270

591. The ARYTENOID CARTILAGES are small triangular bodies placed upon the back part of the cricoid cartilage. They are connected with the thyroid cartilages, by four ligaments, called Vo´cal Cords.

592. The EPIGLOTTIS is fibro-cartilaginous, and is placed behind the base of the tongue. In shape it resembles a leaf of parsley.

593. The VOCAL CORDS, or ligaments, are formed of elastic and parallel fibres, enclosed in a fold of mucous membrane. They are about two lines in width, and pass from the anterior angle of the thyroid cartilage, to the two arytenoid cartilages. 271 The one is called the superior, and the other the inferior vocal ligament. The cavity, or depression between the superior and inferior ligament, is called the ventricle of the larynx. The aperture, or opening between these ligaments, is called the glot´tis, or chink of the glottis. It is about three fourths of an inch in length, and one fourth of an inch in width, the opening being widest at the posterior part. This opening is enlarged and contracted by the agency of the muscles appropriated to the larynx.

Fig. 104.


Fig. 105.


Fig. 104. An ideal, lateral section of the larynx. 1, 1, The upper vocal cords. 2, 2, The lower vocal cords. 3, 3, The glottis. 4, 4, The ventricles of the larynx.

Fig. 105. A vertical section of the larynx. 2, The os hyoides. 4, The apex of the epiglottis. 7, The superior vocal ligament. 9, The ventricle of the larynx. 10. The lower vocal ligament. 11, The arytenoid cartilage. 12, 13, The cricoid cartilage. 14, The trachea. 18, The œsophagus.

591. Describe the arytenoid cartilages. 592. What is said of the epiglottis? 593. Give the structure of the vocal cords. Where is the ventricle of the larynx? Where is the glottis situated? What is represented by fig. 104? Explain fig. 105.

Fig. 106.


Fig. 106. A view of the larynx from above, showing the vocal ligaments. 1, The anterior edge of the larynx. 4, The posterior face of the thyroid cartilage. 5, 5, The arytenoid cartilages. 6, 6, The vocal ligaments. 7, Their origin, within the angle of the thyroid cartilage. 9, Their termination, at the base of the arytenoid cartilages. 8, 10, The glottis.

594. The larynx is connected by muscles with the sternum, œsophagus, base of the skull, hyoid bone, lower jaw, and tongue. This organ is supplied with a large number of blood-vessels, and it likewise receives nerves from the sympathetic system, and two large nerves from the tenth pair. The number and size of the nervous filaments distributed to the mucous membrane of the larynx, render it more sensitive than any other portion of the respiratory organs.

How is the glottis enlarged or contracted? Explain fig. 106. 594. By what means and to what organs is the larynx connected? Why is the larynx more sensitive than other parts of the respiratory organs?

272

595. The larynx is much more developed and prominent in man than in woman. In the former, the anterior angle of the thyroid cartilage is acute, while in the latter it is rounded, and the central slope of the superior border of the same cartilage is less deep, and the epiglottis smaller and less prominent, than in man.

596. The difference in the formation of the larynx in infancy is less striking; but at a later period, it is more developed in the male than in the female. It is very remarkable that this increase is not progressive, like that of other organs, but, on the contrary, develops itself at once at the period of puberty.

PHYSIOLOGY OF THE VOCAL ORGANS.

597. In the formation of the voice, each part already described performs an important office. The cricoid and thyroid cartilages give form and stability to the larynx; the arytenoid cartilages, by their movement, vary the width of the glottis. The epiglottis is flexible and elastic. When it is erect, the chink of the glottis is open, as in inspiration; when depressed, as in swallowing food and drink, it covers and closes this aperture. It prevents the introduction of articles of food into the trachea, and probably modifies sound as it issues from the glottis.

598. The muscles of the neck elevate and depress the larynx; the muscles of the larynx increase or diminish the width of the glottis; at the same time, the vocal cords are 273 relaxed or tightened, while the muscles of the face open and close the mouth.

595. What difference between the formation of the larynx of the female and that of the male? 596. Does this difference exist in childhood? Is its development progressive? 597–600. Give the physiology of the vocal organs. 597. Which cartilages give stability and form to the larynx? Which vary the width of the glottis? What is the function of the epiglottis? 598. What effect have the muscles of the neck upon the larynx? The use of the muscles of the larynx?

599. The elasticity of the ribs and the contraction of the abdominal muscles diminish the cavity of the chest, and the air, in consequence, is pressed from the air-cells into the bronchial tubes and trachea. It then rushes by the vocal cords, and causes a peculiar vibration, which produces sound.

Observations. 1st. Experiments have satisfactorily shown that the vocal cords are the principal agents in the formation of the voice. The tongue, which many have supposed to be the most important organ in speaking, is not essential to sound. In several instances it has been removed, and the persons thus mutilated could speak with fluency.

2d. When the vocal cords are ulcerated, or inflamed, however slightly, as in sore throat produced by a cold, the voice will be changed. The loss of speech among public speakers is generally produced by a relaxation of the vocal ligaments. Hence, bronchitis is a misnomer for this affection.

