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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..d7b82bc --- /dev/null +++ b/.gitattributes @@ -0,0 +1,4 @@ +*.txt text eol=lf +*.htm text eol=lf +*.html text eol=lf +*.md text eol=lf diff --git a/75360-0.txt b/75360-0.txt new file mode 100644 index 0000000..38988de --- /dev/null +++ b/75360-0.txt @@ -0,0 +1,4616 @@ + +*** START OF THE PROJECT GUTENBERG EBOOK 75360 *** + +Transcriber’s notes: + +The text of this book has been preserved as in the original, apart +from repositioning of some footnotes and illustrations closer to the +relevant text. Italic text is denoted by _underscores_. + + + + + THE HUMAN FOOT + + AND THE + + HUMAN HAND. + + BY + + G. M. HUMPHRY, M.D. F.R.S. + + LECTURER ON ANATOMY AND PHYSIOLOGY IN THE + UNIVERSITY OF CAMBRIDGE. + + MACMILLAN AND CO. + Cambridge: + AND 23, HENRIETTA STREET, COVENT GARDEN, + London. + 1861. + + + + + Cambridge: + PRINTED BY C. J. CLAY, M.A. + AT THE UNIVERSITY PRESS. + + + + +The following pages originated in two popular Lectures which were +delivered in Cambridge. In the preparation for publication many +additions have been made; but I have thought it best to retain the +original form. + + + + +CONTENTS. + + +THE HUMAN FOOT. + +Why are the generality of persons so ignorant of the structure of their +own bodies? p. 1. The dependence of the hand upon the foot, 3. +Principle of “division of Labour” illustrated in the animal world, 4; +and in the function of locomotion, 6. + +Structure of Lower Limb, 8. Length of Leg in GIANTS, 9. Bones of +Foot, _ib._ Peculiarity of GREAT TOE, 10. Uniformity in plan, and +dissimilarity in detail seen throughout nature, 13. Homologous parts in +animals, 14. Comparison of Horse’s Leg with Man’s, 15. The ARCH of the +foot, 18; its elasticity greater in the fore part than in the hinder, +21. The Component bones held together by Ligaments, 24. WEAK ANKLE and +FLAT FOOT, 27, 74; time of life at which they occur, 31. Injurious +effects of “High-lows,” 29. + +Movements of the FOOT, 33; compared with those of the HEAD, 35. +Nature’s abhorrence of straight lines illustrated by shape of +leg-bone, 37, and by movements of leg upon thigh, 39. Sitting upon the +heel, _ib._ Grecian and Egyptian statuary compared, 40. Relation of +PERFECTION and BEAUTY, 41. + +MUSCLES of Leg and Foot, 42. Purpose served by movements of Infants, +46. CLUB-FOOT, 47. Shape of the ankle, 48. Length and direction of the +heel, 50. The CALF, _ib._; characteristic of man, 53. EUROPEAN Leg +and Foot contrasted with NEGRO’S, 51. CHINESE foot, 54. Tendency of +different races to exaggerate their peculiarities, 56. Provision for +enabling balls of toes to adapt themselves to uneven surfaces, 57. + +STANDING, 59. BOWING, STOOPING and SQUATTING, 61. WALKING, 62. RUNNING, +64. TROTTING and GALLOPING, 67. Rolling in walking, 69. Sprained ankle, +70. Mode in which foot revolves on the ground, 73. Character shown in +walking, 76. The IDIOT, 80. The DRUNKARD, 81. + +Distinctive features of the Human Foot, 82; most marked in highest +races, 91. The TOES of small size and, comparatively, unimportant, 84. +The foot of the ELEPHANT, 86; of the HIPPOPOTAMUS, RHINOCEROS, OX, and +HORSE, 87; of the GORILLA, 88. Proportions of the limbs, 94. Foot and +hand small in very short and very tall persons, 96. The foot measure, +97. + +SKIN of the sole, 98. On SHOES, 102. + + +THE HUMAN HAND. + +HAND how distinguished from FOOT, 109. Construction of Upper limb, 110. +Small bones rarely dislocated, 112. + +Movements at SHOULDER very free, 114; conducive to good development +of Chest, 125. Uses of COLLAR-BONE, 116. Injuries to Shoulder why so +frequent, 119. Shape of CHEST, 122; in Rhinoceros, 120; in Monkey, 123. + +Movements at the ELBOW, 126. PRONATION and SUPINATION of the forearm +and hand, _ib._ No exactly corresponding movements in lower limb, 129. +MUSCLES by which they are effected, 130. Anatomical reason for the +direction in which we turn a screw or a gimlet, 132. + +Structure and movements of the WRIST, 134. Movements of the FINGERS, +136. MUSCLES by which they are effected, 137. MOVEMENTS of the THUMB, +141; of the metacarpal bones upon the wrist, 143. Advantage gained by +the fingers and thumb all differing in length, 145. Middle finger the +centre about which the others move, 147. On holding the PEN, _ib._ The +direction in which the letters are slanted, 148. WRITING from left to +right, 149. Reason for the RING being placed upon the fourth finger, +150. The “funny-bone,” 153. + +The MONKEY’S HAND, 154, 187. + +The hand the organ of the WILL, 156; its relation to the MIND, 157; an +organ of EXPRESSION, 159. SHAKING HANDS, 162. Why do we shake hands? +162. Why do we KISS? 164. + +Structure of the SKIN, 165. The Cuticle, 166; its uses, 167. The Rete +Mucosum, 166. Cause of the colour of the Skin, 167. The Cutis, 168. +Difference between a WART and a CORN, 170. How to cut Corns, 172. + +NAILS; their formation and growth, 173. Claws in lower animals, 173, +175. Sensitiveness of the Skin beneath the nails, 177. + +HAIRS; their formation, 178; colour, 179; uses, 180. + +OIL-GLANDS; their uses, the odour of their secretion, 180. + +SWEAT-GLANDS, 183; their structure, _ib._ The “Pores” of the Skin, 183. +The moisture of the palm, 184. Cold Sweat, _ib._ + +FEELING and TOUCH, 185. Structure of the three parts in which they are +most acute, _ib._ The “Pulps” of the fingers connected with peculiar +shape of the bones, 186; their sensitiveness to cold, 187. Distinction +between Common Feeling and the Sense of Touch, 188. Relation between +the two in the Tongue, the Eye and the Hand, 189. The tentacle of a +Polyp a rudimentary hand, 191. Acuteness of touch in man, 193; in BLIND +persons, _ib._ + +Relation of the hand to the EYE and the MOUTH, 195. The Elephant’s +Trunk, 197. CHEIROMANCY, 198. The LOCK-JAW fallacy, 200. Cause of the +superiority of the RIGHT HAND, 201. “This unworthy hand!” 205. + +Explanation of Wood-cuts, 207. + + + + +THE HUMAN FOOT. + + +The Human Body is one of the most worthy objects of man’s study. It is +the noblest as well as the crowning work of creation. In it material +organization is carried to the greatest perfection. It surpasses, +therefore, all other physical objects in exquisiteness of construction +and in interest. How comes it, then, that most persons are so ignorant +respecting it? Men, well informed in other matters, are usually +altogether uninformed with regard to this. In every other branch of +science we find amateur students pursuing the subject with zeal and +success. Geology, Chemistry, Botany, Zoology, and even Comparative +Anatomy have each their votaries; but Human Anatomy attracts no one. +Why is this? Partly, I think, because opportunities for acquiring such +information as is suitable and interesting are not so many as they +ought to be. + +It must be confessed, also, that we teachers of Anatomy are somewhat +to blame. We are too prone, in our Lectures and Examinations, to dwell +upon bare details, without enlivening those details with the many +bright features of interest with which they are naturally invested; and +we fail, therefore, to render it so attractive a science as it might +be. The example of those able and animated teachers, John and Charles +Bell, who laboured with some success to disperse the clouds that have +ever overhung the horizon of anatomy, has been too much forgotten; and +the flame which they kindled has almost died out under the chilling +apathy of their successors. Truly glad should I be to see a change in +this. I cannot but think that if the teachers of Anatomy took higher +and more philosophical views of their science there would be no lack +of interest on the part of the students. The interest so excited would +soon spread beyond the limits of the profession; and there would thus +be opened up to the public some of the products of that rich vein of +knowledge and of that abundant material for thought which lie buried in +the human frame. + +I therefore willingly accede to your request for a Lecture upon some +part of the anatomy of the human body, relying upon the intrinsic +interest of the subject to make amends for my own deficiencies in +expounding it; and I select the HUMAN FOOT, because a few of the more +important points of its construction can be explained without much +difficulty, because it affords a good illustration of some of the +principles of animal mechanism, and because its form constitutes one of +the great characteristics whereby man is distinguished from the lower +animals. As an instrument of support and of locomotion it excels the +foot of any other animal. It evinces its excellence by enabling man to +stand upright in a way that no other animal can do; and so efficiently +does the foot accomplish this and perform the task of carrying the +body, that the hand is set at liberty to minister to the will. Thus is +the foot instrumental in giving us an advantage over other animals, +and in enabling us to provide the means of defence; and, thus, it aids +us to carry out those wondrous works which are second only to the +marvellous results of creative power. + +We are accustomed to regard the hand as the great agent by which all +this is attained, and we are apt to forget how much it is indebted +to the foot. We do not reflect that, if the foot of man presented no +distinguishing peculiarity, the hand, like the corresponding part in +other animals, would be compelled to share with it the task of carrying +the body, and could, therefore, not be devoted to the various offices +which it is now free to perform. Little right has the hand to say to +the foot, “I have no need of thee.” + + +_The principle of “division of labour.”_ + +In this concentration of locomotive power in the foot we have an +illustration of what is called the “principle of division of labour,” +a principle with which all civilized communities are familiar, and +to which we are much indebted for the present advanced state of the +arts and sciences; but which we may be said to have borrowed from +the economy of nature. We find ever-increasing manifestations of it +as we ascend in the animal series, from the lower and more simple to +the higher and more complicated forms. Indeed, just as each step in +civilization is attended with a further development of this principle, +so is each division of the animal kingdom distinguished from those +below it by the more distinct assignation of particular functions to +particular organs, and by the consequent improvement of the mode in +which the functions are performed. While, in proportion as the several +organs acquire more distinct speciality in their work, so do they +become, more and more, dependent upon one another, and, more and more, +subjected to the control of central government, which is represented by +the brain. + +For instance, some of the lower animals, as the fresh-water POLYP, +present nearly a uniform structure throughout their whole substance; +and every part of them consequently performs the same function. There +is not one organ for digestion, another for circulation, a third for +respiration, and so on; but all these functions are performed by the +same structure, and are performed, therefore, in a rude and imperfect +manner. Any portion of the creature possesses all the requisites for +its own nutrition, and is, so, independent of the remainder, and can +live alone. Hence, the polyp may be divided into a number of pieces, +each of which goes on living. Gradually, as we ascend from these lowly +beings to the higher classes of animals, we find organs and functions +more and more distinct from another; a Stomach is provided for the +work of digestion, a Heart for circulation, Lungs for respiration. +Each of these organs is essential to the existence of the others and +of every part of the body; and they are all maintained in harmonious +co-operation by the presiding influence of the nervous system. + +Or, trace one of the _functions_ in illustration of the same principle. +Take the function of Locomotion, which has an especial relation to our +present subject. In the LEECH and the WORM the whole length of the body +is occupied in the work, one part as much as another; and still, it +is but a crawl. In the FISH the whole body is buoyed up by the water; +it is flattened from side to side, and is all, from the head to the +tail, concerned in the lateral stroke by which the animal is driven +along; the side fins, which are the representatives of limbs, doing +little beyond serving to guide and balance. In the other VERTEBRATES +the work of locomotion is so far concentrated as to be assigned, almost +entirely, to the limbs. All _four_ limbs are in most of them devoted +to it; while the bones and muscles of the trunk are only indirectly +concerned in it. In MAN, however, _two_ limbs only are assigned to this +important office. In him, therefore, the concentration of locomotive +power, in other words the principle of division of labour, is carried +out to the greatest extent--a disposition which affords one of the many +proofs that the construction of his body combines with the faculties of +his mind to place him at the head of the animal kingdom. + +In making comparisons of different animals with one another, and in +speaking of the relative perfection of their several organs, we must +not forget that _every_ organ of every animal is perfect as regards the +purpose for which it was made. But some animals are said to occupy a +higher position than others, or to be superior to others, because their +mechanism is more complex, and they are, thereby, enabled to perform a +greater variety of functions. And, in the animal kingdom, in proportion +as each function rises into prominence, and becomes well and distinctly +performed, so is a special organ assigned to it, and that organ becomes +more and more highly elaborated. + +You will not misunderstand me, then, when I say that concentration +of function and perfection of structure usually go together. And, +forasmuch as in the lower limbs of man there is a greater concentration +of locomotive function than in any other part of any other animal, +you will expect to find, in them, a greater perfection of locomotive +mechanism--that is to say, a more complete combination of strength with +variety, rapidity, and extent of movement--than is elsewhere to be met +with. + +This consideration will ensure attention while I give a brief account +of the anatomy of man’s lower limb, more particularly of the foot. + + +_Structure of the Lower Limbs._ + +The weight of the trunk is transmitted to the knee (see fig. 4, +p. 15) by a single bone--the thigh-bone. This is the longest bone +in the body, measuring, on the average, nearly eighteen inches. Above, +it is jointed with the haunch-bone of the pelvis at the hip-joint. +From the knee two bones descend to the ankle. Of these one is much the +larger, and bears the chief of the weight. The other serves to give +attachment to muscles, and to strengthen the ankle-joint. It runs down +on the outer side of the ankle, forming there what is called the “outer +ankle;” and a process of the larger bone runs down, in like manner, on +the inner side, and forms the “inner ankle.” The front and inner side +of the larger bone are close under the skin. This part is called the +“_shin_,” being so named perhaps from the word “chine” or edge, because +the leg presents an edge along the front, to facilitate its cleaving +a way through the air, water, grass, or underwood. The shin itself is +not particularly tender; but the skin is a good deal exposed here, +and, as it lies so near the hard bone, it is easily injured; and, when +“broken,” it is often difficult to heal. + +In some very tall persons, and particularly in those who are so tall +as to be called GIANTS, I have found the leg or shank bones, that is, +the bones between the knee and the ankle, very long, disproportionately +long to the rest of the skeleton. They are so in the skeleton of the +Irish Giant, O’Byrne, which is preserved in the Museum of the College +of Surgeons, in another Irish Giant in the Museum of Trinity College, +Dublin, and in some other specimens which I have had an opportunity +of measuring. In the name “Long Shanks” given to Edward I., the word +“shanks” probably included the thigh as well as the leg, just as we are +in the habit of applying the word “leg” to the whole of the lower limb. + + +_Bones of the Foot._ + +[Illustration: Fig. 1.] + +There are 26 bones in the Foot. The hinder 7--called _tarsal_ +bones--are short and thick; they form the hinder part of the instep. In +front of them lie 5 _metatarsal_ bones, one passing, forwards, from the +fore part of the tarsus to each toe. Behind, these are close together, +and are connected with the tarsus. As they run forwards they diverge a +little from one another; and their anterior ends rest upon the ground, +and form the “balls” of the toes. They constitute the fore part of +the instep. The remaining 14 bones are the toes. They are arranged in +rows, like soldiers in a phalanx, three deep, and are hence called +_phalanges_. + +You observe that, although each of the other toes has 3 bones, the +great toe has only 2. In this respect, therefore, it is an imperfect, +or, rather, an incomplete member. The deficiency does not depend upon +a want of length in the great toe; for this is usually as long as the +second toe; in some persons it is a good deal longer; and it is always +distinctly longer than the outer two toes. The reason for there being +only two phalanges instead of three probably is because the great toe +is required to be stronger than any of the others; and an additional +bone would have tended to weaken it. I have, elsewhere[1], given +reasons for thinking that it is the middle phalanx which is absent in +the great toe. + + [1] _Treatise on the Human Skeleton_, p. 395. + +[Illustration: Fig. 2. + +Seal’s Foot.] + +[Illustration: Fig. 3. + +Lizard’s Foot.] + +It is a curious and interesting fact, affording a remarkable +illustration of the close adherence to a uniform plan which has been +observed in the construction of the various animals, that, in no +instance, does this toe contain more than two bones. Even in those +creatures, as the SEAL (fig. 2), in which it attains to greater +length than any of the other sprawling digits, it contains the same +number of bones as in man, its extraordinary length being attained by +an elongation of the two bones, not by the addition of a third. And in +those animals, as certain Lizards (fig. 3), where the number of +bones in the other toes is increased to 4 or even 5, the number in the +first, or inner, toe is still no more than two. The same rule applies +to the fore limb; the number of bones in the inner digit, which, in +man and monkeys, is called the “thumb,” is in no case more than two. +In some animals, as will be mentioned again, there is only one bone in +this digit, and in some the digit is wanting altogether; but in none +does it contain _more_ than _two_ bones. + +This reminds me of a still more remarkable instance of adherence to +a particular number of bones. In the mammalian group of animals the +_neck_, with only one or two exceptions, contains _seven_ bones, +neither more nor less. Whether it be the long neck of the GIRAFFE, or +the short neck of the MOUSE, the BAT, or the PORPOISE, each consists, +like the neck in MAN, of seven bones. For what reason a particular +number should be thus rigidly observed, it is not easy to say. + +Of the seven tarsal bones the uppermost (fig. 1) is called the +_astragalus_, from a supposed resemblance to a die. It is the middle +bone of the instep. Above, it is jointed with the leg-bones; behind, +it is connected with, and rests upon, the _heel-bone_, which is the +largest bone in the foot. The bone which lies immediately in front +of the astragalus, and supports it in this direction, is called the +_scaphoid_, or boat-like, bone. In front of it are three _wedge-bones_, +each of which is connected with one of the metatarsal bones of the +inner three toes. On the outer side of the wedge-bones, connected with +the metatarsals of the two small toes, and locked in between them and +the heel-bone, is the _cuboid_ bone. + +I must confine my remarks chiefly to the _human_ foot. Still the +anatomy of man derives so much interest from being studied in connexion +with that of the lower animals, and is so much more instructive when +this is done, that I cannot forbear diverging, here and there, to +make a few comparisons. Let me, for a moment, draw your attention to +a similarity, in general construction, which exists between the lower +limbs of man, and the hinder limbs of other animals. And the comparison +may be extended to the fore limbs; for however diverse may be the +appearance and the mode of action of the limbs in different animals, +whether they be terminated by hands or by feet, whether they move upon +the ground or ply in air or water, whether they be attached to the +head, as are the front fins in many fishes, or, as is more common, be +situated at the fore and hinder parts of the trunk, the same plan is +traceable in all. + +Great, indeed, is the variety of detail in nature. It is everywhere +observable. No two things, however near their resemblance, are +precisely alike. Yet, as I have before said, there is a remarkable +adherence to unity of plan. One star differs from another star in +glory, yet all appear fashioned in the same manner, and subject to +the same laws. There are almost infinite varieties in the vertebrate +kingdom. Each animal exhibits its own peculiarities; yet they are all +formed in the same manner, and are developed upon one fundamental +pattern, diverging from it in different ways according to the +requirements of each. Again, though the several parts of the same +animal differ from one another; yet in the skeleton the same bones +which exist in one part may, as a general rule, be traced in other +parts and in other animals. The bones which make up the pelvis in man +are repeated in his shoulder, and, even, in his skull; and they may be +recognised in the pelvis, in the shoulder, and in the skull, of all +other vertebrate animals, with few exceptions. They undergo, it is +true, great varieties in shape and size; but they can be shown to be +the same, or, in the language of anatomists, to be “homologous.” It is +highly interesting to the anatomist to trace the same bone through the +different parts of the same animal, and through the various animals +of the vertebrate series, and to observe the modifications which it +undergoes in order to adapt it to the multiform mechanism of the +several classes, to observe it sometimes dwindling, or even vanishing, +and then, it may be, reappearing under some new conditions. + +[Illustration: Fig. 4. + +Human Leg.] + +[Illustration: Fig. 5. + +Horse’s Leg.] + +I must, however, resist the temptation to wander into this attractive +field. It will suffice to take an illustration by a comparison of the +bones of the human lower limb with those of the hind limb of the Horse. +This may be easily done by the aid of these drawings (figs. 4 +and 5) in which the two limbs are placed side by side, and the +corresponding bones are marked with the same letters. Notwithstanding +the many points of difference the same plan will be recognised in each. +There is in each the thigh(C), the leg(E), and the foot, with the +tarsal and metatarsal(G) bones, and the phalanges(H, I, K). But in the +HORSE two of the digits (the marginal ones, that is, the great toe and +the little toe) are wanting, two are rudimentary, and the remaining +one, which corresponds with the middle toe of man, in length, size, +and strength, more than makes amends for the deficiency of the others. +The lowermost bone, or terminal phalanx, of this huge toe, called the +_coffin-bone_(K), is encased in the hoof, which corresponds with the +human nail, and is the only part of the foot that rests upon the ground. + +In MAN the whole weight of the body has to be borne upon _two_ feet; +often it is balanced upon _one_. The foot is, consequently, spread out; +and all the bones, from the heel to the tips of the toes, are made to +form the basis of support upon the ground. The HORSE, on the contrary, +having no hands, but _four_ feet, does not require so great breadth +in each foot; and the opportunity is taken to narrow the foot, and to +lengthen it so as to give fleetness. The end is attained by suppressing +some of the toes, by elongating one far beyond the others, and enduing +it with such strength as to enable it to carry the requisite weight +upon the tip of the last phalanx. The heel(F) is raised high above the +ground and becomes the “hock.” To speak of a horse _kicking with his +heels_ is, therefore, about as correct as to say, that he _breaks his +knees_. His knee, as you perceive by the position of the “knee-cap”(D), +is high up in the hind limb, near his body, quite out of harm’s way in +a fall. The fact is, that he kicks with his _toes_; and, when he falls, +he cuts the skin over the part in his _fore_ limbs, which corresponds +with the back of our _wrists_. + +In the upper segment, or thigh, the difference between the two limbs +is seen to be, to a certain extent, the reverse of what it is below. +That is to say, whereas, in the HORSE, the _toe_ is elongated and +thickened, so as greatly to exceed the corresponding part of the human +limb; in MAN the _thigh-bone_ is elongated, so as to be double the +length of that of the horse; the thigh-bone in man is also placed more +vertically, nearly in the plane of gravity of the trunk. The horse’s +thigh-bone slants forwards and outwards, which gives the muscles great +power by causing them to run more at right angles between their points +of attachment; and this arrangement increases the strength of the +animal in drawing weights, and facilitates springing. A man cannot +spring without first bending the limbs a little; whereas a horse, or a +goat, can spring, at once, from the position in which it is standing. + +To revert to the anatomy of the Human Foot. + + +_The Arch of the Foot._ + +The seven tarsal and the five metatarsal bones--that is, the twelve +bones of the instep--are arranged and jointed together so as to form +an arch from the point of the heel to the balls of the toes. This is +called the “plantar arch,” from the Latin word _planta_, the sole of +the foot. The _astragalus_ forms the summit, or key-bone, of the arch. +It receives the weight from the leg, and transmits it, through the +hinder pillar of the arch, to the heel, and, through the front pillar +of the arch, to the balls of the toes. + +[Illustration: Fig. 6.] + +The drawing represents a section, from behind forwards, of the lower +end of the leg-bone, and of the bones lying along the inner side of the +plantar arch. Behind it extends through the heel-bone, and in front +through the great toe. It exhibits the arrangement of the fibres and +plates in the interior of the bones, and shows that the greater number +of them, in each bone, follow the direction of the two pillars of the +arch; that is to say, they descend from the summit of the arch where +it supports the leg-bone, backwards and downwards, to the heel, and, +forwards and downwards, to the balls of the toes. Their arrangement +is, therefore, such as to give resisting strength to the bones in the +directions in which it is most required. + +You may think that the arch of the foot would have been a much simpler +structure, as well as stronger, if it had been composed of one bone +instead of several. But it must be remembered that it would, then, have +been liable to be cracked and broken by the sudden and violent manner +in which, during running and jumping, the weight of the body is thrown +upon it. Moreover, the several bones, where they touch one another, +are covered with a tolerably thick layer of highly elastic gristle or +cartilage (represented by the clear line left in the drawing along +the contiguous edges of the bones); and this provision, together with +the slight movements which take place between these bones, gives an +elasticity to the foot and to the step, and serves to break the jars +and shocks which are caused by the sudden contact of the foot with the +ground. + +This last is a very important point; and we find numerous contrivances +in different parts of the body to protect the brain and other +delicate organs from jars. So efficient are these contrivances, and +so exact is the adaptation of the mechanism of the limbs and the +trunk to the texture of the internal organs, that, while these are +in a healthy state, we are able to run, to jump, and to leap from a +considerable height, without inconvenience. But, if the organs be +inflamed, or if the nervous system be over sensitive, as in common +headache, the provisions, which are calculated for the normal state, +are insufficient; ordinary movements are then painful, and to jump is +intolerable. + +The muscles play a very essential part in this work. _First_, they +place the limbs in the most favourable position. Thus, when we alight +upon the ground, from a height, we always contrive to do so with the +knees and hips a little bent, so that the limbs readily yield at the +joints, and act as springs to break the jar. Elderly persons commonly +keep the limbs bent, even when walking quietly along. They do this +because they need all the benefit which position will afford to make +amends for the loss of elasticity consequent on the thinning and drying +of the cartilages, and other changes that take place in the body with +advancing years. _Secondly_, the muscles brace the limbs and joints in +the position in which they have placed them. We experience the effect +of the want of this salutary influence when we kick against an unseen +object, or fall suddenly, or receive any blow or shock for which we are +unprepared. How disagreeable, to say the least, it is to make the step +for an additional stair when we have arrived at the top of a staircase, +or, still worse, to meet with an unseen stair when we think that we +have got to the bottom. + +You perceive from the drawing (fig. 6) that there is a great +difference between the two pillars of the plantar arch. The hinder +pillar is comparatively short, and narrow, and descends suddenly, +almost in a vertical direction, from the ankle, to the ground; and it +is composed of only one bone--the heel-bone--which is jointed directly +with the astragalus: whereas the fore pillar is longer and broader, +is composed of several bones jointed together, and slopes much more +gradually to the ground. There is, therefore, far less elasticity in +the hinder part of the foot than in the fore part. Hence, when we +descend from a height upon the ground, we always alight upon the balls +of the toes, and thus gain the advantage which the several bones and +joints afford in breaking the shock. If, after going up stairs this +evening, you take the trouble to come down again, you will find that +you alight upon each stair on the balls of the toes and experience no +inconvenience, however quickly the descent is made. But, if you change +the mode of proceeding, and descend upon the heels, the feeling will +be by no means agreeable; and the various organs of the body, being +disturbed from their accustomed repose, will raise such remonstrances +against your infringement upon nature’s ways, that you will scarcely +be able to continue the experiment. Proportionately more distressing +is the sensation caused by jumping from a chair upon the heels. +Indeed, this is not done altogether without risk; and the trial of it +is scarcely to be recommended to persons who have attained to that +sober period of life at which we are willing to concede that, in some +things, nature is wiser than ourselves. Only a short time since I +saw a gentleman, who, in jumping down some steps into a back yard, +accidentally came upon his heels, and jarred one hip so severely that +he was confined to his sofa for several days in consequence. + +But, you may say, “in walking we do place the heel upon the ground +first and experience no inconvenience.” True, because the force with +which the foot descends in walking is very slight; and the weight is +directed upon the heel, obliquely, in such a manner as to bring the +toes very quickly to the ground, and really to throw nearly the whole +force in that direction. Moreover, you may observe that when we walk, +the weight of the body is partly sustained by the fore part of the +one foot till the whole of the other foot is on the ground. I will, +however, revert to the disposition of the feet in walking and running +presently. + +The arch of the foot has to bear great weight and at great +disadvantage; and there is very little in the _shape_ of the bones to +maintain its integrity. Indeed, they all fall asunder when the other +structures are removed, the key-bone dropping through of its own +weight. And the same thing may be remarked throughout the skeleton. +Wherever two or more bones move upon one another, their surfaces are +so constructed that they do not hold together without some assistance +from the soft parts. There are joints in the body which we call +“hinge-joints,” and others which we call “ball-and-socket joints;” but +in none of them is there such a holding and locking of one part in the +other as you have in the hinge and the ball-and-socket of the mechanic. +In every case the bones are held together, not by their own shape, but +by ligaments and muscles. Consequently, any one of the bones may be +dislocated from those next it without breakage; and when the muscles +and ligaments are cut through, or have been destroyed by maceration, +all the bones, between which any movement was possible during life, +separate from one another. + +Not only is this so, but in no instance are the movements of joints +_limited_ simply by the shape of the bones--that is to say, they are +never brought to a stop by a part of one bone coming into contact +with the edge of another. Such a contact would have caused a _sudden_ +check; and this would have been attended with more or less jar and with +some danger of chipping and breaking the articular edges. The range +of movement of a joint is always regulated by the ligaments or the +muscles, not, directly, by the bones; and the restraint thus imposed +upon the movements is brought to bear, not suddenly, but _gradually_; +somewhat like the effect of the “break” upon a railway-train; while the +cartilages between the bones may be compared with the “buffers” between +the carriages. + +It is chiefly by means of strong LIGAMENTS, or sinewy bands, passing +from bone to bone, that the shape of the plantar arch is maintained and +the movements of the bones upon one another are regulated and limited. +These ligaments are numerous; but I will mention only two. + +[Illustration: Fig. 7.] + +One, the _Plantar Ligament_ (A, fig. 7), of great strength, +passes from the under surface of the heel-bone, near its extremity, +forwards, to the ends of the metatarsal bones; in other words, it +extends between the lowest points of the two pillars of the arch, +girding, or holding, them in their places, and preventing their being +thrust asunder when pressure is made upon the key-bone (D); just as +the “tie-beam” of a roof resists the tendency to outward yielding of +the sides when weight is laid upon the summit. The ligament, however, +has an advantage which no tie-beam can ever possess; inasmuch as a +quantity of muscular fibres are attached along the hinder part of its +upper surface. These instantly respond to any demand that is made +upon them, being thrown into contraction directly the foot touches +the ground; and the force of their contraction is proportionate to +the degree of pressure which is made upon the foot. Thus they add a +living, self-acting, self-regulating power to the passive resistance +of the ligament. In addition to its office of binding the bones in +their places, the ligament serves the further purpose of protecting +from pressure the tender structures--the blood-vessels, nerves and +muscles--that lie above it, in the hollow of the foot, under the +shelter of the plantar arch. + +Another very strong ligament (B in the wood-cut) passes from the under +and fore part of the heel-bone (F) to the under part of the scaphoid +bone (E). It underlies and supports the round head of the astragalus, +and has to bear a great deal of the weight which is transmitted to that +bone from the leg. It does not derive the same assistance from a close +connexion with muscular fibres as the ligament just described; but it +possesses a quality, which that and most other ligaments do not have, +viz. elasticity. This is very important, for it allows the head of the +key-bone (D) to descend a little, when pressure is made upon it, and +forces it up again when the pressure is removed, and so gives very +material assistance to the other provisions for preventing jars and for +giving ease and elasticity to the step. + +A glance at the drawing will show you that here is a weak point in the +foot. The head of the key-bone receives great weight from the leg, +but is comparatively unsupported; and there is a considerable strain +upon this part when the heel is being raised in walking. Moreover, +a good deal of movement takes place between the key-bone (D) and +the scaphoid bone (E), more than between any other two bones of the +instep; and freedom in the range of movement is generally attended +with some sacrifice of strength. The strong elastic ligament comes in +therefore with peculiar advantage at this point; and it is underlaid, +and additional support is afforded exactly when it is most required, by +the tendon (b in fig. 12) of a strong muscle, the especial office +of which is to assist in raising the heel and bending the instep, and +which runs, from the back of the leg, behind the inner ankle, to the +scaphoid bone. + + +_Weak Ankle and Flat-foot._ + +In spite, however, of the thick elastic ligament and the strong +tendon just mentioned, the joint between the astragalus or key-bone and +the scaphoid bone still remains a weak point. The head of the key-bone, +from being insufficiently supported or from being overweighted, is very +apt to descend a little below its proper level; the consequence of +which is that the plantar arch is lowered and the foot is flattened; +and the more the foot is flattened the weaker it necessarily is, +because the position of the bones then becomes less and less favourable +for bearing weight, and an increasing strain is thus incurred by the +ligaments and muscles. Hence the foot and ankle feel weak; and the +weakness is especially felt when the person endeavours to raise the +heel, so as to mount upon the balls of the toes, in walking. For the +performance of that movement with ease and steadiness a well-formed +plantar arch is essential; and the person, whose feet are defective +in the manner we are considering, can never walk with a bold, firm +step. The movement in him may be better described as a shuffling from +one foot on to the other, than as a walk. To this I will recur again +when I come to speak more of walking. The defect, when slight in +degree, is commonly called “weak-ankle;” when more decided it is called +“flat-foot,” because the sole is then nearly, or quite, flat. The head +of the key-bone, under such circumstances, may even bulge downwards and +inwards, and form a prominence on the inner side of the sole, so as +to give more or less _convexity_ to the line on the inner side of the +foot, which should be _concave_. + +[Illustration: Fig. 8. Flat-foot.] + +The representation of “flat-foot” here shown was drawn from the foot of +a labouring man in this county. He said he believed the deformity was +due to his having worn thick tight shoes when he was a growing boy. He +is most likely right in his opinion; for tight or ill-fitting shoes, +cramping the feet and preventing the proper growth of the bones and the +free play of the muscles, are a common cause of this evil. This is so +especially among the agricultural class, whose feet are, from an early +period, enclosed in stiff unyielding leather cases that are enough to +mar nature’s best efforts to construct a plantar arch. + +The same drawing shows that flat-foot is not the only deformity +for which “high-lows” are answerable. Besides the almost total want +of calf, which is due to the wearer being obliged to hobble along, +whole-footed, with short feeble steps, it will be seen that the great +toe has not been allowed to assume its natural straight line, but has +been squeezed athwart the other toes, so as to be almost at a right +angle with the foot. No room at all is thus given for the second toe; +it has been driven quite out of the field, and has been obliged to hide +itself by bending down under the other toes. This is no uncommon state +of things. Frequently it is attended with the formation of a painful +bunion upon the prominent inner side of the ball of the great toe; +and, in addition, there is sometimes a corn upon the first joint of +the second toe, which is a source of so much inconvenience that I have +known many sufferers glad to get relief by parting with the toe. + +I wish I could hope that the days of high-lows are numbered, and could +believe that in the next generation they will be ranged with the things +of the past, and that our children may know these enemies to the form +of the rustic foot, only as objects to be gazed upon with feelings of +astonishment and pity, just as we regard the perukes and the stays of +our ancestors. There are, however, some practical difficulties in the +way of the fulfilment of this charitable wish. + +There are two periods of life at which FLAT-FOOT is most likely to be +engendered. _First_, in infancy, if the child be put upon its feet too +early, before the bones and ligaments are strong enough to bear the +weight of the body. Therefore mothers should not indulge their anxiety +to see their infants walk very early; the pride attendant on premature +success is liable to be followed by regret at finding that the children +never walk well. Parents and nurses should be content to let the +children crawl and roll about upon the floor, and should not encourage +them to stand upright, especially if they be rather heavy or weak +children. Children are quite sure to acquire the faculty of walking as +soon as they are well fit to exercise it. + +The _second_ period is at about fourteen. The body attains a +considerable increase of weight at this time, in consequence of the +quick growth that takes place. We often remark that lads and girls +of this age shoot up apace; and their greater weight is not always +attended with a proportionate acquisition of strength. They are apt to +be rather weak and ungainly in their movements; and the weakness often +shows itself in the foot, by a yielding of the plantar arch. Moreover, +many boys and girls are, at this age, turned out into the world to +earn a livelihood, and are obliged to be a good deal upon their feet, +and perhaps, in addition, have to carry weights. Thus errand-boys, +butchers’ and bakers’ boys, and young nursery-maids, are frequent +sufferers in this way. The constrained positions in dancing, also, +if enforced too much, or continued too long, so as to tire the feet, +sometimes lead to the same result. On the other hand, moderate exercise +of this kind is calculated to strengthen the foot and also the whole +frame, and contributes much to improve the carriage. + +This is not the place to enter into particulars of _treatment_. I +will, therefore, merely remark that the common notion of supporting +and strengthening the ankles by tight-laced boots is altogether a +mistake, and must be ranked among the most influential of the causes +which combine to spoil so many feet. It has its parallel in the idea +of strengthening the waist by stays. The notion is, in both instances, +fortified by the fact that those persons who have been accustomed to +the pressure, either upon the ankle or the waist, feel a want of it +when it is removed, and are uncomfortable without it. They forget, or +are unconscious, that the feeling of the want has been engendered by +the appliance, and that had they never resorted to the latter they +would never have experienced the former; just as dram-drinking induces +a recurrence to the stimulus by causing a sense of sinking when it is +discontinued; and, for the same reason, the opium-eater can hardly +exist without his drug. + + +_The Movements of the Foot._ + +We come now to the MOVEMENTS of the foot upon the leg; and rarely do we +contemplate anything more calculated to excite our admiration. Consider +their variety, the rapidity with which they take place, in order to +effect the requisite succession of positions in walking and running, +and to adapt the sole to the inequalities of the surface on which we +tread; and remember the great weight which has to be sustained while +these movements are going on: yet, how seldom is there a failure. + +This combination of variety of movement with security is effected by +the employment of _three_ joints, each of which plays in a direction +different from the others, while all act harmoniously together. + +_One_ of the three joints--strictly called the “ankle-joint”--is +between the leg-bones and the foot-bones, that is, between the tibia +and fibula, above, and the astragalus beneath. By means of it the foot +may be bent or straightened upon the leg; in other words, the toes may +be raised or depressed. In this movement the heel participates, being +depressed when the toes are raised, and _vice versâ_. A _second_ joint +is between the astragalus and the heel-bone. It permits the foot to +be rolled inwards or outwards upon an antero-posterior axis; so that +the sole may be turned inwards, with its inner edge upwards, or may be +turned down so as to be placed flat upon the ground. A _third_ joint is +between the first and second row of tarsal bones--that is, between the +astragalus and the heel bone, behind, and the scaphoid and cuboid bones +in front. It permits the degree of flexure of the tarsal or plantar +arch to be increased or diminished. + +Had the several movements which are requisite for easy walking all +taken place in one joint, that joint must necessarily have been very +insecure; indeed, it must have been a “ball-and-socket” joint, and we +should have been poised upon our feet in the state of what is called +“unstable equilibrium”--a state quite incompatible with security or +strength, and which would have rendered the assistance of the upper +limbs essential to either standing or walking. + +An instance of a similar kind of mechanism to this of the joints +between the foot and the leg is presented by the mode in which the +head is secured upon the back-bone. We can nod the head upwards and +downwards; we can turn it to either side in so free a manner that we +are able to command with our eyes the whole circle in which we sit +simply by the movements of the head; and we can incline the head to the +right or to the left. Any of these movements may be made very quickly; +and there is a separate joint or joints for each of them. Thus, the +_nodding_ movement takes place between the head and the first vertebra +or uppermost bone of the spine; the _turning_ of the head from side +to side takes place between the first and second vertebræ, the head +with the first vertebra rotating upon a pivot projected upwards from +the second vertebra; and the _inclination_ of the head from side to +side takes place by movements of the second vertebra upon the third, +of the third upon the fourth, and so on. The result is that, although +the movements are thus varied, they are free as well as rapid. Yet the +head is so well poised and so strongly fixed that the neck is able to +bear it all day long without fatigue; and, as though the weight of the +head, which is by no means inconsiderable, were not enough for the +neck, we are in the habit of selecting this as the part upon which to +carry burdens. One never feels so strongly impressed with the carrying +capabilities of the neck and the ankle, as when following men and women +in mountain districts toiling up and down the hills under great bundles +of hay, baskets full of bitter beer, and various things intended to +minister to the comfort and luxury of travellers and the inhabitants at +the top. So effectual, indeed, are the provisions for security that, +notwithstanding the freedom and variety of their movements, the joints +of the foot with the leg, and of the head with the spine, are, in +proportion to their size, the strongest in the body. + +I have stated the movements that take place in the three joints of +the foot with the leg in a simple manner, for the sake of avoiding +confusion. In reality, however, they are not so simple, but very +difficult to analyse and make out correctly. The difficulty is due, +partly, to the close proximity of the joints to one another, which +renders it no easy matter to distinguish the movements of one from +those of the others, and, partly, to the fact that the movements in +each joint are a little oblique. + +In the latter respect the foot-joints resemble most of the others in +the body; and it is this _obliquity_ in the movements of the joints, +added to the _curves_ and _twists_ in the shape of the bones, that +constitutes one of the chief difficulties in investigating and clearly +understanding the mechanism of the human frame. It has been said +that “Nature abhors a vacuum:” it may with equal truth be said that +she abhors a straight line. In the Human Skeleton, at any rate, all +the bones are bent and twisted, some in two or three directions; and +the surfaces by which any bone is jointed to the adjacent bones, are +invariably oblique with regard to each other. + +[Illustration: Fig. 9.] + +Take, for instance, the _tibia_, or large bone of the leg, of which +a front view and an inner side view are given in the drawings. The +tibia is a column transmitting weight from the thigh to the foot; +and in any machine of man’s construction a column fulfilling similar +purposes would be made straight and of uniform diameter throughout. +The bone, on the contrary, does not present the same thickness at any +two parts of its length. It has a distinct bend, forwards, in nearly +its whole length (fig. 10): there are lateral curves, alternating +like those in the letter S, seen along its front (fig. 9): and +the articular surface at the lower end is placed obliquely with regard +to that at its upper end, in consequence of a twist in the shaft, in +such a manner that when the hinder surface of the upper end of the bone +rests upon a board, the lower end touches the board only by its outer +corner (fig. 10). This disposition of the lower end, I may remark, +assists to give the foot a slant outwards from the heel to the toe, so +that when we stand, with the heels together, the great toes of the two +feet diverge a little from one another. + +[Illustration: Fig. 10.] + +Moreover, the surfaces by which the tibia is jointed with the +thigh-bone at the knee are arranged with a varying degree of obliquity, +so that the relation of the leg to the thigh varies somewhat in +different positions of the limb. For instance, when we stand upright, +the _thigh_ slants _in_wards from the pelvis, and the _leg_ descends +in a _vertical_ direction to the ground. While, however, the knee is +being bent the leg is carried, not in a vertical plane, but a little +obliquely, so that the lower part soon begins to slant _out_wards; and +when the knee is fully bent the obliquity of the leg and that of the +thigh correspond, and the leg is, as it were, folded up against the +thigh. The heel is thus brought up, not to the middle line of the body, +but to the hip, and we are enabled to sit with the hips upon the heels, +as the Japanese are represented doing, or with one hip upon one heel--a +position in which our riflemen are trained to take aim, and in which +their predecessors with the arrow were wont to shoot, as is shown by +the accompanying sketch of a bowman (fig. 11), taken from one of +the Æginetan marbles in the Glyptothek at Munich. + +[Illustration: Fig. 11.] + +A variety of purposes is attained by the curvilinear shape of the +bones and the obliquity in the movements of the joints. Not the least +of these is the appearance of elegance and ease which is given to the +whole frame, both when it is at rest and when it is in motion. In +order that you may fully appreciate this result, I would ask you, the +next time you are in a gallery of antique statuary, to contrast the +figures which the Egyptians have left us with those by the Greeks. In +the former you will find that straight lines and right angles prevail: +the figure sits, probably, bolt upright, with the elbows, hips, knees, +and ankles bent at right angles: the fingers commonly run straight +forwards; and a hand is often laid upon each knee, the limbs of the two +sides being quite symmetrically placed. Such statues may be imposing; +but they are stiff and unnatural. They represent positions which the +body rarely assumes; and they, certainly, are far from pleasing. Very +different is the Greek statuary. A correct representation of nature +is the great difficulty and the highest consummation of art; and the +Greeks evinced their greatness in art by a true appreciation and +close imitation of natural form. The position of their figures is +life-like; and, therefore, we love to contemplate them. The outline +in them exhibits a graceful disposition of curves and obliques; and +it is because the great sculptors of Greece were, in this and in +other respects, so true to nature that their works have commanded the +admiration, and served as models for the imitation, of all succeeding +ages. + +It is one of the master results of creation, and one of the peculiar +marks of creative genius, that _perfection_ and _beauty_ are usually +presented together. As truth is the soul of eloquence, so is perfection +the soul of beauty. The works of nature are beautiful because there is +so much excellence in them, such admirable adaptation to their purpose; +and we find the works of man beautiful only so far as they are correct +imitations of their great originals in nature, or show some approach +to nature’s excellence. And man is the most beautiful object in nature +because he is the most perfect, that is, because the purpose of his +existence is the highest, and because his physique exhibits the most +marvellous moulding to adapt it to its high purpose; because, in short, +in him the material is wrought to such a point of refinement as to be +the receptacle and minister of the immaterial. + +The movements of the three joints between the foot and the leg take +place in harmony. The following is the order observed. The raising +of the _heel_ is accompanied by a rolling of the foot _in_wards, and +by an increased _flexure_ of the plantar arch; and the raising of +the _toes_ is accompanied by a rolling of the foot _out_wards and a +_straightening_ of the sole. + + +_The Muscles of the Leg and Foot._ + +[Illustration: Fig. 12.] + +The _first_ series of the movements just described is effected, +mainly, by three muscles. Of these one (A, fig. 12) raises the +heel while the other two (B, fig. 12, and C, fig. 13) raise +and support the ankle. The muscle which acts upon the heel is one of +the largest and most powerful in the body; and well it may be, for in +raising the heel it has to raise the whole weight of the body. Its +fibres, accumulated at the middle and upper part of the leg, form the +“calf;” below they taper into a thick tendon (a) connected with the +hinder extremity of the heel-bone, and called the _Tendo Achillis_. The +name, it need scarcely be said, refers to the tale of Thetis holding +her son Achilles by this part when she dipped him in the river Styx. +Her hand prevented the part from coming in contact with the water; and +so it did not partake of the invulnerability which was conferred upon +the rest of his body by the immersion. We read, accordingly, he was +finally killed by a wound in the heel[2]. + + [2] It does not appear that the legend is based upon any peculiar + ideas of susceptibility attached to the heel among Eastern nations; + nor can the passages in Scripture, that the Serpent shall bruise + man’s heel (Genesis iii. 15); “For the greatness of thine iniquity + are thy heels made bare” (Jeremiah xiii. 22), be adduced as + indicating the existence of such an idea. There are some other myths + resembling this one of Achilles; but in them a different part of + the body missed the protecting influence. Thus, Ajax was wrapped by + Hercules in the skin of the Nemæan lion, and was, thereby, rendered + invulnerable, except at the pit of the stomach where the edges of + the skin did not quite meet; and he killed himself by running his + sword in there. In the _Niebelungenlied_, the hero, Siegfried, is + represented to have rendered himself invulnerable by smearing himself + with the blood of a dragon which he had killed. A leaf, however, + adhering to his back, prevented the contact of the fluid with one + spot. The secret was unwarily communicated by his wife Krimhild to + his enemy Hagan, who took advantage of the information to plunge his + sword into the fatal spot while Siegfried was stooping down to drink + at a rivulet. + + The lesson inculcated by these myths seems to be that all men, even + heroes, have their weak points. + +The other two muscles (B and C) also descend from the leg and terminate +in tendons (b and c) which pass, one on either side, behind the +projections (D and E) which we call respectively the inner and outer +ankle, to the inner and outer edges of the instep. They assist to raise +the ankle, and support it so as to prevent its swerving from side to +side; and they permit it to play to and fro upon them, like a pulley +upon ropes running under it, in a safe and easy manner. The inner (b, +fig. 12) of the two tendons passes, as before mentioned, beneath +the head of the key-bone, and adds greatly to the strength of the arch. +It is, moreover, the chief agent in effecting the two movements which +are associated with the elevation of the heel, viz. the turning of the +sole inward and the flexion of the foot. + +[Illustration: Fig. 13.] + +The _second_ series of movements--the raising the toes, the turning +the sole downwards, and the straightening the foot--are effected by +two muscles (F, fig. 12, and G, fig. 13), the tendons (f and +g) of which pass, one in front of the inner ankle, and the other in +front of the outer ankle, to the respective edges of the instep. These +require much less power than their opponents; and the muscles on the +front of the leg are, therefore, smaller and weaker than those behind. + +A question of practical interest here suggests itself. How is the +balance between these antagonistic muscles maintained, and the +proper position of the foot preserved? If the muscles which cause +the elevation of the heel and the other movements associated with it +are so much stronger than those which produce the opposite series of +movements, and if, as we know to be the case, muscles are always, even +when a limb is at rest, contracting with a certain amount of force, why +do not those of superior power gain and maintain the ascendancy, and +hold the limb in the position to which they have a tendency to draw it? +And why, in this instance, are not the feet kept with the heels raised +and the soles inturned and bent? The reply is, that the ill consequence +suggested is prevented, and a proper adjustment between the opponent +sets of muscles, in this and other parts of the body, is effected +through the medium of the nervous system. That system institutes +friendly relations, and compels an orderly and harmonious action of the +several muscles; and it does so by frequently exerting its influence +upon them, keeping them in drill, as it were, and enforcing the habit +of yielding in a kindly manner to one another. + +[Illustration: Fig. 14. Club-foot.] + +You have often observed, and perhaps wondered at, the almost +incessant, semi-involuntary and, seemingly, meaningless movements of +infants, especially the peculiar sprawlings out of their fingers and +toes. Now these are for the purpose of keeping the different sets +of muscles in practice and in order, till the will acquires a due +control, when they gradually cease. They are going on before birth as +well as afterwards; and when they are deficient, or when they take +place irregularly, in consequence of an imperfection in the nervous +system, the limbs are liable to become deformed. The feet, under these +circumstances, are often drawn into the very position I have just +mentioned; the sole is turned inwards and upwards, so as never to touch +the ground; the heel and the toes are approximated; and the foot rests +upon the ground on the outer side, or quite on the fore part, of the +instep. Such a condition constitutes one of the most common forms of +what is called “club foot.” Children are often born with one or both of +their feet thus distorted. Happily, however, if they be submitted in +time to the modern improved modes of treatment they may usually be set +right. The accompanying woodcut gives a sketch of the foot of a young +woman who had not the good fortune to be thus attended to. + +The muscles compose the flesh or chief part of the bulk of a limb. The +“calf” is almost entirely made up of the fibres of the “calf-muscle.” +But at the ankle there are no muscles. As they descend the leg, all +the _muscular_ fibres disappear, and there are only _tendons_. These, +though much thinner than the muscles, are very strong; and they are the +cords or ropes by which the muscles pull upon distant parts. As they +pass over the ankle they are strapped down close to the bones by means +of stout sinewy cross-bands, which prevent their starting from their +places when the muscular portions pull at them. + +Two especial advantages result from this arrangement. + +_First_, the lower part of the leg and the ankle are reduced in size. +Thereby the resistance to the passage of the limb through the air is +lessened; and when it is upon the ground, the leg is less in the way of +the other foot which is swinging, to and fro, beside it. An elegance +of shape is also thereby imparted. The “pretty ankle” owes much of its +charm to the mode in which the tendons are disposed. How comparatively +thick and clumsy would the ankle be if the tendons of the toes took the +straight course represented by the line _a_ in the drawing, instead of +being bound down, as they are, to the curve of the ankle! + +[Illustration: Fig. 15.] + +_Secondly_, the obliquity with which the tendons run to their +insertions is increased by this arrangement; and the velocity of the +movements to which they minister is increased also. True, a loss of +strength is involved in such a disposition, but the gain in velocity is +of more importance. If (to refer again to the diagram, fig. 15) +the tendon ran in a straight course from the front of the leg to the +great toe, the angle at which it joined the toe would enable it to act +with more strength; but the movements connected with it could not be so +quick as they now are. + +We find in the construction of the human frame many instances in which +strength is sacrificed to rapidity of movement in this and other ways. +Scarcely any conceivable amount of strength, for instance, would be an +adequate compensation for a loss of that celerity of movement of the +hand which enables us to strike a blow and drive a nail. No wonder, +therefore, that strength is here sacrificed to obtain celerity. And the +same principle holds good for other parts. + +The length and direction of the heel affords a good illustration of +the principle of which I am speaking. When the heel-bone runs out to +a considerable distance, and nearly straight, behind the ankle, as it +does in some of the lower animals and in the inferior races of mankind, +it presents a better leverage to the calf-muscle, which is, then, +enabled to raise the ankle with a less amount of effort; but there +is proportionately less velocity. Accordingly, in the more perfectly +formed foot, such as we find it in the higher races of mankind, the +heel-bone, instead of running out backwards, descends very obliquely, +almost vertically. + +In this instance, the loss of strength, which is thus incurred for +the purpose of acquiring celerity in movement, is usually compensated +for by the greater development of the calf-muscle. Hence the high heel +and the well-developed calf go together; and, like most of the other +features of good bodily formation, they are, on the whole, best marked +in the nations which are endued with the highest intelligence, and +which are, in this way, physically, as well as mentally, qualified +to occupy the foremost places in the human family. Thus, we may mark +a relation between the heel and the brain; and, as the comparative +anatomist is able by the inspection of a bone to trace out the skeleton +to which it belonged, so might it be possible for the human anatomist, +by observing minutely the peculiarities of the heel and the other +features of the foot in any particular race of men, to form some +estimate of the capacity and conformation of the skull, and thereby, of +the amount of intelligence. + +Contrast the foot and leg of the EUROPEAN (fig. 16), as +represented in the drawing reduced from the Farnese Hercules, with +those of the NEGRO (fig. 17), the drawing of which was taken from +a native of Sierra Leone. In the former the leg is plump and the calf +well developed; the foot is compact and well arched; the heel descends +nearly vertically; and the inner ankle stands clearly out and is raised +high above the ground. In the Negro the leg is thinner and the calf is +not so well defined; the foot is long, flat, and sprawling; the heel is +more horizontal; and the inner ankle does not show clearly, and almost +touches the ground. + +[Illustration: Fig. 16.] + +[Illustration: Fig. 17.] + +[Illustration: Fig. 18. European.] + +[Illustration: Fig. 19. Negro.] + +Contrast also the outline (fig. 19) of the foot of the same +Negro with that (fig. 18) of an Englishman. Both were traced upon +the ground, and reduced upon the same scale. The Negro was 5 ft. +2 in. in height; the Englishman was 6 ft.; both were of the +same age: yet the Negro’s foot was considerably the larger. It was 11 +inches long, 3-1/2 inches across the middle of the instep, and 10-1/2 +inches round the balls of the toes. Whereas the Englishman’s foot +was less than 10-1/2 inches long, was 2-1/2 inches across the middle +of the instep, and 9-1/2 inches round the balls of the toes. Even in +this simple outline how much less shapely is the African’s foot. Some +allowance must be made for the fact that the Negro was more accustomed +to go barefooted than the Englishman; and the pressure of the boot or +shoe has, in some degree, the effect of giving compactness to the foot. + +In the native AUSTRALIAN the leg is commonly still more lanky, there +being less calf than in the African; and in the MONKEY the heel is +quite horizontal, the sole is flat, and the muscular fibres of the +leg are continued low down, close to the ankle, instead of being +concentrated higher up; so that the leg has nearly the same thickness +from the knee to the foot, and there is no calf at all. Indeed, in +the GORILLA (see fig. at page 90) the circumference of the leg +increases towards the ankle. Thus, the calf may be regarded as the +characteristic of MAN; and a well-developed calf is a characteristic of +the higher members of the human species. The pride, therefore, which +is felt in a well-formed leg is not altogether a senseless folly, but +finds some excuse in the fact that its foundation lies deep in the laws +of physiology and ethnology. It must be confessed, that the fashion +which, in the last century, dictated the knee-breeches, the silk +stocking, and the shoe, evinced a truer appreciation of the dignity and +beauty of the human figure than do the modern investments, which quite +cover up the limbs, encumbering their movements and hiding the beauty +of the leg and ankle. + +In the addition of the _high heel_ to the shoe we recognise an effort +to improve upon the original, by exaggerating one of the peculiar +features of the human foot; but it results in a failure, as is +invariably the case with such strainings after a greater perfection +than nature has given. It increases the apparent height of the person +and of the arch of the instep; but it throws the weight too forward +upon the toes, and detracts from the length and security of the step. +Moreover, by causing disuse of the elevators of the heel, it interferes +with the full growth of the calf. + +[Illustration: Fig. 20. Chinese.] + +This is, however, a harmless piece of vanity in comparison with the +monstrous efforts of the Chinese to mould the foot to their ideal by +squeezing the heel and the toes together. They effect this to such +a degree that (fig. 20) the heel-bone descends vertically from +the ankle, the plantar arch is bent to an acute angle, and the foot +is so crumpled up that all movement in it is effectually prevented, +and the part is reduced almost to a mere stump. These observant and +ingenious people have caught, it may be, the idea that compactness, +elevation of instep, and sudden descent of heel are characteristics +of the well-formed foot, and may urge that they are helping nature +to perfection in the direction which she has herself indicated. But +in their silly attempt at the preternatural, in this impious use, as +it were, of fire stolen from heaven, they simply burn and cripple +themselves, and render themselves ridiculous, and give to all other +nations the much needed lesson that it is enough for man to follow as a +humble imitator of his Maker’s works, and that his attempts to alter, +or improve upon, any part of the wondrous design of creation will +assuredly have the effect of spoiling and defacing it[3]. + + [3] It is a remarkable statement by a correspondent in _The Times_, + Jan. 14th, 1861, that in the pillage of the Summer Palace of + the Emperor of Pekin “all the ladies of the Court must have had + natural-sized feet, all the slippers found in their rooms being + large; not a single cramped-footed shoe was seen.” + +It seems that the several races of mankind are usually rather proud +of their peculiarities, and that each has an inclination to make much +of, and artificially exaggerate, the points in which it differs from +the others. Thus the Chinese are remarkable for the spareness of their +hair and the smallness of their feet; so the men shave their heads, +leaving only the pig-tail, and the women squeeze up their feet in the +remorseless manner we have seen. The Singhalese, who are flat-footed, +are said to consider it one of the requisites for a ‘belle’ that the +soles of her feet should not have any hollow. The red Indians of +America delight in staining and painting their skins of a lively red +colour. The Columbian tribe of Indians increase the natural lowness of +their forehead by flattening it out in infancy, and succeed in bringing +about a deformation of the skull almost as remarkable in its way as is +the effect of Chinese cramping upon the foot. These people also take +pains to reduce the small quantity of hair upon their eyebrows, lips, +and chin, by plucking it out. + + +_Joints of the Metatarsus with the Tarsus._ + +[Illustration: + + Figs. 25 24. 23. 22. 21.] + +I will briefly draw your attention to one other point in the anatomy +of the foot; and that is, the mode in which the “metatarsal” bones +are jointed with the “tarsal.” If you take hold of the ends of the +metatarsal bones--in other words the “balls”--of the great toe and of +the two toes next to it, in your own foot, you will find that you can +move them scarcely at all; they are firmly set upon the rest of the +foot, almost as though they formed one piece with it. If you then try +the end of the metatarsal bone of the fourth toe you will be able to +move it a little upwards and downwards; and in the case of the little +toe the movement is still more distinct. This difference depends upon +the mode of construction of the joints of the metatarsal bones with +the tarsal, which is easily understood by the aid of the accompanying +drawings, representing sections, from above downwards, through these +joints. In 21, 22, and 23, which are the tarso-metatarsal joints of +the great toe and the two next it, the opposed surfaces of the bones +between _c_, _c_, are quite flat, so that the only movement that can +take place is a slight sliding of one bone upon the other, just enough +to assist in breaking the jar, but not enough to interfere with the +firm basis of support which these toes are required to afford to the +plantar arch in consequence of the great stress of the weight in +walking being borne upon this side of the foot. In No. 24, which is the +joint of the ring toe, and still more in No. 25, which is the joint +of the little toe, the end of the metatarsal bone (A) is rounded and +is received into a corresponding concavity or cup in the tarsal bone +(B). This allows a slight revolving of one bone upon the other to take +place, and permits the movement which you discover when you grasp the +balls of these two toes between your fingers. The outer part of the +foot needs not to be so strong and firm as the inner part, because it +does not lie so nearly in the plane of gravity during walking; and the +provision just described, which permits some movement in the outer +two metatarsals, enables the balls of the toes to adapt themselves to +inequalities on the ground, and to share more equally, under various +circumstances, the weight which is thrown upon them. + + +_Standing and Stooping._ + +[Illustration: Figs. 26. Standing. + +27. Bowing. + +28. Stooping. + +29. Squatting.] + +When we STAND straight upright (fig. 26) the centre of gravity of +the head is directly over a point midway between the two ankles; and +the plane of gravity, represented by the vertical line in the figure, +descends, from the head, through the spine, pelvis, and lower limbs, +to the key-bone of the instep. And you observe that, between the head +and the ankle, the skeleton is not quite straight, but is arranged in +six curves, which are, alternately, in front of and behind the line +of gravity. Of these curves the upper three are in the spine. They +are well marked; the uppermost (_a_) is in the neck and is directed +forwards; the next (_b_) is in the back and is directed backwards; +the third (_c_) is in the loins and is directed forwards. The fourth +curve (_d_), less distinct than those above it, is in the pelvis and +is directed backwards. The fifth and sixth curves are very slight; the +fifth (_e_), directed forwards, is at the hip-joint; and the sixth, +(_f_), directed backwards, is at the knee. The last two curves, though +slight, are not unimportant; and they contribute very much to our +comfort and to prevent fatigue when we are standing: they do so in the +following way. The strong ligaments of the hip are placed towards the +_fore_ part of the joint, that is, in _front_ of the line of gravity; +and the strong ligaments of the knee are placed towards the _back_ +part of the joint, that is, _behind_ the line of gravity. It follows +that when these joints are fully extended they are “locked,” as it is +termed, just as is a hinge when opened to a little beyond the straight +line; and, by this means, the muscles are set at rest, and we are able +to maintain the erect posture, for some time, steadily and without +fatigue. + +When standing upright in this way, at rest on both legs, or on one leg +in the military position of “at ease,” and the muscles are off their +guard, if a sudden and unexpected, though slight, pressure be made upon +the ham, so as to bend the knee a little and throw the joint in front +of the line of gravity, the man will drop, unless the muscles come +quickly to the rescue--a tendency which has not escaped the observation +of school-boys. + +In BENDING or BOWING (fig. 27) the head is carried forwards; and, +to maintain the balance, the opposite pole of the trunk is carried +backwards, so as to preserve the line of gravity still over the ankles. + +In STOOPING (fig. 28) or SQUATTING (fig. 29), as in picking +up any thing from the ground, the lower limbs and the trunk are bent in +a zigzag manner; the heels are raised; and the plane of gravity falls, +in front of the ankles, over the balls of the toes. Now we recognise +one of the advantages which accrues to man from the great length of his +thigh. For the head and upper part of the trunk are advanced so far in +_front_ of the feet, that it would be impossible to maintain a balance +at all, even upon the balls of the toes, and we should necessarily fall +forwards, were it not that, owing to the length of the thigh, the lower +part of the trunk is carried backwards to a plane _behind_ the heels, +and so serves to maintain the equilibrium. + + +_Walking._ + +[Illustration: + + Figs. 30. 31. 32. + +Walking.] + +[Illustration: + + Figs. 33. 34. 35. + +Walking.] + +Let us next consider the part which the foot performs in WALKING. +To understand this it is necessary to consider its positions and +movements in the several stages of a step. When first placed upon the +ground the foot (R, fig. 30) is a little in advance of the body; +and the heel comes first (fig. 33) into contact with the ground. +The toes quickly follow; and the body, then, passes, vertically, over, +the ankle and the key-bone of the instep. The foot (R, fig. 31 +and fig. 34) now rests steadily upon the heel and the balls of +the toes; the other foot (L) leaves the ground, so that the whole +weight is borne by one foot; and the plantar arch of that foot expands +a little, so as to cause slight lengthening of the foot, under the +weight that is laid upon it. Much yielding of the arch is, however, +prevented by the ligaments that brace the arch (fig. 7), and by +the muscles that are disposed beneath it. Next, the heel (fig. 35) +is raised by the action of the calf muscle, and the weight of the body +is thrown forwards, over the balls of the toes, while the other foot +(L, fig. 32) is carried onwards, and is placed upon the ground +ready to receive the weight and commence its carrying work. When this +has been done the foot is withdrawn from the ground; and, in the +withdrawal, a final impulse onward is given, so as to throw the weight +of the body fairly over to the other foot. The fore part of the foot +is then raised, and the knee is bent a little. By these means the toes +are kept clear of the ground, while the foot is swung forward, beside +the other, so as to be ready again to rest upon the ground and bear the +weight of the body. + +In each complete step, therefore, there is a period during which the +foot rests upon the ground, and a period in which it is swinging in +the air. In walking the former period is considerably longer than +the latter; and at the commencement, and at the end, of that period +(figs. 30 and 32) the other foot is also upon the ground, so that +it is only during the middle of the time (fig. 31) in which the +foot rests upon the ground that it has to bear the whole weight of the +body. + + +_Running._ + +In RUNNING the process is much the same as in walking. The chief +difference is that, whereas in walking _both_ feet are never _off_ +the ground at the same time, and both are _upon_ the ground at the +beginning and end of each step; in running _both_ feet are never _on_ +the ground at the same time, and both are _off_ the ground, and the +body is flying unsupported through the air, at the beginning and end +of each step (figs. 36 and 38). Thus, you may always distinguish +running, though it be ever so slow, from walking, because, in the +latter, the two feet are upon the ground at the same time; while, in +the former, only one foot touches the ground at a time. + +[Illustration: + + Figs. 36. 37. 