations of the epi thelial cells of the ependyma and central canal of the spinal cord (Fig. 97). Fibrous constituents are also derived from the areolar tissue which extends into the organs of the central nervous system from their fibrous investments, the pia mater, in company with the vascular supply. The central nervous system, then, consists of a small amount of a ground-substance and a great number of cells, most of which possess numerous delicate fibrillar processes which interlace in all directions. Some of these cells are the function- ally active elements of the organs, the nerve-cells. Others belong to the sustentacular tissue, and are probably functionally passive, constituting the in- terstitium. Both kinds of cell are developed from the epiderm, and are therefore genetically closely related to each other. 4. Nerve-endings. — Nerve-fibres terminate in two ways : first, in free ends lying among the elements of the tissues to which the nerve is distributed ; second, in terminal organs, containing not only nerve-filaments, but cells which are associated with them to form a special structure. The simplest mode of termination consists in a separation of the minute fibrillae Fig. 98. Ependyma and glia- cells from the spi- nal cord. (Retzius.) a, ependyma cell in the wall of the cen- tral canal ; b, neuro- glia-cell near the anterior fissure of the cord. Termination of nerves by free ends. (Retzius.) Nerve-endings among the ciliated columnar epithelium on the frog's tongue. Two goblet-cells, the whole bodies of which are colored black, are represented. The other cells are merely indicated. composing the axis-cylinders of the medullated fibres, or the chief bulk of the non-medullated fibres, into a number of delicate fila- 110 NORMAL HISTOLOGY. Fig. 99. Fig. 100. Termination of nerves by free ends. (Retzius.) Fig. 99.— Two nerves terminating in the stratified epithelium covering the vocal cords of the cat. Fig. 100.— Nerve-fibres distributed among the cells lining the bladder of the rabbit; o, super- ficial layer of the transitional epithelium ; bg, fibrous tissue underlying the epithelium. merits, which branch and finally end among the tissue-elements to which the nerve is supplied. The filaments often present small vari- cosities, and sometimes end in slight enlargements corresponding to one of those swellings. In other cases the terminations are filiform (Figs. 98-100). A more complex mode of termination is that exemplified in the " motor-plates " of the striated muscle-fibre. Here the axis-cylinder TISSUES OF SPECIAL FVXCTIOX. Ill divides into coarse extensions, which form a network of broad vari- cose fibres, lying in a finely granular material containing two sorts of nuclei. This whole structure lies in close relations to the con- tractile substance of the muscle-fibre, but whether it is covered by the sarcolemma or not is a matter of doubt. The nuclei in the motor-plate are derived in part from the muscle-fibre, from the cytoplasm of which the granular material surrounding the nerve- Fig.101. b c Motor-plate. Tail of a squirrel. (Galeotti and LeviJ a, two branches of axis-cylinder ter- minating in a plexus of varicose filaments; b, muscle-nucleus; c, nucleus derived from neurilemma. The finely granular substance surrounding these structures has been omitted. endings appears to be derived, in part from cells similar to those forming the neurilemma, which participate in the production of the motor-plate (Figs. 101 and 102). Fig. 102. Granular bed of end organ L Nerve fib End arborisation Muscle fibre Motor nerve-endings in the fibres of a rat's abdominal muscle. In the upper fibre two end- plates are to be seen. The nerves of sensation, like those supplying the striated muscles, end in bodies in which the nervous terminations are associated with cellular structures of peculiar form. Their consideration will be postponed until the structure of the nervous system is described. CHAPTER VII. THE ORGANS. In the lowest order of animals, the protozoa, the single cell, which constitutes the whole individual, performs all the functions necessary to the life of the animal; but in the higher multicellular animals, the metazoa, those functions are distributed among a num- ber of different but definite structures, called organs, each of which is composed of certain of the elementary tissues arranged according to a definite and characteristic plan peculiar to the organ. Within each organ certain of the elementary tissues are charged with the immediate performance of the function assigned to that organ. These tissues are collectively termed the parenchyma of the organ. Thus, for example, the epithelium entering into the composition of the liver and doing the work peculiar to that organ, constitutes its parenchyma. The parenchyma of the heart is its muscular tissue, through the activity of which it is enabled to con- tract upon its contents. Functionally ancillary to its parenchyma, each organ possesses a variety of elementary tissues, some of which belong to the connec- tive-tissue group, which serve to hold the tissue-elements of the parenchyma in position, to bring to them the nutrient fluids neces- sary for their work, and to convey to them the nervous stimuli which excite and control their functional activities. These sub- sidiary tissues are collectively known as the interstitium of the organ. For example, the fibrous tissue and the elementary tissues forming the bloodvessels, lymphatics, and nerves of the liver, or of the heart, form the interstitia of those organs. Two sets of structures entering into the formation of the inter- stitia of the organs — namely, the nerves and the vessels, including those which convey blood and those through which the lymph cir- culates— have a similar general structure in all the organs, and are connected with each other throughout the body, forming " systems." These systems serve to bring the various parts of the body, so diverse in structure and function and yet so interdependent upon 112 THE ORGANS. 113 each other, into that intimate correlation that makes them subordi- nate parts of a single organism. Through the medium of the circulatory system the exchanges of material essential to the well-being of each organ and of the whole body are made possible, and through the nervous system the activ- ities of the different parts of the body are so regulated that they work in harmony with each other and respond to their collective needs. Because of their wide distribution throughout the body, we can hardly study any structures which are not in intimate relations with both vessels and nerves. It will, therefore, be well to consider the structure of the circulatory system before proceeding to a study of other organs. The study of the nervous system must, because of its complexity, be deferred. CHAPTER VIII. THE CIRCULATORY SYSTEM. The circulatory system is made up of organs which serve to pro- pel and convey to the various parts of the body the fluids through the medium of which those parts make the exchanges of material incident to their nutrition and functional activities. For some of these exchanges it appears necessary for the circu- latins: fluids to come into the most intimate contact with the tissue- elements ; to penetrate the interstices of the tissues and bathe their structures. For mechanical reasons these fluids must circulate slowly and consume a considerable time in traversing a relatively short distance. Such a sluggish current could not avail for the transportation of oxygen from the lungs to the tissues, and we find that the circulatory system is divided into two closely related portions : the haematic circulation and the lymphatic circulation. The former is rapid, and the circulating fluid is the blood, the red corpuscles of which serve as carriers of oxygen. The latter is slow, and the circulating fluid, called " lymph," is derived from the liquid portion of the blood (" the plasma "). The blood is confined within a system of closed tubes, the bloodvessels ; but the lymph, when first produced by transudation through the walls of the bloodvessels, is not enclosed within vessels, but permeates the tissues or enters minute interstices between the tissue-elements surrounding the bloodvessels. Thence it gradually makes its way into larger spaces — lymph-spaces — which open into the thin-walled vessels constituting the radicles of the lymphatic vascular system. These smaller lymphatic vessels join each other to form larger tubes, which finally open into the venous portion of the haematic circulation, thus returning to the blood the lymph which has made its way through the tissues. The circulating fluids are kept in motion chiefly by the pumping action of the heart, which forces blood into the arteries, whence it passes through the capillaries into the veins, and thence back to the heart. During its passage through the smaller arteries, the capil- 114 THE CIRCULATORY SYSTEM. 115 laries, and the smaller veins, a part of the plasma of the blood, somewhat modified in composition, makes its way through the vas- cular walls, partly by osmosis, partly by a sort of filtration, and becomes the nutrient lymph of the tissues. The composition of this lymph varies a little in the different parts of the body, and this variation is attributed to some kind of activity, allied to secre- tion, on the part of the cells lining the vessels. The larger veins are provided with pocket-like valves, which collapse when the blood-current is toward the heart, but which fill and occlude the veins when, for any reason, the current is reversed. When, therefore, the muscles contiguous to the larger veins thicken during contraction and press upon the veins the effect is to urge the blood within them in the direction of the heart. This accessory mode of propulsion materially aids the heart, especially during active exercise, when the muscles are in need of an abundant supply of oxygen. The large lymphatic vessels are similarly provided with valves, and valves guard the orifices by which the lymphatic trunks open into the veins. But the chief reason for the flow of the lymph appears to be the continuous formation of fresh lymph, which drives the older fluid before it — the so-called vis a tergo. For convenient description we may divide the vascular organs into the heart, arteries, veins, capillaries, and lymphatics. 1. The heart is covered externally by a nearly complete invest- ment of serous membrane, the epicardium, which is a part of the wall of the pericardial serous cavity. Its free surface is covered with a layer of endothelium resting upon areolar fibrous tissue, and containing a variable amount of fat. The substance of the heart is made up of a series of interlacing and connected layers of cardiac muscular tissue, separated by layers of areolar tissue, which extends into the meshes of the muscle, form- ing the interstitial tissue of the heart. The fibres in the different layers of muscle run in different directions, so that sections of the wall of the heart show the individual muscle-cells cut in various ways. The areolar tissue is more abundant and denser near the orifices of the heart, and at the bases of the valves merges into dense fibrous rings, which send extensions into the curtains of the valves, increasing their strength and giving them a firm connection with the substance of the organ. In the centre of the heart, between 1 16 NORMAL HISTOLOGY. the auriculo-ventricular orifices and the aortic orifice, this fibrous tissue is reinforced by a mass of fibro-cartilage. The cavities of the heart are lined by the endocardium, consisting of endothelium resting on areolar tissue. The deeper portions of the epi- and endocardium merge with the areolar tissue of the body of the heart. Smooth muscle-fibres are of occasional occurrence in the deeper layers of the endocardium. The auricles and the basal third of the ventricles contain ganglia, connected on the one hand with the nerves received by the heart from the cerebro-spin'al and sympathetic systems, and on the other hand with a nervous plexus which penetrates the substance of the heart and gives oif minute nervous fibrillar to the individual cells of the cardiac muscle. These fibrillae end in minute enlargements connected with the surfaces of the muscle-cells. Many of the gan- glia lie beneath the epicardium or in the areolar or adipose tissue situated in its deeper portions. The valves of the heart are composed of fibrous tissue, con- tinuous with that forming the rings around the orifices. Their surfaces are covered by extensions of the endocardium, except the outer surfaces of the pulmonary and aortic valves, which are cov- ered by extensions of the not dissimilar inner coats of the pul- monary artery or aorta. The fibrous substance of the valvular pockets of those two valves are further strengthened by tendinous strips of fibrous tissue at their lines of contact when the valves are closed. The curtains of the auriculo-ventricular valves are also reinforced by fibrous tissue derived from fan-like expansions of the chordae tendineae. 2. The Arteries. — It will be best to consider first the structure of the smaller arteries, because the individual coats are less complex in these than in the larger arteries. The arterial wall consists of three coats : the intima, or internal coat ; the media ; and the adventitia, or external coat (Fig. 103). The intima consists of three more or less well-defined layers. These are, from within outward : 1, a single layer of endothelium ; 2, a layer of delicate fibrous tissue containing branching cells ; 3, a layer of elastic fibrous tissue. The endothelial layer consists of cells, usually of a general diamond shape, with their long diago- nals parallel to the axis of the vessel they line. "When the vessel expands these cells broaden somewhat and appear very thin. When THE CIRCULATORY SYSTEM. 117 the vessel is contracted they are thicker and the portion containing the nucleus projects slightly into the lumen of the vessel. The subendothelial fibrous tissue forming the second layer of the intima is composed of very delicate fibrils, closely packed together, with a little cement between them, and enclosing irregular spaces in which the branching cells of the tissue lie. Elastic fibres, spring- Fig. 103. >^Si KX mm Branch of splenic artery of a rabbit : o, internal endothelial surface of the intima ; b, elastic lamina of the intima (fenestrated membrane, see Fig. 61) ; c, media composed of smooth muscular tissue encircling the vessel and therefore appearing in longitudinal section with elongated nuclei ; d, adventitia of fibrous tissue blending above and to the left with the surrounding areolar tissue ; e. adipose tissue, between the cells of which a few lines of red corpuscles reveal the presence of capillary bloodvessels; /, small nerve, containing both medullated and pale or non-medullated nerve-fibres. There are other similar sections of nerves in the figure. To the left of the artery the section is slightly torn, the adipose tissue being separated from the adventitia of the artery. A few red blood-corpuscles have been extravasated near the nerve at the upper left corner of the figure. There are also a few corpuscles within the lumen of the artery. ing from the external layer of the intima, may here and there, especially in the larger arteries, make their way into the subendo- thelial layer. The elastic lamina of the intima is formed by a network of anas- tomosing elastic fibres, having a general longitudinal disposition with respect to the axis of the vessel. The spaces left between the fibres of this network vary considerably in size. Where they are small and the fibres between them are correspondingly broad this layer has the appearance of a perforated membrane (the fenestrated mem- brane of Henle). Even where this membranous character of the elastic layer is well developed, elastic fibres are given off from its 118 NORMAL HISTOLOGY. surfaces and enter the subendothelial layer on the one side and the median coat of the artery on the other. The tunica media, or middle coat of the arteries, consists essen- tially of smooth muscular tissue, with the cells arranged trans- versely to the long axis of the vessels, so that by their contraction they serve to diminish the calibre of the arteries. The adventitia is an external sheath or layer of fibrous tissue *>p Portion of a transverse section of a human lingual artery from an adult. (Griinstein.) o, intima; 6, media; c, adventitia; d, endothelium; e, subendothelial stratum (delicate areolar tissue);/, tunica elastica interna (fenestrated membrane belonging to the intima) : g, stratum subelasticum containing elastic fibres (fi) that pass from the fenestrated mem- brane into the media; i, concentric elastic fibres within the media; .;', smooth muscular fibres of media with elongated nuclei; fc, white fibrous tissue in media ; I, elastic fibres radiating from the media into the external clastic tunic ; m, stratum submusculare (are- olar fibrous tissue) ; n, tunica elastica externa ; o, stratum elasticum longitudinale (fibrous tissue containing elastic fibres running parallel with the axis of the vessel) ; p, stratum elasticum concentricum (fibrous tissue containing elastic fibres encircling the vessel). The vasa vasorum supplying the tissues of the vascular wall are not represented. which merges with the areolar tissue of the parts surrounding the arteries and serves to support the latter without restricting the mobility necessary for their functional activity. THE CIRCULATORY SYSTEM. 119 In the larger arteries the muscle-fibres of the media are grouped in bundles, which are separated by white and elastic fibrous tissue (Fig. 104). The muscle-fibres themselves are less highly developed than in the smaller arteries, so that the vessels are less capable of contracting, but are more highly elastic, because of the greater abundance of elastic fibres. In these larger arteries the boundary between the media and the intima is less sharply defined than in the smaller arteries, the elastic tissues of the two coats being more or less continuous. In cross-sections of the smaller arteries this boundary is very clearly seen, the elastic lamina of the intima appearing as a prominent line of highly refracting material, which assumes a wavy course around the artery when the latter is in a contracted state. In such sections the nuclei of the endothelial layer of the intima appear as dots at the very surface of the intima. 3. "the Capillaries (Fig. 25). — As the arteries divide into progres- sively smaller branches the walls of the latter and their individual coats become thinner. In the smallest arterioles the elastic tissue of the wall entirely disappears, and the muscular coat becomes so attenuated that it is represented by only a few transverse fibres partially encircling the vessel. These in turn disappear, and the branches of the vessel then consist of a single layer of endothelium continuous with that lining the intima of the larger vessels. These thinnest and smallest vessels are the capillaries. They form a net- work or plexus within the tissues, and finally discharge into the smallest veins the blood they have received from the arteries. It is chiefly through the walls of the capillaries that the transudation giving rise to the lymph takes place, but some transudation prob- ably also occurs through the walls of the smaller arteries and veins. 4. The veins closely resemble the arteries in the structure of their walls, but relative to the size of the vessel the wall of a vein is thinner than that of an artery. This is chiefly because the media is less highly developed. The elastic lamina of the intima is also thinner in veins than in arteries of the same diameter. The valves of the veins are transverse, semilunar, pocket-like folds of the intima, which are strengthened by bands of white fibrous tissue lying between the two layers of intima that form the surfaces of the valves. The valves usually occur in pairs, the edges of the two coming into contact with each other when the valvular pockets are filled by a reversal of the blood-current. 120 NORMAL HISTOLOGY. Behind each valve the wall of the vein bulges slightly. Single valves of similar structure not infrequently guard the orifiees by which the smaller veins discharge into those of larger size. 5. The Lymphatics. — The lymph at first lies in the minute inter- stices of the tissues surrounding the bloodvessels from which it has transuded. In most parts of the body those tissues are varieties of fibrous connective tissue, and contain not only the small crevices between their tissue-elements, but larger spaces also, which have a more or less complete lining of flat endothelial cells, but permit the access of lymph to the intercellular interstices of neighboring tissues. The lymph finds its way into these " lymph-spaces," and thence into the lymphatic vessels. These begin either as a network of tubes with endothelial walls, or as vessels with blind ends, and have a structure similar to that of the blood-capillaries. They are larger, however, and are provided with valves. By their union larger vessels are formed, resembling large veins with very thin and transparent walls, consisting of intima, media, and adventitia. These finally unite into two main trunks, the thoracic duct and the right lymphatic trunk, which open into the subclavian veins. Valves are of much more frequent occurrence in the lymphatic vessels than in the veins, but their structure is the same. In its passage through the lymphatic circulatory system the lymph has occasionally to traverse masses of reticular tissue con- taining large numbers of lymphoid cells, called " lymph-glands." That portion of the lymphatic system which has its origin in the walls of the intestine not only receives the lymph which transudes through the bloodvessels supplying that organ, but takes up also a considerable part of the fluids absorbed from the contents of the in- testine during digestion. Mixed with this fluid is a variable amount of fat, in the form of minute globules. These globules give the con- tents of these lymphatics a milky appearance, and the vessels of this part of the lymphatic system have, therefore, received the name " lacteals." They do not differ essentially from the lymphatics in other parts of the body. Lymph-glands. — It is a misnomer to call these structures glands, for they produce no secretion. A better term is " lymph-nodes." The lymph-nodes are bodies interposed in the course of the lymphatic vessels through which the lymph-current passes. Their essential constituent is lymphadenoid tissue. Each node has a spherical, ovoid, or reniform shape, with a de- THE CIRCULATORY SYSTEM. 121 pression at one point, called the " hilns." It is invested by a fibrous capsule, which is of areolar character externally, where it connects the node with surrounding structures, but is denser, and frequently reinforced by a few smooth muscular fibres internally. Extensions from this capsule penetrate into the substance of the node, forming " trabecular," which support the structures making up the body of the node. The lymphadenoid tissue occurs in two forms : first, as spherical masses, " follicles," lying toward the periphery of the node, except at the hilus, and constituting the "cortex" (Fig. 105); second, in the Fig. 105. — i 'i 'i ■ . -»-«:_ ' -lb k> • Single lymph-follicle from a mesenteric node of the ox. (Flemming.) lb, wide-meshed lymphatic sinus at periphery of the follicle. Between this and the peripheral zone of the follicle z, and within the follicle, the reticulum of the sinus and that supporting the cells and vessels of the follicle are not represented. The cells are merely indicated by their nuclei, the cytoplasm being romitted. z, peripheral zone of the follicle, marked by a close aggregation of small lymphoid cells; p, more scattered cells outside of the peripheral zone and at the edge of the lymph-sinus. Within the zone z is the germinal centre of the follicle, in which numerous karyokinetic figures are'present, demonstrating the active proliferation of the cells in that region. Two such figures are also represented within the lymph-sinus at the upper left corner. 6, bloodvessels. form of anastomosing strands, which makes a coarse meshwork of lymphadenoid tissue in the medullary portion of the node (Fig. 106). The trabecular springing from the capsule penetrate the substance of the node between the follicles in the cortex, and then form a net- work of fibrous tissue lying in the meshes of the medullary lymph- adenoid tissue, after which they become continuous with the mass 122 NORMA L HISTOL OGY. of fibrous tissue at the hilus and, through it, with the capsule at that point. The lymphatic vessel connected with the node divides into a number of branches, the "afferent vessels," which penetrate the capsule at the periphery and open into a wide-meshed reticular tissue lying between the trabecular and the lymphadenoid tissue of the follicles and the medullary strands. This more open reticular tissue, through which the lymph circulates most freely, forms the Fig. 106. Portion of the medulla of a lymph-node. (Recklinghausen.) a, a, a, anastomosing columns of lymphadenoid tissue ; 6, anastomosing extensions of the cortical trabeculse ; c, lymph- sinus ; d, capillary bloodvessels. The lymphoid cells in the sinus are not shown. a lymph-sinuses" of the node, and is less densely crowded with lymphoid cells than the reticular tissue of the follicles and medul- lary lymphoid tissue. The walls of these sinuses, which are turned toward the fibrous tissue of the trabecular and their extensions in the medulla, are lined with endothelium, and a somewhat similar, but probably much less complete, lining may partially separate the sinuses from the lymphadenoid tissue. However this may be, it is certain that lymphoid cells can freely pass from the lymphoid tissue into the sinuses, or in the reverse direction, and that there is a ready interchange of fluids between the two. From the sinuses the lymph passes into a single vessel, the "effe- rent vessel," through which it is conveyed from the node at the hilus. The arteries supplied to the lymph-node may be divided into two THE CIRCULATORY SYSTEM. L23 groups: first, small twigs which enter at the periphery and are dis- tributed in the capsule and fibrous tissues of the trabeculse and the medulla ; and, second, arteries which enter at the hilus, pass through the sinuses, and are distributed in the lymphadenoid tissue of the medulla and cortex. The veins follow the courses of the corre- sponding arteries. The nerve-supply is meagre, and consists of both medullated and non-medullated fibres. Their mode of termination is not known. In the centre of the follicles the reticular tissue is more open and the lymphoid cells less abundant than toward the periphery. Mitotic figures are of frequent occurrence in lymphoid cells in this region, and it is evidently a situation in which those cells actively multiply. Further toward the periphery the reticular tissue is closer and very densely packed with small lymphoid cells, to be- come more open again and freer of cells as it passes into the reticulum of the sinus (Fig. 107). This last reticu- Fig. 108. Fig. 10' '.-5 0 xmr: r-a^- 'fi'i^ a -*-•><-• Fig. 107.— Portion of lymph-follicle from mesentery of ox. (Flemming.) z, peripheral zone of small, closely aggregated lymphoid cells. To the right of these is a portion of the germinal centre of the follicle, with larger cells, many of which are dividing. Opposite Msa cell executing amoeboid locomotion, pz, pigmented cell, which has taken upcolored granules from outside; tk, dark chromophilic body, the nature of which has not been determined. Such bodies occasionally occur in lymph-nodes, but their origin and sig- nificance are unknown. Fig. 108.— Section of a small portion of the reticulum of the sinus in a human mesenteric node. (Saxer.) 6, b, diagrammatic representation of a portion of the neighboring trabecula. lum becomes continuous with delicate fibres given off from the tissues of the capsule and trabeculse (Fig. 108). The distribution 12-1 NORMA L HISTOLOG Y. of the lymphoid cells gives the follicles a general concentric appear- ance. The lymph-follicles of the cortex not infrequently blend with each other, and the activity of the cellular reproduction in their centres varies considerably and is sometimes entirely wanting, when the concentric arrangement of the cells disappears. The structure of the lymph-nodes causes the lymph entering them to traverse a series of channels, the " sinuses," which, in the aggre- gate, are much larger than the combined lumina of the vessels sup- plying them. The velocity of its current is, therefore, greatly re- duced, and it remains for a considerable time subjected to the action of the lymphoid cells in and near the sinuses. Small particles which may have gained access to the lymph in its course through the tis- sues are arrested in the lymph-nodes, and are either consumed by phagocytes — i. e., cells possessing the power of amoeboid move- ment and capable of incorporating foreign substances — or are con- Fig. 109. Section of red marrow; human. (Bohm and Davidoff.) a, a, ery throblasts ; b, b, myelocytes ; 6'. myelocyte undergoing division : c, giant-cell with a single nucleus ; c', giant-cell with dividing nucleus; d, reticulum ; < , space occupied by a fat-cell (not represented);/, gran- ules in a portion of an acidophilie cell. veyed into the marginal portions of the follicles, where, if insus- ceptible of destruction, they remain. It is in consequence of this process that the lymph-nodes connected with the bronchial system THE CIRCULATORY SYSTEM. 125 of lymphatics are blackened as the result of an accumulation of particles of carbon that have been inhaled and then absorbed into the lymphatics. The lymph-nodes may, therefore, be considered as filters which remove suspended foreign particles from the lymph ; but it is probable that the dissolved substances in the lymph are also affected in its passage through the nodes, and that a purification of that fluid is thereby occasioned. A fresh access of leucocytes further alters the character of the lymph during its transit through the lymph-nodes. Bone-marrow (Fig. 109). — In early life the medullary cavities of the long bones, as well as the cancellae of the spongy bones, are all occupied by that form of marrow known as " red " bone-marrow. This is functionally the most important variety. In after-life the marrow in the medullary cavities of the long bones becomes fatty through infiltration of its cells with fat, which converts them into cells quite similar to those of adipose tissue. Marrow so modi- fied is called "yellow" marrow. It may subsequently undergo a species of atrophy, during which the fat is absorbed from the cells and the marrow becomes serous, fluid taking the place of the mate- rials that have been removed. This process results in the produc- tion of a " mucoid " marrow. The marrow of bones possesses a supporting network of reticular tissue not unlike that of the lymph-nodes. In the meshes of this tissue are five different varieties of cell (Fig. 110) : First, myelo- cytes, cells resembling the leucocytes of the blood, but somewhat larger in size and possessing distinctly vesicular nuclei. They are capable of amoeboid movements, and not infrequently contain gran- ules of pigment which they have taken into their cytoplasm. Second, erythroblasts, or nucleated red blood-corpuscles, which divide by karyokinesis and eventually lose their nuclei, becoming converted into the red corpuscles of the circulating blood. Third, acidophilic cells, containing relatively coarse granules having an affinity for " acid " anilin-dyes, such as eosin. These cells are larger than the majority of the leucocytes circulating in the blood. Their nuclei are spherical or polymorphic and vesicular. Fourth, giant-cells with unusually large bodies and generally several nuclei, though occasionally only one nucleus is present. They possess the power of executing amoeboid movements and appear to act as phago- cytes. Where absorption of bone is taking place they are found L26 NORMAL HISTOLOGY. closely applied to the bone that is being removed, and have in this situation been called " osteoclasts." Fifth, basophilic cells, or plasma- cells, the cytoplasm of which contains granules having an affinity Fm. 110. Cells from bone-marrow: a, small leucocyte from circulating blood, with highly chromatic nucleus and slight amount of cytoplasm, a " lymphocyte " probably derived from a lymph- node; b,b, myelocytes, larger than «, with vesicular nuclei; c, c, c, erythroblasts, with nuclei in karyokinesis ; c', mature red corpuscle (erythrocyte) ; tf,acidophile (eosinophile) leucocyte. The basophilic leucocytes, or plasma cells, resemble this, but have smaller and less abundant granules of different chemical nature : e, giant-cell (myeloplax) with three nuclei ; a, b, r, and d, from the marrow of the fowl (Bizzozero), the red corpuscles of which are oval and nucleated, c' ; c, from the marrow of the guinea-pig. (Schafer.) for " basic " anilin-dyes, such as dahlia. These cells are relatively large, and possess vesicular and frequently polymorphic nuclei. Aside from these cells, which may be regarded as forming a part of the marrow, it contains red blood-corpuscles and leucocytes, either formed within the marrow or brought to it by the circulating blood. The functions of the various cells in bone-marrow have not been finally determined, but it is certain that the erythroblasts, by their multiplication and transformation, maintain the supply of red cor- puscles circulating in the blood. The arteries supplied to the marrow divide freely and open into small capillaries, which appear subsequently to dilate, and either to blend with the endothelial elements of the reticular tissue or to become pervious through a separation of the cells forming their walls. In either case 1 lie blood passes into the meshes of the retic- ular tissue, where it slowly circulates among the constituents of the marrow. It then passes into venous radicles devoid of valves, and is thence conveyed from the bone. In some animals — e.g., birds — the production of red corpuscles appears to be confined to the venous THE CIRCULATORY SYSTEM. 127 radicles (Fig. 111). The veins leaving the bones are abundantly supplied with valves. Section of small venous radicle in marrow of the fowl. (Bizzozero.) Just within the vascular wall is a zone of leucocytes, one of which contains a karyokinetic figure. Within this zone is a second zone of erythroblasts, four undergoing division, and in the centre of the lumen are a number of matured red blood-corpuscles (containing nuclei in the case of birds). The cytoplasm of the leucocytes contains no haemoglobin, while that of the erythroblasts does. In birds and, probably, in other classes of animals the marrow of the bones is one of the sites for the production of leucocytes as well as red corpuscles. The latter are not produced from the former, but only from the erythroblasts, which con- stitute a distinct variety of cell. Throughout life the cancellated portions of the flat bones and of the bodies of the vertebras contain red marrow, but the shafts of the long bones are occupied by the yellow variety, which has lost its power of producing red blood-corpuscles and leucocytes, and has, therefore, become functionally passive. CHAPTER IX. THE BLOOD AND LYMPH. The blood consists of a fluid, the plasma, in which three sorts of bodies are suspended : the red corpuscles, the leucocytes or white corpuscles, and the blood-plates. The plasma is a solution in water of albuminous and other sub- stances. Some of these are of nutritive value to the tissues of the body. Others have been received from those tissues, and are on their way toward elimination from the body. Still other con- stituents have passed into the blood from one part of the body, and are destined to be of use to other parts. In the smaller vessels, while on its course through the circulatory system, portions of the plasma make their way through the vascular walls and form the fluid of the lymph. This passage appears to be, in part, a simple filtration through the walls of the vessel, or the result of osmosis ; in part, the result of a species of secretion Fig. 112. a 6 c Red corpuscles from human blood. (Bohin and Davidoff.) a, optical section of a red blood- corpuscle, seen from the edge; b, surface view. (The bounds of the central depression are made a little too distinct in this figure, as is evident from an inspection of a.) c, rouleau of red corpuscles. When undiluted blood has remained quiescent for a few moments the red corpuscles arrange themselves in such rows, probably because of the attraction which they, in common with other bodies suspended in a fluid having a nearly identical specific gravity, have for each other. effected by the endothelial cells lining the bloodvessels, these cells promoting the escape of certain constituents of the plasma and restraining or preventing that of others. In the exercise of this secretory function the endothelia in different parts of the vascular system appear to act differently, the composition of the fluid passing through the walls of the vessels not being exactly the same in all parts of the body. It is still a question, however, in what degree 128 THE BLOOD AND LYMPH. 129 the endothelial cells are active in bringing about these differences. Their character is not such as would be expected of cells carrying on active processes. Since the lymph is a solution separated from the blood by membranous capillary walls, and also coming into most intimate relations to the cells and intercellular substances of the tissues, the purely physical processes which might affect its composi- tion are by no means simple. They may be grouped under three heads : filtration, osmosis, and diffusion. When fluids containing proteids are filtered under pressure, the filtrate contains a smaller percentage of proteids than the original fluid. The element of filtra- tion may, therefore, account for the smaller proteid content of the lymph than that of the blood-plasma. Osmosis is the flow of water through a membrane from a solution of lower molecular concen- tration to one of higher molecular concentration, and diffusion is the passage of dissolved solids from a solution of greater concentration with respect to a given substance to a solution which contains that sub- stance in less concentration. By the term " molecular concentration " is meant the relative number of molecules, free atoms, or radicles •contained in a given bulk of liquid. The molecular concentration of the body fluids is usually measured by the depression of the freezing-point, as compared with that of pure water. For example, a solution of urea containing 60.12 grams in a litre and a solution of glucose in which 180.12 grams of the sugar are dissolved in enough water to make 1 litre of solution both freeze at a temperature 1.85 degrees C. below that of pure water — i. e., they depress the freezing-point 1.85 degrees C. If these solutions were placed on opposite sides of a membrane, there would be no osmosis — i. e., no water would pass from one solution into the other ; or if water did pass, equal quantities would pass in both directions, so that the interchange would cause neither concentration nor dilution of either solution. Both the urea and salt would diffuse through the mem- brane, so that eventually both solutions would have the same com- position ; each containing half of the urea and half of the sugar. Since the molecular weights of urea and dextrose are, respectively, 00.12 and 180.12, these solutions are called equimolecular solutions, and are said to have the same molecular concentration and to exert the same osmotic pressure. The depression of the freezing-point is, then, a measure of molecular concentration, and therefore of osmotic pressure, or of what may be considered as the attraction for water 9 130 NORMAL HISTOLOGY. on the part of a solution when separated from pure water "by a mem- brane. Now, although the solids in lymph are less than those in equal bulks of the blood-plasma, the lymph freezes at a slightly lower point (about 0.02 degree C.) than the plasma, showing that its molecular concentration is a trifle higher, and that there is a tendency for water to pass from the bloodvessels into the lymph- channels. This higher molecular concentration of the lymph is attributed to cell metabolism, during which larger molecules are abstracted from the lymph by the cells and smaller molecules — i. e., molecules of less molecular weight — are returned to it. The character of the lymph, then, will be affected by the metabolism of the cells with which it comes into relation. These effects and differ- ences in the capillary blood-pressure may be sufficient to account for the differences in composition of lymph in various parts of the body, so that secretory activity on the part of the capillary endo- thelium is not necessarily a factor. The red corpuscles are soft, elastic discs, with a concave impres- sion in both surfaces (Fig. 112). They are slightly colored by a solution of haemoglobin, and are so abundant that their presence gives the blood an intense red color ; but when viewed singly under the microscope each corpuscle has but a moderately pronounced red- dish-yellow tinge. The haemoglobin solution is either intimately associated with the substance composing the body of the corpuscles, called the " stroma," or it occupies the centre of the corpuscle and is surrounded by a pellicle of stroma. Under normal conditions the red corpuscles, in man and most of the mammalia, are not cells, for they possess no nuclei, nor are they capable of spontaneous movement or multiplication. They are, rather, cell-products, being formed either within the cytoplasm of cells of mesoblastic origin, or by the division of cells derived from the mesoblast, and called erythroblasts, the descendants of which become converted into red corpuscles through an atrophy and disappearance (probably expulsion) of the nuclei and a transforma- tion of the cytoplasm into the stroma, which take place after the elaboration of the fuemoglobin within the cell. The former, or intracellular, mode of production occurs in the embyro, even before the complete development of the bloodvessels; the latter mode of production seems to be the only one occurring in the adult, the chief location of the erythroblasts appearing to be in the red marrow of the THE BLOOD AND LYMPH. 