The Body at Work: A Treatise on the Principles of Physiology
CHAPTER XI
THE NERVOUS SYSTEM
Twenty-five years ago a new process was introduced for colouring the elements which by their combination make up the nervous system. With its aid anatomists discovered the inadequacy of their conceptions of nerve-cells. It was already known that a nerve-fibre—that is to say, its essential part, its core—is a part of a cell, the body and other parts of which are situate within the brain or spinal cord, or in one of their dependents, a ganglion. But the new method showed the nerve-cell as more elaborate in form than anything which had been imagined hitherto; and since the word “cell” was often loosely used when the cell-body alone was referred to, it seemed worth while to give the unit of structure a new name. The term “neurone” was introduced to emphasize its functional individuality. The nervous system is an association of neurones.
By the extremely simple expedient of placing a small block of nerve-tissue in bichromate of potassium, and then transferring it to nitrate of silver, jet-black pictures of nerve-cells are obtained showing with amazing completeness all the details of contour of their bodies and all the intricacies of branching of their limbs. The most surprising feature of the process is the absence of confusion in its results. Dyes were in use which stained one kind of cell better than another, or picked out a particular part—usually the nucleus—of every cell. If the chrome-silver process had acted in the same way, a dense black preparation in which no details could be distinguished would have been the result. But instead of treating all cells alike, the process blackens one cell here and another there, leaving hundreds or thousands untouched. It shows no preference for any particular kind of cell. In one section large cells are picked out, in another small ones; in a third no nerve-cells are blackened, but connective tissue is brought into view. When the block of tissue soaked with bichromate of potassium is immersed in a solution of nitrate of silver, the chromate escapes from it into the surrounding liquor much more quickly than the nitrate gets in; and when at last the nitrate of silver enters, it finds that some of the cells have fixed the chromate in their substance. This retained chromate combines with silver. The product is rapidly reduced to a black subchromate. No explanation of the fixing of the chromate by individual cells has yet been offered. It is a remarkable fact that another process which similarly makes choice amongst the elements has since been introduced, giving even more valuable results. Pieces of fresh tissue are placed in a very dilute solution of methylene blue. When staining is satisfactory, nerve-cells alone take up the dye. The selection of individual nerve-cells is not carried so far as it is by the chrome-silver method, but it is exhibited to a certain extent. It is probable that nerve-cells live (in a physiological sense) longer than other tissue-elements. Methylene-blue contains some easily removable oxygen of which the oxygen-starved nerve-cells take advantage. The reduced methylene-blue remains in their substance, so that when the preparation is reoxidized by exposure to air the pattern of the nerve-cells is rendered conspicuous. When a few cells are selected, it is, presumably, because they were the only ones alive at the time when the dye entered the tissue. Preparations made from the wall of the alimentary canal seem to justify this simple explanation. They show patches in which muscle-fibres are stained, patches in which there is no staining, and intermediate zones in which nerve-cells are coloured and muscle-fibres are not. But the hypothesis is inadequate to meet all cases. When first employed, the blue was injected into the animal in successive doses until it killed it. The staining was believed to occur _intra vitam_. Subsequently it was found that its application to fresh tissue, or, for certain results, to tissue which has been kept for some hours, is equally effective.
Without an understanding of the nature of the two new processes, and of the character of the results which they yield, it would be impossible for the reader to realize the extraordinary advance in our knowledge of the finer structure of the nervous system which has marked the period during which they have been employed.
The chrome-silver process is the more useful for the central nervous system. Methylene-blue gives better results with tissues containing minute nerve-cells and the branches of nerves. The latter method has revealed such a profusion of nerve-twigs as would never have been suspected but for its use. Consider, for example, the lining epithelium of the lungs (p. 168). Every one of its flattened cells has its own nerve twig or twigs. They lie between the cells. They give branchlets which enter them. A similar statement might be made regarding the richness of the nerve-supply of the muscle-fibres of the alimentary canal, or of the cells of glands, and possibly of other tissues. Each fresh success achieved in the application of the method makes a further revelation of the abundance in which nerves are distributed, increasing our sense of the dependence of all vital processes upon nervous control, and our appreciation of the unifying and integrating importance of the nervous system.
The term “neurone” is used by certain writers with a view to emphasizing their belief, not in the functional individuality alone of the unit of structure, but also in its anatomical isolation. The peculiarity of the methods of coloration which we have described lies, as already pointed out, in their selecting the cells which happen to be in a particular nutritive condition, and ignoring their neighbours. Hence pictures of separate and discrete units are obtained. This proves the nutritive autonomy of the cells, but it does not necessarily follow that A is not structurally connected with B, and B with C. Impulses are passed along the chain from A to C. Functionally, therefore, they are linked together; but until the question as to the way in which contact is established is settled, it is as well to think of the neurones as anatomically discrete.
It would be impossible in this book to describe all the varieties of neurone, for nothing is so characteristic of these elements as their enormous range both in size and form. It may be truly described as having no limits. Each of the two electric organs of Malapterurus is governed by a single neurone. Its cell-body is a fifth of a millimetre or more in diameter—large enough to be seen with the naked eye—and traversed by capillary bloodvessels. The axon of this nerve-cell—its single nerve-fibre—ramifies to supply a separate branch to each of the 2,000,000 chambers of the electric organ, and each branch breaks up into a bunch of twigs within the chamber. Contrast with such a giant cell as this one of the granules of the retina or cerebellum, the smallest cells to be found in the body, yet each a perfect neurone, exquisitely elaborate in form.
As types for description we may take one of the motor cells of the spinal cord and a granule of the cerebellum. Every nerve-fibre which supplies a group of voluntary muscle-fibres is a thread drawn out from a large cell-body which lies in the grey matter of the spinal cord or of the axis of the brain. The fibres pass out in the anterior root of a spinal nerve or in a cranial nerve. The cell-body may have a diameter of as much as 100 µ (1 µ = 0·001 millimetre). In shape it is like a very irregular starfish, owing to its being continued into several, usually four or five, thick tapering branching limbs or processes, known as dendrites, in addition to its slender thread-like axon. From its origin in a cell-body to its destination in a muscle—it may be a few inches, or it may be a yard away—the axon is an unbroken thread. A short distance from the cell-body it enters a tubular sheath, which protects and insulates it, recalling the covering of gutta-percha in which the wires of a telegraph cable are enclosed. The sheath is of a phosphatic fat, invested and held in place by a delicate transparent membrane, neurilemma. Beneath this membrane nuclei occur at regular intervals, and midway between each two nuclei the sheath is cut across by a septum. Such interruptions or nodes show that the sheath is not a part of the nerve, if the term is used in the most restricted sense. Each internode is a cell which has been wrapped round the nerve for its protection. The axon with its sheath is spoken of as a nerve-fibre. A large number of nerve-fibres bound together by connective tissue constitute a nerve. In some cases the axon before it leaves the spinal cord, but after it has entered its myelin sheath, gives off one or two lateral branches (“collaterals”), which return to arborize in the grey matter of the cord. It does not appear that they are always present in the case of the motor neurones of the spinal or cranial nerves—probably they are usually omitted—but collaterals are important features of the large neurones of the cortex of the cerebrum and cerebellum (Figs. 23, 24). Usually two, three, or four such branches start off at right angles from the axon, and after a time turn back towards the surface, dividing into a few extremely slender branches. Their purpose is an enigma. Possibly they bind a group of cells together in functional unison. Such an explanation would seem reasonable in the case of an arrangement of collaterals on the plan we have just described; but in various situations in the brain cells are seen of which the axons, instead of becoming nerve-fibres, break up completely into collaterals, which branch repeatedly.
By various methods it may be shown that dendrites, cell-body, and axon contain fibrils (Fig. 22). These neuro-fibrillæ lie parallel to one another in the axon. Where it divides they are distributed amongst its branches. Possibly they also branch. In the neurones of Malapterurus, already referred to, this would appear to be inevitable. The discovery of neuro-fibrillæ seemed to carry us a step nearer to a comprehension of the physics of nervous conduction. They clearly indicate that particles of the substance of a nerve-fibre are oriented in the direction in which impulses pass. It is a structural differentiation similar to the fibrillation of muscle, and probably of the same order—a response to the same demand. But when we examine the arrangement of the fibrils in a cell-body and its dendrites, the appearances which we discover serve to perplex us. They complicate instead of simplifying our mental picture of the conduction of nervous impulses. The coarsest and most distinct neuro-fibrillæ are to be found in annelids, the ganglion-cells of a leech, for example, affording excellent preparations. These cells are pear-shaped, with a single stalk. As is usual in invertebrate animals, they do not exhibit separate dendrites and axon, but dendrites and axon pass out from the cell in the common stalk. The bodies of the cells are set round a felted mass of nerve-filaments, into which their stalks break up. Just beneath the surface of the stalk of one of these cells two or three very fine neuro-fibrillæ are to be seen. A single, much coarser fibril occupies its axis. The fine fibrils join a network at the periphery of the cell-body. The thick fibril is connected with a coarser network which surrounds the nucleus. Radiating threads unite the finer with the coarser net. It has been suggested that afferent impulses ascend the fine fibrils, pass from the finer to the coarser net, and take their exit by the thick fibril, which can be traced into a motor nerve. Such a transit could not, so far as one can imagine, have any effect upon the distribution of the impulses which pass through the neurone; besides, there are reasons for believing that the course taken by impulses which are delivered to the ganglion by sensory nerves is determined by the felt-work in its centre, the neuropil. It is probable that during their passage through the cell-body impulses acquire the energy requisite to discharge the muscles to which the motor-fibre carries them. In vertebrate animals, sensory nerves are branches of neurones of which the cell-bodies lie in cranial or spinal ganglia. They resemble the ganglion-cells of the leech in as much as they are unipolar; both branches, the one which collects impulses from sense-organs, and the one which distributes them to the spinal cord, come off from the cell in a common trunk which afterwards divides, although the unipolar condition of the cell of the spinal ganglion is not primitive, but acquired. In the earliest stages of its growth the cell is bipolar. Its two ends subsequently grow together for a certain distance, the common portion being the vertical limb of the =T= (_cf._ Fig. 21, which shows the growth of a granule of the cerebellum). The body of the cell contains a network not unlike the network of the leech. It is probably related to what may be termed the charge of the neurone, the development of a suitable degree of force in the impulses which pass through it.
The neuro-fibrillæ of a large nerve-cell, such as a motor cell of the spinal cord, are exceedingly slender (Fig. 22). They branch and reunite. A certain number gather towards the axon; but the majority pass through the cell from one dendrite to another, or from one branch of a dendrite to another branch. It is very tempting to suppose that neuro-fibrillæ are connected with conduction. When first discovered they were regarded as conducting strands; but it is evident that they are not comparable with telephone wires or other isolated or separate conductors. There are good reasons for regarding dendrites as collecting processes, taking up impulses from the end-twigs of the nerves which branch in the grey matter around them, passing them through the cell-body into the axon. The continuation of neuro-fibrillæ from dendrite to dendrite seems to be irreconcilable with the hypothesis that they are disposed in the lines of conduction.
In common with those of various other types of neurone, the dendrites of spinal motor cells are beset with “thorns.” These projections are not rugosities or serrations, but short, delicate threads which stand out at right angles from the dendrites (_cf._ Fig. 1). About a dozen years ago, the writer made a careful investigation of these structures; at a time when most anatomists regarded them as artifacts. He found that their claim to be regarded as parts of the neurone is as good as that of its axon or its dendrites; although never seen on certain types of cell, the thorns, of cells which carry them, are perfectly definite in arrangement and spacing. In some kinds of cell they are more numerous, in others less. Neuro-fibrillæ, as we now know them, had not been discovered at the date when this investigation was undertaken; but on various grounds the conclusion was arrived at that thorns are the cell-ends of fibrils which pass from the end-twigs of arborizing axons into dendrites. Upon this conclusion was based an hypothesis of conduction which is here submitted, not because there is not much to be said against it—or, at any rate, many a hiatus in knowledge to be filled—but because it happens to be the writer’s own. The chrome-silver and methylene-blue methods which reveal the existence of thorns do not stain neuro-fibrillæ. They colour the soft protoplasm in which fibrils are embedded. By modifying the chrome-silver method in every way which still allows a result to be obtained, it was found that thorns sometimes appear as comparatively long slender filaments, at others as shorter filaments ending in minute knobs, or as filaments bearing two or three dots; or finally no filaments are visible, but the dots are in the position which they would occupy if fibrils were present, but not stained. From this it was argued that the soft protoplasm which during life surrounds the filament as a continuous film, either falls back towards the cell after death or is made to shrink into the cell by reagents. This accounts for the appearance of rod and knob. What is supposed to happen may be illustrated by dipping a wire in treacle. At first, when the wire is withdrawn, it is surrounded with a film. Then the film gathers into droplets. It was suggested that the entrance of impulses into dendrites, their conduction across the space which separates the end-twigs of axons from the dendrites into which their impulses pass, is by means of the thorns, although the thorns are not in themselves conductors. Conduction occurs only when films of cytoplasm surround the thorns. The first effect of impulses is to call out the films, in the same kind of way that a current of electricity converts a row of falling drops into a continuous stream. A succession of impulses, by adding to the number of the filaments which are enveloped in cytoplasm, or by increasing the amount of cytoplasm investing certain groups of filaments, increases the openness of the path. Sleep is a condition in which all paths are open. Hence no impulses are effective. Wakefulness, alertness, depends upon the closing of all paths save those which are actually in use. We may go further. The power of concentrating attention is the power of limiting the spread of nerve-impulses in the brain. Alcohol opens extra paths; the concentrated effort which was making progress with a problem becomes more diffuse. The first effect appears in greater brilliance of thought, gained at some sacrifice of cogency. Unexpected analogies are discovered. Imagination takes a wider range. But as the dose is increased, a condition akin to sleep is set up. Nerve-impulses become ineffective because, many paths being open, they do not attain a sufficient intensity in any set of paths. These few illustrations are given for the sake of showing the need of a theory of the opening and closing of paths. It is not suggested that they favour the particular hypothesis here set forth as to the structural arrangement which provides the paths and regulates their accessibility.
Recent discoveries in the finer structure of the central nervous system have provided many problems which at present appear insoluble. One of the discoveries most difficult to make use of in constructing theory is the existence of extracellular or pericellular nets, which have the appearance of extraordinarily delicate cases of wire-netting immediately surrounding the nerve-cells. It is somewhat remarkable that the spacing of the nets is often very similar to, if not identical with, the spacing of thorns. While some anatomists look upon the nets as nervous, others regard them as pertaining to the connective tissue of the nervous system. At present it is not known how impulses get across from the finest visible twigs of arborizing axons to the dendrites of the neurones which they influence. The wealth of structural detail which recent research has revealed is an embarrassment to anyone who tries to devise a scheme. Not improbably, pericellular nets are intermediate factors in the exchange; or, if not the nets, the structures whose existence is indicated by the appearance of the nets. In the case of many of the finer markings which staining methods bring into view, it is impossible to say whether they indicate the presence during life of the structure as it appears to be, or whether the markings are due to coagulation of plasma or to strain caused by shrinkage in coagulating agents. In a sense this is not of much consequence. Coagulation in a uniform pattern would mean the existence of an architectural substructure which determines the pattern. We may be looking at the cake or at the tin the cake was baked in.