38. + +Running.] + +The period during which the body rests upon the ground in running is +comparatively very short, being merely the time when one foot is set +down in the middle of each step (fig. 37); and great force has, +consequently, to be exerted to propel the body through the air during +the whole remainder of the step. Hence the exertion of running is much +greater than that of walking. In slow running the same parts of the +foot are applied upon the ground as in walking, and in the same order; +but in quick running the balls of the toes only touch the ground. The +quicker we run the shorter, relatively to the rest of the step, is the +time during which the foot rests upon the ground, and the greater, +consequently, is the effort. + +After the foot leaves the ground, in running, it is thrown up behind; +and, at the same time, the fore part of the sole and the toes are +turned a little obliquely _in_wards, so as to prevent their catching +against adjacent objects. If the toes were turned _out_, when thrown +up behind, it would present a very awkward appearance, and we should +frequently be tripped up by their coming in contact with substances +near which we pass. While the foot is being swung forwards the toes +are gradually turned a little the other way. Thus, by the time they +pass the other leg the toes have lost the inclination inwards, and are +directed straight _for_wards; and when the foot has reached a point in +advance of the other leg, and the sole is preparing to present itself +to the ground, the toes are turned a little _out_wards. This turning of +the foot _in_wards and _out_wards during its movement _back_wards and +_for_wards, in each step, is a graceful movement, and may be compared +to the “feathering” of an oar. It takes place, also, in walking, but +is less marked than in running; and in many persons it can scarcely be +discerned during walking. + +The distinction between the paces of other animals resembles that +between the walking and the running of man, and is equally definite. +Take, for instance, the WALKING, TROTTING, and GALLOPING of the Horse. +In WALKING the fore and the hind limbs of the _same_ side are moved +together, or nearly together, but they do not leave the ground till the +limbs of the opposite side are placed upon it; so that at one period +all four limbs are upon the ground together. In TROTTING the fore and +the hind limbs of _opposite_ sides move together; but, as in walking, +neither of them are withdrawn from the ground till the opposite one has +reached it[4]. + + [4] In WALKING the hind leg moves first, then the fore leg of the + same side; and both reach the ground before the hind leg of the + opposite side is raised. So that at one time there are three feet on + the ground, at another two, but never less than two. + + In TROTTING, especially quick trotting, one foot is raised at the + same instant that the opposite one is put down. This renders it + difficult to make out the sequence of the movements. + +In GALLOPING, or CANTERING, the horse springs or bounds with all four +limbs at the same time; all the feet are thrown up nearly together; +all are off the ground together; and all reach the ground again nearly +at the same time ready for another spring. I say that the feet are +all thrown up _nearly_, and not _quite_, together, because the fore +and the hind limbs of one side take the precedence a little of the +others, or “lead,” as it is called. The trained horse is taught to +lead, habitually, with one, usually the right, side, because the motion +is more steady when the horse is accustomed to gallop in one way than +if he be allowed to vary it. Directly the horse begins to gallop, the +rider knows, by the motion, whether he is leading with the proper +leg. In some animals, as the DEER, the two fore and the two hind feet +move together exactly in galloping. Anthony Trollope tells us that in +Panama, Cuba, and other Spanish countries in the West, the horses are +“taught to pace, that is, move with the two off legs together, and then +with the two near legs. The motion is exceedingly gentle, and well +fitted for those hot climates, in which the rougher work of trotting +would be almost too much for the energies of debilitated mankind.” This +_pacing_ is probably only a quick walk. + +When we walk the heels follow one another nearly in a straight line, +as is shewn by “walking a chalk,” or more readily by walking along the +line between the curb and the flagstone pavement; and the plane of +gravity of the body corresponds with this line. There ought, therefore, +to be no perceptible _swerving_ of the trunk from side to side in +walking. There should, also, be scarcely any _rising_ or _falling_; +inasmuch as there are provisions in the mode of bending the limbs +(which I cannot here discuss) to prevent the body from being moved up +and down during the step. The head and shoulders should be carried +along nearly in a straight line. If it were otherwise, if they were +moved in a zigzag or undulating manner, from right to left, or up and +down, the space traversed in a given distance would be much increased, +and there would be a proportionately greater expenditure of muscular +force. By a beautiful combination of movements this is prevented, and +a rectilinear course is maintained, while the weight of the body is +transferred from foot to foot, in a succession of steps. + +Only observe a good walker for a minute or two, and you will see +how straight the head is carried along; and when your eye falls upon +a person who “rolls in his walk” you perceive how ungainly are his +movements, and you have an instinctive feeling that he is an awkward +fellow. Whether you are disposed to make an exception in favour of the +British tar, in consequence of his many other good qualities, I must +leave you to judge. His peculiar gait on shore is probably due to his +not being sufficiently practised in straight walking to counteract the +effect of the lounging manner and general disregard for appearances +which he acquires on board ship. Whatever the reason may be, though he +has the better of us in a storm at sea, he certainly does not always +appear to advantage on _terra firma_. Now that a general improvement +in gait and step may be expected among landsmen, as a result of the +volunteer movement, it becomes still more desirable that the sailor +should participate in the good influences of the drill. + +Although the heels follow one another in a line the toes diverge a +little from the line, because the foot slants, as I have just said, +somewhat _out_wards when it is placed upon the ground. It results from +this position of the foot that the weight of the body descends upon it +with a slight obliquity, _in_wards as well as forwards; and that is +precisely the direction in which the foot is best prepared to receive +weight. For, when the foot rests upon the ground in this position +all the ligaments on the inner side (and they are very strong) as +well as those beneath, are on the stretch; and the joints, with the +exception of the ankle-joint, are as it were locked, so as to afford +a secure, steady basis of support to the leg. When the weight of the +body descends upon the foot in the direction mentioned a sprain rarely +occurs. It is when the weight falls in the opposite direction, that is, +more or less obliquely _out_wards, and throws the ankle out, that a +sprain easily happens. Thus a slight inequality of the ground, or any +other cause that tilts up the inner edge of the foot, is likely to lead +to a sprain, especially when we are going down hill or down steps. + +Here let me remark that a SPRAIN is the result of a stretching of +some ligament, or other part, caused by an undue force being brought +to bear upon it. The ligaments are very strong, and under ordinary +circumstances are not very sensitive; and they are capable of offering +great resistance to force applied in the direction in which they are +calculated to meet it. But, if the force be applied in a direction in +which they are not calculated to meet it, they are easily injured, and +they become, then, very painful. The same is, also, likely to occur if +the force be severe or sudden. + +The muscles are a very great assistance to the ligaments, forasmuch +as, by placing and retaining the joints in proper positions, they +regulate the direction in which forces are brought to bear upon +the ligaments. Moreover, by steadying or bracing the joints, they +check or break the force and prevent its being suddenly imposed +upon the ligaments. And the muscles, by virtue of their contractile +property, have the capability of becoming tight in any position of +the joint, which is an immense advantage; whereas a ligament having +no contractility and, usually, no elasticity, is tight only in one +position. The office of a ligament is to limit the movement of a joint +in a particular direction; and, till the joint has assumed a certain +position--till it is bent or straightened to a certain angle--the +ligament does not come into play. During the bending or straightening +of a limb the muscles regulate the movement, and bring it to a stop or +check it before it has gone to its full extent; and, thus, the ligament +is relieved from that sudden imposition of force which would result if +it were required to check the movement of a joint in its full swing. + +Accordingly, when the muscles are prepared and in proper action, that +is, when they place the joint in a suitable position and duly support +or brace it, a sprain very rarely occurs. It is when the muscles are +unprepared, when we make a false step, or when the foot encounters an +unexpected obstacle, and the weight falls suddenly upon the ligaments +in an unfavourable direction, that a sprain occurs. A man jumps from a +considerable height, or descends deep steps with a heavy weight upon +his back, and no harm results; but he slips off the curb-stone, or +treads unwarily upon a piece of orange-peel, or turns his foot hastily, +to avoid some object on the ground, and sprains his ankle. + +In order that they may do their work well, be alert, and maintain good +guard, the muscles need to be kept in practice. A person unaccustomed +to throw a ball is very liable to sprain his elbow with the sudden +jerk which is required for that feat; or if a person takes to tumbling +and jumping, without proper training, he will probably suffer for his +temerity. Again, common experience tells us that a joint which has been +sprained is, for a long time, liable to be sprained again. This is +because the part remains tender as well as weak; and the muscles do not +brace it steadily and firmly, or come nimbly to its aid when it is in +danger. + +In consequence of the foot, in walking, being placed upon the ground +with the toes slanting a little outwards, the _out_er and hinder edge +of the heel first touches the ground. Hence this part of the heel of +the shoe is usually worn down before the remainder. The ball of the +little toe next comes to the ground, and the balls of the other toes +follow in quick succession; and it is from the great toe--that is, from +the inner side of the foot--that the last impulse is given to propel +the body, forwards, over the other foot. In order to give full effect +to this final impulse an especial muscle, the “Long Fibular” muscle (I +in fig. 13), is provided. The tendon (i) of this muscle passes, +behind the outer ankle, beneath the sole of the foot, to the great +toe. It has the effect of pressing the ball of the great toe upon the +ground, while it raises the outer ankle, and so contributes to throw +the weight, across, in the direction of the other foot. + +Thus the foot revolves upon the ground, from the heel to the balls of +the toes, and from the outer edge of the former to the inner edge of +the latter; and during the revolution, which has been compared, though +the comparison fails in many points, to the revolving of the segment of +a wheel, the ankle is raised and advanced forwards. + +On the complete and steady execution of this movement good walking +chiefly depends, more particularly upon the full performance of the +last stage of the process, viz. the rising fairly upon the balls of +the toes and delivering the weight steadily over to the other foot. +This is the most difficult part of the process, the whole weight of +the body during its execution being borne upon the fore part of the +foot, that is, upon the longer pillar of the plantar arch; forasmuch +as the heel is being raised and the other foot is off the ground. For +the good performance of this part of the process, all the features of +the well-made foot are essential. There must be a high and firm plantar +arch, a heel set at a proper angle, and a strong great toe running +straight forwards. There must be also a fully developed calf to set the +machinery well in motion. + +If the plantar arch be low it cannot bear the strain attendant +upon this movement; and the person, in consequence, shirks the full +performance of it. He does that by turning the toes too much out; and, +then, he contrives to roll over the inner side of the foot, instead of +rising upon the balls of the toes; and so he gets along with short, +shuffling, feeble steps. How many persons, owing to one cause or other, +hobble in this way! Some turn the toes very much in, and rise over the +ball of the little toe, instead of over the great toe. This is done +with comparative ease, because the ball of the little toe is nearer to +the ankle; but the step is, thereby, shortened, as well as rendered +less firm and less graceful. + +The revolving movement of the foot, or the bringing of its several +parts into contact with the ground in succession, in a distinct manner, +is peculiar to man. Many animals do not bear upon the heel at all; they +only tread upon the toes, and are, therefore, called DIGITIGRADE. Some, +indeed, bear only upon the tips of the toes, as the Horse (fig. 5, +p. 15). Others go upon the balls of the toes, as the Cat, the +Hare, the Pig, and the Dog. Some animals bear upon the heels as well as +the toes, and are called PLANTIGRADE, as the Bear, the Badger, and the +Monkey; but these all flop the sole upon the ground in its whole length +at once. The foot in them is not sufficiently compact and strong to +bear the weight of the body first upon one part then upon another; and +they, consequently, walk in an ungainly manner, as compared with man. + + +_Character evinced by manner of Walking._ + +Bear in mind that for the firm vigorous walk there is required, not +only the well-formed limb, but also the manly and determined WILL, +acting in a decided and authoritative manner over the several members +of the body, so that these are accustomed readily, and steadily, to +obey its commands; just as the soldiers of a well-drilled regiment obey +the directions of the superior officer in an orderly and efficient +manner. And, as you may judge of the character of the officer by the +discipline of his men, so may you form an estimate of a man by the +movements of his limbs. You see a man walk along the street, and you +instinctively form an opinion of him by the mode in which he carries +himself and treads the ground. Be careful not to allow yourselves to +be inflexibly biassed by these first impressions, as that amounts to +prejudice. Nevertheless, experience tells us that they are not to be +altogether despised. They originate in a perception of the working of +the great laws by which body and mind are harmonized; and, if fairly +estimated, they rarely deceive us. + +We have little difficulty in recognising three chief classes among +pedestrians. _First_, there are those who pay too much attention to +the movements, who walk with a pompous strut, or a mincing gait, or +affect some style or other. We are naturally very little inclined in +favour of such persons; indeed, we have usually to make an effort not +to be decidedly prejudiced against them. _Secondly_, there are those +who pay too little attention to their movements, who do not seem to be +sufficiently alive to the responsibility attaching to the possessors of +so noble a structure as the human frame, and who do not give themselves +the trouble to exert the powers of the glorious mechanism with which +they are charged. They slouch, or dawdle, along in a listless lazy +manner. Instinct tells us, and tells us rightly, to beware how we +trust such persons with the conduct of our affairs, or with any office +of responsibility. We feel that the lack of energy manifested in the +guidance of their limbs is, too probably, a feature of character, +which unfits them for the active duties of life; and we know that such +men are not usually successful in their calling. _Thirdly_, there are +those who shew, by the firmness and precision of their step, and by +the regularity in the succession of the movements by which the step +is made, that they are conscious of the dignity of their species, of +the responsibility attendant on that dignity, and of the respect due +to themselves. Such men we feel are likely to pursue their avocations +energetically and methodically, as well as with punctuality. + +Many points of character peep out in the way men walk. Our poet tells +us that in one we may read + + “rascal in the motions of his back + And scoundrel in his supple sliding knee.” + +Another has a halting, shuffling, undecided gait; while a third walks +in a bold, determined, straight-forward, erect and independent manner. +One has a cautious, parsimonious step, as if sparing of shoe-leather, +or afraid to trust the ground; he has, however, probably, trusted the +funds with considerable investments. Some walk with long, pretentious, +measured strides; others make short, quick, insignificant steps. Some, +again, are hurried, fussy, noisy; while others glide along in a quiet, +shrinking, unpretending, it may be timid, manner. + +I need not dilate upon these diversities. Your own observation will +supply abundant illustrations of the correspondence between character +and manner of walking. + +The several movements in walking are under the control of the WILL, +and are directed by it, to such an extent that the continuous agency +of the will is essential to the process. If the influence of the will +be suspended, but for a moment, the action ceases, and the man falls +to the ground. Nevertheless, the play of the individual muscles, and +their co-ordination, or the manner in which their several movements +are combined, are, in a great measure, independent of the will. +They are, to a certain extent, automatic, and result from peculiar +relations between the nervous and the muscular systems. The will may +be compared to the driver of an engine, who, by turning on the steam, +and maintaining the supply, sets the machine in motion, and regulates +the rate of its speed; but the several wheels are so arranged that they +go on irrespectively of his immediate superintendence. It would be +impossible for the engine-man to attend to the working of each detail +of his machine; and it would be too much for the will to have to direct +all the movements of the limbs in walking. We should be wearied with +such an effort of attention before we had walked across a room; for the +exercise of the will is exhausting, and soon engenders fatigue. The +more we think of any movement and take pains to direct it, the sooner +we are tired and unable to continue it; and the more the attention is +diverted, the less quickly do we experience a feeling of exhaustion; +while those movements in the body which are not at all under the +influence of the will--the movements of the heart for instance--go on +unceasingly, through a long life, without any sense of weariness. What +so prevents fatigue, when we are walking, as the diverting conversation +of an agreeable companion? + +But though the combination of the movements in walking is, to a +certain extent, automatic, it is not complete without the proper +control of the will. This is proved by the gait of those unfortunate +beings in whom the mind, and with it commonly the will, is deficient +from birth--I mean IDIOTS. Their movements are, usually, more or less, +irregular and unharmonious, jerky, without proper steadiness and +rhythm; the head is tossed about; the eye looks one way; the fingers +are sprawled out in another direction; the foot is jerked out at a +hazard, as it were, so that you don’t know when it will reach the +ground, perhaps it kicks against the other foot. A sad spectacle this. +The visit to an Idiot Asylum fills one, it is true, with a sense of the +value of an institution where these poor members of the human family +are kept out of harm’s way, and away from the gibes of the village +boys, and are made clean, and tidy, and taught so far as they are +capable of instruction; but I know no sadder sight than is presented +by a string of the inmates of such an asylum, guided from room to room +by the foremost of the number, who shews by his walk, somewhat more +steady than that of the others, that he is gifted with rather more +intelligence than they, and is so fitted to be their guide. + +An equally melancholy, an even more distressing, spectacle is that +of criminals pacing, like animals in their dens, up and down the +court-yard of their prison; for in them we know, that there is no +deficiency of will. It is strong enough to control and regulate +the movements of their limbs; but there is a still more important +deficiency, viz. a deficiency of that moral sense which should control +the will. + +Another sad, but physiologically interesting, sight is the rolling +walk of the drunkard. Here, again, the will is not deficient; but it +is, partly, and by its own agency, dethroned. Enough of the will is +left to set the machine going, not enough to guide it and control it +well. Though the movements follow one another, for the most part, in +proper sequence, they are uncertain and ill-directed. The balancing +power is partly lost. The feet are dragged hither and thither, and +thrown about, by the swerving weight of the body; and they follow +one another upon the ground at uncertain intervals, and in any but a +straight line. You watch a man in this state staggering from side to +side, and wonder how he keeps his legs at all. Soon the foot catches +against some slight obstacle or against the other leg, or fails to +come quickly enough into the required place, and the man rolls over. +The supple manner in which his unstrung limbs give under the weight, +perhaps, saves him, to some extent, from the shock; but you must +not imagine that drunkards have any charm against injury. A large +proportion of the accidents admitted into our Hospitals are the result +of drunkenness. + + +_Distinctive Features of the Human Foot._ + +I have already made a few comparisons between the human foot and that +of certain of the lower animals. It will be interesting to add some +others. + +There are several animals, as the Monkey, the Bear, and some Reptiles, +in which the foot resembles the human foot in many particulars. It has, +for instance, the same number of toes as the human foot, and the same, +or nearly the same, number of bones, and the latter disposed in much +the same manner. Certain peculiarities, however, distinguish the human +foot. These all have reference to the power which man, and man alone, +possesses of standing firmly upright, and of walking steadily, upon the +two feet. + +The following are the most important of these distinctive features. + +_First._ The several parts are fitted and bound together in a compact +firm manner, so as to combine strength and elasticity in the highest +degree. In this respect the human foot contrasts very remarkably +with the sprawling foot of the Seal or Lizard (figs. 2 and 3, +p. 11). The result is obtained, partly, by the great size of the +tarsal bones, in proportion to the other components of the foot, and, +partly, by the formation of the “Plantar Arch,” which is higher and +stronger in man than in any of the lower animals. + +_Secondly._ The TOES are short and small in relation to the other parts +of the foot. In many animals, the Monkey for instance (fig. 44, +p. 89), the toes form the greater part of the foot; and, in some, +the bones of the instep are reduced in number as well as in size: the +reason being that, in such animals, the toes are required to perform a +variety of offices--burrowing in the ground, scratching, holding on to +the branches of trees, catching and tearing prey, &c.--for which their +services are not needed by man. + +It may here be noticed that one of the great points of dissimilarity +between the foot and the hand consists in the difference which the +length of the digits bears to the other components in the two members. +They form nearly _half_ the length of the hand, but not more than a +_tenth_ of that of the foot. Clearly, therefore, they constitute a far +less important segment of the lower limb than they do of the upper, +and are intended to perform much less important functions in it. In +the hand the fingers and thumb may be said to constitute the essential +part; whereas the toes do little more than help the foot to adapt +itself to inequalities of the ground and so to obtain a firmer holding. +In civilized countries, accordingly, where we walk, chiefly, upon even +paths and paved streets, very little evil results from the loss of the +services of the toes which is incurred by covering over the foot to +protect it against the hardness of the roads. + +We often hear the toes spoken of as ill-treated members, which are +not allowed fair play because the art of man keeps them in a state +of inertness and deprives them of their natural functions. Anatomy, +too, gives some countenance to the idea, inasmuch as it shews that +the muscles which minister to the toes are as numerous as those which +are concerned in moving the fingers; and we occasionally see persons, +who, having been born without hands, or having lost them, contrive to +write and paint and do other unusual offices with their toes. Watch +the movements in an infant’s foot as yet unshod. They are considerably +more free than in your own; especially you will observe that there is +a power of separating the great toe from the others and approximating +it to them which you have, probably, altogether lost. The small size, +however, of the toes, and the comparative fixedness of the inner, or +great toe, prove, that they were never intended for anything like the +same variety of purposes as the fingers, and shew that, under the most +favourable circumstances, the _pes_ could never be _altera manus_, as +some would persuade us that it is. Certainly it was never intended to +be an organ of prehension. Hence, although in practice, boot-makers may +excite our wrath and deserve our condemnation, I don’t think that, in +principle, they are so much to be complained of. + +The _third_ striking peculiarity of the human foot is the size of the +inner or GREAT TOE and the firm manner in which its metatarsal bone is +joined to the other bones, so as to render it a main pillar of support +to the foot. These features of the great toe have reference to the +share of the weight of the body which is borne by the inner side of the +foot, more particularly during the last stage of the step, when the +body is propelled forwards over the other foot. Hence it is sometimes +called the “hallux,” from a Greek word (ἅλ-λομαι) signifying to bound +or spring. The _mobility_ of the _thumb_, enabling it to be opposed so +easily to each of the other fingers, is a characteristic of the human +_hand_; and the _solidity_ of the _great toe_ is equally, or even more, +characteristic of the human _foot_. The great toe should be continued, +from the instep, straight along the inner edge of the _foot_, or +inclined a little _in_wards; often, as before mentioned, its phalanges +become inclined _out_wards so as to interfere with the other toes[5]. + + [5] In ancient times warriors were wont to cut off the _great toes_ + as well as the _thumbs_ of their captives to disable them for further + service (Judges i. 6, 7). + +Though, in many animals the number of the toes is the same as in man, +this is not the case in all; and we may trace a gradual and progressive +diminution of the number, in the following order. + +[Illustration: Figs. 39. Elephant. + +40. Hippopotamus. + +41. Rhinoceros. + +42. Ox. + +43. Horse.] + +I have said (page 10) that the inner toe is incomplete in all +animals, forasmuch as, in none, does it possess the same complement +of bones as do the other toes. You will not be surprised to find, +therefore, that it is the first to be missing. The ELEPHANT goes upon +_five_ toes; but if you look closely you will perceive that the inner +toe (fig. 39, I.) has not attained even its usual incomplete +number of bones. It is short of one; and the inner wedge-bone, which +looks like a metacarpal bone, is prolonged, downwards, to supply the +place, and to give sufficient length to the toe. The same thing may be +seen in some other animals, and it is interesting as shewing the first +indication of departure from what may be called the standard number of +the phalanges. In the HIPPOPOTAMUS (fig. 40) we have an additional +stage of imperfection in this same toe; for here there is only one +small bone to remind us of the existence of the toe (it is the same in +the Rhinoceros, I.); all the rest have failed to be developed; and the +animal, consequently, goes upon _four_ toes. Next the failure appears +on the _out_er side of the foot, and affects the little toe. Thus, the +RHINOCEROS (fig. 41) goes upon _three_ toes--namely, Nos. II. III. +and IV.--and there is scarcely a trace either of the first toe or of +the fifth. In Ruminating animals, as the OX (fig. 42), the second +toe is wanting, as well as the first and the fifth; so that the foot +rests upon _two_ toes (Nos. III. and IV.); and in the HORSE (fig. 43), +as we have already seen, only _one_ toe--the middle one (No. III.)--is +developed sufficiently to reach the ground. + +[Illustration: Fig. 44. Gorilla.] + +Whatever pretensions to Humanity the MONKEY may make--and they are +sufficiently striking to render some persons very uncomfortable on +the score of relationship--he is certainly far removed from us in the +construction of the foot (fig. 44); and the good people to whom +I have alluded may derive consolation from the reflection that, in +this respect at least, there is very little indication of cousinship. +Indeed we ought not to speak of his _foot_ at all; for the part which +corresponds with the human foot does not even deserve that name. It is +so much more like a hand, that the term four-handed, or _quadrumanous_, +is by naturalists applied to this class of animals. There is scarcely +any plantar arch; the animal bears, chiefly, upon the outer edge of the +foot; the digits are long and strong; and the inner one, instead of +being parallel with the others, diverges from them so as to constitute +a true _thumb_ instead of a great toe. All these points are very +suitable for enabling the animal to cling to branches of trees, and for +other prehensile purposes; but they unfit him for the upright posture, +and render it impossible for him to walk steadily upon his lower limbs. + +[Illustration: Fig. 45. Gorilla.] + +In the great ape called the GORILLA, which is found in the +south-western part of Africa, and of which many specimens have now been +sent to this Country, the _hind-hand_ is of great size and strength, as +may be seen in the accompanying drawing made from a stuffed specimen +in the British Museum. The lower part of the leg is also very thick, +owing to the size of the muscles which move the great toe and the other +digits, and which enable them to give a most powerful grasp. So strong +and savage is the creature that all efforts to capture one alive, when +full-grown, have, hitherto, failed. He is said to give evidence of his +strength of hand and of his amiable propensities in the following way. +He swings by his fore-hands from the trees, and, letting himself down +quietly by them, watches an opportunity of seizing by the neck, with +his huge hind-hand, some unwary Negro who may be passing by, draws him +up, and holds him with vice-like grasp, till his struggles have ceased, +and then drops him a strangled corpse to the ground. + +Most of the characters above mentioned as distinctive of the human +foot--such as its compactness and strength, the height of the plantar +arch, the shortness of the toes--are, like the size of the calf, most +marked in the higher members of the human family, in those, that is to +say, who are gifted with the highest intelligence. Thus the formation +of the foot is found to have a correspondence with the formation of +the head, and may, like it, be, to a certain extent, taken, as I +have before remarked, to be an index of intellectual, as well as of +physical, capacity. The relation between the intellectual power and +the physical conformation of man, which is here exemplified, and which +is maintained throughout the frame, is a subject of extreme interest, +and is one which has not attracted the attention of anatomists and +ethnologists so much as it deserves. + +To what secondary causes this harmonious adaptation of body to mind +may be due, we cannot clearly tell; but we can see in it a provision +for giving physical ascendancy to superior intellect. And it is most +gratifying to be able to derive, as we may do, from this as well as +from the observation of the past and the present, the assurance that +the cultivation of the mind, provided its moral tone be preserved and +proper sanitary precautions be taken, is not likely to be attended with +any deterioration of the body. On the contrary, we have good reason to +believe that the present civilized nations of the earth, with their +higher mental culture, are inferior to none of their predecessors +in the qualities of the body; surely soldiers never maintained a +hand-to-hand struggle better than the victors at Inkermann; and we +know that the civilized nations are physically superior to most of the +uncivilized. We have good ground, therefore, to hope that the extension +of education and commerce will be productive, on the whole, of an +improvement of the physical condition of the species. + +Sir James Emerson Tennent says that the Veddahs, or aboriginal +inhabitants of Ceylon, use the foot in drawing the bow. They sit down, +place the toe against it, and draw the string with the hand; and some +of the American Indians appear to have used both feet in the same way. +These Veddahs furnish a good illustration of the low physical condition +which is usually associated with absence of mental culture. They are +described as in a singularly degraded state. “They have scarcely any +language, no knowledge of God, nor of a future state, no temples, no +idols, no altars, prayers, or charms; and, in short, no instinct of +worship, except it be some addiction to ceremonies, analogous to devil +worship, to avert storms, lightning, and sickness. All presented the +same characteristics of wretchedness and dejection--projecting mouths, +prominent teeth, flattened noses, stunted stature, and other evidences +of the physical depravity which is the usual consequence of hunger +and ignorance. The children were unsightly objects, entirely naked, +with misshapen joints, huge heads, and protuberant stomachs. The women +were the most repulsive specimens of humanity I have ever seen in any +country.” + + +_The Proportions of the Limbs._ + +A few years ago I took the measurements of numerous skeletons which +I found in the museums in France, Germany, and England, and made the +following table to shew the proportions of the several parts. + +The length of the foot and hand is in all somewhat greater than it +should be, in consequence of the bones composing them being usually +less closely articulated in the artificial skeleton than they are in +nature. + +From this it appears that the limbs of MAN differ from those of the +APE, chiefly, in the proportionate length of the thigh and arm, and in +the shortness of the foot and hand. And it will be seen that, in both +these particulars, the NEGRO differs from the EUROPEAN and exhibits +some approximation to the APE. + +I found, also (the tables shewing this are given in my work on the +Human Skeleton), that these characteristic proportions of the European +are brought out only during growth; for that in the early periods of +infancy the foot and hand are, relatively, very long, and the thigh +is actually shorter than either the leg or the foot, and the arm is +shorter than either the forearm or the + + +MEASUREMENTS OF SKELETONS (IN INCHES). + + +----------+---+------------+------+-------+-----+-----+-----+-----+-----+-----+-------------+ + | | H | | |C S| H | R | H | F | T | F | Pelvis. | + | | e | Middle |Spine,|i f k| u | a | a | e | i | o +------+------+ + | | i | point | |r e o u| m | d | n | m | b | o | | | + | | g | of |length|c r f l| e | i | d | u | i | t |Trans.|Ant.- | + | | h | spine. | of. |u e l| r | u | . | r | a | . | dia- |post. | + | | t | | |m n .| u | s | | . | . | |meter.|dia- | + | | . | | |- c | s | . | | | | | |meter.| + | | | | | e | . | | | | | | | | + +----------+---+------------+------+-------+-----+-----+-----+-----+-----+-----+------+------+ + |European | | | | | | | | | | | | | + |(average |65 | Symphysis | 22.2 | 20.5 |12.7 | 9.2 | 7.3 |17.88|14.4 |10.6 | 5.2 | 4.3 | + | of 25) | | pubis. | | | | | | | | | | | + | | | | | | | | | | | | | | + |Negro | |{ 1 inch }| | | | | | | | | | | + |(average |62 |{ below }| 19.3 | 19.8 |12.1 | 9.4 | 7.7 |17 |14.4 |11.11| 4.6 | 4.1 | + | of 25) | |{Symphysis.}| | | | | | | | | | | + | | | | | | | | | | | | | | + |Bosjesman | | | | | | | | | | | | | + |(average |54 | Symphysis. | 17 | 19.6 |10.8 | 8.3 | 6 |15 |12.9 | 7.5 | 4.4 | 3.5 | + | of 3) | | | | | | | | | | | | | + | | | | | | | | | | | | | | + |Idiot | | | | | | | | | | | | | + |(in Berlin|57 | | 19.5 | 13.5 |12 | 8.8 | 7 |16 |12.5 | 8.5 | 5 | 3.8 | + | Museum) | | | | | | | | | | | | | + | | | | | | | | | | | | | | + |Chimpanzee| |{ 3 inches }| | | | | | | | | | | + |(average |50 |{ above }| 17 | |12.2 |11 | 9 |12.4 |10 |10.5 | 4 | 5.5 | + | of 4) | |{Symphysis.}| | | | | | | | | | | + | | | | | | | | | | | | | | + |Orang | |{ 3-1/2 }| | | | | | | | | | | + |(average |44 |{ inches }| 18 | |14 |14 |10 |10.6 | 9.2 |12 | 3.8 | 4.5 | + | of 2) | |{ above }| | | | | | | | | | | + | | |{Symphysis.}| | | | | | | | | | | + | | | | | | | | | | | | | | + |Gorilla | |{ 4 inches }| | | | | | | | | | | + |(average |58 |{ above }| 21 | |16.6 |12.9 | 9 |13.9 |11.3 |12 | 5.7 | 7.3 | + | of 3) | |{Symphysis.