600. Sound is varied by the velocity of the expelled current of air, and the tension of the vocal ligaments. The size of the larynx, the volume and health of the lungs, the condition of the fauces and nasal passages, the elevation and depression of the chin, the development and freedom of action of the muscles which are attached to the larynx, the opening of the mouth, the state of the mind, and general health of the system, influence the modulations of sound.

What effect has the combined action of these muscles? 599. How is sound produced? What have experiments shown? What effect has disease of the vocal ligaments upon the voice? 600. How is sound varied? Mention other conditions that contribute to the modulation of sound.


274

CHAPTER XXX.

HYGIENE OF THE VOCAL ORGANS.

601. The voice can be changed and modified by habit. Sailors, smiths, and others, who are engaged in noisy occupations, exert their vocal organs more strongly than those of more quiet pursuits. This not only affects the structure of the vocal organs, but varies the intonation of the voice.

602. The voice is strong in proportion to the development of the larynx, and the capacity of the chest. Singing and reading aloud improve and strengthen the vocal organs, and give a healthy expansion to the chest. The enunciation of the elementary sounds of the English language, aids in developing the vocal organs, as well as preventing disease of the throat and lungs. This exercise also conduces to the acquisition of musical sounds.

603. The attitude affects the modulation of the voice. When an individual stands erect, the movements of the whole respiratory apparatus are most free and effective. The larynx is brought forward by the erect position of the head and the elevation of the chin. The muscles of the arytenoid cartilages are then brought to a proper relation for action, by which a tension of the vocal cords is produced, that favors clear and harmonious enunciation.

Experiment. Read with the head bowed forward and the chin depressed; then read with the head erect and the chin elevated, and the difference in the movement of the vocal 275 organs, together with the difference in the voice, will be manifest.

601–616. Give the hygiene of the vocal organs. 602. How may the voice be strengthened? 603. What effect has the erect attitude upon the modulations of the voice? Give the experiment.

Fig. 107.


Fig. 108.


Fig. 107. An improper position; but one not unfrequently seen in some of our common schools, and in some of our public speakers.

Fig. 108. The proper position for reading, speaking, and singing.

604. If an individual or class read or sing when sitting, let the position represented by fig. 109 be adopted, and not the one represented by fig. 110; for the erect position in sitting conduces to the free and effective action of the respiratory and vocal organs, and is as important as the erect attitude in standing.

604. What position should be adopted when a person reads or sings when sitting? Why?

276

605. The muscles of the neck should not be compressed. If the muscles of the neck and larynx are compressed by a high cravat, or other close dressing, not only will the free and energetic movements of these parts be impeded, but the tones will be feeble and ineffective. Therefore the dress of the neck, particularly of public speakers and singers, should be loose and thin. For a warm dress upon the neck, when the vocal organs are in action, will induce too great a flow of blood to these parts, which will be attended by subsequent debility.

Fig. 109.


Observations. 1st. The loss of voice, (lar-yn-gi´tis,) which is prevalent among public speakers, may be ascribed in part to the injudicious dressing of the neck, and improper position in standing.

605. How should public speakers dress their necks? Why? What is a common cause of the loss of voice?

277

2d. When individuals have been addressing an audience in a warm room, or engaged in singing, they should avoid all impressions of a cold atmosphere, unless adequately protected by an extra garment.

Fig. 110.


606. The condition of the air modifies speaking and singing. As pure air is more elastic and resonant than impure, and as easy, melodious speaking or singing requires atmospheric elasticity, so school-rooms and singing-halls should be well ventilated, if we would be entertained with soft intonations in reading, or sonorous singing.

Observation. The imperfect ventilation of churches and vestries is another cause of laryngitis among clergymen. 278 This affection is almost unknown among those who speak in very open rooms, where stoves are not used.

Give 2d. observation. 606. Why does easy and melodious speaking require pure air? What is another cause laryngitis among clergymen?

607. The condition of the nasal passages and throat modifies the voice. The enunciation of words is rendered more or less distinct, in proportion as the jaws are separated in speaking, and the fauces and nasal passages are free from obstruction. For these reasons, the scholar should be taught to open the mouth adequately when reading, speaking, or singing, that the sounds formed in the larynx and modified in the fauces may have an unobstructed egress.

Observations. 1st. If the fauces are obstructed by enlarged tonsils, (a condition by no means uncommon in children,) they should be removed by a surgical operation, which is not only effective, but safe, and attended with little suffering. The tonsils are situated on each side of the base of the tongue, and, when enlarged, they obstruct the passage through which the air passes to and from the lungs, and the respiration is not only laborious, but distressing.

2d. When the nasal passages are obstructed, there is a peculiar sound of the voice, which is called “talking through the nose.” This phenomenon arises, not from the expired air passing through the nose, but from its not being able to pass through the nasal passages.

