ARTICLES IN THIS SLICE:

HEARING HEIDEGGER, JOHANN HEINRICH

HEARN, LAFCADIO HEIDELBERG (town of Germany)

HEARNE, SAMUEL HEIDELBERG (town of Transvaal)

HEARNE, THOMAS HEIDELBERG CATECHISM, THE

HEARSE HEIDELOFF, KARL ALEXANDER VON

HEART HEIDENHEIM

HEART-BURIAL HEIFER

HEARTH HEIGEL, KARL AUGUST VON

HEARTS HEIJERMANS, HERMANN

HEAT HEILBRONN

HEATH, BENJAMIN HEILIGENSTADT

HEATH, NICHOLAS HEILSBERG

HEATH, WILLIAM HEILSBRONN

HEATH HEIM, ALBERT VON ST GALLEN

HEATHCOAT, JOHN HEIM, FRANCOIS JOSEPH

HEATHCOTE, SIR GILBERT HEIMDAL

HEATHEN HEINE, HEINRICH

HEATHFIELD, GEORGE ELIOTT HEINECCIUS, JOHANN GOTTLIEB

HEATING HEINECKEN, CHRISTIAN HEINRICH

HEAVEN HEINICKE, SAMUEL

HEBBEL, CHRISTIAN FRIEDRICH HEINSE, JOHANN JAKOB WILHELM

HEBBURN HEINSIUS, DANIEL

HEBDEN BRIDGE HEINSIUS, NIKOLAES

HEBE HEIR

HEBEL, JOHANN PETER HEIRLOOM

HEBER, REGINALD HEJAZ

HEBER, RICHARD HEJIRA

HEBERDEN, WILLIAM HEL

HEBERT, EDMOND HELDENBUCH, DAS

HEBERT, JACQUES RENE HELDER

HEBREW LANGUAGE HELEN

HEBREW LITERATURE HELENA, ST

HEBREW RELIGION HELENA (Arkansas, U.S.A.)

HEBREWS, EPISTLE TO THE HELENA (Montana, U.S.A.)

HEBRIDES, THE HELENSBURGH

HEBRON HELENUS

HECATAEUS OF ABDERA HELGAUD

HECATAEUS OF MILETUS HELGESEN, POVL

HECATE HELIACAL

HECATOMB HELIAND

HECATO OF RHODES HELICON (mountain range)

HECKER, FRIEDRICH FRANZ KARL HELICON (contrabass tuba)

HECKER, ISAAC THOMAS HELIGOLAND

HECKMONDWIKE HELIOCENTRIC

HECTOR HELIODORUS

HECUBA HELIOGABALUS (ELAGABALUS)

HEDA, WILLEM CLAASZ HELIOGRAPH

HEDDLE, MATTHEW FORSTER HELIOMETER

HEDGEHOG HELIOPOLIS

HEDGES AND FENCES HELIOSTAT

HEDON HELIOTROPE

HEDONISM HELIOZOA

HEEL HELIUM

HEEM, JAN DAVIDSZ VAN HELIX

HEEMSKERK, JOHAN VAN HELL

HEEMSKERK, MARTIN JACOBSZ HELLANICUS

HEER, OSWALD HELLEBORE

HEEREN, ARNOLD HERMANN LUDWIG HELLENISM

HEFELE, KARL JOSEF VON HELLER, STEPHEN

HEGEL, GEORG WILHELM FRIEDRICH HELLESPONT

HEGEMON OF THASOS HELLEVOETSLUIS

HEGEMONY HELLIN

HEGESIAS OF MAGNESIA HELLO, ERNEST

HEGESIPPUS (Athenian orator) HELMERS, JAN FREDERIK

HEGESIPPUS (early Christian writer) HELMERSEN, GREGOR VON

HEGESIPPUS (author of Jewish War) HELMET

HEGIUS [VON HEEK], ALEXANDER HELMHOLTZ, HERMANN LUDWIG VON

HEIBERG, JOHAN LUDVIG HELMOLD (historian)

HEIDE HELMOND (town in Holland)

HEARING (formed from the verb "to hear," O. Eng. _hyran_, _heran_, &c.,

a common Teutonic verb; cf. Ger. _horen_, Dutch _hooren_, &c.; the O.

Teut. form is seen in Goth. _hausjan_; the initial _h_ makes any

connexion with "ear," Lat. _audire_, or Gr. [Greek: akouein] very

doubtful), in physiology, the function of the ear (q.v.), and the

general term for the sense or special sensation, the cause of which is

an excitation of the auditory nerves by the vibrations of sonorous

bodies. The anatomy of the ear is described in the separate article on

that organ. A description of sonorous vibrations is given in the article

SOUND; here we shall consider the transmission of such vibrations from

the external ear to the auditory nerve, and the physiological characters

of auditory sensation.

1. _Transmission in External Ear._--The external ear consists of the

_pinna_, or auricle, and the _external auditory meatus_, or canal, at

the bottom of which we find the _membrana tympani_, or drum head. In

many animals the auricle is trumpet-shaped, and, being freely movable by

muscles, serves to collect sonorous waves coming from various

directions. The auricle of the human ear presents many irregularities of

surface. If these irregularities are abolished by filling them up with a

soft material such as wax or oil, leaving the entrance to the canal

free, experiment shows that the intensity of sounds is weakened, and

that there is more difficulty in judging of their direction. When waves

of sound strike the auricle, they are partly reflected outwards, while

the remainder, impinging at various angles, undergo a number of

reflections so as to be directed into the auditory canal. Vibrations are

transmitted along the auditory canal, partly by the air it contains and

partly by its walls, to the membrana tympani. The absence of the

auricle, as the result of accident or injury, does not cause diminution

of hearing. In the auditory canal waves of sound are reflected from side

to side until they reach the membrana tympani. From the obliquity in

position and peculiar curvature of this membrane, most of the waves

strike it nearly perpendicularly, and in the most advantageous

direction.

2. _Transmission in Middle Ear._--The middle ear is a small cavity, the

walls of which are rigid with the exception of the portions consisting

of the membrana tympani, and the membrane of the round window and of the

apparatus filling the oval window. This cavity communicates with the

pharynx by the _Eustachian tube_, which forms an air-tube between the

pharynx and the tympanum for the purpose of regulating pressure on the

membrana tympani. During rest the tube is open, but it is closed during

the act of deglutition. As this action is frequently taking place, not

only when food or drink is introduced, but when saliva is swallowed, it

is evident that the pressure of the air in the tympanum will be kept in

a state of equilibrium with that of the external air on the outer

surface of the membrana tympani, and that thus the membrana tympani will

be rendered independent of variations of atmospheric pressure such as

occur when we descend in a diving bell or ascend in a balloon. By a

forcible expiration, the oral and nasal cavities being closed, air may

be driven into the tympanum, while a forcible inspiration (Valsalva's

experiment) will draw air from that cavity. In the first case, the

membrana tympani will bulge outwards, in the second case inwards, and in

both, from excessive stretching of the membrane, there will be partial

deafness, especially for sounds of high pitch. Permanent occlusion of

the tube is one of the most common causes of deafness.

The membrana tympani is capable of being set into vibration by a sound

of any pitch included in the range of perceptible sounds. It responds

exactly as to number of vibrations (pitch), intensity of vibrations

(intensity), and complexity of vibration (quality or timbre).

Consequently we can hear a sound of any given pitch, of a certain

intensity, and in its own specific timbre or quality. Generally

speaking, very high tones are heard more easily than low tones of the

same intensity. As the membrana tympani is not only fixed by its margin

to a ring or tube of bone, but is also adherent to the handle of the

malleus, which follows its movements, its vibrations meet with

considerable resistance. This diminishes the intensity of its

vibrations, and prevents also the continued vibration of the membrane

after an external pressure has ceased, so that a sound is not heard much

longer than its physical cause lasts. The tension of the membrane may be

affected (1) by differences of pressure on the two surfaces of the

membrana tympani, as may occur during forcible expiration or

inspiration, and (2) by muscular action, due to contraction of the

_tensor tympani_ muscle. This small muscle arises from the apex of the

petrous temporal and the cartilage of the Eustachian tube, enters the

tympanum at its anterior wall, and is inserted into the malleus near its

root. The handle of the malleus is inserted between the layers of the

membrana tympani, and, as the malleus and incus move round an axis

passing through the neck of the malleus from before backwards, the

action of the muscle is to pull the membrana tympani inwards towards the

tympanic cavity in the form of a cone, the meridians of which are not

straight but curved, with convexity outwards. When the muscle contracts,

the handle of the malleus is drawn still farther inwards, and thus a

greater tension of the tympanic membrane is produced. On relaxation of

the muscle, the membrane returns to its position of equilibrium by its

elasticity and by the elasticity of the chain of bones. This power of

varying the tension of the membrane is an accommodating mechanism for

receiving and transmitting sounds of different pitch. With different

degrees of tension it will respond more readily to sounds of different

pitch. Thus, when the membrane is tense, it will readily respond to high

sounds, while relaxation will be the condition most adapted for low

tones. In addition, increased tension of the membrane, by increasing the

resistance, will diminish the intensity of vibrations. This is

especially the case for sounds of low pitch.

The vibrations of the membrana tympani are transmitted to the internal

ear partly by the air which the middle ear or tympanum contains, and

partly by the chain of bones, consisting of the malleus, incus and

stapes. Of these, transmission by the chain of bones is by far the most

important. In birds and in the amphibia, this chain is represented by a

single rod-like ossicle, the _columella_, but in man the two

membranes--the membrana tympani and the membrane filling the fenestra

ovalis--are connected by a compound lever consisting of three bones,

namely, the _malleus_, or hammer, inserted into the membrana tympani,

the _incus_, or anvil, and the _stapes_, or stirrup, the base of which

is attached to a membrane covering the oval window. It must also be

noted that in the transmission of vibrations of the membrana tympani to

the fluid in the labyrinth or internal ear, through the oval window, the

chain of ossicles vibrates as a whole and acts efficiently, although its

length may be only a fraction of the wave-length of the sound

transmitted. The chain is a lever in which the handle of the malleus

forms the long arm, the fulcrum is where the short process of the incus

abuts against the wall of the tympanum, while the long process of the

incus, carrying the stapes, forms the short arm. The mechanism is a

lever of the second order. Measurements show that the ratio of the

lengths of the two arms is as 1.5 : 1; the ratio of the resulting force

at the stapes is therefore as 1 : 1.5; while the amplitudes of the

movements at the tip of the handle of the malleus and the stapes is as

1.5 : 1. Hence, while there is a diminution in amplitude there is a gain

in power, and thus the pressures are conveyed with great efficiency from

the membrana tympani to the labyrinth, while the amplitude of the

oscillation is diminished so as to be adapted to the small capacity of

the labyrinth. As the drum-head is nearly twenty times greater in area

than the membrane covering the oval window, with which the base of the

stapes is connected, the energy of the movements of the membrana tympani

is concentrated on an area twenty times smaller; hence the pressure is

increased thirtyfold (1.5 X 20) when it acts at the base of the stapes.

Experiments on the human ear have shown that the movement of greatest

amplitude was at the tip of the handle of the malleus, 0.76 mm.; the

movement of the tip of the long arm process of the incus was 0.21 mm.;

while the greatest amplitude at the base of the stapes was only .0714

mm. Other observations have shown the movements at the stapes to have a

still smaller amplitude, varying from 0.001 to 0.032 mm. With tones of

feeble intensity the movements must be almost infinitesimal. There may

also be very minute transverse movements at the base of the stapes.