131 bones, where they are situated either in the tissues of the marrow itself, whence their descendants, while still cellular, pass into the vessels, or in the large venous channels of the marrow, where the blood-current is sluggish and the erythroblasts remain close to the vascular walls. In some anaemic conditions the erythroblasts ap- pear in the circulating blood, where they may be distinguished from the normal red corpuscles by the presence of their nuclei and, fre- quently, also by a difference in size (see Fig. 110, c). In the reptilia and birds the red corpuscles are normally nu- cleated ; but, though morphologically resembling cells, they are incapable of multiplication or spontaneous movement, and have undergone such modifications that they are not cells in a physiolog- ical sense. The functional value of the red corpuscles is dependent upon the haemoglobin they contain, which is said to constitute 90 per cent, of their solid matter. It is readily oxidized and reduced again, and serves to carry the oxygen of the air, obtained during the passage of the blood through the pulmonary capillaries, to all parts of the body. The red corpuscles, therefore, subserve the respiratory function of the blood, as the plasma subserves its nutritive func- tion. The leucocytes, or white blood-corpuscles, are cellular elements closely resembling the amoeba in their structure, which are present in the blood in much smaller number than the red corpuscles, the usual proportion being about one to six hundred. They vary some- what in size and structure, either because of differences in their origin, or because they are in different stages of development. The majority of them are capable of amoeboid movements ; but while they are cir- culating in the more rapid currents of the blood the constant shocks they receive through contact with other corpuscles or with the vascu- lar walls keep their cytoplasm in a contracted state and they maintain a globular form. If, however, through any chance they remain for some time in contact with the wall of a vessel, they are able to make their way between the endothelial cells and pass out of the circulation into the surrounding tissues. Here they creep about, and for this rea- son have been called the migratory or wandering cells of the tissues. They ultimately either suffer degenerative changes and disappear, or find their way back into the circulation through the lymphatic channels. During these excursions they may incorporate stray 132 NORMAL HISTOLOGY. particles in the tissues, and thus act as scavengers. This activity has been called their phagocytic function, and may play an impor- tant part in the removal of material that should be absorbed or of particles that would otherwise be injurious to the tissues ; e. f lymphadenoid tissue, occupying' an enlarged villus and often extending through the muscularis mucosae into the submucous areolar tissue (Fig. 128). These lymph-follicles may be regarded as the result of an increase in the amount of reticular tissue of the villus, which has replaced the other structures usually present. In the lower portions of the THE DIGESTIVE ORGANS. 149 small intestine there are collections of these solitary follicles, which have received the name " Peyer's patches." 6. The small intestine below the duodenum resembles the latter Fig. 128. Section of solitary follicle from the ileum. (Cadiat. I a, space left by the disintegration of the central, delicate lymphadenoid tissue of the follicle during the preparation of the sec- tion; b, columnar epithelium of intestinal surface; c, r, villi, partially denuded of epithe- lium ; d, crypt; e, /, muscularis mucosae; above /, the point where the vessels enter the follicle. The Peyer's patches are collections of such solitary follicles, placed side by side and destitute of villi at their upper surfaces. in structure, with a few modifications, which become progressively more marked as the distance from the stomach increases. The glands of Brunner are most abundant near the upper part of the duodenum, more sparsely distributed further down, and usually disappear entirely before the beginning of the jejunum. The valvulae conniventes, which are most highly developed a little below the entrance of the gall and pancreatic ducts, also become lower and less frequent along the course of the intestine, and finally disappear about the middle of the ileum. The crypts of Lieberkiihn are deepest in the upper part of the intestinal tract, but persist in shallower form throughout its whole extent, as well as along the whole length of the colon. The Peyer's patches are most abundant in the lower part of the ileum, where they lie in the intestinal wall opposite the line of mesenteric attachment, and form oval areas with their long axes parallel to the axis of the intestine. 7. The Colon. — The mucous membrane of the colon is destitute ISO NORMAL HISTOLOGY of villi, but contains crypts of Lieberkiihn closely arranged side by side and lined with columnar epithelium rich in mucigenous cells. The muscularis mucosae is similar to that of the small intestine, and gives off occasional fibres that penetrate between the crypt-. The submucous coat resembles that of the small intestine, and, in common with the mucous membrane, contains solitary lymph-fol- licles, most abundantly in the caecum and vermiform appendix. The muscular coat has its outer or longitudinal layer most highly developed in three bands, which are situated about equidistantly around the circumference of the bowel and occasion a pouching of the intervening wall. Fig. 129. © &l ©■ &0 o _ $ ® Section of human pancreas. (Bohra and Ravidoff.) a, larger duct ; b, beginning of duct ; c, d, acini with cells belonging to the corresponding duct-radicles in their centers ; c. acinus, cut just beyond the lumen ; /, interalveolar cell-group (?) ; g, fibrous connective tissue, forming the interstitial tissue of the organ. The serous coat is similar to that of the small intestine, but is occasionally extended over small pendulous projections of the subserous fibrous tissue, which contain adipose tissue, appendices epiploic*. 8. The rectum resembles the colon in its structure, except that the three muscular bands present in the latter are wanting. The mucous membrane as it passes into the anal canal loses its tubular glands, and subsequently become- covered, not with columnar, but with stratified epithelium, continuous with the epidermis of the skin around the anus. 9. The pancreas (Fig. 129) has a structure similar to that of the THE DIGESTIVE ORGANS. 151 salivary glands, but its lobules are separated and held in plaee by a rather more considerable amount of loose areolar tissue, in which there are occasional groups of cells of uncertain nature, but cer- tainly distinct from those lining the glandular acini. They are called the " interalveolar cell-islets," and may, perhaps, be of the nature of ductless glands (q. v.). These structures, also known as the islands of Langerhans, have no secretory ducts, and are com- posed of cells of epithelial nature which have the same origin as the ordinary secreting cells of the pancreas. They are not grouped so as to form acini, but are arranged in anastomosing columns, like the cells of the liver, with an abundant capillary network situated in the spaces between these columns of cells. The cells are devoid of zymogen granules, but are of two kinds : 1, smaller cells with faintly staining cytoplasm and a vesicular nucleus in which the chromatin Fig. 130. < V X ■ 175 Island of Langerhans, guinea-pis- (Schulze.) a and b, isolated cells; c, injection of blood- vessels showing the abundant, capillary network within the island. is more or less massed into granules ; and, 2, larger cells with a cytoplasm that stains more deeply (Fig. 130). The islands of Langerhans have of late received much attention as possibly being the structures elaborating an internal secretion of importance in the general carbohydrate metabolism of the bodv. As the pancreas exercises its secretory function the granules within its cells move toward the lumina of the acini and successively disappear, the attached ends of the cells becoming clearer and the whole cell diminishing somewhat in size during the process. The nerves of the stomach and intestinal tract form two gan- glionated plexuses, the plexus of Auerbach, which lies between the two layers of the muscular coat, and the plexus of Meissner, situ- ated in the submucous coat. From these plexuses fibres are dis- 152 NORMAL HISTOLOGY. tributed to the muscles and other structural elements. These fibres are of the non-medullated variety. The nerves of the panereas are also non-medullated, possess a few ganglia within the organ, and are finally distributed among the epithelial cells. The Tonsils, Lymph-follicles, and Peyer's Patches. — These collee- tions of lymphadenoid tissue in the alimentary tract have special Fig. LSI. I %■■ . ■ 4 \s% Section through one of the crypts of the tonsil. (Stohr.) e, stratified epithelium of the gen- eral surface, continued into the crypt:/, follicles containing germinal foci. Between the follicles is a more diffusely arranged lymphadenoid tissue, s, material within the crypt, composed in part of lymphoid corpuscles that have wandered through the strati- tied epithelium. interest to the physician as being points particularly liable to infec- tion. The solitary follicles of the stomach and of the small and large intestine, and the collections of such follicles forming the patches of Peyer, are the sites which are most vulnerable to invasion by pathogenic bacteria in the digestive tract, though they are probably protected to a considerable extent by the germicidal powers of the acid gastric juice. This is not always capable of guarding them from infection by the typhoid and tubercle bacilli,, THE DIGESTIVE ORGANS. 153 and in the diseases of* the intestinal canal occasioned by those bac- teria the follicles and Peyer's patches are the seat of the earliest and most extensive ulcerations. The tonsils, which have the same general structure, are still more prone to infection of various kinds, for they are more directly exposed to the action of bacteria that may train access to the month. The reason for this vulnerability appears to lie in the close prox- imity of the lymphatics to the surface and their meagre protection by a thin layer of epithelium liable to abrasion or destruction. The solitary follicles of the intestine, for example, are covered with a single layer of columnar epithelium (Fig. 128). The lymphadenoid tissue of the tonsil, it is true, is protected by a layer of stratified epithelium ; but the surface of the tonsil is invag- inated to form the crypts of that organ, and within those crypts it Section through the fundus of a erypt. (Benda ami Guenther's Atlas.) a, stratified epithe- lium, desquamating at its surface ; 6, deep portion of the lymphadenoid tissue, in which proliferation of lymphoid cells takes place as well as in the follicles represented in Fig. 131. is possible for bacteria to multiply and produce such an accumula- tion of poisonous products as to destroy the integrity of the epithe- lium and so permit an invasion of the lymphadenoid tissue beneath. We therefore find the tonsils specially prone to such inflammatory processes as tonsillitis and diphtheritic inflammation (Figs. 131 and 132). CHAPTER XI. THE LIVER. That portion of the liver which is exposed in the abdominal cavity is covered by a reflection of the peritoneum, closely attached to the organ, because its deeper side is continuous with the fibrous structures or interstitial tissue of the liver itself. This serous cover- ing is so thin that the substance of the liver can be readily seen through it. At the portal fissure, the serous coat having been reflected from it, the liver is covered with a loose areolar tissue in which the main trunks of all but one of the vessels connected with it are situated : namely, the portal vein, hepatic artery, gall-duct, and lymphatics. These vessels enter the liver together at this place, and are closely associated with each other in all their ramifications, being supported throughout by areolar tissue, which is continuous with that at the portal fissure and with the interstitial tissue of the liver. These vessels, with their supporting fibrous investment, called Glisson's capsule, ramify in the liver in such a way as to resemble a tree with a multitude of branches and twigs, each composed of divisions of all the vessels named. The hepatic vein enters the liver at a different place, and also suffers a tree-like subdivision; but its branches are surrounded by a very much smaller amount of fibrous tissue, which may be regarded as but a slightly reinforced portion of the interstitial tissue of the organ. Sections of the liver (Fig. 133) will reveal portions of these two trees, cut in various directions with respect to their axes. It will be observed that tin1 twigs and larger branches of the trees are nowhere in close relations to each other, showing that the hepatic vein, in all its ramifications, is separated from the other vessels by the parenchyma of the organ. If we select some part of a section which contains one of the smallest branches of the hepatic vein, and cut across its axis so that its lumen appears round, we shall notice that at about equal distance- from it there are sections of two, 154 THE LIVER. 155 three, or four twigs of the compound tree. In these the gall-duct can be identified by its distinct lining of columnar or cubical epi- thelium, and the hepatic artery distinguished from the portal vein by its relatively thick wall as compared with the size of its lumen. These vessels are collectively known as the interlobular vessels. Between and around them is the areolar fibrous tissue, which forms a part of Glisson's capsule, and which is abundantly supplied with Fig. 133. Diagrammatic sketch of a section of liver: a, central vein (radicle of the hepatic vein) ; 6, b, branches of the portal vein ; c, c, branches of the hepatic artery ; d, d, small bile-ducts ; e, lymphatic vessel; b, c, d, e are enclosed in areolar tissue, which is continuous with Glisson's capsule; /, liver-cells; g, line indicating the junction and blending] of two neighboring lobules. lymphatic spaces and vessels in the fibrous tissue. The lymphatics appear as clear spaces with smooth walls, some of them with dis- tinct endothelial linings, but almost devoid of any other wall. The parenchyma may be subdivided into portions which surround the smallest branches of the hepatic vein, and are bounded by imaginary lines connecting the groups of interlobular vessels. These subdivisions are called " lobules " of the liver. In the human liver they blend at their peripheries, between the masses of connective tissue enclosing the interlobular vessel; but in the liver of the pig these lobules are veritable subdivisions of the liver, and 156 NORMAL HISTOLOGY. are separated by septa of fibrous tissue, the interlobular vessels lying in the lines formed by the junction of three such septa. Connecting the branches of the portal vein with the hepatic vein is a plexus of capillaries, called the intralobular vessels, through which the blood passes from the portal vessels to the radicles of the hepatic vein and thence into the general circulation. These intra- lobular vessels also receive blood from the hepatic artery, the capillaries from which join them at a little distance from the periphery of the lobule. The radicles of the hepatic vein are called the central veins, from their situation in the axes of the lobules, which are conceived as having a somewhat cylindrical shape (Fig. 134). Vessels and bile-ducts of a lobule of a rabbit's liver in transverse section. (Cadiat.) a, cen- tral vein : b, b, interlobular veins (branches of the portal vein) ; c, interlobular bile-duct, receiving capillary bile ducts from the lobule. Between a and b is the capillary plexus caned the intralobular vessels. The biliary radicles are not represented throughout the figure, and the branches of the hepatic artery have been wholly omitted. Between the interlobular capillaries are rows of epithelial cells, which constitute the functional part of the liver, its parenchyma. They appear to touch the walls of the capillaries, but are, in reality, separated from them by a narrow lymph-space (Fig. 135). In the THE LIVER. 107 human liver the epithelial cells of the parenchyma form a plexus lying in the meshes of the capillary network of the interlobular vessels. It requires an effort of the imagination to conceive of a third plexus within the lobule, but such a plexus exists, being formed of the radicles of the gall-duct. These are minute channels situated between contiguous epithelial cells, each of which is grooved upon its surface to form half of the tiny canal. The cells themselves have fine channels running from the bile-capillaries into their cyto- plasm and ending there in little rounded expansions. It is difficult to detect these bile-capillaries in ordinary sections of the liver, unless they have been previously injected through the main duct ; but with a high power their cross-sections may sometimes be clearly seen, appearing as little round or oval spaces at the junction of two Fig. 135. Fig. 136. si .* Fig. 135.— Perivascular lymphatic of the human liver. (Disse.) c, capillary in longitudinal section; a, lymphatic space between the capillary and row of epithelial cells; b, wall of the lymphatic space, slightly separated from the liver-cells and drawn a little em- phatically; ?, liver-cells; d, bile-capillaries in cross-section, with their intracellular ramifications. Fig. 136.— Bile-capillaries between the liver-cells, with minute channels penetrating the cells and communicating with secretory vacuoles within the cytoplasm. Injected liver of the rabbit. (Pfeiffer.) epithelial cells, midway between the nearest capillary bloodvessels. Throughout their whole course they appear to be separated from the nearest bloodvessels by a distance approximately equal to half the diameter of one of the epithelial cells. It is this fact that makes it so difficult to frame a mental picture of their distribution in the lobule (Fig. 136). The nerves supplying the liver ramify in extremely delicate, non- 1 58 NOW. 1 L 1IIST0L0G Y. medullated fibrils, which ramify throughout the substance of the liver and terminate in minute twigs among its epithelial cells. The epithelial cells of the liver have a cubical shape, the grooved and other surfaces that come in contact with neighboring cells being flat, while the remaining surfaces may be somewhat rounded. The cytoplasm is granular, and, except after a considerable period of starvation, more or less abundantly infiltrated with irregular gran- ules and masses of glycogen and globules of fat (Fig. 137). The Portion of hepatic lobule of the rabbit : cells infiltrated with glycogen. (Barfurth.) The- animal had been fed for twenty-four hours on wheat-bread, to promote the storage of gly- cogen within the liver-cells. The cells in close proximity to the central vein contain the largest amount of glycogen, which appears to fill the cytoplasm. Further from the central vein the cells contain less glycogen, which is most abundant in that portion of the cell turned toward the centre of the lobule. Fat-globules are most abundant in the cells at the periphery of the lobule. No fat-globules are represented in this figure. glycogen dissolves out of the cells during the ordinary processes of fixation and hardening preparatory to the preparation of sections, leaving spaces in the cytoplasm, which cause it to have a coarsely reticulated appearance in cases where the glycogen was abundant. This reticulation would render it impossible to distinguish the minute intracellular bile-passages. Each cell has a round vesicular nucleus near its centre. In rare instances two nuclei may be found in a single cell. The functions of the liver are so varied and in- volve such complex chemical transformations that the liver-cell must be considered as a structure of marvellous activity. It stores carbo- hydrate food-stuffs, transforming sugars into glycogen, and converts THE LIVER. 159 this substance into dextrose as occasion requires. It also stores fats, reserving- them for the needs of the organism. It elaborates the bile-salts and pigment, deriving material for the latter from the haemoglobin of the blood. In addition to these functions, many synthetical processes occur in the liver. The nitrogenous waste- products of metabolism in other parts of the body are here changed into forms suitable for excretion by the kidney. Most of the urea appearing in the urine is formed in the liver. Injurious substances absorbed from the intestine are, at least in many instances, combined in the liver with chemical radicals to form less toxic compounds which can be eliminated. It therefore exerts an important detoxi- cating influence highly beneficial to the other organs and cells of the body. In view of these numerous functions and the great versatility displayed by the liver-cells, it is not surprising to find that by special methods of preparation very diverse structural appearances are presented by these cells, and that these appearances vary with the condition of the liver at the time of its removal from the body. Some observers believe that the intercellular bile-radicles described by others are artefacts, and not permanent structures. Some investigators have ascribed amoeboid movements of limited range to these cells, and have noted the presence of red blood- corpuscles within the cytoplasm, apparently incorporated by active movements of the cell-body. Injections have even been made to penetrate the nucleus. Diversities in apparent structure, of which these are merely a few examples, render it impossible to give a brief adequate description of the typical liver-cell or to connect definitely the observed structures with any particular function. It will, perhaps, make the structure of the liver a little more comprehensible if it is stated that the liver of some of the lower animals is a tubular gland, the tubes of which are lined with a layer of epithelium. In the human liver this tubular structure is dis- guised by the facts that the tubules anastomose with each other, and that their lumina are very minute and bounded by only two cells when seen in cross-section. So inconspicuous are these lumina that a casual glance at a section of a liver would not reveal the fact that it was a glandular organ. The interstitial tissue of the liver consists of a few sparsely distributed fibres continuous with those of Glisson's capsule. The intricate structure of the liver prepares us for the fact that its function is an extremely complex one. It is a secreting gland, 1G0 NORMAL HISTOLOGY. elaborating the bile and discharging it into the duodenum. But. the bile has more than one purpose. It aids in the digestion and absorption of food, and it also contains excrenientitious matters destined to leave the body through the alimentary tract. Even the secretory function of the liver, therefore, serves a double purpose : the supply of substances useful to the organism and the elimina- tion of products that would be detrimental if retained. But the function of the liver is not confined to the elaboration of the bile. It also acts as a reservoir for the storage of nourish- ment, which can be drawn upon as needed by the organism. This is the meaning of the glycogen and fat which have infiltrated the cells. The food-materials that are absorbed from the digestive tract pass into the system through two channels : the lymphatic and the portal circulations. The latter carries them to the liver, where some of the fat, probably after desaponifieation, is taken up by the epithelial cells, which also appropriate a portion of the sugar in the portal blood, transforming it into glycogen and holding it in that form until a relative deficiency of glucose in the blood reveals its need by the system. The blood comes into such close relations with the epithelial cells of the liver that an interchange of soluble substances between them appears to be about as easy a matter as the interchange of gases between the blood and the air in the lungs; and, as in the latter case, this interchange is mutual : some matter passing from the blood to the liver-cells and some from the cells to the blood. In the lung there is a gaseous regeneration of the blood ; in the liver, a renovation as to certain of its soluble constituents. The Gall-bladder. — The bile is secreted continuously by the liver, for it is an excrement ; but it is discharged intermittently into the alimentary tract, as required by the digestive processes. In the interval it is stored in the gall-bladder. The gall-bladder is lined with columnar epithelium, capable of secreting mucus. Beneath this is a layer of fibrous tissue, which becomes areolar and supports the chief bloodvessels and lymphatics. A few glands opening into the gall-bladder are occasionally present in this tissue. Beneath this is the wall of the organ, composed of interlacing bands of fibrous and smooth muscular tissues. The sur- face is invested by a portion of the peritoneum. The excretory bile- duct has a similar structure. CHAPTER XII. THE URINARY ORGANS. The urine is secreted by the kidney, whence it passes succes- sively through the renal pelvis, ureter, bladder, and urethra into the outer world. 1. The kidney is made up of homologous parts or lobes, which are readily distinguished in early life by the superficial furrows marking their lines of junction. In later years these depressions on the surface of the kidney disappear. Each of the lobes corre- sponds to one of the papillae of the kidney and the pelvic calix that embraces it. In some of the lower animals — e. g., the rabbit — the kidney has but one papilla, so that the whole renal pelvis in those animals corresponds to a single calix in man. The kidney is a compound tubular gland of peculiar construc- tion, the tubules taking origin from little spherical bodies, called Malpighian bodies, instead of from simple blind extremities, and, after running a definite and somewhat complicated course, uniting successively with several others to form the excretory ducts, called the " collecting tubules," which open into the calices near the tips of the papilla?. If a section of the organ be made through its convexity down to the pelvis, the papilla? will be seen projecting into the calices of the pelvis, and it will be noticed that each papilla forms the apex of a pyramidal portion of tissue having a different tint and texture from the rest of the kidney. These pyramids form the " medulla " of the organ (Fig. 138). The bloodvessels supplying nearly all its substance enter the kidney near the bases of the pyramids, having approached the organ through the fat that lies around the calices. Within the kidney they break up into branches that run along the base of each pyramid in that portion of the organ which is called the "boundary zone." Between that zone and the convex surface of the kidney the tissue is known as the "cortex." The arrangement of the renal tubules, which make up the chief n 161 162 NORMA L HISTOLOG Y. bulk of the kidney, can be most easily understood if they are traced back from their openings at the apex of the pyramid to their Fig. 138. Whe Lobu/e nal Pelvis Diagrammatic sketch of a section of the kidney: a, columnar epithelium covering the external surface of the pyramid and continuous on the one hand with the columnar epithelium lining the collecting tubules within the pyramid, and on the other hand with the transitional epithelium lining the calices and renal pelvis. This transitional epi- thelium is indicated at 6. It rests upon the fibrous tissue of the calices and pelvis, which becomes continuous with the fibrous capsule of the kidney at the junction of the calices with that organ. Outside of this capsule is the perinephric fat, indicated in the figure between the calices. The vessels approach the kidney through this fat, entering its sub- stance near the bases of the pyramids and forming the vascular arcades (e, arterial arcade). From these arcades the interlobular vessels proceed, between the medullary rays and in the labyrinth, toward the convex surface of the kidney, d, interlobular artery, giving off branches, the afferent vessels, to the Malpighian bodies. The extensions of the cor- tical substance between tbe pyramids, c, «xe known as the columns of Bertini. During infancy the lobes of the kidney are marked by sulci upon the surface of the organ. With the growth of the organ these lobes blend with each other, and the sulci between them become indistinct ot are wholly obliterated. The columns of Btrtini are made up of the blended lateral portions of the cortex of two contiguous lobes. origins in the Malpighian bodies. The different portions of the tubules present somewhat different characters, and have received special names. THE URINARY ORGANS. 163 The collecting tubes, which open into the calix at the apex of the pyramid, are straight, and lie nearly parallel to each other and to the axis of the pyramid, and, therefore, nearly perpendicular to the base of the pyramid. As they are followed from the apex, in a direction the reverse of that taken by the urine in flowing through them, they branch dichotomously, and the branches become pro- gressively smaller. At the base of the pyramid these straight tubules are collected into bundles that radiate toward the convex surface of the kidney, and are called the " medullary rays." In these, and in the part of the pyramid that is near the boundary- zone, the collecting tubes are associated with other straight portions of the tubules, " Henle's tubes," which will be described pres- ently. From the medullary rays the tubules pass into the region between those rays in the cortical portion of the kidney. This region of the cortex is known as the " labyrinth." Here the tub- ules lose their straight character and become much contorted, form- ing the "second convoluted tubules." They then re-enter the medullary rays, which they descend for a variable distance into the pyramid, constituting the "ascending branches of Henle's tubes," which make a sharp turn, " Henle's loop," and then retrace their course up the medullary rays into the cortical portion of the kidney, "descending branches of Henle's tube." They then pass again into the labyrinth and form the "first convoluted tubules," which finally merge into the structure of the Malpighian bodies, also situated in the labyrinth. In consequence of the passage of tubules from them into the surrounding labyrinth the medullary rays become smaller as they are followed from the base of the pyramid, and eventually disappear before the capsule of the kidney is reached. They are completely surrounded by the labyrinth. If we now follow the course of the urine in its way from the Malpighian body to the outlet of the tubule, we shall find that it passes through the following divisions of the tubule : 1, the "first convoluted tubule;" 2, the "descending branch of Henle's tube;" 3, "Henle's loop;" 4, the "ascending branch of Henle's tube;" 5, the "second convoluted tubule;" 6, the "collecting tube." Of these, the two convoluted tubules are situated in the labyrinth ; all the rest in the medullary rays and pyramid. All of the portions, with the exception of the convoluted tubules and the loop, are straight and lie parallel to each other (Fig. 139). Before entering more particularly into the structure of the renal 164 NORMA L HISTOL 00 Y. Fig. 139. Diagram showing the course of the renal tubules within the kidney. (Klein.) A, cortex : a, subcapsular portion destitute of Malpighian bodies ; a', inner portion, also devoid of Mal- pighian bodies. B, boundary. C, portion of the medulla at the base of the pyramid. 1, Bowman's capsule surrounding the glomerulus ; 2, neck of the capsule and beginning of the uriniferous tubule: 3, first convoluted tubule; 4, spiral portion of the first con- voluted tubule in the medullary ray; 5, descending limb of Henle's tube; 6, Henle's loop ; 7, 8, 9, ascending limb of Henle's tube ; 10, irregular transition to the second con- voluted tubule; 11, second convoluted tubule; 12, transition from second convoluted tubule to the collecting tubule ; 13, 14, collecting tubule, joined below by others to form the excretory duct, which opens at the apex of the pyramid. tubule, it will be best to complete this general sketch by considering the course of the bloodvessels. As has already been said, the vessels enter the kidney between the calices and pyramids and are distributed in branches that lie THE URINARY ORGANS. 165 Fig. 140. parallel to the bases of the latter, and, therefore, to the convex surface of the organ, and are situated in the boundary-zone. The arterial branches in this location form the "arterial arcade." From this arcade per- pendicular branches, the " interlobular arte- ries," pass toward the capsule, taking a straight course through the labyrinth be- tween the medullary rays. In this course they give off branches, the "afferent ves- sels," which go to the Malpighian bodies. Fig. 141. Fig. 140.— Diagram showing the course of the bloodvessels within the kidney. (Ludwig.) a, interlobular artery ; b, interlobular vein ; c, Malpighian body, with the afferent vessel entering it from the interlobular artery, and the efferent vessel leaving it to take part in the formation of the capillary plexus between the renal tubules; d, vena stellata; e, arterise rectse;/, vense rectse; g, capillary plexus around the mouths of the excretory ducts. Fig. 141.— Injected glomerulus from the horse. (Kcilliker, after Bowman.) a, interlobular artery ; af, afferent vessel ; m, m, capillary loops forming the glomerulus ; ef, efferent vessel ; 6, capillary network in -ihe labyrinth an5 medullary rays. The main artery becomes smaller in giving off these branches, and finally ends in terminal afferent vessels (Fig. 140J. 166 NORMAL HISTOLOG V. Within the Malpighian body the afferent vessel divides abruptly into a number of capillary loops, which are compacted together to form a globular mass, called the "glomerulus" (Fig. 141). These loops rejoin to form the "efferent" vessel, which is somewhat smaller than the afferent vessel, and leaves the Malpighian body at a point close to that at which the afferent vessel enters it. Fig. 142. Sketch of a Malpighian body from kidney of a rabbit : a, interlobular artery: b, afferent vessel ; c, capillary springing from afferent vessel ; d, Bowman's capsule, with epithelial lining reflected upon the surface of the glomerulus ; e, cavity of the capsule into which the watery constituents of the urine are first discharged ; /, beginning of a uriniferous tubule; g, convoluted tubules of the labyrinth. Between these tubules and the capsule are capillary bloodvessels derived from the efferent vessel (which is not shown, but emerges from the capsule near the afferent vessel, on a different level from that repre- sented). These and other structures are held in place by an areolar tissue, containing lymphatic spaces, some of which are represented. Soon after leaving the Malpighian body the efferent vessel breaks up into a second set of capillaries, which lie among the convoluted tubules of the labyrinth and also penetrate into the medullary rays, to be distributed between the tubules composing them. This capil- lary network extends also into the pyramid, in which the capilla- THE URINARY ORGANS. 167 ries run, for the most part, parallel to the renal tubules, with com- paratively few transverse anastomosing branches. For this reason they have been called the "vasa recta." They also receive blood from little twigs given oft" from the arterial arcade. The blood from the intertubular capillaries is collected in veins, which run a course parallel to that of the arteries and lie in close proximity to them. They have received names similar to those of the corresponding arteries : " interlobular veins," " venae recta?," and " venous arcade." Relatively large veins also leave the kidney from beneath the capsule on the convex surface of the organ. They are called the " stellate veins." The Malpighian body is enclosed by a thin fibrous capsule (Bowman's capsule), which is perforated at two opposite points to permit the passage on the one hand of the afferent and efferent vessels, and on the other hand to allow of a communication between its cavity and the beginning of the uriniferous tubule. When dis- tended with blood the glomerulus nearly fills this capsule, but when collapsed it is retracted toward the attachment formed by the ves- sels that pierce the capsule. It is covered by a single layer of epi- Fig. 143. Fig. 144. mwmmmm Cross-sections of convoluted tubules lined with cells in different states of activity. (Disse.) Fig. 135.— From a criminal directly after execution. Cells in a state of rest. The cells are low and granular, and present a striation of their free ends resembling cilia. Fig. 136. — From a cat. The cells are enlarged, because charged with material to be excreted, and the striated border is nearly obliterated. Similar appearances have been observed in the human kidney. In one of the lower cells in this figure a faint striation of the attached end is just discernible. This increases in distinctness as the cell becomes sur- charged with excretory material, when the more central portion of the cytoplasm becomes hyaline and contains the nucleus. thelial cells, which is reflected at that attachment and forms a lining for the inner surface of the capsule to the point where its cavity opens into the lumen of the renal tubule. Here the epithelial lining becomes continuous with that of the tubule (Fig. 142). The different portions of the uriniferous tubule differ in their 168 NORMAL HISTOLOGY. external diameters, the diameters of their lamina, and the character of their epithelial linings. The appearance of the epithelial cells differs, however, in accordance with their state of functional activity (Figs. 143 and 144). The first convoluted tubule is relatively large, and is lined with large epithelial cells, which project into the tubule about one-third of its diameter. The cells have round nuclei situated near their centres, and are granular, with an appearance of radiate striation in their deeper halves when charged with secretion. The descending branch of Henle's tube has a smaller diameter, but its lumen is wide in consequence of the thinness of the clear epithelial cells lining it. In the ascending branch the lumen is again smaller, although the diameter of the tube is larger, because the lining cells are thicker, somewhat resembling those of the first convoluted tubule. The transition from the character of the de- scending to that of the ascending branch does not always take place exactly at the loop. The second convoluted tubule is a little smaller than the first, and is lined with cells that are not quite so granular and a little more highly refracting. The collecting tubules are lined with columnar epithelium, the cells of which become longer as the diameter of the tube increases in its progress toward the apex of the pyramid. The epithelial lining throughout the course of the renal tubule is said to rest upon a thin, homogeneous basement-membrane inter- posed between it and the interstitial fibrous tissue. The latter is present in small amount, and partakes of the character of an areolar tissue, holding the tubules and bloodvessels in place. It is rather abundantly supplied with lymphatics. For the study of the uriniferous tubules sections made trans- verse to the course of the straight tubules will be found very use- ful. In the cortex the medullary rays, with their descending and ascending branches of Henle's tubes and their collecting tubules, will appear surrounded by the labyrinth, made up of the con- voluted tubules, Malpighian bodies, and larger vessels, the latter in cross-section. Near the apex of the pyramid cross-sections of the larger collecting tubes and of the vasa recta will be seen ; and near its base the smaller collecting tubes and the two limbs of Henle's tube, with, possibly, here and there a "loop" in nearly longitudinal section, will appear. Among all these sections of the tubules the THE URINARY ORGANS. 