CHAPTER IX.

PHYSIOLOGICAL ANATOMY

THE SKIN.

Through digestion and respiration, the blood is continually supplied

with material for its renewal; and, while the nutritive constituents of

the food are retained to promote the growth of the body, those which are

useless or injurious are in various ways expelled. There are, perhaps,

few parts of the body more actively concerned in this removal than the

skin.

[Illustration: Fig. 46: An ideal

view of the papillae. 1, 1. Cutis vera.

2.2. Papillary layer. 3, 3. Arteries of the papillae.

4, 4. Nerves of the papillae. 5, 5. Veins of the papillae.]

The skin is a membranous envelope covering the entire body. It consists

of two layers, termed the Cutis Vera, or true skin, and the Epidermis,

or cuticle. The _Cutis Vera_ is composed of fibers similar to those of

the cellular tissue. It consists of white and yellow fibers, which are

more densely woven near the surface than deeper in the structure; the

white give strength, the yellow strength and elasticity combined. The

true skin may be divided into two layers, differing in their

characteristics, and termed respectively the superficial or papillary

layer, and the deep or fibrous layer. Upon the external surface, are

little conical prominences, known as _papillae_. The papillae are

irregularly distributed over the body, in some parts being smaller and

more numerous than in others, as on the finger-ends, where their summits

are so intimately connected as to form a tolerably smooth surface. It is

owing to their perfect development, that the finger-tips are adapted to

receive the most delicate impressions of touch. Although every part of

the skin is sensitive, yet the papillae are extremely so, for they are

the principal means through which the impressions of objects are

communicated. Each papilla not only contains a minute vein and artery,

but it also incloses a loop of sensitive nerves. When the body is

exposed to cold, these papillae can be more distinctly seen in the form

of prominences, commonly known as "goose-pimples."

[Illustration: Fig. 47.

A section of the skin, showing its arteries and

veins. A, A. Arterial branches. B, B. Capillaries

in which the branches terminate. C. The venous

trunk into which the blood from the capillaries

flows.]

The internal, or fibrous layer of the skin, contains numerous

depressions, each of which furnishes a receptacle for fat. While the

skin is supplied with a complete net-work of arteries, veins, and

nerves, which make it sensitive to the slightest touch, it also contains

numerous lymphatic vessels, so minute that they are invisible to the

naked eye.

Among the agents adapted for expelling the excretions from the system,

few surpass the _Sudoriferous Glands_. These are minute organs which

wind in and out over the whole extent of the true skin, and secrete the

perspiration. Though much of it passes off as insensible transpiration,

yet it often accumulates in drops of sweat, during long-continued

exercise or exposure to a high temperature. The office of the

perspiration is two-fold. It removes noxious matter from the system, and

diminishes animal heat, and thereby equalizes the temperature of the

body. It also renders the skin soft and pliable, thus better adapting it

to the movements of the muscles. The _Sebaceous Glands_, which are

placed in the true skin, are less abundant where the sudoriferous glands

are most numerous, and _vice versa_. Here, as elsewhere, nature acts

with systematic and intelligent design. The perspiratory glands are

distributed where they are most needed,--in the eyelids, serving as

lubricators; in the ear passages, to produce the _cerumen_, or wax,

which prevents the intrusion of small insects; and in the scalp, to

supply the hair with its natural pomatum.

[Illustration: Fig. 48.

A perspiratory gland, highly

magnified. 1, 1. The gland. 2, 2.

Excretory ducts uniting to form

a tube which tortuously perforates

the cuticle at 3, and opens

obliquely on its surface at 4.]

[Illustration: Fig. 49.

A representation of oil-tubes from the scalp

and nose.]

[Illustration: Fig. 50.

Anatomy of the skin. 5, 5. Cutis vera (true skin).

4, 4. Nervous tissue. 3, 3. Sensitive layer in which are

seen the nerves. 2, 2. The layer containing pigment

cells. 1, 1. Epidermis (cuticle).]

