CHAPTER VI - THE LYMPH AND ITS MOVEMENT THROUGH THE BODY

[Fig. 27]

Fig. 27--*Diagram showing position of the lymph* with reference to the

blood and the cells. The central tube is a capillary. The arrows indicate

the direction of slight movements in the lymph.

The blood, it will be remembered, moves everywhere through the body in a

system of _closed_ tubes. These keep it from coming in contact with any of

the cells of the body except those lining the tubes themselves. The

capillaries, to be sure, bring the blood very near the cells of the

different tissues; still, there is need of a liquid to fill the space

between the capillaries and the cells and to transfer materials from one

to the other. The lymph occupies this position and does this work. The

position of the lymph with reference to the capillaries and the cells is

shown in Fig. 27.

*Origin of the Lymph.*--The chief source of the lymph is the plasma of the

blood. As before described, the walls of the capillaries consist of a

single layer of flat cells placed edge to edge. Partly on account of the

pressure upon the blood and partly on account of the natural tendency of

liquids to pass through animal membranes, a considerable portion of the

plasma penetrates the thin walls and enters the spaces occupied by the

lymph.

The cells themselves also help to form the lymph, since the water and

wastes leaving the cells add to its bulk. These mix with the plasma from

the blood, forming the resultant liquid which is the lymph. A considerable

amount of the material absorbed from the food canal also enters the lymph

tubes, but this passes into the blood before reaching the cells.

*Composition and Physical Properties of the Lymph.*(26)--As would naturally

be expected, the composition of the lymph is similar to that of the blood.

In fact, nearly all the important constituents of the blood are found in

the lymph, but in different proportions. Food materials for the cells are

present in smaller amounts than in the blood, while impurities from the

cells are in larger amounts. As a rule the red corpuscles are absent from

the lymph, but the white corpuscles are present and in about the same

numbers as in the blood.

The physical properties of the lymph are also similar to those of the

blood. Like the blood, the lymph is denser than water and also coagulates,

but it coagulates more slowly than does the blood. The most noticeable

difference between these liquids is that of color, the lymph being

colorless. This is due to the absence of red corpuscles. The quantity of

lymph is estimated to be considerably greater than that of the blood.

*Lymph Vessels.*--Most of the lymph lies in minute cavities surrounding the

cells and in close relations with the capillaries (Figs. 27 and 30). These

are called _lymph spaces_. Connecting with the lymph spaces on the one

hand, and with certain blood vessels on the other, is a system of tubes

that return the lymph to the blood stream. The smallest of these, and the

ones in greatest abundance, are called _lymphatics_. They consist of

slender, thin-walled tubes, which resemble veins in structure, and, like

the veins, have valves. They differ from veins, however, in being more

uniform in size and in having thinner walls.

[Fig. 28]

Fig. 28--*Diagram of drainage system for the lymph.* 1. Thoracic duct. 2.

Right lymphatic duct. 3. Left subclavian vein. 4. Right subclavian vein.

5. Superior vena cava. 6. Lacteals. 7. Lymphatic glands. The small tubes

connecting with the lymph spaces in all parts of the body are the

lymphatics.

The lymphatics in different places gradually converge toward, and empty

into, the two main lymph tubes of the body. The smaller of these tubes,

called the _right lymphatic duct_, receives the lymph from the lymphatics

in the right arm, the right side of the head, and the region of the right

shoulder. It connects with, and empties its contents into, the right

subclavian vein at the place where it is joined by the right jugular vein

(Fig. 28).

The larger of the lymph tubes is called the _thoracic duct_. This receives

lymph from all parts of the body not drained by the right lymphatic duct,

and empties it into the left subclavian vein. Connection is made with the

subclavian vein on the upper side at the place where it is joined by the

left jugular vein. The thoracic duct has a length of from sixteen to

eighteen inches, and is about as large around as a goose quill. The lower

end terminates in an enlargement in the abdominal cavity, called the

_receptacle of the chyle_. It is provided with valves throughout its

course, in addition to one of considerable size which guards the opening

into the blood vessel.