608. The state of the mind and health exerts an influence upon the vocal organs. “The organs of the voice, in common with all other parts of the bodily frame, require the vigor and pliancy of muscle, and the elasticity and animation of mind, which result from good health, in order to perform their appropriate functions with energy and effect. But these indispensable conditions to the exercise of vocal organs, are, in the case of most learners, very imperfectly supplied.”

607. Does the condition of the throat and nasal passages modify the voice? Name the influences that produce clear enunciation of words. What is the effect when the nasal passages are obstructed? 608. How are the vocal organs influenced? What do they require?

279

609. “A sedentary mode of life, the want of invigorating exercise, close and long-continued application of mind, and, perhaps, an impaired state of health, or a feeble constitution, prevent, in many instances, the free and forcible use of those muscles on which voice is dependent. Hence arises the necessity of students of elocution practising physical exercises adapted to promote general muscular vigor, as a means of attaining energy in speaking; the power of any class of muscles being dependent on the vigor of the whole system.”

610. “Gymnastic and calisthenic exercises are invaluable aids to the culture and development of the voice, and should be sedulously practised when opportunity renders them accessible. But even a slight degree of physical exercise, in any form adapted to the expansion of the chest and to the freedom and force of the circulation, will serve to impart energy and glow to the muscular apparatus of voice, and clearness to its sound.”

611. “There is, therefore, a great advantage in always practising some preliminary muscular actions, as an immediate preparation for vocal exercises. The art of cultivating the voice, however, has, in addition to the various forms of corporeal exercise, practised for the general purpose of promoting health, its own specific prescription for securing the vigor of the vocal organs, and modes of exercise adapted to the training of each class of organs separately.”

612. The results of such practice are of indefinite extent. They are limited only by the energy and perseverance of the student, excepting perhaps in some instances of imperfect organization. A few weeks of diligent cultivation are usually sufficient to produce such an effect on the vocal organs, that 280 persons who commence practice with a feeble and ineffective utterance, attain, in that short period, the full command of clear, forcible, and varied tone.

609. Why are students of elocution in general necessitated to practise physical exercise? 610. What are invaluable aids in the culture of the voice? 611. What is said of the art of cultivating the voice? 612. Are the results of such practices limited? What exception?

613. Repetition is essential to distinct articulation of words. In teaching a child to articulate a letter or word, in the first instance, make an effort to induce a proper state of the vocal organs by which the particular sound is produced. Repeat the letter or word again and again, until all the parts of the vocal apparatus harmonize in their movements to produce the given sound. This repetition is as necessary in learning to read as in singing.

Observations. 1st. There is nothing gained by trying to teach a child to pronounce the letters of the alphabet, before the vocal organs are so developed that distinct utterance can be given to the proper sounds.

2d. The drawling method of talking to young children, as well as using words that are not found in any written language, (called child’s talk,) is decidedly wrong. A child will pronounce and understand the application of a correct word as quickly as an incorrect one.

614. No part of the vocal organs is wanting, with those individuals that stammer, or who have an impediment in their speech. Some parts may be more developed than others, but they generally are but imperfectly under the control of the will, and assume an irregular and rapid movement, while other parts, the motions of which are essential, remain comparatively inactive. This can be seen by comparing the movements of the lips, tongue, and larynx, while attempting to speak, in a person who stammers, with the movements of the corresponding parts, while speaking, in an individual who has no such impediment.

613. Is repetition essential to distinct articulation? What method is suggested in teaching a child to articulate letters or words? Give observation 1st. Observation 2d. 614. Are the vocal organs wanting in stammerers? Why the defect in their articulation of words?

281

615. Surgical operations and medical treatment are not highly advantageous in a majority of these cases. In the young and middle aged, this defect can be remedied by patient and judicious training. At first, only those letters and words should be spoken that can be articulated with distinctness. Let there be repetition, until the words can be spoken at any time with readiness. Then take for a lesson other words, more difficult to articulate; and pursue a similar process of training and repetition, until every part of the vocal organs can be called into a ready and harmonious action in giving utterance to any word in common use.

616. The method of removing foreign bodies from the throat. It is not necessary to ascertain which passage the foreign body is in, for the immediate treatment ought in either case to be the same. Some person should place one hand on the front of the chest of the sufferer, and, with the other, give two or three smart blows upon the back, allowing a few seconds to intervene between them. This treatment will generally be successful, and cause the substance to be violently thrown from the throat.

Observation. If the foreign body passes into the larynx violent spasmodic coughing immediately succeeds, which continues until it is removed or life is extinct. Such cases demand the prompt opening of the trachea below the larynx by a skilful surgeon.

615. How can stammering be remedied? 616. What is the method of removing foreign bodies from the throat?


282

CHAPTER XXXI.

THE SKIN.

617. The skin is a membrane which envelops the muscles and other parts of the system. In youth, and in females particularly, it is smooth, soft, and elastic. In middle age, and in males, it is firm and rough to the touch. In old age, in persons who are emaciated, and about the flexions of the joints, it is thrown into folds. The interior of the body, like the exterior, is covered by a skin, which, from the constantly moistened state of its surface, is called the mucous membrane. At the various orifices of the body, the exterior skin is continuous with the internal.