169 interstitial tissue with its capillaries and lymphatics will complete the picture (Figs. 145 and 146). Fig. 145. Fig. 140. Sections from a rabbit's kidney, made perpendicular to the course of the straight tubules. Fig. 14").— Through a portion of the pyramid : a, lower portions of the collecting tubules (excretory ducts) ; 6, Henle's loop in tangential section ; c, capillary bloodvessels ; d, lymphatic ; e, descending limb of Henle's tube. Fig. 146.— Through part of a medullary ray and the adjoining labyrinth : a, a, a,a, convoluted tubules in the labyrinth ; b, spiral tubule ; c, descending limb of Henle's tube ; d, ascend- ing limb of Henle's tube: e, irregular tubule; /, collecting tubule; g, capillary blood- vessel. The nerves of the kidney are small and apparently not abundant. Their larger branches follow the courses of the arteries. 170 NORM. 1 L 1UHTOLOG Y. The external surface of the kidney is covered with a capsule of fibrous tissue, which on its deeper surface becomes continuous with the interstitial tissue, so that its vascular supply communicates with the capillaries in the superficial portions of the kidney. The fibrous capsule of the kidney becomes continuous at the hilum of that organ with the fibrous coats of the calices and pelvis, and, through these, with those of the ureter and bladder. The columnar epithelium lining the collecting tubes is continuous with a layer of similar cells covering the papillae. The watery constituent of the urine is secreted in the Malpighian body, where it passes from the blood through the capillary walls of the glomerulus into the cavity of Bowman's capsule. Under nor- mal conditions it is free from albumin, and, therefore, is unlike the serum that passes through the walls of the capillaries in other parts of the body. It has been thought that this difference was attrib- Fig. 147. -Zz. KEr Capillary loop from the glomerulus of the frog. (Nussbaum.) Ez, endothelial wall of the capillary bloodvessel; Ek, nucleus of one of the endothelial cells (only three such nuclei are shown in the figure) : KE, nucleus of one of the epithelial cells investing the capillary. The boundaries of these cells are not reproduced in the figure. At the left of the cut three epithelial cells have been partially reflected away from the capillary wall. utable to the functional action of the endothelium in the odomerulus, though morphologically it is similar to that throughout the body. It is more probable that the epithelium covering the glomerulus has THE URINARY ORGANS. 171 something to do with the prevention of a loss of albumin (Fig. 147). In disease of the kidney, alterations in the glomerulus and, per- haps, in other parts of the kidney permit albumin to pass into the secretion. The epithelium lining the uriniferous tubules discharges its secretion into the lumen of the tubules, whence it is carried by the stream flowing from the Malpighian bodies. The epithelial cells lining the convoluted tubules and the ascending branches of Henle's tubes appear to be those most active in carrying on the eliminative function of the kidney. 2. The pelvis of the kidney and its calices are lined with trans- itional epithelium. It consists of only three or four layers of epithelial cells of different shapes. The most superficial layer is composed of rather large flattened cells, having ridges upon their lower surfaces, which fill the spaces between the tops of the next layer. This is made up of pear-shaped or caudate cells, the hemi- spherical tops of which fit into the cavities between the ridges on the layer above, while their slender processes penetrate between Fig. 14S. Epithelial cells from the pelvis of a human kidney. (Kieder.) the oval or round cells that make up the deepest layers of the epithelial covering (Fig. 148). Beneath the epithelium is a coat of fibrous tissue, denser near the epithelium and more areolar in its deeper portions. Here it is 172 NORMAL HISTOL OG Y. interlaced with smooth muscular fibres, outside of which is the external coat of fibrous tissue. 3. The ureters closely resemble in structure the pelvis of the kidney ; but the muscular fibres have a somewhat more definite arrangement, being disposed in an inner imperfect coat of longi- tudinal and an external layer of circular fibres, outside of which a few supplementary longitudinal fibres are, here and there, added (Fig. 149). 4. The bladder also has a lining of transitional epithelium (Fig. Ftg. 149. Epithelial cells from the human ureter. (Rieder.) 40), beneath which is a layer of fibrous tissue resembling that of the renal pelvis, but of greater thickness. The muscular coat, which comes next, is thick and composed of bundles of smooth muscular fibres, interlacing in various directions or disposed in more or less well-defined strata. External to the muscular coat is a fibrous coat, which is covered by a reflection of the peritoneum for a part of its extent, and in other situations passes into the sur- rounding areolar tissue. The spear-shaped cells of the transitional epithelium of the blad- der have thicker processes than those of the pelvis or ureter; but when detached and macerated in the urine it is often very difficult to determine from their appearance from what part of the urinary tract such cells were derived (Figs. 150 and 151). THE URINARY ORGANS. 173 5. The urethra differs in structure in the two sexes. In the male the prostatic portion is lined with epithelium resembling that \ \ V /*->-"- ■ Fig. 151. \ ys v . ■'.-■ '■"'- ' Epithelial cells from the mucous membrane of the human bladder. (Rieder.) Fig. 150. — From the urinary sediment from a case of cystitis. The cells are somewhat swollen after maceration in the altered urine. Fig. 151. — Removed from the internal surface of a normal bladder. of the bladder. Further forward, it gradually passes into cylin- drical epithelium, at first more than one layer thick ; but in the 174 NORMAL HISTOLOGY. cavernous portion of the urethra it consists of but a single layer.. The stratified epithelium covering the glans extends for a short distance from the meatus into the urethra (Fig. 152). The epithe- Fi«. 152. Epithelium from the human male urethra. (Rieder.) lial lining rests upon fibrous tissue containing a number of elastic fibres, and this is bounded externally by a muscular coat. In the prostatic portion the muscular coat consists of an inner longitudinal and an outer circular layer of fibres, which become less well marked as the course of the urethra is followed, the circular coat disappear- ing in the bulbous portion and the longitudinal fibres becoming scattered toward the anterior part of the cavernous portion. The mucous membrane contains little tubular glands, " Littre's glands," some of which are simple, while others are compounded. In the collapsed condition the urethral mucous membrane is thrown into niie or more longitudinal folds. In the female the epithelial lining of the urethra is either strati- tied or composed of a single layer of columnar cells. The glands are more sparsely distributed than in the male, except for a group situated near the meatus. On the other hand, the muscular coat is thicker and consists throughout the course of the urethra of a well-defined internal longitudinal and external circular layer of fibres. From the pelvis of the kidney to the stratified epithelium of the THE URINARY ORGANS. 175 meatus the mucous membranes are capable of secreting mucus, which is much increased in amount under the influence of irritating sub- stances, such as concentrated urine or the various causes of inflam- mation. The bloodvessels are most numerous and of largest size in the areolar tissue beneath the epithelium, and are accompanied by the lymphatics. The nerves are distributed chiefly to the mus- cular coats, but also extend into the fibrous tissue, up to and into the epithelium. The cells of the latter are connected by little protoplasmic bridges, as in the case of the epidermis, leaving minute channels between the cells for the passage of nutrient fluids. CHAPTER XIII. THE RESPIRATORY ORGANS. The respiratory tract consists of the larynx, trachea, bronchi, and lungs. 1. The Larynx. — The interior of the larynx is lined with ciliated columnar epithelium, which extends over the false vocal cords and about half-way up the epiglottis above, and is continuous below with a similar lining throughout the trachea and bronchi. This lining is interrupted over the true vocal cords by a covering of stratified epithelium, and at its upper limits passes into the stratified epithelium lining the buccal cavity and pharynx and covering the tongue. Opening upon this epithelial surface, except upon the true vocal cords and in the smallest bronchi, are mucous glands, varying in number in different situations. Some of the columnar cells upon the surface are also mucigenous, discharging their secretion upon the free surface of the mucous membrane. The thyroid, cricoid, and most of the arytenoid cartilages are composed of the hyaline variety of that tissue : the epiglottis, cornicula laryngis, and the apices of the arytenoids, of elastic car- tilage. Beneath the epithelium lining the laryngeal ventricle is a con- siderable layer of lymphadenoid tissue. In other situations the epithelium rests upon fibrous tissue. 2. The Trachea. — The tracheal wall may be divided into four coats : a, the mucous membrane ; b, the submucous coat ; c, the cartilage ; <1, the fibrous coat (Fig. 153). a. The mucous membrane is covered with ciliated columnar epi- thelium resting upon a nearly homogeneous basement-membrane, beneath which is a layer of fibrous tissue. This may be divided into two portions : an outer one, next to the basement-membrane, which is areolar in character, with a large admixture of elastic fibres and lymphadenoid tissue, and an abundant supply of blood- vessels ; and an inner one, less highly vascularized, and composed chiefly of elastic fibres running a longitudinal course. 176 THE RESPIRATORY ORGANS. 177 b. The submucous coat is of areolar fibrous tissue, supporting the mucous glands that open into the trachea, and the bloodvessels, lymphatics, and nerves, and also little masses of adipose tissue. In the neighborhood of the cartilages this fibrous tissue becomes con- densed to form the perichondrium. c. The cartilages are composed of the hyaline variety of that Fig. 153. emJi ^mmmmm m *ft* From a longitudinal section through the trachea of a child. (Klein.) a, the stratified columnar ciliated epithelium of the internal free surface; b, the basement-membrane; c, the mucosa (tunica propria) ; d, the network of longitudinal elastic fibres (the oval nuclei between them indicate connective-tissue corpuscles) ; e, the submucous tissue, con- taining mucous glands; /, large bloodvessels; g, fat-cells; //, hyaline cartilage of the tracheal rings. (Only a part of the tracheal wall is given in the figure.) tissue, and are incomplete rings, interrupted behind, where the two ends are united by a band of smooth muscular tissue. d. The fibrous coat is of areolar tissue beyond the bounds of the perichondrium, and serves to connect the trachea with its sur- roundings. 3. The Bronchi. — The main bronchi branching from the trachea have a structure similar to that organ, but the cartilaginous rings become more delicate as the tubes diminish in size. 12 178 NORMAL HISTOLOGY. The smaller bronchi (litter in structure from the trachea in possessing a muscularis mucosa?, with its fibres disposed in a circular direction, and having irregular cartilaginous plates in their walls, instead of C-shaped, imperfect rings. The four coats may be enumerated as follows : a. Mucous membrane, covered with ciliated columnar epithelium resting upon a basement-membrane, beneath which is a fibrous tissue containing numerous elastic fibres lying parallel to the axis of the bronchus. Under this are the circular fibres of the mus- cularis mucosae. b. Submucous coat, similar to that of the trachea and larger bronchi. c. Cartilaginous coat, containing the plates of cartilage that sup- port the walls. d. Fibrous coat of areolar tissue, containing a little adipose tissue and passing into the areolar tissue of neighboring structures. As the bronchi subdivide and become smaller the coats get thinner, and first the cartilaginous and then the muscular coat dis- appears. Those air-passages which are without cartilage, but have Fk;. 154. Portion of a cross-section of a bronchiole from the lung of a pig. (Schultze.) a, areolar external coat ; b, muscularis mucosa' ; c. subepithelial areolar tissue, containing numerous longitudinal clastic fibres, represented here in cross-section ; d, ciliated epithelium, form- ing the most superficial layer of the mucous membrane ; /. walls of the neighboring pul- monary alveoli. In these walls branching and anastomosing elastic fibres are shown: the capillary plexus has been omitted. a muscularis mucosa?, are called "bronchioles" (Fig. 154). The still smaller branches, which have lost their muscular tissue, are known as the "alveolar passages." In the latter the columnar THE RESPIRATORY ORGANS. 179 epithelium lining- the bronchi gives place to a pavement-epithelium, composed of small flattened cells disposed in a single laver. The elastic tissue of the mucous membrane is continued through all the divisions of the air-passages, and becomes a constituent part of the alveolar walls of the lung itself. The alveolar passages open into spaces, called the " infundibula," in the sides of which are the openings into the alveoli of the lung, the ultimate destination of the inspired air. Here and there Fig. 155. Section of lung of the dog, showing a transverse section of a bronchiole: a, bronchiole (a little mucus covers the epithelial lining) ; b, muscular layer of the mucous membrane ; c, c, radicles of the pulmonary vein ; d, alveolar passage, just at its division to form infun- dibula. An infundibulum extends from this passage toward the bronchiole. The wall of the alveolar passage at this point is similar in structure to that of the pulmonary alveoli, e, alveolar passage in oblique section. This passage is cut at a point further from its opening into the infundibula, and has a somewhat thicker wall than d. The rest of the section is made up of infundibula (the larger spaces) and pulmonary alveoli. stray alveoli open directly into the alveolar passages (Figs. 155, 156, and 157). 4. The pulmonary alveoli and the smaller air-passages are so arranged that there are no vacant spaces ; and neighboring alveoli, whether they belong to a group of infundibula springing from the same alveolar passages or to separate groups, are so closely situated that they have but one common wall dividing their cavities 180 NORMAL HISTOLOGY. from each other. Notwithstanding this general compactness of arrangement, the lungs are divided by delicate septa of fibrous tissue into more or less well-defined lobules, corresponding to the smallest bronchi or the bronchioles. The alveolar walls are made up of a delicate, loose areolar tissue, containing numerous elastic fibres and supporting the abundant capillary plexus in which the blood suffers the gaseous exchanges with the air that constitute the function of respiration (Fig. 158). Fig. 156. •"*. STv £.&£? 'Vi 5*i:5i a _--""■-- War'.. •:1B '• Si- -i2^"J "^ ■r My* ^&*h£e% r^W-?'»C** ^A&-~£Su L*«§2£Vv ft^'-r'1' Section of lung of the dog : a, alveolar passage opening into an infnndibulum and also into a solitary alveolus ; b, cross-section of an infnndibulum. The dotted line indicates the limits of the infundibular space. Opening into it are a number of alveoli. Were the dotted line removed, the infundibular cross-section and the alveoli around it would form a stellate space in the section, ('.junction of two radicles of the pulmonary \ein. At the top of the section, to the right, is an oblique section of a bronchiole. Covering the two surfaces of the alveolar wall is a layer of very thin cellular plates (pavement-epithelium, see Fig. 30), among which are scattered a few cells resembling those lining the alveolar passages. This cellular investment is continuous with the lining of the infnndibulum, which is of similar character, and thence with the epithelium covering the inner surface of the alveolar passage. It is to be regarded as a special modification of epithelium, fitting it for usefulness in this situation. THE RESPIRATORY ORGANS. 181 The lung receives blood from two sources: 1, venous blood, through the pulmonary artery, which is oxygenated in the walls of the alveoli ; 2, arterial blood, through the bronchial arteries. This arterial blood serves for the nourishment of the tissues of the lung and is distributed to the bronchi, interlobular connective tissue, lymph-glands, and walls of the vessels. Part of this blood returns through the pulmonary veins; the rest through the bronchial veins. Fig. 157. a- Seetion of lung of the dog: a, oblique section of a bronchiole ; b, its muscular coat ; c, longi- tudinal section of an infundibulum, communicating to the right with an alveolar passage (the wall of the latter is torn further to the right) ; d, one of the alveoli opening into c. The lymphatics arise in the walls of the alveoli and bronchi and pass to the bronchial lymph -glands. The nerves supplying the lung may be traced along the bronchi, where they occasionally connect with groups of ganglion-cells, and along the vessels. They are of both the medullated and the non- medullated varieties. The surface of the lung is covered with serous membrane, a por- tion of the pleura. Little need be said about the functional activity of the lung. The cilia, belonging to the columnar epithelium lining nearly the 182 NORMAL HISTOLOGY. whole of the air-passages, possess a motion that urges particles lodging in the mucus covering them toward the larynx, whence they are either coughed out or are swallowed. Such solid particles as pass beyond the regions guarded by ciliated epithelium are taken up by leucocytes, which frequently migrate into the alveoli and the air-passages, and are conveyed by them into the lymphatic vessels or glands. Because of this the lymphatics and bronchial lymphatic nodes are apt to be blackened by the deposition of carbon, except in young individuals. The flow of air into the lung is the result of atmospheric pressure, which tends to fill the thoracic cavity when the Fig. 158. Section of the lung of a dog, killed by ether-narcosis. The lung was hyperaemic at the time of death, and the capillaries retain their blood in the section, o, alveolus in cross-sec- tion, communicating with the infundibulum, b. A portion of the wall of the alveolus is seen, in surface-view, at c. d, e, other alveoli opening into the same infundibulum : /. cross-section of an infundibulum with alveoli opening into it; g, surface-aspect of an alveolar wall, showing capillary plexus filled with red blood-corpuselrv chest is expanded through the action of the muscles of respiration. The air is expelled from the lungs when those muscles relax, partly because of the pressure exerted by the thoracic walls, but ehieflv because of the contraction of the elastic fibres in the alveolar walls. THE RESPIRATORY ORGANS. 183 Because of their presence the lungs retract when the chest is opened. When sections of the lung are examined under the microscope it is difficult, at first, to identify the different portions, which are cut in all directions. The smaller bronchi may be recognized by the presence of cartilage in their walls. The bronchioles pos- sess no cartilage, but are surrounded by a band of smooth mus- cular tissue, the muscularis mucosae. This becomes thinner, then incomplete, and finally disappears as the infundibula are reached. The infundibulum, it will be remembered, is the space into which the alveoli open. When seen in section it will appear as a round, oval, or elongated space, according to the direction in which it has been cut, bounded by scallops, each of which is the cavity of an alveolus. In every section there will be many alveoli which have been so cut that their openings into the infundibulum will not be included in the section. These alveoli have a continuous wall surrounding their cavities. Still other alveoli will have been cut in such a way that a portion of their walls will lie in the plane of the section and parallel to it, so that the flat surface of the alveolar wall will be visible, surrounded by an oblique or cross-section, where the wall meets the surface of the section. Those alveolar walls which have been cut perpendicular to their surfaces will appear thinner than those which have been cut obliquely. With these considera- tions in his mind, the student can have little difficulty in identify- ing the different portions of the section (see Figs. 155-158). CHAPTER XIV. THE SPLEEN. Nearly the whole surface of the spleen is invested with a cov- ering of peritoneum similar to that which partially covers the liver. Beneath this is the true capsule of the spleen, which com- pletely surrounds it. This capsule is composed of dense fibrous tissue, containing a large number of elastic fibres and a few of smooth muscular tissue. From its inner surface bands of the same tissue, called the " trabecular," penetrate into the substance of the organ, where they branch, and the branches join each other to form a coarse meshwork occupied by the parenchyma of the organ, the " pulp." The bloodvessels of the spleen enter at the hilum and pass into the large trabecular, which start from the capsule at that point and enclose the vessels until they divide into small branches. The vessels then leave the trabecular and penetrate the pulp, where they break up into capillaries, which do not anastomose with each other. There is some doubt as to the way in which these capillaries end. According to one view, they unite to form the venous radicles, so that the blood is confined within vessels throughout its course in the spleen. Another view is that the walls of the capillaries become incomplete, clefts appearing between their endothelial cells, which finally change their form and become similar to those of the reticu- lum of the pulp. The veins, according to this view, arise in a manner similar to the endings of the arteries. The result of this would be that the blood is discharged, from the capillary termina- tions of the arteries, directly into the meshes of the pulp, after which it is taken up by the capillary origins of the veins (Figs. 159 and 160). Studies of the vascular structures in the spleen made with the aid of injections under varying conditions of pressure, in collapsed and in distended spleens and with different injection-materials, have led to a third view, which, if correct, would explain the divergent opinions just mentioned. The delicate reticulum which pervades the organ is elastic and forms a fine-meshed layer over the small vessels, support- 184 THE SPLEEN. 185 ing the endothelium of the capillaries. This epithelium is composed of more spindle-shaped cells than are usual in capillary vessels Fig. 159. Section from the spleen of the cat. (Bannwarth.) Termination of an arterial capillary in the pulp. and, when the vessels are distended, separate, leaving clefts between them. This separation may also be effected by distention of the Fig. lbu. • • AJSt ••IVVV'V ,®*^ 4 G» 1 & Section from the spleen of the eat. (Bannwarth.) Beginning of a capillary venous radicle. pulp-spaces which produces tension on the reticular fibres, and this opens the clefts between the endothelia of the capillaries. When the 186 FORMAL HISTOLOGY. capillary hlood-pressure is increased or the pulp distended or the tra- becular contract, these clefts open ; under other circumstances they are closed and the circulating blood is confined to the vessels. The vascular connection between what may be called the arterial capil- laries and venous capillaries is a dilated capillary, or "ampulla," larger than other capillaries, and it is in these ampullae that the endo- thelium is composed of the narrowest spindle-shaped cells, so that the clefts between them would be most pronounced in this part of the vascular system of the organ. During life the spleen displays slow rhythmic contractions at intervals of about a minute, and from what has been said of its structure it will be obvious that these con- tractions would favor the circulation of blood through its vessels and pulp. It appears, indeed, that these contractions are essential, for if the muscular tissues be thrown out of function by severing the nerves, the circulation is so interfered with that the pulp becomes engorged with blood. No lymphatic vessels have been discovered in the spleen. The pulp consists of a fine reticulum of delicate fibres and cells, with branching and communicating processes, in the meshes of which there are red blood-corpuscles, leucocytes in greater number than normally present in the blood, and free amoeboid cells consid- erably larger than leucocytes, called the " splenic cells." The adventitia of the arteries contains considerable lymphadenoid tissue, which after the exit of the vessels from the trabecular is expanded at intervals to form spherical bodies, about 1 mm. in diam- eter, called the " Malpighian bodies " or " corpuscles." These are like little lymph-follicles, through which the artery takes its course. The reticulum in these Malpighian corpuscles is scanty and incon- spicuous near their centres, so that the lymphoid cells it contains appear densely crowded ; but toward their peripheries the reticulum is more pronounced and the cells a trifle more separated. At the surface of the Malpighian body its reticulum becomes continuous with that of the pulp surrounding it (Fig. 161). The relations between the spleen and the blood flowing through it appear to be very similar to those between the lymphatic glands and the lymph passing through them. It seems to act as a species of filter, in which foreign particles or damaged red blood-corpuscles are arrested and destroyed. In many infectious diseases the splenic pulp is increased in amount and highly charged with granules of pigment that appear to be derived from the coloring-matter of the THE SPLEEN. 187 blood. Some observations suggest the conclusion that the cause of splenic enlargement is the destruction of red corpuscles (or possibly leucocytes also), haemolysis, which is frequent and pronounced in many infectious diseases. This is notably the case in malaria, in which the red corpuscles are destroyed by the plasmodium occasion- ing the disease. When bacteria gain access to the blood, they are apt to be especially abundant in the splenic pulp, and it is said that monkeys, which are normally immune against relapsing fever, may acquire the disease if the spleen be removed before inoculation Fig. 161. Section from human spleen. (Kolliker.) A, capsule ; 6, 6, trabecule ; c, c, Malpighian bodies (lymph-follicles), traversed by arterial twigs. In the follicle to the left, part of the arterial twig is seen in longitudinal section ; in that to the right, it appears in cross- section to the right of the centre of the follicle, rf, arterial branches; e, splenic pulp. The section is taken from an injected spleen. with the spirillum which is the cause of that disease. Removal of the spleen leads to a diminution of the number of red corpuscles in the peripheral circulation and to a still greater diminution in the haemoglobin of the blood, which lasts for many weeks, but eventually normal conditions are usually re-established, perhaps because of changes in the red marrow of the bones. These observations all tend to confirm the view that the function of the spleen is to assist in maintaining the functional integrity of the blood. The lymph- adenoid tissue within the spleen also enriches the blood with an addi- tional number of leucocytes. CHAPTER XV. THE DUCTLESS GLANDS. The organs included in this group possess, at some stage of their development or in the adult, a structure analogous to that of the secreting glands. Those which retain this structure after complete development diifer from the other glandular organs in being devoid of ducts, through which the materials elaborated by their paren- chyma could be discharged. Of these organs the thyroid is the most striking example. Other members of this group, notably the thy- mus, become greatly modified as development advances, and after a Fig. 162. Section of human thyroid gland : a, alveolus filled with colloid ; b, alveolus containing a serous fluid : c, interalveolar areolar tissue ; d, tangential section of an alveolus, giving a superficial view of the epithelial cells. while retain mere vestiges of their original epithelial character; the chief bulk of the organ being composed of lymphadenoid tissue. The following organs and structures will be considered as belong- ing to the general group of ductless glands : the thyroid gland, the lvs THE DUCTLESS GLANDS. 189 parathyroids, the adrenal bodies, the pituitary body, the thymus, and the carotid and coccygeal bodies. 1. The Thyroid Gland (Fig. 162). — This consists of a number ■of alveoli or closed vesicles, lined with cubical epithelial cells ar- ranged in a single layer upon the delicate, vascularized areolar tissue which forms their walls and separates the neighboring alveoli from each other. This fibrous tissue is more abundant in places, where it serves to divide the gland into a number of imperfectly defined lobes. At the periphery of the organ its connective tissue becomes continuous with a thin but moderately dense fibrous capsule. The individual alveoli differ both in respect to their size and their contents. Many are more or less completely filled with a nearly homogeneous, glairy substance, of a slight yellowish tint, called "colloid," while others appear to be occupied by a serous fluid. Fig. 163. Fig. 164. Sections of thyroid gland. (Schmid.) Tig. 163.— From a dog : a, colloid or secreting cells ; b, reserve cells (these differ only in their states of activity) ; c, cells containing less colloid than a. Fig. 164.— From a cat : a, daughter-cells arising from the division of an epithelial cell. The elaboration of this colloid material seems to be the function of the organ, though it may have other less obvious duties. The cells lining the alveoli may be divided into two classes, which differ in appearance (Fig. 163): first, those engaged in the production of colloid, secreting cells ; and, second, those in which no colloid is present, and which are regarded as reserve cells. The latter are capable of multiplication, thereby replacing such of 100 NORMAL HISTOLOGY. the secreting cells as may be destroyed (Fig. 164). The colloid material is produced within the cytoplasm of the secreting cells, Fig. 165. Section from thyroid of dog, illustrating the egress of colloid from the alveoli. (Bozzi.) a, epithelial cells lining the alveolus, seen in section. The internal ends of similar cells are seen in superficial aspect below, b, colloid within the alveolus; c, exit of colloid between two epithelial cells ; e, lymphatic vessel ; d, end of a colloid or secreting cell in the epithelial lining of the alveolus. • whence it is either expelled into the lumen of the alveolus, or the whole cell becomes detached from the alveolar wall and suffers col- Fig. 166. N • Section from thyroid of dog, illustrating the egress of colloid from the alveoli. (Bozzi.) a epithelial lining of the alveolus ; /), colloid ; c, escape of colloid through a defect in the wall occasioned by the colloid metamorphosis of some of the epithelial cells, the nuclei of which are discernible within the colloid near c. loid degeneration, with destruction of the nucleus, within the alveolar cavity. THE DUCTLESS GLANDS. 191 The colloid material subsequently finds its way into the general circulation, either by passing between the intact cells of the alveolus l Fig. 165), or after a passage has been prepared for it through altera- tions in certain of those cells (Fig. 166). The colloid is then taken up by the lymphatics, through which it reaches the general circula- tion. This is an example of internal secretion which presents much of interest. It is probable that a similar, but much less obvious, process takes place in some of the ordinary secreting glands of the body, certain elaborated materials being returned to the circulation by the cells of the gland, while others are utilized for their nourish- ment and for the elaboration of the more obvious secretion. That the secretion of the thyroid gland is of importance to the general organism is shown by the effects of disease or removal of the gland upon the general nutrition. Total extirpation of the thyroid, together with the parathyroids, occasions the death of an animal within a few days, after symptoms of grave disturbances in the central nervous system, among which are tetanic convulsions. A partial removal of the gland, or its removal without that of the parathyroids, causes profound disturbances of nutrition, grouped under the title "cachexia strumipriva." The animal becomes weak, drowsy, and emaciated ; the skin dry and scaly, with a loosening of the hairs. In young animals the growth is retarded, especially the development of the bones, through degenerative changes in the epiphysial cartilages. In these, the intercellular substance becomes swollen and disintegrated ; the cells atrophied or destroyed. Marked changes, designated as myxcedema, also appear in the subcutaneous tissue, which is converted into a species of mucoid tissue, probably as the result of an altered metabolism within the pre-existent cells of the tissue. The functional activity of the kidney is modified ; after a while, albuminuria results. Exactly similar disturbances have been observed in people suffering from disease of the thyroid gland. The foregoing facts are cited here in order to emphasize by a striking example the statement previously made, that the organs of the body are mutually dependent upon each other. Experimentation and clinical study have further shown that the symptoms of myxcedema may be moderated or perhaps entirely arrested by feeding with thyroid extracts, or still more markedly by injecting extracts from thyroid glands beneath the skin, where they would speedily pass into the lymphatics and thence into the general circulation. 1!»2 NORMAL HISTOLOGY. Chemical examination has revealed the presence of a substance called " thyroiodin " in the alveoli of the thyroid gland. This is a proteid containing a large amount of iodine. Its production by the thyroid gland may be increased by feeding with substances contain- ing considerable iodine or by administering iodide of potassium. Injections of thyroiodin serve to mitigate the effects of thyroidec- tomy, very much as do injections of thyroid extracts. It is by no means clear, however, that the thyroiodin is the only substance elaborated by the thyroid gland which may be of use to the tissues Fig. 1G7. p-ia f %> > Section of the thyroid gland of a kitten two months old. fKohn.) Showing the positions of the outer and inner parathyroid bodies and a thymus follicle: t, thyroid gland; p, inner parathyroid; p\ outer parathyroid: th, thymus follicle; a, portion of the section showing the intimate relations between the thyroid and the inner parathyroid; b, por- tion demonstrating a similar intimate relation between the thyroid and the tissues of the thymus follicle. of other organs, or that the thyroid may not also remove injurious substances from the circulation and thus indirectly benefit other structures in the body.1 1 Attention is also called to the possibility that an excessive or morbid thyroid secretion may cause symptoms of disease attributable to disturbances in the functions of other organs and may also occasion disturbances in nutrition. THE DUCTLESS GLANDS. 193 The bloodvessels of the thyroid are abundant, and form a rich plexus in the areolar tissue between the alveoli. The lymphatics are also abundant and large, forming a network of rather large ves- sels in the same situation. The nerves accompany the vessels, are destitute of ganglia, and have been traced to the bases of the epi- thelial cells, whence they may occasionally send minute terminal twigs with enlarged ends between the epithelial cells. 2. The Parathyroids (Figs. 167, 168, 169).— These are two bodies Fig. 1GS. m - ■■■:'■■ . J P ■ i ■■■ .• 4 ■■ :1 • "■■€ » V& ]^ ft- m Section of a portion of the external parathyroid of a kitten two months old. (Kohn.) Show- ing the columns of epithelial cells separated by a delicate, vascular areolar tissue. The nuclei between the columns of epithelium belong chiefly to capillary bloodvessels, m, in, nuclei exhibiting karyokinetic figures. of identical structure, which are developed in conjunction with the thyroid gland ; but, while the latter progresses in its devel- opment until it attains the structure already described, the para- thyroids retain a structure similar to that of the embryonic thyroid. They are composed of solid columns of epithelial cells, which anas- tomose with each other, but are elsewhere separated by a small amount of vascular areolar tissue. They are enclosed in a very thin capsule of areolar tissue, but are in very close relation to the neighboring tissues of the thyroid gland (Figs. 167 and 169), and frequently also with isolated follicles of thymus tissue. Different observers vary in their opinions respecting the para- thyroids. Some regard them as reserve thyroid tissue, remaining dormant while the thyroid is functionally competent, but developing 13 194 NORMAL HISTOLOGY. into thyroid tissue when the gland furnishes an insufficient supply of secretion. Other observers deny this and regard the parathyroids as embryonic rudiments, nearly, if not quite, devoid of function. It is certain that in some cases of thyroidectomy the parathyroids become enlarged, and that the cachexia strumipriva is not certain to develop after the removal of the thyroid gland unless the parathy- Sch Section of the inner parathyroid of a kitten two months old. (Kohn.) Showing its close connection with the tissues of the thyroid gland: Sch, alveoli of the thyroid; P, epithelial columns of the parathyroid ; K, capsule separating the two. roids are also removed. Histological studies of the parathyroids in such cases have, however, failed to reveal a tendency on their part to develop into true thyroid tissue. Their relations to the thyroid, therefore, still remain undetermined. In some animals — e. //., the eat — there are four parathyroid bodies, two associated with each lobe of the thyroid. 3. The Adrenal Bodies (Fig. 170). — The adrenal bodies, or supra- renal capsules, possess a fibrous capsule, which is more areolar externally, where it frequently merges into the perinephric fat, THE DUCTLESS GLANDS. 