The lymphatics which join the thoracic duct from the small intestine are

called the _lacteals_ (Fig. 28). These do not differ in structure from the

lymphatics in other parts of the body, but they perform a special work in

absorbing the digested fat (Chapter XI).

*Lymphatic Glands.*--The lymphatic glands, sometimes called lymph nodes,

are small and somewhat rounded bodies situated along the course of the

lymphatic tubes. They vary in size, some of them being an inch or more in

length. The lymph vessels generally open into them on one side and leave

them on the other (Figs. 28 and 30). They are not glands in function, but

are so called because of their having the general form of glands. They

provide favorable conditions for the development of white corpuscles (page

29). They also separate harmful germs and poisonous wastes from the lymph,

thereby preventing their entrance into the blood.

*Relations of the Lymph, the Blood, and the Cells.*--While the blood is

necessary as a carrying, or transporting, agent in the body, the lymph is

necessary for transferring materials from the blood to the cells and _vice

versa_. Serving as a physiological "go between," or medium of exchange,

the lymph enables the blood to minister to the needs of the cells. But the

lymph and the blood, everything considered, can hardly be looked upon as

two separate and distinct liquids. Not only do they supplement each other

in their work and possess striking similarities, but each is made in its

movements to pass into the vessels occupied by the other, so that they are

constantly mixing and mingling. For these and other reasons, they are more

properly regarded as two divisions of a single liquid--one which, by

adapting itself to different purposes,(27) supplies all the conditions of

a nutrient fluid for the cells.

*Movements of the Lymph.*--As compared with the blood, the lymph must be

classed as a quiet liquid. But, as already suggested, it has certain

movements which are necessary to the purposes which it serves. A careful

study shows it to have three well-defined movements as follows:

1. A movement from the capillaries toward the cells.

2. A movement from the cells toward the capillaries.

3. A movement of the entire body of lymph from the lymph spaces into the

lymphatics and along these channels to the ducts through which it enters

the blood.

By the first movement the cells receive their nourishment. By the second

and third movements the lymph, more or less laden with impurities, is

returned to the blood stream. (See Figs. 28 and 30.)

*Causes of the Lymph Movements.*--Let us consider first the movement

through the lymph tubes. No pump, like the heart, is known to be connected

with these tubes and to supply the pressure necessary for moving the

lymph. There are, however, several forces that indirectly aid in its flow.

The most important of these are as follows:

1. _Blood Pressure at the Capillaries._--The plasma which is forced through

the capillary walls by pressure from the heart makes room for itself by

pushing a portion of the lymph out of the lymph spaces. This in turn

presses upon the lymph in the tubes which it enters. In this way pressure

from the heart is transmitted to the lymph, forcing it to move.

2. _Variable Pressure on the Walls of the Lymph Vessels._--Pressure exerted

on the sides of the lymph tubes by contracting muscles tends to close them

up and to push the lymph past the valves, which, by closing, prevent its

return (Fig. 29). Pressure at the surface of the body, provided that it is

variable, also forces the lymph along. The valves in the lymph vessels

serve the same purpose as those in the veins.

[Fig. 29]

Fig. 29--*Diagram* to show how the muscles pump lymph. _A._ Relaxed muscle

beside which is a lymphatic tube. _B._ Same muscle in state of

contraction.

3. _The Inspiratory Force._--When the thoracic cavity is enlarged in

breathing, the unbalanced atmospheric pressure is exerted from all

directions towards the thoracic space. This not only causes the air to

flow into the lungs (Chapter VII), but also causes a movement of the blood

and lymph in such of their tubes as enter this cavity. It will be noted

that both of the large lymph ducts terminate where their contents may be

influenced by the respiratory movements. (See Practical Work.)

