Chapter 15

"As a king sits high above his subjects upon his throne, and from it speaks behests that all obey, so from the throne of the brain cells is all the kingdom of a man directed, controlled, and influenced. For this occupant, the eyes watch, the ears hear, the tongue tastes, the nostrils smell, the skin feels. For it, language is exhausted of its treasures, and life of its experience; locomotion is accomplished, and quiet insured. When it wills, body and spirit are goaded like overdriven horses. When it allows, rest and sleep may come for recuperation. In short, the slightest penetration may not fail to perceive that all other parts obey this part, and are but ministers to its necessities."--Odd Hours of a Physician. ANALYSIS OF THE NERVOUS SYSTEM.

_ | 1. THE STRUCTURE | _ | _ | 1. _Description._ | | 1. The Brain........| 2. _The Cerebrum._ | | |_3. _The Cerebellum._ | | _ | | 2. The Spinal Cord..| 1. _Its Composition._ | | |_2. _Medulla Oblongata._ | | _ | 2. ORGANS OF | | 1. _Description._ | THE NERV- | | 2. _Motory and Sensory._ | OUS SYSTEM..| | 3. _Transfer of Pain._ | | | 4. _The Spinal Nerves-- | | | 31 Pairs._ | |_3. The Nerves.......| 5. _The Cranial Nerves-- | | 12 Pairs._ | | 6. _Sympathetic System._ | | 7. _Crossing of Cords._ | | 8. _Reflex Action._ | | 9. _Uses of Reflex | |_ Action_ | _ | | 1. Brain Exercise. | | 2. Connection between Brain Growth and Body Growth. | 3. HYGIENE.....| 3. Sleep. | | 4. Effect of Sleeping Draughts. | |_5. Sunlight. | | 4. WONDERS OF THE BRAIN. | _ | | 1. Alcohol (Con'd.) | | _ | 1. _Stage of Excitement._ | || | 2. _Stage of Muscular | || | Weakness._ | || 1. Effect of Alco- | 3. _Stage of Mental | || hol upon the | Weakness._ | || Nervous System | 4. _Stage of Unconscious- | || |_ ness._ | || | || 2. Effect upon the Brain | ||_3. Effect upon the Mental and Moral Powers. | | | | 2. Tobacco. | | _ | || 1. Constituents of Tobacco. | 5. ALCOHOLIC || 2. Physiological Effects. | DRINKS AND|| 3. Possible Disturbances produced by Smoking. |_ NARCOTICS.|| 4. Influence upon the Nervous System. || 5. Is Tobacco a Food? ||_6. Influence of Tobacco on Youth. | _ | | 1. _Description._ | 3. Opium............| 2. _Physiological | |_ Effects._ | 4. Chloral Hydrate. | 5. Chloroform. |_6. Cocaine.

THE NERVOUS SYSTEM. [Footnote: The organs of circulation, respiration, and digestion, of which we have already spoken, are often called the vegetative functions, because they belong also to the vegetable kingdom. Plants have a circulation of sap through their cells corresponding to that of the blood through the capillaries. They breathe the air through their leaves, which act the part of lungs, and they take in food which they change into their own structure by a process which answers to that of digestion. The plant, however, is a mere collection of parts incapable of any combined action. On the other hand, the animal has a nervous system which binds all the organs together.]

STRUCTURE.--The nervous system includes the _brain_, the _spinal cord_, and the _nerves_. It is composed of two kinds of matter-- the _white_, and the _gray_. The former consists of minute, milk-white, glistening fibers, sometimes as small as 1/25000 of an inch in diameter; the latter is made up of small, ashen-colored cells, forming a pulp-like substance of the consistency of blancmange. [Footnote: In addition to the cells, the gray substance contains also nerve fibers continuous with the white fibers, but generally much smaller. These form half the bulk of the gray substance of the spinal cord, and a large part of the deeper layer of the gray matter in the brain.--LEIDY'S _Anatomy_, p. 507.] This is often gathered in little masses, termed ganglions (_ganglion_, a knot), because, when a nerve passes through a group of the cells, they give it the appearance of a knot. The nerve fibers are conductors, while the gray cells are generators, of nervous force. [Footnote: What this force is we do not know. In some respects it is like electricity, but, in others, it differs materially. Its velocity is about thirty three meters per second.--_Popular Physics_, p. 244, Note.] The ganglia, or nervous centers, answer to the stations along a telegraphic line, where messages are received and transmitted, and the fibers correspond to the wires that communicate between different parts.