195 Fig. 170. and denser internally, where it is reinforced in some animals by smooth muscular fibres. From this capsule septa of areolar tissue penetrate into the substance of the organ and constitute its interstitial tissue. The parenchyma of the organ consists of columns of epi- thelial cells, which are differently arranged and have a somewhat dif- ferent appearance in different parts. As the result of these differences the organ has been divided into a cor- tical and a medullary portion. In the cortical portion the cells are arranged in solid columns hav- ing their long axes perpendicular to the surface of the organ. Toward the capsule these columns lose their parallel arrangement and appear in vertical sections as islets of cells surrounded by areolar tissue, the " zona glomerulosa." In the deep portion of the cortex the cellular columns form a meshwork and com- pletely lose^ their fascicular arrange- Vert x section of , ment. This region is called the (Eberth.) 1, cortex; 2, medulla; a, ., ,.,.,, mi •,! !• 1 capsule; 6, zona glomerulosa ; c, zona zona reticularis." The epithelial fasciculata; a, zona reticularis; e, cells in the cortical portion are poly- £rouPs of medullary ceils; /, partial ... , _ . . . , section of a large vein. hedral, and are frequently infiltrated with numerous globules of oil or fat, which give that part of the organ a yellow color. In the medulla the interstitial tissue of the organ encloses groups of epithelial cells, which differ from those of the cortex in being free from fat. They are also larger than those cortical cells which contain no fat (Fig. 171). The arteries of the adrenal bodies enter as numerous small twigs at the surface of the organ and divide into capillaries within its fibrous septa. These open into a venous plexus in the medulla, which communicates with a single vein leaving the organ. The nervous supply of the adrenal bodies is very abundant. The > o 19(5 NORM A I. HISTOLOGY. Fig. 171. 'foffM^ fated1 --'•> --4. ..1 ' ' ■ •'-. ^.AiW in Section through the boundarj' between cortex and medulla in the adrenal body of the horse. (Dostoiewsky.) /,/,/, cells of the cortex, infiltrated with fat-globules ; l L-corpuscles and some epithelial cells detached from the mem- brana granulosa, bl, red hi l-corpuscles. This section was prepared from an ovary about twenty four hours after coitus, and the development of the layer thi probably took place within that time. 2. The Fallopian Tube. — The free surface of the Fallopian tube is covered by a serous membrane, continuous with the rest of the peritoneum. This rests upon fibrous tissue, in which the longi- tudinal bundles of smooth muscular tissue constituting the external THE REPRODUCTIVE ORGANS. 221 Fig. 199. Section of corpus luteum four days after coitus. Rabbit. The proliferating connective tissue has nearly filled the cavity of the follicle, only a small mass of fibrin remaining in its centre. The young connective tissue is highly vascularized, the blood in some of the capillaries being represented, g. ke, germinal epithelium. Below is the margin of a Graafian follicle, with its membrana granulosa. muscular coat are situated. This is followed by an internal mus- cular coat of encircling bundles of smooth muscular tissue, inside of which is the submucous coat of areolar tissue, containing a few scattered ganglion-cells. The mucous membrane consists of a highly cellular connective tissue covered with ciliated columnar epithelium. During life these cilia propel toward the uterine cavity substances coming into con- tact with them. Toward and at the fimbriated extremity of the tube the mucous membrane is thrown into deep longitudinal folds (Fig. 200), upon which are numerous secondary and tertiary folds, but further toward the uterus these folds give place to branching villous projections into the lumen (Fig. 201). Toward the uterine end of the tube these complicated folds and villi disappear and the lumen of the tube becomes round or stellate. 3. The Uterus. — The external surface of the uterus, throughout most of its extent, is covered by a reflection of the peritoneum. Beneath this are three distinct coats of smooth muscular tissue, the 222 NORMAL HISTOLOGY. outer two in close contact with each other; the two inner separated by a thin layer of areolar fibrous tissue, supporting large blood- vessels. This separation of the innermost layer from the middle layer leads to the inference that the former is analogous to the mus- cularis mucosae found in other hollow viscera, although in the uterus it forms the chief mass of the muscular tissue of the organ. The outer layer is made up of bundles of fibres that have a general longitudinal position ; the two inner layers have a general circular Fig. 200. -Cilia **!$* r" © * fcs^ Xm-lei of . S l&i** S, /ciliated cells Connective-tissue v^,- '^ crf/s of stratum proprium From a section through a fold of the mucous membrane of a human Fallopian tube. (X 480.) disposition of their bundles, though the latter interlace with each other in various directions within the muscularis mucosa?, leaving masses of areolar tissue containing the larger bloodvessels between them. Covering the surface of the muscularis mucosae is a highly cellu- lar connective tissue. It is composed of round and fusiform cells, lying in a small amount of intercellular substance, in which fibres can be distinguished only with difficultv. The surface of the mucous membrane is covered with a layer of ciliated columnar epithelium, which is continued into long tubular glands penetrating the super- ficial ]>< unions of the muscularis mucosa?, where they frequently branch before terminating in blind extremities. It should be borne THE REPRODUCTIVE ORGANS. 223 in mind that at the extremities of these glands the whole tubule is often filled with epithelial cells, so that no lumen is visible. In their course into the mucous membrane these glands are usually straight at first, but in their deeper portions become tortuous (Figs. 202 and 203). Fig. 201. -cr«v Transverse section of the Fallopian tube near its free end. (Orthmann.) Numerous branch- ing villous projections of the wall, covered by ciliated colum r epithelium, extend into the lumen. The open spaces in these villous projections are sections of the bloodvessels. During the childbearing period of life the portion of the mucous membrane resting upon the muscularis mucosa? is the seat of active changes which pass through a cycle corresponding to each men- strual period, but interrupted by a special series of changes during pregnancy. These changes are of importance in their bearing upon the pathology of the organ, and must be briefly described. At the menstrual period the superficial portion of the mucous membrane, down to its muscular coat, suffers a degeneration, which results in its disintegration and discharge, along with some blood derived from the exposed and damaged vessels of small size within its tissues. After this degeneration the membrane is restored by a 224 NORMAL HISTOLOGY. Fig. 202. Jf J3ec/leT.t& Normal endometrium in a patient twenty-six years of age. (X 25.) The mucosa is slightly thickened, its surface is wavy, and its epithelial covering a is intact. In this section it is possible to trace the glands in their continuity almost from the sur- face to the muscle. A few of them are practically cylindrical throughout, but the major- ity have a wavy contour presenting a well-defined corkscrew arrangement. Quite a num- ber, cut just along their margin, can be recognized as little masses of epithelial cells ; c, is cut longitudinally ; '/, almost transversely. At first sight one would think that there was a great excess of glands in the section, whereas in reality, at most, there are not more than twelve, the distances between any neighboring two being about the same. The gland epithelium is intact throughout. The stroma in the superficial portions is rather lax, in the deeper portions more compact, b indicates the line of junction between the muscle and mucosa. Its irregularity is especially noticeable. (T. S. Cullen, Cancer of the Uterus, Now York, l'.n.Mi.) THE REPRODUCTIVE ORGANS. 225 proliferation of the elements contained between the bundles of the muscularis mucosa?, the glands being reformed from the remnants of their deep extremities. The mucous membrane slowly continues Section of the human uterine mucous membrane parallel to its surface. (Henle.) 1, 2, 3, uterine glands in cross-section. In 2, the basement-membrane alone is represented, the epithelium having fallen out of the section. 4, bloodvessel in longitudinal section. Be- tween these structures is the highly cellular stroma of the mucous membrane, only the nuclei of its cells being represented. to increase in thickness and the glands in tortuousness until the next menstruation, when the same process is repeated. It will be noticed that the connective tissue of the mucous membrane, in the absence of pregnancy, is subject to periodical degeneration and re- generation, which probably prevent its development into a mature fibrous tissue with an abundance of fibrillated intercellular substance. If an ovum, discharged from the ovary, becomes fertilized, the menstrual cycle of changes in the superficial portion of the mucous membrane of the uterus is interrupted. That portion of the mu- cous membrane then undergoes extensive modifications in structure during the early months of the ensuing pregnancy. The tissue between the uterine glands becomes more hyperplastic than during the intervals separating the menstrual periods, and at the same time some of the cells composing it become hypertrophied until they closely resemble large epithelial cells. These cells have been called " decidual cells," and occasionally contain more than one nucleus. When there are several nuclei in a single cell, it is called a giant cell. The bloodvessels and glands in the mucous membrane also 15 22b' NORMAL HISTOLOGY. become enlarged, so that the whole mucosa is greatly thickened. Later in the course of pregnancy compression by the growing foetus and increased amount of amniotic fluid cause a condensation of these tissues, which become more fibrous with flattened spaces repre- senting the uterine glands, the lining epithelium of which becomes diminished in size and flattened. These changes occur in those por- tions of the mucous membrane, the decidua vera, which do not take part in the formation of the placenta. The ovum, when it reaehes the cavity of the uterus, becomes embedded in this tissue, which grows around and encloses it, after which it is differentiated into three portions. The part beneath the ovum is called the decidua serotina ; that which invests the ovum, the decidua reflexa ; and that lining the rest of the uterine cavity, the decidua vera. As the ovum enlarges, the decidua reflexa comes in contact with the decidua vera, and the two layers exert a mutual pressure upon each other, which flattens the spaces they contain and may obliterate many of them. These atrophic changes are most marked in the decidua reflexa, which, according to some authors, entirely disappears or is reduced to a thin layer blending with and indistinguishable from the decidua vera. The disappearance of the superficial epithelium of the mucosa removes what might otherwise be a certain means of distin- guishing these layers. The decidual tissue now consists of a number of flattened spaces which are separated from each other by thin walls of fibrous tissue produced by the further development of the decidual tissue. The decidua reflexa and the decidua vera blend with each other to form a part of the membranes that are expelled from the uterus, along with the placenta, after the birth of the child. The placenta is formed in the decidua serotina, and the changes in this portion of the uterine mucosa during pregnancy differ from those in the deciduse vera and reflexa. Most of the tissues which constitute the afterbirth at parturition are of fetal origin. The outer surface of the ovum, when it reaches the uterus, is composed of a single layer of ectodermal cells ; beneath this is a layer of embryonic connective tissue, derived from the mesoderm and resembling mucous tissue, with few if any fibres. These two layers of tissue form the outer envelope of the ovum, the chorion. Through a prolifera- tion of the ectodermal cells, little projections, or villi, are formed on the surface of the chorion, and subsequently the mesodermal con- nective tissue grows into these villi, so that it forms the central part of each villus, covered with a single layer of ectodermal epithelium. THE REPRODUCTIVE ORGANS. 227 Still later, vascular loops from the allantois penetrate into the villi, and the latter subdivide dichotomously to form the cotyledons of the placenta. During this growth of the villi the ectodermal cells covering them divide in such a way that the covering consists of a double layer. The cells of the more superficial layer are not distin- guishable from each other, but blend so as to form a layer of cyto- plasm containing many nuclei, a structure called a syncytium (Fig. 204). The ectodermal cells beneath this syncytium are at first Fjg. 204. Connective tissue— -,'^7,\ )~ Blood-vessel- Ectoderm of villus Proliferation island Blood-vessel with nucleated blood cells ■ n Syncytium _JJfl§ - of villus'' /■&>■ $> „*> Proliferation island "ft* ^f c"' tangentially Transverse section of a human chorionic villus at the fifth month of pregnancy. (X 300.) distinct, but during the later months of pregnancy they disappear, leaving only the syncytium, in which there are occasional thickenings, called proliferation islands (Fig. 204) ; still later, the syncytium also becomes altered, its nuclei disappear, and the whole layer is con- verted into a hyaline substance, " canalized fibrin " (Fig. 205). The placental villi come to occupy large spaces in the placenta through which the maternal blood circulates, interchange of nutrient and waste materials and of gases taking place between the maternal and fcetal blood through the tissues of the villus. There is still some doubt as to the way in which these cavernous blood-spaces are formed. According to one view, they are dilatations between the uterine mucosa and the foetal parts of the placenta, into which the bloodvessels open. Another view is that the villi penetrate into the dilated vessels of the decidua serotina. Those who hold this view 22S yORMA L HISTOL OGY. also believe that the villous syncytium is not derived from the chorionic ectoderm, but from the uterine epithelium. In sections of these tissues, while the placenta is developing, it is extremely difficult, often impossible, to decide whether given cells are of foetal or maternal origin (Fig. 20G). After the birth of the child and the expulsion of the membranes the uterine mucous membrane is regen- erated from the tissues remaining in the superficial layers of the muscularis mucosae. Fig. 205. fs »s — - . -' . .* 1 .' '. % '^PM^^ Decidual ■J y cells 51 : o ,- '.;?" • ■' -' * Z' n. - £ iSP"^ Syncytium---** *«a * * ',»!»■>• »■ .. ■=»- _"-;...- Canalized fibrin r ■.«■ „ c » » *g$V fc ,1 NyM" tTmV. • ■* * jT-v ■■■-■ •' *••»<. o a* - ■ .* - it;-1 _ Connective tissue J?.. I Oblique section ,?{*• £*- of syncytium *** of villus I From a section through a human placenta at the fifth month of pregnancy. (X 80.) The mucous membrane of the cervical portion of the uterus does not participate in these changes incident to menstruation and preg- nancy, and the connective tissue underlying its epithelial lining is more fibrous in character than that in the corresponding part of the uterine body. About the middle of the cervical canal the ciliated epithelium, which is continuous with that of the body, passes into a stratified epithelium, which extends over the cervix uteri, the portio vaginalis, and the inner surface of the vagina to join that of the epidermis upon the labia minora. The fibrous tissue beneath this stratified epithelium possesses papilla? similar to those upon the skin, and contains mucigenous glands, which secrete a tenacious THE REPRODUCTIVE ORGANS. 229 mucus serving to close the cervical canal during pregnancy. The orifices of these glands sometimes become occluded, causing a cystic dilatation of the acini, due to accumulated secretion, " ovula Nabothi." Fig. 206. Placenta uterina ■•;•'•-• */< - .".' •'^V.'V.-.. ••'••..:-. ■:'■''; ,-./.•• •:/'' 0-"'5" ,v-.'.'\'«i Glandof : .'^■•v'.'v.'*"- -'••'•; i .. '.*'." ..-.v's- ■•- ' -V.'-*H r (J Epithelium villus cut tangentially i \ - ■ V2 i^**-— -;v'- -.-; __N I Proliferation 1 ,~i island Placenta j foetalis* x J ,,;y "'■-. -' t : - Vi ■ Intervillous spaces filled with mater- nal blood ^-Villus ^.: \ V \ x< A Membrana chorii Transverse section through a human placenta at the second month of pregnancy. (Alter a preparation by Prof. Mars.) (X 50.) The muscular and other tissues of the uterine wall undergo hypertrophy during pregnancy, the individual muscular fibres be- coming as much as thirty times their original bulk in the non-preg- 230 NORMAL HISTOLOGY. nant uterus. The bloodvessels also enlarge and acquire thicker walls. These retain much of this increase of size, even after the involution of the uterus following parturition, but the muscular fibres suffer a partial fatty degeneration, which restores them to nearly their original condition. 4. The Vagina (Fig. 207). — The subepithelial fibrous coat of the vagina is covered with small papillae, which project into the epithe- Fig. 207. Portion of a longitudinal section of the vaginal wall. (Benda and Guenther's Atlas.) a, stratified epithelium ; 6, subepithelial areolar tissue ; c, muscularis mucosae ; d, areolar submucosa containing vascular trunks ; e, muscular coat. Outside of the latter is the ill-defined fibrous coat, not represented in the figure. Hum. Outside of this coat is one of smooth muscular tissue, which is not clearly divisible into layers, but in which the inner fibres are chiefly circular, forming an imperfectly defined muscularis mucosa?, while the outer have a longitudinal direction, and may be regarded as the true muscular coat of the vagina. Outside of the muscular coat is a layer of areolar tissue connecting the vagina with the neighboring parts, except at its posterior and upper part, where it is covered with a serous membrane, forming part of the peritoneum. 5. The External Genitals. — The hymen is a fold of the mucous membrane, and consists of fibrous tissue with a covering of strati- fied epithelium. The same general structure obtains also in the labia THE REPRODUCTIVE ORGANS. 231 minora, prepuce, and labia majora ; hut the labia minora and prepuce are destitute of fat, while the labia majora contain considerable adipose tissue. All three organs are supplied with sebaceous glands, which are numerous beneath the prepuce and are associated with hairs only on the labia majora. The latter also contain fibres of smooth mus- cular tissue, corresponding to the analogous dartos of the scrotum. The bulbi vestibuli, crura of the clitoris, and the body and glans of that organ are composed of erectile tissue. The glands of Bartholin are compound racemose glands, in which the alveoli are lined with a columnar epithelium resembling in structure that of the mucous glands in other parts of the body. The epithelium lining their ducts is of the cubical variety. The parovarium is a remnant of the Wolffian body of the foetus, consisting of a series of blind tubules lined with epithelium (Fig. 193). It is situated between the Fallopian tube and the ovary. The remains of the Wolffian duct and of the duct of Midler, having a sim- ilar structure to the tubules of the parovarium, are sometimes per- sistent, the one connected with the parovarium, the other with the extremity of the Fallopian tube. These structures are of interest because tumors occasionally arise from them. The Maturation of the Ovum. — Before the ovarian ovum is ready for fertilization it must undergo two divisions, during which the amount of chromatin left in the mature egg is reduced one-half. The first division results in the formation of two cells, which differ enormously in the amount of cytoplasm they possess, but which have equal shares of the chromatin in the original nucleus. The smaller of these two cells is known as the " first polar body." After its separation from the larger cell both cells divide again, without an intermediate growth of the chromatin. In this second division of the larger cell the two resulting cells are again very unequal in size, the smaller being the " second polar body." The first polar body having also divided, there result from these successive divis- ions one mature egg and three polar bodies, each with only half as many chromosomes in its nucleus as are commonly found in the general or " somatic " cells of the body (Fig. 208). The polar bodies perish, as does also the ovum, unless fertilized by the introduction of a spermatozoon. The latter, as we shall see, also contains half the number of chromosomes contained in the somatic cells ; so that after its entrance into the mature ovum the latter acquires its full complement of chromosomes and is ready for development. 232 NORMAL HISTOL OG Y. The Mammary Gland. — Each mamma consists of a group of about twenty similar compound racemose glands, opening by distinct orifices at the tip of the nipple, and separated and enclosed by fibrous tissue, in which there is a variable amount of fat. At the edges of the mamma this fibrous stroma becomes continuous with the tissues of the superficial fascia in which the breast is situated. Each of the glands entering into the composition of the breast possesses a single main duct, the " galactiferous duct," which is lined with columnar epithelium, except near its orifice, where the strati- Fig. 208. \ Maturing ovum of physa (fresh-water snail). (Kostanecki and Wierzejski.) Above are the two small cells resulting from the division of the first polar body. Below is the ovum, the nucleus of which is dividing to form the second polar body. Near the centre of the ovum is the nucleus of the spermatozoon, just above which is its (divided) centrosome with surrounding radiations in the cytoplasm. When the second polar body has been formed the chromosomes remaining in the ovum will be ready to participate with those of the spermatozoon in the further development of the then fertilized egg. fied epithelium of the epidermis extends for a short distance into its lumen. A little below the base of the nipple the duct presents a fusiform dilatation, called the " ampulla," which serves as a reser- voir for the comparatively small amount of milk secreted in the intervals between nursings. The main duct branches in its course from the nipple into the THE REPRODUCTIVE ORGANS. 233 deeper portions of the gland, and these branches give off twigs, which terminate in the tubular alveoli of the gland. The columnar epithelium lining the main duct gradually passes into a cubical variety in the branches, and this becomes continuous with the epithelial lining of the alveoli. The terminal branches of the ducts are short, so that the alveoli opening into them lie close together and are col- lectively known as a " lobule" of the gland. These lobules are, in turn, grouped into lobes, each of which corresponds to one of the main ducts of the breast. The individual alveoli and the lobules are surrounded by fibrous tissue, which may be subdivided into an intralobular and an inter- lobular portion, the latter more abundant than the former. This fibrous tissue supports the vessels and nerves supplied to the gland. The character of the epithelium lining the alveoli varies with the functional activity of the gland. Before puberty the secreting acini are only slightly, if at all, developed, the mamma consisting of a little fibrous tissue and the ducts of the gland, which possess slightly enlarged extremities. When the gland has become fully developed, at or about puberty, the epithelial cells lining the acini are small and granular and nearly fill the diminutive lumina. The fibrous stroma is, at this period, abundant and makes up the chief bulk of the breast. When the gland assumes functional activity the cells enlarge and multiply (Fig. 209), and the lumina of the acini become dis- tinct and filled with a serous fluid. Into this fluid a few fat-globules are discharged from the epithelial lining, forming an imperfect milk, very poor in cream and differing in the proportions of the dissolved constituents from the milk that is produced after the function of the gland is fully established. This secretion is called " colostrum." Besides the scant supply of fat-globules which it contains, it is fur- ther characterized by the presence of so-called colostrum-corpuscles. These are leucocytes which have wandered into the acini of the gland from the bloodvessels in the interstitial tissue, and have taken some of the fat-globules of the secretion into their cytoplasm. This process results in an enlargement of the leucocyte, and, in extreme cases, to an obscuring of the nucleus and cytoplasm by fat-globules, so that the whole appears as though composed of an agglutination of numerous drops of fat (Fig. 210). As the functional activity of the gland matures the epithelial 234 NORMA L HISTOLOG Y. cells lining its acini produce drops of fat in the cytoplasm bor- dering on the lumen, and these are subsequently discharged into the lumen, forming the fat or cream of the milk. The casein of the milk appears to be produced in the following manner : it has been observed that during lactation the nuclei of some of the cells present changes in form that lead to the inference that they undergo division by the direct mode — i. e., without passing through the phases of karyokinesis. It thus happens that some of the epi- thelial cells contain two nuclei. These cells, after a while, project into the lumen of the acinus, the two nuclei lying in a line perpen- Fig. 210. © O © «&; o Fig. 209. — Dividing epithelial cells from the mammary gland of the guinea-pig. (Michaelis.) The figure represents the proliferation of the cells by the indirect mode before lactation has been established — i. e., during the maturation of the gland. Fig. 210. — Colostrum-corpuscles and leucocytes from the colostrum of a guinea-pig. (Michaelis.) dicular to its wall (Fig. 211). It is supposed that the nuclei nearest the lumen become detached, together with some of the cytoplasm, and that the chemical constituents of the nucleus and cytoplasm enter into the formation of the casein. Such free nuclei have been observed in the lumina of the acini, and it is known that the chromatin which they contain disintegrates and eventually disappears (chromolysis), so that it is not found in the secreted milk. Whether this is, in detail, the exact process by which casein is formed is still an open question, but that there is an increase in the nuclear materials of the secreting cells appears certain, and that these nuclei furnish the nucleic acid entering into combination with proteid substances to form the nucleo-albumin, casein, is most probable. The site of the origin of milk-sugar is not known; it appears to be elaborated within the secreting cells. THE REPRODUCTIVE ORGANS. 2:55 When lactation is suspended the breast at first secretes a fluid in -every way resembling colostrum, and eventually returns to the dor- mant state, in which the cells are again small and granular and the stroma is relatively abundant. As the glandular portion of the breast enlarges during lactation, the whole breast becomes increased in size, but this increase is not proportional to the development of the alveoli, for the stroma is reduced in amount, so that the lobules of the gland are closer to each other. After the period of lactation is passed the alveoli return almost to their original size, but the stroma is not repro- Fig. 211. "Section from the mamillary gland of a guinea-pig during lactation. (Michaelis.) The figure represents sections of two acini and 'the margin of a third, separated by richly vas- cularized areolar tissue, a, fat-globule, separated from the lumen by a mere film of cytoplasm ; 6, projecting cell with two nuclei ; c, two nuclei which appear to have been produced by constriction of a single pre-existent nucleus. duced in fibrous form, but its place is taken by adipose tissue, the amount of which depends upon the individual, being great in those that are fat, and slight in those that are lean. In the latter, therefore, the breast becomes soft and pendulous after lactation has ceased. It is important to bear the above changes in the normal gland in mind when examining the mamma for evidences of a tumor. When, for example, the stroma is abundant and the glandular structures undeveloped, as is the case before puberty, sections of the gland may be mistaken for those of a mammary fibroma. 236 NORMAL HISTOLOGY. The nipple is composed of fibrous tissue, with a considerable admixture of elastic fibres, in which there are scattered bundles of smooth muscular tissue lying parallel to the axis of the nipple. A circular bundle of the same tissue is found at the base of the nipple, and by its compression on the bloodvessels may be the cause of the erection of the nipple. The skin at the base of the nipple and in the areola surrounding it contains large sebaceous glands. The mammary gland in the male is functionless, and, while it contains the same structures as in the female, it remains in a com- paratively undeveloped condition. II. IN THE MALE. The male organs of generation include the penis, prostate, vesic- ulse seminales, vasa deferentia, epididymis, and testes, together with certain accessory glands. 1. The Penis. — This is formed by three parallel structures: the corpora cavernosa, lying side by side and partially blending in the median line, and the corpus spongiosum, situated beneath their line of junction and containing the urethra. At its anterior end the corpus spongiosum expands about the ends of the corpora cavernosa to form the glans penis. These three bodies, except over the glans, are firmly held together by fibrous tissue, which is condensed at their surfaces to form compact sheaths or external coats enveloping the erectile tissue of which each is composed. The sheaths of the corpora cavernosa are incomplete where they are in contact, permit- ting the erectile tissue to blend in the median line. This inter- communication is freer toward the anterior end of the penis than near its root, where the corpora cavernosa are more distinctly sepa- rated, preparatory to their divergence to form the crura. The sheaths of the corpora cavernosa are composed of fibrous tissue containing an abundance of elastic fibres. From its inner surface each sheath gives off a number of fibrous bands, called " trabecuhe," which divide and anastomose with each other, forming the chief constituent of the erectile tissue. Within these trabecular are numerous bundles of smooth muscular tissue. The erectile tissue is made up of these trabecular, which give it a spongy character and are covered with endothelial cells, converting the spaces between them into cavernous venous channels. These become engorged with blood during erection. The vessels supplying this blood are situated in the trabecula?, and give off capillary branches, which THE REPRODUCTIVE ORGANS. 2:37 Fig. 212. open into the intertrabecular spaces, discharging blood into those enormously dilated venous radicles. Here and there arterial twigs, surrounded by an investment of fibrous tissue, project from the trabeculse into the venous spaces. These, because of their twisted forms, have received the name helicine arteries (Figs. 212 and 218). The structure of the corpus spongiosum is Fig. 213. Fig. 212.— Section of injected corpus cavernosum. (Henle.) a, fibrous capsule ; b, trabeculse ; c, section of the arteria profunda penis. All the spaces are filled with the material used for injection. Fig. 213.— Helicine arteries. A, B, C, from the corpus cavernosum; D, from the corpus spongiosum; * *, fibrous bands forming a part of the trabecular network. similiar to that of the corpora cavernosa, but the trabeculse are more delicate and the spaces between them of more uniform size. Its sheath is studded with papilla? where it covers the glans, at the edge of which they are unusually large. They are covered with a layer of stratified epithelium, which conceals them over the surface of the glans, where they are comparatively small, but merely invests the larger ones at the corona. This layer of epithelium is continu- ous with that of the skin covering the rest of the penis, which is elsewhere loosely connected with the underlying structures by 2:5S NORMAL HISTOLOGY. areolar tissue devoid of fat. The skin is without hairs on the ante- rior two-thirds of the penis, but contains sebaceous glands, which are especially numerous in the fold of the prepuce, where it is attached near the corona of the glans, glands of Tyson. 2. The Prostate. — This body is regarded as the analogue of the uterus, its utricle corresponding to the cavity of that organ. It has a fibrous investment, which merges into the areolar tissue connect- ing the prostate with the surrounding structures and, in its deeper portions, contains smooth muscular tissue, which accompanies it in forming the stroma of the organ. Within this stroma are the prostatic glands, composed of acini, lined with epithelium of the columnar variety, and opening into a series of ducts having their orifices in the floor of the urethra. The gland ular alveoli frequently contain little concretions of a substance closely resembling amyloid, corpora amylacea, which often display a marked concentric lamina- tion (Fig. 214). Fig. 214. -iif 9H ^^mf:W¥m^mmm gg3 •■'", w&^$&m m m§& Section of the prostate. (Heitzmann.) Sections of one acinus and portions of three others are included in the figure. These arc surrounded by fibrous tissue traversed by bundles of smooth muscular fibres. E, epithelial lining of the acini : M, M, smooth muscular tissue; C, concretions of amyloid material, showing concentric lamination. The two ejaculatory ducts pass through the prostate to open into the urethra in its course within that organ. A little behind their orifices is the verumontanum, containing erectile tissue, which is THE REPRODUCTIVE ORGANS. 239 supposed, during erection, to serve as a dam, preventing the entrance of semen into the bladder. The ejaculatory ducts divide behind the prostate, one branch forming the duct of the seminal vesicle, while the other becomes continuous with the vas deferens. 3. The Seminal Vesicles. — These are tubular sacs ending in blind extremities, with occasional saccular branches given off from their sides. They are lined with a mucous membrane covered with columnar epithelium, resting upon areolar fibrous tissue. Outside of this is a muscular coat containing internal circular and external longi- tudinal fibres, and surrounded by an ill-defined fibrous coat that passes into the general areolar tissue of the region. The seminal vesicles sometimes contain semen, for which they may serve as a temporary reservoir, but they also secrete a fluid that is mixed with the semen at the time of ejaculation. 4. The Vasa Deferentia. — The vas deferens of each side resembles the seminal vesicle in structure. It is lined with columnar epi- thelium, beneath which is a layer of areolar fibrous tissue, resting upon the muscular coat. This is surrounded by fibrous tissue, becoming areolar as it blends with that of the neighboring parts. The muscular coat is thicker than that of the seminal vesicle, and is divisible into an inner layer of circular and an outer layer of longitudinal fibres. The mucous membrane, like that of the sem- inal vesicle, is thrown into folds, which are longitudinal throughout most of the course of the vas deferens, but are irregular in the sacculated distal portions of the tube, giving the surface a reticu- lated or alveolar appearance. 5. The Epididymis. — The vas deferens of each side becomes con- tinuous with the canal of the epididymis, which is an enormously long tube, twenty feet, so convoluted and packed together as to occupy but little space. It is lined throughout with columnar epi- thelium, continuous with that of the vas deferens; but, except for a short distance from the junction with the vas, the cells possess cilia of considerable length, which induce currents toward the vas deferens. The muscular coat of the latter is continued in the epididymis, but is very thin. Opening into the canal of the epididymis are the vasa efferentia of the testis. 6. The Testis. — The testis is a compound tubular gland, of which the secretion contains the spermatozoa. The latter are derived from certain of the cells lining the tubules, and contain writhin their 240 NORMAL HISTOLOGY. structure a definite amount of chromatin and a centrosome. During the fertilization of the ovum this chromatin unites with a similar amount present in the egg-cell, and thus forms a complete cell, the nucleus of which contains equal amounts of chromatin from the male and female parents of the future offspring. We have seen (Chapter I.) that the nuclei of the cells throughout the body break up, during karyokinesis, into a definite and constant number of fragments, called "chromosomes," which split during metakinesis; one-half of each chromosome going to each of the daughter-nuclei. These chromosome-halves form a reticulum within the daughter- nuclei, and while in that form the chromatin appears to increase in amount, so that by the time the cell divides again the full supply of chromatin is present in its nucleus. During the two cell-divis- ions which immediately precede and result in the formation of the spermatozoa and the matured egg this growth of the chromatin does not take place, and, as we shall presently see, each spermato- zoon or matured ovum contains but half of the chromosomes that are normally present in the somatic or general cells of the body. This " reduction of the chromatin " has been a matter of much study within the last few years, because of its probable bearing upon the problems of heredity. The fact of its occurrence is strongly con- firmatory of the idea that the chromatin is the carrier of hereditary characteristics, the fertilized ovum receiving equal shares from both parents. The tubular glands of the testis are enclosed in a strong fibrous cap- sule, made up of interlacing bands of fibrous tissue. This becomes con- tinuous, behind, with a mass of areolar tissue containing the vascular supply of the organ and the epididymis, with the vasa eff'erentia open- ing into it. The fibrous capsule is called the " tunica albuginea." It is covered, except posteriorly, by the visceral portion of a serous mem- brane, the "tunica vaginalis." From the inner surface of the capsule numerous bands and strands of fibrous tissue, trabecular traverse the glandular part of the organ, imperfectly dividing it into lobes, each of which contains several of the glandular or seminiferous tubes. Upon the surfaces of the trabecular and upon the inner surface of the capsule the dense fibrous tissue of those structures passes into a delicate areolar tissue, which gives support to the numerous small bloodvessels and abundant lymphatics distributed within the organ. This vascular areolar tissue also penetrates between the seminiferous tubules, giving them support. In this region the THE REPRODUCTIVE ORGANS. 241 interstitial tissue just mentioned contains large cytoplasmic cells of connective-tissue origin, which frequently contain globules of fat or granules of pigment, and in many instances, in man, have been observed to contain crystalloids of proteid nature. It has been surmised that these cells may serve for the storage of nutri- ment required by the active proliferation of the cells that produce the spermatozoa within the seminiferous tubes (Fig. 215). Fig. 215. A '■■"■<- Ht ft fw.wc)4W y mat . ,v^-,iV \ 7^ •-- et, .,.' -5> : - .- ■ ■ ' - ' ® fv'< Interstitial tissue in the testis of the cat. (Plato.) Three bloodvessels are shown in either complete or partial section. Portions of two seminiferous tubules are represented at the upper corners. Between these structures is the interstitial tissue, containing large cyto- plasmic cells. This tissue is rather more abundant in this instance than in the human subject. Each seminiferous tube is provided with a basement-membrane, upon the inner surface of which are epithelial cells. These are di- visible into three groups : first, a parietal layer of cells, the " sper- matogonia," lying next to the basement-membrane; second, a layer of cells, often two or three deep, called the " spermatocytes," lying upon and derived from the spermatogonia; third, the "spermatids," lying most centrally. The spermatids are derived from the spermato- cytes, and are the elements from which the spermatozoa develop, one spermatozoon being formed from each spermatid. The cells of the parietal layer, that containing the spermatogonia, are not all alike. At intervals certain cells, called " sustentacular " 16 242 NORMAL HISTOLOGY. cells, or the "cells of Sertoli," are differentiated from the others (Figs. 216-228). These sustentaeular cells rest with a broad base, the Fig. 216. Superficial aspect of the parietal cells of the seminiferous tube: rat. (Ebner.) /, basal plates of the sustentaeular cells (cells of Sertoli), each containing a large vesicular nucleus, poor in chromatin, and a distinct nucleolus of considerable size; w, spermato- gonia resting upon the basal plates of the cells of Sertoli. Only a few of the spermato- gonia are represented. Fig. 217. Fig. 218. s28 s 29 <<• 1 J " / w 2 f Sections from the testis of the rat. illustrating spermatogenesis. (Ebner.) Figs. 217-228.