Nowwhathavewecometoinourownday?Inthefirstplace,theminutestructureofalltheorganshasbeenmadeoutinthemostsatisfactoryway。Thespecialarrangementsofthevesselsandtheductsofalltheglands,oftheair-tubesandvesiclesofthelungs,ofthepartswhichmakeuptheskinandothermembranes,allthedetailsofthosecomplexparenchymatousorganswhichhadconfoundedinvestigationsolong,havebeenliftedoutoftheinvisibleintothesightofallobservers。Itisfairtomentionhere,thatweoweagreatdealtotheartofminuteinjection,bywhichweareenabledtotracethesmallestvesselsinthemidstofthetissueswheretheyaredistributed。Thisisanoldartificeofanatomists。ThefamousRuysch,whodiedahundredandthirtyyearsago,showedthateachoftheviscerahasitsterminalvesselsarrangedinitsownpeculiarway;thesamefactwhichyoumayseeillustratedinGerber’sfiguresaftertheminuteinjectionsofBerres。Ihopetoshowyoumanyspecimensofthiskindinthemicroscope,theworkofEnglishandAmericanhands。ProfessorAgassizallowsmealsotomakeuseofaveryrichcollectionofinjectedpreparationssenthimbyProfessorHyrtl,formerlyofPrague,nowofVienna,fortheproperexhibitionofwhichIhadanumberofmicroscopesmadeexpressly,byMr。Grunow,duringthepastseason。Allthisillustrateswhathasbeendonefortheelucidationoftheintimatedetailsofformationoftheorgans。
Butthegreattriumphofthemicroscopeasappliedtoanatomyhasbeenintheresolutionoftheorgansandthetissuesintotheirsimpleconstituentanatomicalelements。IthastakenupgeneralanatomywhereBichatleftit。Hehadsucceededinreducingthestructurallanguageofnaturetosyllables,ifyouwillpermitmetousesoboldanimage。Themicroscopicobserverswhohavecomeafterhimhaveanalyzedtheseintoletters,aswemaycallthem,——thesimpleelementsbythecombinationofwhichNaturespellsoutsuccessivelytissues,whicharehersyllables,organswhichareherwords,systemswhichareherchapters,andsogoesonfromthesimpletothecomplex,untilshebindsupinonelivingwholethatwondrousvolumeofpowerandwisdomwhichwecallthehumanbody。
Thealphabetoftheorganizationissoshortandsimple,thatIwillriskfatiguingyourattentionbyrepeatingit,accordingtotheplanIhavelongadopted。
A。Cells,eitherfloating,asintheblood,orfixed,likethoseinthecancellatedstructureofbone,alreadyreferredto。Verycommonlytheyhaveundergoneachangeoffigure,mostfrequentlyaflatteningwhichreducesthemtoscales,asintheepidermisandtheepithelium。
B。Simple,translucent,homogeneoussolid,suchasisfoundatthebackofthecornea,orformingtheintercellularsubstanceofcartilage。
C。Thewhitefibrouselement,consistingofverydelicate,tenaciousthreads。Thisisthelongstapletextilesubstanceofthebody。ItistotheorganismwhatcottonispretendedtobetoourSouthernStates。Itpervadesthewholeanimalfabricasareolartissue,whichistheuniversalpackingandwrappingmaterial。Itformstheligamentswhichbindthewholeframe-worktogether。Itfurnishesthesinews,whicharethechannelsofpower。Itenfoldseverymuscle。
Itwrapsthebraininitshard,insensiblefolds,andtheheartitselfbeatsinapursethatismadeofit。
D。Theyellowelastic,fibrouselement,thecaoutchoucoftheanimalmechanism,whichpullsthingsbackintoplace,astheIndia-rubberbandshutsthedoorwehaveopened。
E。Thestripedmuscularfibre,——theredflesh,whichshortensitselfinobediencetothewill,andthusproducesallvoluntaryactivemotion。
F。Theunstripedmuscularfibre,moreproperlythefusiform-cellfibre,whichcarriesontheinvoluntaryinternalmovements。
G。Thenerve-cylinder,aglassytube,withapithofsomefirmness,whichconveyssensationtothebrainandtheprinciplewhichinducesmotionfromit。
H。Thenerve-corpuscle,thecentreofnervouspower。
I。Themucoustissue,asVirchowcallsit,commoninembryonicstructures,seeninthevitreoushumoroftheadult。
TotheseaddX,granules,ofindeterminateshapeandsize,Y,forinorganicmatters,suchasthesaltsofboneandteeth,andZ,tostandasasymbolofthefluids,andyouhavethelettersofwhatI
haveventuredtocallthealphabetofthebody。
Butjustasinlanguagecertaindiphthongsandsyllablesarefrequentlyrecurring,sowehaveinthebodycertainsecondaryandtertiarycombinations,whichwemeetmorefrequentlythanthesolitaryelementsofwhichtheyarecomposed。