There is a danger of seeing too much in a nerve-cell when examining it under the highest powers of the microscope, and of endeavouring to picture in too much detail the arrangements which regulate the flow of impulses. Its markings are so complicated as to suggest to the mind of the observer that it is itself a microcosm—a nervous system in miniature. Neuro-fibrillæ appear to offer many alternative paths within the cell. It is unlikely that such a way of looking at the unit of structure is the right one. A certain motor cell of the spinal cord is connected by its axon with thirty or forty separate muscle-fibres; but there is no reason for thinking that the fibres ever contract save as a single group. The axon consists of parallel fibrillæ, but these do not appear to be needed as separate conductors; an impulse travels down the fascicle. It does not appear to be necessary in the case of a motor cell, and presumably the statement holds good for the large cells of the cerebellum and cerebrum to picture any arrangement for the simultaneous conduction in its axon of several impulses, or for the conduction of one impulse along one of its fibrillæ and a different one along another. What is necessary is that this particular efferent path Z should be accessible from every other part of the nervous system—from A to Y. If, merely for the sake of filling the space which would otherwise be blank in the mental picture, we imagine a pericellular net connected by thorns with the body and dendrites of the nerve-cell Z, then the net is the meeting-ground of all the routes through which Z is called into action. A nerve-wave from any of the neurones A to Y, breaking upon this net, passes along the thorns into the protoplasm of Z.
In size a granule of the cerebellum presents a marked contrast to a motor cell of the spinal cord; yet it is formed on essentially the same plan. From its minute round body (about 8 µ in diameter) four or five slender dendritic processes are drawn out. Each dendrite ends in a little bunch of twigs, resembling fingers curved over the palm. Its single slender axon runs towards the surface of the cortex. As the granules lie at a considerable depth, this course is, for those which distribute to the most superficial layers, a long one. They pass from the granular to the molecular layer between the big cells of Purkinje. When the axon has reached a certain level in the molecular layer, it divides into two threads which run for a great distance, right and left.
The granules of the cerebellum have a curious developmental history. Every neurone in the body has a lifelong existence. Except for the rare accident of its destruction by disease it occupies its station to the hour of death. But at the time of birth many neurones are still immature. Not all the granules of the cerebellum have yet assumed their permanent form or situation. Beneath the pia mater there is still a layer of minute undifferentiated cells. These, as they grow into granules, elongate, in the first instance, into long spindles. Subsequently they sink down through the molecular layer and between the cells of Purkinje, leaving the poles of the spindle as the right and left divisions of the axon (Fig. 21). It is interesting to learn that such a migration is possible. It is also of interest to find that a tiny granule of the cerebellum goes through the same stages in attaining its adult form as one of the large cells of a spinal ganglion.
There are many different types of neurone. Any attempt to describe them, or to give an account of the various details of structure which recent improvements in technique have enabled anatomists to observe, would fill a lengthy treatise; and would, moreover, be beside our aim, which is limited to obtaining such an idea of the unit of the nervous system as will enable us to form a conception, however crude, of the way in which it works. From the brief account that has been given, it will be evident that anatomists are approaching to an understanding of the mechanism. It will also be evident that they have already more information than they can apply. They are cognizant of many details of structure which they cannot interpret in terms of function; and at the same time are aware of wide gaps in their knowledge regarding facts which are essential to the construction of any scheme. This much is clear: A sense-cell on the surface or beneath it is touched (probably entered) by the ultimate twig of the outer limb of a neurone whose cell-body lies in a spinal ganglion, while its inner limb, as a fibre of a posterior root, enters the spinal cord. In the spinal cord the root-fibre splits into an ascending and a descending division which rain branches into the grey matter over a considerable area above its point of entrance, and a smaller area below it. The finest twigs of these branches are to be seen in the vicinity of the cell-bodies and dendrites of certain other neurones. The axons of these second links arborize in a similar way in the vicinity of large motor cells, whose axons in turn become fibres of anterior roots. (For simplicity’s sake no reference is made to hosts of other neurones which link the ganglion-cell and the motor cell to other cells higher in the cord or brain.) An impulse generated in the sense-cell on the surface of the body runs up the root neurone into the cord, where the ultimate twigs of the posterior root-fibre offer it a wide choice of distribution. Following the path of least resistance, it passes into neurone No. 2. Again, the arborization of No. 2 offers it alternative paths. It makes a choice which lands it in No. 3. No. 3 passes the impulse on to the muscle-fibres with which it is connected. Three points are especially worthy of attention: (1) The impulse has a wide (literally, an unlimited) choice of routes. The skin of the finger is touched. Any muscle may respond, although resistance is so graded as to cause the impulse to seek in the first instance the group of muscles which is most often required to act in consequence of stimulation of the finger. This means, we may suppose, that it follows the chain which, having the smallest number of links, offers least resistance. If it cannot get through to these muscles, owing to the fact that other impulses, acting simultaneously, either increase the resistance in this particular path, blocking its way, or reduce the resistance in an alternative path, it spreads farther afield. (2) Owing to the ramification of the root-fibre which conveys it to the cord, an impulse is not limited to a single line of distribution. It reaches many secondary links. It may therefore influence various effector neurones simultaneously. For example, a stimulus which calls extensor muscles into action, at the same time inhibits their flexor antagonists. (3) The path which it finally takes is accessible to all other impulses. Its root neurone was peculiar to itself. Link No. 2 was more or less a common path. Neurone No. 3 is open to every impulse which traverses the nervous system.
Anatomy justifies the construction of the scheme just outlined. But there are many points regarding structure upon which a physiologist desires information, many details that he wants to see filled in. How is the impulse passed from the arborization of axon No. 1 to the dendrites of neurone No. 2? By what structural arrangement is resistance introduced, and how is it regulated, if it varies? Supposing the resistance to be higher in one path than in another, or supposing that more force is needed to enable an impulse to invade a wider field, how is additional energy supplied? To the first question no answer can be given at present—the mechanism by which impulses are transferred from one neurone to another is unknown; yet it is convenient to find a name for the junction of axon-endings and dendrites. It is termed a “synapse,” on the understanding that the word involves no hypothesis as to its structural nature. It is generally held that resistance is introduced into nerve-circuits at synapses; although this again is a provisional statement. The phenomena for the explanation of which the idea of synaptic resistance was introduced, may be accounted for on a purely anatomical basis of distribution. The extent to which one neurone influences another may depend upon the size of the brush of fibrils with which its axon touches it. If a certain force is needed to discharge a neurone, a nerve-current must either have a sufficiently high potential when it reaches it, or it must act upon it for a sufficient length of time. There is little to choose between the arguments which place the resistance at the synapse and those which transfer it to the nerve-cell body.
As a mechanism the nervous system is unthinkable, unless we picture its units as independent, yet capable of forming associations; as functionally discrete, yet entering into functional continuity. When acting, they act as chains. Impulses run from link to link, from the end-twigs of an axon of one cell to the dendrites of the next. Neurones are so arranged as to make it impossible for impulses to escape backwards out of dendrites into axon-twigs. In this respect the system is valved. But there is no reason for thinking of the substance of the neurone as polarized in any way. The physical accompaniment of an impulse—the electric variation—travels with equal facility up and down its axon.
There is no evidence of any specificity of neurones; on the contrary, it is clear that impulses of every kind—that is to say, from every source, for we recognize no specificity of impulses—can travel equally well through neurones of all forms. At every junction, in passing through each synapse, they are delayed. It takes at least 0·01 second (less if the knee-jerk be a true reflex action) for a message delivered to the cord by a sensory root to reach a motor root. This hundredth of a second—the sum of the delays entailed in fording two or three synapses—is regarded as the minimum reflex time. To it must be added, in considering any particular reflex action, the time taken in travelling up sensory and down motor nerves. Delay indicates resistance. If a sensory stimulus be not sufficiently pronounced to provoke a reflex action, the reflex may be obtained on intensifying it. Prolonging or repeating the stimulus—really the same thing, since sensory impulses are rhythmic, not continuous—has a far more potent effect than increasing its force. The resistance of synapses gives way after a number of impulses have bombarded them. The desire of brushing a fly from the skin, if resisted, becomes intolerably urgent after a time. A persistent outflow of impulses produced by the irritation of a spot in the cortex of the brain overwhelms the nerve-muscle system in an epileptic fit. The following is an experiment illustrating the spread of impulses from their customary path to another less often used: A piece of blotting-paper, wet with vinegar, is placed on the inner side of the thigh of a brainless frog. There is no use in trying the experiment on a frog which retains its brain; the substitution of one action for another would be an exhibition of the adaptation of means to end—a demonstration of the animal’s right of choice. Besides, the frog might choose not to act, and so the experiment would fail. The brainless frog wipes off the blotting-paper with the foot of the same side. This foot is then fixed so that the action cannot be performed, and the blotting-paper replaced. After a longer interval the frog removes it with its other foot. Evidently it is more difficult for the impulses generated by the irritation which the vinegar causes to get across the cord than it is for them to reach motor neurones on the same side. Evidently, too, the continued irritation of the vinegar adds to the travelling power of the impulses. They are strengthened until they are capable of overcoming the resistance in the longer path. “Resistance in conductors” and “potential of current” are terms with which the study of electricity has rendered us familiar; but it must be evident from the experiment just described that these terms are not really applicable to nervous phenomena, convenient though they may be for use in an allegorical sense. Holding the foot does not, by any mechanism which we can recognize, switch off the shorter circuit, yet the impulses abandon it for the longer path. There is no evidence of a struggle to free the foot that has been fixed, coincident with the spread of impulses, as they gather sufficient strength to reach the nervous mechanism of the other leg. The right foot not being available, the impulses _choose_ the route to the left foot. Any attempt to explain this in terms of resistance and potential involves the formulation of a number of subsidiary hypotheses; easy to devise, no doubt, but stultifying to the explanation exactly in proportion as they complicate it. Yet the hypothesis of lines of greater and of less resistance (keeping as far away from electrical analogies as possible) is essential to any explanation of nervous phenomena, and is, moreover, justified by the evidence available. There are two causes in chief upon which it depends: (1) The greater the number of neurones in a linear chain, the greater is the number of synapses to be traversed. If A, B, C are in the same circuit, the sum of their resistance has to be overcome. (2) The greater the number of neurones amongst which a nerve-current has to be subdivided, the smaller the charge available for each of them. Imagine
B A C
so placed as to divide B and C, the charge delivered by A between. This arrangement has, probably, an anatomical expression which accounts for the relative ease or difficulty of a path, even on the supposition that impulses do not open out as they advance—do not spread along all the branches into which an axon divides—but keep to a given line. The axon of neurone A divides, to branch about B, C, and D; but its representation in the several pericellular nets (the expression may pass for the sake of the simplicity which it introduces into the picture) is unequal. In the vinegar experiment the impulses delivered to the spinal cord by the root-ganglion neurone A pass to neurone B of the posterior horn. B’s axon arborizes more freely about the cell-body of neurone C in the anterior horn of the same side than it does about neurone D in the anterior horn of the opposite side. Hence the impulses generated by the vinegar stimulate C, sufficiently to discharge it, so long as that road is open, more quickly than they stimulate D. That C should be dischargeable only so long as the foot is free implies that the activity of the neurone is in some way conditioned by its relation with the muscles which it innervates. When the foot is held this relation is interfered with, giving to the impulses generated by the continued action of the vinegar time to overcome the resistance of D.
The simile of the opening up of paths is fairly applicable to the results which follow the use of artificial stimuli. Neurones seem to link up in series under the influence of the impulses which bombard them, popping like fireworks united by a common fuse.
Experimental evidence points to the following conclusions: (1) Resistance is offered at a synapse. This resistance must be overcome before an impulse can get through from neurone 1 to neurone 2. (2) The impulse does not, properly speaking, pass from 1, through 2. It infects 2, causing it to discharge a fresh impulse. (3) Time is of the essence of this process. Either the impulses head up at the synapse, or, passing through into the neurone, they produce a cumulative effect within it, which provokes it to discharge. (The latter hypothesis, which is the less likely of the two, transfers the resistance from the synapse to the neurone to be infected.) These conclusions are based upon experiments of the following kind: The minimal stimulus which will evoke a reflex action is determined. A stronger stimulus is then applied. The reflex occurs more promptly, and is more pronounced. But on further increasing the stimulus, it is found that the limit of effectiveness is soon reached. The proportional relation of response to stimulus is much less evident than it is when the experiment is tried with a nerve-muscle. Choosing a reflex action easily provoked, the afferent path is stimulated with an electric current interrupted fifty times a second. The impulses which flow down the efferent path to the muscle follow one another at the rate of about ten a second. A column of nerve-fibres within the spinal cord is stimulated fifty times a second. Again, the discharge into anterior roots has the natural rhythm of about ten. The cortex of the “motor area” of the great brain is stimulated with a rapidly interrupted current. The muscles which it governs contract with their natural rhythm. The cortex is sliced away, and the stimulus applied to the white matter beneath. A similar result is obtained. Evidence such as this points to an independence of action on the part of the neurones which one can express only in terms of resistance and explosion. But there is another line of thought which leads to the development of a picture of the working nervous system which seems at first sight incompatible with the one that we have sketched. The phenomenon of the knee-jerk (p. 274) reveals a nervous system so intimately linked together, so homogeneous, so mobile, that no event, however trivial, occurs in any part without sending a vibration throughout the rest. Instead of a multitude of batteries enveloped in a labyrinth of wires interrupted by myriads of switches which are crackling on and off, the image of a sheet of water better figures our conception—a material so frictionless that it is a-ripple from side to side and end to end, from the most distant rivulet which feeds it to the farthest trickle in which it drains away. It is a fluid in a state of infinite commotion, the movements of its particles varying in amplitude from tremulous quiverings which scarcely frost the silver of its surface to waves which, breaking on the muscular system, throw it up in heaps. The vinegar experiment seems to demand a scheme of batteries and wires. The knee-jerk points to a continuous conducting medium. Other phenomena suggest the superposition of the two pictures; the conception of a nervous system consisting of a uniform medium conducting, not indifferently in all directions, but with such freedom that from our point of view the paths are infinite in number; and within this conducting medium nerve-cell bodies and their processes which collect and distribute groups of vibrations sufficiently strong in combination to produce visible effects. In order that one of these neurones may be stimulated to discharging-point, the medium by which it is surrounded must be thrown into such a state of agitation as suffices to infect it. The considerations which point to the formulation of this double or superposed scheme are such as follow: The passage of tone-impulses does not appear compatible with the ideas we have formed on other evidence of synaptic resistance and neuronic discharge. They are too feeble for such a mechanism. The short “reflex time” of the knee-jerk points to the passage of the agitation up a sensory root to the spinal cord, and through a non-resistant medium to the environment of the motor cells which it discharges, missing the neurone or neurones which intervene in the case of ordinary reflex actions. This is an illustration of the way in which tone-impulses, which we imagine as conducted by the non-resistant medium, pass over into discharges which produce visible effects. Again, the phenomena of =inhibition= appear to require the supposition of extra-neuronic conduction. Whenever a reflex path is in use, all other paths in its neighbourhood are closed. The passage of impulses leading to a particular reflex action is favoured by the suppression of conduction in its vicinity. When A is talking to D through the nerve-telephone, B and C are compelled to hold their peace. Inhibition is a phenomenon of universal occurrence. In relation to various actions, it is sufficiently pronounced to be visible in the effects which it produces. A simple experiment will illustrate this. Holding water in the mouth has no effect upon respiration, but during the act of swallowing respiratory movements are suspended. Whilst the swallowing reflex is occurring the respiratory reflex is inhibited. This might be attributed to the volitional control of respiration, and certainly when attention is being directed to the process volition plays a large part. But if a finger is placed on the pulse, it is possible to detect that, during the act of swallowing, the pulse quickens, owing to the suppression of the slowing action of the vagus upon the heart. Here is a case in which inhibition is in no degree a voluntary action. Nor is it of any value as an adjunct to the particular reflex with which it is associated. It is an illustration of the universal rule that activity of any one spot in the nervous system is the cause of the quieting of the surrounding area. Impulses which reflexly check the heart cannot get through the medulla oblongata whilst the swallowing impulses are traversing it. Inhibition has been described as a drainage of nerve-force into the active area. On the structural side it seems to require the conception of an extra-neuronic substance which, agitated in the vicinity of the cells which are to be discharged, is brought to rest around neighbouring cells. The promulgation through the nervous system of the state which, when it reaches the centres of consciousness, produces pain also seems to call for an hypothesis of extra-neuronic conduction.
