The Eye in its Relation to Health ================================= By Chalmer Prentice, M.D. Chicago, A.C. McClurg & Company, 1895 Transcription (c) A. Wik, 2004 +------------+ | Chapter II | pages 17-23 +------------+ 17 NO part of the living body is constructed in vain. Every minute portion has some par- ticular office to perform. However simple or how- ever complex any one of these parts may be, it is so constructed as to facilitate the work that it has to do. Each distinct part may be looked upon as a little engine which is put in motion by the appli- cation of the motive-force that enables it to per- form its function. This motive-force is conveyed from the place where it is generated, through conductors called nerves, to the part where the function is performed; and, like the running of an ordinary engine, the character of the function is determined by the character of the motive-force supply. If the proper amount of steam is admit- ted to perform the function of the engine, the work is properly and evenly done. If too much steam is turned on, the engine runs too rapidly and is likely to do itself injury by over-work. If too little is applied, the running of the engine is very feeble and can be stopped by the slightest interference. If the steam is cut off entirely, the engine stops. Here we have a perfect analogy to all functions in the human or animal body. If 2 18 the motive-force is just adequate to the necessi- ties of the part, the function will be normal; but, if the motive-force is in excess, the function will be erratic and unnatural, exhibiting disturbances which will be classified as some disease of the part, which will be of an active nature. If the motive-force is lacking in quantity and regularity, the result will be that the function will be very feebly performed, and some sluggish, indolent condition will follow, which will be classified as an inactive, indolent disease. These changes, which are similar in all parts, can be easily noted and demonstrated in the action of the heart. In a state of perfect health, the nerve-centers are furnishing and sending to this little engine, impulses of motive-force which give rise to a reg- ular, unvarying beat of about seventy impulses to the minute. Now, if the nerve-centers be excited in any way, the heart's action at once will mani- fest the change. A cry of fire, a terrific explosion, or the sudden consciousness of some important news of good or bad import, causes an excitement of the nerve-centers in which the supply of nerve- force is temporarily increased, and a larger amount than usual traverses the various nerves throughout the entire system. The heart's action becomes violent and rapid, manifesting the exact amount of change of motive-supply from the nerve-centers to the heart. We note the changes of action par- 19 ticularly in the heart, whereas the fact is, every function in the whole body is equally affected, but the change is not so manifest to our ob- servation; nevertheless, the alteration of function everywhere in the body is equivalent to the change in the motive-force supply. The nature of the function, whether it be normal or erratic, is a manifestation of the character of the motive- force supply, really giving us a perfect idea of the condition of the nerve-centers from which the force is proceeding. This would naturally lead us to the conclusion that ALL ALTERATIONS OF FUNC- TION ARE PRIMARILY CENTRAL IN THE NERVOUS SYSTEM. Every organ in the body has special organic work to perform. Likewise, the various tissues of which the organ is constructed have functions to perform. Every little living cell, be it bone, nerve, muscle or any tissue, has a function to per- form called assimilation. A cell of adipose or fat possesses the power to attract to itself carbon, hydrogen, and oxygen, or matter of its own kind, in just the proportions of which the cell is com- posed, and in quantity just sufficient to maintain the proper size of the cell: surrounding the cell is the cell wall structure, which is doing a separate work by drawing to itself matter of its own kind, but in different proportions to the cell within: again, adjacent to this is a cell of muscle, bone, 20 periosteum or other structure, each attracting dif- ferently unto itself elements of its own kind, in just the proportions that each needs: and so on throughout all the various structures of the animal economy. These are all separate little functions. The blood is simply a carrier of the food from which all the elements of the body derive their sustenance; but it does not perform the multiple function to select, for the many cells of various kinds, their individual complex require- ments. Each individual cell possesses the power to select by its polar forces that which it requires; and these forces are generated and sustained by nerve-impulse. Each separate and individual part or organ of the animal economy has some special place or center in the nervous system that presides over it; some specific center where is generated the motive-force that performs the function of the part over which it has control; and the manner in which the part does its work determines for us the condition of its motive center. A very few of these nerve-centers have been located; yet a sufficient number to assure us that each function has, somewhere in the nerve-centers, a special place that is generating and sending forth that force which does the work. We may look upon the brain as a series of dynamos that are constantly generating motive- 21 force, and sending it out over the various con- ductors that we call nerves, which convey it to the place where the work is done. This force polarizes the cell structure, which then performs the work of attraction and repulsion. [drawing of the brain] When the liver, kidneys, heart and other organs continue to perform their various offices in a healthy manner, the inference is that the motive- forces are being furnished accordingly; but, whenever any of these organs begin to perform unnatural offices--generating abnormal secretions such as sugar, uric acid, etc.--we infer that abnor- mal motive impulses have supervened. NORMAL SECRETIONS ARE THE OUTCOME OF NOR- MAL FUNCTIONS PERFORMED BY NORMAL IMPULSES. ABNORMAL SECRETIONS ARE THE OUTCOME OF 22 ABNORMAL FUNCTIONS PERFORMED BY ABNORMAL IMPULSES. Each class of secretions is dependent on its characteristic motive-force. In other words, when a function becomes abnormal, it is not the part or engine that is at fault, it is always the motive-impulse which is responsible for the erratic work. For, even if the part itself through local irritation or injury, is caused to change its action, it even then does it by first sending the irritation to the presiding nerve-center, which reflects the impulse that causes the change. When a bone is broken, the first natural, local changes that follow are pain and inflammation, which occur as follows: From the point of irri- tation caused by the fracture, an impulse is sent to the nerve-centers that preside over the part. They return their characteristic impulses to the place of injury, which at once establishes an inflammatory action at the place of rupture; and this action involves the manufacture or formation of those products or elements needed to repair or heal the part. These are new, temporary func- tions. Without this communication from the injury to the nerve-centers and the corresponding return current, the fractured ends would never become reunited nor the injury repaired. I have in mind a case of a railroad employe who was under my care some twenty-five years 23 ago. Both bones in the lower part of the leg were broken and protruded through the skin. The fractured ends were properly adjusted. In a gen- eral way, he was an unhealthy man, with a very weak nervous system. After several days, the patient remarked to me, "I think you are a very good doctor for I have no pain in my leg." I said, "My dear fellow, that is just what does not suit me. I prefer that you should have some pain and inflammation." But it did not follow. For one hundred and forty days, I tried all the various methods known to get up an irritation in the part, after which I first discovered symptoms of the broken ends reuniting themselves. In this case, the delay resulted from the weak condition of the nerve-centers and their inability to respond by sending back to the injured part the proper nerve-impulse to establish inflammatory ac- tion of repair. Never can work or function be performed without the appropriate application of some motive-force to perform it. However brilliant an inventive genius may be in all other directions, he begins to lose his reason when he searches for perpetual motion, or a piece of machinery so constructed as to possess in itself the power to do the work or perform the function. Such an unfortunate genius generally ends his life in a lunatic asylum. As in mechanics, so in animal life, all effects have a cause. +-------------------+ | End of Chapter II | pages 17-23 +-------------------+