3. _Transmission in the Internal Ear._--The internal ear is composed of

the labyrinth, formed of the vestibule or central part, the semicircular

canals, and the cochlea, each of which consists of an osseous and a

membranous portion. The osseous labyrinth may be regarded as an osseous

mould in the petrous portion of the temporal bone, lined by tesselated

endothelium, and containing a small quantity of fluid called the

_perilymph_. In this mould, partially surrounded by, and to some extent

floating in, this fluid, there is the membranous labyrinth, in certain

parts of which we find the terminal apparatus in connexion with the

auditory nerve, immersed in another fluid called the _endolymph_. The

membranous labyrinth consists of a vestibular portion formed by two

small sac-like dilatations, called the _saccule_ and the _utricle_, the

latter of which communicates with the semicircular canals by five

openings. Each canal consists of a tube, bulging out at each extremity

so as to form the so-called _ampulla_, in which, on a projecting ridge,

called the _crista acustica_, there are cells bearing long _auditory

hairs_, which are the peripheral end-organs of the vestibular branches

of the auditory nerve. The cochlear division of the membranous labyrinth

consists of the _ductus cochlearis_, a tube of triangular form fitting

in between the two cavities in the cochlea, called the _scala

vestibuli_, because it commences in the vestibule, and the _scala

tympani_, because it ends in the tympanum, at the round window. These

two scalae communicate at the apex of the cochlea. The roof of the

ductus cochlearis is formed by a thin membrane called the _membrane of

Reissner_, while its floor consists of the _basilar membrane_, on which

we find the remarkable _organ of Corti_, which constitutes the terminal

organ of the cochlear division of the auditory nerve. It is sufficient

to state here that this organ consists essentially of an arrangement of

epithelial cells bearing hairs which are in communication with the

terminal filaments of this portion of the auditory nerve, and that

groups of these hairs pass through holes in a closely investing

membrane, _membrana reticularis_, which may act as a damping apparatus,

so as quickly to stop their movements. The ductus cochlearis and the two

scalae are filled with fluid. Sonorous vibrations may reach the fluid in

the labyrinth by three different ways--(1) by the osseous walls of the

labyrinth, (2) by the air in the tympanum and the round window, and (3)

by the base of the stapes inserted into the oval window.

When the head is plunged into water, or brought into direct contact with

any vibrating body, vibrations must be transmitted directly. Vibrations

of the air in the mouth and in the nasal passages are also communicated

directly to the walls of the cranium, and thus pass to the labyrinth. In

like manner, we may experience auditive sensations, such as blowing,

rubbing and hissing sounds, due to muscular contraction or to the

passage of blood in vessels close to the auditory organ. It is doubtful

whether any vibrations are communicated to the fluid in the labyrinth by

the round window. Vibrations which cause hearing are communicated by the

chain of bones. When the base of the stirrup is pushed into the oval

window, the pressure in the labyrinth increases, and, as the only mobile

part of the wall of the labyrinth is the membrane covering the round

window, this membrane is forced outwards; when the base of the stirrup

moves outwards a reverse action takes place. Thus the fluid of the

labyrinth receives a series of pulses isochronous with the movements of

the base of the stirrup, and these pulses affect the terminal apparatus

in connexion with the auditory nerve.

The sacs of the internal ear, known as the utricle and saccule, receive

the impulses of the base of the stapes. They are organs connected with

the perception of sounds as sounds, without reference to pitch or

quality. For the _analysis_ of tone a cochlea is necessary. Even in

mammals all the parts of the ear may be destroyed or affected by

disease, except these sacs, without causing complete deafness.

It has been suggested by Lee (_Amer. Jour. of Physiol._ vol. i. No. 1,

p. 128) that in fishes the sac has nothing to do with hearing, but

serves for the perception of movements, such as those of rotation and

translation through space, movements much coarser than those that form

the physical basis of sound. He considers, also, that as fishes, with

few exceptions, are dumb, they are also deaf. In the fish there are

peculiar organs along the lateral line which are known to be connected

with the perception of movements of the body as a whole, and Beard

(_Zool. Anz. Leipzig_, 1884, Bd. vii. S. 140) has attempted to trace a

phylogenetic connexion between the sacs of the internal ear and the

organs in the lateral line. According to this view, when animals became

air-breathers, a part of the ear (the _papilla acustica basilaris_) was

gradually evolved for the perception of delicate vibrations of sound.

(See EQUILIBRIUM.)

It is by means of the cochlea that we discriminate pitch, hear beats,

and are affected by quality of tone.

Since the size of the membranous labyrinth is so small, measuring, in

man, not more than 1/2 in. in length by 1/8 in. in diameter at its

widest part, and since it is a chamber consisting partly of conduits of

very irregular form, it is impossible to state accurately the course of

vibrations transmitted to it by impulses communicated from the base of

the stirrup. In the cochlea vibrations must pass from the saccule along

the scala vestibuli to the apex, thus affecting the membrane of

Reissner, which forms its roof; then, passing through the opening at the

apex (the _helicotrema_), they must descend by the scala tympani to the

round window, and affect in their passage the membrana basilaris, on

which the organ of Corti is situated. From the round window impulses

must be reflected backwards, but how they affect the advancing impulses

is not known. But the problem is even more complex when we take into

account the fact that impulses are transmitted simultaneously to the

utricle and to the semicircular canals communicating with it by five

openings. The mode of action of these vibrations or impulses upon the

nervous terminations is still unknown; but to appreciate critically the

hypothesis which has been advanced to explain it, it is necessary, in

the first place, to refer to some of the general characters of auditory

sensation.

4. _General Characters of Auditory Sensations._--Certain conditions are

necessary for excitation of the auditory nerve sufficient to produce a

sensation. In the first place, the vibrations must have a certain

_amplitude_ and _energy_; if too feeble, no impression will be produced.

Various physicists have attempted to measure the sensitiveness of the

ear by estimating the amplitude of the molecular movements necessary to

call forth the feeblest audible sound. Thus A. Topler and L. Boltzmann,

on data founded on experiments with organ pipes, state that the ear is

affected by vibrations of molecules of the air not more in amplitude

than .0004 mm. at the ear, or 0.1 of the wave-length of green light, and

that the energy of such a vibration on the drum-head is not more than

1/543 billionth kilog., or 1/17th of that produced upon an equal surface

of the retina by a single candle at the same distance (_Ann. d. Phys. u.

Chem._, Leipzig. 1870, Bd. cxli. S. 321). Lord Rayleigh, by two other

methods, arrived at the conclusion "that the streams of energy required

to influence the eye and ear are of the same order of magnitude." He

estimated the amplitude of the movement of the aerial particles, with a

sound just audible, as less than the ten-millionth of a centimetre, and

the energy emitted when the sound was first becoming audible, at 42.1

ergs per second. He also states that in considering the amplitude or

condensation in progressive aerial waves, at a distance of 27.4 metres

from a tuning-fork, the maximum condensation was = 6.0 X 10^-9 cm., a

result showing "that the ear is able to recognize the addition or

subtraction of densities far less than those to be found in our highest

vacua" (_Proc. Roy. Soc._, 1877, vol. xxvi. p. 248; _Lond. Edin. and

Dub. Phil. Mag._, 1894, vol. xxxviii. p. 366).

In the next place, vibrations must have a certain _duration_ to be

perceived; and lastly, to excite a sensation of a continuous musical

sound, a certain _number_ of impulses must occur in a given interval of

time. The lower limit is about 30, and the upper about 30,000 vibrations

per second. Below 30, the individual impulses may be observed, and above

30,000 few ears can detect any sound at all. The extreme upper limit is

not more than 35,000 vibrations per second. Auditory sensations are of

two kinds--noises and musical sounds. _Noises_ are caused by impulses

which are not regular in intensity or duration, or are not periodic, or

they may be caused by a series of musical sounds occurring

instantaneously so as to produce discords, as when we place our hand at

random on the keyboard of a piano. _Musical tones_ are produced by

periodic and regular vibrations. In musical sounds three characters are

prominent--intensity, pitch and quality. _Intensity_ depends on the

amplitude of the vibration, and a greater or lesser amplitude of the

vibration will cause a corresponding movement of the transmitting

apparatus, and a corresponding intensity of excitation of the terminal

apparatus. _Pitch_, as a sensation, depends on the length of time in

which a single vibration is executed, or, in other words, the number of

vibrations in a given interval of time. The ear is capable of

appreciating the relative pitch or height of a sound as compared with

another, although it may not ascertain precisely the absolute pitch of a

sound. What we call an acute or high tone is produced by a large number

of vibrations, while a grave or low tone is caused by few. The musical

tones which can be used with advantage range between 40 and 4000

vibrations per second, extending thus from 6 to 7 octaves. According to

E. H. Weber, practised musicians can perceive a difference of pitch

amounting to only the 1/64th of a semitone, but this is far beyond

average attainment. In a few individuals, and especially in early life,

there may be an appreciation of absolute pitch. _Quality_ or _timbre_

(or _Klang_) is that peculiar characteristic of a musical sound by which

we may identify it as proceeding from a particular instrument or from a

particular human voice. It depends on the fact that many waves of sound

that reach the ear are compound wave systems, built up of constituent

waves, each of which is capable of exciting a sensation of a simple tone

if it be singled out and reinforced by a resonator (see SOUND), and

which may sometimes be heard without a resonator, after special practice

and tuition. Thus it appears that the ear must have some arrangement by

which it resolves every wave system, however complex, into simple

pendular vibrations. When we listen to a sound of any quality we

recognize that it is of a certain pitch. This depends on the number of

vibrations of one tone, predominant in intensity over the others, called

the fundamental or ground tone, or first partial tone. The quality, or

timbre, depends on the number and intensity of other tones added to it.

These are termed _harmonic_ or _partial tones_, and they are related to

the first partial or fundamental tone in a very simple manner, being

multiples of the fundamental tone: thus--

Fundamental Upper Partials or Harmonics.

Tone

Notes do^1 do^2 sol^2 do^3 mi^3 sol^3 si[flat]^3 do^4 re^4 mi^4

Partial tones 1 2 3 4 5 6 7 8 9 10

Number of

vibrations 33 66 99 132 165 198 231 264 297 330

When a simple tone, or one free from partials, is heard, it gives rise

to a simple, soft, somewhat insipid sensation, as may be obtained by

blowing across the mouth of an open bottle or by a tuning-fork. The

lower partials added to the fundamental tone give softness combined with

richness; while the higher, especially if they be very high, produce a

brilliant and thrilling effect, as is caused by the brass instruments of

an orchestra. Such being the facts, how may they be explained

physiologically?