FIG. 50.

The BRAIN is the seat of the mind. [Footnote: In proportion to the rest of the nervous matter in the body, it is larger in man than in any of the lower animals. It is the function which the brain performs that distinguishes man from all other animals, and it is by the action of his brain that he becomes a conscious, intelligent, and responsible being. The brain is the seat of that knowledge which we express when we say _I_. I know it, I feel it, I saw it, are expressions of our individual consciousness, the seat of which is the brain. It is when the brain is at rest in sleep that there is least consciousness. The brain may be put under the influence of poisons, such as alcohol and chloroform, and then the body is without consciousness. From these and other facts the brain is regarded as the seat of _consciousness_.--LANKESTER.] Its average weight is about fifty ounces. [Footnote: Cuvier's brain weighed 64 1/2 ounces; Webster's, 53 1/2 ounces; James Fisk's, 58 ounces; Ruloff's, 59 ounces; an idiot's, 19 ounces. See Table in FLINT'S _Nervous System_.] It is egg-shaped, and, soft and yielding, fills closely the cavity of the skull. It reposes securely on a water bed, being surrounded by a double membrane _(arachnoid)_, delicate as a spider's web, which forms a closed sac filled, like the spaces in the brain itself, with a liquid resembling water. Within this, and closely investing the brain, is a fine tissue (_pia mater_), with a mesh of blood vessels which dips down into the hollows, and bathes them so copiously that it uses one fifth of the entire circulation of the body. Around the whole is wrapped a tough membrane (_dura mater_), which lines the bony box of the skull, and separates the various parts of the organ by strong partitions. The brain consists of two parts--the _cerebrum_, and the _cerebellum_.

The CEREBRUM fills the front and upper part of the skull, and comprises about seven eighths of the entire weight of the brain. As animals rise in the scale of life, this higher part makes its appearance. It is a mass of white fibers, with cells of gray matter sprinkled on the outside, or lodged here and there in ganglia. It is so curiously wrinkled and folded as strikingly to resemble the meat of an English walnut. This structure gives a large surface for the gray matter,--sometimes as much as six hundred and seventy square inches. The convolutions are not noticeable in an infant, but increase with the growth of the mind, their depth and intricacy being characteristic of high mental power.

FIG. 51.