ANATOMY OF THE SKIN.

618. The SKIN, to the naked eye, appears composed of one membrane. But examination has shown that it consists of two layers of membrane, namely, the Cu´ti-cle, (scarf-skin,) and the Cu´tis Ve´ra, (true skin.) These layers are widely different from each other in structure, and perform very different offices in the animal economy.

619. The CUTICLE (sometimes called the ep-i-derm´is) is the external layer of the skin. This membrane is thin and 283 semi-transparent, and resembles a thin shaving of soft, clear horn, and bears the same relation to other parts of the skin that the rough bark of a tree does to the liber, or living bark. The cuticle has no perceptible nerves or blood-vessels; consequently, if it is cut or abraded, no pain will be felt, and no fluid will ooze from it.

617. What is the skin? Mention its different appearances in its different conditions in the human frame. Is the interior of the body, as well as the exterior, covered by a skin? What is the interior membrane called? Why has it received this name? 618–636. Give the anatomy of the skin. 618. What is said of the skin? What is said relative to these layers of membrane? 619. Describe the cuticle. What name is sometimes applied to the cuticle?

Experiment. Pass a pin through the portion of the cuticle that skirts the nails, or remove a thin shaving from the palm of the hand, and no painful sensation will be experienced unless the pin or knife penetrates deeper than the cuticle.

620. This membrane varies in thickness on different parts of the body,—from the thin, delicate skin upon the internal flexions of the joints, to the thickened covering of the soles of the feet. The greater thickness of the cuticle of the palms of the hands and soles of the feet, is manifestly the intentional work of the Creator; for it is perceptible in infants, even at birth, before exercise can have had any influence.

621. The CUTIS VERA (sometimes called the co´ri-on) is composed of minute fibres, which are collected into small bundles or strands. These are interwoven with each other so as to constitute a firm, strong, and flexible web. In the superficial part of the true skin, the web is so close as to have the appearance of felt-cloth; but more deeply, the pores become progressively larger, and, upon the lower surface, have a diameter of about a line, or one twelfth of an inch. This gives the under surface the appearance of a coarse web. The strands of the under surface of the true skin are connected with the fibrous web, in which the sub-cutaneous fat of the body is deposited; while the upper surface gives 284 support to the sensitive, or papillary layer, which is bedded upon it.

Give the experiment. 620. What is said of the thickness of the cuticle in different parts of the body? 621. Describe the cutis vera. By what name is it sometimes called? What is the appearance of the upper surface of the cutis vera? Of the under surface?

Observation. When the skins of animals are immersed in a strong solution of oak or hemlock bark, a chemical union takes place between the gelatin, of which the true skin is mostly composed, and the tannin of the bark. By this process leather is formed, and its peculiar markings are owing to the papillary layer.

Fig. 111.


Fig. 111. An ideal representation of the papillæ. 1, 1, The cutis vera. 2, 2, The papillary layer. 3, 3, The arteries of the papillæ. 4, 4, The veins of the papillæ. 5, 5, The nerves of the papillæ.

622. The sensitive layer of the skin is thin, soft, uneven, pinkish in hue, and composed of blood-vessels, which confer its various tints of red; and of nerves, which give it the faculty of sensation. The unevenness of this layer is produced by small, elongated, conical prominences, called Pa-pil´læ.

623. Each PAPILLA is composed of a minute artery, vein, and nerve. Some of the prominences are arranged in concentric 285 ovals, as may be seen on the ends of the fingers; others are more or less parallel, and pursue a serpentine course; some suddenly diverge, and again reunite, as may be seen in the palm of the hand. Papillæ are found in every part of the skin. Consequently, their number is very great.

How is leather formed? 622. What is the appearance of the sensitive layer? What causes the unevenness of this layer? Explain fig. 111. 623. Describe the papillæ.

624. The cutis vera contains not only Arteries, Veins, and Nerves but Lymphatics, Oil-Glands and Tubes, and Perspiratory Glands and Tubes.

Fig. 112.


Fig. 112. The arteries and veins of a section of the skin. A, A, Arterial branches. B, B, Capillary, or hair-like vessels, in which the large branches terminate. C, The venous trunk, collecting the blood from the capillaries.

625. The ARTERIES AND VEINS of the skin are very numerous. The larger branches of the arteries pass through the open meshes of the true skin, and are subdivided into a myriad of minute capillary vessels, which form a beautiful net-work on the upper surface of the true skin. This vascular net sends a branch to each of the papillæ, which opens into and terminates in a minute vein. The capillary veins are 286 as numerous as the arteries which they accompany. They unite and form larger trunks, as small springs from the hill side coalesce to form rivulets.

624. What vessels are found in the cutis vera? Explain fig. 112. 625. What is said of the cutaneous arteries? Of the cutaneous veins?