— u\ spermatogonia ; /, sustentaeular cells, or cells of Sertoli ; h, spermatocytes ; s, spermatids ; sp, spermatids becoming transformed into spermatozoa : uil to wlO traces the history of the spermatogonia from the resting condition to that in which they have grown to become primary spermatocytes. During this process they move from the parietal layer into that covering it. All, a recently formed spermatocyte; ftlS to ft20, growth of the spermatocyte; A<21, beginning of the division to form secondary spermatocytes : /<22, its end; 623, secondary spermatocyte, with chromatin in open spirem; A24, division of the secondary spermatocyte to form two spermatids; s25, recently formed spermatid ; s26 to 829, growth of the spermatid. (By this time the preceding crop of spermatozoa is fully developed and lias been discharged into the lumen of the seminiferous tube.) s30 and s31, beginning transformation of the spermatids into spermatozoa. Their cytoplasm blends with that of the sustentaeular cell. .^32 to 8p39, stages in the differentiation of the spermatozoa; 10, completed spermatozoon ready to pass into the lumen of the tube. ill (Fig. 227) and toll (Fig. 228) illustrate the division of the spermatogonia before they begin to develop into spermatocytes. It is supposed that the sustentaeular cells aid in the nourishment of the spermatids during their transformation into spermatozoa, and that after the discharge of the latter the cytoplasmic process is retracted toward the base- ment-membrane, bringing with it the globules of fat and cytoplasmic fragments of the spermatids represented by dark spots and small round bodies in nearly all the figures. This retraction is taking place at /, Fig. 219. The cells of Sertoli do not appear to mul- tiply ; at least no karyokinetic figures have been observed in their nuclei. THE REPRODUCTIVE ORGANS. Fig. 219. Fig. 220. \ml u& s31 243 8 30 Fig. 221. Fig. 222. w o h 19 Fig. 224. fe20 w w 7 J f ir 8 w 244 NORMAL HISTOLOGY. Fig. 225. // 22 h 20 m %'V'iV lv \ ;V--i':m lli '\A"i »Jgip m • h 24 / w w 9 to Fig. 227. sp 38 s2G h 11 - — 7-/i 23 w to 10 / w Fig. 228. ■A 12 THE REPRODUCTIVE ORGANS. 245 "basal plate," directly upon the basement-membrane, where the edges of the basal plates are in contact, forming a sort of bed with depressions in its upper surface, in which the spermatogonia find lodgement. The cells of Sertoli possess a thick cytoplasmic process, which extends toward the lumen of the tubule, and to which those spermatids which are developing into spermatozoa become attached. For this reason they are called sustentacular cells. Their nuclei differ from those of the neighboring spermato- gonia in being less rich in chromatin and in possessing a single and prominent nu- cleolus. The appearances of the various cells enumerated depend upon the stage in their activity which happens to be under observation. The general course of de- velopment, ending in the formation of the spermatozoa, is as follows : the spermatogonia, between the cells of Ser- Fig. 229. toli, multiply until quite a collection of such cells is produced. Each division is followed by a period of rest, during which the chromatin increases in amount. When the final stage of rest is at an end and the cells have attained their maturity, they constitute what are called the primary spermatocytes. These now divide, each forming two secondary spermatocytes, which in turn divide, without an inter- mediate distinct resting-stage, to form two spermatids. Each primary spermato- cyte, therefore, gives rise to four sperm- atids. It is during the division of the secondary spermatocytes that the reduc- tion in chromatin, which was mentioned above, takes place (Figs. 217-228). Each spermatid receives, in addition to its por- tion of chromatin, a single centrosome. The spermatozoon, then, is derived from a corpuscle, the spermatid, which contains all the essential organs of a cell, differing from the gen- eral cells of the body, the somatic cells, only in possessing half the Human spermatozoa. (Bohmand Davidoff, after Retzius and Jensen.) The left figure repre- sents the side view and the middle figure surface-view of a spermatozoon, a, head (nu- cleus) ; b, end-knob (centro- some?); c, middle piece; d, tail of flagella ; e, end-piece. The thickness of d may be owing to the presence of a sheath surrounding the actual flagella, which projects from the sheath at e. 24<5 NORMAL HISTOLOGY. usual number of chromosomes in its nucleus. It is unnecessary to pursue the chain of events through which the spermatid gives rise to the spermatozoon. It may suffice to state that the body of the latter consists of the chromatin of the nucleus ; that the long cilium con- stituting the tail of the spermatozoon is developed from the cyto- plasm ; and that the centrosome of the spermatid is probably con- tained in the middle piece of the spermatozoon (Fig. 229). Even these conclusions are inferences from studies of spermatogenesis in the lower animals, and not from direct studies of that process in man. The latter undoubtedly conforms very closely to the former in all essential details. To return to the histology of the testis : the epithelial cells of the seminiferous tubules rest upon a basement-membrane, which is divis- Fio. 230. ■ *y ->■-. v.-. r~ _ Basement-membrane from seminiferous tube of the rat. (Ebner.) m, endothelial cells com- posing the external layer ; I, cells, presumably leucocytes, intercalated between the endo- thelial cells. The faint striations upon the endothelial cells represent wrinkles in the homogeneous membrane forming the inner surface of the basement-membrane ; the wrinkling is probably due to a slight shrinkage of the endothelium. ible into two layers : first, an internal, extremely delicate, homoge- neous membrane, upon which the epithelial cells rest ; and, second, a layer of endothelial cells (Fig. 230). The latter may bound, at least in places, the lymphatic spaces, which are abundant in the interstitial tissue of the testis. Toward the back of the testis the seminiferous tubules unite THE REPRODUCTIVE ORGANS. 247 with each other and open into a number of straight ducts of smaller diameter, called the " vasa recta." These are lined with a cubical epithelium resting upon an extension of the basement- membrane of the seminiferous tubes, and, in turn, open into a reticulum of tubules of larger diameter, situated in the mass of areolar tissue at the posterior aspect of the testis. This reticulum is called the " rete vasculosum," and the tubules composing it are lined with a low epithelium, apparently resting upon the surround- ing fibrous tissue, without an intermediate basement-membrane. These tubes permit an accumulation of semen before it enters the vasa efferentia. The vasa efferentia have a peculiar epithelial lining, which may be regarded as transitional between the cubical epithelium of the vasa recta and rete and the ciliated columnar variety lining the epididymis. It consists of alternating groups of cubical and ciliated columnar epithelial cells (Fig. 231). Fig. 231. Section of vasa efferentia from human testis. (B6hm and Davidoff.) a, cubical or secretory epithelium ; 6, columnar ciliated epithelium, with deeper pyramidal cells beneath those that bear the cilia. This form of ciliated epithelium corresponds to that found in the epididymis where the cubical epithelium is absent. The vasa efferentia, as already stated, open into the canal of the epididymis, through which their contents reach the vas deferens. The walls of the efferent tubes possess a layer of encircling smooth muscular fibres, which are reinforced in the epididymis by an addi- tional external layer of longitudinal fibres. The nerves supplied to the testis are destitute of ganglia, and are distributed to the vessels and surfaces of the seminiferous tubules. No terminations have been traced to the epithelial lining of those tubules. CHAPTER XVIII. THE CENTRAL NERVOUS SYSTEM. The functional part, or parenchyma, of the central nervous system is composed of ganglion-cells with their processes. Some of these processes are of cytoplasmic nature, and, as explained in the chapter on the elementary tissues, are called the protoplasmic processes. From each ganglion-cell at least one process is given off which differs from the protoplasmic processes, and is called the "axis-cylinder- process." This in most cases becomes the axis- cylinder of a nerve-fibre, and may be invested with a medullary sheath and neurilemma at some point near or at some distance from its exit from the cell. It will be convenient, for the brief description of the central nervous system to which this chapter must be restricted, to adopt a special terminology for the different portions of the ganglion-cell and its processes, as follows : the term (/ancjlion-cell will be restricted to the nucleus and the cytoplasm surrounding it ; the protoplasmic processes will be called the dendrites, and their terminations the teledend rites. The axis-cylinder process will be termed the neurite; the delicate branches it may give off in its course, the collaterals; and the terminal filaments of the main trunk, col- lectively the teleneurites. The cell, with its processes and their terminations, will collectively constitute a neuron. A complete neuron, then, consists of (1) certain teledendrites, which unite to form one or more dendrites connecting them with the gan- glion-cell ; (2) the cell itself; and (3) one or more neurites, which may give off collaterals and finally terminate in teleneurites (Fig. 232). At the present time these neurons are believed to be without actual connection with each other, but to convey nervous stimuli by contact. The course of the nervous impulses is from the teleden- drites to the nerve-cell, and thence, by way of the neurite, to the teleneurites, whence it is communicated, without a direct structural union, to the next tissue-element in the chain of nervous transmis- sion. Those neurites which carry stimuli from the nerve-centres 248 THE CENTRAL NERVOUS SYSTEM: 249 to the periphery, centrifugal impulses, form the axis-cylinders of some of the nerves. The axis-cylinders of those nerves which convey impulses from the periphery toward the nervous centres, Fig. 232. Sketch illustrating the composition of neurons. I, a neuron transmitting centrifugal impulses. II, a neuron receiving and transmitting centripetal impulses. Ill, a neuron, the function of which is supposed to be the distribution of impulses within the nerve- centre in which it is situated, a, ganglion-cell ; 6, dendrite ; c, teledendrites ; d, neurite ; e, collaterals ; /, teleneurites. In II the body c represents some sensory organ imparting nervous impulses to the teledendrites of a sensory nerve. The nervous filament g is a neurite, presumably derived from the sympathetic nervous system, leading to teleneu- rites applied to a ganglion-cell, a, of a posterior spinal ganglion. The portion h of the " nerve " springing from that cell is regarded as a portion of the cell itself. In the embryonic condition the dendrite and neurite both spring directly and separately from the body of the cell, the portion h being a subsequent development, i, endothelial envelope surrounding the ganglion-cell. Ill represents a ganglion-cell, apparently devoid of distinct dendrites, but having numerous processes that at first appear protoplasmic, but soon assume the characters of neurites. These cells are found in the retina and olfactory bulb, and have been termed spongioblasts, cellulas amacrinas, and parareticu- lar cells. It is thought that nervous stimuli are received directly by the cytoplasm of the cell, without the intermediation of dendrites, x represents the omission of a portion of a fibre. The arrows indicate the directions taken by nervous impulses. centripetal stimuli, may be the dendrites connected with ganglion- cells in or near those centres; e. g., in the posterior root-ganglia of the spinal nerves, or they may be the neurites springing from 250 NORMA L HISTOL OGY. peripheral ganglion-cells, as is exemplified in many, if not all, of the organs of special sense. I. THE SPINAL CORD. The axis of the spinal cord is composed of a column of gray matter containing numerous ganglion-cells and nervous filaments held in position by a cement-substance, neuroglia-cells, the fibrous prolongation of the ependyma cells lining the central canal, and a little fibrous tissue accompanying the vessels derived from the pia mater. Fig. 233. Fig. 234. Figs. 233 and 234.— Transverse sections of human spinal cord. (Schiifer.) Fig. 233, from the lower cervical region : Fig. 234, from the middle dorsal region, a, b, c, groups of ganglion-cells in the anterior horn; d, cells of the lateral horn: e, middle group of cells ; /, cells of Clarke's column : g, cells of posterior horn ; c, c, central canal , a, c, an- terior commissure of white matter THE CENTRAL NERVOUS SYSTEM. 251 Fig. 2:15. POSTERIOR ROOT Transverse section of human spinal cord, from the middle lumbar region. (Schafer.) a b, c, groups of ganglion-cells in the anterior horn ; d, cells of the lateral horn ; e, middle group of cells ; /, cells of Clarke's column ; g, cells of posterior horn ; c. c, central canal ; a, c, anterior commissure of white matter. In cross-section this column of gray matter presents a transverse central portion, the gray commissure, near the middle of which is the central canal. At each side this gray commissure blends with masses of gray matter, occupying nearly the centre of each lateral half of the cord and having a general crescentic form. The ends of these crescentic masses form the anterior and posterior cornua of the gray matter, from which the anterior and posterior roots of the spinal nerves proceed. The anterior cornua are larger than the posterior and contain larger ganglion-cells. Surrounding the column of gray matter everywhere, except at the bottom of the posterior median fissure of the cord, and the interruptions formed by the nerve-roots in their exit from the gray matter, is a laver of white matter, formed of medullated nerve- fibres running parallel with the axis of the cord and held together by neuroglia and delicate vascularized fibrous bands proceeding from the deep surface of the pia mater. The white matter of the cord has been divided into a number of •columns, for the most part indistinguishable through structural dif- ferences, but each containing fibres that play similar functional roles. These columns, with their names, are indicated in Figs. 233, 234, and 235. The columns of Goll and Burdach, forming the posterior 252 NORMAL HISTOLOGY. column of the white matter, between the posterior cornua and the posterior median fissure, conduct, for the most part, centripetal impulses. Impulses having the same upward direction are also conveyed by the direct cerebellar tract and the tract of (lowers in the lateral column of the white matter. Centrifugal impulses, motor stimuli, are conveyed by the fibres in the direct pyramidal tract of the anterior column and by those of the crossed pyramidal Diagram of spinal cord, illustrating the associations of its various nervous elements. (R. y Cajal.) a, collateral from Goll's tract, entering into the formation of the posterior com- missure ; b, collateral to the posterior horn ; c, collateral to the formatio reticularis and the anterior horn ; d, posterior nerve neurite, with its collaterals ; e, collaterals from the lateral column ; /, collaterals to the anterior commissure ; g, central canal ; h, neurite in the crossed pyramidal tract from the commissure-cell of the opposite side ; ?', its course in the commissure ; j, neurite from a large motor cell in the anterior horn k ; I, cell of the anterior horn, giving off a neurite dividing into an ascending and a descending branch (compare Fig. 239, D) ; m, commissure-cell ; n, cell giving off a collateral within the gray matter ; o, neurite of the cell u, in Clarke's column ; p, neurite from the mar- ginal cell 8, of the substance of Rolando ; q, cross-section of an axis-cylinder (neurite) in the white substance of the cord ; r, division of a posterior nerve-fibre (neurite) into ascending and descending branches; t, small cell in the substance of Rolando. Aside from the cells indicated in the figure, the gray matter contains some that give off neurites which divide into two or three branches while in the gray matter, the branches going to different columns of white matter. There are also cells with very short neurites, which terminate in teleneurites within the gray matter, and probably distribute nervous impulses for short longitudinal distances. tract in the lateral column. The tracts hitherto considered contain fibres that are continued into the higher nerve-centres of the brain and cerebellum, to or from which they convey nervous impulses. But the spinal cord is not merely a collection of such transmitting THE CENTRAL NERVOUS SYSTEM. 253 fibres. It is also a nerve-centre of complex constitution, in which neurons terminate in teleneurites or arise in teledendrites. Some of the neurons within the cord are confined to its substance, and constitute nervous connections between the different parts at various levels. These may be termed longitudinal commissural neurons, or association-fibres. Portions of such neurons are repre- sented in the diagram of a cross-section of the cord (Fig. 236), which also contains representations of some of the neurites in the posterior spinal nerve-roots, with their collaterals ending in tele- neurites within the gray matter (d). On the right side of the figure, the nerve-cells, with their dendrites and the beginning of the neu- rites, are shown. On the left side the neurites connected with cells at another level are shown, re-entering the gray matter, where they terminate in teleneurites. In studying this figure it must be borne in mind that the teledendrites of the neurons on the right are in close relations with the teleneurites of other neurons, and that the teleneurites represented on the left are in close relations with the teledendrites of other neurons. These association-neurons are, therefore, merely links in chains of communicating neurons. They are again represented in Fig. 239, I) and E. Aside from these association-neurites, the gray matter of the cord receives innumerable collaterals from the neurites forming the axis-cylinders of the nerves in the various columns of the white matter. These collaterals terminate in teleneurites, which are in close relations with the teledendrites of the neurons arising in the cord. The distribution of these collaterals is represented in Fig. 237. The collaterals from the anterior column enter the anterior horn of the gray matter, where they are chiefly distributed about the large ganglion-cells in the antero-lateral portion of its substance (Fig. 233, b; Fig. 236,,/), but may also extend to other parts of the gray matter. The collaterals from the fibres in the lateral columns of the white matter are most numerous near the pos- terior horn, which they enter, many of them passing through the gray matter behind the central canal and forming a part of the posterior or gray commissure of the cord (Fig. 237, I). The col- laterals from the posterior column are divisible into four groups : first, those which are given off in the lateral portion of that column (Fig. 237, G), and are distributed in the outer portion of the pos- terior horn and in the substance of Rolando (Fig. 237, I) ; second, those which end in Clarke's column (Fig. 237, J) ; third, those 254 NORMAL HISTOLOGY. which arise chiefly in the column of Goll, pass through the sub- stance of Rolando, and then form an expanding bundle distributed in the anterior horn of the gray matter, where they are in associa- tion with the dendrites of the motor cells in that region (these fibres form the reflex bundle of Kolliker, Fig. 237, H) ; fourth, collaterals springing from fibres in the posterior column, passing Cross-section of the spinal cord of a newborn child, showing the distribution within the gray matter of the collaterals from the neurites of the white matter. (R. y Cajal.) a, anterior fissure ; B, pericellular branches of the collaterals from the anterior column ; C, collaterals of the anterior commissure; D, posterior bundle of collaterals in the posterior commis- sure ; E, middle bundle of the posterior commissure ; /, anterior bundle ; G, collaterals from the posterior column ; H, senso-motory collaterals from the posterior column ; I, pericellular terminations of collaterals in the posterior horn ; J, collateral terminations in the column of Clarke. through the posterior commissure of gray matter and ending in the substance of Rolando of the opposite side (Fig. 237, D). The reflex collaterals arising in the posterior column are shown in Fig. 238, where their teleneurites are in close relations with the teledendrites of the motor cells e. The centripetal or sensory neurites of the posterior spinal nerve- nuits spring from the ganglion-cells of the spinal ganglia. When they have entered the white matter of the spinal cord they divide THE CENTRAL NERVOUS SYSTEM. 255 into two branches (Fig. 236, r). One of these ascends in the white substance and the other descends. Both branches give off numer- ous collaterals, which penetrate the gray matter, ending in teleneu- rites associated with the teledendrites of the cells in both the ante- rior and the posterior horns, and the column of Clarke. The main branches of the sensory neurite also enter the gray matter, after Fig. 238. Fig. 239. Fig. 238— Diagram of the senso-rnotory reflex collaterals in the cord. (R. y Cajai.) a, gan- glion-cell of the posterior nerve-root ; 6, division of its neurite into ascending and de- scending branches ; c, collaterals to anterior horn ; d, terminal teleneurites in the pos- terior horn ; e, motor cell of the anterior horn, with its processes. Fig. 239.— Longitudinal section of a part of the spinal cord, including a posterior nerve-root. Semidiagrammatic. (R. y Cajal.) A, posterior nerve-root; S, white substance of the cord ; 0, gray matter ; B, collateral teleneurites in the gray matter ; C, cell with a single ascending neurite ; D, cell with bifurcating neurite, terminating at Fand /: E, cell with a single descending neurite; F, G, terminal teleneurites ; a', collateral from a branch of the posterior root-neurite ; b', collateral from the main neurite before its bifurcation. following the posterior column for a short distance, and end in tele- neurites among the cells of the posterior horn and the substance of Rolando. The collaterals which pass to the anterior horns (Fig. 237, H, and Fig. 238, c) have to do with the origin of reflex cen- 256 NORMAL HISTOLOGY. trifugal impulses emanating from the motor cells in that region (Fig. 238, e, and Fig. 236, j). The further transmission of these centripetal stimuli toward the higher nerve-centres of the brain probably takes place : first, through the cells in the posterior horns, the neurites from which pass into the lateral columns and there ascend the cord ; second, through the cells of Clarke's column, which also send neurites into the lateral column, where they enter the direct cerebellar tract (Fig. 236, o ; see also Fig. 239). In addition to these centripetal or sensory neurites, the posterior nerve- roots contain a few centrifugal neurites. Fig. 240. Diagram of a sensory and a motor tract. (R. yCajal.) A, psycho-motor region in cerebral cortex ; B, spinal cord ; C, voluntary muscle ; D, spinal ganglion ; D', skin ; a, axis-cylin- der of a neuron extending from the cerebral cortex to the anterior horn of the spinal cord, where the terminal teleneurites are in relations with the teledendrites of the motor cell at b. The sensory stimulus arising in the skin, U , is transmitted by the neuron dDce to /, where it is communicated to the neuron fy. The point / may be in the cord or in the medulla oblongata. In order to understand the origin of the anterior spinal nerve- roots we must first consider the course of the centrifugal neurites in the pyramidal tracts (Figs. 233, 234, 235). These enter the gray matter and end in teleneurites, which are associated with the tele- THE CENTRAL NERVOUS SYSTEM. 2">7 dendrites of the cells in the anterior horn, especially those which give off neurites to the anterior roots of the spinal nerves (Fig. 236,./). The foregoing details may be summarized by means of the accom- panying diagram (Fig. 240), in which the course of a nervous stim- ulus is traced from the organ of sense in, e. g., the skin, to the cortex of the cerebrum, where it is translated into a nervous im- pulse, the course of which is traced to the motor plates of the vol- untary muscles. The reflex mechanism which might at the same time be set into operation is not represented in the diagram, but will be sufficiently obvious from an inspection of Fig. 238. It will be noticed in Fig. 240 that both the sensory stimulus and the motor impulse are obliged to pass through at least two neurons before they reach the ends of their journeys. But the nervous currents are by no means entirely confined to the course marked by the arrows. Impulses may be transmitted in an incalculable number of delicate tracts through the collaterals given off from the neurites within the central nervous system, some of which are indicated in the diagram, and all of which end in teleneurites associated with the teledendrites of, perhaps, several neurons. One of these collateral tracts has already been considered, namely the senso-motory reflexes illus- trated in Fig. 238. II. THE CEREBELLUM. The cerebellum is subdivided into a number of laminae by deep primary and shallow secondary fissures. The gray matter of the organ occupies the surfaces of these lamina?, while their central por- tions are composed of white matter. The gray matter may be divided into two layers : an external or superficial " molecular layer" and an inner "granular layer" (Figs. 241 and 242). The molecular layer contains two forms of nerve-cells : first, the large cells of Purkinje ; second, small stellate cells. The cells of Purkinje have large, oval, or pear-shaped bodies lying at the deep margin of the molecular layer. Their dendrites form an intricate arborescent system of branches extending peripherally to the surface of the gray matter, and give off innumerable small teledendrites throughout their course. All these branches lie in one place, perpendicular to the long axis of the lamina in which they are situated, and the teledendrites come into relations with certain longitudinal neurites springing from the cells of the granular layer, 17 258 NORMAL HISTOLOdY. to be presently described. The neurites of the cells of Purkinje extend through the granular layer into the white matter and soon acquire medullary sheaths (Fig. 241, 6); but before they leave the granular layer they give off collaterals, which re-ascend into the molecular layer, where their teleneurites are in relations with the Fig. 241. Section of a cerebellar lamina perpendicular to its axis. (R. y Cajal.) A, molecular layer of the gray matter ; B, granular layer ; C, white substance ; a, cell of Purkinje ; o, its neurite, giving off two recurrent collaterals ; b, b, stellate cells of the molecular layer; d, basket-like distribution of the teleneurites of one of their collaterals around the body of a cell of Purkinje ; e, superficial stellate cell, which does not appear to come into rela- tions with the bodies of the cells of Purkinje, but must lie close to their dendrites; /, large stellate cell of the granular layer; g, small stellate cell of the granular layer; h, centripetal neurite of a " moss " fibre ; n, centripetal neurite distributed in the molecular layer; j, to, neuroglia-cells. The arborescent dendrites of only one of the cells of Pur- kinje are represented in the figure. Were those of the neighboring cells also represented, the molecular layer of the gray matter would display an enormously complex interdigi- tation of such filaments. teledendrites of neighboring cells of Purkinje. These collaterals are believed to occasion a certain co-ordination in the action of those cells of Purkinje which are near each other. The stellate cells of the molecular layer (Fig. 241, b, e) pos- THE CENTRAL NERVOUS SYSTEM. 259 sess neurites, which lie in the same plane with the arborescent dendrites of the cells of Purkinje, and send collaterals to end in a basket-work of teleneiirites applied to the bodies of the cells of Purkinje. The terminal teleneiirites of these stellate cells also end in the same situation. Other smaller collaterals extend toward the surface of the cerebellar lamina. The granular layer of the gray matter also contains two varieties of nerve-cells : the " small stellate cells," which are most numerous, and the " large stellate cells." Fig. 242. Section of a cerebellar lamina parallel to its axis. (R. y Cajal.) A, molecular layer of the gray matter; B, granular layer; C, white substance; a, small stellate cell of the granular layer, from which a neurite enters the molecular layer, where it bifurcates, sending branches throughout the length of the lamina; 6, bifurcation of one of these neurites; e, slightly bulbous termination of one of the neuritic branches ; d, body of a cell of Pur- kinje seen in profile ; /, neurite of a cell of Purkinje. The small stellate cells (Fig. 241, g, and Fig. 242, a) are scat- tered throughout the granular layer, and it is owing to the abun- dance of their nuclei that this layer has received that name. Their dendrites are few in number and short, but their neurites are very long. They extend perpendicularly into the molecular layer, where they bifurcate, the branches lying parallel with the axis of the cerebellar lamina and its surface. These fibres appear to run the whole length of the lamina, and to come in contact with the tele- dendrites of the cells of Purkinje, to the planes of which they run perpendicularly. They are thought to coordinate the action of a long series of the cells of Purkinje. 260 NORMAL HISTOLOGY. The large stellate cells of the granular layer lie near its external margin, whence they send their dendrites into a large area of the molecular layer, while their neurites are distributed in the granular layer, where they must come into relations with the dendrites of the small stellate cells (Fig. 241,/). The distribution of the cells and their processes in the cerebellum indicates a very complex interchange of nervous impulses and an extraordinary coordination in the action of the various neurons. This complication is still further increased by the presence of centripetal neurites, which enter the cerebellum through the white matter and are distributed in the gray matter. These are of two sorts : first, neurites which penetrate the granular layer and are distributed among the proximal dendrites of the cells of Purkinje (Fig. 241, n) ; second, neurites, called " moss " fibres, which are dis- tributed among the cells of the granular layer. The teleneurites of these fibres have a mossy appearance, whence the name (Fig. 241, h). The origin of these centripetal neurites is not known, but it is sur- mised that the " moss " fibres may enter the cerebellum through the direct cerebellar tracts of the cord. III. THE CEREBRUM. The gray matter of the cerebral cortex has been divided into four layers : first, an external molecular layer ; second, the layer of small pyramidal cells ; third, the layer of large pyramidal cells ; and, fourth, an internal layer of irregular or stellate cells. Of these layers, the second and third are not clearly distinguishable from each other (Fig. 243). The molecular layer contains three sorts of nerve-cells, two of which are closely related to each other, differing onlv in the form of the cell-bodies, which are small in both varieties (Fig. 244, Ay B, and C) ; while the cell-bodies of the third variety are large and polygonal (Fig. 244, D). The small cells (A, B, C, Fig. 244) pos- sess two or three tapering processes, which at first resemble proto- plasmic processes, but soon assume the characters of neurites or axis- cylinders. These neurons, then, resemble the type depicted in Fig. 232, III. Their neurites run parallel to the surface of the convo- lution in which they are situated, sending off numerous perpen- dicular collaterals, and finally end in teleneurites within the molec- ular layer. The collateral and terminal teleneurites are probably in relations with the dendrites of the pyramidal cells of the under- THE CENTRAL NERVOUS SYSTEM. 261 Fig. 243. lying layers, which form arborescent expansions in the molecular layer, similar to those of the cells of Purkinje in the cerebellum, extending to the surface of the gray matter. The large stellate cells of the molecular layer (Fig. 244, D) send their dendrites in various directions into the molecular layer and the layer of small pyramidal cells lying beneath it. The neurite is distributed in the molec- ular and upper portions of the under- lying layers, but is never extended into the white matter. The dendrites of these cells come into relations with the neurites of the other cells of this layer and with those that proceed upward from some of the cells in the deeper layers. The small spindle- and stellate cells (A, B, C, Fig. 244) are considered to be the autochthonous cells of the cerebral cortex — i. e., the cells of the brain in which the highest order of nervous im- pulses find their origin. The small spindle-shaped cells, with their peculiar neurites, are extremely abundant and fill the molecular layer with a mass of interwoven filaments. The second and third layers of the cerebral gray matter are characterized by the presence of pyramidal nerve- cells of various sizes, the smaller being relatively more abundant in the second layer and the larger in the third layer. From the apex of the pyram- idal cell a stout, " primordial " dendrite passes vertically into the molecular layer, where, as well as during its course to the molecular layer, it gives off numerous branches, and finally ends in a brush of teledendrites extending to the surface of the gray matter (Fig. 245, A, B). Other and shorter dendrites are given off from the body of the cell, which ramify and end in the second, third, or fourth layer of the gray matter. The neurites from the bases of the pyramidal cells pass vertically downward into the white substance, where they may bifurcate, giving axis-cylinders to two nerve-fibres. While within j s Vertical section of the cerebral cor- tex, showing its layers. (R. y Cajal.) 1, molecular layer; t, layer of the small pyramidal cells ; 3, layer of the large pyram- idal cells ; 4, layer of polymor- phic cells ; 5, white matter. 2(V2 NORMAL HISTOLOGY. Fig. 244. Cells of the molecular layer of the cerebral cortex. (R. y Cajal.) A, C, small spindle-shaped cells ; B, small stellate cell ; D, large stellate cell. The branches marked c are neurites. Fig. 245. Fig. 240. Fig. 245.— Diagrammatic section through the cerebral cortex. (R. y Cajal.) A, small pyram- idal cell in the second layer ; B, two large pyramidal cells in the third layer ; C, D, poly- morphic cells in the fourth layer : E, centripetal neurite from distant nerve-centres ; F, collaterals from the white substance ; 6, bifurcation of a neurite in the white sub- stance. The arrows indicate the centripetal and centrifugal courses of nerve-impulses, but it is probable that centripetal impulses have to pass through other neurons (perhaps the spindle-cells of the molecular layer) before they are translated into centrifugal im- pulses. Fig. 240.— Cells with short neurites in the cerebral cortex. (R. y Cajal.) A, molecular layer ; B, white substance ; a, cells with neurites, which speedily divide into numerous tele- neurites in the neighborhood of the cell belonging to the same neuron ; b, cell with a neurite extending vertically toward, but not entering, the molecular layer: c, cell with a neurite distributed within the molecular layer; d, small pyramidal cell. THE CENTRAL NERVOUS SYSTEM. 263 the gray matter, and after their entrance into the white matter, these neurites give off collaterals, which branch and end in terminal bulbous expansions without breaking up into a set of teleneurites. The irregular cells of the fourth layer (Fig. 245, C, D) do not send their dendrites into the molecular layer, but distribute them within the deeper layers of the gray matter. Their neurities, like those of the pyramidal cells, enter the white matter, where they may or may not bifurcate. Besides the cells in the deeper layers of the gray matter hitherto described, those layers contain cells with short neurites, which are divisible into two classes : first, spindle-shaped or stellate cells, sending their neurites into the molecular layer (Fig. 246, c) or into the second layer of tlie gray matter (Fig. 246, 6) ; second, poly- morphic cells with radiating dendrites and copiously branching neurites, both of which are distributed within a short distance of the cell. These cells are believed to distribute nervous impulses to the neurons in their vicinity. The gray matter of the cortex also receives centripetal neurites from the white matter, which give oif numerous collaterals and ter- minate in the molecular layer. The white matter of the cerebrum contains fibres that may be divided into four groups : first, centrifugal or " projection " fibres ; second, " commissure-fibres," which bring the two sides of the brain into coordination (these lie in the corpus callosum and in the ante- rior commissure); third, "association-fibres," which coordinate the different regions of the cerebral cortex on the same side ; fourth, centripetal fibres, reaching the cortex from the peripheral nervous system or cord. The centrifugal or projection-fibres arise from all parts of the cortex, springing from the pyramidal and, perhaps, also from the irregular cells. Many of these fibres give off a collateral, which passes into the corpus callosum, to be distributed in the cortex of the opposite side, commissural collaterals, and then pass on to the corpus striatum, to the gray matter of which further collaterals may be given off, after which the main neurite probably passes into the pyramidal tracts of the cord through the cerebral crus (Fig. 247, a). The commissure-fibres (Fig. 247, 6, c) also arise from the pyram- idal cells of the cortex, mostly from the smaller variety, and pass into the corpus callosum or the anterior commissure, to be dis- 264 NORMAL HISTOLOGY. tributed in the gray matter of the eortex of the opposite hemisphere, but not necessarily to the corresponding region. These commissural Fig. 247. Centrifugal and commissural fibres of the cerebrum. (R. y Cajal.) A, corpus callosum ; B, anterior commissure ; C, pyramidal tract ; «, large pyramidal cell, with a neurite sending a large collateral into the corpus callosum and then entering the pyramidal tract. Between a and 6 is a second similar cell, the neurite from which contributes no branch to the corpus callosum. ft, small pyramidal cell giving rise to a commissural neurite ; c, a similar cell, the neurite of which divides into a commissural and an association branch ; d, collateral entering the gray matter of the opposite hemisphere; e, terminal teleneu- rites of a commissural fibre. fibres give off collaterals, which also end in the gray matter, and are accompanied by collaterals from the centrifugal fibres, which likewise end in, and send collaterals to, the gray matter. Fig. 248. Association-fibres of the cerebrum. (R. y Cajal.) The figure represents, diagrammatically, a sagittal section through one of the cerebral hemispheres, a, pyramidal cell, with neu- rite giving off collaterals to, and ending in, the gray matter of the same side ; ft, a similar cell ; c, cell with a branching neurite passing to different parts of the hemisphere; d, teleneurites ; e, terminal collateral twigs. The origin, course, and general distribution of the association- fibres are indicated in Fig. 248. They are so numerous that they THE CENTRAL NERVOUS SYSTEM. 