The cerebrum is divided into two hemispheres, connected beneath by fibers of white matter. Thus we have two brains, [Footnote: This doubleness has given rise to some curious speculations. In the case of the hand, eye, etc, we know that the sensation is made more sure. Thus we can see with one eye, but not so well as with both. It is perhaps the same with the brain. We may sometimes carry on a train of thought, "build an air castle" with one half of our brain, while the other half looks on and watches the operation; or, we may read and at the same time think of something else. So in delirium, a patient often imagines himself two persons, thus showing a want of harmony between the two halves.--DRAPER, _Human Physiology_, p. 320.] as well as two hands and two eyes. This provides us with a surplus of brains, as it were, which can be drawn upon in an emergency. A large part of one hemisphere has been destroyed without particularly injuring the mental powers, [Footnote: A pointed iron bar, three and a half feet long and one inch and a quarter in diameter, was driven by the premature blasting of a rock completely through the side of the head of a man who was present. It entered below the temple, and made its exit at the top of the forehead, just about the middle line. The man was at first stunned, and lay in a delirious, semistupefied state for about three weeks. At the end of sixteen months, however, he was in perfect health, with wounds healed and mental and bodily functions unimpaired, except that sight was lost in the eye of the injured side.-- DALTON. It is noticeable, however, that the man became changed in disposition, fickle, impatient of restraint, and profane, which he was not before. He died epileptic, nearly thirteen years after the injury. The tamping iron and the skull are preserved in the Warren Anatomical Museum, Boston.]--just as a person has been blind in one eye for a long time without having discovered his loss. The cerebrum is the center of intelligence and thought. [Footnote: In man, the cerebrum presents an immense preponderance in weight over other portions of the brain; in some of the lower animals, the cerebrum is even less in weight than the cerebellum. Another interesting point is the development of cerebral convolutions in certain animals, by which the relative amount of gray matter is increased. In fishes, reptiles, and birds, the surface of the hemispheres is smooth; but, in many mammalia, especially in those remarkable for intelligence, the cerebrum presents a greater or less number of convolutions, as it does in the human subject.--FLINT. The average weight of the human brain in proportion to the entire body is about 1 to 36. The average of mammalia is 1 to 186; of birds, 1 to 212; of reptiles, 1 to 1,321; and of fishes, 1 to 5,668. There are some animals in which the weight of the brain bears a higher proportion to the body than it does in man; thus in the blue-headed tit, the proportion is as 1 to 12; in the goldfinch, as 1 to 24; and in the field mouse, as 1 to 31. "It does not hence follow, however, that the _cerebrum_ is larger in proportion; in fact, it is probably not nearly so large; for in birds and rodent animals the sensory ganglia form a very considerable portion of the entire brain. M. Baillarger has shown that the _surface_ and the _bulk_ of the cerebral hemispheres are so far from bearing any constant proportion to each other in different animals that, notwithstanding the depth of the convolutions in the human cerebrum, its bulk is two and a half times as great in proportion to its surface as it is in the rabbit, the surface of whose cerebrum is smooth. The _size_ of the cerebrum, considered alone, is not, however, a fair test of its intellectual power. This depends upon the quantity of _vesicular matter_ which it contains, as evinced not only by superficial area, but by the number and depth of the convolutions and by the thickness of the cortical layer."--CARPENTER.] Persons in whom it is seriously injured or diseased often become unable to converse intelligently, both from inability to remember words and from loss of power to articulate them.

THE CEREBELLUM lies below the cerebrum, and in the back part of the head (Fig. 50). It is about the size of a small fist. Its structure is similar to that of the brain proper, but instead of convolutions it has parallel ridges, which, letting the gray matter down deeply into the white matter within, give it a peculiar appearance, called the _arbor vitæ_, or tree of life (Fig. 55). This part of the brain is the center for the control of the voluntary muscles, [Footnote: The exact nature of the functions of the cerebellum is one of those problems concerning which there is no unanimity of opinion amongst physiologists. It may be premised, however, that the knowledge we at present possess does enable us to come to one very important conclusion with respect to the functions of the cerebellum,--it enables us to say that this organ has no independent function either in the province of mind or in the province of motility. And we may perhaps safely affirm still further, that the cerebellum is much more intimately concerned with the production of bodily movements than with the evolution of mental phenomena. The anatomical distinctness of the cerebellum from the larger brain and other parts of the nervous system is more apparent than real....That there is an habitual community of action between the cerebellum and the spinal cord is, I believe, doubted by none, and the fact that an intimate functional relationship exists between the cerebrum and the cerebellum is shown by the circumstance that atrophy of one cerebral hemisphere entails a corresponding atrophy of the opposite half of the cerebellum. The subordinate or supplementary nature of the cerebellar function, however, in this latter relation seems equally well shown by the fact that atrophy of one side of the cerebellum (when it occurs as the primary event) does not entail any appreciable wasting in the opposite half of the cerebrum. What other conclusion can be drawn? If the cutting off of certain cerebral stimuli leads to a wasting of the opposite half of the cerebellum, this would seem to show that each half of the cerebellum is naturally called into activity in response to, or conjointly with, the opposite cerebral hemisphere. Whilst conversely, if atrophy of one half of the cerebellum does not entail a relative diminution in the opposite cerebral hemisphere, this would go to show that the cerebral hemispheres do not act in response to cerebellar stimuli, since their nutrition does not suffer when such stimuli are certainly absent. The action of the cerebrum is therefore shown to be primary, whilst that of the cerebellum is secondary or subordinate in the performance of those functions in which they are both concerned.--H. CHARLTON BASTIAN, _Paralysis from Brain Disease_.] particularly those of locomotion. Persons in whom it is injured or diseased walk with tottering and uncertain movements as if intoxicated, and can not perform any orderly work.