626. The NERVES that are spread over every part of the sensitive layer of the true skin, proceed from the spinal cord. As a proof of the great number of nervous filaments in the skin, no part of this tissue can be punctured with a fine needle without transfixing a nerve, and inducing pain. In some parts of the system, however, the nerves are more abundant than in others; where the sense of feeling is most acute, we find the greatest number of nerves, and those of the largest size. Those parts that are most exposed to injury are most sensitive.

Examples. 1st. The conjunctiva, or skin of the eye, is pained by the presence of a particle of dust, because it would render vision imperfect.

2d. The lungs, also, would be injured by the smallest particle of matter; they are therefore protected by the exquisite sensitiveness of the lining membrane of the trachea, so that a particle of food or dust is ejected by a convulsive cough before it reaches the lungs.

627. The nerves are more numerous in the upper than lower extremities; in greater numbers upon the palm than the back of the hand. They are, likewise, more abundant and larger at the extremities of the fingers, and in the lips, than in any other part of the skin.

Observation. The proboscis of the elephant, the extremities of the tails of certain species of monkeys, and the tentacula of some kinds of fish, receive a more abundant supply of sensitive nerves than other parts of their systems.

626. Where do the nerves of the skin proceed from? Are they numerous in this membrane? How is it proved? What is said of those parts most exposed to injury? Give example 1st. Example 2d. 627. Mention the difference in the distribution of the nerves in various parts of the body. Is this difference found in the lower order of animals?

287

628. In the small papillæ, the nerve forms a single loop, while in papillæ of larger size, and endowed with a power of more exalted sensation, the nerve is bent several times upon itself previous to completing the loop. These little loops spring from a net-work of nerves, imbedded in the upper porous layer of the true skin, at the base of the papillæ. This net-work of nerves receives its influence through nerves which take their winding course through the fat distended openings of the deeper layers of the true skin.

Fig. 113.


Fig. 113. 1, 1, The cuticle. 2, 2, The colored layer of the cuticle. 3, 3, The papillary layer, exhibiting the nerves as they form loops. 4, 4, The net-work of nerves. 5, 5, The true skin. 6, 6, 6, Three nerves that divide to form the net-work (4, 4.) 7, 7, 7, The furrows between the papillæ. 8, 8, 8, Three papillæ magnified fifty diameters.

629. The LYMPHATICS are found in great numbers in the true skin, and they are so minute that they cannot be seen with the naked eye; but when these hair-like vessels are injected with quicksilver, (a work of great difficulty,) the surface injected 288 resembles a sheet of silver. In this way their existence can be imperfectly demonstrated. They are a part of the vascular net-work situated upon the upper surface of the true skin. Each papilla is supplied with a lymphatic filament, the mouth of which opens beneath, and lies in contact with the under surface of the cuticle. This net-work of vessels communicates through the open meshes of the true skin with larger lymphatic trunks, that open into the venous system.

628. How are the nerves of the small papillæ arranged? How in the large papillæ? What does fig. 113 represent? 629. What is said of the cutaneous lymphatics? How is their existence proved?

Fig. 114.


Fig. 114. A plexus of lymphatic vessels in the skin, considerably magnified from an injected preparation.

630. The OIL-GLANDS are small bodies imbedded in the true skin. They connect with the surface of the skin by small tubes, which traverse the cuticle. In some parts, these glands are wanting; in others, where their office is most needful, they are abundant, as on the face and nose, the head, the ears, &c. In some parts, these tubes are spiral; in others, straight. These glands offer every shade of complexity, from the simple, straight tube, to a tube divided into numberless 289 ramifications, and constituting a little rounded tree-like mass, about the size of a millet seed.

Of what are they a part? 630. Describe the oil-glands. With what do they connect? Do they exist in every part of the body? Of what form are their tubes?

631. In a few situations, these small glands are worthy of particular notice, as in the eyelids, where they possess great elegance of distribution and form, and open by minute pores along the lids; in the ear-passages, where they produce that amber-colored substance, known as the ce-ru´men, (wax of the ears,) and in the scalp, where they resemble small clusters of grapes, and open in pairs into the sheath of the hair, supplying it with a pomatum of Nature’s own preparing. The oil-tubes are sometimes called the se-ba´ceous fol´li-cles.

Fig. 115.


Fig. 115. 1, An oil-tube and gland from the scalp. A, The gland. B, The tube slightly twisted.

2. An oil-tube and gland from the skin of the nose. The gland (A) is double, and communicates with the main tube (B) by means of two smaller tubes.

3. Another oil-tube and gland from the nose. A, The gland. B, The tube filled with the peculiar animalculæ of the oily substances. Their heads are directed inward.

4. A small hair from the scalp, with its oil-glands. The glands (A) form a cluster around the shaft of the hair-tube, (C.) These ducts open into the sheath of the hair, (B.) All the figures, from 1 to 4, are magnified thirty-eight diameters.