Any reference to =pain= in a work on physiology needs a few words of preface, since popularly the term “pain” is used in various senses. When I see pink geranium and nasturtiums growing in the same flower-bed, I may exclaim: “It is positively painful.” The want of harmony, and at the same time the insufficiency of contrast, of chalky pink and translucent orange, jars my æsthetic sense. Dislikes, however well founded, are ruled out in thinking of the physiology of pain. Further, in defining pain, we must be careful to isolate the real thing, and not to confuse it with sensations which seem to lead up to it. If, putting my finger in a pair of pincers, I touch it as lightly as possible, the first sensation is one of contact; a little harder, and it becomes a sense of pressure; harder still, and all sense of contact or pressure is lost in pain. It is usual to regard pain as sensation carried to excess. But neither is this physiological. An excessively bright light or an excessively loud sound is disagreeable. It causes a sudden movement for the purpose of avoiding it—just such a movement as one would make if one touched a red-hot poker—but it is not, strictly speaking, painful. Not uncommonly in cases of accident or disease of the spinal cord a sharp distinction is drawn between the sense of touch and the capacity for experiencing pain. Below the injury the patient retains his sense of touch undiminished in acuteness, but no blow, or cut, or burn, causes him any pain. The pain caused by squeezing the finger in a pair of pincers is not, therefore, an excess of touch sensation. Pain begins to be experienced in the skin just when the object applied to it is affecting it to an extent which might do harm. If the point of a needle touches it, it causes pain as soon as the pressure is a trifle less than that needed to pierce its surface. A hot object begins to hurt when the temperature reaches 48° C.—almost enough to coagulate the tissue fluids. Pain is not a discriminative sensation. If I hold my arm out at right angles, I am conscious for the first few minutes of its weight, and have, besides, some sense of the traction exerted by the muscle of the shoulder. At the end of ten minutes these sensations are merged in pain, and for some time after lowering the arm the shoulder-muscle aches, much as it does in rheumatism. Pain is an effect upon consciousness, which absorbs, engulfs, and therefore obliterates sensation. To use an ancient phrase, “It is less that I feel pain than that I am pain.” If we speak of the capacity for pain as a sense, we may call it for the purpose of our present argument the “sense of damage.” The nerves of the skin are acutely affected by any agent which is likely to do harm. It is their business to convey to the central nervous system an influence which so affects it as to set up in consciousness the condition of pain. Sensations of damage evoke reflex movements by means of which the part of the body likely to be injured, or the whole body, is removed to a safe distance. It being the duty of the skin to give this warning, a service of nerves sensitive to noxious agents has been developed which scouts in co-operation with the services devoted to the recognition of physical contact and heat and cold (_cf._ p. 425). If, imagining that the fire has not been lighted, I touch an almost red-hot stove, I acquire quite a considerable amount of information of which I am able to make use. I gain an accurate notion of the situation of the stove, and I put the right part of my finger in my mouth. The skin sends to the brain the ordinary sensations of touch and pressure before the condition of pain is established. In seeking for a definition of pain, we must eliminate the two attributes which have characterized all the forms of stimulation which we have considered up to the present time: (1) The tendency to provoke movement; (2) the supply of information. If I am suffering from a whitlow, the last thing that I am disposed to do is to jerk my finger about. Although it enhances the urgency of skin-reflexes, pain, in general, inhibits movement instead of provoking it. This is well illustrated in pleurisy. So long as a man is healthy he is quite unconscious of the fact that at each respiration the lower part of the lung slides on the lining of the chest-wall; but commencing inflammation on the surface of one of the lungs causes intense susceptibility to friction, and the pain produces an effect which the man is quite unable to produce by an effort of will; it stops the movements of the chest on the damaged side. Pain is inhibitory, not stimulant. It is not, properly speaking, a sensation. Frequently being mixed with sensational elements, it conveys topographical information; but pure pain approaches in quality the nebulous sense of distress of a patient who, when asked where he felt it, replied: “Nowhere; but there is a deal of it in the room.”
Sufferers describe pain in figurative language, as “burning,” “stabbing,” “throbbing,” “aching,” and so forth. Two persons afflicted with the same lesion, the same source of pain, use approximately the same terms. Hence we cannot say that pains do not differ in character. But this is not a sufficient reason for assigning any specific quality to pain. It varies in severity, in continuity or intermittence, in suddenness of onset, in the sensations which accompany it, in the emotional tone to which the disturbance of the organ from which it proceeds gives rise, in the tenseness of the part affected and its consequent sensitiveness to a throbbing pulse. All these things make a complex of pain plus sensation, which causes toothache to differ from headache, and both from the pain of burned skin. But they do not give specific qualities to different varieties of pain. This being the case, there is no need to presume the existence of special nerve-endings for the reception of pain, or of a special region of the cortex of the brain for its reception. On the contrary, the evidence is conclusive that the nerve-fibres which serve the more highly specialized senses, which have well-defined connections in the cortex of the brain, do not convey the influence which enters consciousness as pain. It is the innumerable nerves which have no specialized receptors that take up pain. The afferent nerves of the viscera—the vagus and sympathetic—convey no impulses which enter consciousness, so long as the tissues which they supply are healthy. They have no representation in the cortex. The organs with which they are connected (with trivial exceptions, easily accounted for) are absolutely insensitive to injury. Before the virtues of chloroform were known—in the days when, however severe the operation, the patient had to nerve himself to bear it without an anæsthetic—surgeons proved that the liver or the intestines, or practically any other viscus, may be cut or cauterized without the patient being aware that it is being touched. The same is equally true of the brain itself. But if damage in a viscus is set up gradually, its nerves convey to the central system an agitation which has the most pronounced results upon consciousness, and on the way profoundly affects the reflex actions which the spinal cord can carry out, and also its capacity as a conductor. Once in his life, perhaps, a man passes a gall-stone; for generations such a thing may not have happened in his family. Yet the man finds that he is provided with a nervous apparatus which conveys to consciousness intensest pain.
It is difficult to think of pain as travelling along nerves in the form of rhythmic impulses, similar to those which produce in consciousness the effects which we have distinguished as sensations. A few lines above we stated that no impulses which affect consciousness normally travel up the vagus or the sympathetic nerve, limiting the term “impulse,” perhaps unjustifiably. The vagus conveys an influence which enters our experience, as hunger. Probably other states of feeling for which we have no names, which resemble pain and hunger and their opposites, are set up through the agency of visceral nerves.
Fifty years ago attention was called to the difficulty of finding pain-paths amongst the white tracts (nerve-fibres) of the spinal cord. It is as difficult to point them out now as it was then; but the inference that pain travels up the grey matter has given way to the “neurone theory”; under a misapprehension as the writer holds. Pain travels slowly. If one happens to notice a person who unsuspiciously touches a hot surface, one observes that an interval elapses between contact of his finger with the iron and the exclamation with which he “relieves his feelings.” It amounts to more than a second—if the iron is not very hot, to several seconds—whereas the “reaction-time” for touch is only one-seventh of a second. The slowness of movement of pain through the nervous system can on the neurone theory be explained only on the hypothesis that it travels from link to link along a very long chain of very short neurones. That pain is a state of the grey matter rather than a succession of impulses, and that (within the cerebro-spinal axis) the state is transmitted through an extra-neuronic medium, seems a simpler explanation.
The state set up in the segment of the cord in which afferent fibres, conveying pain from viscera, embouch affects its conductivity. It subdues reflex action through the segment, and at the same time facilitates or reinforces the transmission of sensory impulses towards the seat of consciousness. This shows itself in the apparent increased sensitiveness of the skin of the area of the surface supplied by the posterior root which joins the segment of the spinal cord into which the pain influence is also being poured. For example, afferent sympathetic nerves from the cardiac end of the stomach join the sixth and seventh thoracic spinal nerves. Other afferent fibres run up the vagus to the medulla oblongata. When the cardiac end of the stomach is diseased, pain is referred to the skin area supplied by the sixth and seventh dorsal roots. The ordinary inevitable stimuli acting upon this area cause pain. Experimental stimuli which elsewhere would be felt as touch or warmth are painful. The impulses to which they give rise pass through pain-agitated segments of the spinal cord. The vagus nerve carries its pain influence to the medulla oblongata. Now, it happens that the sensory nerve of the face—the fifth—spreads for a considerable distance up and down the axis of the brain. The fifth nerve in consequence pours its sensory impulses into a region which is pain-agitated by those fibres of the vagus which come from the cardiac end of the stomach. Hence disease of that organ gives rise also to an “illusion” of pain—pains and illusions of pain are philosophically indistinguishable—on the surface of the head. The viscera, having no direct access to consciousness, appear by deputy. When the stomach is distressed, it makes its appeal to the whole body politic for considerate treatment through certain nerves which have the privilege of appearing at Court. The message is misread as coming from the front of the chest—“heart-burn”—or from the shoulder, or from the scalp, or from the other skin areas which these nerves serve. When the liver is in trouble, consciousness, having no knowledge of its whereabouts—is it the business of hand and eye to explore another man’s liver, or incumbent upon the mind to accept their findings?—infers that the cry comes from the shoulder. Nor have the tissues beneath the root of the nail, or the muscle of the shoulder, or the pulp of a tooth, any direct representation in consciousness; but since the pain-condition in the grey matter converts it into a microphone, messages from neighbouring structures which otherwise would fail to arouse attention, after traversing the pain-segments of the nervous system, ring out clearly, and hence the mind locates approximately the “pain” of the whitlow, the muscle-ache, the decayed tooth. Sufferers from toothache are familiar with the phenomenon of the spread of pain from a definite spot to the whole jaw or the whole side of the head, dependent upon the spread of the pain-agitation from the segment of the axis of the brain in which the dental nerve ends to neighbouring segments. Our ability or inability to localize a pain does not depend upon the presence or absence of pain-nerves, but upon the existence or non-existence of nerves coming from the same organ, or from its neighbourhood, and capable of conveying impulses to the seat of consciousness. In passing through the part of the spinal cord or of the axis of the brain which is disturbed by the influence exercised by a damaged organ, silent impulses acquire force sufficient to render them audible, and combine with the pain to produce a feeling which consciousness can analyse, to a certain extent. Informed as to its whereabouts by these accentuated sensations, consciousness recognizes a sense of pain limited in its topographical extension.
Sneezing when a bright light falls upon the eye is a curious illustration of the exaggeration of the effectiveness of sensory impulses when they happen to be poured into an agitated segment of grey matter. About one person in every three is affected in this way. A friend of the writer, who was particularly sensitive, rising in the night because he heard his child cry, three times lighted a candle and three times sneezed it out before he could watch the application of match to wick without suffering from a nerve-storm. Some nervous dogs—especially fox-terriers—are very liable to this neurosis. Many persons who do not sneeze feel, when the sunshine stimulates their retinæ, a tickling in the nose. Again the illusion is to be traced to the door of the fifth nerve—the sensory nerve of the whole of the face. The nose is the true tip of the body. Morphologically it is anterior to the eyes. Just as the fifth nerve extends its distribution to the nose, so also its root-fibres extend their connection within the axis of the brain forwards, until they traverse the mid-brain, the primary centre of the optic nerve. A bright light, by stimulating the optic nerve, sets up a commotion in the mid-brain. The ordinary every-moment impulses from the nose, carried by the fifth nerve to this region, ought not to appear in consciousness at all; but owing to the excited condition in which they find the grey matter they assume an importance which does not belong to them, and discharge the reflex action of sneezing, just as they would do had one taken snuff. Several lessons are to be learned from this phenomenon—as, for example, one which cannot be too often impressed, that the impulses which appear in consciousness (or, more accurately, the impulses to which attention is directed) are but a most insignificant fraction of those delivered by sense-organs to the central nervous system. The impulses which give rise to the sensation of tickling in the nose are not exceptional impulses which happened to be started when the light fell on the eye. They were reaching the brain in a steady flow before the agitation of the mid-brain gave to them exceptional force. No consideration regarding the working of the nervous system has a more important bearing than this. We cannot picture to ourselves the activity of the sensory nervous system. Our experience is limited to the scattered sensations which we _perceive_. Are the sensory nerve-endings incessantly responding to external forces, throwing an almost continuous procession of impulses up each of the millions of nerve-fibres which connect them with the central system? Such a conception is probably nearer to the truth than the conception which we should develop if we trusted to experience. Yet even experience tells us that an infinity of messages is delivered to the brain, of which consciousness takes no account. Changing trains at a roadside station in France, my attention was attracted by an electric bell on the platform, which was ringing continuously. “Why does the bell ring?” I asked the station-master. “To make known that everything goes well,” was the response. “If it stops, something is wrong.” “But do you not become so accustomed to it that you cease to hear it?” “Yes, truly; it rings day and night. One does not pay attention to it until it has stopped.” Sensory impulses generated by the contact of my skin with the chair that I am sitting on are incessantly ringing the bell of consciousness. I should notice them immediately if they stopped. As it is, they do not attract my attention until they ring a little louder than usual, or until some particular group, owing to unrelieved pressure, produces a cumulative effect. Another lesson; that the condition of the nervous system, and therefore its conductivity, is determined at any given moment by the sensory impulses which are reaching it. We cannot describe the effect of a bright light as pain, yet it agitates the grey matter, altering its state, in the same way as the nerve-inflow which we recognize as pain. A wet rag on the forehead does not assuage a headache by cooling the brain (_cf._ p. 106). The headache is “in the scalp.” The cool wet rag diminishes the dilation of the bloodvessels of the forehead, and quiets the impulses from the skin which are pouring into a tract of grey matter pain-agitated by the influences ascending a visceral nerve—usually the vagus.