}| | | | | | | | | | | + +----------+---+------------+------+-------+-----+-----+-----+-----+-----+-----+------+------+ + +hand; and it is only, gradually, during the advance to manhood, +that the proper proportions are attained. So that the transient or +immature condition of the human frame shews certain resemblances to the +permanent Negro type and to that of the quadrumanous animals; and these +resemblances become obliterated during further growth. + +The accounts of travellers indicate that some other nations +present great varieties in the proportion which the length of the +foot and hand bears to the height. Bushmen and Hottentots are very +diminutive, commonly under 5 feet in height; and their hands and +feet are remarkably small and delicate, in which respect they differ +from Negroes. Mr Bartram observes with regard to the Cherokees or +Muscogulges--a tribe of North American Indians--that the women are, +perhaps, the smallest race of women yet known, almost all under +5 ft.; and their hands and feet are not larger than those of +Europeans of 9 or 10 years of age. He tells us, also, what is very +strange, that the men of this same tribe are of gigantic stature, “a +full size larger than Europeans,” many of them above, and a few under, +6 ft.; but he says nothing of the size of their hands and feet. +The hands and feet of the Patagonians are said to be very small. This +may be contrary to what we might expect; but it accords with what I +found to be the case in the skeletons of some Giants which I measured; +for in all of them the feet and the hands were disproportionately +short. It would seem, therefore, that, whether the stature of the +individual be diminutive or gigantic, the foot and the hand, in either +case, are, usually, less than their proper relative length. A greater +number of accurate data are, however, necessary to enable us to +generalise correctly upon this and other points of a like nature, or to +decide what truth there is in the common remark, that a long foot in a +child indicates a tall man. + +In former times the parts of the human body were used as measures; and +it was not uncommon to illustrate the tables of measures by drawings +of the human body, with descriptions of the foot, palm, &c. One of the +tables of the 16th century, derived in great part from the Romans and +the Greeks, is founded upon the notion, which is not very far from +the truth, that in the well proportioned man, the breadth of the palm +is a 24th part of the whole stature, and the length of the foot a 6th +part, and the length of the cubit--from the elbow to the end of the +fingers--a 4th. The measures, however, varied at different times and in +different countries, even though the names were the same. The latter +have, in several instances, remained, though the definite measure +which they now indicate is different from what it was, and differs +from that of the part of the body from which the name was taken. Thus, +our present foot measure (twelve inches) is considerably more than the +length of the human foot. + + +_The Skin of the Sole._ + +The SKIN of the sole is soft and yet very tough and strong. It +underlies a thick pad of fat, which separates it from the bones and the +plantar ligament. The fat is interwoven with fibres passing, through +it, from the tissue of the skin to the bones and ligaments. It is, +in this way, rendered very firm, though it retains much of the soft +quality of fat; and it forms an admirable cushion for receiving the +weight of the body and defending from injurious pressure both the skin +and the other parts of the foot. The fibres just mentioned bind the +skin to the superjacent bones and ligaments, and hold it firmly to +them, so as to prevent its being displaced from them in the movements +of the foot upon the ground. + +[Illustration: Fig. 46.] + +The accompanying woodcut shows that these connecting fibres are +most numerous where there is the greatest pressure, viz. beneath the +heel and the balls of the toes. It shows, too, that they take the +direction at each of those parts which is most calculated to prevent +displacement. Thus, at the heel their direction is chiefly from the +heel-bone, backwards, to the skin. When we place the heel upon the +ground in walking, the weight of the body has a tendency to drive the +heel-bone _for_wards from the skin; and the direction of the fibres, +from the heel-bone, _back_wards, just resists this tendency and +holds the skin and the bone firmly together. On the contrary, when +we withdraw the foot from the ground the pressure is in the opposite +direction, and has a tendency to drive the metatarsal bones _back_wards +from the skin. The course of the fibres is, consequently, changed. +They, many of them at least, run _for_wards from the bones and prevent +the displacement that would be likely to occur. This direction is also +very marked, and for the same reason, at the end of the great toe. A +bundle of fibres radiates from the projecting process, or tubercle, +which is conspicuous upon the under surface of the bone near its end; +and the greater number of them run _for_wards, through the pulp of the +toe, to the skin, and maintain the connection of the skin with the bone +when the latter is pressed _back_wards in withdrawing the foot from the +ground. + +The skin of the sole has a peculiar sensitiveness, which enables it to +take quick cognisance of contact with the ground or of any injurious +substances lying upon the ground. The sensitiveness in the foot is +rather increased by its being so much covered up. We are aroused to a +consciousness of this sensitiveness when the soles are tickled, or when +any one treads on our toes, especially if there happen to be a corn +there. We know also how sensitive the feet are to cold, and how liable +we are to catch cold from wet feet. This sensitiveness renders washing +the feet a refreshing luxury, especially in hot climates or when we +are fatigued. It is a luxury much indulged in by Eastern nations; +“Mephibosheth had neither dressed his feet nor trimmed his beard from +the day the king departed, until he came again in peace;” and among +the Jews in our Saviour’s time (Luke vii. 38), when guests were made +very welcome, their sandals were unloosed, and their feet washed and +carefully wiped, and, if the person were of high rank, anointed. + +The integument of the foot varies in different animals, according to +the nature of the ground upon which they tread and other circumstances. +Thus the Elephant, the Hippopotamus, and the Rhinoceros, living in +jungles and in marshy districts, have a more or less soft covering of +skin. Oxen and Horses gallop about upon dry ground; and their feet +are soled with thick hoofs of horn. The Dog has tough pads of skin +with thick cuticle upon his feet; and the feet of the Feline tribe +are muffled with fur so as to enable them to approach their prey with +a noiseless tread. Man’s foot is, by nature, like the rest of the +surface of his body, comparatively unprotected; but as the foot, by its +efficiency, emancipates the hand from the drudgery of carrying, so does +the latter make some return for this relief by providing artificial +coverings which enable the foot to tread upon various surfaces, and +protect it against the inclemencies of the seasons. + + +_On Shoes._ + +A few words on the subject of SHOES. No one will dispute the +correctness of the principle that the shoe should be made to fit the +foot; yet it is not a little remarkable that this principle is so often +departed from in practice, and that the usual plan is to make the foot +adapt itself to the shoe. That is, the shape of the shoe is determined +according to the fancy of the maker or the dictates of fashion, and +the foot is expected to mould itself accordingly. This is particularly +the case with the fore part of the shoe, into which the toes, or most +compliant parts of the foot, are squeezed. Thus, the shape of the +sole of a sound foot is about that represented in fig. 47; the +great toe is seen to be free from the others, and the line of its +axis, prolonged backwards, traverses the centre of the heel. Compare +this with the outline of the sole of a shoe as usually made; and the +violence that is done to nature is at once perceived. The shoe is made +quite symmetrical, or is curved a little in the part between the heel +and the sole--in the “waist” as it is called--when the shoes are to be +worn on the left and right foot respectively; and the toes, instead +of being allowed to spread out a little, are pressed together, and +made to converge to a point in the line of the middle toe, as seen in +fig. 48. + +[Illustration: Figs. 47. 48. 49. 50.] + +The line of the great toe is thus quite altered, and the other toes +are tightly wedged together (figs. 49 and 50); or, not being able +to find room side by side, they overlap one another and form unsightly +projections beneath the upper leather of the shoe. No wonder that +“corns” and “bunions” and “in-growing toe-nails” are the frequent +result of this treatment, and that so many persons are compelled to +walk in a cautious, feeling manner, and to watch the ground narrowly, +lest their cramped and tender toes come into contact with a stone or +other projecting body. + +How greatly to be lamented it is that the foot should be thus +maltreated and distorted, and that walking should be made so painful, +and that the shoe, which is intended to befriend and protect the foot, +and which, if well fitted, would support it and preserve its shape, +and make some amends to it for the rough hard roads upon which it is +compelled to tread, should be thus perverted into a means of galling it +and impairing its functions. + +This subject has been treated of in a simple and concise manner by +Dr Meyer, Professor of Anatomy at Zurich, in a small pamphlet, which +has been translated into English by Mr Craig, and entitled, “_Why the +Shoe pinches_[6].” I hope it may be read by boot-makers, and may lead +to some improvement in their art. Dr Meyer very properly remarks that +one of the main points to be attended to is, to allow the great toe to +have its normal position; and this can be done by making the inner edge +of the sole incline _in_wards, from the balls of the toes, instead of +_out_wards. The accompanying drawing (fig. 51) gives the outline +of a shoe designed under his superintendence, and shows the difference +between it and the usual shape, the latter being indicated by the +dotted outline. In fig. 52 the shoe is pointed, the pointing being +effected from the outer side. I have often laboured, but laboured in +vain, to impress the same point, and hope the more systematic attempt +of Professor Meyer may lead to better results. + + [6] _Why the Shoe pinches_, a contribution to Applied Anatomy by + Hermann Meyer, M.D. Professor of Anatomy in the University of Zurich, + translated from the German by John Stirling Craig, L.R.C.P.E., + L.R.C.S.E., price sixpence. + + The preceding four figures and the two following are taken from this + pamphlet with Mr Craig’s permission. + +[Illustration: Figs. 51. 52.] + +With regard to the _heel-piece_, I have already said that it should +not be high because it makes the step less steady and secure, and at +the same time shortens it, and impairs the action of the calf-muscle. +A high heel-piece, moreover, renders the position of the foot upon the +ground oblique, placing the fore part at a lower level than the heel; +thus the weight is thrown too much in the direction of the toes, and +they are driven forwards and cramped against the upper leather of the +shoe. The high-heel of a boot, therefore, tends to aggravate the evils +which are caused by the insufficient and ill-adjusted space which is +allowed to the toes. + + * * * * * + +This account of the foot has necessarily been very superficial and +imperfect. There are many points in its anatomy to which I have not +even alluded; but, if I have succeeded in giving you some idea of the +general plan of its construction, and in stimulating you to further +enquiry respecting the mechanism of the Human Frame, my purpose will +have been served. Still more will it have been so, if you carry away +with you some sense both of the Pride and of the Humility which the +review of such a structure is calculated to excite--of pride, not +selfish pride, but pride resulting from a consciousness of the nobility +of your physical nature, a pride which will make you spurn what is bad +and degrading, and will help you to aspire to what is elevated and +good. The impressions resulting from a comparison of this one fragment +of Nature’s work with our own most laboured achievements must quell +any other pride; and the very admiration with which we contemplate the +structure of our body impels us to walk humbly with our God, whose gift +that body is. + + + + +THE HUMAN HAND. + + +The great characteristic of the Hand, as distinguished from the Foot, +is the mobility of the first digit, or thumb. Accordingly when this +digit stands out apart from the others, and can be moved independently +of them, so as to be more or less completely opposed to them, in the +upper or Mammalian Class of animals, at least, we call the member a +Hand. When this digit is absent, or is fixed in the same manner as the +others, which is the case in each of the four limbs of Quadrupeds, we +call the member a Foot. In Monkeys, or in most of them, the thumb is +present and is separate and moveable in each of the four limbs; and +these animals are, therefore, called “quadrumanous” or “four-handed.” +Man, having the moveable thumb upon each of the two upper limbs only, +is “bimanous” or “two-handed.” By this peculiarity, perhaps more +definitely than by any other, he is distinguished in structure from all +the rest of the animal series; and naturalists have, accordingly, given +the epithet “Bimanous” to the class in which he is placed, and in which +he stands alone. + +The hand is the executive or essential part of the upper limb. Without +it the limb would be almost useless. The whole limb is, therefore, so +made as to give play and strength to the hand; and, in ever so brief a +description of the hand, it is necessary, even more than in the case +of the foot, to give some idea of the manner in which the other parts +of the limb are constructed, and to dwell a little upon such points as +have relation to its movements. + +[Illustration: Fig. 53.] + +The general plan of construction of the upper limb will readily +be understood by means of the drawings (figs. 53 and 58, +p. 122). It resembles very much that of the lower limb +(see fig. 4, page 15). The one bone of the upper arm--the +_humerus_--resembles the one bone of the thigh, and is jointed, above, +with the shoulder-blade, which, with the collar-bone, corresponds +with the pelvis. Below, it is connected with the two bones of the +fore-arm--the _radius_ and _ulna_; and these correspond with the two +bones of the leg. In the wrist there are eight bones, called _carpal_ +bones, arranged in two rows. These are connected with five _metacarpal_ +bones; and these, like the metatarsals of the foot, are jointed with +the _phalanges_. Of the latter there are three in each finger; but in +the thumb, as in the great toe (page 10), there are only two. + +[Illustration: Fig. 54.] + +The diagram shows how the bones of the hand are arranged in three +divisions. Thus, the upper row of carpal bones (3, 4, 5) consists, +practically, of three bones; the fourth (6), which is much smaller than +the others, being rather an appendage to one of them than a distinct +constituent of the wrist. (According to this view, the number of the +wrist-bones corresponds exactly with that of the tarsal bones of the +foot, viz. 7). The _outer_ of these three carpal bones (3) bears the +thumb[7] and the fore-finger (I. and II.), and constitutes, with them, +the outer division of the hand; the inner one (5) bears the ring-finger +and the little finger (IV. and V.), and constitutes the _inner_ +division of the hand; and the middle one (4) bears the middle finger +(III.), and is the _middle_ division of the hand. The diagram shows, +too, that the two outer bones (3 and 4), with the two outer divisions +of the hand, are connected with the radius; whereas the inner bone (5) +only, with the inner division of the hand, is connected with the ulna. +Strictly speaking, even this bone is not directly connected with the +ulna, but is separated from it, as will be shown presently, by a thick +ligament. + + [7] In deference to custom we call the palm the _front_ of the hand; + and, therefore, we speak of the thumb as the _out_er and the little + finger as the _in_ner digit: though it would better accord with the + ordinary position of the part, with its correspondence with the foot + and with comparative anatomy, to reverse these terms. + +You frequently hear ignorant persons (and the greater number of +persons are lamentably ignorant of the structure of their own body) +speaking of the _small bones_ of the shoulder, or the _small bones_ +of the elbow. You may think this a matter of no importance, and that +it does not concern you and people generally to have any knowledge of +human anatomy. But I will tell you what is very often happening, and +will leave you to judge whether such complete ignorance on this subject +is not attended with some practical disadvantage. A man meets with an +injury, falls and hurts his shoulder. The immediate effects of the +injury subside; but he does not quickly recover the use of the part; he +still cannot raise his elbow, or put his hand upon his head, or put it +behind him. Soon he begins to think that something more is wrong than +has been suspected; and the notion creeps over his mind, and gradually +takes possession of it, that some small bone is displaced. Not content +with the assurances of his medical man, he resorts to a quack, called +a “bone-setter.” The latter, taking advantage of the popular fallacy, +gratifies the patient with the information that his fears are correct, +affirms that “a small bone is out,” and proceeds forthwith to employ +the requisite forcible measures for putting the said “small bone” in. I +need not say with what result. Every year, in this civilized country, +many persons are maimed for life by these attempts to put imaginary +small bones in. I beg you, therefore, particularly to observe that +_there is no small bone_ either at the shoulder or at the elbow. The +only small bones are at the wrist; and these are so well fitted to one +another, and so firmly bound together, that nothing short of a crushing +force suffices to displace them. This remark respecting the small bones +of the wrist is true of nearly all the small bones in other parts of +the body. So that, in fact, small bones are very rarely dislocated; +and when you hear it asserted that a small bone is out, you may pretty +confidently conclude that the speaker does not know what he is talking +about. + +I have said that the upper limbs resemble the lower in their general +construction. There are, however, some important differences; and +one of the chief of these is the greater variety and freedom of the +movements in the upper limbs. _Strength_, for the purpose of carrying +the body, is the object in the lower limbs. _Mobility_ is the requisite +in the upper limbs. Of this one example has already been given in the +instance of the thumb as compared with the great toe. + + +_Movements at the Shoulder._ + +An equally striking example is afforded by the shoulder. In the +first place, the “Shoulder-blade” itself can be moved in several +directions--upwards, downwards, backwards and forwards;--whereas +the “Pelvis,” i. e. the part which bears to the lower limb the same +relation that the shoulder-blade does to the upper-limb, is immoveably +fixed. + +Secondly, the “Shoulder-joint” is so made as to permit a great variety +and extensive range of movements to take place. We can move the arm +forwards or backwards, as in throwing a ball, or, in sword exercise; we +can raise it so that the limb points straight upwards; and we can swing +it round in any direction. It is owing to the free movement in this +joint that we are able to apply the hand to every part of the body, so +as to remove sources of irritation. It is interesting to observe how +other animals get on without hands, though they are much exposed to +what we should consider great annoyance, as from flies, &c. The Cow, +for instance, lashes its hide with its tail. The Cat licks itself with +its tongue. The Sparrow dusts itself by the road-side. The Pig and the +Donkey roll in the mud. And many of them, as the Horse and the Ox, +have a thin muscle, called “panniculus carnosus,” spread out under the +skin, which effects those sudden twitchings of the skin whereby they +are enabled to jerk off anything that troubles them. In Man the hand +answers better than all these methods combined; and it is necessary +that it should do so, because his skin is more sensitive and less +protected by natural covering than that of any other animal. + +[Illustration: Fig. 55. + +Chest and shoulders of man.] + +For this freedom of movement of the arms, so important to the +usefulness of the hand, we are much indebted to the “Collar-bones.” +These bones, so called because they are placed at the lower part of +the _collum_ or neck, extend, horizontally, from the upper edge of the +breast-bone, to the processes of the blade-bones which overhang the +shoulder-joint. Thus they hold the shoulders apart, and give width to +the upper part of the chest. They also steady the shoulder-blades, +and afford a _point d’appui_ to the muscles which effect the lateral +movements of the arms,--for instance, to the muscles which tend to draw +the arms together, as when we hold anything, between the hands, in +front of us; and to those which separate the arms from one another, as +when we stretch them out at right angles with the body. + +[Illustration: Fig. 56. + +Chest and shoulders of bird.] + +Many animals--the ELEPHANT, the RHINOCEROS, the HORSE and the OX--have +no collar-bones; and they are only able to swing their fore limbs to +and fro. They cannot execute any lateral movements. They cannot throw +the limbs out sideways, nor press their fore feet together, so as to +hold anything between them. If the horse wants to seize or hold any +substance he must do it with his mouth. The Elephant has a special +provision for the purpose of prehension in his trunk, which enables him +to provide himself with food by pulling down the branches of trees. +The LION and the TIGER can press their fore paws together sufficiently +to enable them to hold their prey, and fix it upon the ground, while +they put the head down to it and pull at it and tear it with their +teeth; and they are furnished with rudimentary, or half, collar-bones +suspended in the flesh of the upper part of the chest; while the +little SQUIRREL, which sits upon its hind legs, and holds up the nuts +between its fore paws to be nibbled, has complete collar-bones. So has +the flying BAT, the climbing SLOTH and the digging MOLE. In BIRDS the +collar-bones (fig. 56, AA) are very large; and, for the purpose of +giving them greater strength, they are united together in the middle +line just above the breast-bone, forming what is commonly called the +“merry-thought;” and, as this is not sufficiently strong to resist the +force of the powerful muscles which flap the wings and sustain the +animal in the air, there are, in addition, stout “side-bones,” called +by anatomists “coracoid bones.” These (B) run, from the breast-bone +(D), in the same direction as the collar-bones, one, on either side, to +the shoulder-blades (C); and they afford even more efficient support to +the shoulders than do the collar-bones. The coracoid bones are peculiar +to oviparous animals, or nearly so. In some reptiles, as the CROCODILE, +they quite supersede the collar-bones. + +These few examples are enough to show that freedom of movement of +the arms, especially of lateral movement, is closely associated with, +and, indeed, is dependent upon the shoulder-blades being supported +and steadied by bones, which extend from the breast-bone to the +shoulder-blades, and fasten the one to the other. + +But, even the powers and advantages conferred by nature have often +some drawbacks; and this free play of the arm at the shoulder in man, +of which we are speaking, and the provision for it afforded by the +collar-bone, are no exceptions to the remark. It is necessary for so +great a range of movement that the socket in the shoulder-blade should +be shallow, and that the ligaments which connect the arm-bone with the +blade-bone should be loose. Hence the shoulder-joint is weak as regards +its ability to resist injury. The collar-bone also causes the shoulder +to project so much that it is greatly exposed to injury and often bears +the brunt of a fall. A man is thrown from a horse or is knocked down +upon the ground, and, if anything prevents the hand being stretched +out, the chances are that he falls upon the shoulder. True, the head is +saved thereby; but the shoulder suffers. Hence the shoulder-joint is +more often dislocated than any other; and no bone is more frequently +broken than the collar-bone. Even in little children, in whom, +notwithstanding their many tumbles, the other bones usually contrive to +escape, the collar-bones are often broken; and in grown-up persons the +shoulder is sometimes dislocated by the mere action of the muscles, as +in swimming, or throwing, or lifting a weight above the head. + +That you may understand the movements of the shoulder a little more +fully, I will ask you to contrast the drawing (fig. 58), which +shows the position of the blade-bone upon the chest in Man, with the +drawing (fig. 57) of the corresponding parts of the Rhinoceros; +and you will at once recognise several important differences, besides +the presence of the collar-bone in the one and its absence in the other. + +[Illustration: Fig. 57. Rhinoceros.] + +In the RHINOCEROS the chest is deep, from the back-bone to the +breast-bone, and is flattened at the sides; and the depth of this part +of the trunk is increased, slightly, by the breast-bone projecting, +keel-like, underneath, and, much more, by the spines of the back-bone +running up into a high ridge, above. The blade-bone and the arm-bone +are applied against the flat side of the chest, and lie, lengthways, +between the spine and the breast-bone, nearly parallel with the +broad flat ribs. The blade-bone has no process overhanging the +shoulder-joint, and, as before said, there is no collar-bone. The short +thick arm-bone descends nearly in a line with the blade-bone, and has +huge processes at its upper end for the attachment of muscles. The +parts are designed to bear the great weight of the animal, and to carry +its ponderous head and horn; but the only movement of which they admit +is a sliding of the blade-bone and arm-bone, backwards and forwards, +upon the side of the chest. + +In animals of similar construction to the Rhinoceros, but of lighter +frame, and of greater fleetness, the blade-bone is placed more +obliquely, which gives freer and easier movement both to it and to the +arm-bone. This, for instance, is the case with the well-bred horse, and +if we want a quick-going horse, one that can lift his fore feet well, +we should observe whether the shoulder-blade is oblique, and whether +the spines of the back rise well above it. Such a horse is said to have +“a good shoulder” and to be “well up.” He will carry a saddle well, and +is not likely to trip. + +[Illustration: Fig. 58.] + +In MAN the chest has proportionately less depth and length, and greater +breadth, than in any other animal; the breast-bone is quite flat; +and the spines of the back are sloped downwards, so that they do not +project beyond the level of the ribs and the blade-bones. Hence he can +lie easily either upon the stomach or the back--a privilege which is +shared with him by very few of the lower animals. Scarcely any of them +can lie upon the back, or even upon the stomach without the help of the +fore limbs. The donkey enjoys rolling over and over upon a dusty road, +but he cannot poise himself for a minute upon his back. + +The sides of Man’s chest, moreover, are not _flat_, as in the +Rhinoceros and Horse, but _rounded_, so that the blade-bones can +revolve upon them to and fro, as well as slide upwards and downwards; +and the long arms--comparatively long, that is, from the shoulder to +the elbow--hang quite free of the chest and form sharp angles with the +blade-bones. + +The blade-bones are accommodated to the shape of the chest; for, +instead of being elongated in a direction parallel with the ribs, they +are prolonged downwards, along the sides of the chest, at right angles +with the ribs. This prolongation of the lower part of the blade-bone +is very important, inasmuch as it enables the muscles to hold the +bone steady upon the wall of the chest, and so gives greater power to +those muscles which pass from the blade-bone to the arm and act upon +the shoulder-joint. Were it not for this provision the contraction of +the muscles intended to raise the arm would quite fail to produce the +desired effect, and instead of it would simply cause the shoulder-blade +to revolve upon a transverse axis. That is to say, when we endeavoured +to raise the arm our effort would merely have the effect of raising the +hinder part of the shoulder-blade. + +In each of these particulars--in the form of the chest, and in the +shape and direction of the shoulder-blade--the Monkey is intermediate +between Man and the inferior animals. The Monkey’s chest is broad +and round, in proportion to its length, if we compare it with other +animals; but this is less marked than in the human chest. And you +perceive that the Monkey’s back-bones project, as they do in other +animals, beyond the level of the ribs. The blade-bones are also like +those of Man in being prolonged downwards, and in being carried, to a +certain extent, across the ribs; but their lower angles do not run so +far in this direction as they do in the human skeleton. + +[Illustration: Fig. 59. Monkey.] + +The movement of raising the arm, as in carrying the hand _outwards_, +or pointing upwards, or putting the hand upon the head, is rather a +difficult one, and requires the combined action of many muscles. It +is, therefore, to be avoided by persons to whom muscular straining is +likely to be injurious; and the power of effecting this movement is +easily impaired by accident or disease. A long time often elapses even +after a slight bruise of the shoulder, before the person recovers the +power of putting the hand upon the head. + +The exercise of raising the arms above the head is a good one for +those in health, and is much, and wisely, recommended by the directors +of gymnastics. It brings many muscles into play, not only those of +the shoulder, but the muscles all round about the chest, viz. those +which pass from the spine and ribs, as well as from the breast-bone, +head, and pelvis, to the shoulder-blade and arm; and, thus, it tends +to strengthen the spine and the chest, as well as the shoulders and +arms. There is, perhaps, no exercise so good as this; and it is much +to be regretted that the dress of young ladies, with its paraphernalia +of stays and shoulder-straps, interferes so greatly with it. The +frequency among them of “pigeon-breast” and “crooked spine” must, +partly, be attributed to the confinement of the arms, caused by the +mode of dress and the customs of life. One of the few opportunities +afforded to the arms of availing themselves of this exercise is in the +dressing-room during the process of brushing the hair. I would by all +means, therefore, recommend young ladies to give sufficient time and +attention to this part of the toilette, and not to delegate it to the +lady’s maid. If, in addition, I suggest that it be commonly done with +open window, I feel sure that I shall have a deservedly great authority +among them--Miss Nightingale--on my side. + +[Illustration: Fig. 60. Elbow-joint.] + +The movement at the ELBOW is, merely, that of bending and +straightening, in a hinge-like manner; yet there is a slight obliquity +in the direction in which it takes place, an obliquity resembling that +in the movement at the knee (page 39). + + +_Pronation and Supination of the Hand._ + +In the FOREARM and HAND there is a movement with which we have +nothing exactly corresponding in the leg. It is called “Pronation +and Supination.” In _pronation_ we turn the palm _down_wards, as in +picking up any substance from a table; in _supination_ we turn the palm +_up_wards, as a boy does when he holds out his hand for a caning, or +for the more agreeable purpose of having a shilling put into it. + +PRONATION and SUPINATION take place in the following manner. Each of +the two bones of the forearm extends from the elbow to the wrist (fig. +53); but one of them--the “ulna”--is chiefly connected with the elbow; +and the other--the “radius”--is chiefly connected with the wrist, and, +by means of the wrist, with the hand. The two bones are separate from +one another, except at their ends. There they touch, and are jointed +together in such a manner that the large lower end of the radius can +play round, or partly round, the small, button-like, lower end of the +ulna; and, in so doing, it carries the hand with it. In this movement +the upper end of the radius (A, fig. 60) does not leave its place, +but simply revolves, upon its own axis, on the surface of the arm-bone; +and its edge turns in a notch cut for it in the upper end of the ulna +(B), which remains still. + +[Illustration: Fig. 61. + +Hand supine.] + +[Illustration: Fig. 62. + +Hand prone.] + +In the drawings (figs. 61 and 62) the relation of the parts in +the supine and in the prone state is shown by the aid of a plumb-line +falling from the part of the arm-bone upon which the upper end of +the radius revolves. The line traverses the upper end of the radius, +then passes along the interval between the two bones, then traverses +the lower end of the ulna, and, finally, takes the course of the ring +finger. And, provided the limb be held vertically, the line traverses +the same parts whatever be the position of the forearm and hand. It +does so in complete supination, as shown in fig. 61; it does so +in complete pronation, as shown in fig. 62; and it does so in +every intermediate position. We may call it, therefore, the axis upon +which the radius and the hand turn in pronation and supination; and, +according to this representation, the ring finger remains stationary +during the movement, while the other fingers and the thumb perform +their partial revolutions around it. + +I have said there is no movement in the lower limb exactly like the +pronation and supination of the forearm and hand. We have, it is true, +a power of moving the leg upon the thigh in a somewhat similar manner; +but this can only be done when the knee is bent. For instance, when +sitting in a chair with the foot upon a fender, or with the toes upon +the ground, we can make the foot revolve so as to turn the heel in +or out. A little careful observation, however, will prove that this +movement takes place, altogether, at the knee, and that _both_ bones +of the leg participate equally in it, the _whole_ leg revolving with +the foot. Whereas, in the case of the forearm, the movement takes +place, partly, at the wrist, and, partly, at the elbow; and _one_ bone +(the ulna) remains _still_ while the lower end of the other bone (the +radius) revolves around it. Moreover, the pronation and supination of +the hand and forearm are much more free than these movements of the +foot and leg; and they take place with equal facility and freedom in +any position of the limb. We can turn the palm up or down as easily +when the elbow is straight as when it is bent. + +The movement of which I am speaking is so important to the usefulness +of the hand, that I will call your attention to three of the muscles by +which it is effected. + +And, let me remark, by the way, that all the movements in the solid +parts of the body--probably all without exception, even the slight +wrinklings of the skin that take place when it is exposed to cold--are +the result of muscular action. Muscles are bundles of fibres which +have usually a red colour and constitute what is commonly called the +“flesh” or “lean meat” of animals. They are endued with the power +of contracting or shortening themselves; and it is this property +which gives rise to the various movements of animal bodies. At their +ends muscles often dwindle into “tendons” or “sinews” which, though +occupying much less space, and having no contractile power, are very +strong, and serve to connect the muscles with the bones. + +One of the three muscles just mentioned (A, fig. 61) passes from +a projecting process on the inner side of the arm-bone, at its lower +end, to the outer edge of the middle of the radius. Its contraction +causes the radius to roll over, or in front of, the ulna. It thus +pronates the hand, and is called a “_Pronator_” muscle. Another muscle +(B, fig. 62) passes, from a projecting process on the outer side +of the arm-bone, to the inner edge of the radius near its upper part. +It runs, therefore, in an opposite direction to the former muscle and +produces an opposite effect, rolling the radius and the hand back into +the position of supination. Hence it is called a “_Supinator_” muscle. + +[Illustration: Fig. 63. The Biceps Muscle.] + +The third is a very powerful muscle. It is called the “_Biceps_” +muscle (fig. 63), because it has _two_ points of attachment to the +shoulder-blade. It descends along the front of the arm, and, bulging +there, forms a conspicuous feature, to which athletic persons are proud +to point in evidence of their muscular development. Its tendon crosses +over the front of the elbow, and is inserted into the hinder edge of a +stout tubercle which is seen on the inner side of the radius near its +upper end. The chief effect of this muscle is to bend the elbow; but it +also rotates the radius so as to supinate the hand; and it gives great +power to that movement. When we turn a screw, or drive a gimlet, or +draw a cork, we always employ the _supinating_ movement of the hand for +the purpose; and all screws, gimlets, and implements of the like kind, +are made to turn in a manner suited to that movement of the right hand, +because mechanicians have observed that we have more power to supinate +the hand than to pronate it, though they are, probably, not aware that +the preponderating influence of the _biceps_ muscle is the cause of the +difference. + +The movement of which I am speaking is performed to its full extent +only by Man. Monkeys cannot completely supinate the hand; and in most +of the lower animals the part corresponding with the hand remains +nearly, or quite, fixed in a state of pronation. Even in Man, complete +supination is rather a constrained and awkward position. It is not +a position which is habitual or natural to us. When we see any one +sitting or walking with the palms turned forward it strikes us as +strange, and the idea is suggested to us that the individual must be +strange too, that, possibly, his head may be a little turned as well as +his hands. In a state of ease the hand is naturally more or less prone; +so that when it is desired to place the forearm or hand at rest, as +in case of disease or injury, the prone position is usually selected. +If the forearm be broken, for instance, the surgeon sets the fracture +and fixes the limb with the hand prone or semiprone. This is, also, +the position of greatest strength, as well as of most ease. Hence, in +striking a blow, or carrying a weight, or making any strong muscular +effort, the palm is always kept more or less inturned. + + +_The Wrist._ + +[Illustration: Fig. 64. Wrist-joints.] + +This drawing (fig. 64) represents what is seen when a section has +been made, from side to side, through the wrist and lower part of the +forearm. It gives an idea of the mode in which the several bones of the +wrist are adapted to one another and held together by ligaments. The +upper three wrist-bones (C, E, D) are joined together, so as to present +a convex surface, which is received into a wide cup, or socket, formed +by the end of the radius (A) and a ligament passing from the radius to +the ulna (B); and, in pronation and supination, the end of the radius, +together with this ligament and the wrist-bones, revolves upon the end +of the ulna. + +All the bones here represented are so well fitted to one another, and +so strongly bound together, that, as I have before said, displacement +very rarely occurs among them. We sometimes _hear_ of a dislocation of +the wrist, but very seldom _see_ one. The wrist is often bruised, or +its ligaments strained, by falls upon the hand; or, what very often +happens, especially after the middle period of life, the bones of the +forearm are broken a little above the wrist. + +You might think that, in such an accident, the radius only would +suffer, inasmuch as it is especially connected with the wrist-bones, +and so receives the force directly from the hand. But, if you observe +the line of contact of the radius and ulna (running from F), you will +see that it is oblique, and that its direction is such as to cause the +ulna to support the radius, and to receive some of the force from it; +and this disposition, which makes the ulna share the duties of the +radius, makes it, also, share the dangers; hence, it is very frequently +involved with the radius in fracture of the forearm. + +By the