265 form the great bulk of the white substance, where they are inex- tricably interwoven with the other fibres there present. Besides the centripetal neurites of the association and commissural neurons, their collaterals and those of the projection-fibres, the gray matter of the cortex receives terminal neurites from larger fibres that are probably derived from the cerebellum and cord (Fig. 245, E). These give off numerous collaterals and teleneurites, which are distributed to the small pyramidal cells of the second layer, and probably also penetrate into the molecular layer, where they end in numerous teleneurites among the cells of that layer. In the diagrammatic figure 245 the probable course of nervous stimuli to and from the cerebral cortex is indicated. The possi- bilities of transmission within a structure of such marvellous com- plexity are incalculable. The above structural details of the central nervous system are chiefly taken from the publications of Ramon y Cajal. They are the result of researches carried on by the application of the methods devised by Golgi to the nervous structures of the lower vertebrates and embryos. Such details cannot be observed when specimens have been hardened and stained by methods used for the study of other structures. In such specimens the nuclei of the nerve-cells and those of the neuroglia are stained and become prominent. But the multitude of nervous filaments lying between the cells and the processes of the neuroglia-cells are not differentiated, but appear as an indefinite, finely granular material, in which the cell-bodies apparently lie. Where the cells are sparse or small, as in the first layer of the cerebral gray matter, the tissue appears finely molecu- lar. Where the cells are numerous but small, their stained nuclei give the tissue a granular appearance, as, for example, in the second layer of the cerebellar cortex. The brain and spinal cord are invested by a membrane of areolar tissue, called the "pia mater." Extensions of this areolar tissue penetrate the substance of the cord and brain, giving support to bloodvessels and their accompanying lymphatics. This areolar tissue also extends into the ventricles of the brain, where it receives an external covering of epithelium continuous with that lining the ventricles, which is ciliated. Externally, the areolar tissue is con- densed to form a thin superficial layer. CHAPTER XIX. THE ORGANS OF THE SPECIAL SENSES. 1. Touch. — The nervous filaments distributed among the cells of stratified epithelium have already been depicted in Fig. 99. Similar filaments occur in the human epidermis, and it is probable that some of them are the teledendrites of spinal ganglion-cells, while others are centrifugal teleneurites subserving the functions Fig. 249. Fig. 250. a Tactile corpuscles. Fig. 249.— Meissner's corpuscle, from the human corium. iBohm and Davidoff.) a, upper portion, in which the epithelial cells alone are represented. The nuclei of those cells are in the broader peripheral portion of the cytoplasm ; 6, nerve-dendrite coiled about the epithelial cells ; c, nerve-fibre. Fig. 250.— Krause's corpuscle, from the human conjunctiva. (Dogiel.) a, endothelial envelope; b, nucleus of connective-tissue cell within the fibrous capsule ; c, nerve-fibre. of nutrition, etc., or the teledendrons of neurons belonging to other than the spinal system of nerves. Besides these nervous terminations the skin possesses certain bodies, which are called " tactile corpuscles" and "Pacinian bodies." 266 THE ORGANS OF THE SPECIAL SENSES. 267 These arc situated in the corium, the former lying in some of the papillae projecting into the rete mucosnm. The tactile corpuscles are of two forms, differing slightly from each other in structure : first, those of Meissner, and, second, those of Krause. The tactile corpuscles of Meissner (Fig. 249) consist of a group of epithelial cells closely associated with the teledendrites of a nerve-fibre. The cells are closely compacted together to form an ellipsoid body. The nervous dendrite, with its medullary sheath, enters this body at one of its ends, and, after making one or two spiral turns around the mass of epithelial cells, loses its medullary sheath and breaks up into a number of teledendrons, which are dis- tributed among the epithelial cells. The neurilemma and the endoneurium of the fibre are continued over the corpuscle, consti- tuting a species of capsule. The tactile corpuscles of Krause (Fig. 250) possess a capsule composed of delicate fibrous tissue, covered and lined with endo- thelial cells. The dendrite of the nerve-fibre loses its medullary sheath upon penetrating this capsule, and then breaks up into tele- dendrites, that form a complex tangle within the cavity of the cor- puscle. There appear to be no cells among the teledendrites, the interstices being occupied by lymph. These corpuscles are espe- cially abundant in the conjunctivae and the edges of the eyelids, but occur also in the lip, large intestine, posterior surface of the epiglottis, and the glans penis and clitoris. They may receive dendrites from more than one nerve. Those of Meissner are found throughout the skin, being most abundant where the tactile sense is most acute. The Pacinian corpuscles (Fig. 251) are large oval bodies, com- posed of a number of concentric cellular lamellae, surrounding a central, almost cylindrical cavity, and covered externally with a layer of endothelioid cells, which appear to be continuous with the delicate endoneurium of the fibre. The latter enters the corpuscle at one of its ends, soon loses its medullary sheath, and is finally subdivided into a number of teledendrites within the central cavity. The "genital corpuscles" which are found in the glans of the penis and that of the clitoris are similar in structure to the Pacinian corpuscles, but the lamellar envelope of the latter is here reduced to one or two ill-developed lamellae. The nervous impulses inaugurated in the tactile and Pacinian 268 NORMAL HISTOLOGY. corpuscles are probably transmitted to the sensorium in the manner indicated in Fig. 240. Pacinian corpuscles are found in the palms and soles, on the nerves of the joints and periosteum, in the pericardium, and in the pancreas. 2. Taste. — The special organs of taste appear to be the taste- Fig. 251. Pacinian corpuscle, from the mesentery of the cat. (Klein.) a, nerve-fibre; b, concentric capsule. The nature of the cells in this capsule is a matter of doubt ; analogy would suggest their epithelial nature. buds, situated in the walls of the sulci surrounding the circum- vallate papilla? of the tongue (see Fig. 116). The taste-buds are bulb-shaped groups of epithelial and nervous cells, situated within the stratified epithelium lining the sulci. The cells composing these buds are spindle-shaped or tapering, and their ends are grouped together at the base of the bud and converge at its apex, where they occupy a " pore " in the stratified epithelium. The epithelial cells do not appear to be active in the inauguration of nervous impulses, but the more spindle-shaped cells lying among them seem to be endowed with nervous functions. They may, pos- sibly, be regarded as peculiar neurons ; their distal processes, which receive stimuli at the pore, being the dendrite, while the proximal process is the neurite. The latter divides into a number of minute branches, which, from this point of view, might be regarded as tele- neurites. Be this as it may, these branches come into close relations THE ORGANS OF THE SPECIAL SENSES. 209 with the teledendrites of nerve-fibres supplied to the taste-bud (Fig. 252). The stratified epithelium surrounding the taste-buds, as elsewhere, contains teledendrites from sensory nerves. 3. Smell. — The olfactory organ occupies a small area at the top of the nasal vault, and extends for a short distance upon the sep- tum and external wall. Its exposed surface is about equal to that Fig. 252. Diagram of a taste-bud and its nervous supply. (Dogiel.) a, radicle of the gustatory nerve ; b, radicle of a sensory nerve ; c, epithelial cell ; d, nerve-cell. The shaded part of the figure represents the stratified epithelium lining the sulcus of the circumvallate papilla. Only one of the epithelial or supporting cells of the upper bud is represented in the figure ; the others are omitted. The structure of the lower bud is not shown. of a five-cent piece. It is a modified portion of the mucous mem- brane of the nose, which may be divided into this, the olfactory portion, and the general or respiratory portion. The respiratory portion of the nasal mucous membrane is covered with a stratified, columnar, ciliated epithelium, with occasional mucigenous goblet-cells, resting upon a basement-membrane. Be- neath this is the membrana propria, resembling that of the small intestine in being rich in lymphadenoid tissue, which may, here and there, be condensed into solitary follicles. Beneath the membrana propria is a richly vascularized submucous areolar tissue, containing compound tubular glands, the glands of Bowman, which open upon the surface of the mucous membrane. These glands secrete both mucus and a serous fluid. In the olfactory region the columnar epithelial cells are devoid of cilia, but possess a thin cuticle, and the epithelium rests directly upon the lymphadenoid tissue, without the intermediation of a base- ment-membrane (Fig. 253). Between these epithelial cells are the 270 NORMAL HISTOLOGY. nervous colls, which constitute the receptive elements of the olfac- tory nervous tract. These are cells with large nuclei and cylin- drical distal bodies, which terminate at the surface of the epithelial layer in several delicate hairs projecting from the surface (Figs. 254 and 255). The proximal ends of the cells rapidly taper to a delicate Fig. 253. Ba rz- Iffiift 'Wftiiin rin ■»»»«!»» i M' Bb-JJH£ - Bt Vertical section through the olfactory mucous membrane of the human nose. (Brunn.) ez, nuclei of the columnar epithelial cells ; rz, nuclei of the nervous or olfactory cells lying among those of the epithelium ; bz, nuclei of basal pyramidal epithelial cells lying among the branching proximal ends of the columnar epithelial cells and tapering ends of the nervous cells; pz, pigmented cell in the layer of lymphadenoid tissues beneath the epithelium; Ba, duct of a gland of Bowman; Bb, dilated subepithelial portion of the duct, receiving several of the tubular acini, Bt. The connection between the duct and tubes is not shown, n, it, branches of the olfactory nerve ; rz*, atypical nervous cell. filament, which extends through the subepithelial tissue and becomes associated with others to form the olfactory nerve. The distal ends of the nerve-cells represent the dendrites of neurons, the neurites of which form the axis-cylinders in the olfactory nerve. The neurites in the olfactory nerve pass through the cribriform plate of the ethmoid bone to the olfactory bulb of the brain, where THE ORGANS OF THE SPECIAL SENSES. Fig. 254. Ill 271 Epithelial layer of the human olfactory mucous membrane. (Brunn.) Isolated elements. Three epithelial cells, with forked proximal ends, are represented, together with a ner- vous cell bent out of position and the distal end of a second nervous cell. M.l, cuticle of the columnar epithelium, which is not continued over the end of the nervous cell. The cuticle of neighboring cells unites at the edges to form a species of membrane, which appears to be perforated for the exit of the distal ends of the nervous cells. A similar cuticle is found in the retina, where it has received the name " limiting membrane." Fig. 255. Vertical section of the epithelium, showing the arrangements of its elements. The nervous cells, with their neurites, are black. they terminate in teleneurites within little globular structures, called the "glomeruli of the bulb." 272 NORMAL HISTOLOGY. The olfactory bull) may be divided into five layers: first, the layer of peripheral nerves, containing the neurites of the olfactory nerve; second, the layer containing the olfactory glomeruli; third, the molecular layer ; fourth, the layer of the mitral cells ; fifth, the granular layer. The first layer is, as already stated, occupied by the neurites from the nervous cells in the olfactory mucous membrane. These neurites constitute the axis-cylinders of the olfactory nerve. The glomeruli of the second layer are small globular masses formed by the closely associated teleneurites of the olfactory nerves and teledendrites from the mitral cells of the fourth layer, the den- drites from which pass through the third or molecular layer. A few cells of neurogliar nature may be associated with these nervous terminations, but the chief mass of each glomerulus is composed of interwoven teleneurites and teledendrites. The third, or molecular, layer contains small spindle-shaped nerve-cells, which send dendrites to the glomeruli of the second layer and neurites into the granular (fifth) layer, where they turn and take a centripetal direction toward the cerebrum. The fourth layer is characterized by the presence of large tri- angular nerve-cells, the mitral cells, the dendrites from which pass through the molecular layer, to end in teledendrites within the glomeruli. A single mitral cell sends dendrites to more than one glomerulus. The neurites from these cells pass, centripetally, to the olfactory centre of the cerebrum. The fifth, granular, layer contains the centripetal neurites of the mitral cells, and also centrifugal neurites from the cerebrum. The latter are distributed in teleneurites within the granular layer itself. This layer also contains small polygonal nerve-cells of two sorts : first, cells resembling those of the third type represented in Fig. 232, the processes from which are distributed in the granular and molecular layers. They are probably association-cells. Second, cells (Fig. 25(5) with dendrites in the granular layer and teleneurites in the molecular layer. These cells would distribute impulses re- ceived from the centrifugal fibres, which end in the granular layer, among the teledendrites in the molecular layer. The sense of smell, then, is aroused by stimulations of the distal ends of the nervous cells in the olfactory mucous membrane (Fig. 256), which are transmitted to the glomeruli, where they leave the first neuron, being communicated to the second, represented by the THE ORGANS OF THE SPECIAL SENSES. 273 mitral cells and their processes, by which they are conveyed to the cerebral cortex. In its passage through this tract numerous collat- Fig. 256. Diagram of the nervous mechanism of the olfactory apparatus. (R. y Cajal.) a, olfactory portion of the nasal mucous membrane ; b, second or glomerular layer of the olfactory bulb j, at the right edge of the molecular layer, which is dotted. The cells of this layer are omitted, c, fourth layer of the bulb, the layer of the mitral cells, two of which are represented ; e, iiti, cells of the fifth or granular layer ; d, olfactory tract ; g, cerebral cor- tex ; h, neurite from a mitral cell, giving off a collateral to the dendrites of a pyramidal cell in the gray matter of the brain ; /, pyramidal cells of the olfactory tract ; j, collateral from a mitral neurite passing, recurrently, into the molecular layer ; I, centrifugal neurite from the cerebrum. eral and association-tracts may be influenced in a manner too com- plicated to be readily followed. Fig. 257. Diagram of the distribution of the auditory nerve within the mucous membrane of the crista acustica. (Niemack.) The bodies of the hair-cells are dotted. Between them are the cells of Deiters, the nuclei of which are shown below the hair-cells. The nervous fila- ments are distributed between these cells. 4. Hearing. — The acoustic nervous apparatus resembles somewhat that which subserves the sense of touch. The receptive portion consists 18 274 NORMAL HISTOLOGY. of a layer of epithelium containing two sorts of cells: first, ciliated cells, which are somewhat flask-shaped and are called "hair-cells"; second, epithelial cells, the " cells of Deiters," which surround and enclose the hair-cells, except at their free ends, and reach the sur- face of the mucous membrane, where their ends are cuticularized. These cells of Deiters extend from the surface of the membrane to the basement-membrane, while the hair-cells extend only for a por- tion of that distance. The dendrites of the auditory nerve are distributed among these cells, but are not in organic union with them (Fig. 257). In this respect the auditory apparatus differs from the olfactory and resem- bles the tactile. The nervous dendrites are processes of bipolar ganglion-cells situated in the ganglia on the branches of the auditory nerve. The neurites from those cells presumably carry the nervous stimuli to the cerebrum. The bipolar cells are, therefore, analogous to the posterior root ganglion-cells of the spinal nerves. Whether this single neuron carries the nervous stimulus directly to the cere- bral cortex cannot be stated, but it is probable that there is an inter- mediate neuron in the tract of transmission, perhaps in the medulla oblongata. The external auditory meatus is lined with skin containing compara- tively few papilla;. The ceruminous glands which secrete the wax resemble the sweat-glands of the skin. The deep portions of these coiled tubular glands have a rather wider lumen than the sweat-glands and are lined with a single layer of cubical epithelium containing gran- ules of pigmented material and fat destined to become constituents of the cerumen. The ducts of the glands are lined with a double layer of epithelial cells. Muscular fibres are present in the walls of the glands, the arrangement being similar to that in the sweat- glands. The skin extends over the outer surface of the tympanic membrane, but here the corium is very thin and devoid of papillae. The rete Malpighii is also thin. Beneath this skin, but separated by a thin vascularized layer of areolar tissue, is the tympanic mem- brane, consisting of two layers of fibrous tissue, an outer in which the fibres run radially, and an inner composed of circular fibres. The inner covering of the tympanic membrane is a single layer of flattened epithelium resting on a small amount of vascularized areo- lar tissue. The tympanic cavity (middle ear) is also lined with flattened epithelium in a single layer which passes into ciliated epi- thelium near the opening into the Eustachian tube, likewise lined THE ORGANS OF THE SPECIAL SENSES. 275 with ciliated epithelium continuous with that of the nasal cavity into which its other extremity opens. 5. Sight. — The receptive nervous organ of vision is the retina. This has an extremely complicated structure, which may be divided into the following nine layers : 1. The layer of pigmented epithelium, which lies next to the choroid coat of the eye, and is, therefore, the most deeply situated coat of the retina ; 2, the layer of rods and cones ; 3, the external limiting membrane ; 4, the outer granular layer ; 5, the outer molec- ular layer; 6, the inner granular layer; 7, the inner molecular layer ; 8, the ganglionic layer ; 9, the layer of nerve-fibres. Internal to the ninth layer is the internal limiting membrane, which separates the retinal structures from the vitreous humor occupying the cavity of the eyeball. The general character and associations of these layers are shown in Fig. 258. 1. The layer of pigmented epithelium is made up of hexagonal cells, which are separated from each other by a homogeneous cement and form a single continuous layer upon the external sur- face of the retina. They are in contact with the rods and cones of the next layer, and send filamentous prolongations between those structures. The pigment lies within these filamentous processes and the portion of cytoplasm continuous with them, but its position varies with the functional activities of the organ. When the eye has been exposed to light the pigment is found lying deeply between the rods. When the eye has been at rest for some time the pigment is retracted in greater or less degree within the body of the cell. 2. The rods and cones are the terminal structures of cells which extend from the fifth layer to the first. The nuclei of these cells lie within the fourth layer, to which they give a granular appear- ance (Fig. 258). 3. The external limiting membrane is formed by the cuticularized outer ends of certain sustentacular epithelial cells, the " cells of Muller" (Fig. 258, x), which extend from this layer to the in- ternal limiting membrane and serve to support the various elements of the retina. The nuclei of these cells lie in the seventh layer, to the granular character of which they contribute. The portion of the cell which lies in the fourth layer of the retina is indented with numerous oval depressions receiving the nuclei of the cells carrying the rods and cones, which they both support and isolate from each other. The filamentous cell-bodies of those elements 276 NORMA L HISTOLOG Y. are also separated by the cells of Miiller. In the sixth and seventh layers delicate processes from these cells serve a similar purpose, and in the eighth layer their deep extremities fork to give support to the ganglion-cells. Beyond the ninth layer the ends of these forks expand and come in contact with each other at their edges to form the " internal limiting membrane." Fig. 253. VIII. Diagram of the retina. (Kallius.) I., pigmented epithelial layer; II., layer of the rods and cones; III., external limiting membrane; IV., outer granular layer ; V., outer molecular layer; VI., inner granular layer; VII., inner molecular layer; VIII., ganglionic layer; IX., layer of nerve-fibres, z, pigmented epithelial cells; a, at the bottom of the external limiting membrane, rods ; 6, cone cells ; c-h, ganglion-cells of the sixth layer connecting the fourth layer with the eighth; i, horizontal cell sending a process into the seventh layer; k-q, "spongioblasts," or neurons of the third type (Fig. 232); r-w, ganglion-cells of the eighth layer; x, sustentacular cell of Miiller, with striated upper end forming a part of the external limiting membrane; y, y, neuroglia-cells. It should be borne in mind that in sections of the retina numerous elements of the various sorts here rep- resented are crowded together to form a compact tissue. The centrifugal fibres which reach the retina from the cerebrum are omitted from this diagram. They are distributed in the inner granular or sixth layer. The light entering the eye passes through the layers represented in the lower part of this figure before it can affect the rods and cones. 4. The fourth, or outer granular layer contains, as already stated, the nuclei and elongated bodies of the cells that carry the rods and cones of the second layer. The bodies of the former are almost filamentous in character, but expand to enclose the oval nucleus, THE ORGANS OF THE SPECIAL SENSES. 277 which lies at various depths in different cells. The cell-body expands again near the external limiting membrane, through which it passes to form the rod. At the other end the filamentous cell- body terminates in a minute knob in the fifth layer of the retina. The cells which form the cones have nuclei lying near the external limiting membrane and cylindrical bodies terminating in a brush of filaments in the fifth layer. 5. The outer molecular layer, also called the " outer plexiform layer," owes its appearance to a multitude of filaments, part of which have been described as the terminations of the cells bearing the rods and cones, the rest being the terminations of nerve-processes spring- ing from the cells of the sixth layer. 6. The sixth layer has a granular appearance, because of the presence within it of the cells of a great number of short neurons. These are of two sorts : first, those belonging to the first type, rep- resented in Fig. 232, which have dendrites in relation in the fifth layer with the filaments of the cells bearing the rods and cones, and neurites that come into relation in the seventh laver with the den- drites of ganglion-cells lying in the eighth layer ; second, neurons of the third type, shown in Fig. 232, which, in this situation have been called " spongioblasts." These, which we may regard as association-neurons, form two groups : first, those which send Fig. 259. Diagram of the nervous mechanism of vision. (R. y Cajal.) A, retina; B, optic nerve; C, corpus geniculatum. a, cone ; 6, rod ; c, d, bipolar nerve-cells of the outer granular layer ; e, ganglion-cell ; /, centrifugal teleneurites ; g, " spongioblast " ; h, teleneurites from optic nerve ; j, neuron receiving and further transmitting the nervous impulse ; r, cell trans- mitting the centrifugal impression. The courses of nervous impressions are indicated by the arrows. processes into the fifth layer; and, second, these which send their processes into the seventh layer ; but, aside from the neurons in- 278 NORMAL HISTOLOGY. eluded in these two groups, there are certain cells (Fig. 258, i) which send processes into both the fifth and the seventh layers. 7. The seventh, inner molecular or " inner plexiform " layer owes its delicate structure to the fact that it is here that the teleneurites of the cells in the sixth layer come into relations with the teledendrites of the ganglion-cells of the eighth layer. 8. The eighth layer contains those ganglion-cells whose teleden- drites receive impressions from the teleneurites derived from the sixth layer, and send their neurites into the optic nerve. These lieu rites form the chief constituent of the ninth layer of the retina. It will be observed in Fig. 258 that the basal expansions of the cells bearing the cones are mostly in relation with the teledendrites of a single neuron of the sixth layer, and that this neuron is, again, in close relations with the teledendrites of but one ganglion-cell of the eighth layer. This arrangement would not favor a diffusion of the impressions inaugurated in the cones. The arrangement is quite different in the case of the cells bearing the rods. The probable course of nervous impressions to and from the retinal elements is represented in Fig. 259. HISTOLOGICAL TECHNIQUE. CHAPTER XX. PRACTICAL SUGGESTIONS FOR THE CARE AND USE OF THE MICROSCOPE.— MICROSCOPICAL TECHNIQUE. In selecting a microscope the following considerations are of importance : The stand should be supported on three points and rest firmly on the table; have a rack-and-pinion coarse adjustment, and a fine adjustment free from all loss of motion. It is rarely used in an inclined position, and a jointed stand is unnecessary. A triple nose-piece, or revolver, is a great convenience, and an Abbe con- denser with iris-diaphragm is almost indispensable. Three objectives are needed : a Leitz No. 3 or No. 4, No. 7, and Yoth or yV^1 °^ immersion, or their equivalents of other manu- facture, are suitable powers for general use. Two oculars, No. 2 and No. 4, will answer. The microscope should be protected from direct sunlight and acid fumes, and be kept in a dry, moderately cool place. When not in use it should be covered or placed in its case, to protect it from dust. If the lenses become dirty, they may be wiped with a soft, clean cloth or Japanese paper, cither dry or moistened with water, and followed by a dry cloth or paper. Balsam or cedar oil may be removed with a cloth or soft paper moistened with xylol, after which the parts should be carefully wiped dry. In making microchemical tests special care should be taken not to let the reagents come in contact with the objectives. Objects should always be examined in a liquid, unless there is some special reason for examining them in a dry state ; and should be covered with a cover-glass, unless a cursory inspection with a very low power is all that is required. 279 280 HISTOLOGICAL TECHNIQUE. In studying a specimen always use the lowest power that will reveal the structures it is desired to see; and, in any event, use a low power first, to get a general idea of the topography of the specimen. In this way the portions for more minute study can be readily selected, with a great saving of time. The proper illumination of the specimen is just as important as- careful focussing. If the Abbe condenser is in use, employ the plane surface of the mirror during the day ; either the plane or the concave surface when artificial light is used, selecting the surface which causes less glare. The iris-diaphragm should be kept ad- justed so as to give the best definition of the specimen under exam- ination when the latter is in focus. It will be found that when colorless objects are examined a small opening gives the clearest picture, while with colored objects a larger opening is preferable. A small diaphragm serves to bring out the "structure-picture" ; a large diaphragm, the " color-picture " (see p. 284). A bottle of oil of cedar-wood, having approximately the same refractive index as the glass from which the cover-glasses are made, is furnished with the immersion-objectives. When these are used a drop of this oil is placed on the cover, and the end of the objec- tive immersed in this drop. This arrangement permits the light to pass from the object to the bottom lens of the objective without sen- sible refraction, increasing the amount of light entering the objec- tive, the sharpness of definition, and the purity of the color-picture. When the lens has been used the oil should be removed with a soft cloth or Japanese paper. The oil on the cover may be wiped off at once, or it may be allowed to dry and then removed with a cloth moistened with xylol. Microscopical Measurements. — These may be made, with a fair degree of accuracy, by means of an eye-piece micrometer-scale. This is a ruled disc of glass that can be placed upon the diaphragm within the ocular, where its scale should be well defined when seen through the upper lens of the eye-piece. Special micrometer ocu- lars are made which permit of focussing the scale, but these are unnecessary if the diaphragms of the ordinary oculars are in the right places within the eye-piece tubes. The value of the divisions of the eye-piece micrometer-scale must be determined by comparing it with the scale of a micrometer-slide which is placed upon the stage of the microscope. These scales usually consist of 1 mm. divided into hundredths, and the eye-piece scale will have dif- MICROSCOPICAL TECHNIQUE. 281 ferent values for each combination of lenses used and for every variation in the length of the microscope-tube. The unit for micro- scopical measurements is one-thousandth of a millimeter, or one- millionth of a meter; it is called a "micrometer," and is desig- nated by the Greek letter [i. One division of the micrometer-slide mentioned above would, therefore, equal 10 fi. From these data it is possible to calculate the value of each division of the eye-piece micrometer-scale in terms of fi for each combination of lenses, the length of the microscope-tube being fixed. (Most Continental stands and many American stands have graduated tubes, and the objectives are constructed for a standard tube-length of 160 milli- meters.) It is well for the student to get into the habit of estimating the sizes of the objects he examines. A good standard for mental com- parison is the diameter of the unaltered red blood-corpuscle, which, is about 7.5 //. MICROSCOPICAL TECHNIQUE. Useful preparations for study under the microscope may be pre- pared from tissues in one of three ways : 1, simple scrapings of the tissues may be mounted on a slide in the fluids derived from the tissues themselves, or in a neutral solution — e. g., 0.75 per cent, salt solution ; 2, the tissue-elements, cells, and intercellular fibres, etc., may be separated from each other by treatment with some macerat- ing-rluid — e. c/., very weak chromic acid (1 : 10,000), 36 per cent, caustic potash, ^ alcohol ; 3, sections of the tissue may be prepared either while they are fresh, with a razor or a freezing-microtome, or after hardening. The first method has a limited application. It is serviceable onlv when the tissue-elements are so looselv held together that thev readily separate from each other and can be examined in an isolated condition. This is the case with a considerable number of tumors, the superficial tissues of mucous membranes, the spleen, etc. If the inside of the cheek be scraped with the finger-nail, and the material thus removed be diluted with saliva, placed upon a slide, and covered with a cover-glass, the squamous epithelial cells lining the cavity of the mouth will be readily seen in an isolated state. An appropriate dye may now be introduced under the cover, and by its means the nuclei of the cells stained, thus bringing them into clearer view. 282 HISTOLOGICAL TECHNIQUE. When a simple scraping of the natural or freshly cut surface does not yield useful preparations, showing isolated tissue-elements, some process of maceration may be employed. Bits of the tissue are soaked for a time in some solution that serves to soften the cement- substances lying between the elements of the tissues, so that they may be easily separated with needles (teasing). Such specimens are usually best examined when mounted on a slide in some of the macerating-fluid. Many of the macerating-solutions not only favor the separation of the constituents of tissues, but also preserve them, so that a fair idea of their natural size and shape may be obtained from such preparations. It is evident, however, that with this method very little can be learned of their arrangement in the tis- sues before they were separated, and a knowledge of that arrange- ment is often of greater importance in the determination of the character of the tissue than a knowledge of the exact shape and size of the tissue-elements. The third method, that of preparing sections of the tissues, is the one most commonly employed, because it yields the most useful results. The structural elements composing the tissues are seen in their natural relative positions, and can be distinguished from each other and identified by the use of dyes and other reagents that affect them in some characteristic manner. But in order to ob- tain useful sections the tissues must almost always undergo some preliminary treatment with reagents, to give them a proper consist- ency for cutting and to hold the tissue-elements together so that the sections shall not fall apart after they have been cut. This may be accomplished by freezing the tissue before cutting it ; but more satisfactory results are obtained by causing a coagulation of the albuminous substances and subsequently extracting some or all of the water contained in the tissues. These changes in the tissues give them a firmness which favors the preparation of very thin sec- tions ; but sometimes even they are inadequate, and then the tissues are usually impregnated with some substance, like paraffin or col- lodion, which fills the interstices of the tissues and can then be hardened, when it serves to hold the tissue-elements together and retain them in their natural positions. The paraffin or hardened collodion is cut with the tissues and keeps the sections from disinte- grating. Before mounting the section, the substance used for im- pregnation may be removed from the section, or it may be retained MICROSCOPICAL TECHNIQUE. 283 permanently, since it is usually easily recognized in the specimen and does not interfere with its study under the microscope. The study of tissues by means of sections has the disadvantage that the elements of the tissues are cut, and the sections contain the resulting portions as well as complete elements. The incomplete portions lie near and at the surfaces of the sections, where they are in clearest view, while the uncut elements are situated in the body of the section, more or less obscured by the overlying portions that have been cut by the knife. Moreover, the tissue-elements may lie obliquely to the plane of the section, so that only a portion of them can be seen at a time, the rest being brought into clear view only when the focal plane is raised or lowered. These circumstances and the fact that the tissue-elements are frequently closely crowded together make the interpretation of sections a matter of some dif- ficulty in many cases. These difficulties are in a measure overcome by examining sections of different thicknesses, but a more satis- factory way of studying the structure of a tissue is to examine por- tions after maceration as well as in section. The processes of coagulation and dehydration, which have already been mentioned as usual preliminaries to the cutting of sections, deserve a few words in explanation of their purposes. The coagulation of the albuminous substances in the tissues has for its chief aim the preservation of the minute structure of the tissue-elements, so that a lapse of time or the subsequent manipula- tions of the tissues shall not cause an alteration in the details which it is desired to study. If this precaution be omitted, the tissues undergo post-mortem changes which seriously alter the appear- ance of the elements of which they are composed. Coagulation brought about for this purpose is called " fixation " of the tissues. It may be induced in a variety of ways : the tissues may be sub- jected to heat for a few moments, thus rendering the albumins they contain both solid and insoluble ; but the more usual procedure is to immerse the tissues in a solution of some substance that causes rapid death with coagulation. These solutions are called fixing- solutions, and not infrequently the substances they contain not only cause death and coagulation, but also form a union with some of the structural materials of the tissues which may facilitate their subsequent recognition. The number of formulae that have been devised for the prepara- tion of fixing-solutions is very great, and some of the solutions are 284 HISTOLOGICAL TECHNIQUE. better for the fixation of some tissues than for others. As a ruley those solutions that most perfectly preserve the finer intracellular details of structure have very little power of penetrating masses of tissue. They can, therefore, only be employed when very small bits of tissue are to be fixed. Other fixing-solutions penetrate much better, but fail to fix the most delicate structures, which may undergo changes before they are preserved. It follows that the choice of the method of fixation must in each case depend upon the object to be attained. The removal of water from the fixed tissues is accomplished by means of alcohol. The fixing-agents are nearly all aqueous solu- tions, and while they increase the consistency of the tissues to a certain extent, they do not usually render them sufficiently firm for the preparation of thin and uniform sections. If the water in the tissues be replaced by alcohol, a greater and more uniform con- sistency is obtained, and the tissues are also partly prepared for impregnation with an embedding-material (collodion or paraffin) should that be necessary for section-cutting. After sections of fixed tissues have been obtained they usually require staining before they can be profitably studied. The chief reason for this will appear in the following explanation : When a specimen is examined under the microscope differences in structure among the colorless elements of the specimen may be seen, or differences in color between the different elements may be perceptible. We may, then, distinguish between a "structure- picture," due to differences that are not those of color, and a " color- picture," due solely to such differences. The manner in which the latter is produced is, perhaps, self-evident. The structure-picture is the result mainly of differences in refraction due to the various densities of different parts of the specimen. But the processes of fixation and hardening have for their purpose the rendering of the tissues of a relatively uniform density. They must, in consequence, tend to obliterate the details of the structure-picture which the sections yield when viewed under the microscope. For this reason the sections are stained, which converts the structure-picture into a color-picture. The substances composing the tissues have various affinities for dyes, and it is possible to take advantage of this in staining sec- tion-, so that structures of the same nature shall receive one color, while those of different composition shall be dyed of a different METHODS OF FIX. I HON. 285 hue or an entirely different color. The coloring-matters, when so •employed, not only bring out the structure of the tissue by creating a color-picture, but they also serve as valuable reagents in revealing the nature of the substances to which they impart a color. Again, it is often necessary that a certain method of fixation or other pre- liminary treatment should be used before the particular dye selected can display its greatest selective power for a particular substance. These facts explain the great number of formulae for stains and the preparation of specimens that are found in the technical text-books and journals. The subject has become so expanded within recent years that it has almost created a distinct branch of learning ; but it will only be necessary for the student of medicine to acquire a knowledge of a few methods that will serve to reveal the general structure of cells and the characters of the intercellular substances. The general outline of the procedures in common use for this pur- pose are as follows: 1, fixation; 2, hardening; 3, impregnation; 4, embedding ; 5, cutting ; 6, staining ; 7, dehydration ; 8, clearing ; 9, mounting. Some methods of preparation combine one or more of these steps in a single manipulation, thus considerably reducing the time requi- site for the completion of the process. Other methods necessitate the intercalation of still other manipulations, or the subdivision •of those already enumerated. Methods of Fixation. 