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Injuries of nerves and their consequences - Reflex Sympathetic ...

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NEUKO-PHYSIOLOGY. 35<br />

directly <strong>and</strong> originally upon the parenchyma <strong>of</strong> the tissues."<br />

In 1860, Samuel,* resting upon facts such as I<br />

have urged in regard to the vaso-motor <strong>nerves</strong>, rejected<br />

them as the sole causes <strong>of</strong> nutritive changes, <strong>and</strong> declared<br />

his theory <strong>of</strong> trophic <strong>nerves</strong> as distinct fibres concerned in<br />

governing the nutritive conditions <strong>of</strong> the tissues.<br />

This observer conceived that the trophic <strong>nerves</strong> have<br />

<strong>their</strong> centres in the intervertebral spinal ganglia, or in<br />

cerebral ganglia having like physiological powers. He<br />

distinguished them as centripetal <strong>nerves</strong>, receiving <strong>and</strong><br />

conveying inward impressions connected with trophic<br />

changes; <strong>and</strong> centrifugal <strong>nerves</strong> which, when palsied, give<br />

rise to atrophies, <strong>and</strong>, when irritated, to inflammations.<br />

Thus, while he regards nutritive activity as the result<br />

<strong>of</strong> a force inherent in the molecules or cells <strong>of</strong> the tissues,<br />

he looks upon the trophic <strong>nerves</strong> as the means <strong>of</strong> regulating<br />

<strong>their</strong> changes, increasing, retarding, or enfeebling<br />

them, as the case may be.<br />

The experiments on which he chiefly bases this hypothesis<br />

have failed in the h<strong>and</strong>s <strong>of</strong> other observers, <strong>and</strong> as yet<br />

there is no absolute physiological pro<strong>of</strong> <strong>of</strong> the existence<br />

<strong>of</strong> such <strong>nerves</strong>. The anatomical demonstration <strong>of</strong> these<br />

fibres is equally wanting, so that at present the justification<br />

for <strong>their</strong> existence lies in an apparent necessity for<br />

<strong>their</strong> presence which so impressed Duchenne as to cause<br />

him to remark that "if we had no knowledge <strong>of</strong> such<br />

<strong>nerves</strong>, we should be forced to invent them."<br />

If, in fact, we exclude vaso-motor influence as capable<br />

alone <strong>of</strong> explaining the pathological changes which follow<br />

nerve wounds, we are forced to fall back upon the <strong>nerves</strong><br />

<strong>of</strong> motion <strong>and</strong> sensation, or to believe in a system <strong>of</strong><br />

independent trophic <strong>nerves</strong>. The discovery by Biirensprung<br />

<strong>of</strong> inflammation <strong>of</strong> the intervertebral ganglia <strong>of</strong><br />

* TropMschen Nerven. Leipzig, 1860.

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