It is necessary to warn the reader that a reversion to the old idea of “conduction through grey matter”—_i.e._, otherwise than by a chain of neurones—is unorthodox. It is set forth here because it seems to the writer that the various phenomena which have to be accounted for fit in best with the hypothesis of a double path. If evidence of the anatomical possibility of extra-neuronic conduction is asked for, it may be pointed out that the chrome-silver and methylene-blue methods, upon which our knowledge of neurones is based, do not, in the very nature of the case, show that grey matter consists only of neurones and their obvious branches. As they select particular elements of structure, we can never by their use alone know what they fail to show. Attention may also be called to the fact that the same staining process which reveals pericellular nets (p. 301) shows also a structure resembling a network in the substance which intervenes between them. Truly the method is a rough one. It may well be thought that the nitric acid used to fix the tissue may cause strange coagulations with solution of uncoagulated substance; but, as was remarked with regard to the pericellular nets, regular patterns indicate architectural differentiation. But whether these nets do or do not give hints as to the nature of the conducting medium, there is no difficulty in finding sufficient material, after all the substance entering into the formation of the conducting neurones, as we imagine them, has been accounted for. _Ex hypothesi_, the conducting material is provided by the fibrils of the sensory nerves in their extensions beyond the limits to which the deposit of subchromate of silver extends, when the chrome-silver method of displaying neurones has been used. Sensation-impulses enter neuronic chains. The condition which, when it affects the seat of consciousness, is known as pain, progresses up the vertebrate neuropil.
Energy is developed within the nervous system. The =force of impulses= is adjusted to the resistance which they have to overcome. Stimulation of the millions of twigs of the vagus nerve in the lungs brings about the gentle movements of ribs and diaphragm which constitute peaceful respiration. A crumb of bread touching the mucous membrane of the larynx stimulates a few of the endings of the same vagus nerve. Like an avalanche, the impulses gather head as they advance, causing, not the diaphragm and intercostal muscles alone to do their utmost, but calling into action half a dozen accessory muscles of respiration. It is difficult to account for this reverberation of the messages which clamour for the ejection of the crumb of bread without figuring them as spreading from neurone to neurone, urging each in turn to deliver its maximal discharge.
Neurones are provided with material which serves as a store of energy. In their cell-bodies, including their dendrites, are to be seen coarse granules of nucleo-protein, which, being fitted in between groups of neuro-fibrillæ, assume an angular form. They are known as Nissl’s corpuscles, or are termed “tigroids,” owing to the spotted appearance which they give to the substance of a cell. If the nerve-cells of birds be examined just after they have alighted from a migratory flight, the granules are found to be few and small. In a bee returning to the hive at evening with its last load of pollen, they are smaller than they were when it commenced its morning’s work. They disappear in certain pathological conditions, and under the influence of various drugs; and since their presence is revealed by staining, their disappearance is spoken of as “chromatolysis.”
The wasting of tigroids during functional activity proves clearly that nerve-cells do work, in the physical sense. Energy is expended in transmitting messages from receptor to effector, from sensory cell to muscles, from recipient nerve-ending to glands. Have nerve-cells any privileges or duties? Their functions, so far as we have considered them hitherto, are automatic, from a mechanician’s point of view. Their situation and connections determine the direction in which they conduct, and the degree in which they reinforce stimuli impressed upon the nervous system by the environment, including what may be termed the internal environment, food in the alimentary canal, secretions in ducts, and so forth. Have the cells any directive or executive functions? There is no evidence that they have; nor, it must be added, is there any line of reasoning which leads inevitably to the conclusion that they have not. Remembering that, until recently, it was the custom to solve all obscure problems and to shelve all difficulties by conferring human attributes upon nerve-cells and collections of nerve-cells, termed “centres,” a physiologist admits the negative with reluctance. The unconscious argument in the past used to run somewhat thus: “I decide to act or to abstain from action. The nerve-cell is the mechanism by means of which I decide. Therefore the nerve-cell decides.” (In the past a distinction was drawn between the cell-body and its processes, but that, we now see, was absurd.) It is very difficult to relinquish completely this attitude of mind. I feel, I remember, I will. There must be a _something_ which feels, remembers, wills. But a physiologist finds in the nervous system no evidence of a capacity for any function other than that of conduction, with adjustment of the force of current. He can no more discover feeling, memory, or will in a chain of neurones than he can find music in a violin. He hears the strings singing in the breeze. He can twang them with an electric shock. But he has no vision of ghostly performers, no glimpse of the conductor’s baton. Yet he knows, as every sane man knows, that the neurones are the instruments played in the orchestra of mind. He knows that, while all are sounding, some are muted, in order that the others may produce a dominant effect. He knows, too, whenever he decides to continue writing or to close his notebook, that the conductor is raising the baton or allowing it to sink by his side.
A neurone or nerve-cell is a transmitting link. It is scarce a thing to wonder at that physiologists, having wrestled successfully with the superstition of the “pontifical nerve-cell,” are unwilling to reinstate it even as doorkeeper in a free church. It may be that it exercises some discretion in admitting impulses, but until its authority as a guardian of the path which stretches behind it has been established, it is better to regard it merely as a door which swings open whenever pressed with sufficient force.
Is it possible to classify neurones according to their function? They can be classified according to size, and, with some degree of completeness, according to form. But if, as we believe to be the case, size and form are governed by purely physical requirements, the divisions into which the cells fall have no physiological significance. The motor cells of the spinal cord and axis of the brain are large and irregular in shape. Their dimensions are clearly dependent upon the size, thickness rather than length, of the nerve-fibres which are drawn out from them. They discharge impulses to groups of voluntary muscle-fibres at a considerable distance. Small cells could not do the work. Precisely similar reasons can be given for the large size of the cells of Purkinje in the cerebellum, which transmit the elaborated product, as we may term it, of this organ to the great brain; and for the dimensions of the large pyramids of the great brain, which convey its decisions to the spinal cord. The small pyramids of the cortex of the great brain distribute the first crude impressions of sensations to neighbouring (association) areas of the cortex. A cell of Purkinje (Fig. 23) has a more complicated, and at the same time a more regular, form than any other nerve-cell. It resembles an exceedingly richly branched espalier pear-tree, set at right angles to the narrow convolutions of the cerebellum; a disposition easily accounted for, when the structure of the cortex of this organ is considered. Its outer layer in which the espalier processes ramify is traversed longitudinally by an infinity of nerve-threads, the bifurcated axons of granules. These granules are small neurones which take up impulses from afferent (“mossy”) fibres, and distribute them to the dendrites of the Purkinje cells—each collecting from a few fibrils only of the sensory channels. (The word “sensory” is used to indicate that sense-organs are their provenance, and not that their messages become sensations.) The numerous spreading branches of a Purkinje cell, disposed in a transverse plane, are obviously arranged to hold up and keep apart these myriads of longitudinal threads. A cerebral pyramid is shaped like a fir-tree. It is placed in a definitely stratified layer. By its branches it collects impulses from the superficial strata, which it transmits through its stem to the white matter beneath the cortex. The various parts of the central nervous system have work of different kinds to do, and we find interposed in the circuits which compose the several parts cells of various types. We speak of the large cells as “motor,” the granules as “sensory,” the small pyramids as “association” cells—such terms indicating the positions which they occupy in the arcs, but not defining their functions. Of specialization of function the physiologist cannot obtain a hint. He cannot classify nerve-cells in groups concerned in reflex action, in feeling, in remembering, in willing, in thought. On the contrary, he can assert with confidence that such distinctions are not to be drawn.
In various situations in the central nervous system a certain type of cell is found for which, in the present state of knowledge, it is impossible to account. We mention these cells lest it should be inferred, from what has been said above, that all neurones can be fitted into a simple scheme of conducting arcs. In the spinal ganglia there are neurones whose axons divide to form “baskets” around other ganglion-cells. In the cerebellum there are similar cells, the axons of which divide into branches, which break up to encase Purkinje-cells. Cells of the same kind are found in a few other situations. In some cases the end-branches which enter into the formation of the baskets are few in number, and thick and clumsy. They grasp the body of the cell which they surround, with gouty fingers, as it were. In other cases the basket is a tangle of fine threads. It is difficult to see what rôle cells of this kind can play in conduction. From the olfactory and optic centres nerve-fibres extend outwards to the olfactory bulb and retina. Here again is an arrangement which does not fit in with any scheme. We might multiply examples. But enough has been said, perhaps, to convey the impression which we wish to leave, that, although experiment abundantly proves that the nervous system consists of an association of sensori-motor conducting arcs, and although anatomical investigation demonstrates the existence of chains of neurones which take part in the formation of such arcs, it is impossible to reduce the system to schemata or to prepare diagrams in which all structural elements are, even hypothetically, fitted into place.
It may be convenient at this point to call attention to the differences which distinguish the =sympathetic system=—the ganglia and nerves of the viscera and bloodvessels—from the system devoted to bringing sense-organs into connection with the skeletal musculature which we have chiefly considered hitherto. The fibres of the posterior root of a spinal nerve which convey impulses from the skin and muscular sense-organs, and the fibres of its anterior root which convey impulses to skeletal muscles, have a similar diameter of about 15 µ. In addition to these, the roots contain fibres which carry impulses from and take them to the viscera. Those which bring impulses from the viscera vary greatly in thickness, some being as large as the other sensory nerves of the posterior root. The diameter of the fibres which go to the viscera is not more than one-fifth as great as that of the other fibres of an anterior root. Similar slender fibres are found in the vagus nerve. If all organs are removed from an animal’s chest and abdomen, a string of small pearl-like ganglia, united by a longitudinal cord, is seen lying on either side of the bodies of the vertebræ, one ganglion for each segment. This string of ganglia is termed the “sympathetic chain” (_cf._ p. 243). The small medullated fibres of the anterior spinal roots join these ganglia. Some of them arborize about their cells; some pass by them to arborize in ganglia which lie farther afield, on the course of the great bloodvessels and within the viscera. The axons of neurones whose cell-bodies are within a ganglion break up into bunches of non-medullated fibres. In this way the fibres of the sympathetic system are increased in number. Each of its neurones is a multiplying and distributing station. There is no evidence that it in any way serves as a “centre,” takes part in reflex action, or otherwise usurps the functions of the grey matter of the spinal cord. Nerve-cells are thickly strewn between the mucous membrane and the muscular coat, and again between the two layers of the muscular coat of the alimentary canal. It is not so certain that this system has no “central” functions. The remarkable degree in which the wall of the intestines retains its capacity for co-ordinated movement, after all nerves which reach it from the ganglia and through the vagus have been cut, suggests that the plexus of nerves within it does act to some extent as a reflex centre. If we leave the case of the intrinsic nervous system of the alimentary canal open, awaiting further proof, there is no reason for looking upon the sympathetic system as in any degree independent of the spinal cord and brain. It does its work on a large scale, and its work is of a low order. Nature does not need to connect up the viscera and bloodvessels with the central nervous system by means of fibres as thick as those used for skeletal muscles. It is more convenient to provide for the multiplication of the nerves—which must be extremely numerous, owing to the relatively minute size of the muscle-fibres for which they are destined—outside the central system than it would be to include the necessary distributive cells within it. Again, we find that a nerve-cell, when we see it at close quarters, shows no evidence of administrative capacity. Although of a different shape, a ganglion-cell of the sympathetic system is as large and as complex in form and structure as a pyramidal cell of the cortex of the brain; yet the work which it does is of a purely mechanical order. It receives, reinforces, transmits impulses which reach it from the central nervous system.
The often-repeated statement that a nerve-fibre is a drawn out process of a nerve-cell body has prepared the reader to anticipate that it dies when cut off from its central connection. When the axon is dead, the sheath which invests it rapidly loses its tubular character. If the situation of the cell-bodies of a nerve be known, it can be at once foretold on which side of the cut =degeneration= will occur. Suppose that the median nerve has been severed at the wrist. All nerve-fibres on the distal side of the wound must atrophy, whereas none of the fibres on the proximal side will be affected. The motor fibres have their cell-bodies in the spinal cord, the sensory in the spinal ganglia. Degenerations following lesions in the central nervous system have taught pathologists more about the course of the fibres in the white matter than any other class of observations. Degeneration above the lesion is spoken of as ascending, below as descending—not that it progresses upwards or downwards. It occurs throughout all the stretch of the fibre which has been isolated from its cell-body at the same time, or nearly so. The thought that impulses can no longer ascend or can no longer descend, as the case may be, has given sanction to the expressions “ascending” and “descending” degeneration.
Restoration to functional activity of tracts of fibres which have degenerated in the brain or spinal cord never occurs, but severed peripheral nerves =regenerate=. Not that fibres join cut end to cut end, however clean the wound. A wound in the wrist which has divided the median nerve may heal in a few days “by first intention,” so far as other tissues are concerned; but the patient does not for two or three months recover the power of using the muscles of the hand which the nerve supplied or the sense of touch in the area of skin to which it was distributed. The ends of the axons on the proximal side of the wound have to grow downwards to establish new connections in the muscles and in the skin. The interval which elapses between the healing of the wound in the wrist and the restoration of sensation and power of movement is occupied in their downgrowth.
The re-connection of regenerated nerves with their terminal apparatus presents to the mind a curious problem. There is no evidence that as function is re-established the brain has to re-learn the situation of the sensory spots on the skin, or to re-acquire skill in using the muscles which again come under its control. From the moment that the outgrowing nerves have recovered their terminal connections skin and muscles have their right representation in the brain, however much the two cut ends may have been twisted in their relation one to another. It seems inconceivable that each nerve-fibre can find its way to its original station; but if it does not, our conception of the mode of working of the nervous system still needs much refining from the telephone-exchange analogy by which we naturally help out our explanations. If a telephone cable has been severed, it can be made useful again only in one of two ways. Either the two segments of every wire that has been cut must be reunited, or the subscribers’ numbers must be redistributed.
The experiment of uniting the proximal segment of one nerve with the distal segment of another of a quite different function gives results which have an even more disconcerting effect upon our theory of the nervous system. The sympathetic cord of the neck and the vagus nerve lie very close together, alongside the carotid artery. The vagus is both afferent and efferent. The sympathetic is wholly efferent—_i.e._, it conducts impulses, which enter the sympathetic chain within the thorax, in the direction of the head. If both nerves are cut, and the end of the vagus turned round, so that it is in apposition with the upper end of the sympathetic, its regenerating fibres make their way along the sympathetic cord, headwards, to the superior cervical ganglion. They arborize about the bodies of its ganglion-cells, just as the sympathetic fibres used to do. The vagus is a nerve of many functions. Amongst others, it inhibits the contraction of the heart, constricts the bronchi of the lungs, dilates the bloodvessels of the intestines, and helps in regulating the movements of these viscera. After it has taken the place of the upper segment of the sympathetic it dilates the pupil, constricts the bloodvessels of the ear, erects the hairs of the head, as if to the manner born. To take another example, in a monkey the two nerves supplying respectively certain flexor and certain extensor muscles of the forearm were cut, and their ends crossed, so that flexor nerve-fibres grew down to extensor muscles, and extensor fibres to flexor muscles. There was no bungling of reflex actions or of voluntary actions when the new roads were first used. The monkey did not jerk its hand open when it tried to scratch or to grasp a nut.