Little is yet known regarding the mode of action of the vibrations of

the fluid in the labyrinth upon the terminal apparatus connected with

the auditory nerve. There can be no doubt that it is a mechanical

action, a communication of impulses to delicate hair-like processes, by

the movements of which the nervous filaments are irritated. In the human

ear it has been estimated that there are about 3000 small arches formed

by the _rods of Corti._ Each arch rests on the basilar membrane, and

supports rows of cells having minute hair-like processes. It would

appear also that the filaments of the auditory nerve terminate in the

basilar membrane, and possibly they may be connected with the

hair-cells. At one time it was supposed by Helmholtz that these fibres

of Corti were elastic and that they were tuned for particular sounds, so

as to form a regular series corresponding to all the tones audible to

the human ear. Thus 2800 fibres distributed over the tones of seven

octaves would give 400 fibres for each octave, or nearly 33 for a

semitone. Helmholtz put forward the hypothesis that, when a pendular

vibration reaches the ear, it excites by sympathetic vibration the fibre

of Corti which is tuned for its proper number of vibrations. If, then,

different fibres are tuned to tones of different pitch, it is evident

that we have here a mechanism which, by exciting different nerve fibres,

will give rise to sensations of pitch. When the vibration is not simple

but compound, in consequence of the blending of vibrations corresponding

to various harmonics or partial tones, the ear has the power of

resolving this compound vibration into its elements. It can only do so

by different fibres responding to the constituent vibrations of the

sound--one for the fundamental tone being stronger, and giving the

sensation of a particular pitch to the sound, and the others,

corresponding to the upper partial tones, being weaker, and causing

undefined sensations, which are so blended together in consciousness as

to terminate in a complex sensation of a tone of a certain quality or

timbre. It would appear at first sight that 33 fibres of Corti for a

semitone are not sufficient to enable us to detect all the gradations of

pitch in that interval, since, as has been stated above, trained

musicians may distinguish a difference of 1/64th of a semitone. To meet

this difficulty, Helmholtz stated that if a sound is produced, the pitch

of which may be supposed to come between two adjacent fibres of Corti,

both of these will be set into sympathetic vibration, but the one which

comes nearest to the pitch of the sound will vibrate with greater

intensity than the other, and that consequently the pitch of that sound

would be thus appreciated. These theoretical views of Helmholtz have

derived much support from experiments of V. Hensen, who observed that

certain hairs on the antennae of _Mysis_, a Crustacean, when seen with a

low microscopic power, vibrated with certain tones produced by a keyed

horn. It was seen that certain tones of the horn set some hairs into

strong vibration, and other tones other hairs. Each hair responded also

to several tones of the horn. Thus one hair responded strongly to

d[sharp] and d'[sharp], more weakly to g, and very weakly to G. It was

probably tuned to some pitch between d" and d"[sharp]. (_Studien uber

das Gehororgan der Decapoden_, Leipzig, 1863.)

Histological researches have led to a modification of this hypothesis.

It has been found that the rods or arches of Corti are stiff structures,

not adapted for vibrating, but apparently constituting a support for the

hair-cells. It is also known that there are no rods of Corti in the

cochlea of birds, which are capable nevertheless of appreciating pitch.

Hensen and Helmholtz suggested the view that not only may the segments

of the membrana basilaris be stretched more in the radial than in the

longitudinal direction, but different segments may be stretched radially

with different degrees of tension so as to resemble a series of tense

strings of gradually increasing length. Each string would then respond

to a vibration of a particular pitch communicated to it by the

hair-cells. The exact mechanism of the hair-cells and of the membrana

reticularis, which looks like a damping apparatus, is unknown.

5. _Physiological Characters of Auditory Sensation._--Under ordinary

circumstances auditory sensations are referred to the outer world. When

we hear a sound, we associate it with some external cause, and it

appears to originate in a particular place or to come in a particular

direction. This feeling of _exteriority_ of sound seems to require

transmission through the membrana tympani. Sounds which are sent through

the walls of the cranium, as when the head is immersed in, and the

external auditory canals are filled with, water, appear to originate in

the body itself.

An auditory sensation lasts a short time after the cessation of the

exciting cause, so that a number of separate vibrations, each capable of

exciting a distinct sensation if heard alone, may succeed each other so

rapidly that they are fused into a single sensation. If we listen to the

puffs of a syren, or to vibrating tongues of low pitch, the single

sensation is usually produced by about 30 or 35 vibrations per second;

but when we listen to beats of considerable intensity, produced by two

adjacent tones of sufficiently high pitch, the ear may follow as many as

132 intermissions per second.

The sensibility of the ear for sounds of different pitch is not the

same. It is more sensitive for acute than for grave sounds, and it is

probable that the maximum degree of acuteness is for sounds produced by

about 3000 vibrations per second, that is near fa^5[sharp]. Sensibility

as to pitch varies much with the individual. Thus some musicians may

detect a difference of 1/1000th of the total number of vibrations, while

other persons may have difficulty in appreciating a semitone.

6. _Analytical Power of the Ear._--When we listen to a compound tone,

we have the power of picking out these partials from the general mass

of sound. It is known that the frequencies of the partials as compared

with that of the fundamental tone are simple multiples of the

frequency of the fundamental, and also that physically the waves of

the partials so blend with each other as to produce waves of very

complicated forms. Yet the ear, or the ear and the brain together, can

resolve this complicated wave-form into its constituents, and this is

done more easily if we listen to the sound with resonators, the pitch

of which corresponds, or nearly corresponds, to the frequencies of the

partials. Much discussion has taken place as to how the ear

accomplishes this analysis. All are agreed that there is a complicated

apparatus in the cochlea which may serve this purpose; but while some

are of opinion that this structure is sufficient, others hold that the

analysis takes place in the brain. When a complicated wave falls on

the drum-head, it must move out and in in a way corresponding to the

variations of pressure, and these variations will, in a single

vibration, depend on the greater or less degree of complexity of the

wave. Thus a single tone will cause a movement like that of a

pendulum, a simple pendular vibration, while a complex tone, although

occurring in the same duration of time, will cause the drum-head to

move out and in in a much more complicated manner. The complex

movement will be conveyed to the base of the stapes, thence to the

vestibule, and thence to the cochlea, in which we find the ductus

cochlearis containing the organ of Corti. It is to be noted also that

the parts in the cochlea are so small as to constitute only a fraction

of the wave-length of most tones audible to the human ear. Now it is

evident that the cochlea must act either as a whole, all the nerve

fibres being affected by any variations of pressure, or the nerve

fibres may have a selective action, each fibre being excited by a wave

of a definite period, or there may exist small vibratile bodies

between the nerve filaments and the pressures sent into the organ. The

last hypothesis gives the most rational explanation of the phenomena,

and on it is founded a theory generally accepted and associated with

the names of Thomas Young and Hermann Helmholtz. It may be shortly

stated as follows:--

"(1) In the cochlea there are vibrators, tuned to frequencies within

the limits of hearing, say from 30 to 40,000 or 50,000 vibs. per

second. (2) Each vibrator is capable of exciting its appropriate nerve

filament or filaments, so that a nervous impulse, corresponding to the

frequency of the vibrator, is transmitted to the brain--not

corresponding necessarily, as regards the number of nervous impulses,

but in such a way that when the impulses along a particular nerve

filament reach the brain, a state of consciousness is aroused which

does correspond with the number of the physical stimuli and with the

period of the auditory vibrator. (3) The mass of each vibrator is such

that it will be easily set in motion, and after the stimulus has

ceased it will readily come to rest. (4) Damping arrangements exist in

the ear, so as quickly to extinguish movements of the vibrators. (5)

If a simple tone falls on the ear, there is a pendular movement of the

base of the stapes, which will affect all the parts, causing them to

move; but any part whose natural period is nearly the same as that of

the sound will respond on the principle of sympathetic resonance, a

particular nerve filament or nerve filaments will be affected, and a

sensation of a tone of definite pitch will be experienced, thus

accounting for discrimination in pitch. (6) Intensity or loudness will

depend on the amplitude of movement of the vibrating body, and

consequently on the intensity of nerve stimulation. (7) If a compound

wave of pressure be communicated by the base of the stapes, it will be

resolved into its constituents by the vibrators corresponding to tones

existing in it, each picking out its appropriate portion of the wave,

and thus irritating corresponding nerve filaments, so that nervous

impulses are transmitted to the brain, where they are fused in such a

way as to give rise to a sensation of a particular quality or

character, but still so imperfectly fused that each constituent, by a

strong effort of attention, may be specially recognized" (article

"Ear," by M'Kendrick, Schafer's _Text-Book_, _loc. cit._).

The structure of the ductus cochlearis meets the demands of this

theory, it is highly differentiated, and it can be shown that in it

there are a sufficient number of elements to account for the delicate

appreciation of pitch possessed by the human ear, and on the basis

that the highly trained ear of a violinist can detect a difference of

1/64th of a semitone (M'Kendrick, _Trans. Roy. Soc. Ed._, 1896, vol.

xxxviii. p. 780; also Schafer's _Text-Book_, loc. cit.). Measurements

of the cochlea have also shown such differentiation as to make it

difficult to imagine that it can act as a whole. A much less complex

organ might have served this purpose (M'Kendrick, _op. cit._). The

following table, given by Retzius (_Das Gehororgan der Wirbelthiere_,

Bd. ii. S. 356), shows differentiations in the cochlea of man, the cat

and the rabbit, all of which no doubt hear tones, although in all

probability they have very different powers of discrimination:--

Man. Cat. Rabbit.

Ear-teeth 2,490 2,430 1,550

Holes in habenula for nerves 3,985 2,780 1,650

Inner rods of Corti's organ 5,590 4,700 2,800

Outer rods of Corti's organ 3,848 3,300 1,900

Inner hair-cells (one row) 3,487 2,600 1,600

Outer hair-cells (several rows) 11,750 9,900 6,100

Fibres in basilar membrane 23,750 15,700 10,500

7. _Dissonance._--The theory can also be used to explain dissonance.

When two tones sufficiently near in pitch are simultaneously sounded,

beats are produced. If the beats are few in number they can be

counted, because they give rise to separate and distinct sensations;

but if they are numerous they blend so as to give roughness or

dissonance to the interval. The roughness or dissonance is most

disagreeable with about 33 beats falling on the ear per second. When

two compound tones are sounded, say a minor third on a harmonium in

the lower part of the keyboard, then we have beats not only between

the primaries, but also between the upper partials of each of the

primaries. The beating distance may, for tones of medium pitch, be

fixed at about a minor third, but this interval will expand for

intervals on low tones and contract for intervals on high ones. This

explains why the same interval in the lower part of the scale may give

slow beats that are not disagreeable, while in the higher part it may

cause harsh and unpleasant dissonance. The partials up to the seventh

are beyond beating distance, but above this they come close together.

Consequently instruments (such as tongues, or reeds) that abound in

upper partials cause an intolerable dissonance if one of the primaries

is slightly out of tune. Some intervals are pleasant and satisfying

when produced on instruments having few partials in their tones. These

are concords. Others are less so, and they may give rise to an

uncomfortable sensation. These are discords. In this way unison, 1/1,

minor third 6/5, major third 5/4, fourth 4/3, fifth 3/2, minor sixth

8/5, major sixth 5/3 and octave 2/1, are all concords; while a second

9/8, minor seventh 16/9 and major seventh 15/8, are discords.

Helmholtz compares the sensation of dissonance to that of a flickering

light on the eye. "Something similar I have found to be produced by

simultaneously stimulating the skin, or margin of the lips, by

bristles attached to tuning-forks giving forth beats. If the frequency

of the forks is great, the sensation is that of a most disagreeable

tickling. It may be that the instinctive effort at analysis of tones

close in pitch causes the disagreeable sensation" (Schafer's

_Text-Book_, _op. cit._ p. 1187).

8. _Other Theories._--In 1865 Rennie objected to the analysis theory,

and urged that the cochlea acted as a whole (_Ztschr. f. rat. Med._,

Dritte Reihe, Bd. xxiv. Heft 1, S. 12-64). This view was revived by

Voltolini (Virchow's _Archiv_, Bd. c. S. 27) some years later, and in

1886 it was urged by E. Rutherford (_Rep. Brit. Assoc. Ad. Sc._,

1886), who compared the action of the cochlea to that of a telephone

plate. According to this theory, all the hairs of the auditory cells

vibrate to every note, and the hair-cells transform sound vibrations

into nerve vibrations or impulses, similar in frequency, amplitude and

character to the sound vibrations. There is no analysis in the

peripheral organ. A. D. Waller, in 1891 (_Proc. Physiol. Soc._, Jan.