1. Miiller's Fluid. — This classic fixing- and hardening-solution con- sists of potassium bichromate, 2.5 per cent., and sodium sulphate, 1 per cent., dissolved in water (preferably distilled water). It is slow in action, requiring from six to eight weeks for the preservation of an average specimen, but with proper care can be made to yield excellent results when the finer details of structure are not to be studied. It is important to use large quantities of the fluid, at least ten times the volume of the tissues immersed in it, and to renew the fluid so frequently that its strength shall be constantly maintained. When fresh tissues are placed in Miiller's fluid they speedily render it cloudy. This is a sign that the fluid should be renewed, even if only an hour has elapsed since the tissues were placed in it. When cloudiness no longer appears the fluid should he renewed once a dav for the first two weeks : after that, two or three times a week till the process is completed. 286 HISTOLOGICAL TECHNIQUE. After fixation in Mailer's fluid specimens should be washed in running water over night, or for twenty-four hours, and then hard- ened in alcohols of progressively greater strengths. While in the weaker alcohols specimens should be kept in the dark, to avoid the formation of precipitates, which occur under the influence of light. Pieces of tissue placed in Midler's fluid should not be more than 1 cm. in thickness. Two excellent modifications of Midler's fluid have been devised by Zenker and Orth for the purpose of hastening the fixation and of securing a more faithful preservation of structural detail. 2. Zenker's Fluid. — Potassium bichromate, 2.5 grams Sodium sulphate, 1 gram. Mercuric chloride, 5 grams Distilled water, 100 cc. To this stock solution 5 per cent, of glacial acetic acid is to be added just before use of the fluid. Zenker's fluid fixes tissues in from three to twenty-four hours. The pieces should not be more than 5 mm. thick, and after fixa- tion should be washed for several hours in running water and then hardened in alcohol. This solution possesses the disadvantage that a precipitation of mercury or some mercurial compound is likely to take place within the tissues. This deposit may be, at least in great measure, removed from the tissues by adding a little tincture of iodine to the harden- ing-alcohols. The iodine combines with the mercury and produces a soluble compound, which is dissolved out by the alcohol. As the iodine disappears from the alcohol the latter becomes bleached, and fresh tincture must be added until the alcohol remains permanently tinged. If, after sections of the tissue have been prepared, they are found to contain a mercurial deposit, this can be removed by treatment with dilute iodine tincture or with Lugol's solution. 3. Orth's Fluid.— Potassium bichromate, 2.5 grams. Sodium sulphate, 1 gram. Distilled water, 100 cc. This stock solution is Miiller's fluid. Before use, 10 cc. of for- METHODS OF FIXATION. 287 maldehyde (4CT per cent.) is to be added to every 100 cc. of the Miiller's fluid. Orth's fluid fixes in three or four days. The pieces of tissue should not be more than 1 cm. thick. The time for fixation can be shortened if smaller pieces are used and the process is carried on at a slightly elevated temperature ; e. (/., in an incubator kept at 37° C. (98.6° F.). After fixation the specimens should be washed in running water, as in the previous methods. 4. Mercuric Chloride Solution. — A saturated solution of corrosive sublimate in 0.5 per cent, salt solution is prepared by heating an excess of sublimate crystals in the salt solution and allowing the mixture to cool. The clear fluid is decanted from the crystals when desired for use. The penetration and action of the solution are favored by the addition of 5 per cent, of glacial acetic acid at the time of using. The thickness of the pieces of tissue should not exceed 5 mm., and much thinner pieces are better. Fixation takes place within six hours, after which the tissues may be washed in running water, or placed at once in 70 per cent, alcohol. If acetic acid has been used, it is best to wash in water before immersing in alcohol. Tincture of iodine should be added to the alcohol for the reasons given in the description of Zenker's fluid. 5. Formaldehyde. — This gas is capable of being absorbed by water to form a 40 per cent, solution, but its volatility renders such a solution liable to deterioration. The strength employed for fixa- tion is usually 4 per cent., and may be prepared by adding 10 cc. of 40 per cent, formaldehyde to 90 cc. of distilled water. A 0.75 per cent, solution of common salt may be substituted for the distilled water with possible advantage and the addition of about 2 per cent, of acetic acid is also advantageous. Formaldehyde penetrates deeply and quickly into the tissues, which may be 1 cm. in thickness, and accomplishes fixation within twenty-four hours, but the preservation of structural detail is not very perfect. The solution is useful where the general characters of the tissues are to be determined and the details of the cells are of comparatively little consequence. After fixation the tissues may be washed in water, or placed directly in 70 per cent, alcohol ; or frozen sections may be at once prepared. Satisfactory sections may be obtained from small pieces of tissue if they are put in the for- maldehyde solution for an hour or two and then cut with the freezing- microtome. After they have been washed for a short time in water they may be stained by any of the more usual methods. 288 HISTOLOGICAL TECHNIQUE. (j. Flemming's Solution. — Tins is a solution containing osniic acid, chromic acid, and acetic acid. It does not keep well, and it is best to prepare it just before it is to be used. For this purpose the following stock solutions may be kept on hand : A. 2 per cent, solution of osmic acid in 1 per cent, chromic acid. B. 1 per cent, solution of chromic acid in distilled water. Osmic acid mav be bought in sealed tubes containing either i or 1 gram. To prepare the stock solution " A," the tube should be washed on the outside and a deep file-scratch made near its centre. It should then be broken into a bottle containing 50 cc. of a 1 per cent, solution of chromic aid in distilled water. The halves of the tube should be dropped into the bottle and its contents shaken at intervals until solution is effected. This solution had best be kept in the dark to avoid decomposition of the osmic acid. When required for use, prepare the Flemming's solution by mixing : Solution " A," 4 cc. Solution " B," 15 " Glacial acetic acid, 1 " Flemming's solution is especially useful for fixing the finer details of structure within the cell. It was devised for the preservation of the mitotic figures formed during karyokinesis, but its range of usefulness far exceeds that limited application. Its power of pene- tration is very slight and the pieces of tissue selected for fixation must be small. They should not exceed 2 mm. in their least measurement, and thinner pieces are apt to give better results. Owing to the presence of osmic acid, Flemming's solution stains fat a dark-brown or black color, and may be used as a reagent for the identification of fatty substances. Tissues should be left in Flemming's solution for about twenty- four hours, though twice that length of time would cause little if any harm. They must then be thoroughly washed in running water for twenty-four hours or longer, and hardened in alcohol. Since Flemming's solution is usually employed for the study of the individual cells, it is desirable to prepare very thin sections of the tissues that have been hardened in it. For this purpose embedding in paraffin is the best method. The foregoing fixing solutions will meet most of the requirements of the practitioner of medicine, but it frequently happens that he METHODS OF FIXATION. 289 would like to obtain speedy results from a microscopical examina- tion without running the risk of loss of material or of poor results. When this is the ease he may use absolute alcohol as a fixing-agent, thus taking advantage also of its ability to harden tissues and tit them for rapid embedding in eollodion or paraffin. 7. Absolute Alcohol. — If fresh tissues are placed in strong alcohol, say 95 per cent., they are hardened ; but during the process there is an opportunity for the albuminous fluids in the tissues to escape to a certain extent, and for shrinkage to take place in consequence. If absolute alcohol be employed, it causes such rapid coagulation that this leaching of the tissues does not take place. It is neces- sary, however, that the alcohol should remain of nearly its original strength, otherwise the water in the tissues will dilute it sufficiently to destroy this coagulating action. An excellent means for maintaining the strength of the alcohol is to keep a layer of anhydrous sulphate of copper in the bottom of the vessel. Crystals of cupric sulphate have a deep-blue color and contain 36 per cent, of water of crystallization which can be removed by heat ; the anhydrous salt has a dirty white color. Both the anhydrous and the hydrated salt are insoluble in alcohol. If, then, crystals of cupric sulphate are heated in an oven until the blue color disappears, and the resulting anhydrous salt is brought in contact with alcohol, any water which the latter may contain will be removed. When the sulphate has become hydrated, its deep-blue color will be restored. It may then be removed and the water again expelled by heat. Care should be taken to allow any finely divided sulphate to settle completely to the bottom of the jar before the supernatant alcohol is used, lest particles come in contact with the tissues im- mersed in the alcohol. Take a small jar with a tightly fitting cover (a museum jar, holding six or eight ounces, will answer). Place the anhydrous cupric sulphate in the bottom and then nearly fill with absolute alcohol. When all the sulphate has settled, a few pieces of crumpled filter-paper are placed upon it and overlaid with a smooth piece placed so as to slant a little. The latter should lie near the surface of the alcohol, but be wholly submerged. Small pieces of the tissue to be fixed are placed upon the filter-paper where they will be covered by the alcohol. The alcohol immediately coagulates the albuminous substances on the surface of the pieces and then gradually replaces the water in the specimen, coagulating the deeper- seated albumins as it penetrates the tissues. The expelled water 19 290 NORMAL HISTOLOGY. sinks to the bottom of the jar owing to its greater specific gravity, and is at once taken up by the copper sulphate.1 It will be seen that this method not only fixes the tissues, but also quickly dehydrates them. The real dehydrating-agent is, however, the cupric sulphate, the alcohol serving merely as a vehicle for conveying the water from the specimen to that salt. If the pieces of tissue are small, not over 5 mm. thick, they will be hardened by remaining in the absolute alcohol over night, and mounted sections may be ready for examination by the next afternoon. 8. Fixation by Boiling. — Throw small pieces of the tissue, not larger than 1 cm., into boiling 0.75 per cent, salt solution. Keep them at the temperature of boiling for two minutes. Then throw them into cold water. They may then be cut with the freezing- microtome, or may be placed in 70 per cent, alcohol for hardening. This method is excellent for the detection of albuminous exudates within the tissues, but it causes so much shrinkage that it is not useful for general purposes. Reference to the literature reveals a great number of formulae for fixing solutions. These formulae are nearly all empirical, and not based on any clearly defined knowledge of the utility of the various ingredients. Of late years there has been a growing tendency to use acetic acid in the preparation of these fluids, and the mode of action of their different constituents has received careful attention. It appears that acetic acid may be useful in two wrays : first, by virtue of its rapid penetration ; and, second, because it renders the proteid substances in the tissues coagulable by other constituents of the fix- ing solution — e.g., potassium bichromate, which, in neutral mixtures, does not of itself coagulate these substances. If these conclusions be correct, the addition of acetic acid to Muller's fluid should make it a more valuable fixing solution, and its action would then be as follows : the acetic acid penetrates rapidly and kills the cells ; it also renders the proteids coagulable by the bichromate of potassium. The latter salt penetrates but slowly, and at first acts in very slight concentra- tion, not sufficient to cause gross coagulation, but nevertheless enters into a combination with the proteids which, as the process goes on, 1 A jar of absolute alcohol, prepared as above, may be used for the purposes of fixing or hardening until the sulphate of copper has become of a deep-blue color, or the alcohol so impregnated with dissolved fat that the latter interferes with embedding in celloidin. When the latter is the case, the hardened celloidin is opaque or opalescent. METHODS OF HARDENING. 291 renders them insoluble. Similar events occur when Flemming's solution is used for fixation, but here the osmic acid also enters into some form of combination with the proteids and fats. It is not unlikely that Orth's fluid owes its value in part to the formic acid which formalin contains as the result of oxidation of the formalde- hyde ; this acid having an action similar to that of acetic acid. These recent analyses of the action of fixing solutions tend to render many of the old formulae superfluous. Probably, all that is desirable may be obtained by the use of three fixing solutions : first, Flem- ming's solution, which fixes admirably, but penetrates with difficulty owing to the slow diffusion of the osmic acid, and renders the tissues relatively refractory to dyes ; second, a formula containing potassium bichromate or corrosive sublimate and acetic acid, such as Zenker's fluid, which penetrates well and leaves the tissues in a condition favorable for staining ; third, diluted formalin to which about 5 per cent, of acetic acid has been added. This solution penetrates rela- tively larger pieces of tissue readily and does not weaken their affinity for dyes, but the fixation of the tissue elements is less perfect owing to the comparatively slight coagulating action of the formalin. Methods of Hardening-. Solutions of chromates, as Muller's fluid, will, after a time, con- fer a pretty firm consistency upon tissues, and even render them brittle. Tissues fixed in corrosive sublimate are also very much hardened. But the usual practice is to harden specimens in alcohol after fixation. To obtain the best results this hardening should be done gradually, since immersion in strong alcohol is apt to produce undesirable shrinkage, affecting the various tissue-elements in dif- ferent degree. Seventy per cent, alcohol (736 cc. 95 per cent, alcohol to 264 cc. water) is weak enough to begin with. After the tissues have been in alcohol of that strength for twenty-four to forty-eight hours, accord- ing to the size of the pieces, they are placed in 80 per cent, alcohol (842 cc. 95 per cent, alcohol to 158 cc. water) for an equal length of time, and then in 95 per cent, alcohol. From the 95 per cent, alcohol thev are placed in absolute alcohol, if it be desired to embed them in either collodion or paraffin. If they are not intended for immediate use, they may be kept indefinitely in 80 per cent, alcohol. During the hardening it is best not to allow the tissues to rest on the bottom of the vessel containing the alcohol, as they are 292 NORMAL HISTOLOGY. liable to slight maceration in the alcohol, diluted with water from the specimen. They can be kept off the bottom by means of a little crumpled filter-paper. Specimens that have been fixed in a chromatic solution should be kept in the dark while being hard- ened ; those that have been fixed in corrosive sublimate should be hardened in alcohols to which a little tincture of iodine (sufficient to give them a sherry color) has been added. When absolute alcohol is used, its strength should be maintained by contact with quick- lime (see directions for fixing tissues in absolute alcohol). Methods of Impregnation. When tissues are so porous or friable that sections are likely to tear or disintegrate it is desirable to impregnate them with some embedding-material. The most useful substances for this purpose are collodion, or celloidin, and paraffin. Whichever of these is used, it is necessary to remove the water from the specimen before the impregnation can be accomplished, for both collodion and paraffin are insoluble in water. Tissues that have been hardened in alcohol are to a certain extent already dehydrated. The residual water may be removed or reduced to a trace by treatment with absolute alcohol, in which collodion is soluble. The "celloidin" manufactured by Sobering is an excellent prep- aration of gun-cotton, but almost equally good results may be obtained by using the more economical soluble cottons employed by photographers. Two solutions in a mixture of equal volumes of ether and absolute alcohol (both, if possible, of Squibb's prepara- tion) should be kept in stock : one, a weaker solution, having about the consistency of thin mucilage ; the other, a stronger solution, resembling a syrup. Collodion is soluble in absolute alcohol, so that tissues containing only that fluid are ready for impregnation without further prelim- inary treatment. When thorough impregnation is desired the tissues should be immersed in equal parts of ether and absolute alcohol for a few days, and then in the weaker solution of celloidin or collodion for a number of days or weeks — the longer the better;1 but such complete impregnation is often unnecessary, and soaking for a day or two will often suffice if the sections to be made need not be very thin. It is not possible, in any event, to make very thin sections 1 Impregnation may be greatly hastened if done at the body-temperature in a hermetically closed vessel. METHODS OF IMPREGNATION. 293 from tissues embedded in colloidin ; but sections of large area may be obtained, which is often of greater importance. For very thin sections it is better to use paraffin for the embedding-material, although the resulting sections will have to be smaller. Paraffin is insoluble in alcohol of all strengths. It is therefore necessary to remove the absolute alcohol from the tissues before they can be impregnated with paraffin. This may be done by immersing the tissues in some liquid that is a solvent for paraffin and is also miscible with alcohol. For this purpose, xylol, chloro- form, or oil of cedar-wood may be used. Xylol yields the most rapid results, but its use is contraindicated when it is desired to retain fatty substances that have been colored with osmic acid, as the xylol extracts them. If their preservation within the tissues is important, chloroform should be used ; but the sojourn even in that liquid should be as short as possible. Oil of cedar-wood prob- ably causes less change in tissues than chloroform, but the method is more protracted, and, requiring longer treatment in the paraffin- oven, probably has little ultimate advantage over chloroform for general purposes. If xylol is used, the tissues are transferred from the absolute alcohol to xylol, on which they at first float. Subsequently they sink, and are gradually rendered transparent as the alcohol is expelled by the xylol. When there are no opacities left the speci- men is ready for the paraffin-oven. These changes take from two to twenty-four hours. The treatment with chloroform is similar to that with xylol, but after the tissues have been cleared in chloroform (six to twenty-four hours) they are immersed in a saturated solution of paraffin in chloroform for about the same length of time. They are then ready for the paraffin-oven. When oil of cedar-wood is used the pieces should be soaked in two successive portions of the oil, about twelve hours in each, to insure removal of the alcohol. The foregoing steps are all preliminary to the actual impregnation with paraffin. It is important that the paraffin used for impregnation and embedding should have a wax-like, and not a crystalline, texture, and that its melting-point should be such that its consistency will be favorable for cutting at the average temperature of the labora- tory. Griibler, of Leipzig, furnishes excellent qualities of paraffin. 294 NORMAL HISTOLOGY. For a room-temperature of 20° C. (68° Fah.) a variety melting at 50° C. (122° Fah.) will give good results. If the laboratory is warmer, a paraffin of* higher melting-point should be used. Impregnation is accomplished by placing the bits of tissue in a bath of melted paraffin maintained at a temperature only slightly above that of fusion, say 52° C. (125.6° Fah.), if the paraffin melts at 50° C. (122° Fah.). This may be accomplished in a water- jacketed oven provided with a thermoregulatory or upon a plate of brass or copper, resting on a tripod and heated at one end by a burner. When the latter method is employed the paraffin is melted in a little glass dish, which is moved along the plate until a point is found at which the paraffin remains melted at the bottom, but is covered at the edges of the surface with a thin layer of congealed paraffin. The length of time that the specimens should remain in the melted paraffin will vary with the character of the tissues and the method of getting rid of the alcohol which has been employed. It should not be protracted longer than necessary for complete impreg- nation, as heat is injurious to the tissues. When xylol has been used two hours will usually suffice, especially if the pieces of tissue are transferred to a fresh paraffin-bath after about an hour. This renewal of the paraffin is still more important if oil of cedar- wood has been used. Chloroform requires about the same time as xylol, and the tissues should be transferred to fresh paraffin once or twice. When impregnation has taken place and the final bath of paraffin no longer has the slightest odor of the clearing-agent, the pieces of tissue are removed from the bath with warmed forceps and are ready for immediate embedding (vide infra), or may be placed on smooth writing-paper, to which they adhere. A designation of the specimen may be written on these papers, and the tissues kept in this condition until required for cutting. They then are embedded. Methods of Embedding1. The object of embedding is to surround the piece of tissue from which sections are to be cut with a mass of the embedding-sub- stance, which then not only supports the tissue when it comes in contact with the knife, but also affixes it to a block or other support which can be fitted into the clamp of the microtome. Microtomes designed for cutting paraffin usually have special METHODS OF EMBEDDING. 295 supports for the embedded specimen, but blocks of hard wood may be used in their place. For the support of tissues embedded in collodion blocks of plate- glass are probably both better and cheaper than those made of other materials. They may be easily prepared from waste pieces of plate- glass, about a quarter of an inch thick, and " obscured " or ground on one surface. The glass may be cut into blocks of any desired size by scoring the smooth side with a diamond and then splitting the pieces apart with a sharp blow from a wedge-shaped hammer. The em- bedded specimen is affixed to the rough surface of these blocks by means of collodion, and the blocks may be numbered with a lead pencil upon the rough surface. The writing will be preserved from obliteration by the specimen subsequently placed upon it, and can be read through the glass. 1. Embedding in Collodion (or Celloidin). — Tissues of firm con- sistency and moderately uniform structure, such as liver, kid- ney, and the majority of tumors which have been hardened, may be embedded without previous impregnation. Before this can be done, however, they must be either dehydrated with abso- lute alcohol, or soaked for a few hours in a mixture of equal volumes of ether and alcohol (95 per cent, alcohol will answer, if absolute alcohol is not to be had). For this rapid method the bottom of the piece of tissue must be flat and parallel to the plane of the desired sections. When the necessary trimming of the speci- men is completed moisten it with absolute alcohol or the ether- alcohol mixture, then dip it in the thick solution of gun-cotton and place it at once upon the ground surface of the glass block (pre- viously labelled). In a few minutes the collodion will have evap- orated sufficiently for the formation of a distinct pellicle upon its surface. When this has become firm enough to withstand gentle pressure immerse the block and specimen in several times their vol- ume of 80 per cent, alcohol. This will harden the collodion, and in the course of a few hours the specimen will be ready for cutting. Tissues impregnated with collodion had best be embedded by a slower process than the foregoing, although that method will answer where only a slight support of the tissue-elements within the speci- men is needed. A gradual concentration of the collodion within the tissues may be brought about in the following manner : Smear the inside of a small, straight-sided glass dish with a trace of glycerin and then fill it with enough moderately thick collodion 296 NORMAL HISTOLOGY. to cover the pieces of tissue with a layer about one-quarter of an inch deep. Now place the specimens that have been in thin collo- dion in the dish, with the surfaces from which sections are to be cut resting on the bottom. Place the dish in a larger vessel with higher sides and loosely cover the latter. The ether and alcohol in the collodion will gradually evaporate, and their vapors will first fill the outer vessel and then overflow its sides. The depth of the outer vessel keeps these vapors in contact with the surface of the collo- dion, preventing the formation of a pellicle, which would retard evaporation and also favor the formation of bubbles in the collo- dion. After an interval of one or more days the collodion will have a gelatinous consistency. It should be allowed to become so hard that it has considerable firmness, but is still soft enough to receive an impression of the ridges in the skin when pressed with the finger. The outer vessel is then partly filled with 80 per cent, alcohol so that the whole of the inner dish is submerged. By the next day the collodion will be hard enough for removal from the dish. With a small scalpel, held vertically, divide the hardened mass of collodion into portions, each of which contains one of the pieces of tissue (for several pieces may be embedded in the same dish, provided care be taken to preserve their identity). Remove the pieces and trim down the collodion around the speci- mens, leaving a margin of about an eighth of an inch. Trim the top surfaces of the collodion parallel with the bottom surfaces, then dip the trimmed surface into a little absolute alcohol contained in a watch-glass, in order to dehydrate it. This will take about two minutes. Label glass blocks with lead-pencil, place a drop of thick collodion on the writing, and transfer the embedded specimens immediately from the absolute alcohol to the drop of collodion, pressing it into contact with the glass. When a good pellicle has formed on the collodion drop the whole block into 80 per cent, alcohol. If the block of hardened collodion containing the speci- men be sufficiently dehydrated on the surfaces coming in contact with the drop of collodion, and the latter have not time for the formation of a pellicle before it receives the block, there will be no difficulty in cementing the embedded specimen to the roughened surface of the glass. It is best not to cut sections until the day after the specimen has been affixed to the glass block. These blocks, with attached specimens, may be preserved indefinitely in 80 per cent, alcohol. METHODS OF EMBEDDING. 297 The thin coating of glycerin on the inside of the embedding-dish serves the purpose of preventing the collodion from sticking to the glass. 2. Embedding in Paraffin. — The specimen should first be trimmed so as to have one surface parallel to the plane of the future sections. This trimming had best be done before the specimen is placed in the first paraffin bath. When specimens are to be embedded directly from the paraffin bath, the simplest method is to employ a small box made from rather heavy writing-paper by folding it in the follow- ing way (Fig. 260) : Suppose the box is to be 2 inches long, 1 inch Fig. 260. (3) r ■ I \ \ \ \ \ N \ X \ \ N \ (4) A B y / / / / / / / / / / / / / / / / / / / s / / / / \ \ \ \ \ \ \ \ \ \ \ \ \ \ \, \ / / s / / / / / (3) C D The upper half of the diagram represents the creases in the paper which are produced by folding; the lower half shows the last fold on the right and the next to the last on the left. The bottom of the box is the rectangle A, B, C, D. wide and £ inch deep. Cut a piece of paper 2^- inches wide (= width of box + twice its depth) and 4^- inches long (= length of box + twice its depth + 1 inch to allow ^ inch fold at each end). Crease the paper, longitudinally, f inch from and parallel to the edge by folding and pressure (folds 1-C and 1-D). Then open these 298 NORMAL HISTOLOGY. folds and flatten the paper again. Next, make a transverse fold 11 inch from one end of the paper (folds 2-2, also partly represented by C-D), and then fold in the corners so that the creases make angles of 45 degrees with the edges of the paper (folds 3-C and 3-D). When this has been done, make the fold 4 by turning down the free edge of the paper so as to keep the corners in place. Treat the other end of the paper in the same way. The folded edge 4 and its counterpart (4) can now be drawn apart and, after a little manipula- tion, the box will assume its final shape. This box is nearly filled with melted paraffin kept fluid by placing the box on top of the paraffin oven. The bits of tissue are placed in the paraffin with the surfaces from which sections are to be made resting upon the bottom of the box. The pieces of tissue should not touch the sides of the box. During these manipulations the forceps should be kept warm enough to keep the paraffin melted. When the tissues are in proper position the box is floated on cold water, which rapidly chills the paraffin. When cold, the paper can usually be readily stripped from the block of paraffin. If there is any difficulty due to a softening of the paper by water, drying will restore a sufficient firmness to the paper. It is important that the paraffin should cool rapidly, and that enough should be originally placed in the box more than to cover the specimens completely, as some shrinkage takes place on cooling. If more than one specimen is embedded in the same box, they should be well separated from each other, so that irregular cleavages of the paraffin when it is subdivided may not bring the surfaces of the individual blocks too near the embedded specimen. A little study of the method of folding paper to make boxes will enable the reader to make a box of any desired dimensions. If the specimens to be embedded have previously been impreg- nated with paraffin and then preserved on pieces of paper as described above, any excess of paraffin upon the specimen may be removed by placing it on a piece of filter-paper and warming it gently until the superfluous paraffin is absorbed by the paper. The trimmed surface is then laid upon a small glass plate that has been smeared with a mere trace of glycerin, and metallic right-angles, similarly smeared on the inside, are placed around the specimen in such a way as to form a box with a clear space at least an eighth of an inch broad between its sides and the specimen. Melted paraffin, at a temperature only slightly exceeding that necessary to keep it fluid, is then poured into the box, filling it. The paraffin should now be made to cool METHODS OF CUTTING. 299 as rapidly as possible, in order to prevent its becoming crystalline. For this reason it is well to prepare the box formed by the plate of glass and the metallic right-angles in the bottom of a deep soup- plate or some similar vessel. After the box has been filled with melted paraffin cold water may be poured into the plate until its surface is nearly on a level with the top of the box, and when the top of the paraffin has congealed the plate may be filled with cold water. After a few minutes the box may be taken apart and the block of paraffin left in the water to become cold. These paraffin-blocks may be labelled with a needle and kept indefinitely in the dry condition, at a temperature below that at which the paraffin softens. When they are to be used the bottom of the block should be trimmed parallel with the top, sufficient paraffin being removed to obliterate the hollow which formed when the paraffin solidified. This trimmed surface is then made to ad- here to the paraffin-support of the microtome, or a block of hard wood, by means of a heated scalpel. It often happens that little air-bubbles are present in the paraffin close to the specimen, or that cracks exist between the specimen and the surrounding paraffin, owing to the retention of a little air at the time of embedding. These defects can be remedied by melt- ing the paraffin with a heated needle. It is important that the paraffin should everywhere be in perfect contact with the specimen. When this repairing, if necessary, has been done and the paraffin has become cold again, the block should be trimmed so that the specimen, or at least its upper part, is contained in a little cubical mass resting on the main block, with a margin of paraffin, about 1 mm. thick at the places where the edges of the cube are nearest to the specimen. Those edges should be straight and at right angles to each other, and the sides of the trimmed cube should be vertical. In trimming the block only thin slices should be removed at a time, in order to avoid cracking the paraffin forming the small cubical mass enclosing the specimen. These manipulations prepare the specimen for cutting. Methods of Cutting. It is possible to obtain useful sections from fresh or hardened tissues by free-hand cutting with a sharp razor; for this purpose the razor should either be very hollow ground, so as to have a thin blade, or the lower surface should be ground flat. In stropping 300 NORMAL HISTOLOGY. the razor, or microtome-knife, the stroke should be from point to heel during both the forward and return motions. In cutting, the edge should be used from heel to point, and this same motion should be used in honing. A wire arrangement is usually furnished with microtome-knives, which is intended for use while honing or stropping. It serves to raise the back of the knife when the flat side is sharpened, and should always be employed. Care must be taken not to press the knife against the strop, as this is liable to turn or blunt the edge. A few light strokes on the strop immedi- ately after each day's use will keep the knife sharp and coat it with a little grease, protecting it from rust. A microtome-knife should never be allowed to rest with its edge on any hard surface ; the mere weight of the knife is sufficient to spoil its edge. In cutting free-hand sections of fresh tissues the upper surface of the razor should be kept flooded with normal (0.75 per cent.) salt solution. The sections float in this fluid and are kept from tearing. Each section should be removed by a single stroke of the razor. When hardened specimens are cut, 80 per cent, alcohol should be used instead of salt solution. Free-hand sections cannot be made either so thin or uniform as- sertions prepared with a microtome, and these instruments are now so cheap that they are universally used. There are three principal forms: 1, freezing-microtomes ; 2, paraffin-microtomes; 3, micro- tomes for cutting sections of tissues embedded in collodion. The last are often fitted with attachments intended for use in cutting frozen sections, and can also be used for paraffin. But the best results are obtained by using instruments especially designed for each purpose. 1. Frozen Sections. — Freezing is usually employed when sections of fresh tissues are to be made, but hardened tissues may be cut with a freezing-microtome if the alcohol be first removed by soaking for a considerable time in water. The tissue may be placed upon the plate of the microtome in a little water or neutral salt solution ; but a better method is first to soak the tissue in a syrupy solution of gum-arabic, and to moisten the plate with the same before freezing. This solution freezes in less coarsely crystalline form than water or salt solution. When the tissues are frozen, thin sections are removed Avith a quick forward and slightly oblique stroke of the knife. The motion is intermediate between that of a plane and a single stroke of a saw. METHODS OF CUTTING. .'JOl The sections are floated from the knife in a dish of water or normal salt solution ; or they may be fixed in a 4 per cent, solution of for- maldehyde. The frozen tissue must not be too hard. Should that be the case, the upper surface may be moistened by means of a camel's-hair brush, dipped in water or salt solution, or warmed with the breath. 2. Collodion-sections. — The block upon which the embedded speci- men is fastened is secured in the clamp of the microtome in such a position that the sections will be made in the desired plane. The knife is then adjusted on its carrier in an oblique position, so that the greatest possible length of its edge will be utilized in cut- ting. The upper surface of the knife is flooded with 80 per cent, alcohol, and slices are removed with the knife until the desired level of the specimen has been reached. Sections are then made as thin as is compatible with obtaining complete sections from the whole surface. The sections float in the 80 per cent, alcohol, with which the knife should be kept flooded, and may be removed with a camel's-hair brush. At no time should either the knife or the specimen be allowed to dry. The sections may be kept indefinitely in 80 per cent, alcohol, or they may be dropped into water if they are to be used within a short time. After use, the knife should be carefully wiped, stropped, and placed in its case. The microtome should be dried and the tracks moistened "with a little oil of sweet almonds or paraffin oil, to prevent rusting. 