joints of the wrist we are enabled to move the hand backwards +and forwards, and also slightly sideways. + + +_The Movements of the Hand._ + +I come now to speak more particularly of the movements that take +place in the Hand. I have already said that the mobility of the thumb +is the chief characteristic of the hand as distinguished from the +foot. Another important distinction between the hand and the foot is +the greater length and mobility of the fingers as compared with the +toes. The toes are short; and our power of moving them is, under any +circumstances, slight. They constitute a small, and, comparatively, +unimportant, part of the foot. The fingers, on the contrary, are long; +they form a half, and, including the thumb, the more important half, +of the hand. Without them the rest of the hand, indeed the rest of the +limb, would be comparatively useless. Their movements are varied and +free, and take place with singular facility and rapidity. We can bend +them quite down upon the palm, and can extend them beyond the straight +line; we can separate them from one another to a considerable extent; +and we can bring them together with some force, as a waiter does when +he carries a number of wine-glasses between his fingers; and persons +who have lost the thumb contrive to hold a pen, a knife or fork, or +other things, between the fingers. + +[Illustration: Fig. 65. + +Muscles of forearm and hand.] + +Let me endeavour to give you an idea of some of the muscles which are +concerned in executing these movements. + +The wrist and hand are bent forwards upon the forearm by means of +three muscles (A, B, C, fig. 65). These all pass downwards from +the inner side of the lower end of the armbone. The outer and inner +ones (A and C) are connected, by tendons, with the wrist-bones; and the +tendon of the middle one (B) runs over the wrist and becomes spread +out in the palm like a fan, so as to support the skin of the palm and +to protect the nerves and blood-vessels, which lie beneath it, from +injurious pressure, when we grasp any substance firmly in the hand. The +fan-like expansion of this tendon in the palm is called the “palmar +fascia.” It is very strong, and is connected, below, with the ends of +the metacarpal bones, and with the sheaths of the fingers. The bundle +of muscles near D forms what is called the “ball of the thumb,” and +serves to move the thumb in various directions. + +[Illustration: Fig. 66. + +Muscles and tendons of hand.] + +Beneath these three muscles which bend the wrist and strengthen the +palm lies another set of muscles (A, B, fig. 66) which bend the +thumb and fingers. They pass from the bones of the forearm, and end in +long tendons or “leaders” which run over the wrist and palm and along +the fingers and are firmly connected with the last phalanges of the +fingers. They lie close to the bones in their whole course, and are +held in their places by sinewy cross bands and sheaths which are seen, +both at the wrist and in the fingers, in fig. 65. + +[Illustration: Fig. 67. + +Muscles and tendons on back of forearm and hand.] + +Fig. 67 represents the muscles on the back of the forearm. The +tendons pass from them, and run, some to the wrist and extend, or bend +backwards, the wrist upon the forearm, some to the thumb and extend the +several joints ofthe thumb; and others run to the back of the fingers. These leaders +lie nearer to the skin than do those on the palmar aspect; and most of +those which go to the thumb and fingers may be distinguished through +the skin. The short muscles (A, A) situated upon and between the +metacarpal bones pass from them to the sides of the fingers; some of +these serve to spread the fingers out from one another, while others +have the effect of drawing them together. There are several such small +muscles on both surfaces of the hand, but I must not detain you by +a description of them; and there are other little muscles passing +from the flexor tendons to the phalanges, which have been called +_fidicinales_, from their assisting in performing the short quick +motions of the fingers, and from their being, accordingly, called into +action in playing upon the violin and other musical instruments. + + +_Movements of the Thumb._ + +In its adaptation to the purposes of bearing the weight and +ministering to the locomotion of the body the human foot excels that +of any other animal; and, unquestionably, the human hand is not less +preeminently distinguished by the nicety, the variety, and the freedom +of its movements. This is shown by the manner in which it can be +twisted about, by the exquisite play of the fingers; and it is shown, +above all, by the mode in which the thumb can be moved to and fro, can +be opposed to the other fingers, and to any part of them individually +and collectively, and can be folded beneath them or clasped upon them +as occasion may require. + +The power which the thumb possesses, and gives to the hand, is +signified by its name--“pollex,”--derived from the Latin word +_pollere_, which means to have power. Some have supposed that the word +“poltroon” is derived from _pollice truncato_, and signifies one so +cowardly that he has submitted to have his thumb cut off in order that +he may be incapacitated for fighting. + +The faculty which we possess of moving the thumb in the way I have +mentioned, athwart the other fingers, and of touching any part of the +palmar surface of either of them depends, partly, upon its being set, +not quite in the same plane with them, but, obliquely, so that when it +is moved towards the palm it faces or opposes the other fingers; and, +partly, upon the nature of the joint between its metacarpal bone and +the bone of the wrist with which it is connected. + +This joint is so constructed as to admit of three different movements. +_First_, the thumb can be moved forwards or backwards, that is, +towards, or, away from, the palm. _Secondly_, it can be “adducted” or +“abducted,” that is, approximated to the forefinger or inclined away +from it. _Thirdly_, it can be “circumducted,” that is, its extremity +can be made to describe a circle, as in “twiddling the thumbs.” These +several movements are effected with great power and rapidity by +means of the bundle of muscles which forms the “ball of the thumb” +(fig. 65. D), as well as by the long muscles and tendons which +descend, from the forearm, to the thumb. + + +_Movements of the metacarpal bones of the Fingers upon the Wrist._ + +The movements of the thumb, through the medium of its metacarpal bone, +upon the wrist are much more free than those of any of the other +fingers. The middle finger, indeed, has its metacarpal bone set upon +the wrist so fixedly as to admit of scarcely any such movement. The +forefinger can be thus moved a little; the ring finger more and the +little finger still more. + +You may easily prove this by taking the knuckles or heads of the +respective metacarpal bones of one hand between the fingers and thumb +of the other hand, when you will find that you can press the knuckle of +the little finger backwards and forwards in a very perceptible manner. +Then try the knuckle of the ring finger; the movement is distinct, +though not so free as in the case of the little finger. The knuckle of +the forefinger you will find to be almost fixed; and in that of the +middle finger you will be unable to perceive any movement at all. + +In fact the joints of the metacarpal bones of the fingers with the +wrist resemble those of the outer four toes with the tarsus; and the +drawings of these joints of the foot (figs. 22 to 25) will serve +sufficiently well to illustrate those of the hand. + +These movements of the metacarpal, or knuckle, bones upon the wrist +enable us to increase or diminish the hollow of the palm by bringing +its edges more or less forward. Thus, when we make a cup of the hand we +bring forward the metacarpal bones of the thumb and the little finger, +wrinkling the skin of the palm; and when we spread the hand open we +carry those bones backwards, rendering the skin of the palm tense. + +These movements, moreover, enable us to bring the little fingers and +the thumb more easily into contact. + +Have you ever wondered what advantage is gained by the fingers and +thumb all differing from one another in length; or don’t you take the +trouble to reflect upon little matters of this sort? If you have, I +would ask you now to remark that there is, in the several fingers, +a relation between their shortness, their position near the edge of +the hand, and the amount of mobility of their metacarpal bones upon +the wrist. Thus the finger which is in the middle of the hand is +the longest, and its metacarpal is the most fixed. The fore-finger +is not quite so long; and its metacarpal is rather less immovable. +The ring-finger comes next in shortness and in the mobility of its +metacarpal. Then the little finger; and the thumb which is much shorter +than any other has also its metacarpal much more moveable. + +[Illustration: Fig. 68.] + +Observe, further, that, when the fingers and thumb are separated from +one another, and then bent, the middle knuckle-bone remains stationary, +but the others are advanced a little forwards, each to an extent +proportionate to its mobility upon the wrist, and to the shortness of +the finger. The fore-finger is, by this means, advanced a little, the +ring and the little fingers more, and the thumb most of all. And the +result is, that the tips of the fingers and the thumb come all to a +level, and form, with the palm, a great hollow in which we can grasp +any substance, a cricket-ball, for instance, and hold it very firmly. +The length of the several fingers and the thumb is, therefore, just so +regulated, in relation to their mobility upon the wrist, as to give us +this power. + +You may observe, also, that when the fingers and the thumb are spread +out the space between the thumb and the fore-finger is considerably +greater than either of the spaces between the other fingers. Then, by a +slight movement, the thumb takes up a position in front of, or opposite +to, the fingers; and in grasping any substance it has to antagonise the +pressure exerted by all the fingers. Hence it needs to be much stronger +than they are, and to be wielded by more numerous and more powerful +muscles. + +The MIDDLE FINGER is not only the longest and the largest finger; it +is also, to a certain extent, the centre about which the others move. +Thus, when the fingers are bent down into the palm, their tips all +converge towards the middle finger; and when they are spread out, they +all diverge from it. Its greater length and the greater prominence +of its knuckle, expose this finger to injury more than any of the +others; which may account for the fact that Surgeons are called upon +to amputate the middle finger more frequently than either of the other +fingers or the thumb. + +The FORE-FINGER has the greatest range of independent movement. Hence +it is used to point with, and is called the “Index” or “Indicator” +finger. + + +_Writing._ + +In WRITING the pen should be held between the pulps of the fore and +middle fingers and the thumb, in contact with all three, and firmly +lodged between them. The down-stroke is made by bending the phalanges +of the fingers and the thumb inwards and the metacarpal bone of the +thumb outwards; and the up-stroke is made by straightening all the +joints of the fingers and thumb. The hand rests lightly, not upon its +whole edge, but, upon the hindermost and foremost parts of the edge, +that is, upon the pisiform bone of the wrist and upon the little finger +near the end, so that it can be moved easily along the paper, and can +be inclined, or rolled, a little to either side. The obliquity of the +stroke is not imposed by mere arbitrary rule, but is in accordance with +the direction in which there is the freest movement of the fingers and +thumb when thus holding the pen. Make the experiment for yourselves of +moving the pen in different directions, and you will soon be satisfied +that the writing-master has nature on his side in insisting on a +particular movement as well as a particular mode of holding the pen. +Some persons make the strokes vertical, or slope them the wrong way; +but in either case the writing is stiff and awkward; it is not natural. + +The custom of writing from left to right may also be regarded as +correct or natural, inasmuch as we can move the pen more freely +upwards and _out_wards than upwards and _in_wards. Hence the light +_up_ or advancing stroke--that which connects a letter with the one +which follows it--is most easily made _out_wards or to the right; +and the letters are, consequently, made to follow one another in +that direction. To understand this more clearly make a down-stroke +upon paper in the usual manner; you will then find that you can make +up-strokes from any part of it more easily to the right than to the +left; and if you make a series of continuous up-and-down-strokes at +a little distance from one another, the up-stroke is, not merely +habitually, but naturally, made fine and inclined to the right, whereas +the down-stroke is made heavier or thicker and is sloped to the left. +Moreover, you will perceive that the hand slides along the paper more +easily from left to right than from right to left. + +It is worthy of remark that the writing of all that great class of +languages called Indo-European, which includes Sanscrit, Greek, Latin, +and many others, with our own, is from left to right; whereas nearly +all the writing of another great class called the Semitic, which +includes the Hebrew and Arabic, is in the opposite direction, viz. +from right to left. Some nations write in perpendicular columns, the +letters being placed under one another, of which the Chinese affords an +example. But either of the two latter methods must be inferior to the +Indo-European style in ease of execution and expedition. + + +_Reason for the Ring being usually placed upon the Fourth finger._ + +The RING-FINGER has less independent movement than either of the +others. It cannot be bent or straightened much without being +accompanied by one or both of those next it. This is, partly, because +its extensor tendon is connected, by means of a band of fibres, with +the tendon on either side of it. You may discern these connecting bands +working up and down under the skin of the back of your hand when you +move the fingers to and fro (they are represented in fig. 67). +The ring-finger is, therefore, always, more or less, protected by the +other fingers; and it owes to this circumstance a comparative immunity +from injury, as well, probably, as the privilege of being especially +selected to bear the ring in matrimony. The left hand is chosen for a +similar reason; a ring placed upon it being less likely to be damaged +than it would be upon the right hand. + +Other reasons have been given for this preference. It has been +attributed to a notion among the ancients that the ring-finger is +connected with the heart by means of some particular nerve or vessel, +which renders it a more favourable medium than the other fingers for +the reception and transmission of sympathetic impressions; the left +hand being selected, in preference to the right, because it lies rather +nearer to the heart. + +[Illustration: Fig. 69. Nerves of hand.] + +Some slight foundation for such a notion might be imagined to exist +in the fact (supposing the ancients to have been acquainted with it) +that the distribution of the nerves to the ring-finger is rather +peculiar. The peculiarity will be readily understood by reference +to the accompanying drawing (fig. 69). Two chief nerves are +seen descending, in their course from the brain, along the arm and +forearm, to supply sensation to the palmar surface of the hand. One +(A), the larger of the two, passes in front of the middle of the +wrist, and divides into branches which are distributed to the skin of +the thumb, of the fore and middle fingers, and of the _out_er side +of the ring-finger. The other nerve (B) lies on the _in_ner side of +the forearm and wrist, and its branches go to the skin of the little +finger, and of the inner side of the ring-finger. You see, therefore, +that there is, in this finger, a meeting of the branches of the two +nerves; the two sides of the finger being supplied by different +nerves. It would be a mistake, however, to suppose that it gains +any superiority in sensitiveness or sympathetic relations by this +arrangement; and this distribution of the nerves certainly does not +offer so probable an explanation of the selection of that finger for +the honourable office of ring-bearer as the one I have suggested. + +I must remark, here, that the nerve (B), in passing from the arm to +the forearm, lies on the inner side of the back of the elbow, and is +popularly known by the misnomer of the “funny-bone[8].” It lies, pretty +much out of harm’s way, in a well-protected channel between two bones. +Nevertheless, it is now and then hurt; and you know that when the +“funny-bone” is struck, a peculiar pain, or tingling, is experienced +along the little finger and the adjacent side of the ring-finger. + + [8] It has been suggested, probably by _Punch_, that it is called the + “_funny-bone_” because it lies near the “_humerus_.” + +The practice of wearing rings upon the hand is a very ancient one. In +some instances they were badges of slavery. More generally they were +marks of high esteem or authority; as when “Pharaoh took off his ring +from his hand and put it upon Joseph’s hand,” and when “Ahasuerus took +off his ring, which he had taken from Haman, and gave it to Mordecai.” +The Roman knights also wore rings of gold. Sometimes rings were worn +as charms against diseases; a practice which has been revived in our +own day. They were placed upon any of the fingers, and upon the right +hand as well as the left. Thus we read in Jeremiah, “though Coniah the +son of Jehoiakim king of Judah were the signet upon my right hand.” +The preference of the left hand and of the ring-finger seems to be +comparatively modern, originating, probably, when the ring was made +lighter and more fragile, and was, at the same time, adorned with +precious stones, and when it became, therefore, desirable to place it +upon the part of the hand where it is least exposed to injury. + + +_The Monkey’s Hand._ + +Most of you have spent some time in watching the inmates of that +interesting part of a zoological collection, the MONKEYS’ cage, and +have observed how nearly the hand of that animal resembles the human +hand, in the presence of a thumb, in the variety and celerity of its +movements, in the facility with which it can catch and pick up objects +and hold them up to the mouth, and in some other points. A little +closer observation, however, will show that there are some differences +between the two. The several parts do not bear the same relation to one +another in the Monkey’s hand which they do in the human hand; neither +have they quite so great variety or range of movement. The hand is +altogether narrower, and straighter. The thumb is shorter and less +strong, scarcely reaching beyond the knuckle of the fore-finger. The +fingers, on the contrary, are longer and of more uniform length; they +do not admit of being separated so widely from each other in a fan-like +manner; and the metacarpal bones at the edges of the hand, i. e. the +metacarpal bones of the thumb and of the ring and little fingers, have +not the same amount of play upon the wrist. Hence the thumb and the +fingers of the Monkey cannot be opposed to one another so easily as +in man; neither can they be so advanced in front of the middle finger +as to form a hollow or cup, in the way I described when speaking of +the hollow of the palm and the different lengths of the fingers in the +Human hand. When you throw a Monkey a nut he usually picks it up and +holds it between the thumb and the _side_ of the bent fore-finger, not +between the tips of the thumb and fingers. The length of the fingers +adapts the Monkey’s hand well for clasping firmly the branches of +trees, and assisting the animal to climb about in its native forests, +or to hold on to the bars of its cage; and so the part answers the +requirements of the creature better than if these qualities had been +sacrificed to a greater regard for variety and range of movement. + + +_The Hand the Organ of the Will._ + +The human hand is peculiarly an organ devoted to the will, being more +directly and completely under its influence than is any other part of +the body. The WILL, remember, is that self-directing faculty which can +be said to exist, definitely and decidedly, in Man alone, which is +associated in him with the responsibility attaching to the selection +between good and evil, and which is given to him to fit him to be +the reasonable servant of his Maker, and upon which, therefore, his +dignity, and his capability for occupying a position between the low +animal and the high spiritual world, so much depend. How appropriate +is it, then, that the will should have a special organ assigned as its +more peculiar minister. It is to the complete subjection of the hand +to the will, no less than to the combination of strength with variety +and delicacy in its movements, that Man is indebted for his dominion +over the rest of the animal world, and for the ability to execute the +wonderful works which his genius designs. + +When we reflect how essential is the hand to Man’s well-being, power, +and progress, and upon the infinite variety of purposes which it serves +in obedience to the will, we are not surprised that the construction +of the foot, indeed of every part of the frame, should have reference +to the object of liberating the hand from the subordinate work of +locomotion to a degree which we find in no other animal, and of leaving +it free to execute its higher offices in a ready and efficient manner. + +But, after all, notwithstanding the excellence of its mechanism and +its intimate relation to the will, what would the hand be without +the reflecting and designing MIND--the mind that can build upon the +past and prepare for the future, and so carry on the ever-advancing +work of human civilization and progress. Without it Man would remain +stationary, like the other animals; and, as age succeeded age, the +hand would only suffice to provide the necessary requirements of the +body. Nay, even this is saying too much; for without the mind, without, +at least, some higher instinctive or reflective faculty than the +other animals possess, Man would, in reality, be inferior to them. He +would be absolutely unable to maintain his existence, and would be a +miserable victim to the fineness of his organisation. His hand would +fail to supply him with food, or to defend him against his numerous +enemies, or to provide for the protection of his delicate and sensitive +frame from the inclemency of the elements. + +The real excellence of the human hand--and the remark applies equally +to the whole human body--consists, not in the admirable construction of +its several parts, nor in their well-adjusted relation to one another, +so much as in the adaptation of the whole to the mind that presides +over it. This it is that renders Man the lord of the creation, that +enables him to subdue all his foes, and gives him, in some measure, +power over the elements, so that land and water, fire and air, are made +to serve his purpose. By this harmonious co-aptation of mind and body +Man is rendered cosmopolitan, being able to thrive in every clime, +from the regions of continual snow to those burning equatorial plains +where even reptiles perish from the heat and drought, and being able to +convert the barren plain into a fertile field, and to draw water out of +the stony rock. + +At the late meeting of the British Association at Oxford, a gentleman +related that he had a monkey which was very partial to oysters, and was +very fond of playing with a hammer; but he never could be taught to use +the hammer for the purpose of breaking the oyster-shells to gratify +his appetite. How wide a gulf does the absence of intelligence in this +simple matter indicate between ourselves and the animal that approaches +nearest to us! + + +_The Hand an Organ of Expression._ + +Further, we cannot fail to recognise and admire the adaptation of +the hand to the mind at all ages, and under various circumstances; +in its weakness and suppleness, and in its purposeless and playful +movements in infancy and childhood; in its gradually increasing +strength and steadiness as the intellect ripens; in the stiffness and +shakiness of declining years; in the iron grasp of the artizan; in +the light delicate touch of the lady; in the twirlings, fumblings, +and contortions of the idiot; in the stealthy movements of the thief; +in the tremulousness of the drunkard; in the open-handedness of the +liberal man; and in the close-fistedness of the niggard. + +Thus the hand becomes an organ of expression and an index of +character. What would the nervous young gentleman in a morning call +give to be quit of these tale-telling members; or what would he do +without a hat or a stick to employ and amuse them? How effective an +auxiliary to the orator is the wave of the hand, or, even, the movement +of a finger. Some men, indeed, seem to owe the efficiency of their +declamations as much to the hand as to the tongue. I have seen a +practised orator (he was a man of the most complete self-possession) +quell an excited audience by one determined movement of his hand. It +happened to me to hear two of the most celebrated preachers of the +day within a short period. In each of them the movements of the hand +were remarkable, though very different. In one, the free, impassioned, +but natural, and, therefore, easy action of the hand showed a deep +and genuine interest in the subject, and helped to waft the fervid +sentiments straight from his own heart to the hearts of his audience. +In the other, who was a no less accomplished speaker, the constrained +and carefully regulated movements of the hands were evidently the +result of forethought and study; they were intended to be impressive, +but were too obviously done for effect; and, therefore, were far less +effective as well as less pleasing. + +Our great and venerable orator, as well as high authority on the art +of speaking (Lord Brougham), tells us that the subject of a speech +should be carefully studied, and the sequences well adjusted. He says +that, in the most effective passages, even of practised speakers, +the exact words are usually selected beforehand; but he is silent +respecting the actions by which they should be accompanied. These, at +least, should be unpremeditated; and they will best assist to convey to +others the real feelings and emotions when they are the simple result +of the natural working of the mind upon the body. + +The kind of expression that lies in the hand, being much dependent +on the effect of the muscles upon it, is very hard for the artist +to catch, though very important to the excellence of the picture. +Painters, usually, make the hand a subject of careful study, but +rarely succeed in throwing the proper amount, either of animation or +of listlessness, into it. In portraits, especially, the hands are a +difficult part to treat satisfactorily; yet the artist feels that they +are too important not to have a prominent place, and he, commonly, +imposes upon himself the task of representing them both in full. I have +seen them drawn held up in front, like the paws of a kangaroo, in an +otherwise good picture. The stereotyped position in portraits is that +one hand lies upon a table, though it, probably, evinces an uneasiness +there, while the other rests, perhaps equally uneasily, upon the arm of +a chair. Vandyck, in whose paintings the hand usually forms a prominent +feature, is considered to have peculiarly excelled in imparting to it a +sentimental air imbued with deep pathos. + + +_Shaking Hands._ + +How much do we learn of a man by his “SHAKE-OF-HAND.” Who would expect +to get a handsome donation, or a donation at all, from one who puts +out two fingers to be shaken and keeps the others bent as upon an +“itching palm”? How different is the impression conveyed by the hand +which is coldly held out to be shaken and slips away again as soon as +decently may be, and the hand which comes boldly and warmly forward and +unwillingly relinquishes its hearty grasp? Sometimes one’s hand finds +itself comfortably enclosed, nursed, as it were, between both hands of +a friend, an elderly friend probably; or it is shaken from side to side +in a peculiar short brisk manner. In either case we are instinctively +convinced that we have to do with a warm and kindly heart. In a +momentary squeeze of the hand how much of the heart often oozes through +the fingers; and who that ever experienced it has forgotten the feeling +conveyed by the eloquent pressure of the hand of a dying friend, when +the tongue has ceased to speak? + +Why do we shake hands? It is a very old-fashioned way of indicating +friendship. Jehu said to Jehonadab, “Is thine heart right as my heart +is with thine heart? If it be, give me thine hand.” It is not merely +an old-fashioned custom; it is a strictly _natural_ one, and, as usual +in such cases, we may find a physiological reason, if we will only +take the pains to search for it. The Animals cultivate friendship by +the sense of touch, as well as by the senses of smell, hearing, and +sight; and for this purpose they employ the most sensitive parts of +their bodies. They rub their noses together, or they lick one another +with their tongues. Now, the hand is a part of the human body in which +the sense of touch is highly developed; and, after the manner of the +animals, we not only like to see and hear our friend (we do not usually +smell him, though Isaac, when his eyes were dim, resorted to this sense +as a means of recognition), we, also, touch him, and promote the kindly +feelings by the contact and reciprocal pressure of the sensitive hands. + +Observe, too, how this principle is illustrated by another of our +modes of greeting. When we wish to determine whether a substance be +perfectly smooth and are not quite satisfied with the information +conveyed by the fingers, we apply it to the LIPS and rub it gently upon +them. We do so, because we know by experience that the sense of touch +is more acutely developed in the lips than in the hands. Accordingly, +when we wish to reciprocate the warmer feelings we are not content with +the contact of the hands, and we bring the lips into the service. A +SHAKE-OF-HANDS suffices for friendship, in undemonstrative England at +least; but a KISS is the token of a more tender affection. + +Possibly it occurs to you that the TONGUE is more sensitive than +either the hands or the lips. You have observed that it will detect an +inequality of surface that escapes them both, and that minute, indeed, +is the flaw in a tooth which eludes its searching touch. You are right. +The sense of touch is more exquisite in the tongue than in any other +part of the body; and to carry out my theory, it may be suggested that +the tongue should be used for the purposes of which we are speaking. It +is so by some of the lower animals. But, in man, this organ has work +enough to do in the cultivation and expression of friendship in its own +peculiar way; and there are obvious objections to the employment of it +in a more direct manner for this purpose. + + +_The Skin of the Hand._ + +By the aid of the accompanying drawings you will be able to form some +idea of the structure of the SKIN of the hand. + +[Illustration: Fig. 70. Skin.] + +One of them (fig. 70) represents a section of the skin, made +perpendicular to the surface, as seen under the microscope. It is from +the end of the thumb, and includes three of those delicate lines, or +ridges that are found there. + +The superficial, or uppermost strata (_a_ and _b_), are the “Cuticle” +or “false skin.” The outer layer (_a_) is hard, horny, and dry. It is +composed of numerous fine scales laid upon one another, like the tiles +upon the roof of a house, but adhering more closely together, so as to +form one continuous sheet extending all over the body. The outermost +of these scales are continually being shed, peeling off as scurf, or +being rubbed off; and fresh ones are supplied by the next layer (_b_), +which is a softer material and lies immediately upon the surface of the +“cutis” or “true skin.” + +This softer layer (_b_) is often called the “_Rete Mucosum_.” It is +made up of minute bags or bladders, named “cells” by anatomists, which +grow and propagate upon the exterior of the true skin, being nourished +by the blood in the skin. Those which lie nearest the cutis are the +youngest and the softest. Gradually they are pushed outwards by their +successors or offspring; and, as they approach the surface, they become +flatter and drier and more adherent to one another, and are finally +converted into the thin scales of the cuticle. Thus, there is no real +line of division between the cuticle and the rete mucosum; but the +cells of the latter are gradually transformed into the scales of the +former. + +The rete mucosum is thicker in the Negro than in the white man, and +contributes somewhat to the softness of his skin. It contains also the +colouring matter in the form of minute black particles diffused among +its cells (fig. 72). These particles disappear, more or less, +as the cells become changed into scales; hence the outer part of the +cuticle of the Negro is not so dark as the rete mucosum, but, as it is +transparent, or nearly so, it allows the dark colour of the rete to +show through it. + +Persons commonly speak of the cuticle as if it were the whole thickness +of the skin. Thus, when a blister has drawn, they say the _skin_ is +raised; whereas it is only the _cuticle_. This is forced off from +the skin by the fluid effused into its softer layer--i. e. into the +rete--in consequence of the irritating influence of the blister. + +The cuticle has no nerves, and, therefore, no feeling. It may be cut +or torn without pain. The snipping of a blister with the scissors is +not felt, because the cuticle only is touched. It forms a covering +to the whole surface of the body, and is invaluable as a means of +preventing too great evaporation. Without it we should be dried up, +almost mummified, by the end of a summer’s day. It also protects the +delicate sensitive skin underneath. How sore is the knuckle when +the cuticle has been rubbed off! The cuticle has, moreover, the +accommodating property of becoming thickest where it is most wanted, as +on the sole of the foot, and on the palms of the hands of blacksmiths, +and artizans, and persons who handle the oar. And if any other part +of the body be subjected to much friction, for instance, the knees of +housemaids, or the shoulders of men who carry packs, the cuticle soon +becomes thickened there. + +Beneath the cuticle lies the “Cutis” or “True Skin” (_c_, +fig. 70, and _c_ and _d_, fig. 71). It is a tough structure +consisting of interlacing fibrous and fine muscular tissue, and +contains the blood-vessels and nerves. The cuticle may be pared off +without any bleeding; but directly the skin is wounded the blood flows. +The cutis does not present an even surface next the cuticle, but shoots +out into a number of little finger-like processes, called “Papillæ,” +which project into the contiguous soft stratum of the cuticle, and are +embedded in it. Thus the superficies of the skin is increased; and +as the blood-vessels and nerves of the cutis are continued into the +papillæ, they contribute very greatly to the sensitiveness of the skin. +They are most numerous in parts where the sensitiveness of the skin +is greatest; for instance, they are more numerous on the palmar, than +on the dorsal, surface of the hand. Near the ends of the fingers and +thumb they are arranged in a linear manner, forming the delicate ridges +that encircle the cones of the pulps. Sections of these ridges are +represented in fig. 70. + +[Illustration: Fig. 72.] + +[Illustration: Fig. 71. Skin.] + +The superficial or papillary part of the cutis is of finer and more +delicate structure than the deeper or fibrous layer, and is, therefore, +sometimes described as a separate layer. It is so represented in the +accompanying figure (71, _c_). + +As we are upon the subject of the cuticle and the papillæ, I will +take the opportunity to say a word respecting two diseases of these +structures, in which most of you, probably, have a personal interest. I +mean “Warts” and “Corns.” + +[Illustration: Fig. 73. Corn.] + +[Illustration: Fig. 74. Wart.] + +A WART (fig. 74) depends chiefly on a diseased state of the +papillary stratum of the skin. The papillæ become coarse and grow up +beyond the level of the surrounding skin, so as to present an uneven or +“warty” surface. They carry a layer of cuticle before them. This layer +is usually thin, so that the wart bleeds easily when it is rubbed. +Sometimes, however, it is very thick and hard like a piece of horn. +We, now and then, hear of a horn growing upon some part of the body, +perhaps on the forehead. Such a horn is, usually, nothing more than a +conical mass of cuticle formed upon the surface of a large wart. Warts +are generally caused by something irritating the skin, as dirt or soot +rubbed into the cuticle. For this reason they are more frequent upon +the hands than upon other parts of the body. + +In a CORN (fig. 73), also, the papillæ are somewhat enlarged; +and this accounts in part for the great tenderness of corns. But the +primary and essential feature of a corn is a thickened state of the +cuticle. This is caused by too great rapidity in its formation, and +is, usually, dependent upon pressure, especially if the pressure be +combined with some friction. Hence corns are most commonly found upon +the foot, and upon the parts of the foot, where the skin is subject to +pressure and rubbing against the shoe. The drawing shows the appearance +presented by a vertical section through a corn and through a small +portion of the skin on either side. The accumulated layers of cuticle +are seen, and the enlarged papillæ shooting up into them. I need +scarcely add that it is owing to ignorance, or something worse, when +corn-cutters talk of curing the malady by taking out the _roots_; for, +corns, evidently, have no roots. + +One word of advice about corn-cutting. Most persons have some +experience in this art, and some opportunity of practising it on +themselves; and many pride themselves on their skill in it. The +usual plan is to shave off layer after layer from the whole surface +of the corn; and this, by lessening the projection of the corn, may +give relief for a few days, though it does not always do that. Soon, +however, the distress returns; and the area of the corn increases +after each operation. Now, I would have you observe that it is at the +_middle_ of the corn that the papillæ are most enlarged; and it is +here that the formation of cuticle goes on most quickly, giving rise +to the little white cone or cones often seen in a corn and sometimes +wrongly called the roots. The proper mode is to confine the cutting to +this part, and to remove as much of the thickened cuticle as you can +from this spot, digging, as it were, a hole in the middle and leaving +the circumference intact. The circumference, which is not usually +tender, thus forms a wall round the excavated centre and defends it +from pressure; and great relief is experienced. Further benefit will +be found from covering the corn with some soft adhesive plaster; and +you may sometimes, with advantage, lightly apply common caustic before +putting on the plaster. If you follow these directions carefully you +may be your own chiropodists, and almost defy your bootmakers. + +If, in cutting a corn, you go too deeply, you will wound the tops +of the papillæ and cause some bleeding; this is not however usually +followed by any ill consequences. + + +_Nails._ + +Almost all vegetable as well