20, 1891) suggested that the basilar membrane as a whole vibrates to

every note, thus repeating the vibrations of the membrana tympani; and

since the hair-cells move with the basilar membrane, they produce what

may be called pressure patterns against the tectorial membranes, and

filaments of the auditory nerve are stimulated by these pressures.

Waller admits a certain degree of peripheral analysis, but he

relegates ultimate analysis to the brain. These theories, dispensing

with peripheral analysis, leave out of account the highly complex

structure of the cochlea, or, in other words, they assign to that

structure a comparatively simple function which could be performed by

a simple membrane capable of vibrating. We find that the cochlea

becomes more elaborate as we ascend the scale of animals, until in

man, who possesses greater powers of analysis than any other being,

the number of hair-cells, fibres of the basilar membrane and arches of

Corti are all much increased in number (see Retzius's table, _supra_).

The principle of sympathetic resonance appears, therefore, to offer

the most likely solution of the problem. Hurst's view is that with

each movement of the stapes a wave is generated which travels up the

scala vestibuli, through the helicotrema into the scala tympani and

down the latter to the fenestra rotunda. The wave, however, is not

merely a movement of the basilar membrane, but an actual movement of

fluid or a transmission of pressure. As the one wave ascends while the

other descends, a pressure of the basilar membrane occurs at the point

where they meet; this causes the basilar membrane to move towards the

tectorial membrane, forcing this membrane suddenly against the apices

of the hair-cells, thus irritating the nerves. The point at which the

waves meet will depend on the time interval between the waves (Hurst,

"A New Theory of Hearing," _Trans. Biol. Soc. Liverpool_, 1895, vol.

ix. p. 321). More recently Max Mayer has advanced a theory somewhat

similar. He supposes that with each movement of the stapes

corresponding to a vibration, a wave travels up the scala vestibuli,

pressing the basilar membrane downwards. As it meets with resistance

in passing upwards, its amplitude therefore diminishes, and in this

way the distance up the scala through which the wave progresses will

be determined by its amplitude. The wave in its progress irritates a

certain number of nerve terminations, consequently feeble tones will

irritate only those nerve fibres that are near the fenestra ovalis,

while stronger tones will pass farther up and irritate a larger number

of nerve fibres the same number of times per unit of time. Pitch,

according to this view, depends on the number of stimuli per second,

while loudness depends on the number of nerve fibres irritated. Mayer

also applies the theory to the explanation of the powers of the

cochlea as an analyser, by supposing that with a compound tone these

are at maxima and minima of stimulation. As the compound wave travels

up the scala, portions of the wave corresponding to maxima and minima

die away in consecutive series, until only a maximum and minimum are

left; and, finally, as the wave travels farther, these also disappear.

With each maximum and minimum different parts of the basilar membrane

are affected, and affected a different number of times per second,

according to the frequencies of the partials existing in the compound

tone. Thus with a fifth, 2 : 3, there are three maxima and three

minima; but the compound tone is resolved into three tones having

vibration frequencies in the ratio of 3 : 2 : 1. According to Mayer,

we actually hear when a fifth is sounded tones of the relationship of

3 : 2 : 1, the last (1) being the differential tone. He holds, also,

that combinational tones are entirely subjective (Max Mayer, _Ztschr.

f. Psych. und Phys. d. Sinnesorgane_, Leipzig, Bd. xvi. and xvii.;

also _Verhandl. d. physiolog. Gesellsch. zu Berlin_, Feb. 18, 1898, S.

49). Two fatal objections can be urged to these theories, namely,

first, it is impossible to conceive of minute waves following each

other in rapid succession in the minute tubes forming the scalae--the

length of the scala being only a very small part of the wave-length of

the sound; and, secondly, neither theory takes into account the

differentiation of structure found in the epithelium of the organ of

Corti. Each push in and out of the base of the stapes must cause a

movement of the fluid, or a pressure, in the scalae as a whole.

There are difficulties in the way of applying the resonance theory to

the perception of noises. Noises have pitch, and also each noise has a

special character; if so, if the noise is analysed into its

constituents, why is it that it seems impossible to analyse a noise,

or to perceive any musical element in it? Helmholtz assumed that a

sound is noisy when the wave is irregular in rhythm, and he suggested

that the crista and macula acustica, structures that exist not in the

cochlea but in the vestibule, have to do with the perception of noise.

These structures, however, are concerned rather in the sense of the

perception of equilibrium than of sound (see EQUILIBRIUM).

9. Hitherto we have considered only the audition of a single sound,

but it is possible also to have simultaneous auditive sensations, as

in musical harmony. It is difficult to ascertain what is the limit

beyond which distinct auditory sensations may be perceived. We have in

listening to an orchestra a multiplicity of sensations which produces

a total effect, while, at the same time, we can with ease single out

and notice attentively the tones of one or two special instruments.

Thus the pleasure of music may arise partly from listening to

simultaneous, and partly from the effect of contrast or suggestion in

passing through successive, auditory sensations.

The principles of harmony belong to the subject of music (see

HARMONY), but it is necessary here briefly to refer to these from the

physiological point of view. If two musical sounds reach the ear at

the same moment, an agreeable or disagreeable sensation is

experienced, which may be termed a _concord_ or a _discord_, and it

can be shown by experiment with the syren that this depends upon the

vibrational numbers of the two tones. The octave (1 : 2), the twelfth

(1 : 3) and double octave (1 : 4) are absolutely consonant sounds; the

fifth (2 : 3) is said to be perfectly consonant; then follow, in the

direction of dissonance, the fourth (3 : 4), major sixth (3 : 5),

major third (4 : 5), minor sixth (5 : 8) and the minor third (5 : 6).

Helmholtz has attempted to account for this by the application of his

theory of _beats_.

Beats are observed when two sounds of nearly the same pitch are

produced together, and the number of beats per second is equal to the

difference of the number of vibrations of the two sounds. Beats give

rise to a peculiarly disagreeable intermittent sensation. The maximum

roughness of beats is attained by 33 per second; beyond 132 per

second, the individual impulses are blended into one uniform auditory

sensation. When two notes are sounded, say on a piano, not only may

the first, fundamental or prime tones beat, but partial tones of each

of the primaries may beat also, and as the difference of pitch of two

simultaneous sounds augments, the number of beats, both of prime tones

and of harmonics, augments also. The physiological effect of beats,

though these may not be individually distinguishable, is to give

roughness to the ear. If harmonics or partial tones of prime tones

coincide, there are no beats; if they do not coincide, the beats

produced will give a character of roughness to the interval. Thus in

the octave and twelfth, all the partial tones of the acute sound

coincide with the partial tones of the grave sound; in the fourth,

major sixth and major third, only two pairs of the partial tones

coincide, while in the minor sixth, minor third and minor seventh only

one pair of the harmonics coincide.

It is possible by means of beats to measure the sensitiveness of the

ear by determining the smallest difference in pitch that may give rise

to a beat. In no part of the scale can a difference smaller than 0.2

vibration per second be distinguished. The sensitiveness varies with

pitch. Thus at 120 vibs. per second 0.4 vib. per second, at 500 about

0.3 vib. per second, and at 1000, 0.5 vib. per second can be

distinguished. This is a remarkable illustration of the sensitiveness

of the ear. When tones of low pitch are produced that do not rapidly

die away, as by sounding heavy tuning-forks, not only may the beats be

perceived corresponding to the difference between the frequencies of

the forks, but also other sets of beats. Thus, if the two tones have

frequencies of 40 and 74, a two-order beat may be heard, one having a

frequency of 34 and the other of 6, as 74 / 40 = 1 + a positive

remainder of 34, and 74 / 40 = 2 - 6, or 80 - 74, a negative remainder

of 6. The lower beat is heard most distinctly when the number is less

than half the frequency of the lower primary, and the upper when the

number is greater. The beats we have been considering are produced

when two notes are sounded slightly differing in frequency, or at all

events their frequencies are not so great as those of two notes

separated by a musical interval, such as an octave or a fifth. But

Lord Kelvin has shown that beats may also be produced on slightly

inharmonious musical intervals (_Proc. Roy. Soc. Ed._ 1878, vol. ix.

p. 602). Thus, take two tuning-forks, ut2 = 256 and ut3 = 512;

slightly flatten ut3 so as to make its frequency 510, and we hear, not

a roughness corresponding to 254 beats, but a slow beat of 2 per

second. The sensation also passes through a cycle, the beats now

sounding loudly and fading away in intensity, again sounding loudly,

and so on. One might suppose that the beat occurred between 510 (the

frequency of ut3 flattened) and 512, the first partial of ut2, namely

ut3, but this is not so, as the beat is most audible when ut2 is

sounded feebly. In a similar way, beats may be produced on the

approximate harmonies 2 : 3, 3 : 4, 4 : 5, 5 : 6, 6 : 7, 7 : 8, 1 : 3,

3 : 5, and beats may even be produced on the major chord 4 : 5 : 6 by

sounding ut3, mi3, sol3, with sol3 or mi3 slightly flattened, "when a

peculiar beat will be heard as if a wheel were being turned against a

surface, one small part of which was rougher than the rest." These

beats on imperfect harmonies appear to indicate that the ear does

distinguish between an increase of pressure on the drum-head and a

diminution, or between a push and a pull, or, in other words, that it

is affected by phase. This was denied by Helmholtz.

10. _Beat Tones._--Considerable difference of opinion exists as to

whether beats can blend so as to give a sensation of tone; but R.

Konig, by using pure tones of high pitch, has settled the question.

These tones were produced by large tuning-forks. Thus ut6 = 2048 and

re6 = 2304. Then the beat tone is ut3 = 256 (2304-2048). If we strike

the two forks, ut3 sounds as a grave or lower beat tone. Again, ut6 =

2048 and si6 = 3840. Then (2048)2 - 3840 = 256, a negative remainder,

ut3, as before, and when both forks are sounded ut3 will be heard.

Again, ut6 = 2048 and sol6 = 3072, and 3072 - 2048 = 1024, or ut6,

which will be distinctly heard when ut6 and sol6 are sounded (Konig,

_Quelques experiences d'acoustique_, Paris, 1882, p. 87).

11. _Combination Tones._--Frequently, when two tones are sounded, not

only do we hear the compound sound, from which we can pick out the

constituent tones, but we may hear other tones, one of which is lower

in pitch than the lowest primary, and the other is higher in pitch

than the higher primary. These, known as combination tones, are of two

classes: _differential_ tones, in which the frequency is the

difference of the frequencies of the generating tones, and

_summational_ tones, having a frequency which is the sum of the

frequencies of the tones producing them. Differential tones, first

noticed by Sorge about 1740, are easily heard. Thus an interval of a

fifth, 2 : 3, gives a differential tone 1, that is, an octave below 2;

a fourth, 3 : 4, gives 1, a twelfth below 3; a major third, 4 : 5,

gives 1, two octaves below 4; a minor third, 5 : 6, gives 1, two

octaves and a major third below 5; a major sixth, 3 : 5, gives 2, that

is, a fifth below 3; and a minor sixth, 5 : 8, gives 3, that is, a

major sixth below 5. Summational tones, first noticed by Helmholtz,

are so difficult to hear that much controversy has taken place as to

their very existence. Some have contended that they are produced by

beats. It appears to be proved physically that they may exist in the

air outside of the ear. Further differential tones may be generated in

the middle ear. Helmholtz also demonstrated their independent

existence, and he states that "whenever the vibrations of the air or

of other elastic bodies, which are set in motion at the same time by

two generating simple tones, are so powerful that they can no longer

be considered infinitely small, mathematical theory shows that

vibrations of the air must arise which have the same vibrational

numbers as the combination tones" (Helmholtz, _Sensations of Tone_, p.