3. Paraffin-sections. — The knife should be fixed perpendicular to the direction of cutting, its edge acting like that of a plane. Its surfaces must be clean and dry ; adherent paraffin can be removed with a cloth moistened with xylol. The paraffin-block containing the specimen to be cut is firmly clamped with one of its narrow edges parallel to the edge of the knife. The block is now raised and moderately thick slices re- moved until the desired level is reached, when the thin sections desired may be cut. It not infrequently happens that the sections roll before the edge of the knife. This is probably due to the paraffin being too hard. In that case the cutting should be done in a warmer room, or a lamp or Bunsen burner may be placed within a foot or two of the face of the paraffin block. This rolling will, however, cause little trouble in the use of the sections unless it be desired to have them adhere to each other at the edges to form rib- bons, in which the succession of the sections is preserved. If the 302 NORMAL HISTOLOGY. sections are compressed into tiny folds or ridges, the paraffin is too soft and the block must be somewhat chilled. Before paraffin-sections can be stained it is necessary to remove the paraffin. If the tissues are sufficiently coherent, this can be done by dropping the sections into xylol or chloroform ; but if this would cause a disintegration of the sections, they must be affixed to slides or cover-glasses by means of a cement which shall hold the dif- ferent parts of the tissues in their proper relative positions after the paraffin has been removed. The simplest cement for this purpose is Mayer's albumin mixture, prepared as follows : beat up the white of an egg and allow the froth to liquefy. Then add an equal bulk of glycerin and a few pieces of camphor (for the preservation of the mixture). This cement is applied to the clean surface of a slide, or cover-glass in a very thin layer with the side of a camel's- hair brush, care being taken to leave no air-bubbles. The paraffin- sections are removed from the knife with a fine camel's-hair brush or a small, but rather stiff feather inserted into a handle, and placed upon the coating of cement. They are then flat- tened out with the brush or feather and pressed against the glass to remove superfluous cement. If the sections have rolled, unrolling will be facilitated by Avarming the sections with the breath. The cover- glasses are set aside to dry a little, and are then heated to render the albumin insoluble. This requires some practice. The manipu- lation is intended to accomplish the following results : the paraffin melts at a lower temperature than that at which the albumin is coagulated, and this fact is utilized to remove all excess of the cement, which is washed away from the tissues by the flow of melted paraffin. The residual albumin is sufficient to make the section adhere to the glass when subjected to a high enough temperature to cause its coagulation. The albumin should be dried to a consider- able extent before it is converted by the heat into its insoluble form, otherwise it will coagulate in opaque masses. To bring about the desired results the cover-glass, held in a pair of forceps, is waved over a flame until the paraffin is seen to melt. That tempera- ture is maintained for a few moments, and then the cover-glass is heated until vapors are distinctly seen to rise from its surface. Great care must be taken not to scorch the sections. When the sections have been cemented to them the cover-glasses are placed in absolute alcohol to dehydrate them, and are then treated with xylol, chloroform, or some other solvent of paraffin. The solvent is then METHODS OF STAINING. 303 removed by another bath of absolute alcohol, and the alcohol removed by water, when the sections are ready for staining. It is, however, much more convenient to handle paraffin sections- when they adhere to each other at their edges to form ribbons.. With a paraffin microtome a little practice will enable one to secure these ribbons without difficulty and of almost any desired length. The ribbon may be carefully laid on the surface of perfectly clean water having a temperature of 40° to 43° C, where the paraffin will become softened and the ribbon will then flatten out upon the water. While it is floating on the water the ribbon may be cut into lengths with scissors, slides coated with Mayer's albumin mixture slipped under them, and then slide and ribbon removed together and drained. The slide may then be dried upon or within the paraffin oven, when the sections will adhere to the glass. When the sections do not require affixing to slides or cover-glasses they may be dropped into the solvent for the paraffin, and the latter removed with absolute alcohol, for which water is then substituted, preparing the sections for staining. It sometimes happens that when sections are transferred from absolute alcohol to water the diffusion-currents are so strong that the sections are destroyed.. When this is the case the transition must be made more gradually, baths of 80 per cent., 50 per cent., and 30 per cent, alcohol being^ interposed between the absolute alcohol and the water. Methods of Staining. A large number of methods have been devised for bringing out the structure of tissues. Many of the methods are of almost uni- versal application, while others require special methods of fixa- tion or other preliminary treatment of the tissues. Some are calcu- lated to render the general features of structure more evident than they would be if the tissues were not stained ; others stain certain elements some characteristic color, and, to that extent, serve the purpose of microchemical reagents. Only a few of the more useful methods can be described here ; for others the reader is referred to the larger text-books and the technical journals. Sections cut in paraffin and affixed to slides may be stained by flooding the slide with the filtered dye, but it is preferable to use tumblers of small diameter or Coplin jars into which the dye has been filtered. The slides are then placed upright in the stain. Similar vessels can also be used for the alcohol, xylol, etc., used in 304 NORMAL HISTOLOGY. preparing the sections for mounting. Loose sections can be stained, etc., in porcelain butter dishes, being transferred with a bit of platinum wire fused at one end into a glass rod. Such needles can be readily bent to any desired shape and may be cleansed by passing through a flame. 1. Hematoxylin and Eosin. — Hematoxylin, the coloring-principle of logwood, has proved a very useful stain for the nuclei of cells. It is not a pure nuclear stain, but also tints the cytoplasm of cells and the intercellular substances. It is most commonly employed in combination with alum. Such combinations of coloring-matter with a base are called " lakes." A hsematoxylin-lake may be used alone, or its use maybe preceded or followed by the employment of a counterstain with some diffuse color not affecting the nuclei. For counterstaining, eosin or neutral carmine is usually employed. Both stain the tissues a diffuse red, varying in depth according to the nature of the tissue-elements in the section. There are several formulae for the preparation of alum-hsema- toxylin, but that devised by Bohmer will answer all purposes, and is very simple : 1. Hematoxylin crystals, 1 gram. Absolute alcohol, 10 cc. 2. Alum, 20 grams. Distilled water, 200 cc. > Cover the solutions and allow them to stand over night. The next day mix them and allow the mixture to stand for one week in a wide-mouthed bottle lightly plugged with cotton. Then filter into a bottle provided with a good cork. The solution is then ready for use. Nearly all solutions of alum-haematoxylin require an interval of time for "ripening," and their stain ing-powers improve with age. Alum-hsematoxylin is intended for staining sections from tissues that have been fixed and hardened. It is especially useful when the fixing-solution employed contained chromates, but may be used after almost any method of fixation, if the time of staining is of the right length and the sections are previously freed from acidity bv thorough washing. If the following directions are closely adhered to, the student METHODS OF STAINING. 305 •can hardly fail to obtain good results with the use of Bohmer's hsematoxylin : Transfer the sections from the 80 per eent. alcohol in which they have been kept to a dish of distilled water. At first they will float on the surface of the water ; this is a favorable moment for removing all folds and wrinkles. The sections should be manipulated with platinum needles, prepared by fusing a bit of platinum wire into the end of a glass rod. Such needles can be cleaned by heating the wire red in a flame. When the sections sink to the bottom of the dish of water, and remain there, it may be assumed that they are free from alcohol. Filter about 5 cc. of the hematoxylin into a watch-glass or butter- dish and transfer the sections from the water to the dye. Let the sections stain for three minutes by the watch, and then transfer them to a dish of distilled water. At first the sections will have a reddish tint, but as the washing proceeds the color will turn to a pure blue. During the washing the water should be renewed, until finally it acquires no color from the sections and the latter have lost all traces of a red tint. This washing may take several minutes, or even a few hours ; but if good, permanent stains are desired, it is of great importance that it be thorough. This wash- ing completes the actual staining with hsematoxylin, and the sections are then ready for counterstaining with eosin or for dehydration. The eosin solution used for diffuse staining is prepared by dis- solving 1 gram of eosin in 60 cc. of 50 per cent, alcohol. Of this solution, about ten drops are added to 5 cc. of distilled water in a small dish ; the sections are stained for about five minutes and then washed in distilled water. They are then ready for dehydration and mounting. The diluted eosin should be thrown away after use, but the hsematoxylin can be filtered back into the stock-bottle. Since the hsematoxylin solution improves with age, no exact directions can be given as to the length of time sections should remain in a particular solution. Three minutes will usually yield good results ; but if it is found that the color is too dark, a shorter time should be employed, and vice versa. One soon becomes famil- iar with the staining-powers of the particular solution used. The dishes that have contained hsematoxylin should be washed soon after use, or may be subsequently cleaned with a little hydrochloric acid, all traces of which should then be removed by thorough wash- ing in water. 20 306 HISTOLOGICAL TECHNIQUE. The above method for staining with hematoxylin and eosin is highly recommended for general routine work. 2. Neutral Carmine. — Carmine, "No. 40," 1 gram. Distilled water, 50 cc. Ammonia, 5 " The solution is allowed to remain exposed to the air until the odor of ammonia is no longer perceptible. It is then filtered into a bottle, where it is kept till needed. Neutral carmine gives a diffuse stain, resembling that of eosin, but rather clearer in character. It is employed in a greatly diluted form, according to the following directions : One drop of the neutral carmine is mixed with about 20 cc. of distilled water. A trace of acetic acid is then added by dipping a platinum needle into the acid and stirring the diluted dye with the acidulated needle. A piece of filter-paper is then placed upon the bottom of the dish, and the sections to be stained are transferred from distilled water to the dye and distributed upon the paper in such a way that they do not lie over each other. The dye acts very slowly, twenty-four hours being none too long for good results. If the staining be hastened by using a stronger solution, it suffers in sharpness. After staining, the sections are thoroughly washed in distilled water, and may then be subjected to a nuclear dye, such as hematoxylin. The proper aeidulation of the diluted dye is of importance for the success of this method. If the solution is not sufficiently neutralized, the sections will not be stained ; if it is too acid, precipitation of the carmine will take place. 3. Alum-carmine. — Alum, 5 grams Distilled water, 100 cc. Carmine, " No. 40," 2 grams The alum is dissolved in the water with the aid of heat, the carmine then added, and the mixture kept at the boiling-point for about half an hour. It is then allowed to cool and filtered into the stock-bottle. Two or three drops of deliquesced carbolic acid may be added to prevent the development of fungi. Sections are stained in the undiluted, but filtered, dye for at least METHODS OF STAIN TNG. 307 five minutes. There is no danger of over-staining. It is a pure nuclear stain, coloring the chromatin red. After staining, the sec- tions are either washed, and are then ready for dehydration, or they may receive a counterstain with picric acid, coloring the tissues a diffuse yellow. This may be most readily accomplished by adding a few small crystals of picric acid to the first dish of dehydrating alcohol (see p. 313). 4. Borax-carmine. — Borax, 4 grams Distilled water, 100 cc. Carmine, " No. 40," 3 grams Alcohol, 70 per cent., 100 cc. The borax is dissolved in the water by warming, and the solution allowed to cool ; the carmine is then stirred in and the alcohol added. After standing twenty-four hours the solution is filtered into the stock-bottle, a process that is exceedingly slow. Borax-carmine is used for the staining of little masses of tissue before they are embedded. It is a nuclear dye, giving the chromatin a red color. It is useful when paraffin-embedding is to be employed and it is desirable to restrict the manipulation of the sections to a minimum. Small pieces of hardened tissues, not over 5 mm. thick, are trans- ferred from distilled water to the undiluted dye and allowed to stain for twenty-four hours, or longer. After staining they are immedi- ately placed in an acid alcohol, prepared by adding 5 drops of con- centrated hydrochloric acid to 100 cc. of 70 per cent, alcohol. The tissue should not rest on the bottom of the vessel containing the alcohol, but upon crumpled filter-paper, so that the extracted excess of coloring-matter may sink to the bottom. If the acid alcohol around the specimen becomes colored, fresh portions of alcohol should be used. The treatment with acid alcohol is continued until no more color is given off from the specimen. It is then transferred to 90 per cent, alcohol, in which it should remain for twenty- four hours, after which it can be subjected to the dehydration neces- sary for embedding. 5. Orth's Lithio-carmine. — Carmine, " No. 40," 3 grams. Lithium carbonate, saturated aqueous solution, 100 cc. 308 HISTOLOGICAL TECHNIQUE. The solution of lithium carbonate is prepared by occasionally shaking a mixture of distilled water and an excess of lithium car- bonate. Twenty-four hours will suffice for the production of a strong enough solution. The supernatant liquid is then filtered. Carmine readily dissolves in this solution. For preservation a crystal of thymol may be added. Lithio-carmine stains sections in about five minutes, and there is no danger of overstating. Like borax-carmine, it requires after- treatment with acid alcohol. The sections should be transferred, without intermediate washing, to 70 per cent, alcohol containing 1 per cent, of concentrated hydrochloric acid ; they may then be de- hydrated, and, if desired, counterstained with picric acid during the dehvdration. 6. Unna's Methylene -blue. — Methylene-blue, 1 gram. Potassium carbonate, 1 " Distilled water, 100 cc. When required for use, this solution should be diluted with dis- tilled water to one-tenth or one-twentieth of its strength. It gives excellent results when used to stain paraffin sections of tissues hardened in Zenker's fluid, especially when preceded by eosin. Stain half an hour in a 5 per cent, aqueous solution of eosin (Griibler's bluish) ; wash in running water ; stain in the dilute methylene-blue until the red color is no longer visible ; wash ; differentiate in absolute alcohol till the sections appear pink (or violet, if there be many nuclei in the tissue) ; clear in xylol and mount in damar or Canada balsam dissolved in xylol. Upon long standing, this solution of methylene-blue undergoes chemical changes which reduce its staining value when used as above, but it will keep for a number of months. 7. Aqueous Methylene-blue. — This is usually prepared at the time when needed by mixing one part of a saturated solution of the ani- lin-color in 95 per cent, alcohol with nine parts of distilled water. It is frequently employed as a general stain for bacteria. Other anilin-colors, such as fuchsin, gentian-violet, methyl-violet, and Bismarck-brown, may be kept in concentrated alcoholic solu- tion, to be diluted in a similar manner just before use. When these solutions are used for staining sections or cover-glass preparations the adherent dye is washed off with water, after which the intensity METHODS OF STAINING. 309 of the stain is reduced by the use of alcohol, 95 per cent, or abso- lute, which bleaches the portions of the specimen which retain the color with the least tenacity. If" the action of the alcohol be main- tained for too long a time, the color may be discharged from all parts of the specimen. The method of overstaining a specimen, and then discharging the color from those parts where it is not de- sired, is a common one. The process of discharging the color is called the " differentiation " of the stain, because it serves to dis- tinguish those elements which hold the color strongly from those- which part with it easily. 8. Carbol-fuchsin. — Saturated alcoholic solution of fuchsin, 10 cc. Aqueous solution of carbolic acid crystals, 5 per cent., 90 cc. This solution should always be carefully filtered before use. 9. Anilin-gentian-violet. — A. Ehrlich's formula : Saturated alcoholic solution of gentian-violet, 1.5 cc. Freshly prepared anilin-water, 8.5 cc. The anilin-water is prepared by shaking a few drops of anilin with distilled water, allowing the mixture to stand for about ten minutes, and then filtering through well-moistened filter-paper. The filtrate should contain no globules of the anilin. In order to avoid this the filtration should be stopped before all the watery part of the mixture has run through the paper, otherwise oily drops of anilin will follow. Precipitates are likely to occur in this gentian-violet solution when it is first prepared. After twenty-four hours these are less abundant. The solution deteriorates soon after that time, and should not be used more than a week after its preparation. B. Stirling's formula : Gentian-violet, 5 grams. Alcohol, 10 cc. Anilin, 2 cc. Distilled water, 88 cc. This solution keeps better than the preceding. Both must be filtered carefully through moistened filter-paper immediately before being used. 310 HISTOLOGICAL TECHNIQUE. 10. Gram's Solution. — This is a differentiating agent used in con- nection with anilin-gentian-violet : Iodine, 1 gram. Potassium iodide, 2 grams. Distilled water, 300 ec. The specimens are first overstained with the gentian-violet solu- tion. They are then washed in water and placed in Gram's solution for from three to five minutes. While in this solution they turn a brown color, and the combination between the coloring-matter and some of the elements of the specimen is loosened. The specimen is then transferred to 95 per cent, alcohol, in which it remains until no more color is given oif. If sufficient color has not been removed, the treatment with Gram's solution and alcohol may be repeated. After this differentiation the specimen may be dehydrated, cleared, and mounted ; or a contrast-stain may be used before those manipu- lations. This is a useful method for staining bacteria in sections of tissue when the species of bacteria are such as resist the decolor- izing action of the iodine. In this respect different species of bac- teria differ greatly, and the method is commonly employed in bac- teriological work to distinguish those species which retain the stain, or are " positive to Gram," from those which are decolorized or " negative to Gram." 11. Van Giesen's Picric Acid and Acid Fuchsin Stain. — Aqueous solution of acid fuchsin, 1 per cent., 5 cc. Saturated aqueous solution of picric acid, 100 " This solution serves to stain fibrous intercellular substances. It is used in the following manner : 1. Slightly overstain with alum hematoxylin j e. Decidual cells, 22-1 Degeneration, keratoid, 211 Dehydration, methods of, 313 Deiters' cells, 274 Dendrite, 248 Dendritic processes, 101, 248 Dentin, 213, 214 Deutoplasm, 23 Development : of areolar tissue, 81 of bone, 73 of connective tissue, 65, 78 Development of endothelium, 51 of epithelium, 64 of fibrous tissue, 78 of glands, 63 Diaphragm iris, 280 of microscope, use of, 280 Diaster-phase of karyokinesis, 39 Differentiation in structure, 28 Diffusion, 129 Digestion, intracellular, 30 Digestive function, 30 organs, 136 Direct cell division, 35, 40 Discus proligerus. 217 Disks, intervertebral, 68 Dispirem-phase of karvokinesis, 39 Duct, bile-, 154, 160 thoracic. 122 Ductless glands, 64, 188 Ducts of glands, 61 Duodenum, 145 EAR, 69, 273 Ectoderm, 20 Ectoplasm, '29 Efferent vessels of the kidney, 166 of lymph-glands, 122 E°-f 20 '231 albumin, 302 Elastic cartilage, 69 fibres, 76. 77, 320 Elastin, 78 Eleidin, 206 Elementary tissues, 43 recognition of, 45 structural variations in, 45 Elements, sarcous, 98 Elimination, 44 Embedding, methods of, 294 celloidin, 295 collodion, 295 paraffin. 297 tissues, 283 Embryonic layers, 22 Enamel of teeth, 213, 214 Endocardium, 116 Endoderm, 2o Endomysium, 98 Endoneurium, 106 Endoplasm, 29 Endothelial cells, 47 Endothelium, 47 development of, 51 functions of, 50 general characters of, 47 intercellular substance in, 47, 49 Energy, kinetic, 18 potential, 18 Ensiform cartilage, 06 INDEX. 327 Enzymes, 32 Eosiu, 305 methods of staining, 305 Eosinophilic leucocytes, 125 Ependyma, 109 Epicardium, 115 Epidermis, 57, 204, 205 Epididymis, 239 Epiglottis, 69, 170 Epimysium, 98 Epineurium, 106 Epithelial cells, 51 pyriform, 58 tissues, 47 Epithelium, 43, 51 activities of, 59 ciliated, 55 classification of, 51, et seq. columnar, 54 cubical, 51 cuticle of, 52 cuticularized, 56 development of, 64 excretory, 44, 52 functions of, 43, 59 general characters of, 51 germinal, 215 glandular, 44, 52 horny, 43, 56 intercellular substance in, 51 mucigenous, 44 pavement-, 53 secretory, 44 stratified, 56 transitional, 58 Erectile tissue, 236 Erythroblasts, 125, 130 Erythrocytes, see Red corpuscles, 130 Eustachian tube, cartilage of, 69 Excretion, 44 External genitals, 230, 236 Eye, 275 vitreous humor of, 79 17ULLOPIAN tubes, 220 1 Fascia;, 70, 82 Fat, 83 infiltration with, 82 Fats in cytoplasm, 32 Fatty degeneration, 209. 230 granules, tests for, 319 Female organs of generation, 215 Fenestrated membrane of Henle, 77, 117 Ferments, 32, 45 Fibres, association-, of cerebrum, 264 in bone, 72 collateral, of cord, 253 commissure-, of cerebrum, 263 Fibres, connective-tissue, staining, 310 of cord, 2~>'4 elastic, 77 moss-, 246 nerve-, 102 classification of, 102 -staining, 311 non-elastic, 76 non-medullated, 102 projection-, of cerebrum, 263 Sharpey's, 72 Weismann's, 99 white, 76 yellow, 77 Fibrin, 134 formation, 134 Fibroblasts, 79 Fibro-cartilage, 68 Fibrous tissues, 76 cells of, 76 cement in, 76 classification of, 76, 78 development of, 77 general character of, 76 ground-substance of, 76 Figures, mitotic, preservation of, 288 Filtration in lymph formation, 129 Fixation of tissues, 283, 290 methods of, 285 alcohol, absolute, 289 boiling, 290 Flemming's solution, 288 formaldehyde, 287 mercuric chloride solution, 287 Midler's fluid, 285 Orth's fluid, 286 Zenker's fluid, 286 Flemming's solution, 288 Follicles, Graafian, 215 hair-, 207 lymph-, 80, 148, 151 Formaldehyde, 287 Foveolre, Howship's, 75 Freezing-point, depression of, 129 Fresh specimens, examination of, 286, 299 Frozen sections, 300 Fuchsin, carbol-, methods of staining, 309 Function and structure, 27, 28, 32, 43, 59, 62, 65, 70, 83, 84 Function, or functions, of adipose tissue, 84 of blood, 111, 130 of cardiac muscle, % of cartilage, 70 of centrosome, 32 of connective-tissue, 65, 84 of cytoplasm, 32 328 INDEX. Function or functions, digestive, 30 of endothelium, 50 of epithelium, 48, 62, 53-55, 57, 59 of hypophysis, 197 of liver, 159 of lung, 181 of lymph, 114 of lymph-nodes, 125 of nervous tissue, 87 of nuclei, 32 nutritive, of cells, 65 perceptive, 30 of smooth muscles, 93 of spleen, 186 of thyroid body, 189, 191 Funiculi of nerves, 106 GALACTI FERGUS ducts, 232 Gall-bladder, 160 Gall-duct, 157, 150 Gelvanotropism, 30 Ganglia, 105 of heart, 118 Ganglion-cells, 100, 248 Generation, female organs of, 215 male organs of, 236 Genital corpuscles, 267 Genitals, external, 230 Gentian violet, 309 methods of staining, 309 Geotropism, 30 Germinal epithelium, 215 of ovary, 215 Giant cells, 42, 125 Gianuzzi, crescents of, 139 Gland, mammary, 232 thymus, 188, 200 thyroid, 189 Glands, 44, 52, 55, 60 of Bowman, 269 of Brunner, 148 cardiac, of stomach, 144 carotid, 202 classification of, 61 coccygeal, 203 compound, 61 development of, 63 ductless, 64, 188 ducts of, 61 lymphatic. 122 mammary, 232 parotid. 139 pyloric, of stomach, 142 racemose, 61, 232 saccular, 61 salivary, 139 sebaceous, 209 secreting. 60, 232 simple, 61 Glands, sublingual, 139 submaxillary, 139 sweat-, 206 thyroid, 188, 189 tubular, 61 of Tyson, 237 Glandular alveoli, 62 epithelium. 52 Glans penis, 236, 237 Glia-cells, 107 Glisson's capsule, 154, 155 Glomeruli of kidney, 166 olfactory, 272 Glomerulus, 166 Glucose, 45, 159 Glycerin, 316 jelly, 316 Glycogen, 45, 52, 158, 160 methods of mounting, 316 Goblet-cells, 54, 147 Golgi's method of staining, 312 "Goose-flesh," 211 Graafian follicles, 215 development of, 217 Gram's solution, 310 Granules, chromophilic, of nerve-cells, 102 Gray matter, of spinal cord, 250 nerve-fibres, 106 " Ground-substance " : of areolar tissue, 78 of bone, 72 of central nervous system, 108 of fibrous tissue, 76 of mucous tissue, 78 of reticular tissue, 80 HEMATOXYLIN, 304 methods of staining with, 304 Hemoglobin, 130, 131 tests for, 319 Hair, 207 color of, 209 cortex of, 209 cuticle of, 209 Hair-cells, 274 Hair-follicles, 207, 213 development of, 212 medulla of, 209 Hardening, methods of, 291 Hassall, corpuscles of, 200 Haversian canals, 70, 73, 74 system, 7'! Hearing, 273 Heart, 1 15 cartilage in, 68, 116 valves of, 116 Heat-regulation, 212 Helicine arteries, 237 INDKX. 329 Heliotropisrn, 29 Henle, fenestrated membrane of, 77, 117 loop of, 163 tubes of, 163 Hepatic artery, 154, 156 vein, 154, 156 Heredity, nuclear function in, 32, 231, 232, 240 Horny epithelium, 44 Howship's foveolae, 75 Hyaline cartilage, 68 Hyaloplasm, 29, 33 Hydrotropism, 30 Hymen, 230 Hypophysis cerebri, 197 ILLUMINATION, microscopical, 281 Image, microscopical, 280, 284 Immersion-objectives, 280 Impregnation, methods of, 292 celloidin, 292 collodion, 292 paraffin, 292 Indirect cell-division, 35 Infiltration with fat, 82 Infundibula of lung, 179 Infusion, 27 Interalveolar cell-islets, 151 Interarticular cartilages, 68 Intercellular bridges, 58, 88 substances, 24, 44 in bone, 72 in cartilage, 67 in connective-tissue, 65 in endothelium, 47, 49 in epithelium, 51 in muscle, 86, 88, 94 Interlobular vessels of kidney, 165 of liver, 155 Internal secretion, 44, 64, 151 Interpretation of microscopical ap- pearances, 89, 183, 278, 281 Interstitial tissue, 80 Interstitium, 112 Intervertebral disks, 68 Intestine, large, 149 lining cells of, 56 muscularis mucosae of, 147 small, 145, 149 villi of, 146, 147 Intima, 116 Intracellular circulation, 30 digestion, 30 Involuntary muscles, 87 Iodothyrin, see Thyroidin, 192 Iris, diaphragm, 280 Iron, hematoxylin stain, 311 Iron, tests for, 319 Islands of Langerhans, 151 KARYOKINKSIS, 35 chromoplasm during, 36 di aster-phase, 39 dispirem-phase, 39 monaster-phase, 37 significance of, 39 spirem-phase, 36 Karyolysis, 220 Karyoplasm, 34 Keratin, 56, 206 Keratoid degeneration, 208 Kidney, afferent vessels of, 165 boundary zone of, 161 capsule of, 170 collecting tubules of, 163, 168 cortex of, 161 efferent vessels of, 166 interlobular vessels of, 165 labyrinth of, 163 lobes of, 161 Malpighian bodies of, 162 medulla of, 161 papillae of, 161, 162, 168 pelvis of, 171 stellate veins of, 147 vascular arcades of, 165 Kidneys, 161 Kinetic energy, 18 Krause, corpuscles of, 267 LABYRINTH of kidney, 163 Lacteals, 120 Lacunae of bone, 70 Langerhans, islands of, 151 Lanterman, clefts of, 105 Lanthanin, 35 Larynx, 176 Layers, embryonic, 22 Lenses, cleaning, 279 Leucocytes, 126, 128, 131 acidophilic, 125, 133 basophilic, 126, 133 eosinophilic, 1 25, 133 large mononuclear, 125, 133 polynuclear neutrophilic, 132 Lieberkuhn, crypts of, 147 Ligaments, 82, 84 Ligamentum nucha?, 85 Linin, 35 Liquor folliculi, 217 Lithio-carmine, 307 methods of staining, 307 Littre's glands, 174 Liver, 154 functions of, 159 interlobular vessels of, 155 330 INDEX. Liver, intralobular vessels of, 156 lobules of, 155 Lobes of kidney, 161 Lobules of kidney, 162 of liver, 155 of lung, 180 Lung, circulation of, 181 foetal 53 functions of, 181 infundibula of, 179 lobules of, 180 structure of, 177, 183 Lymph, 120, 129, 134 circulation of, 115 -follicles, 80, 121, 139, 148, 151, 185 functions of, 114 formation of, 129 -glands, 12d afferent vessels of, 122 cortex of, 121 efferent vessels of, 122 medulla of, 121 -nodes, 120 carbon in, 125 function of, 125 -sinus, 122 , trabecular of, 121 spaces, 48, 81, 114, 120, 156 Lympbadenoid tissue, 78 Lymphatic glands, 78, 120 valves, 115, 120 vessels, 120 Lymphocytes, 133 MACERATION, methods of, 320 alcohol, 320 chromic acid, 321 potassium hydrate, 320 Malaria, 184 Male organs of generation, 236 Malpighian bodies of kidney, 161, 162 of spleen, 186 Mammary gland, 232 Marrow, 74, 125 mucoid, 125 red, 125 yellow, 12.">, 127 Matrix of cartilage, 67 Maturation of the ovum, 231 Mayer's albumin, 302 Measurements, microscopical, 280 Media, 116, 118,119 Medulla of bone, see Marrow, 125 of kidney, 161 of lymph-glands, 121 Medullary rays, 161 sheath, 103 Medullated nerve-fibres, 102 Meissner, corpuscles of, 267 Membrane, basement, 60, 140, 147, 246 fenestrated, 77, 117 Membranes, mucous, 55, 60 Menstruation, 223 Mercuric chloride solution, 287 Mesentery, 48 Mesoderm, 22 Metakinesis, 37 Metaplasm, 33, 52 Metazoa, 28, 112 Methylene-blue, aqueous, 308 methods of staining, 308 Unna's 308 Microchemical reactions, 318 Micrometer, 280, 281 scales, 280 Micromillimeter, see Micrometer, 280 Microscope, care of, 279 selection of, 279 Microscopical appearances, interpre- tation of, 89, 183, 278, 285 measurements, 280 technique, 279 Migratory cells, 132 Milk, 234 Mitral cells, 272 Mitosis, see KaryoMnesis, 35 Molecular concentration, 129 Monaster-phase of karyokinesis, 37 Mononuclear leucocvtes, large, 133 Moss-fibres, 260 Motor plates, 110 Mounting, methods of. 315 Canada-balsam, 315, 316 dammar, 315, 316 glycerin, 316 glycerin-jelly, 316 Mouth, lining of, 57 Movement, amoeboid, 29 Brownian, 29 of cilia, 27 Mucin, 78 Mucoid marrow, 125 Mucosum, rete, 205 Mucous membranes, 55, 60 covering of, 55 tissue, 78 " ground-substance " of, 78 Mailer, cells of, 275 fluid of, 285 Multicellular animals, 28, 112 Multipolar nerve-cells, 100 Muscle, cardiac, 94 intercellular substance in, 86 involuntary, 87 nutrition of, 88 smooth, 87 function of, 93 -spindle, 99 INDEX. 331 Muscle, striated, 96 unstriped, 89 voluntary, 96 Muscular cells, 86, 87, 94, 96 sense, 99 tissues, 87 cement in, 88 Muscularis mucosae of intestine, 147 of oesophagus, 142 of stomach, 142, 145 of uterus, 222 Myelin, 103, 104 Myelocytes, 125 Myxoedema, 191 NAILS, 211 Nerve-cells, 101 bipolar, 101 chromophiiic granules of, 102 multipolar, 101 protoplasmic processes of, 103 unipolar, 101 Nerve-fibres, 102 classification of, 102 gray, 102, 106 non-medullated, 102, 106 Nerve-terminations, 109 Nerves, 106 funiculi of, 106 Nervous system, 248 central, ground-substance of, 110 tissues, 100 functions of, 87 Neurilemma, 103, 104 Neurite, 248 Neuroglia, 107 Neurokeratin, 105 Neurons, 248 Neutral carmine, 306 Nipple, 242 Nodes, lymph-, 120 of lianvier, 104 Non-elastic fibres, 76 Non-medullated nerve-fibres, 102, 106 Normal salt solution, see Neutral solu- tion, 281 Nose, lining of, 55, 269 Nucleated red corpuscles, 119, 123 Nuclei, functions of, 33 Nucleolus, 29, 34 Nucleus, 29, 31, 33 multiple division of, 39 structure of, 34, 39 during cell division, 35, 40 Nutrition : of bone, 73 of cartilage, 68 of muscle, 84 of tissues, 81, 82, 114, 117 OBJECTIVES, 279 cleaning, 270, 280 immersion, 27!', 280 Ocular micrometer, 280 Oculars, 270 Odontoblasts, 214 CEdematin, 35 GEsophagus, 142 lining of, 54 muscularis mucosae of, 142 "tunica propria" of, 142 Olfactory bulb, 272 layers of, 272 glomeruli, 272 Oil of bergamot, 314 of cedar-wood, 280, 314 of cloves, 314 of origanum, 314 Organs, 112 of generation, female, 215 male, 236 Origanum, oil of, 314 methods of cleaning, 314 Orth's fluid, 286 Osmosis, 117, 120 Ossification of cartilage, 66, 72 Osteoblasts, 74 Osteoclasts, 75, 126 Ovary, 215 germinal epithelium of, 215 stroma of, 215 Ovula Nabothi, 229 Ovum, 20, 215, 217 maturation of, 231 maturing, polar bodies of, 231 PACINIAN bodies, 266 Pal's method of staining, 311 Pancreas, 150 Papilla? of kidney, 161, 162, 168 of skin, 205 of tongue, 13S Paraffin, 282, 293, 297 embedding, 297 methods of impregnation, 292 Parathyroids, 193 Parenchyma, 112 Parotid gland, 139 Parovarium, 231 Passages, alveolar, 178 respiratory, 53, 176 Pavement-epithelium, 53 Pelvis of kidney, 171 renal, 171 lining of, 58 Penis, 236 trabecular of, 236 Perceptive function, 3C Pericardium, 115 332 INDEX. Perichondrium, 67 Perimysium, 98 Perineurium, lOtJ Periosteum, 74 Peristalsis, 88, 136 Peritoneum, 137 Perspiration, 211 Pever's patches, 149 Phagocytes, 124, 125, 132 Phosphates, earthy, tests for, 318 Pia mater, 109 Picture, color-, 284 structure, 284 Pituitary body, 197 Placenta, 226 Plasma, 114, 129 Plasma-cells, 126 Plates, blood-, 127 Polar bodies of dividing cell, 36 of maturing ovum, 231 Polynuclear neutrophilic leucocytes, 133 Portal vein, 154, 159 Potassium hydrate, 281, 320 Potential energy, 18 Pregnancv, 224 Prickle-cells, 57, 205 Primitive cells, 27, 31 sheath, 104 Processes, axis-cylinder, 100 dendritic, 101 protoplasmic, 100 Projection-fibres of cerebrum, 263 Prostate, 238 Proteids in cytoplasm, 32 Protoplasm, 29 movements in, 29 Protoplasmic processes of nerve-cells, 103 Protozoa, 28, 112 Pseudopodium, 29 Pseudo-stomata, 49 Pulmonary alveoli, 179 lining of, 53 Pulp of spleen, 184 of teeth, 213, 214 Purkinje, cells of, 257 Pyloric glands, 142 RACEMOSE glands, 61, 137 Ranvier, constricting bands of, L04 nodes of, 104 Rays, medullary, 161 Razor, stropping, 299 Reactions, microchemical, 318 Rectum, 150 lining of, .">; Red corpuscles, 130 Red corpuscles, nucleated, 125 stroma of, 130 Red marrow of bone, 125 Reduction of chromatin, 240, 245 Renal pelvis, 171 lining of, 58 tubules, 161, et seq. Reproduction, 20, 30 Reproductive organs, 215 Respiration, 30, 53, 55, 132, 176, 178 Respiratory organs, 176 passages, 53, 55 Rete mucosum, 250 vasculosum, 247 Reticular tissue, 79, 85 " ground substance " of, 80 Retina, 275 sustentacular cells of, 275 Ruga? of stomach, 145 SACCULAR glands, 61 Salivary glands, 139 Salt solution, normal, 281 Salts in cytoplasm, 32 Sarcolemma, -98 Sarcoplasm, 98 Sarcostyles, 96, 98 Sarcous elements, 98 Scales, micrometer, 280 Schwann, sheath of, 104 white substance of, 103 Sebaceous glands, 209 Sebum, 209 Secreting glands, 44, 60 Secretion, 44, 45, 60 internal, 44, 64, 191, 207 Secretory epithelium, 44 Sections of tissues, 282 interpretation of, 89, 183, 278, 281 rapid preparation of, 316 staining of, 303 Sediments, examination of, 318 Seminal vesicles, 239 Seminiferous tubules, 240, 241 Serous cavities, 47, 48 stomata in, 154 membranes, 50 Sertoli, cells of, 242 Sharpey's fibres, 72 Sheath, medullary, 103 primitive, 104 of Schwann, 104 Shiverinsr, 211 Sight, 275 Silver nitrate as reagent, 50 Skin, 204 functions of, 211 papillae of, 205 Slide, micrometer, 280 INDEX. 333 Smell, 269 Smooth muscles, 87 functions of, 93 in heart, 116 Spaces, lymph-, 48, 84, 116 Specialization and structure, 28, 82. See Functions and Structure. Special senses, organs of, 266 Specimens, study of, 92, 183, 278, 281 Spermatids, 241, 245 Spermatocytes, 241, 245 Spermatogonia, 241, 245 Spermatozoa, 240, 245 Spinal cord, 250 association-fibres of, 253 collateral fibres of, 253 gray matter of, 250 white matter of, 251 Spindle, achromatic, 38 Spirem, formation of, 36 Spirem-phase of karyokinesis, 36 Spleen, 184 capsule of, 184 function of, 186 Malpighian bodies of, 186 corpuscles of, 186 pulp of, 186 trabecular of, 184 Splenic cells, 186 Spongioblasts, 249 (Fig. 232), 277 Spongioplasm, 29, 33 Squamous epithelium, 379. See Strati- fied epithelium. Staining, methods of, 803 carmine, alum-, 306 borax, 307 lithio-, 307 neutral, 306 eosin, 305 fuschin, carbol-, 309 gentian-violet, 309 Golgi's methods, 312 Gram's solution, 310 haematoxylin, 304 iron-haematoxylin, 311 methvlene-blue, 308 Pal's method, 311 Unna's methylene-blue, 308 Van Giesen's stain, 310 Starch, tests for, 319 Stellate cells, 259 veins of kidnev, 167 Stomach, 142 cardiac glands of, 144 crypts of, 142 muscularis mucosae of, 142, 145 rugae of, 145 Stomata, 48 pseudo-, 49 Stratified epithelium, 56, 134, 142, 222 Stratum granulosum, 206 lucidum, 20(i Striated muscles, 96 Stroma of ovary, 215 of red corpuscles, 131 Stropping, method of, 299 Strumipriva, cachexia, 191 Subcutaneous tissues, 83, 204 Sublingual glands, 139 Submaxillary glands, 139 Substance, contractile, 87, 94, 96 Sudoriparous glands, see Sweat-glands. Suprarenal capsules, 194 Sustentacular cells of retina, 275 of testis, 231 Sweat-glands, 206 Synchondroses, 68 Syncytium, 227 System, Haversian, 73 nervous, 109, 112, 248 vascular, 114 TACTILE corpuscles, 205, 266 Taste-buds, 268 Teasing, 282 Technique, microscopical, 279 Teeth, 213 Teledendrites, 248 Teleueurites, 248 Temporary cartilages, 68 Tendon, 82, 84 Terminations, nerve-, 111 Testis, 239 sustentacular cells of, 241 trabecular of, 240 Tests, calcium oxalate, 318 carbonates, 318 cellulose, 318 granules, albuminoid, 318 fatty, 318 haemoglobin, 318 iron, 319 phosphates, earthy, 318 starch, 318 urates, 318 Thoracic duct, 122 Thrombus, 127 Thymus, 188, 200 Thyroid body, functions of, 189, 191 cartilage, 68, 176 gland, 188, 189 Thyroiodin, 192 Tissue, adipose, 78 areolar, 80 development of, 80 connective, 65 development of, 65, 78 elementary, 43 334 INDEX. ] issue, elementary, recognition of, 45 embedding, 294 erectile, 236 fibrous, 76 cells of, 7<> development of, 78 fixation of, 283, 290 interstitial, 82 lympbadenoid, 80 mucoid, 1!»1 mucous, 78 muscular, 87 cement in, 88 nervous, 94 nutrition of. 81, 82, 114, 117 reticular, 79 Tissues, cardiac muscular, 89 connective, 65 elementary, 4.'! epithelial, 47 fixation of, 283, 290 preparation of, 181 reticular, 77 sections of, 268 interpretation of, 89, 183, 278, 281 smooth muscular, 88 staining of, 303 striated muscular, 96 subcutaneous, 62 Tone, vascular, 93 Tongue, 137 papilla? of, 138 Tonsils, 1~>2 Touch, 266 Trabeculae of lymph-nodes, 121 of penis, 236 of spleen, 184 of testis, 240 Trachea, 176 Tracheal cartilages, 177 Transitional epithelium, 58 Tubes, Fallopian, 220 of Henle, 163 Tubular glands, 61 Tubules, renal, course of, 163 lining of, 168 seminiferous, 240, 241 Tunica adventitia, 118, 120, J 21 albuginea, - 10 granulosa, 21 7 intima, 1 18, 121 media, lis, 120, 121 "Tunica propria" of oesophagus, 142 vaginalis, 240 Tyson, glands of, 237 UMBILICAL cord, 79 Unipolar nerve-cells, 103 Unna's methylene-blue, 308 ETnstriped muscle, 96 Urates, tests for, 318 Ureter, 172 lining of, 58 Urethra, 173 Urinary organs, 171 Urine, secretion of, 190 Uterus, 221 muscularis mucosae of, 222 VACUOLES, 30, 66 contractile, 30 Vagina, 230 lining of, 57 Valves of heart, 115 of lymphatics, 115, 120 of veins, 115, 119 Valvuhe conniventes, 146, 147 Van Giesen's stain, 310 Vasa efferentia, 247 recta, 167, 247 Vascular arcades of kidney, 165 system, 114 Vas deferens, 239 Veins. 119 hepatic, 154, 156 portal, 159 stellate, of kidney, 167 valves of, 115, 119 Ventricles, cerebral, 22 Vermicular movement, 93 Vesicles, seminal, 239 Villi of intestine, 146, 147 Vitreous humor of eye, 79 Vocal cords, 176 Voluntary muscle, 96 analogous to organs, 86 WANDERING cells. 132 Water in cytoplasm, 32 Weismann, fibres of, 99 Whartonian jelly, 79 White corpuscles, 132 fibres, 76 matter of spinal cord, 251 nerve-fibres, 102 substance of Schwann, 103 XYLOL, 314 methods of clearing, 314 YELLOW fibres, 77 marrow, 125 ZENKER'S fluid, 286 Zona irranulosa of adrenal bodvr 1 95 reticularis of adrenal body, 195> Zymogens, 45, 52, 140 36 1 PLEASE DO NOT REMOVE CARDS OR SLIPS FROM THIS POCKET UNIVERSITY OF TORONTO LIBRARY