as animal surfaces are covered with some +kind of cuticle. It forms the smooth exterior of a leaf and the rind +of an apple; and the soft down of a moth or a butterfly, the scales of +fish, the feathers and claws of birds, the quills of the porcupine, the +horns of oxen and the hoofs of the horse are examples of modifications +of cuticle. NAILS and HAIR are also of this nature. They are both +continuous with the cuticle, and peel off with it when it is, by any +process, separated from the skin. Both are formed, like the cuticle, of +compressed plates or scales matted together; and these are continually +being shed or rubbed off on the one side, and supplied from the rete +mucosum on the other. + +The rete mucosum, it should be stated, extends over the whole surface +of the body. In most situations, as already mentioned, it is the medium +from which the ordinary cuticle is produced; but on the upper part of +the ends of the fingers and toes it is converted into nail, and in the +hair follicles, as I will presently describe, it is transformed into +hair. + +[Illustration: Figs. 75, 76, 77. Longitudinal sections of Nail.] + +The drawings will help you to understand the relation of the nails to +the cuticle and the cutis. In the upper of the three (fig. 75) +the nail with the cuticle has been detached from the cutis, so that +the continuity of the two, at either end, is shown. In the middle one +(fig. 76) it is represented lying in its bed in the cutis; its +thin hinder edge being received into a furrow made for it in the cutis. +The layer of rete mucosum (_b_) extends behind and beneath it, between +it (_d_) and the cutis (_c_), and continually adds fresh material to +the nail, just as, in other parts, it adds to the substance of the +cuticle. The cuticle, or white line (_a_) is continuous with the nail +at the sides as well as at either end. The lower figure (77) shows the +bed of the cutis in which the nail reposes, the nail as well as the +adjacent cuticle and the rete having been cleared away. + +Thus the addition from the rete--in other words the growth of the +nail--takes place at the hinder edge and at the under surface. In +consequence of the addition from _behind_ the nail is increased in +length and is pushed forward; and as it advances forwards it receives +accessions from _beneath_, which increase its thickness and strength. +Unless they be cut, or worn down, the nails grow to an indefinite +length; and, when they extend beyond the tips of the fingers, their +edges are bent in towards each other, and they become curved like +claws. This tendency to a convex form is shown also if the nails be +not properly supported by the pulps of the fingers. For instance, when +persons become emaciated the pulps of the fingers usually participate +in the general wasting and the nails become curved. Hence this shape +of the nails has been regarded as an indication of consumption. You +will understand, however, from what I have said that it is not really +a symptom of any one particular disease. It simply indicates that, +from some cause or other, the nutrition of the body is not properly +maintained. + +The Dervishes in some parts of Asia allow the thumb-nail to grow long, +and then pare it to a point, so as to be able to write with it. Dr +Wolff, the Eastern traveller, has told me that he has repeatedly seen +this done, and that he has in his possession manuscripts written in +this way. + +[Illustration: Fig. 78. Transverse section of Nail Rete and Cutis.] + +Beneath the nail the cutis is disposed in a series of parallel ridges +(fig. 78) with intervening furrows. These take the same direction +as the nail, and, indeed, give rise to the fine lines that you see upon +the surface of the nail. The rete mucosum, or deep soft layer of the +nail, extends into the furrows between the ridges, just as the soft +stratum of the cuticle extends between the papillæ of the cutis. It +thus serves to keep the nail steady in its place, while it permits a +certain amount of movement, and allows the nail to slide forwards upon +the skin under the pressure caused by the growth at its hinder edge. + +A little in front of the root of the nail the ridges of the cutis +suddenly become larger and more vascular. This gives a pink hue to +the nail in the greater part of its extent; while the hinder portion, +separated from the front by a crescentic line, is white, in consequence +of the subjacent cutis being there, more pale. You will, at once, +recognise the distinction between these parts by looking at your own +nails. + +The ridges and furrows serve, like the papillæ in other parts of the +skin, to increase the surface of the cutis; and, by affording more +space for the distribution of the vessels and nerves, they contribute +to the sensitiveness of the part, and account for the severe pain which +is caused when any foreign body is thrust under the nail. The pulp +in the interior of a tooth, and the frog of a horse’s foot, are also +instances in which an exquisitely sensitive structure is placed beneath +a hard or horny substance. The object, in each case, is the same, viz. +to give the power of taking cognizance of impressions which are made +upon the surface. + + +_Hairs._ + +HAIRS may also be regarded as modifications of the cuticle, because, +like the nails, they are continuous with the cuticle, and are formed +from the rete mucosum. Each hair (figs. 79 and 83) is received +into a depression of the cutis, which is called a “follicle,” and which +is lined, as far as the bottom, by cuticle (_a_), and rete mucosum +(_b_). At the bottom of the follicle (_d_) the cuticle is absent, and +the hair rests, directly, upon the rete; and, at this part, the rete, +instead of being converted into cuticle, as it is at the sides of the +follicle, becomes transformed into hair, in the following way. + +[Illustration: Fig. 79. Hair.] + +[Illustration: Fig. 80.] + +[Illustration: Fig. 81.] + +[Illustration: Fig. 82.] + +The cells of which the rete is composed swell out as they ascend, +and so form the soft “bulb” of the hair. The outermost cells are +gradually flattened, and assume an imbricated arrangement, overlapping +one another like the tiles upon a roof (fig. 79, _e_, and +fig. 80); and those in the interior are elongated, so as to be +converted into more or less distinct fibres. The cells nearest the +middle, or axis, of the hair remain moister and softer than those +nearer the exterior, and form what is sometimes called the “marrow” of +the hair (figs. 81 and 82). + +The colour of the hair is given by the presence of minute grains of +colouring matter, like those in the cuticle of the Negro. They are +formed in the cells at the root of the hair, and pass up with them into +its structure. The quantity of colouring matter is usually slight in +infancy and childhood, and increases during adolescence. Hence the hair +becomes darker as we grow up. It is more or less deficient in the grey +hair of old age; and in the instance of Marie Antoinette, and others +whose hair is said to have turned grey in a few hours, the colouring +matter is supposed to have been destroyed by some fluid, formed from +the blood, and passing, through the pulp, into the hair. + +The hairs serve to protect the skin; and, as a general rule, they +are most abundant upon the parts which are most exposed, and which, +therefore, stand most in need of such protection. They are scattered +over the back of the hand. On the palmar surface they are not required, +and they would have interfered with the sense of touch; and we do not, +accordingly, find them there, nor upon the sole of the foot, nor upon +the edges of the lips. In certain parts of some animals, however, +they serve as valuable adjuncts to the tactile organs by extending +the range within which the contact of surrounding substances is felt. +Thus the whiskers of the cat are set upon papillæ so sensitive that +the slightest touch upon any part of the hair is felt; and the animal +is thereby assisted in threading its way in the dark. This provision, +added to the mode in which their feet are muffled with soft hair and +their claws are retracted, enables the members of the feline tribe to +steal with almost absolute stillness upon their prey. + + +_Oil-glands._ + +[Illustration: Fig. 83. Hair, and Oil-glands.] + +There are also in the skin a number of little GLANDS. One set of +these are called “oil-glands;” for their office is to furnish an oily, +or waxy, substance, which serves to keep the skin soft and pliable, +and defends it against too much moisture, or too great dryness of the +atmosphere. They are usually, as shown in the accompanying sketch, +(fig. 83, _g_, _g_) connected with the hairs, lying beside them; and +their ducts--the little tubes that carry off the oily matter formed in +them--open either into the hair follicles, or penetrate the cuticle at +some other part. They are not found on the palms of the hand or the +soles of the feet, because those parts are, in great measure, sheltered +from atmospheric influences, and are well moistened with perspiration. +When the dry easterly winds prevail one is disposed to wish that these +glands were more numerous on the back of the hands; for a more liberal +supply of their secretion would, probably, prevent the disagreeable +chapping to which we are subject at those times. As a substitute we +resort to some unctuous matter, such as glycerine, which if frequently +applied in small quantities performs, to some extent, the part of +the natural secretion in keeping the cuticle soft and supple, and so +preventing its cracking. + +The secretion of these glands has an odour, the purpose of which, +in man, is not very obvious. It is faintest in the highest and most +civilized nations. In none is it very agreeable; and persons are +fain to conceal it by substituting some other odour, as that of +lavender or eau-de-cologne. Unfortunately the choice is not always so +refined; and one is, sometimes, disposed to think that the natural +odour must be very bad, if the substitute be preferable. The odour +varies at different parts of the body; it varies also in different +persons, sufficiently to enable the acute nose of the dog to track one +particular man among a thousand. + + +_Sweat-glands._ + +To revert to the figure (70) at page 165, the little masses at +_g_, _g_, are grains of fat lying in the meshes of the deeper strata +of the skin, or in the structure just below it. And the little balls +of twisted tube (_f_, _f_) are GLANDS that secrete the PERSPIRATION; +for, the perspiration does not ooze up from the whole surface of the +skin, but has a regular system of factories for its formation. A fine +tube (_h_) is seen passing from each of these “sweat-glands,” as they +are called. It curls in a spiral manner, like a cork-screw, where it +traverses the cuticle to open at the surface. On the palmar aspect of +the hand most of these tubes or ducts open along the tops of the fine +ridges which are there seen; and with a magnifying glass of moderate +power you can distinguish their orifices on the flattened tops of +the ridges on your own fingers. These are the “pores of the skin,” +respecting which we hear so much, and through which the Roman Bath +brings such streams from the subjacent glands. + +The sweat-glands are scattered all over the body, but are especially +numerous in the palm and in the sole; and the moisture issuing from +them tends to keep the skin of these parts soft and moist, and so +fitted for the reception of tactile impressions. The quantity of fluid +furnished by them varies a good deal in different persons, and under +different circumstances. In some persons it is habitually slight; and +the hands feel dry and harsh. Or, what is equally disagreeable, it is +superabundant; and the hands are habitually damp, perhaps, cold and +clammy, staining the gloves and soiling everything they touch. In fever +the perspiration is defective; and the dryness and heat of the palm +are often the first symptoms of an accession of fever that attract the +patient’s notice. + +We all know that perspiration is usually increased by exercise, or +by the application of warmth to the surface, as by the hot air in +the sudatorium of the Roman Bath; and then, by its evaporation, it +cools and relieves the body, and contributes to our comfort. We know, +too, that it is liable to be increased by any thing that produces a +depressing effect, and that it then induces an uncomfortable sensation, +chilling the surface too much, and making it cold and clammy. Most +of you have experienced the discomfort of the cold sweat caused by +fright; and some of you may have felt the cold, clammy hand of one who +was suffering under the shock of a severe accident or the prostration +caused by the sudden onset of a dangerous malady. Why perspiration +should occur under these very different conditions, producing, at one +time, so much relief, and, at another, so much additional discomfort, +it is not easy to say. + + +_The sense of Feeling and of Touch in the Hand._ + +I have mentioned three parts of the body as remarkable for the +acuteness of the sense of touch, namely, the TONGUE, the LIPS, and +the HANDS. Now in each of these the skin is richly supplied with +nerves and blood-vessels; and it is also thick and lies upon a soft +cushiony substance, so as to be yielding and to admit of being applied +accurately over any surface with which it is placed in contact, and of +again resuming its shape when the pressure is removed. For instance, +the tongue is so soft and yielding that, when it is applied to a tooth, +it dips down between the inequalities and coves accurate information of +the condition of the whole surface. The same is the case with the edges +of the lips, though not in so marked a degree as in the tongue; and +each of these parts is indebted for its great sensitiveness very much +to the delicate soft supple nature of its structure. The palmar surface +of the hand too, though, like the skin of the sole, it is strong and +tough, so as to offer considerable resistance to injury and to prove +no dainty morsel even to dogs, as we surmise from the narrative of the +death of Jezebel, is yet very soft and yielding. It is also underlaid +by a stratum of fat interwoven with strong fibres of tissue, just in +the same manner as the skin of the sole of the foot (fig. 46, +p. 99). + +An accumulation of this fat and fibrous tissue under the skin forms +the “Pulps” at the ends of the fingers. The slightly conical form and +exquisite softness of the Pulps adapts them well for the examination of +the surfaces of bodies; and the sense of touch is more acute in them +than in other parts of the hand. + +[Illustration: Fig. 84. Bones of Finger.] + +In connection with them it is interesting to observe that the last +bone of each finger and of the thumb swells out, at the end, into a +nodulated lump, which serves the purpose both of supporting the pulp +and of giving breadth to the nail. It also, like the corresponding part +of the toe (page 99), affords a basis of attachment for the fibres +that run, from the bone, through the pad of fat, to the skin, and give +firmness and consistence to the part. The bulbous enlargement at the +ends of the phalanges of the fingers and toes is peculiar, or almost +peculiar, to man. In most Animals these bones taper to a point; in +many they are also curved. Hence the nails are, in them, comparatively +unsupported, and they become bent in at the sides and curved in their +length, that is to say, they are formed into claws. This is the case, +to a considerable extent, in the Monkey. The terminal phalanges of +the monkey’s digits are more tapering than in man; the nails are more +claw-like; and the pulps are less well-formed. This constitutes a not +unimportant feature of difference between the hand of that animal and +the human hand, in addition to those I have already mentioned. + +You have experienced the sensitiveness to cold of the pulps of +the fingers and toes; and have, probably, remarked that it is more +difficult to keep them warm than any part of the body. I may add that, +notwithstanding the liberal allowance of the means of supporting life +(that is, blood and nervous influence) which they enjoy, they are very +liable to mortify from frost-bite and other causes. I have repeatedly +known that to happen when all the rest of the hand has escaped. This +must be attributed, perhaps entirely, to their exposed position as +terminal parts; and they share their susceptibility to cold with other +parts similarly circumstanced, such as the nose, the elbows, the knees +and the buttocks. + +It is necessary to make a distinction between the SENSE OF TOUCH and +common FEELING or sensitiveness to pain; for they are not quite the +same. They are, it is true, very nearly alike, so nearly that we may +consider them to be modifications of one another; and it is probable +that the same nerves minister to both. Still there is a difference. +The sense of touch is the sense of contact with _ex_ternal bodies, and +enables us to take cognisance of their presence and inform ourselves of +their shape, consistence, smoothness or roughness, &c.; whereas common +sensation, or the sense of feeling, has an _in_ternal relation. It +imparts to us information respecting the condition of our own bodies or +any part of them. By the sense of touch in the tongue, for instance, +we judge of the size and hardness of the morsel in the mouth; and by +common sensation we learn that the organ is being bruised or scratched +by it. Sensation of pain commonly destroys the sense of touch. Put your +finger into a vice, and you may feel both sides of it. Screw it up, and +you have nothing but the sensation of pain. If you were to awake in +this state you would not, from the mere sensation, know that you were +_touching_ anything. + +As a general rule there is a relation between the degree in which +sensation and the sense of touch are manifested in different parts of +the body. For instance, I have just been remarking on the acuteness of +the sense of touch in the Tongue; and we know that this part is very +sensitive to pain. The pain caused by a bite of the tongue is horrible; +and so effectually does it serve the good end of warning the tongue to +keep within its proper bounds, that that organ very rarely suffers from +the pressure of the teeth. + +But, forasmuch as sensitiveness to pain serves a different purpose +from the sense of touch, namely, as in the instance of the tongue just +mentioned, it renders parts alive to injurious impressions, and gives +them warning to escape or protect themselves; so it is, as we might +expect, most manifested in those surfaces where a slight amount of +injury would prove most detrimental. + +Thus, the membrane (the conjunctiva) which lines the eyelids and +covers the front of the eyeball is exquisitely sensitive to pain. We +are reminded of this when anything touches the eye, or when a fly +has lodged itself under the eyelid. And, when an operator wishes to +ascertain whether his patient is sufficiently under the influence of +chloroform he separates the eyelids and puts his finger gently upon +the eye, knowing that if no indication be given, by flinching, that +the impression made here is felt, it is probable that the patient will +not be conscious of the more severe impression to be made by the knife +elsewhere. Yet, this membrane is by no means pre-eminently endued with +the sense of touch. Indeed, the very acuteness of its sensitiveness to +pain quite unfits it for distinguishing the quality of the impressions +made upon it. We know very quickly that something is in contact with +the eye, but can form no idea what kind of substance it is, whether it +be hard or soft, rough or smooth. + +In the hand, on the contrary, the sensitiveness to pain, though +considerable, is not proportionate to the acuteness of the sense of +touch. The sting of the rod on the palm, if my recollection serves me +right, is not so sharply felt as it is upon that other region which +shares with the hand the privilege of receiving the wrathful attentions +of the master; and, yet, that other region is by no means distinguished +for acuteness in the sense of touch. + +The mode in which sensitiveness to touch and to pain are adjusted +in the hand and in the eye in relation to the functions of these two +organs is one of the admirable features of their construction. Suppose +the disposition to have been reversed--suppose the hand to have been +as tender as the eye--of what use would it have been? The contact of +a particle of dust would have caused agony; or, had the eye been no +more sentient than the hand, it would soon have been destroyed by the +chafing of foreign bodies upon its delicate surface. + +How important is the sense of Feeling! more important than any of +the other senses; more so than all the others taken together. It +is almost universal in the animal kingdom. Indeed, we can scarcely +conceive animal existence without it, and are slow to admit that to be +an animal which shows no sign of it. Several of the lower animals seem +to be destitute of any of the other senses. The POLYPS, for instance, +have no sight, hearing, taste, or smell, and are dependent, therefore, +entirely, upon feeling for their communication with the external world; +and the range of this sense is extended in them by means of their +“tentacles” or “feelers” which wave about in the water, and, when they +come in contact with foreign bodies, close upon them and draw them +towards the oral opening. Thus, the tentacle of the polyp is a sort of +rudimentary hand, and, by the aid of feeling, fulfils one important +function of the hand, viz. that of the supplying the mouth with food. +The sprawling movements of an infant’s hands and the tendency which +they have to close upon anything--dress, blanket, or whatever it +be--and draw it to the mouth remind one forcibly of the feelers of a +polyp. + +In most of the lower animals, however, the sense of feeling, though +present, serving for protection and giving notice of injury, is +not very acute. It is not much employed by them for the purpose of +obtaining information respecting external objects; and they can +scarcely be said to enjoy that modification of it which we call the +sense of touch in any high degree. Indeed, the skins of animals have, +commonly, such a covering of thick, horny cuticle, scales, feathers, or +hair, as is incompatible with a fine discriminating sense of touch. + +In many of them, however, some other sense is highly developed. The +VULTURE is guided by the smell of carrion for miles and miles; and +the dog will, by the same sense, track game where man cannot detect +the trace of an odour. Some birds can distinguish objects which are +quite out of the range of our sight. The EAGLE, for instance, soars +aloft, till it dwindles to a mere speck or is lost to our view, and, +then, from that great height, will pounce, with unerring certainty, +on an unhappy grouse upon the ground. The sense of hearing is a great +means of protection to animals, and necessitates extreme stillness and +caution on the part of their pursuers. The DEER, when feeding, directs +his eyes upon the ground, and depends for safety, chiefly, upon his +hearing, which is so acute that the huntsman is obliged to approach +with all possible wariness. + +In each of these instances, it may be observed, the acuteness of the +particular sense is manifested chiefly in the power it gives to the +animal of distinguishing objects _at a distance_. Whereas, in the +ability to use the several senses for the nice discernment of the +_qualities_ of substances and to derive enjoyment from them, man stands +quite unrivalled. He alone appreciates the perfume of a bouquet, or +takes cognisance of the various shades of colour and of the notes of +music; and the sense of touch, which is of especial service in aiding +us to an accurate knowledge of bodies, is much more highly developed in +man than in other animals. + +Fine as the sense of touch usually is in the human hand, it becomes +far more so when an unusual demand is made upon it in consequence of a +deficiency, or absence, of other senses. The rapidity with which blind +persons can read with their fingers is truly astonishing. Some are +said to be able to distinguish colours by the feel. (It should rather +be said that they are capable of recognising the nice differences in +certain substances by which colours are caused; for one can scarcely +conceive it possible to distinguish by feeling the colours in a ray of +light separated by a prism.) I am acquainted with a lady who has been, +not only blind, but deaf and dumb from infancy. The sense of touch is, +therefore, almost her only avenue for impressions from without; and +it is surprising how much information is conveyed through it, and how +quickly. It enables her to hold converse with her relatives, by the +language of the fingers, almost as freely and as briskly as others do +with the tongue. A few touches are sufficient to transmit a series of +thoughts. After one shake of the hand her friends told me that she +would recognise me again; and, true enough, although several days +elapsed before I again saw her, she made the sign for my name as soon +as she touched my hand. At our next meeting I presented my left hand, +but was, again, immediately recognised. + +Persons who have had much experience in the instruction of the deaf +and dumb find that the hand, by means of writing and “dactylogy”, or +the language of finger-signs, is abundantly sufficient for all the +intercourse to which a deaf-mute is equal; and they are, therefore, +disposed to discourage the teaching of articulation. Dr Kitto, in his +little book “On the Lost Senses,” which acquires so much interest +from the fact of his being himself deaf and dumb in consequence of an +accident, relates that, after he had, with great difficulty, reacquired +considerable facility of speech, he found it stood him in little stead. +So efficient a means of intercourse had the hand become that, he tells +us, he had not occasion for the use of his tongue ten times in a year. + +Not only may the hand thus serve, to some extent, as a substitute +for some of the other senses; it is also a most important auxiliary +to them. Particularly is it so to the sense of sight, by proving, or +correcting, the impressions which we receive through the eye. Without +its aid we should often fail to distinguish between a real object and +a picture or a reflection in a mirror, and should have difficulty in +judging of size, shape, distance, &c. + + +_Relation of the Hand to the Eye and the Mouth._ + +You cannot have watched a game of cricket without being struck by the +manner in which the hand acts in harmony with the eye. With what almost +lightning-like rapidity it is in the exact place to catch the ball; +and with what precision the practised cricketer can throw the ball to +a great distance. In this, however, he is surpassed by the wonderful +skill with which the Indian throws the lasso. Again, it is enough for +the sportsman merely to get sight of the bird; he is scarcely conscious +of the process by which the hand directs the gun and pulls the trigger +at the exact moment. Still more remarkable is the successful aim when +taken, as it occasionally is, without bringing the gun to the shoulder. + +In estimating the importance of the hand, you must not forget that +the mouth is quite dependent upon it for supplies. In most other +animals the jaws are prolonged, forwards, from the cranium, and the +head is placed in such a position that the mouth becomes an organ of +prehension, and is enabled to provide for itself. But, in man, the head +is carried so high above the ground, and the jaws are so shortened and +compressed beneath the forehead, that the mouth is of little use in +obtaining food. Its abilities and duties are restricted to receiving, +masticating, and swallowing; and, if it had to rely upon its own +efforts for supplies of food, it would, indeed, be in a poor case. When +we look at one of the Sphinxes from Egypt, or at one of the stately +Bulls from Nineveh, in which wisdom and power are represented by +joining a human head to the trunk and limbs of an animal, the question +suggests itself, “How is that mouth to be fed?” In the Centaur and +Mermaid this difficulty is overcome by adding the hands, as well as +the human head, to the trunk and locomotory organs of the horse in the +one instance, and the fish in the other; so that monstrosity does not +preclude the means of sustentation. Sufficient incongruities, however, +still remain to justify the exclamation + + “Spectatum admissi risum teneatis amici?” + +In the ELEPHANT the mouth is circumstanced, somewhat, as in man; and +the office of feeder is performed by the elongated snout or proboscis. +This organ, with its finger-like extremity, is so sensitive and mobile +as to be able to pick up small bodies--pins or needles--from the +ground, and so strong as to pull down large branches of trees, and +gather the fruit from them. It is interesting, in connection with the +relation of the hand to the will and the intellectual endowments, to +remark that this proboscidean substitute, which fulfils so many of the +purposes of the hand, is furnished to the “half reasoning” elephant. +The natural sagacity and teachableness of this creature, of which such +interesting evidence is given in Sir Emerson Tennent’s book on Ceylon, +seem to render it quite worthy of the privilege of having an especial +organ provided to minister to its will. + + +_Cheiromancy._ + +The BEAUTY of the hand does not come in for quite so great a share +of admiration as that of the foot. Perhaps, because we are less +often gratified with the view of the latter. Perhaps, because we are +conscious that the foot is even more decidedly characteristic of +the human form than is the hand; inasmuch as the hand of the monkey +approaches more nearly to the human hand than does the foot of any +animal to the human foot. Still, we are by no means insensible to the +charms of a pretty hand; and we prefer that the glove which envelopes +it should be of a material as thin and pliable as kid, so that it +may adapt itself accurately to the part, and not conceal its form. +A small and delicate hand is thought to be one of the best signs of +high-breeding. Thus, Byron, who was no bad judge of such matters, writes + + “Even to the delicacy of her hand + There was resemblance such as true blood bears,” + +and again, + + “Though on more thorough-bred or fairer fingers + No lips ere left their transitory trace.” + +The LINES upon the palm, or creases formed in closing the hand, differ +a little in different persons. In former times, when men were addicted +to the arts of divination, and thought more about the connection +between the physical world and the world of spirits, and strove, by +a close observation of the former, to penetrate the mysteries of the +latter, much attention was paid to these lines. They were named with +the names of the Planets and the signs of the Zodiac; and a science +grew up akin to Astrology and Physiognomy. CHEIROMANCY was the name +given to it; and numerous and voluminous treatises were written upon +it. We are told that Homer was the author of a complete essay upon the +lines of the hand. That something of the kind was practised among the +Romans we learn from a passage in Juvenal, translated, somewhat freely, +by Dryden, as follows: + + “The middle sort, who have not much to spare, + To cheiromancer’s cheaper art repair, + Who claps the pretty palm to make the lines more fair.” + +You will estimate the value of the science of CHEIROMANCY when you +hear that equal furrows upon the lower joint of the thumb argue riches +and possessions; but a line surrounding the middle joint portends +hanging. The nails, also, came in for their share of attention: and +we are informed that, when short, they imply goodness; when long and +narrow, steadiness but dulness; when curved, rapacity. Black spots upon +them are unlucky; white are fortunate. Even at the present day Gipsies +practise the art when they can find sufficient credulity to encourage +them. + +Whether any fancy of the like kind gave origin to the notion still +prevalent that a wound or injury between the thumb and the fore-finger +is peculiarly likely to be followed by LOCK-JAW, or whether the notion +was grounded on some notable instance in which that fearful malady did +actually supervene upon a wound in the situation mentioned, I cannot +tell. You may, however, rest assured, that it is quite a fallacy. +Lock-jaw may result from a wound in any part of the body, or it may +occur without a wound; it is very capricious in its attack; the surgeon +does not know when to look for it; it often shows itself when he least +expects it; but it is not more likely to follow a wound between the +thumb and the fore-finger than a wound elsewhere. I think it well to +mention this, because I have often known persons greatly alarmed when +they have accidentally cut themselves in the dreaded spot. + + +_Cause of the preferential use of the Right Hand._ + +Why is man usually <sc>RIGHT-HANDED</sc>? Many attempts have been +made to answer this question; but it has never been done quite +satisfactorily; and I do not think that a clear and distinct +explanation of the fact can be given. + +There is no anatomical reason for it with which we are acquainted. The +only peculiarity that we can discern is a slight difference in the +disposition, within the chest, between the blood-vessels which supply +the right and the left arms. This, however, is quite insufficient to +account for the disparity between the two limbs. Moreover, the same +disposition is observed in left-handed persons, and in some of the +lower animals; and in none of the latter is there that difference +between the two limbs which is so general among men. + +Is the superiority of the right hand real and natural, that is, +congenital? or is it merely acquired? I incline much to the latter +view; because all men are not right-handed; some are left-handed; some +are ambidextrous; and in all persons, I believe, the left hand may be +trained to as great expertness and strength as the right[9]. It is so +in those who have been deprived of their right hand in early life; and +most persons can do certain things with the left hand better than with +the right. + + [9] In the tribe of Benjamin “there were seven hundred chosen men + left-handed; every one could sling stones at an hair breadth, and + not miss.” Judges xx. 16. When David was at Ziklag there came to him + a company of men who “were armed with bows and could use both the + right hand and the left in hurling stones and shooting arrows out of + a bow.” 1 Chronicles xii. 2. + +Nevertheless, though I think the superiority of the right hand is +acquired and is a result of its more frequent use, the tendency to use +it, in preference to the left, is so universal that it would seem to +be natural. I am driven, therefore, to the rather nice distinction, +that, though the superiority is acquired, the tendency to acquire the +superiority is natural. + +It may be argued that the tendency must be based upon something +physical, and that, therefore, a tendency to superiority implies an +actual superiority. This may be so; but I do not think that we are +quite in a position to assert that it is so. We perceive that there is +a tendency to the preferential use of the right hand; but we do not +know upon what that tendency depends, and have, therefore no right to +assert that the cause of it lies in the construction of the limb or of +the parts which supply the limb with blood and nervous influence, or, +indeed, upon any strictly physical cause whatever. + +It may be a tendency like that of certain animals to make their holes +and nests in particular places and in particular ways, to watch for +their prey at particular spots, to migrate in certain directions at +particular periods, and to group themselves in a particular order +during their travels. Such tendencies, or “Instincts” as they are often +called, may possibly be the result of a peculiar conformation of the +several animals; but it is, at present, by no means certain that they +are so. + +I have said that man is the only animal in whom a preference in the +use of the limb or limbs of one side is shown. This is a consequence of +the fact that he is the only animal who has occasion to use the limbs +of the two sides separately, or who is in the habit of doing so. Even +in the rudest state of society this habit is engendered in him from a +very early period, as in carrying a stick, throwing a spear, and in +a variety of ways. The habit increases as he becomes more civilized, +owing to the greater number of offices which the hands are called upon +to perform; and the necessity for using the hands separately would, of +itself, lead each individual to the employment of one more frequently +than the other; but that that one should so universally be the right +hand, seems to be accounted for only by reference to some natural +tendency. The imitative propensity in man and the convenience of +uniformity of modes of action are scarcely sufficient to account for it. + +I will not detain you by dwelling upon the effect which the +superiority of the right hand has in giving a slight superiority to the +right leg and the right eye, and will content myself with mentioning +a single beneficial result of the preferential use of one hand, viz. +that by it, we acquire a greater degree of skilfulness and dexterity +than we should do if both hands were equally employed. The exclusive +use, for instance, of the right hand in writing, cutting, &c. gives it +a greater expertness than either hand would have had if both of them +had been accustomed to perform these offices. Hence, we usually find +that persons who are left-handed are rather clumsy-fingered, because, +although, in them, the left hand is used for many purposes which are +commonly assigned to the right, yet the conventionalities of life +interfere a good deal. The pen and the knife, for instance, are still +wielded by the right hand. Accordingly such persons are neither truly +right-handed nor truly left-handed; and they do not commonly acquire +so great skill in the use of either hand as do those whose natural +tendency is more in harmony with custom. + + * * * * * + +The great martyr of our Church, when at the stake, is said to +have held out his right hand into the flames and to have been heard +exclaiming, till utterance was stifled, “This unworthy hand.” This +unworthy hand! Of whom or of what was that hand unworthy? Was it +unworthy of Him who made it? Was it unworthy of him who bore it? Was +it unworthy of the purposes for which it was made? Was it not, on the +contrary, a too worthy hand? a hand worthy of a better usage than to +be made, first, to sign a recantation of faith and, then, to be burned +for having done so? a hand worthy of a better man? No one would have +admitted this more readily than Cranmer. We may be sure that he would +never have thought of proclaiming a hand or any of his members to +be really unworthy of him. Rather would he have willingly confessed +that he had fallen far short of the standard of excellence which the +body presents; and in that excellence, we doubt not, he recognised +an evidence of Divine workmanship. His meaning, therefore, has not +been misunderstood. Nevertheless disparaging remarks respecting the +body, and the use of the word “carnal” in the sense in which it is +usually employed, have some tendency to excuse a shrinking from moral +responsibilities on the ground of the weakness of the flesh. Let us +remember that much of that weakness is of our own engendering, that a +moral obliquity is the source of many of those physical infirmities +which, we flatter ourselves, may cover our delinquencies, and which a +sympathising humanity is wont, perhaps too often, to throw as a shield +over offenders against the laws. In man, and in man alone of created +beings, the physical and the moral grow up together and react upon one +another; and the charge