235). The importance of these combinational tones in the theory of

hearing is obvious. If the ear can only analyse compound waves into

simple pendular vibrations of a certain order (simple multiples of the

prime tone), how can it detect combinational tones, which do not

belong to that order? Again, if such tones are purely subjective and

only exist in the mind of the listener, the fact would be fatal to the

resonance theory. There can be no doubt, however, that the ear, in

dealing with them, vibrates in some part of its mechanism with each

generator, while it also is affected by the combinational tone itself,

according to its frequency.

12. Hearing with two ears does not appear materially to influence

auditive sensation, but probably the two organs are enabled, not only

to correct each other's errors, but also to aid us in determining the

locality in which a sound originates. It is asserted by G. T. Fechner

that one ear may perceive the same tone at a slightly higher pitch

than the other, but this may probably be due to some slight

pathological condition in one ear. If two tones, produced by two

tuning-forks, of equal pitch, are produced one near each ear, there is

a uniform single sensation; if one of the tuning-forks be made to

revolve round its axis in such a way that its tone increases and

diminishes in intensity, neither fork is heard continuously, but both

sound alternately, the fixed one being only audible when the revolving

one is not. It is difficult to decide whether excitations of

corresponding elements in the two ears can be distinguished from each

other. It is probable that the resulting sensations may be

distinguished, provided one of the generating tones differs from the

other in intensity or quality, although it may be the same in pitch.

Our judgment as to the direction of sounds is formed mainly from the

different degrees of intensity with which they are heard by two ears.

Lord Rayleigh states that diffraction of the sound-waves will occur as

they pass round the head to the ear farthest from the source of sound;

thus partial tones will reach the two ears with different intensities,

and thus quality of tone may be affected (_Trans. Music. Soc._,

London, 1876). Silvanus P. Thompson advocates a similar view, and he

shows that the direction of a complex tone can be more accurately

determined than the direction of a simple tone, especially if it be of

low pitch (_Phil. Mag._, 1882). (J. G. M.)

HEARN, LAFCADIO (1850-1904), author of books about Japan, was born on

the 27th of June 1850 in Leucadia (pronounced Lefcadia, whence his name,

which was one adopted by himself), one of the Greek Ionian Islands. He

was the son of Surgeon-major Charles Hearn, of King's County, Ireland,

who, during the English occupation of the Ionian Islands, was stationed

there, and who married a Greek wife. Artistic and rather bohemian tastes

were in Lafcadio Hearn's blood. His father's brother Richard was at one

time a well-known member of the Barbizon set of artists, though he made

no mark as a painter through his lack of energy. Young Hearn had rather

a casual education, but was for a time (1865) at Ushaw Roman Catholic

College, Durham. The religious faith in which he was brought up was,

however, soon lost; and at nineteen, being thrown on his own resources,

he went to America and at first picked up a living in the lower grades

of newspaper work. The details are obscure, but he continued to occupy

himself with journalism and with out-of-the-way observation and reading,

and meanwhile his erratic, romantic and rather morbid idiosyncrasies

developed. He was for some time in New Orleans, writing for the _Times

Democrat_, and was sent by that paper for two years as correspondent to

the West Indies, where he gathered material for his _Two Years in the

French West Indies_ (1890). At last, in 1891, he went to Japan with a

commission as a newspaper correspondent, which was quickly broken off.

But here he found his true sphere. The list of his books on Japanese

subjects tells its own tale: _Glimpses of Unfamiliar Japan_ (1894); _Out

of the East_ (1895); _Kokoro_ (1896); _Gleanings in Buddha Fields_

(1897); _Exotics and Retrospections_ (1898); _In Ghostly Japan_ (1899);

_Shadowings_ (1900); _A Japanese Miscellany_ (1901); _Kotto_ (1902);

_Japanese Fairy Tales_ and _Kwaidan_ (1903), and (published just after

his death) _Japan, an Attempt at Interpretation_ (1904), a study full of

knowledge and insight. He became a teacher of English at the University

of Tokyo, and soon fell completely under the spell of Japanese ideas. He

married a Japanese wife, became a naturalized Japanese under the name of

Yakumo Koizumi, and adopted the Buddhist religion. For the last two

years of his life (he died on the 26th of September 1904) his health was

failing, and he was deprived of his lecturersbip at the University. But

he had gradually become known to the world at large by the originality,

power and literary charm of his writings. This wayward bohemian genius,

who had seen life in so many climes, and turned from Roman Catholic to

atheist and then to Buddhist, was curiously qualified, among all those

who were "interpreting" the new and the old Japan to the Western world,

to see it with unfettered understanding, and to express its life and

thought with most intimate and most artistic sincerity. Lafcadio Hearn's

books were indeed unique for their day in the literature about Japan, in

their combination of real knowledge with a literary art which is often

exquisite.

See Elizabeth Bisland, _The Life and Letters of Lafcadio Hearn_ (2

vols., 1906); G. M. Gould, _Concerning Lafcadio Hearn_ (1908).

HEARNE, SAMUEL (1745-1792), English explorer, was born in London. In

1756 he entered the navy, and was some time with Lord Hood; at the end

of the Seven Years' War (1763) he took service with the Hudson's Bay

Company. In 1768 he examined portions of the Hudson's Bay coasts with a

view to improving the cod fishery, and in 1769-1772 he was employed in

north-western discovery, searching especially for certain copper mines

described by Indians. His first attempt (from the 6th of November 1769)

failed through the desertion of his Indians; his second (from the 23rd

of February 1770) through the breaking of his quadrant; but in his third

(December 1770 to June 1772) he was successful, not only discovering the

copper of the Coppermine river basin, but tracing this river to the

Arctic Ocean. He reappeared at Fort Prince of Wales on the 30th of June

1772. Becoming governor of this fort in 1775, he was taken prisoner by

the French under La Perouse in 1782. He returned to England in 1787 and

died there in 1792.

See his posthumous _Journey from Prince of Wales Fort in Hudson's Bay

to the Northern Ocean_ (London, 1795).

HEARNE, THOMAS (1678-1735), English antiquary, was born in July 1678 at

Littlefield Green in the parish of White Waltham, Berkshire. Having

received his early education from his father, George Hearne, the parish

clerk, he showed such taste for study that a wealthy neighbour, Francis

Cherry of Shottesbrooke (c. 1665-1713), a celebrated nonjuror,

interested himself in the boy, and sent him to the school at Bray "on

purpose to learn the Latin tongue." Soon Cherry took him into his own

house, and his education was continued at Bray until Easter 1696, when

he matriculated at St Edmund Hall, Oxford. At the university he

attracted the attention of Dr John Mill (1645-1707), the principal of St

Edmund Hall, who employed him to compare manuscripts and in other ways.

Having taken the degree of B.A. in 1699 he was made assistant keeper of

the Bodleian Library, where he worked on the catalogue of books, and in

1712 he was appointed second keeper. In 1715 Hearne was elected

architypographus and esquire bedell in civil law in the university, but

objection having been made to his holding this office together with that

of second librarian, he resigned it in the same year. As a nonjuror he

refused to take the oaths of allegiance to King George I., and early in

1716 he was deprived of his librarianship. However he continued to

reside in Oxford, and occupied himself in editing the English

chroniclers. Having refused several important academical positions,

including the librarianship of the Bodleian and the Camden professorship

of ancient history, rather than take the oaths, he died on the 10th of

June 1735.

Hearne's most important work was done as editor of many of the English

chroniclers, and until the appearance of the "Rolls" series his

editions were in many cases the only ones extant. Very carefully

prepared, they were, and indeed are still, of the greatest value to

historical students. Perhaps the most important of a long list are:

Benedict of Peterborough's (Benedictus Abbas) _De vita et gestis

Henrici II. et Ricardi I._ (1735); John of Fordun's _Scotichronicon_

(1722); the monk of Evesham's _Historia vitae et regni Ricardi II._

(1729); Robert Mannyng's translation of Peter Langtoft's _Chronicle_

(1725); the work of Thomas Otterbourne and John Whethamstede as _Duo

rerum Anglicarum scriptores veteres_ (1732); Robert of Gloucester's

_Chronicle_ (1724); J. Sprott's _Chronica_ (1719); the _Vita et gesta

Henrici V._, wrongly attributed to Thomas Elmham (1727); Titus Livy's

_Vita Henrici V._ (1716); Walter of Hemingburgh's _Chronicon_ (1731);

and William of Newburgh's _Historia rerum Anglicarum_ (1719). He also

edited John Leland's _Itinerary_ (1710-1712) and the same author's

_Collectanea_ (1715); W. Camden's _Annales rerum Anglicarum et

Hibernicarum regnante Elizabetha_ (1717); Sir John Spelman's _Life of

Alfred_ (1709); and W. Roper's _Life of Sir Thomas More_ (1716). He

brought out an edition of Livy (1708); one of Pliny's _Epistolae et

panegyricus_ (1703); and one of the Acts of the Apostles (1715). Among

his other compilations may be mentioned: _Ductor historicus, a Short

System of Universal History_ (1704, 1705, 1714, 1724); _A Collection

of Curious Discourses by Eminent Antiquaries_ (1720); and _Reliquiae

Bodleianae_ (1703).

Hearne left his manuscripts to William Bedford, who sold them to Dr

Richard Rawlinson, who in his turn bequeathed them to the Bodleian.

Two volumes of extracts from his voluminous diary were published by

Philip Bliss (Oxford, 1857), and afterwards an enlarged edition in

three volumes appeared (London, 1869). A large part of his diary

entitled _Remarks and Collections, 1705-1714_, edited by C. E. Doble

and D. W. Rannie, has been published by the Oxford Historical Society

(1885-1898). _Bibliotheca Hearniana_, excerpts from the catalogue of

Hearne's library, has been edited by B. Botfield (1848).

See _Impartial Memorials of the Life and Writings of Thomas Hearne by

several hands_ (1736); and W. D. Macray, _Annals of the Bodleian

Library_ (1890). Hearne's autobiography is published in W.

Huddesford's _Lives of Leland, Hearne and Wood_ (Oxford, 1772). T.

Ouvry's _Letters addressed to Thomas Hearne_ has been privately

printed (London, 1874).

HEARSE (an adaptation of Fr. _herse_, a harrow, from Lat. _hirpex_,

_hirpicem_, rake or harrow, Greek [Greek: arpae], a vehicle for the

conveyance of a dead body at a funeral. The most usual shape is a

four-wheeled car, with a roofed and enclosed body, sometimes with glass

panels, which contains the coffin. This is the only current use of the

word. In its earlier forms it is usually found as "herse," and meant, as

the French word did, a harrow (q.v.). It was then applied to other

objects resembling a harrow, following the French. It was then used of a

portcullis, and thus becomes a heraldic term, the "herse" being

frequently borne as a "charge," as in the arms of the City of

Westminster. The chief application of the word is, however, to various

objects used in funeral ceremonies. A "herse" or "hearse" seems first to

have been a barrow-shaped framework of wood, to hold lighted tapers and

decorations placed on a bier or coffin; this later developed into an

elaborate pagoda-shaped erection of woodwork or metal for the funerals

of royal or other distinguished persons. This held banners, candles,

armorial bearings and other heraldic devices. Complimentary verses or

epitaphs were often attached to the "hearse." An elaborate "hearse" was

designed by Inigo Jones for the funeral of James I. The "hearse" is also

found as a permanent erection over tombs. It is generally made of iron

or other metal, and was used, not only to carry lighted candles, but

also for the support of a pall during the funeral ceremony. There is a

brass "hearse" in the Beauchamp Chapel at Warwick Castle, and one over

the tomb of Robert Marmion and his wife at Tanfield Church near Ripon.

