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第55章

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uids for the preliminary preservation and hardening of the tissues。  Stilling; in 1842; perfected the method by introducing the custom of cutting a series of consecutive sections of the same tissue; in order to trace nerve tracts and establish spacial relations。  Then from time to time mechanical ingenuity added fresh details of improvement。 It was found that pieces of hardened tissue of extreme delicacy can be made better subject to manipulation by being impregnated with collodion or celloidine and embedded in paraffine。 Latterly it has become usual to cut sections also from fresh tissues; unchanged by chemicals; by freezing them suddenly with vaporized ether or; better; carbonic acid。 By these methods; and with the aid of perfected microtomes; the worker of recent periods avails himself of sections of brain tissues of a tenuousness which the early investigators could not approach。

But more important even than the cutting of thin sections is the process of making the different parts of the section visible; one tissue differentiated from another。  The thin section; as the early workers examined it; was practically colorless; and even the crudest details of its structure were made out with extreme difficulty。  Remak did; indeed; manage to discover that the brain tissue is cellular; as early as 1833; and Ehrenberg in the same year saw that it is also fibrillar; but beyond this no great advance was made until 1858; when a sudden impulse was received from a new process introduced by Gerlach。  The process itself was most simple; consisting essentially of nothing more than the treatment of a microscopical section with a solution of carmine。 But the result was wonderful; for when such a section was placed under the lens it no longer appeared homogeneous。 Sprinkled through its substance were seen irregular bodies that had taken on a beautiful color; while the matrix in which they were embedded remained unstained。  In a word; the central nerve cell had sprung suddenly into clear view。

A most interesting body it proved; this nerve cell; or ganglion cell; as it came to be called。  It was seen to be exceedingly minute in size; requiring high powers of the microscope to make it visible。 It exists in almost infinite numbers; not; however; scattered at random through the brain and spinal cord。  On the contrary; it is confined to those portions of the central nervous masses which to the naked eye appear gray in color; being altogether wanting in the white substance which makes up the chief mass of the brain。 Even in the gray matter; though sometimes thickly distributed; the ganglion cells are never in actual contact one with another; they always lie embedded in intercellular tissues; which came to be known; following Virchow; as the neuroglia。

Each ganglion cell was seen to be irregular in contour; and to have jutting out from it two sets of minute fibres; one set relatively short; indefinitely numerous; and branching in every direction; the other set limited in number; sometimes even single; and starting out directly from the cell as if bent on a longer journey。 The numerous filaments came to be known as protoplasmic processes; the other fibre was named; after its discoverer; the axis cylinder of Deiters。  It was a natural inference; though not clearly demonstrable in the sections; that these filamentous processes are the connecting links between the different nerve cells and also the channels of communication between nerve cells and the periphery of the body。 The white substance of brain and cord; apparently; is made up of such connecting fibres; thus bringing the different ganglion cells everywhere into communication one with another。

In the attempt to trace the connecting nerve tracts through this white substance by either macroscopical or microscopical methods; most important aid is given by a method originated by Waller in 1852。 Earlier than that; in 1839; Nasse had discovered that a severed nerve cord degenerates in its peripheral portions。 Waller discovered that every nerve fibre; sensory or motor; has a nerve cell to or from which it leads; which dominates its nutrition; so that it can only retain its vitality while its connection with that cell is intact。  Such cells he named trophic centres。 Certain cells of the anterior part of the spinal cord; for example; are the trophic centres of the spinal motor nerves。 Other trophic centres; governing nerve tracts in the spinal cord itself; are in the various regions of the brain。 It occurred to Waller that by destroying such centres; or by severing the connection at various regions between a nervous tract and its trophic centre; sharply defined tracts could be made to degenerate; and their location could subsequently be accurately defined; as the degenerated tissues take on a changed aspect; both to macroscopical and microscopical observation。 Recognition of this principle thus gave the experimenter a new weapon of great efficiency in tracing nervous connections。 Moreover; the same principle has wide application in case of the human subject in disease; such as the lesion of nerve tracts or the destruction of centres by localized tumors; by embolisms; or by traumatisms。

All these various methods of anatomical examination combine to make the conclusion almost unavoidable that the central ganglion cells are the veritable 〃centres〃 of nervous activity to which so many other lines of research have pointed。 The conclusion was strengthened by experiments of the students of motor localization; which showed that the veritable centres of their discovery lie; demonstrably; in the gray cortex of the brain; not in the white matter。  But the full proof came from pathology。 At the hands of a multitude of observers it was shown that in certain well…known diseases of the spinal cord; with resulting paralysis; it is the ganglion cells themselves that are found to be destroyed。 Similarly; in the case of sufferers from chronic insanities; with marked dementia; the ganglion cells of the cortex of the brain are found to have undergone degeneration。 The brains of paretics in particular show such degeneration; in striking correspondence with their mental decadence。 The position of the ganglion cell as the ultimate centre of nervous activities was thus placed beyond dispute。

Meantime; general acceptance being given the histological scheme of Gerlach; according to which the mass of the white substance of the brain is a mesh…work of intercellular fibrils; a proximal idea seemed attainable of the way in which the ganglionic activities are correlated; and; through association; built up; so to speak; into the higher mental processes。 Such a conception accorded beautifully with the ideas of the associationists; who had now become dominant in psychology。 But one standing puzzle attended this otherwise satisfactory correlation of anatomical observations and psychic analyses。 It was this:  Since; according to the histologist; the intercellular fibres; along which impulses are conveyed; connect each brain cell; directly or indirectly; with every other brain cell in an endless mesh…work; how is it possible that various sets of cells may at times be shut off from one another? Such isolation must take place; for all normal ideation depends for its integrity quite as much upon the shutting…out of the great mass of associations as upon the inclusion of certain other associations。 For example; a student in solving a mathematical problem must for the moment become quite oblivious to the special associations that have to do with geography; natural history; and the like。 But does histology give any clew to the way in which such isolation may be effected?

Attempts were made to find an answer through consideration of the very peculiar character of the blood…supply in the brain。 Here; as nowhere else; the terminal twigs of the arteries are arranged in closed systems; not anastomosing freely with neighboring systems。 Clearly; then; a restricted area of the brain may; through the controlling influence of the vasomotor nerves; be flushed with arterial blood while neighboring parts remain relatively anaemic。 And since vital activities unquestionably depend in part upon the supply of arterial blood; this peculiar arrangement of 

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