631. What is said of these tubes in the eyelids? In the ear? In the scalp? What are these glands sometimes called?

290

Observation. Among the inhabitants of cities, and especially in persons who have a torpid state of the skin, the contents of the oil-tubes become too dense and dry to escape in the usual manner. Thus it collects, distends the tube, and remains until removed by art. When this impacted matter reaches the surface, dust and smoke mix with it, then it is recognized by small, round, dark spots. These are seen on the forehead, nose, and other parts of the face. When this matter is pressed out, the tube gives it a cylindrical form. The parts around the distended tubes sometimes inflame. This constitutes the disease called, “ac´ne punc-ta´ta.”

632. The PERSPIRATORY APPARATUS consists of minute cylindrical tubes, which pass inward through the cuticle, and terminate in the deeper meshes of the cutis vera. In their course, each little tube forms a beautiful spiral coil; and, on arriving at its destination, coils upon itself in such a way as to constitute an oval-shaped, or globular ball, called the perspiratory gland.

633. The opening of the perspiratory tube on the surface of the cuticle, namely, “the pores,” is also deserving of attention. In consequence of its extremity being a section of a spirally-twisted tube, the aperture is oblique in direction, and possesses all the advantages of a valvular opening, preventing the ingress of foreign injurious substances to the interior of the tube and gland.

634. “To arrive at something like an estimate of the value of the perspiratory system, in relation to the rest of the organism, I counted the perspiratory pores on the palm of the hand, and found 3528 in a square inch. Now each of these pores being the aperture of a little tube about a quarter of an inch 292 long, it follows, that in a square inch of skin on the palm of the hand there exists a length of tube equal to 882 inches, or 73½ feet. Surely such an amount of drainage as seventy-three feet in every square inch of skin—assuming this to be the average for the whole body—is something wonderful and the thought naturally intrudes itself, What if this drainage be obstructed?

What is said of the retention of the unctuous matter in the oil-tubes? 632. Of what does the perspiratory apparatus consist? 633. What is peculiar in the opening of the perspiratory tubes on the surface of the cuticle? 634. How many perspiratory pores did Dr. Wilson count upon a square inch of skin on the palm of the hand?

Fig. 116.


Fig. 116. A perspiratory gland from the palm of the hand, magnified forty diameters. 1, 1, A twisted tube composing the gland. 2, 2, The two excretory ducts from the gland. These unite to form one spiral tube, that perforates the cuticle, (3,) and opens obliquely on its surface at 4. The gland is imbedded in cells filled with fat, which are seen at 5, 5.

What does fig. 116 represent?

635. “Could we need a stronger argument for enforcing the necessity of attention to the skin? On the pulps of the fingers, where the ridges of the sensitive layer of the true skin are somewhat finer than in the palm of the hand, the number of pores on a square inch a little exceeded that of the palm; and on the heels, where the ridges are coarser, the number of pores on the square inch was 2268, and the length of the tube 567 inches, 47¼ feet.

636. “To obtain an estimate of the length of tube of the perspiratory system of the whole surface of the body, I think that 2800 might be taken as a fair average of the number of pores in the square inch; and consequently, 700, the number of inches in length. Now, the number of square inches of surface in a man of ordinary height and bulk is 2500; the number of pores, therefore, 7,000,000; and the number of inches of perspiratory tube is 1,750,000; that is, 145,833 feet, or 48,611 yards, or nearly TWENTY-EIGHT miles!”—Wilson.

Give other computations in this paragraph. 635. What is said of the number of these pores on the pulp of the fingers? On the heels? 536. What is an average number of pores and length of tube of the whole surface of the body? Give the summary of the number of pores, and number or inches of perspiratory tube.


293

CHAPTER XXXII.

PHYSIOLOGY OF THE SKIN.

637. The skin invests the whole of the external surface of the body, following all its prominences and curves, and gives protection to all the organs it encloses, while each of its several parts has a distinct use.

638. The cuticle is insensible, and serves as a sheath of protection to the highly sensitive skin (cutis vera) situated beneath it. The latter feels; but the former blunts the impression which occasions feeling. In some situations, the cuticle is so dense and thick, as wholly to exclude ordinary impressions. Of this we see an example in the ends of the fingers, where the hard and dense nail is the cuticle modified for the purpose referred to. Were the nervous tissue of the true skin not thus protected, every sensation would be so acute as to be unpleasant, and contact with external bodies would cause pain.

639. The cuticle, also, prevents disease, by impeding the evaporation of the fluids of the true skin, and the absorption of the poisonous vapors, which necessarily attend various employments. It, however, affords protection to the system only when unbroken, and then, to the greatest degree, when covered with a proper amount of oily secretion from the oil-glands.

640. The cuticle is, originally, a transparent fluid, exuded 294 by the blood-vessels, and distributed as a thin layer on the surface of the true skin. While successive layers are formed on the exterior of the true skin, the external cuticular layers are converted into dry, flattened scales, by the evaporation of their fluid contents. The thickness of the cuticle is formed mainly from these scales.