HEART, in anatomy.--The heart[1] is a four-chambered muscular bag, which

lies in the cavity of the thorax between the two lungs. It is surrounded

by another bag, the pericardium, for protective and lubricating purposes

(see COELOM AND SEROUS MEMBRANES). Externally the heart is somewhat

conical, its base being directed upward, backward and to the right, its

apex downward, forward and to the left. In transverse section the cone

is flattened, so that there is an anterior and a posterior surface and a

superior and inferior border. The superior border, running obliquely

downward and to the left, is very thick, and so gains the name of _margo

obtusus_, while the inferior border is horizontal and sharp and is

called _margo acutus_ (see fig. 1). The divisions between the four

chambers of the heart (namely, the two auricles and two ventricles) are

indicated on the surface by grooves, and when these are followed it will

be seen that the right auricle and ventricle lie on the front and right

side, while the left auricle and ventricle are behind and on the left.

[Illustration: FIG. 1. The Thoracic Viscera.--In this diagram the lungs

are turned to the side, and the pericardium removed to display the

heart, a, upper, a', lower lobe of left lung; b, upper, b', middle, b",

lower lobe of right lung; c, trachea; d, arch of aorta; e, superior vena

cava; f, pulmonary artery; g, left, and h, right auricle; k, right, and

l, left ventricle; m, inferior vena cava; n, descending aorta; 1,

innominate artery; 2, right, and 4, left common carotid artery; 3,

right, and 5, left subclavian artery; 6, 6, right and left innominate

vein; 7 and 9, left and right internal jugular veins; 8 and 10, left and

right subclavian veins; 11, 12, 13, left pulmonary artery, bronchus and

vein; 14, 15, 16, right pulmonary bronchus, artery and vein; 17 and 18,

left and right coronary arteries.]

The _right auricle_ is situated at the base of the heart, and its

outline is seen on looking at the organ from in front. Into the

posterior part of it open the two venae cavae (see fig. 2), the superior

(a) above and the inferior (b) below. In front and to the left of the

superior vena cava is the right auricular appendage (e) which overlaps

the front of the root of the aorta, while running obliquely from the

front of one vena cava to the other is a shallow groove called the

_sulcus terminalis_, which indicates the original separation between the

true auricle in front and the sinus venosus behind. When the auricle is

opened by turning the front wall to the right as a flap the following

structures are exposed:

[Illustration: FIG. 2. Cavities of the Right Side of the Heart.--a,

superior, and b, inferior vena cava; c, arch of aorta; d, pulmonary

artery; e, right, and f, left auricular appendage; g, fossa ovalis; h,

Eustachian valve; k, mouth of coronary vein; l, m, n, cusps of the

tricuspid valve; o, o, papillary muscles; p, semilunar valve; q, corpus

Arantii; r, lunula.]

1. A muscular ridge, called the _crista terminalis_, corresponding to

the sulcus terminalis on the exterior.

2. A series of ridges on the anterior wall and in the appendage, running

downward from the last and at right angles to it, like the teeth of a

comb; these are known as _Musculi pectinati_.

3. The orifice of the superior vena cava (fig. 2, a) at the upper and

back part of the chamber.

4. The orifice of the inferior vena cava (fig. 2, b) at the lower and

back part.

5. Attached to the right and lower margins of this opening are the

remains of the _Eustachian valve_ (fig. 2, h), which in the foetus

directs the blood from the inferior vena cava, through the _foramen

ovale_, into the left auricle.

6. Below and to the left of this is the opening of the _coronary sinus_

(fig. 2, k), which collects most of the veins returning blood from the

substance of the heart.

7. Guarding this opening is the _coronary valve_ or _valve of

Thebesius_.

8. On the posterior or septal wall, between the two auricles, is an oval

depression, called the _fossa ovalis_ (fig. 2, g), the remains of the

original communication between the two auricles. In about a quarter of

all normal hearts there is a small valvular communication between the

two auricles in the left margin of this depression (see "7th Report of

the Committee of Collective Investigation," _J. Anat. and Phys._ vol.

xxxii. p. 164).

9. The _annulus ovalis_ is the raised margin surrounding this

depression.

10. On the left side, opening into the right ventricle, is the _right

auriculo-ventricular opening_.

11. On the right wall, between the two caval openings, may occasionally

be seen a slight eminence, the _tubercle of Lower_, which is supposed to

separate the two streams of blood in the embryo.

12. Scattered all over the auricular wall are minute depressions, the

_foramina Thebesii_, some of which receive small veins from the

substance of the heart.

The _right ventricle_ is a triangular cavity (see fig. 2) the base of

which is largely formed by the auriculo-ventricular orifice. To the left

of this it is continued up into the root of the pulmonary artery, and

this part is known as the _infundibulum_. Its anterior wall forms part

of the anterior surface of the heart, while its posterior wall is

chiefly formed by the septum ventriculorum, between it and the left

ventricle. Its lower border is the margo acutus already mentioned. In

transverse section it is crescentic, since the septal wall bulges into

its cavity. In its interior the following structures are seen:

1. The _tricuspid valve_ (fig. 2, l, m, n) guarding against reflux of

blood into the right auricle. This consists of a short cylindrical

curtain of fibrous tissue, which projects into the ventricle from the

margin of the auriculo-ventricular aperture, while from its free edge

three triangular flaps hang down, the bases of which touch one another.

These cusps are spoken of as septal, marginal and infundibular, from

their position.

2. The _chordae tendineae_ are fine fibrous cords which fasten the cusps

to the musculi papillares and ventricular wall, and prevent the valve

being turned inside out when the ventricle contracts.

3. The _columnae carneae_ are fleshy columns, and are of three kinds.

The first are attached to the wall of the ventricle in their whole

length and are merely sculptured in relief, as it were; the second are

attached by both ends and are free in the middle; while the third are

known as the _musculi papillares_ and are attached by one end to the

ventricular wall, the other end giving attachment to the chordae

tendineae. These musculi papillares are grouped into three bundles (fig.

2, o).

4. The _moderator band_ is really one of the second kind of columnae

carneae which stretches from the septal to the anterior wall of the

ventricle.

5. The _pulmonary valve_ (fig. 2, p) at the opening of the pulmonary

artery has three crescentic, pocket-like cusps, which, when the

ventricle is filling, completely close the aperture, but during the

contraction of the ventricle fit into three small niches known as the

_sinuses of Valsalva_, and so are quite out of the way of the escaping

blood. In the middle of the free margin of each is a small knob called

the _corpus Arantii_ (fig. 2, q), and on each side of this a thin

crescent-shaped flap, the _lunula_ (fig. 2, r), which is only made of

two layers of endocardium, whereas in the rest of the cusp there is a

fibrous backing between these two layers.

The _left auricle_ is situated at the back of the base of the heart,

behind and to the left of the right auricle. Running down behind it are

the oesophagus and the thoracic aorta. When it is opened it is seen to

have a much lighter colour than the other cavities, owing to the greater

thickness of its endocardium obscuring the red muscle beneath. There are

no musculi pectinati except in the auricular appendage. The openings of

the four pulmonary veins are placed two on each side of the posterior

wall, but sometimes there may be three on the right side, and only one

on the left. On the septal wall is a small depression like the mark of a

finger-nail, which corresponds to the anterior part of the fossa ovalis

and often forms a valvular communication with the right auricle. The

auriculo-ventricular orifice is large and oval, and is directed downward

and to the left. Foramina Thebesii and venae minimae cordis are found in

this auricle, as in the right, although the chamber is one for arterial

or oxidized blood.

At the lower part of the posterior surface of the unopened auricle,

lying in the left auriculo-ventricular furrow, is the coronary sinus,

which receives most of the veins returning the blood from the heart

substance; these are the right and left coronary veins at each extremity

and the posterior and left cardiac veins from below. One small vein,

called the oblique vein of Marshall, runs down into it across the

posterior surface of the auricle, from below the left lower pulmonary

vein, and is of morphological interest.

The _left ventricle_ is conical, the base being above, behind and to the

right, while the apex corresponds to the apex of the heart and lies

opposite the fifth intercostal space, 3(1/2) in. from the mid line. The

following structures are seen inside it:--

1. The _mitral valve_ guarding the auriculo-ventricular opening has the

same arrangement as the tricuspid, already described, save that there

are only two cusps, named marginal and aortic, the latter of which is

the larger.

2. The chordae tendineae and columnae carneae resemble those of the

right ventricle, though there are only two bundles of musculi papillares

instead of three. These are very large. A moderator band has been found

as an abnormality (see _J. Anat. and Phys._ vol. xxx. p. 568).

3. The _aortic valve_ has the same structure as the pulmonary, though

the cusps are more massive. From the anterior and left posterior sinuses

of Valsalva the coronary arteries arise. That part of the ventricle just

below the aortic valve, corresponding to the infundibulum on the right,

is known as the aortic vestibule.

The walls of the left ventricle are three times as thick as those of the

right, except at the apex, where they are thinner. The septum

ventriculorum is concave towards the left ventricle, so that a

transverse section of that cavity is nearly circular. The greater part

of it has nearly the same thickness as the rest of the left ventricular

wall and is muscular, but a small portion of the upper part is

membranous and thin, and is called the _pars membranacea septi_; it lies

between the aortic and pulmonary orifices.

_Structure of the Heart._--The arrangement of the muscular fibres of the

heart is very complicated and only imperfectly known. For details one of

the larger manuals, such as Cunningham's _Anatomy_ (London, 1910), or

Gray's _Anatomy_ (London, 1909), should be consulted. The general scheme

is that there are superficial fibres common to the two auricles and two

ventricles and deeper fibres for each cavity. Until recently no fibres

had been traced from the auricles to the ventricles, though Gaskell

predicted that these would be found, and the credit for first

demonstrating them is due to Stanley Kent, their details having

subsequently been worked out by W. His, Junr., and S. Tawara. The fibres

of this _auriculo-ventricular bundle_ begin, in the right auricle, below

the opening of the coronary sinus, and run forward on the right side of

the auricular septum, below the fossa ovalis, and close to the

auriculo-ventricular septum. Above the septal flap of the tricuspid

valve they thicken and divide into two main branches, one on either side

of the ventricular septum, which run down to the bases of the anterior

and posterior papillary muscles, and so reach the walls of the

ventricle, where their secondary branches form the _fibres of Purkinje_.

The bundle is best seen in the hearts of young Ruminants, and it is

presumably through it that the wave of contraction passes from the

auricles to the ventricles (see article by A. Keith and M. Flack,

_Lancet_, 11th of August 1906, p. 359).

The _central fibrous body_ is a triangular mass of fibro-cartilage,

situated between the two auriculo-ventricular and the aortic orifices.

The upper part of the septum ventriculorum blends with it. The

_endocardium_ is a delicate layer of endothelial cells backed by a very

thin layer of fibro-elastic tissue; it is continuous with the

endothelium of the great vessels and lines the whole of the cavities of

the heart.

The heart is roughly about the size of the closed fist and weighs from 8

to 12 oz.; it continues to increase in size up to about fifty years of

age, but the increase is more marked in the male than in the female.

Each ventricle holds about 4 f. oz. of blood, and each auricle rather

less. The nerves of the heart are derived from the vagus, spinal

accessory and sympathetic, through the superficial and deep cardiac

plexuses.

