Fig. 120.—Dr. Waller’s Diagrammatic Illustration of the Reflex Process.

From the sentient surface (1) an afferent impulse passes along (2) to the posterior root of the spinal cord, the nerve fibers of the posterior root ending in minute filaments among the small cells of this part of the cord (3). In some unknown way this impulse passes across the gray part of the cord to the large cells of the anterior root (5), the cells of this part being connected by their axis-cylinder with the efferent fibers (6). These convey the stimulus to the fibers of the muscle (7), which accordingly contract. Where the brain is concerned in the action the circuit is longer through S and M.

Experiment 131. To illustrate reflex action by what is called knee-jerk. Sit on a chair, and cross the right leg over the left one. With the tips of the fingers or the back of a book, strike the right ligamentum patellæ. The right leg will be raised and thrown forward with a jerk, owing to the contraction of the quadriceps muscles. An appreciable time elapses between the striking of the tendon and the jerk. The presence or absence of the knee-jerk may be a most significant symptom to the physician.

282. The Sympathetic System. Running along each side of the spine, from the base of the skull to the coccyx, is a chain of nerve knots, or ganglia. These ganglia, twenty-four on each side, and their branches form the sympathetic system, as distinguished from the cerebro-spinal system consisting of the brain and spinal cord and the nerves springing from them. The ganglia of the sympathetic system are connected with each other and with the sensory roots of the spinal nerves by a network of gray nerve fibers.

At the upper end the chain of each side passes up into the cranium and is closely connected with the cranial nerves. In the neck, branches pass to the lungs and the heart. From the ganglia in the chest three nerves form a complicated network of fibers, from which branches pass to the stomach, the liver, the intestines, the kidneys, and other abdominal organs. A similar network of fibers is situated lower down in the pelvis, from which branches are distributed to the pelvic organs. At the coccyx the two chains unite into a single ganglion.

Thus, in general, the sympathetic system, while intimately connected with the cerebro-spinal, forms a close network of nerves which specially accompany the minute blood-vessels, and are distributed to the muscles of the heart, the lungs, the stomach, the liver, the intestines, and the kidneys—that is, the hollow organs of the body.

283. The Functions of the Sympathetic System. This system exercises a superintending influence over the greater part of the internal organs of the body, controlling to a certain extent the functions of digestion, nutrition, circulation, and respiration. The influence thus especially connected with the processes of organic life is generally different from, or even opposed to, that conveyed to the same organs by fibers running in the spinal or cranial nerves. These impulses are beyond the control of the will.