637–656. Give the physiology of the skin. 637. What is said of the skin? 638. Give a function of the cuticle. Does it vary in thickness on different parts of the body? Give examples. 630. Mention another use of the cuticle. 640. What is the cuticle originally?

641. The cuticle is, therefore, undergoing a constant process of formation and growth at its under part, to compensate for the wear that is taking place continually on its surface. A proper thickness of the cuticle is in this manner preserved; the faculty of sensation and that of touch are properly regulated; the places of the little scales, which are continually falling off under the united influence of friction and ablution, are supplied; and an action necessary, not merely to the health of the skin, but to that of the entire body, is established.

642. Whenever the cuticle is exposed to moderate and repeated friction, it becomes thicker and tougher, as may be seen in the cuticle of the lady’s finger that plies the needle and in the hard or callous appearance of the hands of farmers masons, and other mechanics. This enables them to handle the utensils and materials used in their vocations without pain or inconvenience.

Observations. 1st. When the joints of the feet are subjected to moderate and continued pressure or friction, frequently one or more of the papillæ enlarge. This is accompanied with a thickening of the layers of the cuticle, which is termed a “callosity,” or “corn.” These thickened layers of the cuticle are broad at the top and narrow at the bottom, and the enlarged mass is conical, with the point 295 innermost. When pressed upon by a tight shoe, these sensitive papillæ cause pain.

How is the thickness of the cuticle mainly formed? 641. Describe the changes of this membrane. Show the necessity of this constant growth. 642. How does moderate and repeated friction affect the cuticle? Give examples. What is the benefit derived from having the cuticle thus changed? What is the result if the joints of the feet are subjected to moderate and continued pressure? What is the form of a “corn”?

2d. To remove these painful excrescences, take a thick piece of soft leather, somewhat larger than the corn; in the centre punch a hole of the size of the summit of the corn, spread the leather with adhesive plaster, and apply it around the corn. The hole in the leather may be filled with a paste made of soda and soap, on going to bed. In the morning, remove it, and wash with warm water. Repeat this for several successive nights, and the corn will be removed. The only precaution is, not to repeat the application so as to cause pain.

643. Let a person unaccustomed to manual labor, trundle the hand-cart, or row a boat, for several successive hours, and the cuticle upon the palms of the hands, instead of becoming thicker by use, is frequently separated from the subjacent tissues, by an effusion of serum, (water,) thrown out by the vessels of the true skin. Had the friction been moderate, and applied at regular intervals, instead of blisters being formed upon the inside of the hands, material would have been thrown out to form new layers upon the lower surface of the cuticle.

644. The cuticle is interesting to us in another point of view, as being the seat of the color of the skin. The difference of color between the blonde and the brunette, the European and the African, lies in the cuticle;—in the deeper, and softer, and newly-formed layers of that structure. In the whitest skin, the cells of the cuticle always contain more or less of a peculiar pigment, incorporated with the elementary granules which enter into their composition. In the white 296 races, the pigmentary tint is extremely slight, and less in winter than in the summer season. In the darker races, on the contrary, it is deep and strongly marked.

How can they be removed? What precaution is given? 643. Explain why those persons unaccustomed to labor, blister their hands in rowing a boat or performing ordinary manual employment for several successive hours. 644. In what other point of view is the cuticle interesting? In what part of it do we find the coloring matter?

645. The various tints of color exhibited by mankind, are, therefore, referable to the amount of coloring principle contained within the elementary granules of the cuticle, and their consequent depth of hue. In the negro, the granules are more or less black; in the European of the south, they are amber-colored; and in the inhabitants of the north, they are pale and almost colorless.

646. Color of the skin has relation to energy in its action; thus, in the equatorial region, where light and heat are most powerful, the skin is stimulated by these agents to vigorous action, and color is very deep; while in the temperate regions, where light and heat are not so intense, the lungs, liver, and kidneys relieve the skin of part of its duties. The colored layer of the cuticle has been called the re´te mu-co´sum, (mucous coat of the skin,) and described as a distinct layer by many physiologists.

Observation. “The various coloring of the inner layer of the cuticle gives to some animals their varied hues; the serpent, the frog, the lizard, and some fishes have a splendor of hue almost equal to polished metal. The gold-fish and the dolphin owe their difference of color and the brilliancy of their hues to the color of this layer of the skin.”

647. The nerves of the skin are the organs of the sense of touch and feeling. Through them we receive many impressions that enhance our pleasures, as the grateful sensations imparted by the cooling breeze in a warm day. In 297 consequence of their sensitiveness, we are individually protected, by being admonished of the proximity of destructive agents.

In what season of the year is the coloring matter less in the white race? 645. To what is the color of the skin referable? 646. Why have the races of the torrid zone darker complexions than those of the temperate or frigid zones? What is this colored layer called by many physiologists? To what is the different hues in animals owing? 647. Of what use are the nerves of the skin?