_Embryology._

In the article on the arteries (q.v.) the formation and coalescence of

the two _primitive ventral aortae_ to form the heart are noticed, so

that we may here start with a straight median tube lying ventral to the

pharynx and being prolonged cephalad into the ventral aortae and caudad

into the vitelline veins. This soon shows four dilatations, which, from

the tail towards the head end, are called the sinus venosus, the

auricle, the ventricle and the truncus[2] arteriosus. As the tubular

heart grows more rapidly than the pericardium which contains it, it

becomes bent into the form of an S laid on its side ([rotated S]), the

ventral convexity being the ventricle and the dorsal the auricle. The

passage from the auricle to the ventricle is known as the _auricular

canal_, and in the dorsal and ventral parts of this appear two

thickenings known as _endocardial cushions_, which approach one another

and leave a transverse slit between them (fig. 3, E.C.). Eventually

these two cushions fuse in the middle line, obliterating the central

part of the slit, while the lateral parts remain as the two

auriculo-ventricular orifices; this fusion is known as the _septum

intermedium_. From the bottom (ventral convexity) of the ventricle an

antero-posterior median septum grows up, which is the _septum inferius_

or _septum ventriculorum_ (fig. 3, V). Posteriorly (caudally) this

septum fuses with the septum intermedium, but anteriorly it is free at

the lower part of the truncus arteriosus. On referring to the

development of the arteries (see ARTERIES) it will be seen that another

septum starts between the last two pairs of aortic arches and grows

downward (caudad) until it reaches and joins with the septum inferius

just mentioned. This _septum aorticum_ (formed by two ingrowths from the

wall of the vessel which fuse later) becomes twisted in such a way that

the right ventricle is continuous with the last pair of aortic arches

(pulmonary artery), while the left ventricle communicates with the other

arches (the permanent ventral aorta and its branches); it joins the

septum ventriculorum in the upper part of the ventricular cavity and so

forms the _pars membranacea septi_ (fig. 3, T. Ar).

[Illustration: FIG. 3.--Formation of Septa. Diagram of the formation of

some of the septa of the heart (viewed from the right side).

S.V. Sinus venosus.

Au. Auricle.

E.C. Endocardial cushions forming septum intermedium.

V. Septum ventriculorum.

T. Ar. Septum aorticum intruncus arteriosus.

V.A. Ventral aorta.]

The fate of the sinus venosus and auricle must now be followed. Into the

former, at first, only the two vitelline veins open, but later, as they

develop, the _ducts of Cuvier_ and the _umbilical veins_ join in (see

VEINS). As the ducts of Cuvier come from each side the sinus spreads out

to meet them and becomes transversely elongated. The slight

constriction, which at first is the only separation between the sinus

and the auricle, becomes more marked, and later the opening is into the

right part of the auricle, and is guarded by two valvular folds of

endocardium (the _venous valves_) which project into that cavity, and

are continuous above with a temporary downgrowth from the roof, known as

the _septum spurium_. Later the right side of the sinus enlarges, and so

does the right part of the aperture, until the back part of the right

side of the auricle and the right part of the sinus venosus are thrown

into one, and the only remnants of the partition are the crista

terminalis and the Eustachian and Thebesian Valves. The left part of the

sinus venosus, which does not enlarge at the same rate as the right

part, remains as the coronary sinus. It will now be seen why, in the

adult heart, all the veins which open into the right auricle open into

its posterior part, behind the crista terminalis. The septum spurium has

been referred to as a temporary structure; the real division between the

two auricles occurs at a later date than that between the ventricles and

to the left of the septum spurium. It is formed by two partitions, the

first of which, called the _septum primum_, grows down from the

auricular roof. At first it does not quite reach the endocardial

cushions in the auricular canal, already mentioned, but leaves a gap,

called the _ostium primum_, between. This has nothing to do with the

_foramen ovale_, which occurs as an independent perforation higher up,

and at first is known as the _ostium secundum_. When it is established

the septum primum grows down and meets the endocardial cushions, and so

the ostium primum is obliterated. The _septum secundum_ grows down on

the right of the septum primum and is never complete; it grows round and

largely overlaps the foramen ovale and its edges form the annulus

ovalis, so that, in the later months of foetal life, the foramen ovale

is a valvular opening, the floor of which is formed by the septum primum

and the margins by the septum secundum. The closure of the foramen is

brought about by adhesion of the two septa.

The pulmonary veins of the two sides at first join one another, dorsal

to the left auricle, and open into that cavity by a single median trunk,

but, as the auricle grows, this trunk and part of the right and left

veins are absorbed into its cavity.

The mitral and tricuspid valves are formed by the shortening of the

auricular canal which becomes telescoped into the ventricle, and the

cusps are the remnants of this telescoping process.

The columnae carneae and chordae tendineae are the remains of a spongy

network which originally filled the cavity of the primary ventricle.

The aortic and pulmonary valves are laid down in the ventral aorta,

before it is divided into aorta and pulmonary artery, as four

endocardial cushions; anterior, posterior and two lateral. The septum

aorticum cuts the latter two into two, so that each artery has the

rudiments of three cusps.

Abnormalities of the heart are very numerous, and can usually be

explained by a knowledge of its development. They often cause grave

clinical symptoms. A clear and well-illustrated review of the most

important of them will be found in the chapter on congenital disease of

the heart in _Clinical Applied Anatomy_, by C. R. Box and W. McAdam

Eccles, London, 1906.

For further details of the embryology of the heart see Oscar Hertwig's

_Entwicklungslehre der Wirbeltiere_ (Jena, 1902); G. Born,

"Entwicklung des Saugetierherzens," _Archiv f. mik. Anat._ Bd. 33

(1889); W. His, _Anatomie menschlicher Embryonen_ (Leipzig,

1881-1885); Quain's _Anatomy_, vol. i. (1908); C. S. Minot, _Human

Embryology_ (New York, 1892); and A. Keith, _Human Embryology and

Morphology_ (London, 1905).

_Comparative Anatomy._

In the Acrania (e.g. lancelet) there is no heart, though the vessels are

specially contractile in the ventral part of the pharynx.

In the Cyclostomata (lamprey and hag), and Fishes, the heart has the same

arrangement which has been noticed in the human embryo. There is a smooth,

thin-walled sinus venosus, a thin reticulate-walled auricle, produced

laterally into two appendages, a thick-walled ventricle, and a _conus

arteriosus_ containing valves. In addition to these the beginning of the

ventral aorta is often thickened and expanded to form a _bulbus

arteriosus_, which is non-contractile, and, strictly speaking, should

rather be described with the arteries than with the heart. In relation to

human embryology the smooth sinus venosus and reticulated auricle are

interesting. Between the auricle and ventricle is the auriculo-ventricular

valve, which primarily consists of two cusps, comparable to the two

endocardial cushions of the human embryo, though in some forms they may be

subdivided. In the interior of the ventricle is a network of muscular

trabeculae. The conus arteriosus in the Elasmobranchs (sharks and rays)

and Ganoids (sturgeon) is large and provided with several rows of

semilunar valves, but in the Cyclostomes (lamprey) and Teleosts (bony

fishes) the conus is reduced and only the anterior (cephalic) row of

valves retained. With the reduction of the conus the bulbus arteriosus is

enlarged. So far the heart is a single tubular organ expanded into various

cavities and having the characteristic [rotated S]-shaped form seen in the

human embryo; it contains only venous blood which is forced through the

gills to be oxidized on its way to the tissues. In the Dipnoi (mud fish),

in which rudimentary lungs, as well as gills, are developed, the auricle

is divided into two, and the sinus venosus opens into the right auricle.

The conus arteriosus too begins to be divided into two chambers, and in

Protopterus this division is complete. This division of the heart is one

instance in which mammalian ontogeny does not repeat the processes of

phylogeny, because, in the human embryo, it has been shown that the

ventricular septum appears before the auricular. This want of harmony is

sometimes spoken of as the "falsification of the embryological record."

In the Amphibia there are also two auricles and one ventricle, though in

the Urodela (tailed amphibians) the auricular septum is often

fenestrated. The sinus venosus is still a separate chamber, and the

conus arteriosus, which may contain many or few valves, is usually

divided into two by a spiral fold. Structurally the amphibian heart

closely resembles the dipnoan, though the increased size of the left

auricle is an advance. In the Anura (frogs and toads) the whole

ventricle is filled with a spongy network which prevents the arterial

and venous blood from the two auricles mixing to any great extent. (For

the anatomy and physiology of the frog's heart, see _The Frog_, by

Milnes Marshall.)

In the Reptiles the ventricular septum begins to appear; this in the

lizards is quite incomplete, but in the crocodiles, which are usually

regarded as the highest order of living reptiles, the partition has

nearly reached the top of the ventricle, and the condition resembles

that of the human embryo before the pars membranacea septi is formed.

The conus arteriosus becomes included in the ventricular cavity, but the

sinus venosus still remains distinct, and its opening into the right

ventricle is guarded by two valves which closely resemble the two venous

valves in the auricle of the human embryo already referred to.

In the Birds the auricular and ventricular septa are complete; the right

ventricle is thin-walled and crescentic in section, as in Man, and the

musculi papillares are developed. The left auriculo-ventricular valve

has three membranous cusps with chordae tendineae attached to them, but

the right auriculo-ventricular valve has a large fleshy cusp without

chordae tendineae. The sinus venosus is largely included in the right

auricle, but remains of the two venous valves are seen on each side of

the orifice of the inferior vena cava.

In the Mammals the structure of the heart corresponds closely with the

description of that of Man already given. In the Ornithorynchus, among

the Monotremes, the right auriculo-ventricular valve has two fleshy and

two membranous cusps, thus showing a resemblance to that of the bird. In

the Echidna, the other member of the order, however, both

auriculo-ventricular valves are membranous. In the Edentates the remains

of the venous valves at the opening of the inferior vena cava are better

marked than in other orders. In the Ungulates the moderator band in the

right ventricle is especially well developed, and the central fibrous

body at the base of the heart is often ossified, forming the os cordis

so well known in the heart of the ox.

The position of the heart in the lower mammals is not so oblique as it

is in Man.

For further details, see C. Rose, _Beitr. z. vergl. Anal. des Herzens

der Wirbelthiere Morph. Jahrb._, Bd. xvi. (1890); R. Wiedersheim,

_Vergleichende Anatomie der Wirbelthiere_ (Jena, 1902) (for

literature); also Parker and Haswell's _Zoology_ (London, 1897).

(F. G. P.)

HEART DISEASE.--In the early ages of medicine, the absence of correct

anatomical, physiological and pathological knowledge prevented diseases

of the heart from being recognized with any certainty during life, and

almost entirely precluded them from becoming the object of medical

treatment. But no sooner did Harvey (1628) publish his discovery of the

circulation of the blood, and its dependence on the heart as its central

organ, than derangements of the circulation began to be recognized as

signs of disease of that central organ. (See also under VASCULAR

SYSTEM.)

Among the earliest to profit by this discovery and to make important

contributions to the literature of diseases of the heart and circulation

were, R. Lower (1631-1691), R. Vieussens (1641-1716). H. Boerhave

(1668-1738) and the great pathologists at the beginning of the 18th

century, G. M. Lancisi (1654-1720), G. B. Morgagni (1682-1771) and J. B.

Senac (1693-1770). The works of these writers form very interesting

reading, and it is remarkable how careful were the observations made,

and how sound the conclusions drawn, by these pioneers of scientific

medicine. J. N. Corvisart (1755-1821) was one of the earliest to make

practical use of R. T. Auenbrugger's (1722-1809) invention of percussion

to determine the size of the heart. R. T. H. Laennec (1781-1826) was the

first to make a scientific application of mediate auscultation to the

diagnosis of disease of the chest, by the invention of the stethoscope.