ThusAB,oracollectionofcellsunitedbysimplestructurelesssolid,isseentobeextensivelyemployedinthebodyunderthenameofcartilage。Outofthisthesurfacesofthearticulationsandthespringsofthebreathingapparatusareformed。ButwhenNaturecametothebuffersofthespinalcolumnintervertebraldisksandthewashersofthejointssemilunarfibrocartilagesoftheknee,etc。,sherequiredmoretenacitythancommoncartilagepossessed。Whatdidshedo?Whatdoesmandoinasimilarcaseofneed?Ineedhardlytellyou。Themasonlayshisbricksinsimplemortar。Buttheplastererworkssomehairintothemortarwhichheisgoingtolayinlargesheetsonthewalls。ThechildrenofIsraelcomplainedthattheyhadnostrawtomaketheirbrickswith,thoughportionsofitmaystillbeseeninthecrumblingpyramidofDarshour,whichtheyaresaidtohavebuilt。IvisitedtheoldhouseonWitchHillinSalemayearortwoago,andthereIfoundthewallscoatedwithclayinwhichstrawwasabundantlymingled;——theoldJudaizingwitch-
hangerscopiedtheIsraelitesinagoodmanythings。TheChineseandtheCorsicansblendthefibresofamianthusintheirpotterytogiveittenacity。NowtoreturntoNature。Tomakeherbuffersandwashersholdtogetherintheshockstowhichtheywouldbesubjected,shetookcommoncartilageandmingledthewhitefibroustissuewithit,toservethesamepurposeasthehairinthemortar,thestrawinthebricksandintheplasteroftheoldwall,andtheamianthusintheearthenvessels。ThuswehavethecombinationABC,orfibro-
cartilage。Again,theboneswereonceonlygristleorcartilage,A
B。Togivethemsoliditytheywereinfiltratedwithstone,intheformofsaltsoflime,aninorganicelement,sothatbonewouldbespeltoutbythelettersA,B,andY。
Iffromtheseorganicsyllablesweproceedtoformorganicwords,weshallfindthatNatureemploysthreeprincipalforms;namely,Vessels,Membranes,andParenchyma,orvisceraltissue。Themostcomplexofthemcanberesolvedintoacombinationofthesefewsimpleanatomicalconstituents。
PassingforamomentintothedomainofPATHOLOGICALANATOMY,wefindthesameelementsinmorbidgrowthsthatwehavemetwithinnormalstructures。Thepus-corpuscleandthewhiteblood-corpusclecanonlybedistinguishedbytracingthemtotheirorigin。Afrequentformofso-calledmalignantdiseaseprovestobeonlyacollectionofalteredepithelium-cells。Evencanceritselfhasnospecificanatomicalelement,andthediagnosisofacanceroustumorbythemicroscope,thoughtolerablysureundertheeyeofanexpert,isbaseduponaccidental,andnotessentialpoints,——thecrowdingtogetheroftheelements,thesizeofthecell-nuclei,andsimilarvariablecharacters。
LetusturntoPHYSIOLOGY。Themicroscope,whichhasmadeanewscienceoftheintimatestructureoftheorgans,hasatthesametimeclearedupmanyuncertaintiesconcerningthemechanismofthespecialfunctions。Uptothetimeofthelivinggenerationofobservers,Naturehadkeptoverallherinnerworkshopstheforbiddinginscription,NoAdmittance!Ifanypryingobserverventuredtospythroughhismagnifyingtubesintothemysteriesofherglandsandcanalsandfluids,shecoveredupherworkinblindingmistsandbewilderinghalos,asthedeitiesofoldconcealedtheirfavoredheroesinthemomentofdanger。
Sciencehasatlengthsiftedtheturbidlightofherlenses,andblanchedtheirdelusiverainbows。
Anatomystudiestheorganisminspace。Physiologystudiesitalsointime。Afterthestudyofformandcompositionfollowsclosethatofaction,andthisleadsusalongbacktothefirstmomentofthegerm,andforwardtotheresolutionofthelivingframeintoitslifelesselements。InthiswayAnatomy,orratherthatbranchofitwhichwecallHistology,hasbecomeinseparablyblendedwiththestudyoffunction。Theconnectionbetweenthescienceoflifeandthatofintimatestructureontheonehand,andcompositionontheother,isillustratedinthetitlesoftworecentworksofremarkableexcellence,——“thePhysiologicalAnatomy“ofToddandBowman,andthe“PhysiologicalChemistry“ofLehmann。
LetmebrieflyrecapitulateafewofouracquisitionsinPhysiology,dueinlargemeasuretoournewinstrumentsandmethodsofresearch,andatthesametimeindicatethelimitswhichformthepermanentorthetemporaryboundariesofourknowledge。Iwillbeginwiththelargestfactandwiththemostabsoluteanduniversallyencounteredlimitation。