When experimental data first began to accumulate, physiologists drew diagrams and made models of the nervous system in which they represented it as composed of conducting arcs. The arcs were superposed to indicate that they were of various grades—spinal for ordinary reflexes, bulbar for co-ordinated actions, through the grey matter in the centre of the great brain for “ideo-motor” actions, through the cortex of the great brain for voluntary acts. They spoke of authority and responsibility, comparing the nervous system to an army or a club. It is premature to attempt a theory of the nervous system compatible with recent discoveries regarding its structure and mode of working, but it is clear that the diagrams and metaphors to which we have just referred were misleading. In place of attempting to disarticulate the machine, we ought to emphasize its structural unity. The results obtained by uniting heterologous nerves cannot be explained by reference to a model made of wires and pieces of cork. They do not fit in with any organization of human units or with any postal system or telephonic apparatus for transmitting news. Probably the lines of thought which will prove most fruitful are somewhat as follows: (1) An efferent discharge occurs as the result of the opening of a circuit from a muscle back to the muscle. Afferent impulses—call them sensory, on the understanding that this does not imply that they appear in consciousness—are ceaselessly flowing from receptors to effectors in the muscle. A sensation—in the case of skeletal muscles usually a skin sensation—reinforces them to discharging-point. If the spinal cord has been severed from the brain, the up-and-down flow does not reach beyond its grey matter. It is short-circuited. If the brain is in normal connection with the spinal cord, sensory impulses travel upwards to its cortex (without, save in exceptional instances, arousing consciousness, or, as we should prefer to express it in this connection, without attracting attention) to a degree which varies with the several classes of receptor and with the animal. A monkey reduced to the condition of a “spinal animal”—_i.e._, with its spinal cord severed from its brain—is less competent than a dog, and a man is far less competent than a monkey. In other words, a man habitually uses his brain more than does a monkey, and a monkey more than a dog. The proportion which brain-weight bears to body-weight roughly indicates the part the brain plays in conducting the traffic of the body. (2) Communication within the nervous system is almost unrestricted. If, before the median nerve was divided at the wrist, receptor A usually initiated a current which passed through the circuit to effector X, and receptor B to effector Y, and if the new fibres which grew downwards lost their way so that the one which used to receive messages from A attached itself to B, and the one which used to transmit commands to X attached itself to Y, A is not thereby cut off from X, or B from Y. Such a mechanical association is restricted to our diagrams. It does not enter into Nature’s plan. The spinal cord is not scored with unchangeable paths. A messenger from A could always reach either X or Y. It was not the path, but the struggle with competing messengers, which directed him to X.
When we endeavour to picture the mechanism of the nervous system, we find ourselves faced by phenomena which appear irreconcilable. One set of observations leads to the conception of closed paths; another set points to an open conductor. The experimental crossing of nerves to which we have just alluded shows that the nervous system is adaptable, to a degree which seems extraordinary to anyone who attempts to compare it with any of Man’s devices for establishing communication. Paths appear to make themselves. On the other hand, the more important, and therefore dominant, reflex actions, such as swallowing, breathing, the maintenance of position, are due to the union of receptors and effectors by lines which are either reserved for their sole use, or, if shared by other currents, it is on the understanding that they have a first and altogether prepotent claim. No competing impulses can divert them or block their way. All reflexes which in the history of the race have established their right to dominance not only seize and hold a route through the nervous system, to the exclusion of all competitors, but, as we have already shown in the case of the swallowing impulse, the traffic in neighbouring routes is suspended for their benefit. At the other end of the scale we find reflexes which may be termed “occasional,” in that, although of frequent occurrence, they exhibit illimitable variability in form. Occasional reflexes require, as a preliminary to their transmission, that the afferent impulses which give rise to them should secure for a time the exclusive use of the motor neurones by which they are carried out. The receptors bring the motor neurones into tune with themselves, and while in tune they will respond to impulses from no others. But the tuning lasts for a short time only. Either receptor or neurone, or both, soon tire. There is no danger of a particular reflex being prolonged to the detriment of the organism as a whole. As an illustration of an occasional reflex, we may cite the scratching movement of a dog. Its skin is punctured by a flea. It scratches the place. A second flea bites it somewhere in the same neighbourhood. The dog does not shift its hind-foot so as to scratch midway between the two bites. It finishes out one scratch before paying attention to its second tormentor. The exact position to which the hind-foot is raised depends upon the position of the irritant; and since this may be shifted over a very considerable surface, the form of the reflex varies equally widely. Each of the very numerous receptors in the skin tunes a slightly different group of motor neurones; and since a second irritant may reinforce the first, instead of making an alteration in the group of neurones which the reflex is discharging, it is clear that there is no fixed path uniting receptor A with neurones X, Y, Z and receptor B with neurones W, X, Y. If, however, the second irritation occurs at a spot lying at a considerable distance from A, in place of reinforcing the scratching movement which A has set going, it weakens and shortens it. The receptor C, which is calling for the discharge of a markedly different set of motor neurones, tends to inhibit those which are already active. These results are tested with precision upon a “spinal dog” and with the aid of an electric needle, the other pole from the battery being a large flat plate placed in contact with the animal’s body. The conception of definite paths, to which the contemplation of permanent reflexes gives rise, is inappropriate to occasional reflexes. The latter show so wide a range of variability and adaptability as to prove that a given receptor may bring any of a great variety of groups of motor neurones into connection with itself; just as a given group of neurones may be played upon by impulses from a great number of different receptors. We have called it a tuning of the motor neurones. One metaphor is as good as another. The physical process which in the brainless frog underlies the preparation for discharging motor neurones in the spinal cord, on the same side as the leg on which vinegar is placed, so long as that leg is free, and on the opposite side, when that leg is fixed, is unknown. We seem to catch a glimpse of a doubleness of action, receptors in the muscles combining with receptors in the skin in determining the paths along which impulses shall be reflected—the efficient muscles sensitizing their own neurones to the tuning influence of impulses from sounding cutaneous nerve-endings. But it is impossible to formulate a working scheme in the present state of knowledge.
=Sense-Organs and Nerve-Centres.=—A vast amount of labour has been devoted to the study of the external form of the central nervous system and to unravelling its internal structure; to plotting out its various groups of nerve-cells, to disentangling its innumerable tracts of fibres. The surface of the brain and spinal cord has been mapped and measured. Every millimetre of its substance has been cut into sections on the micro-tome. Organs which, fifty years ago, appeared too complicated for investigation have been described in the minutest detail. An immense accumulation of data is available for purposes of reference; yet anyone who submits the theory of the nervous system as it is held at the present day to a general review must allow that the results of anatomical research enter but little into its construction. The reason for this is not far to seek. As knowledge has advanced, the apparent, or rather the expected, complication of the system has given place to ideas of unity and simplicity. Its external configuration and the varied arrangement in “nuclei” of its nerve-cells may, without impropriety, be described as accidental. The form of the body and the consequent location of the clients of the nervous system determine the disposition and degree of concentration of its various business centres. It shows, when followed throughout the whole animal kingdom, extreme variability of its constituent organs, with absolute uniformity of plan. Indeed, from the physiological point of view the term “organ” is scarce admissible. It implies diversity of function in too high a degree. The several parts into which the central nervous system is obviously divisible co-operate so intimately as to preclude us from thinking of them as separate organs.
If the citadel of the central nervous system is to be captured, all lines of approach must be tried. Its outward form must be studied, its minute structure examined with the microscope, its modifications in various animals compared, its development followed, its reactions to artificial stimuli tested, its pathological deficiencies and vagaries watched. Yet, of all the means which have been made use of in attempting to penetrate its secrets, the study of its history, by the methods of comparative anatomy and embryology, has probably contributed most to the development of sound ideas regarding the manner of its working. The first differentiation visible in the blastoderm—the globe of cells into which the ovum divides and out of which the embryo is built—has relation to the formation of the nervous system. If the earliest stages of its growth are followed, and the different phases through which it passes are compared with the forms which it assumes permanently in lower animals, the plan or type upon which it is constructed shows up distinctly. Looking down the line to the earliest vertebrata, we can discern clearly the form of nervous system possessed by their prototype. Not that this “ideal ancestor” ever existed. Experience teaches that it is unlikely that any animal that ever lived was absolutely regular and symmetrical in all its parts; nevertheless, the type can be presented in a perfectly regular scheme. The ideal ancestor of the vertebrata was segmented, like a caterpillar or a worm. Its mouth was not at the anterior extremity of the body, but two (or more) segments behind it. Every segment bore a sense-organ (at one period two sense-organs) on either side. Beneath each sense-organ there was a clump of “grey matter.” Each segment also contained (although not at the earliest epoch) two clumps of nerve-cells and neuropil in a more central situation. These “ganglia” were united by longitudinal and transverse commissures. They received the axons of the cells which lay in the clumps beneath the sense-organs. They gave axons to various muscles. Such is the type out of which the modern nervous system has developed: two separate sense-organs and a complete nervous system for each segment, the sense-organs connected with the ganglion of the same side, the ganglia of the two sides bound together across the middle line, and each row of sense-organs and each row of ganglia united by longitudinal commissures into a chain. From the nervous system as we see it now the majority of these segmental sense-organs have disappeared; but the mode of formation of the cerebro-spinal ganglia shows that they are the clumps of nerve-cells which lay beneath the vanished organs. In the nose and the eye the grey matter retains its original situation in the immediate vicinity of the receiving epithelial cells—as the olfactory bulb and the deeper (anterior) layers of the retina. The ganglia of the auditory nerve lie within the bones of the ear. Spinal ganglia are close to the spinal cord. Auditory and spinal ganglia contain only the cell-bodies of the first collecting neurones (sensory nerves) together with certain curious bracketing cells already referred to (p. 324), all the other constituents of the peripheral clumps of grey matter which are found in the olfactory bulb and retina having been withdrawn from the spinal ganglia into the axis of the brain and spinal cord.
The sense-organs in front of the mouth have had from the beginning an immense advantage over the others as observing-stations. Whereas the body-organs collected information regarding the things with which the animal came in contact, and consequently specialized in touch, pressure, temperature, and, in the case of fishes, sensitiveness to the chemical constitution of the medium in which the animal lived, the head-organs specialized in responsiveness to forces acting from a distance—particles suspended in air, vibrations of light, pulsations of sound. Sensitiveness to touch, if it is to be useful, must be widely distributed. The body-organs therefore broke into scattered groups of sense-cells. Touch-spots are scattered all over the surface, although they are set much closer together in the areas of skin which are usually the first to come into contact with external objects than they are elsewhere. The efficiency of the sense-organs of the head—nose, eye, and ear—depended upon their remaining compact. Progress in animal life, as we understand it—the rise from lower to higher forms—has depended upon increasing integration of the body and co-ordination of its functions. The nervous system is the agent which has accomplished this unification. Each step in advance has depended upon the provision of more nerve-tissue for the lacing together of the various parts. We have seen already (p. 329) how intimate is the union of receptors and effectors of every kind via the spinal cord and brain. The overwhelming predominance in the direction of action of the nose, the eye, and the ear has led to the accumulation in their vicinity of the ever-increasing grey matter. The cerebral hemispheres, or “great brain,” are pouched outgrowths from the first pair of ganglia directed towards the olfactory pits. The original eyes bore a similar relation to the second pair of ganglia—the epithet “original” implying that the eyes which we now use are not the organs with which our prevertebrate ancestors saw. First one of the original eyes disappeared, and then the other. The vestige of the second is still to be seen in the “pineal body” which is found on the dorsal side of the brain of every vertebrate animal—in a mammal deeply hidden in the cleft between the cerebrum and cerebellum. In place of the pineal eyes two other sense-organs have specialized as eyes. They are constructed on a different plan, being, to put it shortly, pineal eyes turned inside out; for whereas in the pineal eyes, as in most of the eyes of invertebrate animals, the rods and cones, which are the cells of the retina sensitive to light, are directed forwards towards the lens, the rods and cones of our permanent eyes are directed away from the source of light. This change has made it possible to provide more abundantly for their nutrition, and hence a greater power of discriminating separate points in space and of distinguishing colours is conferred upon them. The substitution of other sense-organs for the original eyes has complicated the pictures which are presented to us by a brain in its successive stages of growth; but it does not prevent us from recognizing the general plan. Probably the secondary eyes, like their predecessors, belonged to a pre-oral segment. The sense-organs of a segment behind the mouth developed into ears; and the ear was in its earliest phases, and still is, something more than an organ of hearing. Its semicircular canals give information of displacements in space. Knowledge of the position of its body is, to a fish, of far more importance than its ability to hear breakers on the rocks. Three looped tunnels, opening at either end into a common chamber, are hollowed in the bone which contains the ear (_cf._ Fig. 38). Placed at right angles one to the other, they occupy all three dimensions of space. Open a notebook until, one of its covers lying horizontally, the other is vertical, and place a sheet of paper vertically against the bottom of the pages. A curved line drawn on each of these three surfaces will represent the three semicircular canals. Arrange another notebook in the same way, and let the two rest on the table with the two vertical covers inclining one to the other, anteriorly, at an angle of 90 degrees. The six surfaces will be in the planes of the six semicircular canals. Within each bony canal is a membranous tube, to which nerves are distributed, filled with fluid. When the position of the head is changed, the fluid within the membranous tubes slides on their walls. It is left behind at the moment the movement commences. It overtakes its receptacle when the movement stops. The stimulus received by the nerve-endings is recognized as indicating an alteration in the orientation of the head. If the movement of the fluid is violent, as when one waltzes, the loss of the sense of position disconcerts the brain to such an extent that giddiness results. For a time the quiet assurance upon which so much depends, that one knows how the body stands in relation to its surroundings, gives way to a chaos of sensations. From the nature of the case, the information which the semicircular canals afford relates to change. They give no help in ascertaining the position of the head when it is at rest. This must be the reason, although the connection is not very clear, for the waning of the effect in consciousness when stimulation is prolonged, and also for the very marked after-sensation. At the commencement of a voyage attention may be unpleasantly attracted to the rolling of the ship. After a few days it ceases to be noticeable; yet when the voyager, the night after landing, wakes in the dark, he finds his bed-room as unsteady as his cabin. Rising hurriedly, the attempt to adjust his position to the heaving floor (we speak from personal experience) may result in a heavy fall. Although this phenomenon must be classed with other “after-sensations,” it is so prolonged as to suggest that consciousness, having become accustomed to a world which causes a backward and forward flow of endolymph, misinterprets the absence of sensation as indicative of change.