of a body thus capable of influencing and being +influenced demands all our energies to prove ourselves worthy of it. + + + + +EXPLANATION OF WOOD-CUTS. + + +THE HUMAN FOOT. + + Fig. page + + 1 9 Bones of foot, with the lower ends of the two + leg-bones. + + 2 11 Bones of the hind foot of a seal, with lower ends + of leg-bones. + + 3 11 The same of the hind foot of a lizard. + + 4 14 Side view of the pelvis and lower limb of man. + A, the _haunch-bone_. B, the _ischium_, or part upon + which we sit. C, the _thigh-bone_. D, the _knee-pan_. + E, the _tibia_, or larger leg-bone, with the + _fibula_, or smaller leg-bone, alongside it. F, the + _heel-bone_. G, the _metatarsal_ bones. H, I, K, the + _phalanges_, or bones of the toes. + + 5 14 Similar view of the pelvis and hind limb of a horse. + The letters refer to the same parts as in the preceding + figure. + + 6 18 Represents a section through the lower end of the + tibia and through the _heel-bone_, the _astragalus_, + _navicular_ bone, inner _cuneiform_ bone, and the bones + of the _great toe_. It shows the arrangement of + these bones in the arch of the foot and the disposition + of the plates of which these bones are composed. + + 7 25 The same bones as in preceding, with two connecting + ligaments. A, the _plantar ligament_. B, ligament + passing from the heel-bone F to the scaphoid bone + E. D the _Astragalus_. C, one of two small bones, + called _sesamoid_ bones, usually found at the ball of + the great toe. + + 8 29 A foot, in an aggravated condition of “flat-foot.” + The sole is convex, and so is the inner margin + of the foot. It represents also another common + deformity, inasmuch as the great toe runs athwart + the second toe, which is pressed almost out of + sight. + + 9 38 Front view of the right _tibia_, or larger leg-bone. + + 10 38 Right _tibia_ lying on a board. The inner, as well + as the outer edge, of the upper end rests upon the + board; but the inner edge of the lower end is + turned away from the board. In other words, the + bone is so twisted that, though the upper end + lies flat upon the board, the lower end touches + it only by its outer edge. + + 11 40 Figure sitting upon the heel to draw the bow. It is + one of a beautiful series of statues in the Glyptothek + at Munich. They adorned the pediments + of a temple in Ægina, and are supposed to represent + the noble actions of the Æacidæ. + + 12 42 Represents some of the muscles and tendons seen + on the inner side of the leg and foot. A, _Gastro- + cnemius_ and _Soleus_ muscles. They are attached, + above, to the thigh-bone and the leg-bones; below, + by means of the _Tendo Achillis_ (_a_) to the heel-bone; + they together form the calf-muscle. B, + _Posterior tibial_ muscle attached, above, to the + tibia, below, by its tendon (_b_) to the scaphoid + bone. D, process of the tibia called the _internal + malleolus_ or inner ankle. F, _Anterior tibial_ muscle + attached, above, to the front of the tibia, below, + to the scaphoid bone. _k_, the _flexor tendon_ of the + great toe. + + 13 44 Gives a corresponding view of the outer side of the + leg and foot. E, the lower end of the fibula, + called the _external malleolus_, or outer ankle. C, + the _short fibular_ muscle attached, above, to the + fibula; below, by its tendon (_c_), to the outer + metatarsal bone. I, the _long fibular_ muscle. Its + tendon (_i_) runs, behind the outer ankle and under + the instep, to the metatarsal bone of the great + toe; it is not seen in the latter part of its course. + G, the _anterior fibular_ muscle attached by its tendon + _g_ to the outer metatarsal bone. _h_, the _extensor + tendons_ of the toes. + + 14 47 Foot of a young woman presenting the variety of + “club-foot” called “_Talipes varus_.” The sole is + very much bent, and turned inwards and upwards, + so that the part of the instep which should be above + and in front is directed downwards and comes into + contact with the ground. + + 15 49 Diagram (from Bell’s _Anatomy_) showing the mode + in which the extensor tendons of the toes follow + the curve of the ankle and are bound to it by + cross straps, instead of taking the direct course + represented by the line _a_. + + 16 52 Foot and leg from the cast of the Farnese Hercules + in the Fitzwilliam Museum, Cambridge. + + 17 52 Foot and leg of a Negro. + + 18 52 Outline of under surface of foot of an Englishman. + + 19 52 Outline of under surface of foot of a Negro. + + 20 55 Skeleton of the foot of a Chinese female. From a + drawing by B. Cooper, in _Phil. Trans._ + + 21–25 57 Sections, from above downwards, through the tarso-metatarsal + joints. A, _metatarsal_ bone. B, _tarsal_ + bone. C, C, the _ligaments_ connecting the two. + + 26–29 59 Figures standing, bowing, stooping, and squatting. + + 30–32 60 Figures walking. + + 33–35 62 Position of foot in three stages of a step in walking. + + 36–38 65 Figures running. + + 39 86 Bones of the left hind limb of an Elephant. + + 40 86 Bones of the left hind limb of a Hippopotamus. + + 41 86 Bones of the left hind limb of a Rhinoceros. + + 42 86 Bones of the left hind limb of an Ox. + + 43 86 Bones of the left hind limb of a Horse. + + 44 89 Hind limb of a Gorilla, showing the length of the + digits, and the strong inner digit diverging from + the others. + + 45 90 Drawing of stuffed specimen of a Gorilla in the + British Museum. + + 46 98 Section of a foot, showing the disposition of the fibres + that run from the bones and plantar ligament to + the skin of the sole. At the heel the greater number + of the fibres are seen to run _back_wards from + the heel-bone to the skin. At the end of the + great toe and beneath the ball of the toe they run, + for the most part, _for_wards, from the bones and + plantar ligament, to the skin. + + 47 103 View of the sole of a foot in its natural state. + + 48 103 Outline of the sole of a shoe, as commonly made for + a man’s foot. + + 49 103 Sole of the foot of a girl twenty-two years old, distorted + by the pressure of the shoe, but otherwise + healthy. + + 50 103 View of the skeleton of a foot so deformed, from + above. + + 51 105 The proper sole for a shoe laid, for the sake of + comparison, on the symmetrical sole of the ordinary + shape. + + 52 105 The proper sole pointed at the toes. + + +THE HUMAN HAND. + + Fig. page + + 53 110 The bones of the arm (_humerus_), of the forearm + (_radius_ and _ulna_, the former is the upper of the + two, the forearm and hand being semi-prone), and + of the hand. The names of the wrist-bones are, + _scaphoid_, _semilunar_ (these two are in contact with + the radius), _cuneiform_ (this is in a line with the + ulna, but separated from it by an interval in + which lies the triangular ligament, see fig. 64, + page 134), _pisiform_ (faintly seen in shadow beneath + the cuneiform), _trapezium_ (supporting the + metacarpal bone of thumb), _trapezoid_ (supporting + the metacarpal bone of fore-finger), _magnum_ (supporting + the metacarpal bone of the middle or + great finger), _unciform_ (supporting the metacarpal + bones of the ring and the little fingers). + + 54 112 Diagram of the bones of the hand with the ends of + the radius and ulna. 1, end of _radius_; 2, end of + _ulna_; 3, _scaphoid_; 4, _semilunar_; 5, _cuneiform_; + 6, _pisiform_; 7, _trapezium_; 8, _trapezoid_; 9, _magnum_; + 10, _unciform_; 11, 11, _metacarpal_ bones; + 12, 12, first row of _phalanges_; 13, 13, second + row of _phalanges_; 14, 14, third row of _phalanges_; + I, thumb; II, forefinger; III, middle finger; IV, + ring finger; V, little finger. + + 55 116 Drawing of the front of the chest and the shoulders, + with the collar-bones running across from the + upper edge of the breast-bone to the projecting + processes of the shoulder-blades. + + 56 117 The chest and shoulder of an Eagle. A, A, the united + _collar-bones_, or “merry-thought;” B, the _coracoid_, + or “side-bone;” C, the long, slender _shoulder-blade_; + D, the _sternum_; E, the _humerus_. + + 57 120 The head, fore part of chest, and shoulder of a + Rhinoceros. The chest is deep and flat at the + sides. The shoulder-blade and arm-bone are + nearly vertical, that is, they nearly correspond + with the ribs in their direction. + + 58 122 Side view of chest, shoulder and arm (human). The + shoulder-blade is prolonged in the direction of the + spine, that is, _across_ the ribs. + + 59 124 Side view of fore part of a Monkey’s skeleton. + + 60 126 A section, from side to side, through the Elbow-joint, + showing the shape of the surfaces of the + bones. A, the _radius_; B, the _ulna_; CC, the side + _ligaments_ holding the radius and ulna to the _arm-bone_, + D. + + 61 127 The upper limb with the forearm and hand in the + state of supination. A, the _long Pronator_ muscle. + + 62 127 The same in a state of pronation. B, the _short + Supinator_ muscle. + + In this and the preceding drawing a plumb-line, + descending from the outer condyle of the humerus + traverses the lower end of the ulna and the ring + finger. + + 63 131 Drawing of the _biceps_ muscle. The hand is in a + state of pronation. Driving the gimlet is effected + by the movement to the state of supination. + + 64 134 Section, from side to side, through the Wrist, showing + the shapes of the bones and the mode in + which they are adapted to one another. A, the + _radius_; B, the _ulna_; C, _scaphoid_ bone; D, _cuneiform_ + bone; E, _semi-lunar_ bone; F, line of contact + of radius and ulna; G, G, side _ligaments_ + connecting the wrist-bones with the bones of the + forearm. H, I, K, L, M, _metacarpal_ bones of thumb + and fingers. + + 65 138 View of the superficial muscles on the palmar + aspect of the forearm and hand. A, the _radial + flexor_ of the wrist. B, the _long palmar_ muscle. + C, the _ulnar flexor_ of the wrist. D, the muscles + of the “ball of the thumb.” E, the _long supinator_ + muscle. F, the _long pronator_. G, the + lower part of the _biceps_ muscle. H, Cross _ligaments_ + binding the tendons in their places. (This + and the two following figures are from Quain’s + _Anatomy_.) + + 66 138 View of the deep muscles and tendons on the + palmar aspects of the forearm and hand. A, the + _long flexor_ of the thumb. B, some of the _flexors_ + of the fingers. C, the _Adductor_ muscle of the + thumb. + + 67 139 The _extensor_ muscles and tendons of the wrist, + thumb, and fingers seen on the back of the + forearm and hand. A, A, A, the _abductors_ and + _adductors_ of the fingers. B, B, the cross _ligament_ + which binds the tendons in their places. + + 68 146 Hand holding a cricket-ball, showing that the tips + of the fingers and the thumb all reach the same + level. + + 69 152 Diagram showing the distribution of the _median_ (A) + and _ulnar_ (B) _nerves_ in the hand. + + 70 165 Drawing of a magnified section through the skin of + the palmar surface of the thumb, including three + of the ridges seen on that surface. _a_, the outer + or horny layer of the _cuticle_; _b_, the deeper layer + of the same called “_rete mucosum_;” _c_, _c_, _c_, the + _cutis_, with _papillæ_ rising from its surface beneath + the ridges and projecting into the rete mucosum; + _g_, _g_, grains of _fat_ lying in the deeper part of the + cutis and in the tissue beneath it. Between _f_ + and _f_ are three _sweat-glands_, each composed of a + tube rolled up into a ball or knot. The tubes (_h_, _h_) + are seen ascending from them through the cutis + and cuticle, and opening at the tops of the ridges. + (From Kölliker’s _Mikroskopishe Anatomie_.) + + 71 170 Section of skin still more magnified. _a_, Outer or + horny stratum of cuticle; _b_, inner stratum of cuticle, + or “rete mucosum;” _c_, papillary stratum of + cutis; _d_, deeper or fibrous stratum of cutis. The + curling tube rolled into a ball at the lower part + is the sweat-gland. Its duct is seen ascending + through the fibrous structure of the cutis, and + presents the coiled appearance of a rope as it + traverses the cuticle. + + 72 170 A few layers of the cuticle and rete mucosum of + a Negro, showing the spots of dark pigment in + the rete which give the black colour to the + Negro’s skin. (This and the preceding from + Todd and Bowman’s _Phys. Anatomy_.) + + 73 170 Section of a Corn and adjacent skin. _a_, the _cuticle_; + _c_, the _cutis_ with its _papillæ_. The cuticle is seen + to be very thick, and the papillæ are somewhat + enlarged in the corn. + + 74 170 Section of a Wart and adjacent skin. _a_, _cuticle_; + _c_, the _cutis_ with its _papillæ_. The latter are seen + to be enlarged, or “hypertrophied,” in the wart. + + 75 174 Vertical section, made lengthways, of a Nail raised + from its bed, showing its connexion with the + cuticle. _a_, _a_, _cuticle_; _d_, _d_, _nail_. + + 76 174 Similar section of a Nail lying in its bed of cutis. + _a_, _cuticle_; _b_, _rete mucosum_; _c_, _cutis_; _d_, _nail_. + + 77 174 Section of the Cutis from which the nail, the cuticle, + and the rete have been removed. + + 78 176 Transverse section of the Nail and Skin, made vertically. + _a_, _a_, _cuticle_; _b_, _rete_; _c_, _c_, _cutis_; _d_, _d_, + lines running through the cutis to the _papillæ_; + _e_, _e_, _e_, lines running through the nail to the rete. + (This and the three preceding from Kölliker.) + + 79 179 Section of a Hair and Hair-follicle. _a_ and _b_, the + _cuticle_ and _rete_ lining the follicle. _e_, the outer + layer, or rind, of the hair formed by closely-plaited + scales of cuticle continued upon it from + the bottom of the follicle _d_. + + 80 179 Piece of the exterior of a Hair more highly magnified + to show the imbricated arrangement of the + plates or scales forming its outer surface. + + 81,82 179 Transverse sections of Hairs. (These and two preceding + from Todd and Bowman.) + + 83 181 Section of a Hair-follicle containing a Hair, and + with two Oil-glands, _g_, _g_, lying near it, and with + their ducts opening into it. _a_ and _b_, cuticle and + rete; _d_, bottom of follicle. (From Kölliker.) + + 84 187 The terminal Bone of a finger, with a portion of the + bone next it, showing the nodulated bulbous end + of the former. + + +CAMBRIDGE: PRINTED AT THE UNIVERSITY PRESS. + + + + +_By the same Author._ + + +I. + +A TREATISE ON THE HUMAN SKELETON, + +(INCLUDING THE JOINTS), + +_With Two Hundred and Sixty Illustrations drawn from Nature._ + +Medium 8vo. cloth, price £1. 8_s._ + + +II. + +AN ESSAY ON THE LIMBS OF VERTEBRATE ANIMALS. + +4to. sewed, 5_s._ + + +III. + +ON THE COAGULATION OF THE BLOOD IN THE VENOUS SYSTEM DURING LIFE. + +8vo. sewed, 2_s._ 6_d._ + + + +*** END OF THE PROJECT GUTENBERG EBOOK 75360 *** diff --git a/75360-h/75360-h.htm b/75360-h/75360-h.htm new file mode 100644 index 0000000..ddedabc --- /dev/null +++ b/75360-h/75360-h.htm @@ -0,0 +1,7303 @@ +<!DOCTYPE html> +<html lang="en"> +<head> + <meta charset="UTF-8"> + <title> + The Human Foot and the Human Hand | Project Gutenberg + </title> + <link rel="icon" href="images/cover.jpg" type="image/x-cover"> + <style> + +body { + margin-left: 10%; 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Hyperlinks have also been applied to the table of +contents, to cross references, and to the author’s descriptions of the +numerous images, located at the end of the book.</p> + +<p>New original cover art included with this eBook is granted to the +public domain.</p> +</div> + + +<div class="titlepage"> +<h1><span class="t1">THE HUMAN FOOT</span> + +<span class="t2">AND THE</span> + +<span class="t1">HUMAN HAND.</span></h1> + +<div class="tp1">BY</div> + +<div class="tp2">G. M. HUMPHRY, M.D. F.R.S.</div> + +<div class="tp3">LECTURER ON ANATOMY AND PHYSIOLOGY IN THE<br> +UNIVERSITY OF CAMBRIDGE.</div> + +<div class="tp4">MACMILLAN AND CO.</div> +<div class="tp5">Cambridge:</div> +<div class="tp6">AND 23, HENRIETTA STREET, COVENT GARDEN,</div> +<div class="tp5">London.</div> +<div class="tp7">1861.</div> +</div> + + + + +<p class="tac fs120 ti0">Cambridge:</p> + +<p class="tac ti0 ls01em ws05em">PRINTED BY C. J. CLAY, M.A.<br> +AT THE UNIVERSITY PRESS.</p> + + +<p><span class="pagenum" id="Page_v">Pg v</span></p> + +<p class="intro"> The following pages originated in two +popular Lectures which were delivered in +Cambridge. In the preparation for publication +many additions have been made; but I +have thought it best to retain the original +form.</p> + + +<hr class="chap x-ebookmaker-drop"> + +<div class="chapter"> +<h2 class="nobreak" id="CONTENTS">CONTENTS.</h2> +</div> + + +<p class="tac ti0 fs110 mt2em">THE HUMAN FOOT.</p> + +<div class="fs90"> +<p>Why are the generality of persons so ignorant of the structure +of their own bodies? p. <a href="#Page_1">1</a>. The dependence of the hand +upon the foot, <a href="#Page_3">3</a>. Principle of “division of Labour” illustrated +in the animal world, <a href="#Page_4">4</a>; and in the function of locomotion, <a href="#Page_6">6</a>.</p> + +<p>Structure of Lower Limb, <a href="#Page_8">8</a>. Length of Leg in <span class="smcap">Giants</span>, <a href="#Page_9">9</a>. +Bones of Foot, <i>ib.</i> Peculiarity of <span class="smcap">Great Toe</span>, <a href="#Page_10">10</a>. Uniformity +in plan, and dissimilarity in detail seen throughout nature, <a href="#Page_13">13</a>. +Homologous parts in animals, <a href="#Page_14">14</a>. Comparison of Horse’s Leg +with Man’s, <a href="#Page_15">15</a>. The <span class="smcap">Arch</span> of the foot, <a href="#Page_18">18</a>; its elasticity greater +in the fore part than in the hinder, <a href="#Page_21">21</a>. The Component bones +held together by Ligaments, <a href="#Page_24">24</a>. <span class="smcap">Weak Ankle</span> and <span class="smcap">Flat Foot</span>, +<a href="#Page_27">27</a>, <a href="#Page_74">74</a>; time of life at which they occur, <a href="#Page_31">31</a>. Injurious effects +of “High-lows,” <a href="#Page_29">29</a>.</p> + +<p>Movements of the <span class="smcap">Foot</span>, <a href="#Page_33">33</a>; compared with those of the +<span class="smcap">Head</span>, <a href="#Page_35">35</a>. Nature’s abhorrence of straight lines illustrated by +shape of leg-bone, <a href="#Page_37">37</a>, and by movements of leg upon thigh, <a href="#Page_39">39</a>. +Sitting upon the heel, <i>ib.</i> Grecian and Egyptian statuary compared, +<a href="#Page_40">40</a>. Relation of <span class="smcap">Perfection</span> and <span class="smcap">Beauty</span>, <a href="#Page_41">41</a>.</p> + +<p><span class="pagenum" id="Page_vi">vi</span></p> + +<p><span class="smcap">Muscles</span> of Leg and Foot, <a href="#Page_42">42</a>. Purpose served by movements +of Infants, <a href="#Page_46">46</a>. <span class="smcap">Club-foot</span>, <a href="#Page_47">47</a>. Shape of the ankle, <a href="#Page_48">48</a>. Length +and direction of the heel, <a href="#Page_50">50</a>. The <span class="smcap">Calf</span>, <i>ib.</i>; characteristic +of man, <a href="#Page_53">53</a>. <span class="smcap">European</span> Leg and Foot contrasted with <span class="smcap">Negro’s</span>, +<a href="#Page_51">51</a>. <span class="smcap">Chinese</span> foot, <a href="#Page_54">54</a>. Tendency of different races to exaggerate +their peculiarities, <a href="#Page_56">56</a>. Provision for enabling balls of toes to +adapt themselves to uneven surfaces, <a href="#Page_57">57</a>.</p> + +<p><span class="smcap">Standing</span>, <a href="#Page_59">59</a>. <span class="smcap">Bowing</span>, <span class="smcap">Stooping</span> and <span class="smcap">Squatting</span>, <a href="#Page_61">61</a>. +<span class="smcap">Walking</span>, <a href="#Page_62">62</a>. <span class="smcap">Running</span>, <a href="#Page_64">64</a>. <span class="smcap">Trotting</span> and <span class="smcap">Galloping</span>, <a href="#Page_67">67</a>. +Rolling in walking, <a href="#Page_69">69</a>. Sprained ankle, <a href="#Page_70">70</a>. Mode in which +foot revolves on the ground, <a href="#Page_73">73</a>. Character shown in walking, +<a href="#Page_76">76</a>. The <span class="smcap">Idiot</span>, <a href="#Page_80">80</a>. The <span class="smcap">Drunkard</span>, <a href="#Page_81">81</a>.</p> + +<p>Distinctive features of the Human Foot, <a href="#Page_82">82</a>; most marked in +highest races, <a href="#Page_91">91</a>. The <span class="smcap">Toes</span> of small size and, comparatively, +unimportant, <a href="#Page_84">84</a>. The foot of the <span class="smcap">Elephant</span>, <a href="#Page_86">86</a>; of the <span class="smcap">Hippopotamus</span>, +<span class="smcap">Rhinoceros</span>, <span class="smcap">Ox</span>, and <span class="smcap">Horse</span>, <a href="#Page_87">87</a>; of the <span class="smcap">Gorilla</span>, <a href="#Page_88">88</a>. +Proportions of the limbs, <a href="#Page_94">94</a>. Foot and hand small in very short +and very tall persons, <a href="#Page_96">96</a>. The foot measure, <a href="#Page_97">97</a>.</p> + +<p><span class="smcap">Skin</span> of the sole, <a href="#Page_98">98</a>. On <span class="smcap">Shoes</span>, <a href="#Page_102">102</a>.</p> +</div> + +<p class="tac ti0 fs110 mt2em">THE HUMAN HAND.</p> + +<div class="fs90"> +<p><span class="smcap">Hand</span> how distinguished from <span class="smcap">Foot</span>, <a href="#Page_109">109</a>. Construction of +Upper limb, <a href="#Page_110">110</a>. Small bones rarely dislocated, <a href="#Page_112">112</a>.</p> + +<p>Movements at <span class="smcap">Shoulder</span> very free, <a href="#Page_114">114</a>; conducive to good +development of Chest, <a href="#Page_125">125</a>. Uses of <span class="smcap">Collar-bone</span>, <a href="#Page_116">116</a>. Injuries +to Shoulder why so frequent, <a href="#Page_119">119</a>. Shape of <span class="smcap">Chest</span>, <a href="#Page_122">122</a>; +in Rhinoceros, <a href="#Page_120">120</a>; in Monkey, <a href="#Page_123">123</a>.</p> + +<p>Movements at the <span class="smcap">Elbow</span>, <a href="#Page_126">126</a>. <span class="smcap">Pronation</span> and <span class="smcap">Supination</span> +of the forearm and hand, <i>ib.</i> No exactly corresponding movements<span class="pagenum" id="Page_vii">vii</span> +in lower limb, <a href="#Page_129">129</a>. <span class="smcap">Muscles</span> by which they are effected, +<a href="#Page_130">130</a>. Anatomical reason for the direction in which we turn a +screw or a gimlet, <a href="#Page_132">132</a>.</p> + +<p>Structure and movements of the <span class="smcap">Wrist</span>, <a href="#Page_134">134</a>. Movements +of the <span class="smcap">Fingers</span>, <a href="#Page_136">136</a>. <span class="smcap">Muscles</span> by which they are effected, <a href="#Page_137">137</a>. +<span class="smcap">Movements</span> of the <span class="smcap">Thumb</span>, <a href="#Page_141">141</a>; of the metacarpal bones upon +the wrist, <a href="#Page_143">143</a>. Advantage gained by the fingers and thumb all +differing in length, <a href="#Page_145">145</a>. Middle finger the centre about which +the others move, <a href="#Page_147">147</a>. On holding the <span class="smcap">Pen</span>, <i>ib.</i> The direction +in which the letters are slanted, <a href="#Page_148">148</a>. <span class="smcap">Writing</span> from left to right, +<a href="#Page_149">149</a>. Reason for the <span class="lowercase smcap">RING</span> being placed upon the fourth finger, +<a href="#Page_150">150</a>. The “funny-bone,” <a href="#Page_153">153</a>.</p> + +<p>The <span class="smcap">Monkey’s Hand</span>, <a href="#Page_154">154</a>, <a href="#Page_187">187</a>.</p> + +<p>The hand the organ of the <span class="smcap">Will</span>, <a href="#Page_156">156</a>; its relation to the +<span class="smcap">Mind</span>, <a href="#Page_157">157</a>; an organ of <span class="smcap">Expression</span>, <a href="#Page_159">159</a>. <span class="smcap">Shaking hands</span>, +<a href="#Page_162">162</a>. Why do we shake hands? <a href="#Page_162">162</a>. Why do we <span class="smcap">Kiss</span>? <a href="#Page_164">164</a>.</p> + +<p>Structure of the <span class="smcap">Skin</span>, <a href="#Page_165">165</a>. The Cuticle, <a href="#Page_166">166</a>; its uses, <a href="#Page_167">167</a>. +The Rete Mucosum, <a href="#Page_166">166</a>. Cause of the colour of the Skin, <a href="#Page_167">167</a>. +The Cutis, <a href="#Page_168">168</a>. Difference between a <span class="smcap">Wart</span> and a <span class="smcap">Corn</span>, <a href="#Page_170">170</a>. +How to cut Corns, <a href="#Page_172">172</a>.</p> + +<p><span class="smcap">Nails</span>; their formation and growth, <a href="#Page_173">173</a>. Claws in lower +animals, <a href="#Page_173">173</a>, <a href="#Page_175">175</a>. Sensitiveness of the Skin beneath the nails, +<a href="#Page_177">177</a>.</p> + +<p><span class="smcap">Hairs</span>; their formation, <a href="#Page_178">178</a>; colour, <a href="#Page_179">179</a>; uses, <a href="#Page_180">180</a>.</p> + +<p><span class="smcap">Oil-Glands</span>; their uses, the odour of their secretion, <a href="#Page_180">180</a>.</p> + +<p><span class="smcap">Sweat-Glands</span>, <a href="#Page_183">183</a>; their structure, <i>ib.</i> The “Pores” of +the Skin, <a href="#Page_183">183</a>. The moisture of the palm, <a href="#Page_184">184</a>. Cold Sweat, +<i>ib.</i></p> + +<p><span class="smcap">Feeling</span> and <span class="smcap">Touch</span>, <a href="#Page_185">185</a>. Structure of the three parts in +which they are most acute, <i>ib.</i> The “Pulps” of the fingers +connected with peculiar shape of the bones, <a href="#Page_186">186</a>; their sensitiveness +to cold, <a href="#Page_187">187</a>. Distinction between Common Feeling and<span class="pagenum" id="Page_viii">viii</span> +the Sense of Touch, <a href="#Page_188">188</a>. Relation between the two in the +Tongue, the Eye and the Hand, <a href="#Page_189">189</a>. The tentacle of a Polyp +a rudimentary hand, <a href="#Page_191">191</a>. Acuteness of touch in man, <a href="#Page_193">193</a>; +in <span class="smcap">Blind</span> persons, <i>ib.</i></p> + +<p>Relation of the hand to the <span class="smcap">Eye</span> and the <span class="smcap">Mouth</span>, <a href="#Page_195">195</a>. The +Elephant’s Trunk, <a href="#Page_197">197</a>. <span class="smcap">Cheiromancy</span>, <a href="#Page_198">198</a>. The <span class="smcap">Lock-jaw</span> +fallacy, <a href="#Page_200">200</a>. Cause of the superiority of the <span class="smcap">Right Hand</span>, <a href="#Page_201">201</a>. +“This unworthy hand!” <a href="#Page_205">205</a>.</p> + +<p>Explanation of Wood-cuts, <a href="#Page_207">207</a>.</p> +</div> + +<hr class="chap x-ebookmaker-drop"> + +<div class="chapter"> +<p><span class="pagenum" id="Page_1">1</span></p> + +<h2 class="nobreak" id="THE_HUMAN_FOOT">THE HUMAN FOOT.</h2> +</div> + + +<p class="dropcap">THE Human Body is one of the most worthy +objects of man’s study. It is the noblest as +well as the crowning work of creation. In it +material organization is carried to the greatest +perfection. It surpasses, therefore, all other physical +objects in exquisiteness of construction and +in interest. How comes it, then, that most persons +are so ignorant respecting it? Men, well +informed in other matters, are usually altogether +uninformed with regard to this. In every other +branch of science we find amateur students pursuing +the subject with zeal and success. Geology, +Chemistry, Botany, Zoology, and even Comparative +Anatomy have each their votaries; but +Human Anatomy attracts no one. Why is this? +Partly, I think, because opportunities for acquiring<span class="pagenum" id="Page_2">2</span> +such information as is suitable and interesting +are not so many as they ought to be.</p> + +<p>It must be confessed, also, that we teachers of +Anatomy are somewhat to blame. We are too +prone, in our Lectures and Examinations, to dwell +upon bare details, without enlivening those details +with the many bright features of interest with +which they are naturally invested; and we fail, +therefore, to render it so attractive a science as it +might be. The example of those able and animated +teachers, John and Charles Bell, who laboured +with some success to disperse the clouds that +have ever overhung the horizon of anatomy, has +been too much forgotten; and the flame which +they kindled has almost died out under the chilling +apathy of their successors. Truly glad should +I be to see a change in this. I cannot but think +that if the teachers of Anatomy took higher +and more philosophical views of their science +there would be no lack of interest on the part +of the students. The interest so excited would +soon spread beyond the limits of the profession; +and there would thus be opened up to the public +some of the products of that rich vein of knowledge +and of that abundant material for thought +which lie buried in the human frame.</p> + +<p>I therefore willingly accede to your request for +a Lecture upon some part of the anatomy of the<span class="pagenum" id="Page_3">3</span> +human body, relying upon the intrinsic interest of +the subject to make amends for my own deficiencies +in expounding it; and I select the <span class="smcap">Human Foot</span>, +because a few of the more important points of its +construction can be explained without much difficulty, +because it affords a good illustration of +some of the principles of animal mechanism, and +because its form constitutes one of the great +characteristics whereby man is distinguished from +the lower animals. As an instrument of support +and of locomotion it excels the foot of any other +animal. It evinces its excellence by enabling +man to stand upright in a way that no other +animal can do; and so efficiently does the foot +accomplish this and perform the task of carrying +the body, that the hand is set at liberty to +minister to the will. Thus is the foot instrumental +in giving us an advantage over other animals, +and in enabling us to provide the means of defence; +and, thus, it aids us to carry out those +wondrous works which are second only to the +marvellous results of creative power.</p> + +<p>We are accustomed to regard the hand as the +great agent by which all this is attained, and +we are apt to forget how much it is indebted +to the foot. We do not reflect that, if the foot +of man presented no distinguishing peculiarity, +the hand, like the corresponding part in other<span class="pagenum" id="Page_4">4</span> +animals, would be compelled to share with it +the task of carrying the body, and could, therefore, +not be devoted to the various offices which +it is now free to perform. Little right has the +hand to say to the foot, “I have no need of thee.”</p> + + +<h3><i>The principle of “division of labour.”</i></h3> + +<p>In this concentration of locomotive power in +the foot we have an illustration of what is called +the “principle of division of labour,” a principle +with which all civilized communities are familiar, +and to which we are much indebted for the present +advanced state of the arts and sciences; but +which we may be said to have borrowed from the +economy of nature. We find ever-increasing manifestations +of it as we ascend in the animal series, +from the lower and more simple to the higher and +more complicated forms. Indeed, just as each step +in civilization is attended with a further development +of this principle, so is each division of the +animal kingdom distinguished from those below +it by the more distinct assignation of particular +functions to particular organs, and by the consequent +improvement of the mode in which the +functions are performed. While, in proportion as<span class="pagenum" id="Page_5">5</span> +the several organs acquire more distinct speciality +in their work, so do they become, more and more, +dependent upon one another, and, more and +more, subjected to the control of central government, +which is represented by the brain.</p> + +<p>For instance, some of the lower animals, as +the fresh-water <span class="smcap">Polyp</span>, present nearly a uniform +structure throughout their whole substance; and +every part of them consequently performs the same +function. There is not one organ for digestion, +another for circulation, a third for respiration, and +so on; but all these functions are performed by +the same structure, and are performed, therefore, +in a rude and imperfect manner. Any portion +of the creature possesses all the requisites for its +own nutrition, and is, so, independent of the remainder, +and can live alone. Hence, the polyp +may be divided into a number of pieces, each +of which goes on living. Gradually, as we ascend +from these lowly beings to the higher classes of +animals, we find organs and functions more and +more distinct from another; a Stomach is provided +for the work of digestion, a Heart for circulation, +Lungs for respiration. Each of these +organs is essential to the existence of the others +and of every part of the body; and they are +all maintained in harmonious co-operation by +the presiding influence of the nervous system.</p> + +<p><span class="pagenum" id="Page_6">6</span></p> + +<p>Or, trace one of the <i>functions</i> in illustration +of the same principle. Take the function of Locomotion, +which has an especial relation to our +present subject. In the <span class="smcap">Leech</span> and the <span class="smcap">Worm</span> +the whole length of the body is occupied in the +work, one part as much as another; and still, it +is but a crawl. In the <span class="smcap">Fish</span> the whole body +is buoyed up by the water; it is flattened from +side to side, and is all, from the head to the +tail, concerned in the lateral stroke by which the +animal is driven along; the side fins, which are +the representatives of limbs, doing little beyond +serving to guide and balance. In the other <span class="smcap">Vertebrates</span> +the work of locomotion is so far concentrated +as to be assigned, almost entirely, to +the limbs. All <i>four</i> limbs are in most of them +devoted to it; while the bones and muscles of +the trunk are only indirectly concerned in it. +In <span class="smcap">Man</span>, however, <i>two</i> limbs only are assigned +to this important office. In him, therefore, the +concentration of locomotive power, in other words +the principle of division of labour, is carried out +to the greatest extent—a disposition which affords +one of the many proofs that the construction of +his body combines with the faculties of his +mind to place him at the head of the animal +kingdom.</p> + +<p>In making comparisons of different animals<span class="pagenum" id="Page_7">7</span> +with one another, and in speaking of the relative +perfection of their several organs, we must +not forget that <i>every</i> organ of every animal is +perfect as regards the purpose for which it was +made. But some animals are said to occupy a +higher position than others, or to be superior to +others, because their mechanism is more complex, +and they are, thereby, enabled to perform +a greater variety of functions. And, in the animal +kingdom, in proportion as each function rises +into prominence, and becomes well and distinctly +performed, so is a special organ assigned to it, +and that organ becomes more and more highly +elaborated.</p> + +<p>You will not misunderstand me, then, when +I say that concentration of function and perfection +of structure usually go together. And, forasmuch +as in the lower limbs of man there is a +greater concentration of locomotive function than +in any other part of any other animal, you will +expect to find, in them, a greater perfection of +locomotive mechanism—that is to say, a more +complete combination of strength with variety, +rapidity, and extent of movement—than is elsewhere +to be met with.</p> + +<p>This consideration will ensure attention while +I give a brief account of the anatomy of man’s +lower limb, more particularly of the foot.</p> + +<p><span class="pagenum" id="Page_8">8</span></p> + + +<h3><i>Structure of the Lower Limbs.</i></h3> + +<p>The weight of the trunk is transmitted to the +knee (see fig. <a href="#f04">4</a>, p. 15) by a single bone—the thigh-bone. +This is the longest bone in the body, measuring, +on the average, nearly eighteen inches. +Above, it is jointed with the haunch-bone of the +pelvis at the hip-joint. From the knee two bones +descend to the ankle. Of these one is much the +larger, and bears the chief of the weight. The +other serves to give attachment to muscles, and to +strengthen the ankle-joint. It runs down on the +outer side of the ankle, forming there what is +called the “outer ankle;” and a process of the +larger bone runs down, in like manner, on the +inner side, and forms the “inner ankle.” The +front and inner side of the larger bone are close +under the skin. This part is called the “<i>shin</i>,” +being so named perhaps from the word “chine” +or edge, because the leg presents an edge along +the front, to facilitate its cleaving a way through +the air, water, grass, or underwood. The shin +itself is not particularly tender; but the skin is a +good deal exposed here, and, as it lies so near the +hard bone, it is easily injured; and, when “broken,” +it is often difficult to heal.</p> + +<p><span class="pagenum" id="Page_9">9</span></p> + +<p>In some very tall persons, and particularly in +those who are so tall as to be called <span class="smcap">Giants</span>, I +have found the leg or shank bones, that is, the +bones between the knee and the ankle, very long, +disproportionately long to the rest of the skeleton. +They are so in the skeleton of the Irish Giant, +O’Byrne, which is preserved in the Museum of the +College of Surgeons, in another Irish Giant in the +Museum of Trinity College, Dublin, and in some +other specimens which I have had an opportunity +of measuring. In the name “Long Shanks” given +to Edward I., the word “shanks” probably included +the thigh as well as the leg, just as we are in the +habit of applying the word “leg” to the whole of +the lower limb.</p> + + +<h3><i>Bones of the Foot.</i></h3> + +<figure class="figright illowp100" id="f01" style="max-width: 16.875em;"> + <img class="w100" src="images/f01.jpg" alt="Bones of the foot"> + <figcaption>Fig. <a href="#fignote_01">1</a>.</figcaption> +</figure> + +<p>There are 26 bones in the Foot. The hinder +7—called <i>tarsal</i> bones—are short and thick; they<span class="pagenum" id="Page_10">10</span> +form the hinder part of the instep. In front of +them lie 5 <i>metatarsal</i> bones, one passing, forwards, +from the fore part of the tarsus to each toe. Behind, +these are close together, and are connected +with the tarsus. As they run forwards they diverge +a little from one another; and their anterior +ends rest upon the ground, and form the “balls” +of the toes. They constitute the fore part of the +instep. The remaining 14 bones are the toes. +They are arranged in rows, like soldiers in a phalanx, +three deep, and are hence called <i>phalanges</i>.</p> + +<p>You observe that, although each of the other +toes has 3 bones, the great toe has only 2. In this +respect, therefore, it is an imperfect, or, rather, an +incomplete member. The deficiency does not depend +upon a want of length in the great toe; for +this is usually as long as the second toe; in some +persons it is a good deal longer; and it is always +distinctly longer than the outer two toes. The +reason for there being only two phalanges instead +of three probably is because the great toe is required +to be stronger than any of the others; and +an additional bone would have tended to weaken +it. I have, elsewhere<a id="FNanchor_1" href="#Footnote_1" class="fnanchor">1</a>, given reasons for thinking +that it is the middle phalanx which is absent in +the great toe.</p> + +<p><span class="pagenum" id="Page_11">11</span></p> +<div class="figcontainer"> +<div class="figsub"> +<figure class="figcenter illowp100" id="f02" style="max-width: 10.625em;"> + <img class="w100" src="images/f02.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_02">2</a>.<br>Seal’s Foot.</figcaption> +</figure> +</div> +<div class="figsub"> +<figure class="figcenter illowp100" id="f03" style="max-width: 12em;"> + <img class="w100" src="images/f03.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_03">3</a>.