第 44 节
作者:
小秋 更新:2021-02-19 17:22 字数:9322
ng their intersection。 By this their doctors are guided in the performance of acupuncture; marking the safe places to thrust in needles; as we buoy out our ship…channels; and doubtless indicating to learned eyes the spots where incautious meddling had led to those little accidents of shipwreck to which patients are unfortunately liable。
A change of method; then; has given us General and Regional Anatomy。 These; too; have been worked so thoroughly; that; if not exhausted; they have at least become to a great extent fixed and positive branches of knowledge。 But the first of them; General Anatomy; would never; have reached this positive condition but for the introduction of that; instrument which I have mentioned as the second great aid to modern progress。
This instrument is the achromatic microscope。 For the history of the successive steps by which it became the effective scientific implement we now possess; I must refer you to the work of Mr。 Quekett; to an excellent article in the 〃Penny Cyclopaedia;〃 or to that of Sir David Brewster in the 〃Encyclopaedia Britannica。〃 It is a most interesting piece of scientific history; which shows how the problem which Biot in 1821 pronounced insolvable was in the course of a few years practically solved; with a success equal to that which Dollond had long before obtained with the telescope。 It is enough for our purpose that we are now in possession of an instrument freed from all confusions and illusions; which magnifies a thousand diameters;a million times in surface;without serious distortion or discoloration of its object。
A quarter of a century ago; or a little more; an instructor would not have hesitated to put John Bell's 〃Anatomy〃 and Bostock's 〃Physiology〃 into a student's hands; as good authority on their respective subjects。 Let us not be unjust to either of these authors。 John Bell is the liveliest medical writer that I can remember who has written since the days of delightful old Ambroise Pare。 His picturesque descriptions and bold figures are as good now as they ever were; and his book can never become obsolete。 But listen to what John Bell says of the microscope :
〃Philosophers of the last age had been at infinite pains to find the ultimate fibre of muscles; thinking to discover its properties in its form; but they saw just in proportion to the glasses which they used; or to their practice and skill in that art; which is now almost forsaken。〃
Dr。 Bostock's work; neglected as it is; is one which I value very highly as a really learned compilation; full of original references。 But Dr。 Bostock says: 〃Much as the naturalist has been indebted to the microscope; by bringing into view many beings of which he could not otherwise have ascertained the existence; the physiologist has not yet derived any great benefit from the instrument。〃
These are only specimens of the manner in which the microscope and its results were generally regarded by the generation just preceding our own。
I have referred you to the proper authorities for the account of those improvements which about the year 1830 rendered the compound microscope an efficient and trustworthy instrument。 It was now for the first time that a true general anatomy became possible。 As early as 1816 Treviranus had attempted to resolve the tissues; of which Bichat had admitted no less than twenty…one; into their simple microscopic elements。 How could such an attempt succeed; Henle well asks; at a time when the most extensively diffused of all the tissues; the areolar; was not at all understood? All that method could do had been accomplished by Bichat and his followers。 It was for the optician to take the next step。 The future of anatomy and physiology; as an enthusiastic micrologist of the time said; was in the hands of Messrs。 Schieck and Pistor; famous opticians of Berlin。
In those earlier days of which I am speaking; all the points of minute anatomy were involved in obscurity。 Some found globules everywhere; some fibres。 Students disputed whether the conjunctiva extended over the cornea or not; and worried themselves over Gaultier de Claubry's stratified layers of the skin; or Breschet's blennogenous and chromatogenous organs。 The dartos was a puzzle; the central spinal canal a myth; the decidua clothed in fable as much as the golden fleece。 The structure of bone; now so beautifully made out;even that of the teeth; in which old Leeuwenhoek; peeping with his octogenarian eyes through the minute lenses wrought with his own hands; had long ago seen the 〃pipes;〃 as he called them;was hardly known at all。 The minute structure of the viscera lay in the mists of an uncertain microscopic vision。 The intimate recesses of the animal system were to the students of anatomy what the anterior of Africa long was to geographers; and the stories of microscopic explorers were as much sneered at as those of Bruce or Du Chailly; and with better reason。
Now what have we come to in our own day? In the first place; the minute structure of all the organs has been made out in the most satisfactory way。 The special arrangements of the vessels and the ducts of all the glands; of the air…tubes and vesicles of the lungs; of the parts which make up the skin and other membranes; all the details of those complex parenchymatous organs which had confounded investigation so long; have been lifted out of the invisible into the sight of all observers。 It is fair to mention here; that we owe a great deal to the art of minute injection; by which we are enabled to trace the smallest vessels in the midst of the tissues where they are distributed。 This is an old artifice of anatomists。 The famous Ruysch; who died a hundred and thirty years ago; showed that each of the viscera has its terminal vessels arranged in its own peculiar way; the same fact which you may see illustrated in Gerber's figures after the minute injections of Berres。 I hope to show you many specimens of this kind in the microscope; the work of English and American hands。 Professor Agassiz allows me also to make use of a very rich collection of injected preparations sent him by Professor Hyrtl; formerly of Prague; now of Vienna; for the proper exhibition of which I had a number of microscopes made expressly; by Mr。 Grunow; during the past season。 All this illustrates what has been done for the elucidation of the intimate details of formation of the organs。
But the great triumph of the microscope as applied to anatomy has been in the resolution of the organs and the tissues into their simple constituent anatomical elements。 It has taken up general anatomy where Bichat left it。 He had succeeded in reducing the structural language of nature to syllables; if you will permit me to use so bold an image。 The microscopic observers who have come after him have analyzed these into letters; as we may call them;the simple elements by the combination of which Nature spells out successively tissues; which are her syllables; organs which are her words; systems which are her chapters; and so goes on from the simple to the complex; until she binds up in one living whole that wondrous volume of power and wisdom which we call the human body。
The alphabet of the organization is so short and simple; that I will risk fatiguing your attention by repeating it; according to the plan I have long adopted。
A。 Cells; either floating; as in the blood; or fixed; like those in the cancellated structure of bone; already referred to。 Very commonly they have undergone a change of figure; most frequently a flattening which reduces them to scales; as in the epidermis and the epithelium。
B。 Simple; translucent; homogeneous solid; such as is found at the back of the cornea; or forming the intercellular substance of cartilage。
C。 The white fibrous element; consisting of very delicate; tenacious threads。 This is the long staple textile substance of the body。 It is to the organism what cotton is pretended to be to our Southern States。 It pervades the whole animal fabric as areolar tissue; which is the universal packing and wrapping material。 It forms the ligaments which bind the whole frame…work together。 It furnishes the sinews; which are the channels of power。 It enfolds every muscle。 It wraps the brain in its hard; insensible folds; and the heart itself beats in a purse that is made of it。
D。 The yellow elastic; fibrous element; the caoutchouc of the animal mechanism; which pulls things back into place; as the India…rubber band shuts the door we have opened。
E。 The striped muscular fibre;the red flesh; which shortens itself in obedience to the will; and thus produces all voluntary active motion。
F。 The unstriped muscular fibre; more properly the fusiform…cell fibre; which carries on the involuntary internal movements。
G。 The nerve…cylinder; a glassy tube; with a pith of some firmness; which conveys sensation to the brain and the principle which induces motion from it。
H。 The nerve…corpuscle; the centre of nervous power。
I。 The mucous tissue; as Virchow calls it; common in embryonic structures; seen in the vitreous humor of the adult。
To these add X; granules; of indeterminate shape and size; Y; for inorganic matters; such as the salts of bone and t