J. Bouillaud (1796-1881) extended its use to the diagnosis of disease of

the heart. To James Hope (1801-1841) we owe much of the precision we

have now attained in diagnosis of valvular disease from abnormalities in

the sounds produced during cardiac movements. This short list by no

means exhausts the earlier literature on the subject, but each of these

names marks an era in the progress of the diagnosis of cardiac disease.

In later years the literature on this subject has become very copious.

The heart and great vessels occupy a position immediately to the left of

the centre of the thoracic cavity. The anterior surface of the heart is

projected against the chest wall and is surrounded on either side by the

lungs, which are resonant organs, so that any increase in the size of

the heart, "dilatation," can be detected by percussion. By placing the

hand on the chest, palpation, the impulse of the left ventricle, or apex

beat, can normally be felt just below and internal to the nipple.

Deviations from the normal in the position or force of the apex beat

will afford important information as to the nature of the pathological

changes in the heart. Thus, displacement downwards and outwards of the

apex beat, with a forcible thrusting impulse, will indicate hypertrophy,

or increase of the muscular wall and increased driving power of the left

ventricle, whereas a similar displacement with a feeble diffuse impulse

will indicate dilatation, or over-distension of its cavity from

stretching of the walls.

By auscultation, or listening with a suitable instrument named a

stethoscope over appropriate areas, we can detect any abnormality in the

sounds of the heart, and the presence of murmurs indicative of disease

of one or other of the valves of the heart.

The pericardium is a fibro-serous sac which loosely envelops the heart

and the origin of the great vessels. Inflammation of this sac, or

_pericarditis_, is apt to occur as a result of rheumatism, more

especially in children. It may also occur as a complication of

pneumonia. It is a serious affection associated with pain over the

heart, fever, shortness of breath, rapid pulse and dilatation of the

heart. As a result of the inflammation, fluid may accumulate in the

pericardial sac, or the walls of the sac may become adherent to the

heart and tend to embarrass its action. In favourable cases, however,

recovery may take place without any untoward sequelae.

Diseases of the heart may be classified in two main groups, (1) Disease

of the valves, and (2) Disease of the walls of the heart.

1. _Valvular Disease._--Inflammation of the valves of the heart, or

_endocarditis_, is one of the most common complications of rheumatism in

children and young adults. More severe types, which are apt to prove

fatal from a form of blood poisoning, may result when the valves of the

heart are attacked by certain micro-organisms, such as the pneumococcus,

which is responsible for pneumonia, the streptococcus and the

staphylococcus pyogenes, the gonococcus and the influenza bacillus.

As a result of endocarditis, one or more of the valves may be seriously

damaged, so that it leaks or becomes incompetent. The valves of the left

side of the heart, the aortic and mitral valves, are affected far more

commonly than those of the right side. It is indeed comparatively rarely

that the latter are attacked. In the process of healing of a damaged

valve, scar tissue is formed which has a tendency to contract, so that

in some cases the orifice of the valve becomes narrowed, and the

resulting stenosis or narrowing gives rise to obstruction of the blood

stream. We may thus have incompetence or stenosis of a valve or both

combined.

Valvular lesions are detected on auscultation over appropriate areas by

the blowing sounds or murmurs to which they give rise, which modify or

replace the normal heart sounds. Thus, lesions of the mitral valve give

rise to murmurs which are heard at the apex beat of the heart, and

lesions of the aortic valves to murmurs which are heard over the aortic

area, in the second right intercostal space. Accurate timing of the

murmurs in relation to the heart sounds enables us to judge whether the

murmur is due to stenosis or incompetence of the valve affected.

If the valvular lesion is severe, it is essential for the proper

maintenance of the circulation that certain changes should take place in

the heart to compensate for or neutralize the effects of the

regurgitation or obstruction, as the case may be. In affections of the

aortic valve, the extra work falls on the left ventricle, which enlarges

proportionately and undergoes hypertrophy. In affections of the mitral

valve the effect is felt primarily by the left auricle, which is a thin

walled structure incapable of undergoing the requisite increase in power

to resist the backward flow through the mitral orifice in case of

leakage, or to overcome the effects of obstruction in case of stenosis.

The back pressure is therefore transmitted to the pulmonary circulation,

and as the right ventricle is responsible for maintaining the flow of

blood through the lungs, the strain and extra work fall on the right

ventricle, which in turn enlarges and undergoes hypertrophy. The degree

of hypertrophy of the left or right ventricle is thus, up to a certain

point, a measure of the extent of the lesion of the aortic or mitral

valve respectively. When the effects of the valvular lesion are so

neutralized by these structural changes in the heart that the

circulation is equably maintained, "compensation" is said to be

efficient.

When the heart gives way under the strain, compensation is said to break

down, and dropsy, shortness of breath, cough and cyanosis, are among the

distressing symptoms which may set in. The mere existence of a valvular

lesion does not call for any special treatment so long as compensation

is efficient, and a large number of people with slight valvular lesions

are living lives indistinguishable from those of their neighbours. It

will, however, be readily understood that in the case of the more

serious lesions certain precautions should be observed in regard to

over-exertion, excitement, over-indulgence in tobacco or alcohol, &c.,

as the balance is more readily upset and any undue strain on the heart

may cause a breakdown of compensation. When this occurs treatment is

required. A period of rest in bed is often sufficient to enable the

heart to recover, and this may be supplemented as required by the

administration of mercurial and saline purgatives to relieve the

embarrassed circulation, and of suitable cardiac tonics, such as

digitalis and strychnin, to reinforce and strengthen the heart's action.

2. _Affections of the Muscular Wall of the Heart._--Dilatation of the

heart, or stretching of the walls of the heart, is an incident, as has

already been stated, in pericarditis and in the earlier stages of

valvular disease antecedent to hypertrophy. Temporary over-distension or

dilatation of the cavities of the heart occurs in violent and protracted

exertion, but rapidly subsides and is in no wise harmful to the sound

and vigorous heart of the young. It is otherwise if the heart is weak

and flabby from a too sedentary life or degenerative changes in its

walls or during convalescence from a severe illness, when the same

circumstances which will not injure a healthy heart, may give rise to

serious dilatation from which recovery may be very protracted.

Influenza is a common cause of cardiac dilatation, and is liable to be a

source of trouble after the acute illness has subsided, if the patient

goes about and resumes his ordinary avocations too soon.

Fatty or fibroid degeneration of the heart wall may occur in later life

from impaired nutrition of the muscle, due to partial obstruction of the

blood-vessels supplying it, when they are the seat of the degenerative

changes known as arteriosclerosis or atheroma. The affection known as

_angina pectoris_ (q.v.) may be a further consequence of this defective

blood-supply.

The treatment will vary according to the nature of the case. In serious

cases of dilatation, rest in bed, purgatives and cardiac tonics may be

required.

In commencing degenerative change the Oertel treatment, consisting of

graduated exercise up a gentle slope, limitation of fluids and a special

diet, may be indicated.

In cases of slight dilatation after influenza or recent illness, the

Schott treatment by baths and exercises as carried out at Nauheim may be

sometimes beneficial. The change of air and scene, the enforced rest,

the placid life, together with freedom from excitement and worry, are

among the most important factors which contribute to success in this

class of case.

_Disorders of Rhythm of the Heart's Action._--Under this heading may be

grouped a number of conditions to which the name "functional affections

of the heart" has sometimes been applied, inasmuch as the disturbances

in question cannot usually be attributed to definite organic disease of

the heart. We must, of course, exclude from this category the

irregularity in the force and frequency of the pulse, which is commonly

associated with incompetence of the mitral valve.

The heart is a muscular organ possessing certain properties,

rhythmicity, excitability, contractility, conductivity and tonicity, as

pointed out by Gaskell, in virtue of which it is able to maintain a

regular automatic beat independently of nerve stimulation. It is,

however, intimately connected with the brain, blood-vessels and the

abdominal and thoracic viscera, by innumerable nerves, through which

impulses or messages are being constantly sent to and received from

these various portions of the body. Such messages may give rise to

disturbances of rhythm with which we are all familiar. For instance,

sudden fright or emotion may cause a momentary arrest of the heart's

action, and excitement or apprehension may set up a rapid action of the

heart or _palpitation_. Palpitation, again, is often the result of

digestive disorders, the message in this case being received from the

stomach, instead of the brain as in emotional disturbances. It may also

result from over-indulgence in tobacco and alcohol.

_Tachycardia_ is the name applied to a more or less permanent increase

in the rate of the heart-beat. It is usually a prominent feature in the

affection known as Graves' disease or exophthalmic goitre. It may also

result from chronic alcoholism. In the condition known as paroxysmal

tachycardia there appears to be no adequate explanation for its onset.

_Bradycardia_ or abnormal slowness of the heart-beat, is the converse of

tachycardia. An abnormally slow pulse is met with in melancholia,

cerebral tumour, jaundice and certain toxic conditions, or may follow an

attack of influenza. There is, however, a peculiar affection

characterized by abnormal slowness of pulse (often ranging as low as

30), and the onset, from time to time, of epileptiform or syncopal

attacks. To this the name "Stokes-Adams disease" has been applied, as it

was first called attention to by Adams in 1827, and subsequently fully

described by Stokes in 1836. It is usually associated with senile

degenerative change of the heart and vascular system, and is held to be

due to impairment of conductivity in the muscular fibres (bundle of His)

which transmit the wave of contraction from the auricle to the

ventricle. It is of serious significance in view of the symptoms

associated with it.

_Intermittency of the Pulse._--By this is understood a pulse in which a

beat is dropped from time to time. The dropping of a beat may occur at

regular intervals every two, four or six beats, &c., or occasionally at

irregular intervals after a series of normal beats. On examining the

heart, it is found, as a rule, that the cause of the intermission at the

wrist is not actual omission of a heart-beat, but the occurrence of a

hurried imperfect cardiac contraction which does not transmit a

pulse-wave to the wrist. It is not characteristic of any special form of

heart affection, and is rarely of serious import. It may be due to

reflex digestive disturbances, or be associated with conditions of

nervous breakdown and irritability, or with an atonic and relaxed

condition of the heart muscle. The treatment of these disorders of

rhythm of the heart will vary greatly according to the cause and is

often a matter of considerable difficulty. (J. F. H. B.)

_Surgery of Heart and Pericardium._--As the result of acute or chronic

inflammation of the lining membrane of the fibrous sac which surrounds

the heart and the neighbouring parts of the large blood-vessels, a

dropsical or a purulent collection may form in it, or the sac may be

quietly distended by a thin watery fluid. In either case, but especially

in the latter, the heart may be so embarrassed in its work that death

seems imminent. The condition is generally due to the cultivation in the

pericardium of the germs of rheumatism, influenza or gonorrhoea, or of

those of ordinary suppuration. Respiration as well as circulation is

embarrassed, and there is a marked fulness and dulness of the front wall

of the chest to the left of the breast-bone. In that region also pain

and tenderness are complained of. By using the slender, hollow needle of

an aspirator great relief may be afforded, but the tapping may have to

be repeated from time to time. If the fluid drawn off is found to be

purulent, it may be necessary to make a trap-door opening into the chest

by cutting across the 4th and 5th ribs, incising and evacuating the

pericardium and providing for drainage. In short, an abscess in the

pericardium must be treated like an abscess in the pleura.

Wounds of the heart are apt to be quickly fatal. If the probability is

that the enfeebled action of the heart is due to pressure from blood

which is leaking into, and is locked up in the pericardium, the proper

treatment will be to open the pericardium, as described above, and, if

possible, to close the opening in the auricle, ventricle or large

vessel, by sutures. (E. O.*)

Encyclopaedia Britannica, 11th Edition, "Hearing" to "Helmond" Volume 13, Slice 2 · 第 5 / 34 题