*Where the Lymph enters the Blood.*--The fact that the lymph is poured into

the blood at but two places, and these very close to each other, requires

a word of explanation. As a matter of fact, it is impossible for the lymph

to flow into blood vessels at most places on account of the blood

pressure. This would force the blood into the lymph vessels, instead of

allowing the lymph to enter the blood. The lymph can enter only at some

place where the blood pressure is less than the pressure that moves the

lymph. Such a place is found in the thoracic cavity. As already pointed

out (page 54), the blood pressure in the veins entering this cavity

becomes, with each expansion of the chest, negative, i.e., less than the

pressure of the atmosphere on the outside of the body. This, as we have

seen, aids in the flow of the blood into the right auricle. It also aids

in the passage of lymph into the blood vessels. The lymph is said to be

"sucked in," which means that it is forced in by the unbalanced pressure

of the atmosphere.(28) Some advantage is also gained by the lymph duct's

entering the subclavian vein on the upper side and at its union with the

jugular vein. Everything considered, it is found that the lymph flows into

the blood vessels where it can be "drawn in" by the movements of breathing

and where it meets with no opposition from the blood stream itself (Fig.

30).

[Fig. 30]

Fig. 30--*Diagram* showing general movement of lymph from the place of

relatively high pressure at the lymph spaces to the place of relatively

low pressure in the thoracic cavity.

*Lymph Movements at the Cells.*--The double movement of the lymph from the

capillaries toward the cells and from the cells toward the capillaries is

not entirely understood. Blood pressure in the capillaries undoubtedly has

much to do in forcing the plasma through the capillary walls, but this

tends to prevent the movement of the lymph in the opposite direction.

Movements between the blood and the lymph are known to take place in part

according to a general principle, known as _osmosis_, or dialysis.

[Fig. 31]

Fig. 31--*Vessel* with an upright membranous partition for illustrating

osmosis.

*Osmosis.*--The term "osmosis" is used to designate the passage of liquids

through some partition which separates them. Thus, if a vessel with an

upright membranous partition be filled on the one side with pure water and

on the other with water containing salt, an exchange of materials will

take place through the membrane until the same proportion of salt exists

on the two sides (Fig. 31). The cause of osmosis is the motion of the

molecules, or minute particles, that make up the liquid substance. If the

partition were not present, this motion would simply cause a mixing of the

liquids.

*Conditions under which Osmosis occurs.*--Osmosis may be shown by suitable

experiments (see Practical Work) to take place under the following

conditions:

1. The liquids on the two sides of the partition must be _unlike_ either

in density or in composition. Since the effect of the movement is to

reduce the liquids to the same condition, _a difference in density causes

the flow to be greater from the less dense toward the denser liquid_, than

in the opposite direction; while _a difference in composition causes the

substances in solution to move from the place of greater abundance toward

places of less abundance_.

2. The liquids must be capable of wetting, or penetrating, the partition.

If but one of the liquids penetrates the partition, the flow will be in

but one direction.

3. The liquids on the two sides of the partition must readily mix with

each other.

*Osmosis at the Cells.*--In the body osmosis takes place between the blood

and the lymph and between the lymph and the cells, the movements being

through the capillary walls and the membranes inclosing the cells (Fig.

27). Oxygen and food materials, which are found in great abundance in the

blood, are less abundant in the lymph and still less abundant in the

cells. According to the principle of osmosis, the main flow of oxygen and

food is from the capillaries toward the cells. On the other hand, the

wastes are most abundant in the cells where they are formed, less abundant

in the lymph, and least abundant in the blood. Hence the wastes flow from

the cells toward the capillaries.

*Solutions.*--Neither the blood plasma nor the lymph, as already shown, are

simple liquids; but they consist of water and different substances

dissolved in the water. They belong to a class of substances called

_solutions_. The chief point of interest about substances in solution is

that they are very finely divided and that their little particles are free

to move about in the liquid that contains them. Both the motion and the

finely divided condition of the dissolved substances are necessary to the

process of osmosis. All substances, however, that appear to be in solution

are not able to penetrate membranes, or take part in osmosis.

*Kinds of Solutions in the Body.*--The substances in solution in the body

liquids are of two general kinds known as _colloids_ and _crystalloids_.

The crystalloids are able to pass through membranous partitions, while the

colloids are not. An example of a colloid is found in the albumin of an

egg, which is unable to penetrate the membrane which surrounds it.