The“largesttruthinPhysiology“Mr。Pagetconsiderstobe“thedevelopmentofovathroughmultiplicationanddivisionoftheircells。“Iwouldstateitmorebroadlyastheagencyofthecellinalllivingprocesses。ItseemsatpresentnecessarytoabandontheoriginalideaofSchwann,thatwecanobservethebuildingupofacellfromthesimplegranulesofablastema,orformativefluid。Theevidencepointsrathertowardstheaxiom,Omniscellulaacellula;
thatis,thegermofanewcellisalwaysderivedfromapreexistingcell。ThedoctrineofSchwann,asIremarkedlongago1844,runsparallelwiththenebulartheoryinastronomy,andtheymayyetstandorfalltogether。
AswehaveseenNatureanticipatingtheplastererinfibro-cartilage,soweseeherbeforehandwiththeglassblowerinherdealingswiththecell。Theartisanblowshisvitreousbubbles,largeorsmall,tobeusedafterwardsasmaybewanted。SoNatureshapesherhyalinevesiclesandmodifiesthemtoservetheneedsofthepartwheretheyarefound。Theartisanwhirlshisrod,andhisglassbubblebecomesaflatteneddisk,withitsbull’s-eyeforanucleus。Theselipsofoursareallglazedwithmicroscopictilesformedofflattenedcells,eachoneofthemwithitsnucleusstillasplainandrelativelyasprominent,totheeyeofthemicroscopist,asthebull’s-eyeintheold-fashionedwindowpane。Everywherewefindcells,modifiedorunchanged。Theyrollininconceivablemultitudesfivemillionsandmoretothecubicmillimetre,accordingtoVierordtasblood-disksthroughourvessels。Aclose-fittingmailofflattenedcellscoatsoursurfacewithapanoplyofimbricatedscalesmorethantwelvethousandmillions,asHartinghascomputed,astrueadefenceagainstourenemiesasthebucklerofthearmadilloorthecarapaceofthetortoiseagainsttheirs。Thesamelittleprotectingorganspaveallthegreathighwaysoftheinteriorsystem。Cells,again,presideoverthechemicalprocesseswhichelaboratethelivingfluids;theychangetheirformtobecometheagentsofvoluntaryandinvoluntarymotion;thesoulitselfsitsonathroneofnucleatedcells,andflashesitsmandatesthroughskeinsofglassyfilamentswhichonceweresimplechainsofvesicles。And,asiftoreducetheproblemoflivingforcetoitssimplestexpression,weseetheyolkofatransparenteggdividingitselfinwholeorinpart,andagaindividingandsubdividing,untilitbecomesamassofcells,outofwhichtheharmoniousdiversityoftheorgansarrangesitself,wormorman,asGodhaswilledfromthebeginning。
Thisdifferentiationhavingbeeneffected,eachseveralpartassumesitsspecialoffice,havingalifeofitsownadjustedtothatofotherpartsandthewhole。“Justasatreeconstitutesamassarrangedinadefinitemanner,inwhich,ineverysinglepart,intheleavesasintheroot,inthetrunkasintheblossom,cellsarediscoveredtobetheultimateelements,soisitalsowiththeformsofanimallife。Everyanimalpresentsitselfasasumofvitalunities,everyoneofwhichmanifestsallthecharacteristicsoflife。“
Themechanismisasclear,asunquestionable,asabsolutelysettledanduniversallyaccepted,astheorderofmovementoftheheavenlybodies,whichwecomputebackwardtothedaysoftheobservatoriesontheplainsofShinar,andonthefaithofwhichweregulatethemovementsofwarandtradebythepredictionsofourephemeris。
Themechanism,andthatisall。Weseetheworkmanandthetools,buttheskillthatguidestheworkandthepowerthatperformsitareasinvisibleasever。IfearthatnoteverylistenertookthesignificanceofthosepregnantwordsinthepassageIquotedfromJohnBell,——“thinkingtodiscoveritspropertiesinitsform。“Wehavediscoveredtheworkingbeeinthisgreathiveoforganization。
Wehavedetectedthecellintheveryactofformingitselffromanucleus,oftransformingitselfintovarioustissues,ofselectingtheelementsofvarioussecretions。Butwhyonecellbecomesnerveandanothermuscle,whyoneselectsbileandanotherfat,wecannomorepretendtotell,thanwhyonegrapesucksoutofthesoilthegenerousjuicewhichprinceshoardintheircellars,andanotherthewinewhichittakesthreementodrink,——onetopouritdown,anothertoswallowit,andathirdtoholdhimwhileitisgoingdown。
Certainanalogiesbetweenthisselectingpowerandthephenomenaofendosmosisintheelectiveaffinitiesofchemistrywecanfind,buttheproblemofforceremainshere,aseverywhere,unsolvedandinsolvable。