Illustration. A man who had been afflicted some years with a severe disease of a portion of the brain and spinal cord, was deprived of feeling in the lower extremities. He was directed by his attending physician to use a warm footbath. Intending to follow the directions given him, he immersed his feet in boiling water, which he supposed of a proper temperature. While his feet were immersed in the water, he experienced no sensation of an unpleasant nature. On withdrawing them, he was astonished to find the cuticle separated from the other tissues, by the effusion of serum, and thus producing a blister over the whole surface.

648. Portions of the skin would suffer every day, were it not for the sentinel-like care exercised by the nerves, by which all impressions are transmitted to the brain. As the skin is continually exposed to the influence of destructive agents, it is important that the nerves, provided for its protection, should be kept in a healthy state.

649. A large proportion of the waste of the body passes through the outlets of the skin; some portions in the form of oil, others in the form of water and carbonic acid.

650. The oil-glands secrete an oil, partly free and diffused, and partly mixed with albumen. When the cells are fully formed, that is, fully distended, they yield their contents, and the fluid matter they contain is set free, and passes along the tubes to the surface; this fluid matter constitutes the oily element of the economy of the skin.

651. The uses of the unctuous product of the oil-glands are twofold: 1st. The protection; 2d. The removal of waste 298 matter from the system. In the exercise of these offices the oily substance is diffused over those parts of the skin which are naturally exposed to vicissitudes of temperature and moisture,—as the nose, face, and head;—to the injurious attrition of contiguous surfaces,—as the flexures of joints;—or the contact of acrid fluids,—as in the excoriations to which infants are liable.

Give the illustration. 648. Why is it necessary that the cutaneous nerves be kept in a healthy state? 649. Through what membrane does a large proportion of the waste material of the system pass? 650. What is the function of the oil-glands? 651. What are the uses of the oily product of these glands?

652. The oil of the unctuous substance is the principal agent in effecting these purposes: 1st. It prevents the evaporation or congelation of the water of the cuticle, which would cause it to become parched and peel off, thus leaving the sensitive skin exposed. 2d. It affords a soft medium to the contact of moving substances. 3d. It repels moisture and fluids. 4th. The action of these glands removes the waste atoms and purifies the blood.

653. In considering the purpose of the oily matter of the skin, there are two situations in which it deserves especial remark. 1st. Along the edges of the eyelids, where it is poured out in considerable quantity. Here, it is the means of confining the tears and moisture of the eyes within the lids, defending the skin from the irritation of that fluid, and preventing the adhesion of the lids, which is liable to occur upon slight inflammation. 2d. In the ears, where the unctuous wax not only preserves the membrane of the drum and the passage of the ear moist, but also, by its bitterness, prevents the intrusion of small insects.

654. The use of the perspiratory glands is to separate from the blood that portion of the waste matter which is carried off through the skin in the form of vapor. Sanctorius, a celebrated medical writer, daily, for thirty years, weighed 299 himself, his food, and excretions. He estimated that five of every eight pounds of food and drink passed from the system through the many outlets upon the skin. Many place the estimate much lower. All physiologists agree that from twenty to forty ounces of matter pass off from the skin of an adult every twenty-four hours.

652. What prevents the evaporation of the water of the cuticle? Give its 2d use. Its 3d. Its 4th. 653. What is said in reference to the distribution of the oily matter along the edges of the eyelids? In the ears? 654. Of what use are the perspiratory glands? How long did Sanctorius daily weigh his food, to ascertain the amount of secretion that passed through the skin?

655. The average amount of perspiration is about thirty ounces; and it passes off in such minute portions, and mixes so rapidly with the surrounding air, that it is not perceived. For this reason, it is called insensible perspiration. When this excretion is increased, it forms into drops, and is called sensible perspiration. The following experiments prove the existence of this excretion from the skin.

Experiments. 1st. Take a cold bell-glass, or any glass vessel large enough to admit the hand, and introduce it perfectly dry; at the same time close the mouth by winding a napkin about the wrist; in a short time, the insensible perspiration from the hand, will be seen deposited on the inside of the glass. At first, the deposit is in the form of mist; but, if the experiment be continued a sufficient time, it will collect in drops.

2d. Hold the apparently dry hand near a looking-glass, and the invisible vapor will soon be condensed, and cover the glass with a slight dew.

656. It is important that this excretion be maintained with steadiness and regularity. When the action of the perspiratory glands is suppressed, all the vessels of the different organs will suffer materially, and become diseased, by the redundant waste matter that should be carried from the system. If a person is vigorous, the action of the organs, whose 300 functions are similar to those of the skin, as channels for the exit of waste matter, will be increased, and thus relieve the diseased state of the body. But the over-taxing of these organs, to relieve the system, often produces a diseased action in themselves.

What were his conclusions? 655. What is the average amount of perspiration every twenty-four hours? What is insensible perspiration? What is sensible perspiration? How can the existence of the excretion of the skin be shown? Give the 2d experiment. 656. Why is it important that these excretions be maintained regularly?