The _Epidermis_, or _Cuticle_, so called because it is _placed upon the

skin,_ is the outer layer of the skin. Since it is entirely destitute of

nerves and blood-vessels, it is not sensitive. Like the cutis vera, it

has two surfaces composed of layers. The internal, or _Rete Mucosum,_

which is made up chiefly of pigment cells, is adapted to the

irregularities of the cutis vera, and sends prolongations into all its

glandular follicles. The external surface, or epidermis proper, is

elastic, destitute of coloring matter, and consists of mere horny

scales. As soon as dry, they are removed in the form of scurf, and

replaced by new ones from the cutis vera. These scales may be removed by

a wet-sheet pack, or by friction. The cuticle is constantly undergoing

renewal. This layer serves to cover and protect the nervous tissue of

the true skin beneath. We may here observe that the cuticle contains the

pigment for coloring the skin. In dark races, as the negro, the cuticle

is very thick and filled with black pigment. The radiation of animal

heat is dependent upon the thickness and color of this cuticle. Thus, in

the dark races, the pigment cells are most numerous, and in proportion

as the skin is dark or fair do we find these cells in greater or lesser

abundance. The skin of the Albino is of pearly whiteness, devoid even of

the pink or brown tint which that of the European always possesses. This

peculiarity must be attributed to the absence of pigment cells which,

when present, always present a more or less dark color. The theory that

_climate_ alone is capable of producing all these diversities is simply

absurd. The Esquimaux, who live in Greenland and the arctic regions of

America, are remarkable for the darkness of their complexion. Humboldt

remarks that the American tribes of the tropical regions have no darker

skin than the mountaineers of the temperate zone. Climate may _modify_

the complexion, but it cannot _make_ it.

[Illustration: Fig. 51.

Structure of the human hair. _A_. External surface of the shaft, showing the

transverse striae and jagged boundary, caused by the imbrications of the scaly

cortex. _B_. Longitudinal section of the shaft, showing the fibrous character of

the medullary substance, and the arrangement of the pigmentary matter. _C_.

Transverse sections, showing the distinction between the cortical and medullary

substances, and the central collection of pigmentary matter, sometimes found in

the latter. Magnified 310 diameters.]

_Hairs_ are horny appendages of the skin, and, with the exception of the

hands, the soles of the feet, the backs of the fingers and toes, between

the last joint and the nail, and the upper eyelids, are distributed more

or less abundantly over every part of the surface of the body. Over the

greater part of the surface the hairs are very minute, and in some

places are not actually apparent above the level of the skin; but the

hair of the head, when permitted to reach its full growth, attains a

length of from twenty inches to a yard, and, in rare instances, even six

feet. A hair may be divided into a middle portion, or _shaft_, and two

extremities; a peripheral extremity, called the _point;_ and a central

extremity, inclosed within the hair sac, or follicle, termed the _root_.

The root is somewhat greater in diameter than the shaft, and cylindrical

in form, while its lower part expands into an oval mass, called the

_bulb_. The shaft of the hair is not often perfectly cylindrical, but is

more or less flattened, which circumstance gives rise to waving and

curling hair; and, when the flattening is spiral in direction, the

curling will be very great. A hair is composed of three different layers

of cell-tissues: a loose, cellulated substance, which occupies its

center, and constitutes the _medulla_, or pith; the fibrous tissue,

which incloses the medulla, and forms the chief bulk of the hair; and a

thin layer, which envelops this fibrous structure, and forms the smooth

surface of the hair. The medulla is absent in the downy hairs, but in

the coarser class it is always present, especially in white hair. The

color of hair is due partly to the granules and partly to an

inter-granular substance, which occupies the interstices of the granules

and the fibers. The quantity of hair varies according to the proximity

and condition of the follicles. The average number of hairs of the head

may be stated at 1,000 in a superficial square inch; and, as the surface

of the scalp has an area of about one hundred and twenty superficial

square inches, the average number of hairs on the entire head is

120,000. The hair possesses great durability, as is evinced by its

endurance of chemical processes, and by its discovery, in the tombs of

mummies more than two thousand years old. The hair is remarkable for its

elasticity and strength. Hair is found to differ materially from horn in

its chemical composition. According to Vauquelin, its constituents are

animal matter, a greenish-black oil, a white, concrete oil, phosphate of

lime, a trace of carbonate of lime, oxide of manganese, iron, sulphur,

and silex. Red hair contains a reddish oil, a large proportion of

sulphur, and a small quantity of iron. White hair contains a white oil,

and phosphate of magnesia. It has been supposed that hair grows after

death, but this theory was probably due to the lengthening of the hair

by the absorption of moisture from the body or atmosphere.

The _nails_ constitute another class of appendages of the skin. They

consist of thin plates of horny tissue, having a root, a body, and a

free extremity. The root, as well as the lateral portion, is implanted

in the skin, and has a thin margin which is received into a groove of

the true skin. The under surface is furrowed, while the upper is

comparatively smooth. The nails grow in the same manner as the cuticle.

* * * * *

The People's Common Sense Medical Adviser in Plain English or, Medicine Simplified, 54th ed., One Million, Six Hundred and Fifty Thousand · 第 9 / 34 章