THE SPINAL CORD occupies the cavity of the backbone. It is protected by the same membranes as the brain, but, unlike it, the white matter is on the outside, and the gray matter is within. Deep fissures separate it into halves (Fig. 50), which are, however, joined by a bridge of the same substance. Just as it starts from the brain, there is an expansion called the _medulla oblongata_ (Fig. 55).

THE NERVES are glistening, silvery threads, composed, like the spinal cord, of white matter without and gray within. They ramify to all parts of the body. Often they are very near each other, yet are perfectly distinct, each conveying its own impression. [Footnote: Press two fingers together, and, closing the eyes, let some one pass the point of a pin lightly from one to the other; you will be able to tell which is touched, yet if the nerves came in contact with each other anywhere in their long route to the brain, you could not thus distinguish.] Those which carry the orders of the mind to the different organs are called the _motory_ nerves; while those which bring back impressions which they receive are styled _sensory_ nerves. If the sensory nerve leading to any part be cut, all sensation in that spot will be lost, while motion will remain; if the motory nerve be cut, all motion will be destroyed, while sensation will exist as before.

TRANSFER OF PAIN.--Strictly speaking, pain is not in any organ, but in the mind, since only that can feel. When any nerve brings news to the brain of an injury, the mind refers the pain to the end of the nerve. A familiar illustration is seen in the "funny bone" behind the elbow. Here the nerve (_ulnar_) gives sensation to the third and fourth fingers, in which, if this bone be struck, the pain will seem to be. Long after a limb has been amputated, pain will be felt in it, as if it still formed a part of the body--any injury in the stump being referred to the point to which the nerve formerly led. [Footnote: Only about five per cent. of those who suffer amputation lose the feeling of the part taken away. There is something tragical, almost ghastly, in the idea of a spirit limb haunting a man through his life, and betraying him in unguarded moments into some effort, the failure of which suddenly reminds him of his loss. A gallant fellow, who had left an arm at Shiloh, once, when riding, attempted to use his lost hand to grasp the reins while with the other he struck his horse. A terrible fall was the result of his mistake. When the current of a battery is applied to the nerves of an arm stump, the irritation is carried to the brain, and referred to all the regions of the lost limb. On one occasion a man's shoulder was thus electrized three inches above the point where the limb was cut off. For two years he had ceased to be conscious of his limb. As the electric current passed through, the man, who had been profoundly ignorant of its possible effects, started up, crying, "Oh, the hand! the hand!" and tried to seize it with the living grasp of the sound fingers. No resurrection of the dead could have been more startling.--DR. MITCHELL _on "Phantom Limbs" in Lippincott's Magazine_.]

The nerves are divided into three general classes--the _spinal_, the _cranial_, and the _sympathetic_.

FIG. 54.

THE SPINAL NERVES, of which there are thirty-one pairs, issue from the spinal cord through apertures provided for them in the backbone. Each nerve arises by two roots; the anterior is the motory, and the posterior the sensory one. The posterior alone connects directly with the gray matter of the cord, and has a small ganglion of gray matter of its own at a little distance from its origin. These roots soon unite, _i. e_., are bound up in one sheath, though they preserve their special functions. When the posterior root of a nerve is cut, the animal loses the power of feeling, and when the anterior root is cut, that of motion.

