Medical Essays

第31章

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第31章

Medical Essays 佚名

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Medical Essays
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  Whilethesestudiesofthestructureofthecordhavebeengoingon,theingeniousandindefatigableBrown-Sequardhasbeeninvestigatingthefunctionsofitsdifferentpartswithequaldiligence。Themicroscopicanatomistshadshownthattheganglioniccorpusclesofthegraymatterofthecordareconnectedwitheachotherbytheirprocesses,aswellaswiththenerve-roots。M。Brown-Sequardhasprovedbynumerousexperimentsthatthegraysubstancetransmitssensitiveimpressionsandmuscularstimulation。Theobliqueascendinganddescendingfibresfromtheposteriornerve-roots,joiningthe“longitudinalcolumnsofthecornua,“accountfortheresultsofBrown-Sequard’ssectionsoftheposteriorcolumns。Thephysiologicalexperimenterhasalsomadeitevidentthatthedecussationoftheconductorsofsensitiveimpressionshasitsseatinthespinalcore,andnotintheencephalon,ashadbeensupposed。

  Notlessremarkablethantheseresultsarethefacts,whichIwithothersofmyaudiencehavehadtheopportunityofobserving,asshownbyM。Brown-S6quard,oftheartificialproductionofepilepsyinanimalsbyinjuringthespinalcord,andtheinductionoftheparoxysmbypinchingacertainportionoftheskin。Iwouldalsocallthestudent’sattentiontohisaccountoftherelationsofthenervouscentrestonutritionandsecretion,thelastofwhichrelationshasbeenmadethesubjectofanextendedessaybyourfellowcountryman,Dr。H。F。CampbellofGeorgia。

  ThephysiologyofthespinalcordseemsasimplematterasyoustudyitinLonget。TheexperimentsofBrown-Sequardhaveshowntheproblemtobeacomplexone,andraisedalmostasmanydoubtsastheyhavesolvedquestions;atanyrate,Ibelievealllecturersonphysiologyagreethatthereisnopartoftheirtasktheydreadsomuchastheanalysisoftheevidencerelatingtothespecialofficesofthedifferentportionsofthemedullaspinalis。Inthebrainwearesurethatwedonotknowhowtolocalizefunctions;inthespinalcord,wethinkwedoknowsomething;buttherearesomanyanomalies,andseemingcontradictions,andsourcesoffallacy,thatbeyondthefactsofcrossedparalysisofsensation,andtheconductingagencyofthegraysubstance,IamafraidweretainnocardinalprinciplesdiscoveredsincethedevelopmentofthereflexfunctiontookitsplacebySirCharlesBell’sgreatdiscovery。

  BythemannerinwhichIspokeofthebrain,youwillseethatIamobligedtoleavephrenologysubJove,——outinthecold,——asnotoneofthehouseholdofscience。Iamnotoneofitshaters;onthecontrary,Iamgratefulfortheincidentalgoodithasdone。IlovetoamusemyselfinitsplasterGolgothas,andlistentotheglibprofessor,ashediscoversbyhismanipulations“Allthatdisgracedmybettersmetinme。“

  Ilovedofoldtoseesquare-headed,heavy-jawedSpurzheimmakeabrainfloweroutintoacorollaofmarrowyfilaments,asVieussenshaddonebeforehim,andtohearthedry-fibredbuthuman-heartedGeorgeCombeteachgoodsenseunderthedisguiseofhisequivocalsystem。Butthepseudo-sciences,phrenologyandtherest,seemtomeonlyappealstoweakmindsandtheweakpointsofstrongones。Thereisapicaorfalseappetiteinmanyintelligences;theytaketooddfanciesinplaceofwholesometruth,asgirlsgnawatchalkandcharcoal。Phrenologyjuggleswithnature。Itissoadjustedastosoakupallevidencethathelpsit,andshedallthatharmsit。Itcrawlsforwardinallweathers,likeRichardEdgeworth’shygrometer。

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