Taste is, practically, a special kind of smell. A fish’s olfactory membrane, taste-buds, and chemical organs “of the lateral line” serve the same sense, although, no doubt, they are applicable to the analysis of different forms of matter in solution.
Our ideal prevertebrate has now left its primitive undifferentiated condition. In front of its mouth it bears organs with which it searches the world. Close behind the mouth are its auditory and orienting organs. The rest of the surface of the body is endowed with the capacity of recognizing “taste,” temperature, and contact. Smell, sight, and orientation determine the development of the brain.
The cerebrum which has eventually become, as the seat of consciousness, and hence the apparatus of mind, the dominant factor in the nervous system, was in the first instance the part of the brain concerned with the distribution to the muscles of impulses generated in olfactory organs. There is scarcely any indication in a fish’s brain of the representation in the cerebral hemispheres of any other sense, even that of vision.
A bird’s brain presents a striking contrast to the brain of a fish. With the exception of the apteryx and other ground-birds of New Zealand, all birds are apparently destitute of the sense of smell. Vision is the sense upon which their activity depends. It has invaded the cerebrum, converting it into an organ in which sensations of sight are worked up into “mind-stuff.” The optic lobe connection is restricted to the production of reflex actions in which vision is immediately followed by movement.
All the senses are represented in the great brains of mammals. The cerebrum, which owes its existence to its connection with the favourably-situated sense-organ of the nose, and grew in importance when vision invaded it, has now taken in the senses of hearing, taste, and touch. Only what may be termed in general visceral sense, and the sense of orientation, are excluded.
Looking back to the starting-point, we see a segmented animal; its segments of equal value; its nervous reactions unisegmental, although linked in functional sequence. If it starts to walk, owing to stimulation of one of its sense-organs, the impulse to walk spreads from segment to segment. Comparing the latest product of evolution with the earliest, we find that nervous tissue has concentrated at the anterior end of the body. The double chain of ganglia, now condensed into the axis of the brain and the spinal cord, still contain all the effector neurones by which muscles are called into action. Sensory nerves still arborize in the axis, providing the mechanism for actuating motor neurones. But the vast majority of intermediate or intercalated neurones have been attracted to the two huge brain-masses—the cerebellum and cerebrum. In the former all sensations (not conscious) connected with tone, position, orientation and equilibrium are worked into appropriate impulses for the regulation of the muscular system. In the latter all sensations which convey information regarding the relation of the environment, including the body, to the ego—the _not-me_ to the _me_—are transformed into motor discharges which set a-going the movements (and the thoughts) by means of which the purposes of life are fulfilled; for in the cortex of the great brain alone is the passage of nerve-currents accompanied by consciousness. Concentration of nerve-tissue allows of the combination of sensations. It also facilitates the no less important effect of mutual influence, interference. Sensations are suppressed, and therefore the multitude of reactions to which they would give rise are inhibited, in the interests of restricted and sustained movement or thought.
=The Cerebellum.=—Sharks and other swift-swimming fishes have large, deeply fissured cerebella, for the cerebellum is the part of the brain which has gathered into itself most of the grey matter associated with balancing, attitude, posture. The cerebellum is in birds large and deeply folded. Developed from the ganglia to which the auditory nerve distributes impulses from the semicircular canals, it has established connections with all the other nervous tissues concerned with sensations of position, strain, or pressure, including the eyes, which afford information regarding the position of our limbs relatively to the trunk, and of the whole body relatively to external objects. Morphologically it is a median growth. The adverb is one of those qualifying terms, convenient in science, which direct thought without confining it. As used above, it implies that anyone who passes before his mind the cerebella of all animals from fishes to Man, and in all stages of growth, from their earliest appearance in the embryo to their condition in the adult, sees the organ as a median prominence surmounting the medulla oblongata. The bulgings of its sides which, in human anatomy, are termed hemispheres, do not disturb its central, unpaired plan of structure. It has, it is true, a lateral appendage on either side (the combined flocculus and paraflocculus of mammalian anatomy), but this lobe, although of great historic interest, is so small, as compared with the median growth, as not to affect our general conception of the form of the organ. By transverse fissures the cerebellum is divided into a series of lobes.
In appearance the cerebellum varies greatly in the different classes and orders of Vertebrata. Yet underlying this variety there is marked unity of plan. A sagittal section of the organ of a shark, of a bird, of a kangaroo, of a dog, of a whale, of Man, shows that it is divided, from before backwards, into the same number of lobes in animals occupying every position from the bottom to the top of the vertebrate scale. A very little effort to grasp the significance of this mystic number, nine, convinces one of the hopelessness of any attempt to correlate the form of the cerebellum with the muscular development or sensory endowments of vertebrates as a sub-kingdom. It is the same for animals with limbs and animals without; animals with well-developed noses or eyes, and animals destitute of one or other of these sense-organs. This uniformity is extremely significant, when contrasted with the wide differences exhibited by the cerebral hemispheres. It shows that, unlike the great brain which mediates between the several senses and the muscular system, the little brain is concerned in bringing about adjustments to the environment which are equally important to all animals, no matter how far they may depart from the common type. The cerebellum is crossed by deep fissures, dividing it into narrow convolutions or folia. The folia are grouped in nine lobes. If the reader has secured as an illustration the brain of a sheep, he will notice that the lateral regions of the cerebellum present a complicated appearance owing to the contortion of the folia, which results from the unequal development on its sides of the several lobes. In its total size the cerebellum keeps step with the cerebrum, the right side of one organ being associated with the left side of the other.
The grey matter which covers the surface of the cerebellum, its cortex, is singularly regular in microscopic pattern (Fig. 23). It is divided into three sheets: superficially, the molecular layer in which the dendrites of the cells of Purkinje branch; beneath this, the thin layer in which are situate the cell-bodies of these neurones; thirdly, the layer of small cells, or granules. Cells of Purkinje and granules have been already described (p. 303). To these must be added the stellate, bracketing cells of the molecular layer, the axons of which divide to form baskets about a number of Purkinje-cells, and the cells of Golgi of the granular layer. These last are comparatively large cells, which have thornless dendrites, and axons which branch repeatedly in the granular layer, without passing into the white matter which underlies the cortex. Two kinds of nerve-fibre bring impulses to the cortex: (1) “Mossy” fibres, which bear rosettes of filaments which distribute impulses to the granules; and (2) “climbing” fibres or “tendril” fibres, which, passing through the granular layer, cling like ivy to the trunk and principal boughs of the dendritic processes of Purkinje-cells. The axons of the cells of Purkinje undoubtedly carry impulses away from the cortex, but their destination is not certainly known.
The uniformity of structure of the cerebellum suggests that it “acts as a whole.” Anatomy gives no warrant for the expectation that work of different kinds is done by its several lobes. Its simplicity leads one to hope that its mechanism may some day be understood; but at present there are so many gaps in our knowledge that it is difficult, perhaps hardly profitable, to attempt to string together the few anatomical facts of which we are sure.
By means of tracts of afferent fibres the cerebellum has a very extensive connection with the grey matter of the cerebro-spinal axis (including the optic thalamus) into which sensory impulses of all kinds are poured. Experimental results indicate that the organ distributes impulses to the whole length of the cerebro-spinal axis, from the level of the neurones which govern the muscles which move the eyes to its far hinder end. No nerve-roots enter it. Its afferent fibres are the axons of cell-bodies which lie in the posterior horns of the grey matter of the spinal cord and in the corresponding grey matter of the axis of the brain, especially that part related to the nerve from the semicircular canals. Another set of afferent fibres lies at the periphery of the spinal cord, forming one of the best defined of the spinal tracts. It is also one of the oldest, being found in the same situation in all vertebrate animals. Its fibres, which are exceptionally large, are the axons of cells which form a very definite column—the “vesicular column of Clarke”—on the median side of the posterior horn. Further than this we cannot go. We are ignorant of the nature of the sensory impressions collected by the cells of Clarke. The cerebellum also receives through its middle peduncle the axons of cells which lie in the pons Varolii on the opposite side; which cells are discharged by impulses descending from the cortex of the great brain. It is not improbable that it gives to the great brain as many fibres as it receives from it.
If we had no experimental evidence as to the part which the cerebellum plays in the harmonious working of the whole nervous system, we should infer from its structure and connections that it is somewhat mechanical, a co-ordinator of the activities of other parts rather than in itself a functionally independent organ. Pathological and physiological observations very definitely justify this conclusion. They show that the cerebellum is not essential to life. It may be completely destroyed by disease or removed by operation without robbing the individual of any single function or capacity. Disease of the cerebellum does not diminish the patient’s sensitiveness to every kind of stimulus, nor does it deprive him of the use of any single muscle; but it reduces him to the condition of a person who in gait, but not in mind, is habitually drunk. When he walks he staggers from side to side; when he stretches out his hand it trembles. His movements are jerky; his head shakes, his eyes oscillate; he suffers from a feeling of giddiness; his speech comes haltingly. Cerebellar ataxia, which is a rare disease, resembles in many respects the much commoner “locomotor ataxia” produced by disease of the spinal ganglia and the parts of the cord connected with posterior roots; but careful analysis of the symptoms shows that they are due, not to want of the sensations which guide movements, but to inability to regulate the force of muscular contractions. A man suffering from locomotor ataxia falls when he closes his eyes, because, not being able to feel with his feet, he is dependent upon vision for information as to his attitude. When the cerebellum is diseased, the patient is no less unsteady with his eyes open than he is with them closed.
The results of cerebellar disease or injury bring home to us the fact that a nice adjustment of movements is needed to maintain equilibrium. A dog from which the cerebellum has been removed retains all its natural enterprise, all its instincts, all its emotions; but every action which requires it to maintain its centre of gravity in an unstable position gives it trouble. Placed in water so that its body is supported, it swims almost as well as a normal dog. It is, however, easy to lay too much stress upon the balancing function of the cerebellum. The disturbance of this function attracts our attention; yet it is probably but the indirect result of the suppression of activities of a more widespread character. No animal ventures such liberties with its centre of gravity as the biped Man accomplishes, without thinking, every time that he descends a flight of stairs. Yet the cerebellum of the limbless whale, that lives in a medium which decentralizes its gravity, so to speak, bears the same proportional relation to the rest of the nervous system as that of Man. Strangely enough, it is the only cerebellum in the animal kingdom which so closely resembles Man’s that it might be passed off as belonging to a human giant; another reminder of the difficulty of deducing the functions of the several parts of the organ from a study of their relative development. What have a man and a whale in common which determines the identity in form of their cerebella? How has it come about that two cerebra as widely unlike as a man’s and a whale’s should be associated with a common form of cerebellum?
If we apply to grey matter the distinction between sensory and motor nerve-tissue—having no exact terminology, it is difficult to avoid these metaphorical expressions—the cerebellum is essentially a sensory development. It grows from the very margin of the infolding groove, which, when closed, becomes the central canal of the brain and spinal cord, its elements being marshalled in intimate association with sensory root-fibres. Its millions of loops formed by the axons of granules and the collecting processes of Purkinje-cells, are by-paths which tap the conductors of sensory impulses. From some—those, for example, which originate in the muscles and tendons, and in the semicircular canals—more of the impulse is diverted to the cerebellum, from others less. The organ has no motor functions. It does not discharge neurones which control skeletal muscles, or plain muscle, or glands. Yet it influences the passage of impulses through sensori-motor chains, and apparently its influence is universal. It regulates tone, reflex action, voluntary action. There is no part of the nervous system over which its control is not felt. By its action on the apparatus which binds the infinity of receptors which the body contains to its muscle-fibres and other effectors, it unifies the body. The cerebrum, as we shall see, is the organ which unifies the personality. In the progress of evolution two functions which were originally combined have, for convenience of concentration, been divorced. The great brain has been set free from the more mechanical part of the work. That it can perform the functions of the cerebellum as well as its own is proved in cases of congenital deficiency of that organ. In several instances malformation, amounting to a very considerable reduction in the size of the cerebellum, was not detected until after death, there being no symptoms of a sufficiently pronounced character to call attention to it during life.
=The Cerebrum.=—All observations made on the great brain prior to 1870 showed it as absolutely inexcitable. Surgeons and physiologists agreed that cutting, burning, passing electric currents through its substance, neither yielded evidence of sensation nor movement of any part of the body. Concerning its structure little was known beyond the fact that whereas the grey matter, or cortex, which covers its surface contains nerve-cells, only fibres are to be found in the white matter which constitutes the greater part of its bulk. It seemed a hopeless task to attempt to make anything out of a mass of tissue so uniform in constitution and so irresponsive to experiment. Removing portions of it appeared to cause a general dulling of the intellect without loss of any particular mental quality. Physiologists, therefore, spoke of the cerebrum as “functioning as a whole.” Phrenologists, having classified the various phases of mental activity as “faculties,” discovered “bumps” on the surface of the skull which they correlated with the possession of the several faculties in a marked degree. They parcelled out the brain in organs concerned with different kinds of thought; but their localization of function was anatomically as baseless as their classification of the various aspects of mind, viewed as a system of philosophy, was absurd. In 1870 it was announced that electrical stimulation of certain areas of the cortex of the cerebrum of an animal under the influence of an anæsthetic, and therefore incapable of voluntary action, induces definite movements. Although the surgical applications of this discovery have proved immensely important, its physiological value, as affording a method of investigating the functions of the brain, is extremely small. Yet the discovery gave an impetus to the further study of the cortex, which has been rewarded with many exact results. By the discovery of its excitability to electric currents it was proved that the whole cortex has not exactly the same work to do, or—perhaps this is the safer form of statement—does not do its work in exactly the same way. As soon as it was known that it is divisible into areas differing in function, many methods by which the delimitation of the areas might be attempted were devised. The converging efforts made during the past forty years by comparative anatomists, histologists, physiologists, pathologists, and physicians, have resulted in the acquisition of an accurate, if very restricted, understanding of the construction and mode of working of the apparatus of thought. Of some of the new data the psychologist is able to make use; but so far as the physiologist is concerned, it is the vehicle of mind which is the subject of study, not its contents.
A new subject has been created since 1870. There is therefore nothing to be gained, so far as our present purpose is concerned, from the consideration of views which were current before that date; and since, as must always occur when a science is rapidly advancing, observations which logically should have been the first to be made were not thought of until it became necessary to devise methods of checking results obtained in other ways, we will consider the various sources of our information without regard to the chronological order in which they were opened up.
The cerebral hemisphere contains two large central masses of grey matter, the nucleus caudatus and the nucleus lenticularis, often described as a single structure under the name “corpus striatum.” Their functions are unknown. The nerve-fibres which connect the cerebral hemispheres with the rest of the central nervous system form two thick limbs or crura on the under side of the brain. Each crus turns upwards into its hemisphere, between the nucleus caudatus and optic thalamus (the latter belongs to the “between-brain”) on the inner side, and the nucleus lenticularis on the outer. In this passage the compact crus, which is somewhat flattened, is termed the “internal capsule.” Immediately above the three grey masses the internal capsule disperses as a fountain of fibres which go to all parts of the cortex. Mingled with these radiating fibres are vast numbers of others, proper to the hemispheres, which run tangentially. Some, crossing the median plane, as the corpus callosum, bind the two hemispheres together. Others form tracts which can be followed from one end or pole of the hemisphere to the other. Groups of fibres, dipping but little below the cortex, unite nearly adjacent spots or neighbouring convolutions.
