Medical Essays, 1842-1882 eBook

This eBook from the Gutenberg Project consists of approximately 462 pages of information about Medical Essays, 1842-1882.

Medical Essays, 1842-1882 eBook

This eBook from the Gutenberg Project consists of approximately 462 pages of information about Medical Essays, 1842-1882.

Passing for a moment into the domain of pathological anatomy, we find the same elements in morbid growths that we have met with in normal structures.  The pus-corpuscle and the white blood-corpuscle can only be distinguished by tracing them to their origin.  A frequent form of so-called malignant disease proves to be only a collection of altered epithelium-cells.  Even cancer itself has no specific anatomical element, and the diagnosis of a cancerous tumor by the microscope, though tolerably sure under the eye of an expert, is based upon accidental, and not essential points,—­the crowding together of the elements, the size of the cell-nuclei, and similar variable characters.

Let us turn to physiology.  The microscope, which has made a new science of the intimate structure of the organs, has at the same time cleared up many uncertainties concerning the mechanism of the special functions.  Up to the time of the living generation of observers, Nature had kept over all her inner workshops the forbidding inscription, No Admittance!  If any prying observer ventured to spy through his magnifying tubes into the mysteries of her glands and canals and fluids, she covered up her work in blinding mists and bewildering halos, as the deities of old concealed their favored heroes in the moment of danger.

Science has at length sifted the turbid light of her lenses, and blanched their delusive rainbows.

Anatomy studies the organism in space.  Physiology studies it also in time.  After the study of form and composition follows close that of action, and this leads us along back to the first moment of the germ, and forward to the resolution of the living frame into its lifeless elements.  In this way Anatomy, or rather that branch of it which we call Histology, has become inseparably blended with the study of function.  The connection between the science of life and that of intimate structure on the one hand, and composition on the other, is illustrated in the titles of two recent works of remarkable excellence,—­“the Physiological Anatomy” of Todd and Bowman, and the “Physiological Chemistry” of Lehmann.

Let me briefly recapitulate a few of our acquisitions in Physiology, due in large measure to our new instruments and methods of research, and at the same time indicate the limits which form the permanent or the temporary boundaries of our knowledge.  I will begin with the largest fact and with the most absolute and universally encountered limitation.

The “largest truth in Physiology” Mr. Paget considers to be “the development of ova through multiplication and division of their cells.”  I would state it more broadly as the agency of the cell in all living processes.  It seems at present necessary to abandon the original idea of Schwann, that we can observe the building up of a cell from the simple granules of a blastema, or formative fluid.  The evidence points rather towards the axiom, Omnis cellula a cellula; that is, the germ of a new cell is always derived from a preexisting cell.  The doctrine of Schwann, as I remarked long ago (1844), runs parallel with the nebular theory in astronomy, and they may yet stand or fall together.

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Medical Essays, 1842-1882 from Project Gutenberg. Public domain.