Examples of crystalloids are found in solutions of salt and sugar in

water. The inability of a colloid to penetrate a membrane is due to the

fact that it does not form a true solution. Its particles (molecules),

instead of being completely separated, still cling together, forming

little masses that are too large to penetrate the membrane. Since,

however, it has the appearance, on being mixed with water, of being

dissolved, it is called a _colloidal solution_. The crystalloid substance,

on the other hand, completely separates in the water and forms a _true

solution_--one which is able to penetrate the partition or membrane.

*Osmosis not a Sufficient Cause.*--The passage of materials through animal

membranes, according to the principle of osmosis, is limited to

crystalloid substances. But colloid substances are also known to pass

through the various partitions of the body. An example of such is found in

the proteids of the blood which, as a colloidal solution, pass through the

capillary walls to become a part of the lymph. Perhaps the best

explanation offered as yet for this passage is that the colloidal

substances are changed by the cells lining the capillaries into substances

that form true solutions and that after the passage they are changed back

again to the colloidal condition.

*Summary.*--Between the cells and the capillaries is a liquid, known as the

lymph, which is similar in composition and physical properties to the

blood. It consists chiefly of escaped plasma. The vessels that contain it

are connected with the system for the circulation of the blood. By adding

new material to the lymph and withdrawing waste material from it, the

blood keeps this liquid in a suitable condition for supplying the needs of

the cells. Supplementing each other in all respects, the blood and the

lymph together form the nutrient cell fluid of the body. The interchange

of material between the blood and the lymph, and the lymph and the cells,

takes place in part according to the principle of osmosis.

*Exercises.*--1. Explain the necessity for the lymph in the body.

2. Compare lymph and water with reference to density, color, and

complexity of composition.

3. Compare lymph and blood with reference to color, composition, and

movement through the body.

4. Show how blood pressure in the capillaries causes a flow of the lymph.

5. Show how contracting muscles cause the lymph to move. Compare with the

effect of muscular contraction upon the blood in the veins.

6. Trace the lymph in its flow from the right hand to where it enters the

blood; from the feet to where it enters the blood.

7. What conditions prevail at the cells to cause a movement of food and

oxygen in one direction and of waste materials in the opposite direction?

8. What part does water play in the exchanges at the cells?

9. Show that the blood and the lymph together fulfill all the requirements

of a nutrient cell fluid in the body.

PRACTICAL WORK

*To illustrate the Effect of Breathing upon the Flow of Lymph.*--Tightly

holding one end of a glass tube between the lips, let the other end extend

into water in a tumbler on a table. In this position quickly inhale air

through the nostrils, noting that with each inhalation there is a slight

movement of the water up the tube. (No sucking action should be exerted by

the mouth.) Apply to the movements in the large blood and lymph vessels

entering the thoracic cavity.

*To illustrate Osmosis.*--1. Separate the shell from the lining membrane at

one end of an egg, over an area about one inch in diameter. To do this

without injuring the membrane, the shell must first be broken into small

pieces and then picked off with a pair of forceps, or a small knife blade.

Fit a small glass tube, eight or ten inches long, into the other end so

that it will penetrate the membrane and pass down into the yolk. Securely

fasten the tube to the shell by melting beeswax around it, and set the egg

in a small tumbler partly filled with water. Examine in the course of half

an hour. What evidence now exists that the water has passed through the

membrane?

2. Tie over the large end of a "thistle tube" (used by chemists) a thin

animal membrane, such as a piece of the pericardium or a strip of the

membrane from around a sausage. Then fill the bulb and the lower end of

the tube with a concentrated solution of some solid, such as sugar, salt,

or copper sulphate. Suspend in a vessel of water so that the liquid which

it contains is just on a level with the water in the vessel. Examine from

time to time, looking for evidence of a movement in each direction through

the membrane. Why should the movement of the water into the tube be

greater than the movement in the opposite direction? (If the thistle tube

has a very slender stem, it is better to fill the bulb before tying on the

membrane. The opening in the stem may be plugged during the process of

filling.)

[Fig. 32]

Fig. 32--An osmosometer.

NOTE.--With a special piece of apparatus, known as an _osmosometer_, the

principle of osmosis may be more easily illustrated than by the method in

either of the above experiments (Fig. 32). This apparatus may be obtained

from supply houses.

Physiology and Hygiene for Secondary Schools · 第 6 / 16 章