The folding of the cortex beneath fissures is due to the necessity of disposing of a certain bulk of grey matter without increasing its thickness beyond the proper limit. Since the superficial area of a sphere varies as the square of its radius, whereas its capacity varies as the cube, it is possible for a fixed relation to be maintained between the amount of cortex and the amount of white matter in the brain, only by the folds increasing in depth as the size of the brain increases. Fissuring is a response to a mechanical need. This does not imply, however, that the lines along which it takes place are devoid of morphological meaning. The similarity in pattern of the convolutions and fissures in various animals, and the regular progress of their development in each individual, prove the contrary. If they are not absolutely trustworthy as boundaries of areas of separate function—and further evidence will be needed before a decision can be pronounced upon this disputed question—they are in the main satisfactory as landmarks.
As the nervous system grows, the axons of its neurones acquire their fatty (myelin) sheaths in the order in which they come into functional activity. The passage through them of impulses is the stimulus which leads to the deposition of fat. The study of the progress of myelination enabled the anatomist Flechsig to ascertain the situation within the brain of the tracts of fibres related to the several senses, and hence the traffic of the areas of the cortex to which they go. Glistening white streaks appear successively in the pulpy yellowish-pink substance of the interior of the brain. At the time of birth all the fibres which enter or leave the cerebral hemispheres have acquired their myelin sheaths. In the baby’s brain the sense-organs have established all their connections with the cortex. No new fibres will appear in the nerves of the eye, the ear, or the other sense-organs, nor will their end-stations in the cortex be further multiplied. (The use of the expression “end-stations” is legitimate so far as sensations are concerned; notwithstanding that all sensory impulses are retransmitted by neurones in the cerebro-spinal axis.) But the cortex is very far from having finished its growth. It contains a large amount of embryonic tissue, which gradually spreads outwards from the developed areas into the surrounding unoccupied zones. The taking up of new territory, and the consequent increase in the size of the brain, is continued into adult life. The study of progressive myelination enabled Flechsig to divide the cortex into “sensory centres,” and intervening “association-zones”; although, doubtless, the difference in function between the portions which receive sensations direct and the portions in which the products of sensation are worked up is one of degree, and not of kind.
The structure of the cortex is not quite the same in sensory and association areas; but it is everywhere so far from showing the diagrammatic simplicity which characterizes the cortex of the cerebellum as to make it difficult to summarize the modifications which distinguish its various regions. To a considerable extent its elements shade one into the other, differing in size and in orientation rather than in form. Commonly it is described as divisible into five layers: (1) A thin superficial layer, containing cells of various forms and fibres derived from the cells of the deeper strata. Some of the cells are pluripolar, possessing several axons which run parallel with the surface. Their destination is unknown. They do not appear to form baskets like the cells of the molecular layer of the cerebellum. The dendrites of pyramidal cells extend into this layer. (2) The layer of small pyramids; cells with a branching apical process, root-like dendrites from the basal angles of the pyramid, and an axon which sinks into the white matter. (3) Granules. Carmine or other nuclear stains show that small cells are present in very large numbers, especially in the sensory areas; but since they are not, like the granules of the cerebellum, coloured by the chrome-silver method, their form and the disposition of their axons are unknown. (4) Large pyramids exactly similar in form to the small ones. Their apical processes are very thorny. Their axons give off several collaterals. Pyramids are the most conspicuous elements in the cortex. Properly speaking, they do not occur in layers, but are scattered throughout its whole thickness, although their cell-bodies are not seen in either its most superficial or its deepest strata. The largest are those of which the axons either descend into the spinal cord or pass to a very distant region of the cortex. They are found singly or in small clusters in the deeper levels. (5) Polymorphous cells, some of them pyramids lying on their sides, or even directing their axons towards the surface; some fusiform or irregular cells; some Golgi-cells (p. 340). The axons of pyramids enter the white matter, and many fibres from the white matter radiate towards the surface between the pyramids; but the way in which afferent, sensory fibres are connected with the collecting processes, dendrites, of the pyramids is not known. We have already referred to thorns, and to the possible nerve-net (p. 301). Sheets of tangential fibres also occur in the cortex. A particularly distinct sheet divides the granules in the visual cortex into two strata. In sections of this region the sheet of fibres appears as a white line, distinctly visible without a lens.
The limits of the several areas can be determined by examining the structure of the cortex; but the individual peculiarities of the various regions are not so marked as to indicate that they have different kinds of work to do; if by kinds of work we wish to imply that one part is “sensory,” another “motor,” a third concerned with “intellectual processes.” On the contrary, its relative uniformity shows unmistakably that all parts are engaged in the same work. Nevertheless, certain broad conclusions can be drawn with regard to the form of the neurones more immediately concerned with sensation, with motion—that is to say, with the discharge to the grey matter of the cerebro-spinal axis of the impulses which call its neurones into activity—and with the secondary processes, called collectively “association,” which occur within the cortex. Granules, as everywhere throughout the nervous system, are receivers and distributors of sensory impulses; although a study of the cerebral cortex does not justify the conclusion that they are necessary links in its sensori-motor arcs. Large pyramids are occupied with the nutrition of fibres which have a long traject through the system. Hence they are “motor.” They constitute a marked feature of the area which is susceptible to stimulation. They occur also in the visual area and elsewhere. Small pyramids are associational; that is to say, their axons do not leave the cerebral hemispheres. They distribute impulses from sensory areas to association-zones, and from one part of an association-zone to another. The layer of polymorphous cells is relatively thicker in animals in which the cortex of the brain exercises less control over action than in animals in which the cortex is supreme—in a rabbit thicker than in a monkey; in a monkey thicker than in Man. This layer is therefore said to be concerned with the lower functions of the cortex, whatever this expression may mean. Since the relative abundance of small pyramids is a test of the supremacy of the cortex, we may speak of them vaguely as concerned with its higher functions. But a surer test of the capacity of the cortex for the elaboration of the raw materials of thought which sensory nerves deliver to it is the relative abundance of the tissue which intervenes between its cells. The number of cell-bodies to be counted in a square millimetre of a section of a given thickness is smaller in Man than in a monkey, in a monkey than in a dog, and in a dog than in a rabbit.
A comparison of the brains of various mammals in which particular sense-organs are either deficient or exceptionally well developed affords the clearest proof of the localization of sensory areas. This, if it were possible to make satisfactory measurements, would be by far the best class of evidence as to the part played by the several senses in an animal’s mental life. Unfortunately, measurement appears to be out of the question; but a glance at a rabbit’s brain, placed by the side of a mole’s, shows that vision is localized in the occipital region. All marine mammals are destitute of the sense of smell; the brain of a dog, compared with that of a porpoise or a whale, shows that the sphenoidal region (_cf._ Fig. 25) is associated with this sense. The brain of an otter exhibits very clearly the area into which impulses arising in the nerve-endings of the sensory bristles of the cheek are poured.
“Nihil est in intellectu quod non prius in sensu fuerit.” The organ of the intellect is the cortex of the great brain, a sheet of grey matter which has developed in connection with the various sense-organs. The cerebral hemisphere of an infant is merely an extension of the nerve-tissue associated with its sense-organs. Such it remains in a microcephalous idiot. In the lower animals its capacity of growth after birth is very small. But in a normal child the inflow of impressions through sense-organs, the experience acquired regarding itself and its surroundings, education, whether accidental or directed, causes the extension of nerve-tissue from the sensory areas into the expansible intervening zones.
There is still some uncertainty as to the nature of the sensations received in the excitable area. They may be termed “kinæsthetic” (sensations connected with movement) without more exact definition. Some physiologists consider that tactile sensations, as well as the obscure sensations, originated in the nerve-endings in muscles, around tendons, or on joint-surfaces, are distributed to the areas, which, when stimulated, are shown to represent fingers, hand, arm, and other parts of the body. Others have sought, though with doubtful success, for a tactile area, independent of the kinæsthetic centres. When first discovered, these centres were termed “motor,” and still this term may be retained, on the understanding that it does not imply that the exchanges which occur in the kinæsthetic centres are of a different nature to those which take place elsewhere. The region which they occupy has become the motor area of the cortex because voluntary movement is possible only under the guidance of sensations of movement. A sound or a retinal image may prompt the movement; but the part of the temporal region, or of the occipital region in which the sound-movement exchange or sight-movement exchange occurs must act through the motor area by opening kinæsthetic-movement arcs. Destruction of a part of the kinæsthetic cortex causes in Man and the higher apes permanent paralysis for the movements directed by the spot destroyed. In lower animals the definition of the movement centres is vague, and their removal produces only temporary results. Their mastery over the muscles is less complete than in the higher apes and Man.
Practically nothing is known with regard to localization of function in the association-zones, with the exception of the localization of the centres for words; but this exception is so remarkable as to suggest that if there were any other faculties, interference with which caused defects as distinct as those which characterize disorders of speech, it would be found that the association-zones are made up of definite centres. As the evidence stands with regard to the broadest continental divisions, we can merely state that it points, although not very clearly, to the connection of the frontal zone, the region in front of the kinæsthetic area, with ideas of personality, of other zones with ideas of environment. Injury to the frontal region has in certain cases resulted in the victim’s losing his knowledge of himself, his name, and his relation to his family. On the other hand, gunshot wounds and other definite injuries have in a large number of cases destroyed portions of the cortex behind the forehead without causing any recognizable intellectual change. It is quite certain that this part of the brain performs no functions which are of a different, or, as it is often called, higher order than those of other association-zones. It has been stated that disease of the zone which intervenes between the visual and auditory areas is more likely to cause hallucinations, disease of the frontal zone delusions. A patient fancies in the one case that he sees things that are not there, or hears voices when no one is speaking; in the other case he imagines himself a king; but evidence connecting localized disease with mental derangement is very scanty. The functional disturbance which causes lunacy is usually of a general character; or, if local to begin with, it becomes general before the death of the patient makes possible the examination of his brain.
Derangements of =speech= throw a flood of light upon the organization and manner of working of the association-zones; and, owing to the accident of the continuation of the line of the carotid artery by the middle cerebral artery, which supplies the speech centre, there is no other spot in the cortex so likely to be thrown out of gear. A little plasma coagulates on one of the cardiac valves, or about an atheromatous spot in the aorta. Detached by the blood-stream, it is shot into one of the branches of the middle cerebral artery, which it plugs, causing apoplexy. A larger or smaller number of muscles on the opposite side of the body are paralysed. If the plugging occurs on the left side of the brain, it is accompanied by aphasia; but only if it occurs on the left side, owing to the fact—perhaps the most remarkable in connection with the localization of speech—that only on the left side is the cortex trained to utter words. In course of time the patient may recover the power of speaking, but not until he has, with almost as much labour as in childhood, educated the right side to do the work. There are four speech-centres, quite distinct one from the other. Near the visual area is the centre for seeing words, or rather the centre for seeing the meaning of words. If this centre be diseased, a written word is merely a crooked line. Behind the auditory area is the centre for recognizing the meaning of words heard. If it is interfered with, the most endearing or commanding phrases produce no more impression on the hearer than a bird’s song. In front of the hand-area—its localization is less certain than that of the other three—is the centre for writing. In it are associated words heard or seen, with the movements necessary for the making of letters. In the centre first referred to, as being the one most often thrown out of gear, which lies in front of the area for the mouth and throat, words heard or seen are translated into movements of the parts which give them sound. No other actions illustrate so clearly the “law of neural habit.” In the infant’s brain sounds of words are distinguished from other sounds. They are associated with the objects which they name. Movements of the mouth and throat, made at first ineffectively, blunderingly, succeed after a time in securing the thing of which they sound the name to the child’s satisfaction. Thus, two centres are gradually established in his mind. Sounds and ideas of things are associated in the one; words and ideas of the movements necessary to their pronunciation in the other. Either of the four speech-centres may be placed out of action without the others suffering. A man may be able to write without being able to read what he has written. He may read aloud, although apparently deaf to speech. He may be unable to write or unable to speak, although understanding what he reads or hears. Aphasia, when partial, illustrates still further the law of neural habit. The ability to remember nouns, especially proper names, is most easily lost. Few are the people who, as age advances, do not suffer from this failing. Even the names which are most familiar elude the memory. From one point of view this is strange. Nouns-substantive are the words first learned. Of all words they have the most definite objective association. But it is just their definiteness which makes them difficult of approach when the apparatus of mind is working badly. There are so few paths by which they can be reached. Their mental associations are limited. A patient who is recovering from the effects of a lesion which has rendered him partially aphasic may be able to recall adjectives when he cannot recall nouns. He may say, “Give me the black,” when he wants ink, and “Give me the white,” when he needs paper. Or he may retain control of verbs. “Where is the—— what I put on—what I think with?” may be the circumlocution for hat.
Psychologists explain the voluntary production of a movement as the setting flowing of a sensori-motor current. Everyone agrees that it is impossible to think of the impulses which produce movement as originating without sensory antecedents. Hence psychologists picture the nerve-current as originating on the sensory side. Kinæsthetic images of the sensations which will result from the movement are described as being called up in the mind by the agitation of the part of the brain which, by association, is linked with the neurones which discharge impulses to the appropriate spots in the grey matter of the spinal cord. The idea of movement flows over to the muscles. But this conception of the relation of mind to body assumes too much. It postulates an existent mind in which the images of movement-sensations—the memories, that is to say, of the sensations which previously accompanied movement—are stored. The study of the apparatus of mind does not warrant this assumption of an existent mind. It finds nothing in the nervous system but apparatus. There is no mind existent in the brain during sleep. It would appear to be sufficient to describe the origination of a voluntary movement as the opening of the channels which convey the afferent impulses which are ceaselessly pouring into grey matter from nerve-endings in and about muscles into efferent channels. Our conception of the number of sensations which reach the realm of consciousness is ludicrously restricted by our inability to pay attention to more than one sensation at a time—a restriction, it is needless to remark, which is imperative in the interests of consistency of behaviour. Two personalities paying attention to different sequences of sensations would give incompatible orders. One would command the muscles to cause the body to recline; the other would direct them to make it stand up. From myriads of sense-organs impulses are continuously rippling through the cortex of the brain. The term “impulse” is too heavily weighted by its association with the idea of currents which are strong enough to prove effective without the intervention of consciousness; but no other is available. They ring the bell of consciousness, however little may be the attention which their summons secures. Attention cannot be directed to two things simultaneously. It moves, as it were, on a succession of points. On some it rests longer than on others. They make an impression which can be recalled; the rest being passed by so rapidly that they are not remembered, it is as if they had never been perceived. They blend, as a succession of moving lights blend, in producing a background to consciousness. Not recognizing their separateness, we interpret them as fused. A good deal of misleading metaphor has been used, as it seems to the writer, in accounting for the effect upon the mind of impressions which make but a weak demand upon attention. They are spoken of as “marginal” perceptions, from the analogy of the ineffectiveness of impulses generated at the periphery of the retina, as compared with those which give rise to direct vision. A “subconscious,” or even “unconscious,” self is evoked. The self cannot be less than conscious. Self is the passage of attention from sensation to sensation. Its relation to the not-self is temporal, not spatial.