THE CRANIAL NERVES, twelve pairs in number, spring from the lower part of the brain and the medulla oblongata.

1. The _olfactory_, or first pair of nerves, ramify through the nostrils, and are the nerves of smell.

2. The _optic_, or second pair of nerves, pass to the eyeballs, and are the nerves of vision.

3, 4, 6. The _motores oculi_ (eye movers) are three pairs of nerves used to move the eyes.

5. The _trifacial_, or fifth pair of nerves, divide each into three branches--hence the name--the first to the upper part of the face, eyes, and nose; the second to the upper jaw and teeth; the third to the lower jaw and the mouth, where it forms the nerve of taste. These nerves are implicated when we have the toothache or neuralgia.

7. The _facial_, or seventh pair of nerves, are distributed over the face, and give it expression. [Footnote: If it is palsied, on one side there will be a blank, while the other side will laugh or cry, and the whole face will look funny indeed. There were some cruel people in the middle ages who used to cut the nerve and deform children's faces in this way, for the purpose of making money of them at shows. When this nerve was wrongly supposed to be the seat of neuralgia, or tic douloureux, it was often cut by surgeons. The patient suffered many dangers, and no relief of pain was gained.--MAPOTHER.]

FIG. 55.

8. The _auditory_, or eighth pair of nerves, go to the ears, and are the nerves of hearing.

9. The _glos-so-pha-ryn'-ge-al_, or ninth pair of nerves, are distributed over the mucous membrane of the pharynx, tonsils, etc.

10. The _pneu-mo-gas'-tric_, or tenth pair of nerves, preside over the larynx, lungs, liver, stomach, and one branch extends to the heart. This is the only nerve which goes so far from the head.

11. The _accessory_, or eleventh pair of nerves, rise from the spinal cord, run up to the medulla oblongata, and thence leave the skull at the same opening with the ninth and tenth pairs. They regulate the vocal movements of the larynx.

12. The _hyp-o-glos'-sal_, or twelfth pair of nerves, give motion to the tongue.

FIG. 56.

THE SYMPATHETIC SYSTEM contains the nerves of organic life. It consists of a double chain of ganglia on either side of the backbone, extending into the chest and abdomen. From, these, delicate nerves, generally soft and of a grayish color, run to the organs on which life depends--the heart, lungs, stomach, etc.--to the blood vessels, and to the spinal and cranial nerves over the body. Thus the entire system is bound together with cords of sympathy, so that, "if one member suffers, all the members suffer with it."

Here lies the secret of the control exercised by the brain over all the vital operations. Every organ responds to its changing moods, especially those of respiration, circulation, digestion, and secretion,--processes intimately linked with this system, and controlled by it. (See p. 330.)

CROSSING OF CORDS.--Each half of the body is presided over, not by its own half of the brain, but that of the opposite side. The motory nerves, as they descend from the brain, in the medulla oblongata, cross each other to the opposite side of the spinal cord. So the motor nerves of the right side of the body are connected with the left side of the brain, and _vice versa_. Thus a derangement in one half of the brain may paralyze the opposite half of the body. The nerves going to the face do not thus cross, and therefore the face may be motionless on one side, and the limbs on the other. Each of the sensory fibers of the spinal nerves crosses over to the opposite side of the spinal cord, and so ascends to the brain; an injury to the spinal cord may, therefore, cause a loss of motion in one leg and of feeling in the other.

REFLEX ACTION.--Since the gray matter generates the nervous force, a ganglion is capable of receiving an impression, and of sending back or _reflecting_ it so as to excite the muscles to action. This is done without the consciousness of the mind. [Footnote: Instances of an unconscious working of the mind are abundant. An illustration, often quoted, is given, as follows, by Dr. Abercrombie, in his _Intellectual Powers_: