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

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40 INJURIES OF NERVES.<br />

study <strong>of</strong> this seuse has been made, it is impossible to carry<br />

such comparisons further. In the lower animals the dorsal<br />

skin seems, in some cases, to possess little or no feeling,<br />

so that I have actually made incisions through this part<br />

in dogs <strong>and</strong> rabbits without seeming to produce any pain<br />

whatsoever. The interior organs are variably provided,<br />

as to the pain sense, some <strong>of</strong> them appearing to have little<br />

or none <strong>of</strong> this form <strong>of</strong> sensibility ; yet in all, even in the<br />

bones <strong>and</strong> intestines, lie remote capacities for torture<br />

which seem capable <strong>of</strong> development in the presence <strong>of</strong><br />

diseased states.<br />

Are we to suppose that there exist always<br />

in these<br />

organs pain <strong>nerves</strong>, <strong>and</strong> that only once, perhaps, in a lifetime<br />

these filaments are to be aroused into activity<br />

?<br />

Or,<br />

as regards the skin, how shall we deal with the like difficulty<br />

if we choose to believe that everywhere are peculiar<br />

nerve fibres devoted only to transmitting painful sensations?<br />

The skin, in this view <strong>of</strong> the case, must have a<br />

set <strong>of</strong> <strong>nerves</strong> so rarely used that it is. diificult to comprehend<br />

how they can sustain <strong>their</strong> organic life uninjured,<br />

<strong>and</strong> ready to awaken into functional activity at long <strong>and</strong><br />

irreo-ular intervals.<br />

I am unwilling, in view <strong>of</strong> these facts, to look upon pain<br />

as a distinct sense with afferent tracks peculiar to itself;<br />

<strong>and</strong> when we consider also how sensory impressions made<br />

on <strong>nerves</strong> purely <strong>of</strong> special sense may rise to the height<br />

<strong>of</strong> being painful, it becomes more <strong>and</strong> more probabte that<br />

pain is the central expression <strong>of</strong> a certain grade <strong>of</strong> irritation<br />

in any centripetal nerve.<br />

There is, indeed, every probability that the sensory<br />

<strong>nerves</strong> are competent to carry inward a variety <strong>of</strong> impressions,<br />

which, owing to the peculiar nature <strong>of</strong> the excitations<br />

they cause in the nerve, are capable <strong>of</strong> appreciation<br />

only by the separate centres devoted to <strong>their</strong> perception,<br />

so that pain, touch, <strong>and</strong> thermal excitations may need, in

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