Every sensation which is called up into consciousness, though it occupy attention for the shortest possible time, tends to give rise to movement—is, indeed, in its very nature an impulse flowing through a sensori-motor arc. The circuit for the voluntary execution of a movement is represented as flowing through kinæsthetic-movement arcs. This may be necessary for volitional actions, but it is not essential for reflex actions. A spinal frog will remove an irritant from its back with its hind-leg, after the roots of all the afferent nerves of the hind-leg have been cut. In this case the reflex is direct, from injured skin to muscles of the leg. It is not double—muscular sensations from the leg, liberated into efferent leg-muscle-nerves by skin-sensations originated simultaneously in a part anterior to the segments in which the roots have been cut.
The unit of sensation to which attention can be directed has yet to be defined. Like sensations—sensations which are correlated in experience, that is to say—seem to fuse in consciousness. A sequence of similar sensations appeals to attention. Unlike sensations interfere one with another. The apparent fusion is not a composite neural effect which consciousness views as a single unit. Not even identical images simultaneously formed on the two retinæ produce a superimposed effect upon a particular spot in the brain. Different brain-spots receive the two separate images which the mind views as one. This raises a doubt as to whether perceptions are, properly speaking, fused. It suggests that they are separate points upon which attention rests in rapid succession; but such a hypothesis does not preclude the conception of the production of a composite sensation by impulses coming simultaneously from the same sense-organ—_e.g._, a unified neural effect as the result of several musical tones.
Every neural agitation which attracts attention has an effect upon the growth of the nerve-strands in which it occurs. =Memory= is not an existent. It is the repassage of the same strands. There is no such _thing_ as memory. It is the neural apparatus which responds in a similar way to a similar agitation. It is difficult to speak of association and neural habit, the phenomena upon which not only all mental life, but all co-ordinated activities, are based, without using such expressions as “the broadening of the path” or “the thickening of the conductor” by the impulses which pass through it. Apparently these analogies may with safety be pressed curiously far. Chaotic response to stimulation is unknown. Thanks to the nervous system, action exhibits an ordered relation to stimulation. This relation is determined by education, giving the term a connotation wide enough to cover all experience. Nerve-tissue adjusts itself to experience; and since the nerve-matter which takes the pattern is not labile, the process of organization is consecutive and the result permanent. One pattern is not destroyed as another is impressed. Hence temporal associations are formed. What has been thought once will be thought again, if the circumstances in which it was thought recur. What has been done once will be done again under the influence of a similar sequence of stimuli. The conductors are widened every time that they are used. But, so far as concerns the mind, a reversed influence comes into play. The wider the conductor, the less appeal to attention is made by the impulses which pass through it. It is as if currents which have to overcome resistance in a narrow path acquire a higher potential than those which find an open road. And since the making of the road depends upon attention, the limit of broadening is reached when a volitional act becomes a habit. The first time that a piece of music is played consciousness is alert. Marks on the page and movements of the fingers are felt intensely. With each repetition the need for attention subsides.
A skilled movement is impossible in the absence of guiding sensations. I decide to button my coat. Sensation-paths from the muscles of the forearm are opened into motor paths extending from the large pyramids in the arm-centres of the kinæsthetic cortex. But it is not sufficient that the action be started: it must be guided by the sensations which movement produces. If my fingers are numb with cold, I cannot button the coat. The muscles which move the fingers are warm enough beneath the sleeve, but my attempts to will them to move are as futile as they would be if the muscles belonged to some other person. The will has no power over the muscles. It is essential that the sensations which accompany the act of buttoning the coat flow through the same paths as hitherto in the cortex of the brain. Flowing through the same paths, they produce the same effect in consciousness, the same perceptions. In ordinary parlance, one cannot perform any act unless one can remember what it felt like to perform it on a previous occasion. It is almost as sound physiology to describe the voluntary action of fastening a button as commencing in the skin of the fingers as to describe is as commencing in the brain. The act is due to the direction of attention to impulses which flow from muscle to muscle, and from skin to muscle.
All skill in the use of muscles is acquired by the method of trial and error. Familiar movements are tried, combined, modified with a view to the production of a new result. A man accustomed to striking with the right hand forwards endeavours to swing a golf-club with the left hand backwards. For a long time the result is anything but a success. At length the head of the club takes the right curve. It not only hits the ball with its centre, but it carries it through in the right line. The ball travels 120 yards or so towards the green. In golfing terminology, a successful drive is always “an awful fluke”; but the fluke once accomplished, nothing is easier for the golfer than to drive equally well on all succeeding occasions. He need merely remember exactly what it felt like to give the club a perfect swing, and exclude all other sensations while he is passing these memories through his sensori-motor arcs!
The fact that we can deliberately improve an action, fitting it to the attainment of the object of desire, by suppressing wrong and emphasizing right sensations, shows how large a part consciousness plays in the affairs of the nervous system. This brings us to the frontier of physiology. At this boundary the authority of the physiologist ends. He cannot define consciousness; he cannot investigate it. Yet he naturally asks whether the machine which he is investigating is a machine and nothing more. When the possibilities of reflex action were first recognized, thought tended to dethrone feeling and Will in favour of automatism. If the actions of a spinal frog exhibit so distinct a purposive character, why, it was asked, should we assume that the frog with a brain is anything more than a reflex machine? Light, heat, sound are playing upon its sense-organs; surely these stimuli suffice to set going all the sensori-motor currents which lead to the various movements which in their totality constitute the frog’s behaviour! And why assign to a mammal a self-directing authority which we deny to a frog? The increased complexity of its behaviour is more than accounted for by the greater variety of its nervous arcs. All animals, it was argued, including Man, are reflex machines. Their thoughts and actions are the effects of the play upon their nervous systems of forces from the outer world. Each inherits a nervous system of a certain pattern. Its individual development is conditioned by the sensations which pass through it. The sensations are impressed by the environment. Therefore the individual is a puppet, his activities the dance of circumstance. Consciousness is an “epiphenomenon.” Few physiologists or students of animal behaviour take this material view of life at the present day. The fact that it leads inevitably to the conclusion that consciousness is an “epiphenomenon” (Huxley’s term) is its _reductio ad absurdum_. It is not in harmony with the economy of Nature that an animal should be endowed with the capacity of feeling pain and pleasure, if such endowment is useless to it. It can be useful only by directing activity towards the attainment of pleasure and the avoidance of pain. This admitted, the mechanical theory falls to the ground. There is an “It” which feels, selects feelings, chooses those which have a pleasant tone, wills to perform the acts by which they are attained. It follows that the value of consciousness lies in the prerogative which it confers of adapting action, within certain limits, to circumstance. An animal succeeds in life in proportion as the nervous system which it inherits reacts satisfactorily to its environment. A chick which, after being hatched in an incubator, has been isolated for twelve hours without food, seizes a grain of corn the instant that it sees it. Its brain contains ready-made sensori-motor arcs connecting the spot in its cortex in which the visual impression of the grain is perceived and the motor neurones which control the pecking muscles. A sheep-dog is quickly broken to sheep, because its ancestors have been selected by mankind from amongst dogs that readily adapted themselves to this work. The breeder has selected a pattern of brain with the same success with which, when appearance is the only desideratum, he selects a pattern of coat. Beavers set to work at constructing a dam at the only spot in a valley at which it is possible to create an artificial lake, because for countless ages Nature has ruled out the animals which constructed their dams in unsuitable places. Man also inherits a brain-pattern; but, not being required to shift for himself soon after birth, he goes through a long period of infancy and tutelage, during which, by force of circumstance and his own Will, the pattern is elaborated. His supreme success is due to his capacity for adapting means to ends. He inherits very few instincts. Except as regards organic functions, his spinal cord is subservient in almost all respects to his brain. Most of the actions of an animal are instinctive—a word which has been sadly misapplied. Its connotation is negative rather than positive. Owing to the marked pattern of its brain, an animal finds it difficult to avoid acting in a particular way. As the nights grow longer and its hours for feeding are curtailed, a swallow is impelled by its instinct to go South. It makes the same use of its sensations during its migration, and is as completely dependent upon them for its guidance as a man would be. The lower we descend the scale, the more inevitable do an animal’s movements become; but there can be no doubt but that consciousness is of value to an animal, as to Man, in that it gives to its individuality the capacity, within such limits as Nature has selected, of resisting or modifying its ancestral instincts when they are not absolutely appropriate to the occasion.
Sentience implies personality. “No system of philosophy can extrude the ego.” The difference between the performance of the animal machine as a physiologist studies it, and its behaviour when under the control of its own driver, is the difference between reflex action and choice. The ego interacts with physical forces. It does not come within the province of the physiologist to explain the source of the force which interferes with force. He finds no trace of it on either credit or debit side when making up the body’s accounts. He is unable to enter, “Item, to the development of consciousness ... so much.” He can form no conception of this immaterial manifestent which hovers over the infinitely numerous sensori-motor exchanges which are always occurring in the cortex of the brain, giving to a particular group of agitations, now here, now there, a special quality; but the manifestent is needed to account for the potency of the reinforced agitations which enables them to take possession of the nerve-paths by which muscles are reached.
It is for the psychologist to define the application of the terms “consciousness,” “attention,” “will.” He cannot define the attributes of the ego which these terms connote. The moralist must show the way in which they determine, or should determine, conduct. Yet within the plain limits of physiology, attention, using the word in its every-day sense, modifies the responses of the nervous system in a degree which cannot escape observation. It is astonishing to anyone accustomed to hospital surgery (although even in this field singular exceptions are met with) to see the grave operations which a veterinary surgeon may perform, without the animal showing any evidence of pain, provided its apprehension has not been aroused and its attention directed to what is being done. A horse standing in front of a crib of oats, untied, will hardly whisk its tail while the surgeon is making a great wound in its flesh, and sawing off a bony excrescence. The knife does not come within the experience of a horse. It has no anticipations, and its skin, intensely sensitive to the tickling of a fly or the smart of a whip, is relatively insensitive to a cut. An eminent surgeon of the last generation (the writer, as a student, “dressed” for him in his old age) was in the habit, having arranged that his patient could not see what he was doing, of performing operations of a very painful nature whilst assuring his patient, “I am merely making a thorough examination, in order that I may be perfectly certain of the cuts that I shall have to make to-morrow in the operating-theatre when you are under chloroform.” We are not concerned with the ethics of his method; but the assurance, “Now that’s all over; you will never need to have that operation performed again,” saved many a sufferer from a night of apprehension and a miserable “coming round.”
It was stated, during the South African War, that at Ladysmith the bearer of a critical despatch, who was struck in the palm of the hand by a bullet which traversed the whole length of his forearm, did not discover that he was wounded until he saw the dripping blood, after his errand was successfully accomplished. To deliberately cut oneself with a razor is most painful, yet shaving in the morning, with thoughts concentrated on the doings of the day, it is often the sight of blood which directs attention to the fact that the skin is severed. Of all evidences of self, the power of paying attention is the most noteworthy. We can direct attention to certain sensations, which then become perceptions, and we can deliberately ignore others, within certain restricted limits.
The control of the nervous apparatus by the self is a truth which no student of the physiology of human beings can ignore. Isolated from its relation to all other scientific truths, it has been made the basis of a nescience which, although positively merely foolish, is, negatively, harmful—yet a form of folly which answers well to the needs of persons of a certain category.
It may be objected that the picture of the relation of mind to brain which is here presented—the one, activity, motion, the other a labyrinth of conducting paths—makes all mental phenomena entirely dependent upon current sensations. No results could happen if the sensations were not there. It affords no ground for the explanation of =mental images=, =hallucinations=, =dreams=. A few lines may be spared to show that this objection does not hold. We cannot attempt to explain the conscious control of thought. It is a part of the impenetrable mystery to which we have just referred. But, granted that it obtains, the direction by the ego of afferent nerve-currents through the same strands which formerly vibrated to sensations which drew a picture, and hence the revival of its image, is no more incomprehensible than the liberation of afferent impulses from muscles into efferent channels. Brain-chains are composed of many links. Their interconnection is illimitable. When I recall the appearance of the house in which I lived as a child, I throw into the chain impulses (from somewhere) which traverse the final links, where passage implies consciousness. At the edge of the lace-work of linked threads the impulses light up a pattern which childhood’s experience worked into the apparatus of thought.
If we were to admire the perfection of any special aspect of the brain’s functioning, the rarity of hallucinations might give us cause for wonder. That impulses so seldom leave their own paths is more astonishing than that occasionally, when the brain is excited and its nutritive conditions deranged, the impulses which the ego can direct into channels where they revive an image should sometimes, and with far greater force, make their own way down well-worn paths, lighting up a picture which deceives the ego. Dreams, by contrast, throw up in a strong light the part played by attention in intelligent life. The capacity for alertness is due to the favouring of one set of impulses by suppressing others. The favoured impulses hold the road. Concentration of attention is keeping thought to one line by resisting all temptation to wander into by-paths. The waking condition is the state in which all nerve-ways are closed, with the exception of those which consciousness is using. The more severe the closure, the more vivid is consciousness. In sleep all paths are open. In none is the potential acquired by impulses in the process of overcoming resistance high enough to evoke consciousness. A burst of impulses ascends from the stomach, set a-flowing by undigested fragments of salmon and cucumber, or mounts from the arm on which the sleeper has been lying until its circulation has been arrested. They reverberate through the open corridors of the brain. If they are sufficiently noisy to awaken the sleeper, he, detecting them in this path and in that, supposes them to be on the same errands as the impulses which commonly pass thus. If dreams are analysed, it will be found that, although the combinations of impressions may be uncommon and extremely bizarre, the impressions are selected from the most familiar. The images of which the dream is compounded, which may have lost all normal relations and may have assumed impossible proportions, are those which the mind most frequently conjures up. In the large majority of instances some happening of the day preceding can be recognized as the prompting cause. A remembered dream is the photograph taken by consciousness of the sensations which have bombarded it into activity. Especially if due to impulses originated by visceral discomfort, the dream may have an unpleasant tone. This may take various forms, but the emotion most commonly aroused is fear. The objects visualized may have preposterous dimensions, or they may be not sufficiently distinct for recognition—elusive imps; but most commonly distress is caused by the want of harmony of sensations, due to the absence of kinæsthetic elements. A man is lying on the railway-line; a train is approaching with increasing speed; he cannot get up. He is in the pulpit, but cannot speak. Dreams thus confirm the view set forth above as to the cause of volitional action. Ability to perform an act depends upon the flow through the kinæsthetic centres of the brain of impulses generated in the muscles by which the act is to be, or is being, performed. Kinæsthetic sensations do not under any circumstances play the same part in mental life as sensations from the skin, the eye, or the ear; when the body is passive in bed they are not flowing into the cortex. The dream-photograph shows elements demanding movement, but affords no evidence that movement is in progress.