<br>Lizard’s Foot</figcaption> +</figure> +</div> +</div> + +<p>It is a curious and interesting fact, affording a +remarkable illustration of the close adherence to a +uniform plan which has been observed in the construction +of the various animals, that, in no instance, +does this toe contain more than two bones. +Even in those creatures, as the <span class="smcap">Seal</span> (fig. 2), in which +it attains to greater length than any of the other +sprawling digits, it contains the same number of +bones as in man, its extraordinary length being +attained by an elongation of the two bones, not by +the addition of a third. And in those animals, as +certain Lizards (fig. 3), where the number of bones +in the other toes is increased to 4 or even 5, the +number in the first, or inner, toe is still no more +than two. The same rule applies to the fore limb; +the number of bones in the inner digit, which, in<span class="pagenum" id="Page_12">12</span> +man and monkeys, is called the “thumb,” is in no +case more than two. In some animals, as will be +mentioned again, there is only one bone in this +digit, and in some the digit is wanting altogether; +but in none does it contain <i>more</i> than <i>two</i> bones.</p> + +<p>This reminds me of a still more remarkable instance +of adherence to a particular number of bones. +In the mammalian group of animals the <i>neck</i>, with +only one or two exceptions, contains <i>seven</i> bones, +neither more nor less. Whether it be the long +neck of the <span class="smcap">Giraffe</span>, or the short neck of the +<span class="smcap">Mouse</span>, the <span class="smcap">Bat</span>, or the <span class="smcap">Porpoise</span>, each consists, +like the neck in <span class="smcap">Man</span>, of seven bones. For what +reason a particular number should be thus rigidly +observed, it is not easy to say.</p> + +<p>Of the seven tarsal bones the uppermost (fig. <a href="#f01">1</a>) +is called the <i>astragalus</i>, from a supposed resemblance +to a die. It is the middle bone of the +instep. Above, it is jointed with the leg-bones; +behind, it is connected with, and rests upon, the +<i>heel-bone</i>, which is the largest bone in the foot. +The bone which lies immediately in front of the +astragalus, and supports it in this direction, is +called the <i>scaphoid</i>, or boat-like, bone. In front of +it are three <i>wedge-bones</i>, each of which is connected +with one of the metatarsal bones of the inner +three toes. On the outer side of the wedge-bones, +connected with the metatarsals of the two small<span class="pagenum" id="Page_13">13</span> +toes, and locked in between them and the heel-bone, +is the <i>cuboid</i> bone.</p> + +<p>I must confine my remarks chiefly to the <i>human</i> +foot. Still the anatomy of man derives so +much interest from being studied in connexion +with that of the lower animals, and is so much +more instructive when this is done, that I cannot +forbear diverging, here and there, to make a few +comparisons. Let me, for a moment, draw your +attention to a similarity, in general construction, +which exists between the lower limbs of man, and +the hinder limbs of other animals. And the comparison +may be extended to the fore limbs; for +however diverse may be the appearance and the +mode of action of the limbs in different animals, +whether they be terminated by hands or by feet, +whether they move upon the ground or ply in air +or water, whether they be attached to the head, +as are the front fins in many fishes, or, as is more +common, be situated at the fore and hinder parts +of the trunk, the same plan is traceable in all.</p> + +<p>Great, indeed, is the variety of detail in nature. +It is everywhere observable. No two things, +however near their resemblance, are precisely +alike. Yet, as I have before said, there is a remarkable +adherence to unity of plan. One star +differs from another star in glory, yet all appear +fashioned in the same manner, and subject to the<span class="pagenum" id="Page_14">14</span> +same laws. There are almost infinite varieties in +the vertebrate kingdom. Each animal exhibits +its own peculiarities; yet they are all formed +in the same manner, and are developed upon +one fundamental pattern, diverging from it in +different ways according to the requirements of +each. Again, though the several parts of the same +animal differ from one another; yet in the skeleton +the same bones which exist in one part may, +as a general rule, be traced in other parts and in +other animals. The bones which make up the pelvis +in man are repeated in his shoulder, and, even, +in his skull; and they may be recognised in the +pelvis, in the shoulder, and in the skull, of all other +vertebrate animals, with few exceptions. They undergo, +it is true, great varieties in shape and size; +but they can be shown to be the same, or, in the +language of anatomists, to be “homologous.” It +is highly interesting to the anatomist to trace +the same bone through the different parts of the +same animal, and through the various animals of +the vertebrate series, and to observe the modifications +which it undergoes in order to adapt it to +the multiform mechanism of the several classes, +to observe it sometimes dwindling, or even vanishing, +and then, it may be, reappearing under some +new conditions.</p> + +<div class="figcontainer"> +<div class="figsub"> +<figure class="figcenter illowp100" id="f04" style="max-width: 5.3125em;"> + <img class="w100" src="images/f04.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_04">4</a>.<br>Human Leg</figcaption> +</figure> +</div> +<div class="figsub"> +<figure class="figcenter illowp100" id="f05" style="max-width: 8.75em;"> + <img class="w100" src="images/f05.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_05">5</a>.<br>Horse’s Leg</figcaption> +</figure> +</div> +</div> + +<p>I must, however, resist the temptation to wander<span class="pagenum" id="Page_15">15</span> +into this attractive field. It will suffice to +take an illustration by a comparison of the bones +of the human lower limb with those of the hind +limb of the Horse. This may be easily done by +the aid of these drawings (figs. 4> and 5) in which +the two limbs are placed side by side, and the corresponding +bones are marked with the same letters. +Notwithstanding the many points of difference +the same plan will be recognised in each. +There is in each the thigh(<span class="lowercase smcap">C</span>), the leg(<span class="lowercase smcap">E</span>), and the +foot, with the tarsal and metatarsal(<span class="lowercase smcap">G</span>) bones, and<span class="pagenum" id="Page_16">16</span> +the phalanges(<span class="lowercase smcap">H</span>, <span class="lowercase smcap">I</span>, <span class="lowercase smcap">K</span>). But in the <span class="smcap">Horse</span> two of +the digits (the marginal ones, that is, the great toe +and the little toe) are wanting, two are rudimentary, +and the remaining one, which corresponds with +the middle toe of man, in length, size, and strength, +more than makes amends for the deficiency of the +others. The lowermost bone, or terminal phalanx, +of this huge toe, called the <i>coffin-bone</i>(<span class="lowercase smcap">K</span>), is encased +in the hoof, which corresponds with the +human nail, and is the only part of the foot that +rests upon the ground.</p> + +<p>In <span class="smcap">Man</span> the whole weight of the body has to +be borne upon <i>two</i> feet; often it is balanced upon +<i>one</i>. The foot is, consequently, spread out; and +all the bones, from the heel to the tips of the +toes, are made to form the basis of support upon +the ground. The <span class="smcap">Horse</span>, on the contrary, having +no hands, but <i>four</i> feet, does not require so great +breadth in each foot; and the opportunity is +taken to narrow the foot, and to lengthen it +so as to give fleetness. The end is attained by +suppressing some of the toes, by elongating +one far beyond the others, and enduing it with +such strength as to enable it to carry the requisite +weight upon the tip of the last phalanx. +The heel(<span class="lowercase smcap">F</span>) is raised high above the ground and +becomes the “hock.” To speak of a horse <i>kicking +with his heels</i> is, therefore, about as correct as to<span class="pagenum" id="Page_17">17</span> +say, that he <i>breaks his knees</i>. His knee, as you +perceive by the position of the “knee-cap”(<span class="lowercase smcap">D</span>), is +high up in the hind limb, near his body, quite +out of harm’s way in a fall. The fact is, that he +kicks with his <i>toes</i>; and, when he falls, he cuts the +skin over the part in his <i>fore</i> limbs, which corresponds +with the back of our <i>wrists</i>.</p> + +<p>In the upper segment, or thigh, the difference +between the two limbs is seen to be, to a certain +extent, the reverse of what it is below. That is +to say, whereas, in the <span class="smcap">Horse</span>, the <i>toe</i> is elongated +and thickened, so as greatly to exceed the corresponding +part of the human limb; in <span class="smcap">Man</span> the +<i>thigh-bone</i> is elongated, so as to be double the +length of that of the horse; the thigh-bone in man +is also placed more vertically, nearly in the plane +of gravity of the trunk. The horse’s thigh-bone +slants forwards and outwards, which gives the muscles +great power by causing them to run more at +right angles between their points of attachment; +and this arrangement increases the strength of the +animal in drawing weights, and facilitates springing. +A man cannot spring without first bending +the limbs a little; whereas a horse, or a goat, can +spring, at once, from the position in which it is +standing.</p> + +<p>To revert to the anatomy of the Human Foot.</p> + +<p><span class="pagenum" id="Page_18">18</span></p> + + +<h3><i>The Arch of the Foot.</i></h3> + +<p>The seven tarsal and the five metatarsal bones—that +is, the twelve bones of the instep—are arranged +and jointed together so as to form an arch +from the point of the heel to the balls of the toes. +This is called the “plantar arch,” from the Latin +word <i>planta</i>, the sole of the foot. The <i>astragalus</i> +forms the summit, or key-bone, of the arch. It +receives the weight from the leg, and transmits it, +through the hinder pillar of the arch, to the heel, +and, through the front pillar of the arch, to the +balls of the toes.</p> + +<figure class="figcenter illowp100" id="f06" style="max-width: 23.125em;"> + <img class="w100" src="images/f06.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_06">6</a>.</figcaption> +</figure> + +<p>The drawing represents a section, from behind +forwards, of the lower end of the leg-bone, and of +the bones lying along the inner side of the plantar<span class="pagenum" id="Page_19">19</span> +arch. Behind it extends through the heel-bone, +and in front through the great toe. It exhibits +the arrangement of the fibres and plates in the +interior of the bones, and shows that the greater +number of them, in each bone, follow the direction +of the two pillars of the arch; that is to say, they +descend from the summit of the arch where it +supports the leg-bone, backwards and downwards, +to the heel, and, forwards and downwards, to the +balls of the toes. Their arrangement is, therefore, +such as to give resisting strength to the bones in +the directions in which it is most required.</p> + +<p>You may think that the arch of the foot would +have been a much simpler structure, as well as +stronger, if it had been composed of one bone instead +of several. But it must be remembered that +it would, then, have been liable to be cracked and +broken by the sudden and violent manner in which, +during running and jumping, the weight of the +body is thrown upon it. Moreover, the several +bones, where they touch one another, are covered +with a tolerably thick layer of highly elastic gristle +or cartilage (represented by the clear line left in +the drawing along the contiguous edges of the +bones); and this provision, together with the slight +movements which take place between these bones, +gives an elasticity to the foot and to the step, and +serves to break the jars and shocks which are<span class="pagenum" id="Page_20">20</span> +caused by the sudden contact of the foot with the +ground.</p> + +<p>This last is a very important point; and we find +numerous contrivances in different parts of the +body to protect the brain and other delicate organs +from jars. So efficient are these contrivances, +and so exact is the adaptation of the mechanism +of the limbs and the trunk to the texture of the +internal organs, that, while these are in a healthy +state, we are able to run, to jump, and to leap +from a considerable height, without inconvenience. +But, if the organs be inflamed, or if the nervous +system be over sensitive, as in common headache, +the provisions, which are calculated for the normal +state, are insufficient; ordinary movements are +then painful, and to jump is intolerable.</p> + +<p>The muscles play a very essential part in this +work. <i>First</i>, they place the limbs in the most favourable +position. Thus, when we alight upon the +ground, from a height, we always contrive to do so +with the knees and hips a little bent, so that the +limbs readily yield at the joints, and act as springs +to break the jar. Elderly persons commonly keep +the limbs bent, even when walking quietly along. +They do this because they need all the benefit which +position will afford to make amends for the loss of +elasticity consequent on the thinning and drying +of the cartilages, and other changes that take place<span class="pagenum" id="Page_21">21</span> +in the body with advancing years. <i>Secondly</i>, the +muscles brace the limbs and joints in the position +in which they have placed them. We experience +the effect of the want of this salutary influence +when we kick against an unseen object, or fall +suddenly, or receive any blow or shock for which +we are unprepared. How disagreeable, to say the +least, it is to make the step for an additional stair +when we have arrived at the top of a staircase, or, +still worse, to meet with an unseen stair when we +think that we have got to the bottom.</p> + +<p>You perceive from the drawing (fig. <a href="#f06">6</a>) that +there is a great difference between the two pillars +of the plantar arch. The hinder pillar is comparatively +short, and narrow, and descends suddenly, +almost in a vertical direction, from the ankle, to +the ground; and it is composed of only one bone—the +heel-bone—which is jointed directly with the +astragalus: whereas the fore pillar is longer and +broader, is composed of several bones jointed together, +and slopes much more gradually to the +ground. There is, therefore, far less elasticity in +the hinder part of the foot than in the fore part. +Hence, when we descend from a height upon the +ground, we always alight upon the balls of the +toes, and thus gain the advantage which the several +bones and joints afford in breaking the shock. +If, after going up stairs this evening, you take the<span class="pagenum" id="Page_22">22</span> +trouble to come down again, you will find that +you alight upon each stair on the balls of the toes +and experience no inconvenience, however quickly +the descent is made. But, if you change the mode +of proceeding, and descend upon the heels, the +feeling will be by no means agreeable; and the +various organs of the body, being disturbed from +their accustomed repose, will raise such remonstrances +against your infringement upon nature’s +ways, that you will scarcely be able to continue +the experiment. Proportionately more distressing +is the sensation caused by jumping from a chair +upon the heels. Indeed, this is not done altogether +without risk; and the trial of it is scarcely to be +recommended to persons who have attained to that +sober period of life at which we are willing to concede +that, in some things, nature is wiser than +ourselves. Only a short time since I saw a gentleman, +who, in jumping down some steps into a +back yard, accidentally came upon his heels, and +jarred one hip so severely that he was confined to +his sofa for several days in consequence.</p> + +<p>But, you may say, “in walking we do place the +heel upon the ground first and experience no inconvenience.” +True, because the force with which +the foot descends in walking is very slight; and +the weight is directed upon the heel, obliquely, in +such a manner as to bring the toes very quickly to<span class="pagenum" id="Page_23">23</span> +the ground, and really to throw nearly the whole +force in that direction. Moreover, you may observe +that when we walk, the weight of the body +is partly sustained by the fore part of the one foot +till the whole of the other foot is on the ground. +I will, however, revert to the disposition of the +feet in walking and running presently.</p> + +<p>The arch of the foot has to bear great weight +and at great disadvantage; and there is very +little in the <i>shape</i> of the bones to maintain its +integrity. Indeed, they all fall asunder when the +other structures are removed, the key-bone dropping +through of its own weight. And the same +thing may be remarked throughout the skeleton. +Wherever two or more bones move upon one +another, their surfaces are so constructed that +they do not hold together without some assistance +from the soft parts. There are joints in the +body which we call “hinge-joints,” and others +which we call “ball-and-socket joints;” but in +none of them is there such a holding and locking +of one part in the other as you have in the +hinge and the ball-and-socket of the mechanic. +In every case the bones are held together, not by +their own shape, but by ligaments and muscles. +Consequently, any one of the bones may be dislocated +from those next it without breakage; +and when the muscles and ligaments are cut<span class="pagenum" id="Page_24">24</span> +through, or have been destroyed by maceration, +all the bones, between which any movement was +possible during life, separate from one another.</p> + +<p>Not only is this so, but in no instance are +the movements of joints <i>limited</i> simply by the +shape of the bones—that is to say, they are never +brought to a stop by a part of one bone coming +into contact with the edge of another. Such a +contact would have caused a <i>sudden</i> check; and +this would have been attended with more or less +jar and with some danger of chipping and breaking +the articular edges. The range of movement +of a joint is always regulated by the ligaments +or the muscles, not, directly, by the bones; and +the restraint thus imposed upon the movements +is brought to bear, not suddenly, but <i>gradually</i>; +somewhat like the effect of the “break” upon a +railway-train; while the cartilages between the +bones may be compared with the “buffers” between +the carriages.</p> + +<p>It is chiefly by means of strong <span class="smcap">Ligaments</span>, +or sinewy bands, passing from bone to bone, that +the shape of the plantar arch is maintained and +the movements of the bones upon one another +are regulated and limited. These ligaments are +numerous; but I will mention only two.</p> + +<p><span class="pagenum" id="Page_25">25</span></p> + +<figure class="figcenter illowp100" id="f07" style="max-width: 23.375em;"> + <img class="w100" src="images/f07.jpg" alt="Side view of foot bones and main ligaments"> + <figcaption>Fig. <a href="#fignote_07">7</a>.</figcaption> +</figure> + +<p>One, the <i>Plantar Ligament</i> (<span class="lowercase smcap">A</span>, fig. 7), of +great strength, passes from the under surface of +the heel-bone, near its extremity, forwards, to the +ends of the metatarsal bones; in other words, it +extends between the lowest points of the two +pillars of the arch, girding, or holding, them in +their places, and preventing their being thrust +asunder when pressure is made upon the key-bone +(<span class="lowercase smcap">D</span>); just as the “tie-beam” of a roof resists +the tendency to outward yielding of the sides +when weight is laid upon the summit. The ligament, +however, has an advantage which no tie-beam +can ever possess; inasmuch as a quantity +of muscular fibres are attached along the hinder +part of its upper surface. These instantly respond +to any demand that is made upon them, being +thrown into contraction directly the foot touches<span class="pagenum" id="Page_26">26</span> +the ground; and the force of their contraction +is proportionate to the degree of pressure which +is made upon the foot. Thus they add a living, +self-acting, self-regulating power to the passive +resistance of the ligament. In addition to its +office of binding the bones in their places, the +ligament serves the further purpose of protecting +from pressure the tender structures—the blood-vessels, +nerves and muscles—that lie above it, in +the hollow of the foot, under the shelter of the +plantar arch.</p> + +<p>Another very strong ligament (<span class="lowercase smcap">B</span> in the wood-cut) +passes from the under and fore part of the +heel-bone (<span class="lowercase smcap">F</span>) to the under part of the scaphoid +bone (<span class="lowercase smcap">E</span>). It underlies and supports the round head +of the astragalus, and has to bear a great deal of +the weight which is transmitted to that bone from +the leg. It does not derive the same assistance +from a close connexion with muscular fibres as +the ligament just described; but it possesses a +quality, which that and most other ligaments do +not have, viz. elasticity. This is very important, for +it allows the head of the key-bone (<span class="lowercase smcap">D</span>) to descend +a little, when pressure is made upon it, and forces +it up again when the pressure is removed, and +so gives very material assistance to the other +provisions for preventing jars and for giving ease +and elasticity to the step.</p> + +<p><span class="pagenum" id="Page_27">27</span></p> + +<p>A glance at the drawing will show you that +here is a weak point in the foot. The head of +the key-bone receives great weight from the leg, +but is comparatively unsupported; and there is +a considerable strain upon this part when the heel +is being raised in walking. Moreover, a good deal +of movement takes place between the key-bone +(<span class="lowercase smcap">D</span>) and the scaphoid bone (<span class="lowercase smcap">E</span>), more than between +any other two bones of the instep; and freedom +in the range of movement is generally attended +with some sacrifice of strength. The strong elastic +ligament comes in therefore with peculiar advantage +at this point; and it is underlaid, and additional +support is afforded exactly when it is +most required, by the tendon (b in fig. <a href="#f12">12</a>) of a +strong muscle, the especial office of which is to +assist in raising the heel and bending the instep, +and which runs, from the back of the leg, behind +the inner ankle, to the scaphoid bone.</p> + + +<h3><i>Weak Ankle and Flat-foot.</i></h3> + +<p>In spite, however, of the thick elastic ligament +and the strong tendon just mentioned, the +joint between the astragalus or key-bone and the +scaphoid bone still remains a weak point. The +head of the key-bone, from being insufficiently +supported or from being overweighted, is very apt<span class="pagenum" id="Page_28">28</span> +to descend a little below its proper level; the consequence +of which is that the plantar arch is lowered +and the foot is flattened; and the more the foot +is flattened the weaker it necessarily is, because +the position of the bones then becomes less and +less favourable for bearing weight, and an increasing +strain is thus incurred by the ligaments and +muscles. Hence the foot and ankle feel weak; +and the weakness is especially felt when the person +endeavours to raise the heel, so as to mount +upon the balls of the toes, in walking. For the +performance of that movement with ease and +steadiness a well-formed plantar arch is essential; +and the person, whose feet are defective in the +manner we are considering, can never walk with +a bold, firm step. The movement in him may be +better described as a shuffling from one foot on to +the other, than as a walk. To this I will recur +again when I come to speak more of walking. The +defect, when slight in degree, is commonly called +“weak-ankle;” when more decided it is called +“flat-foot,” because the sole is then nearly, or +quite, flat. The head of the key-bone, under +such circumstances, may even bulge downwards +and inwards, and form a prominence on the inner +side of the sole, so as to give more or less <i>convexity</i> +to the line on the inner side of the foot, +which should be <i>concave</i>.</p> + +<p><span class="pagenum" id="Page_29">29</span></p> + +<figure class="figright illowp38" id="f08" style="max-width: 9.375em;"> + <img class="w100" src="images/f08.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_08">8</a>. Flat-foot.</figcaption> +</figure> + +<p>The representation of “flat-foot” here shown +was drawn from the foot of a labouring man in +this county. He said he believed the deformity +was due to his having worn thick tight shoes +when he was a growing boy. He is most likely +right in his opinion; for tight or ill-fitting shoes, +cramping the feet and preventing the proper +growth of the bones and the free play of the +muscles, are a common cause of this evil. This +is so especially among the agricultural class, whose +feet are, from an early period, enclosed in stiff +unyielding leather cases that are enough to mar +nature’s best efforts to construct a plantar arch.</p> + +<p>The same drawing shows that flat-foot is not +the only deformity for which “high-lows” are<span class="pagenum" id="Page_30">30</span> +answerable. Besides the almost total want of +calf, which is due to the wearer being obliged to +hobble along, whole-footed, with short feeble steps, +it will be seen that the great toe has not been +allowed to assume its natural straight line, but +has been squeezed athwart the other toes, so as +to be almost at a right angle with the foot. +No room at all is thus given for the second toe; +it has been driven quite out of the field, and +has been obliged to hide itself by bending down +under the other toes. This is no uncommon +state of things. Frequently it is attended with +the formation of a painful bunion upon the prominent +inner side of the ball of the great toe; +and, in addition, there is sometimes a corn upon +the first joint of the second toe, which is a source +of so much inconvenience that I have known +many sufferers glad to get relief by parting with +the toe.</p> + +<p>I wish I could hope that the days of high-lows +are numbered, and could believe that in +the next generation they will be ranged with +the things of the past, and that our children +may know these enemies to the form of the rustic +foot, only as objects to be gazed upon with feelings +of astonishment and pity, just as we regard +the perukes and the stays of our ancestors. +There are, however, some practical difficulties<span class="pagenum" id="Page_31">31</span> +in the way of the fulfilment of this charitable +wish.</p> + +<p>There are two periods of life at which <span class="smcap">Flat-foot</span> +is most likely to be engendered. <i>First</i>, in +infancy, if the child be put upon its feet too +early, before the bones and ligaments are strong +enough to bear the weight of the body. Therefore +mothers should not indulge their anxiety to +see their infants walk very early; the pride attendant +on premature success is liable to be followed +by regret at finding that the children never +walk well. Parents and nurses should be content +to let the children crawl and roll about upon +the floor, and should not encourage them to +stand upright, especially if they be rather heavy +or weak children. Children are quite sure to +acquire the faculty of walking as soon as they are +well fit to exercise it.</p> + +<p>The <i>second</i> period is at about fourteen. The +body attains a considerable increase of weight +at this time, in consequence of the quick growth +that takes place. We often remark that lads and +girls of this age shoot up apace; and their greater +weight is not always attended with a proportionate +acquisition of strength. They are apt to +be rather weak and ungainly in their movements; +and the weakness often shows itself in the foot, +by a yielding of the plantar arch. Moreover,<span class="pagenum" id="Page_32">32</span> +many boys and girls are, at this age, turned out +into the world to earn a livelihood, and are +obliged to be a good deal upon their feet, and +perhaps, in addition, have to carry weights. +Thus errand-boys, butchers’ and bakers’ boys, and +young nursery-maids, are frequent sufferers in +this way. The constrained positions in dancing, +also, if enforced too much, or continued too long, +so as to tire the feet, sometimes lead to the +same result. On the other hand, moderate exercise +of this kind is calculated to strengthen the +foot and also the whole frame, and contributes +much to improve the carriage.</p> + +<p>This is not the place to enter into particulars +of <i>treatment</i>. I will, therefore, merely remark +that the common notion of supporting and +strengthening the ankles by tight-laced boots is +altogether a mistake, and must be ranked among +the most influential of the causes which combine +to spoil so many feet. It has its parallel in the +idea of strengthening the waist by stays. The notion +is, in both instances, fortified by the fact that +those persons who have been accustomed to the +pressure, either upon the ankle or the waist, +feel a want of it when it is removed, and are +uncomfortable without it. They forget, or are +unconscious, that the feeling of the want has +been engendered by the appliance, and that had<span class="pagenum" id="Page_33">33</span> +they never resorted to the latter they would +never have experienced the former; just as dram-drinking +induces a recurrence to the stimulus by +causing a sense of sinking when it is discontinued; +and, for the same reason, the opium-eater +can hardly exist without his drug.</p> + + +<h3><i>The Movements of the Foot.</i></h3> + +<p>We come now to the <span class="smcap">Movements</span> of the foot +upon the leg; and rarely do we contemplate anything +more calculated to excite our admiration. +Consider their variety, the rapidity with which +they take place, in order to effect the requisite +succession of positions in walking and running, +and to adapt the sole to the inequalities of the +surface on which we tread; and remember the +great weight which has to be sustained while +these movements are going on: yet, how seldom +is there a failure.</p> + +<p>This combination of variety of movement with +security is effected by the employment of <i>three</i> +joints, each of which plays in a direction different +from the others, while all act harmoniously +together.</p> + +<p><i>One</i> of the three joints—strictly called the +“ankle-joint”—is between the leg-bones and the<span class="pagenum" id="Page_34">34</span> +foot-bones, that is, between the tibia and fibula, +above, and the astragalus beneath. By means of +it the foot may be bent or straightened upon +the leg; in other words, the toes may be raised +or depressed. In this movement the heel participates, +being depressed when the toes are raised, +and <i>vice versâ</i>. A <i>second</i> joint is between the +astragalus and the heel-bone. It permits the +foot to be rolled inwards or outwards upon an +antero-posterior axis; so that the sole may be +turned inwards, with its inner edge upwards, or +may be turned down so as to be placed flat +upon the ground. A <i>third</i> joint is between the +first and second row of tarsal bones—that is, between +the astragalus and the heel bone, behind, +and the scaphoid and cuboid bones in front. It +permits the degree of flexure of the tarsal or +plantar arch to be increased or diminished.</p> + +<p>Had the several movements which are requisite +for easy walking all taken place in one joint, +that joint must necessarily have been very insecure; +indeed, it must have been a “ball-and-socket” +joint, and we should have been poised +upon our feet in the state of what is called +“unstable equilibrium”—a state quite incompatible +with security or strength, and which would +have rendered the assistance of the upper limbs +essential to either standing or walking.</p> + +<p><span class="pagenum" id="Page_35">35</span></p> + +<p>An instance of a similar kind of mechanism +to this of the joints between the foot and the +leg is presented by the mode in which the head +is secured upon the back-bone. We can nod the +head upwards and downwards; we can turn it +to either side in so free a manner that we are +able to command with our eyes the whole circle +in which we sit simply by the movements of +the head; and we can incline the head to the +right or to the left. Any of these movements +may be made very quickly; and there is a separate +joint or joints for each of them. Thus, the +<i>nodding</i> movement takes place between the head +and the first vertebra or uppermost bone of the +spine; the <i>turning</i> of the head from side to side +takes place between the first and second vertebræ, +the head with the first vertebra rotating upon a +pivot projected upwards from the second vertebra; +and the <i>inclination</i> of the head from side to side +takes place by movements of the second vertebra +upon the third, of the third upon the fourth, and +so on. The result is that, although the movements +are thus varied, they are free as well as rapid. Yet +the head is so well poised and so strongly fixed +that the neck is able to bear it all day long without +fatigue; and, as though the weight of the +head, which is by no means inconsiderable, were +not enough for the neck, we are in the habit of<span class="pagenum" id="Page_36">36</span> +selecting this as the part upon which to carry burdens. +One never feels so strongly impressed with +the carrying capabilities of the neck and the ankle, +as when following men and women in mountain +districts toiling up and down the hills under great +bundles of hay, baskets full of bitter beer, and +various things intended to minister to the comfort +and luxury of travellers and the inhabitants at +the top. So effectual, indeed, are the provisions +for security that, notwithstanding the freedom and +variety of their movements, the joints of the foot +with the leg, and of the head with the spine, are, +in proportion to their size, the strongest in the +body.</p> + +<p>I have stated the movements that take place +in the three joints of the foot with the leg in a +simple manner, for the sake of avoiding confusion. +In reality, however, they are not so simple, but +very difficult to analyse and make out correctly. +The difficulty is due, partly, to the close proximity +of the joints to one another, which renders it no +easy matter to distinguish the movements of one +from those of the others, and, partly, to the fact +that the movements in each joint are a little oblique.</p> + +<p>In the latter respect the foot-joints resemble +most of the others in the body; and it is this <i>obliquity</i> +in the movements of the joints, added to<span class="pagenum" id="Page_37">37</span> +the <i>curves</i> and <i>twists</i> in the shape of the bones, +that constitutes one of the chief difficulties in +investigating and clearly understanding the mechanism +of the human frame. It has been said +that “Nature abhors a vacuum:” it may with +equal truth be said that she abhors a straight line. +In the Human Skeleton, at any rate, all the bones +are bent and twisted, some in two or three directions; +and the surfaces by which any bone is +jointed to the adjacent bones, are invariably oblique +with regard to each other.</p> + +<figure class="figleft illowp20" id="f09" style="max-width: 5.125em;"> + <img class="w100" src="images/f09.jpg" alt="Front view of tibia"> + <figcaption>Fig. <a href="#fignote_09">9</a>.</figcaption> +</figure> + +<p>Take, for instance, the <i>tibia</i>, or large bone of +the leg, of which a front view and an inner side +view are given in the drawings. The tibia is a<span class="pagenum" id="Page_38">38</span> +column transmitting weight from the thigh to the +foot; and in any machine of man’s construction a +column fulfilling similar purposes would be made +straight and of uniform diameter throughout. The +bone, on the contrary, does not present the same +thickness at any two parts of its length. It has +a distinct bend, forwards, in nearly its whole +length (fig. 10): there are lateral curves, alternating +like those in the letter S, seen along its +front (fig. 9): and the articular surface at the +lower end is placed obliquely with regard to that +at its upper end, in consequence of a twist in +the shaft, in such a manner that when the +hinder surface of the upper end of the bone rests +upon a board, the lower end touches the board +only by its outer corner (fig. 10). This disposition +of the lower end, I may remark, assists to +give the foot a slant outwards from the heel to +the toe, so that when we stand, with the heels +together, the great toes of the two feet diverge +a little from one another.</p> + +<figure class="figcenter illowp100" id="f10" style="max-width: 23.75em;"> + <img class="w100" src="images/f10.jpg" alt="Medial view of tibia"> + <figcaption>Fig. <a href="#fignote_10">10</a>.</figcaption> +</figure> + +<p><span class="pagenum" id="Page_39">39</span></p> + +<p>Moreover, the surfaces by which the tibia is +jointed with the thigh-bone at the knee are arranged +with a varying degree of obliquity, so +that the relation of the leg to the thigh varies +somewhat in different positions of the limb. For +instance, when we stand upright, the <i>thigh</i> slants +<i>in</i>wards from the pelvis, and the <i>leg</i> descends +in a <i>vertical</i> direction to the ground. While, +however, the knee is being bent the leg is carried, +not in a vertical plane, but a little obliquely, +so that the lower part soon begins to slant <i>out</i>wards; +and when the knee is fully bent the obliquity +of the leg and that of the thigh correspond, +and the leg is, as it were, folded up against the +thigh. The heel is thus brought up, not to the +middle line of the body, but to the hip, and we +are enabled to sit with the hips upon the heels, as +the Japanese are represented doing, or with one<span class="pagenum" id="Page_40">40</span> +hip upon one heel—a position in which our +riflemen are trained to take aim, and in which +their predecessors with the arrow were wont to +shoot, as is shown by the accompanying sketch +of a bowman (fig. 11), taken from one of the Æginetan +marbles in the Glyptothek at Munich.</p> + +<figure class="figright illowp100" id="f11" style="max-width: 11.5em;"> + <img class="w100" src="images/f11.jpg" alt="Sketch of kneeling bowman"> + <figcaption>Fig. <a href="#fignote_11">11</a>.</figcaption> +</figure> + +<p>A variety of purposes is attained by the curvilinear +shape of the bones and the obliquity in +the movements of the joints. Not the least of +these is the appearance of elegance and ease which +is given to the whole frame, both when it is at +rest and when it is in motion. In order that you +may fully appreciate this result, I would ask you, +the next time you are in a gallery of antique statuary, +to contrast the figures which the Egyptians +have left us with those by the Greeks. In the +former you will find that straight lines and right +angles prevail: the figure sits, probably, bolt +upright, with the elbows, hips, knees, and ankles +bent at right angles: the fingers commonly run +straight forwards; and a hand is often laid upon +each knee, the limbs of the two sides being quite +symmetrically placed. Such statues may be imposing; +but they are stiff and unnatural. They +represent positions which the body rarely assumes; +and they, certainly, are far from pleasing. Very +different is the Greek statuary. A correct representation +of nature is the great difficulty<span class="pagenum" id="Page_41">41</span> +and the highest consummation of art; and the +Greeks evinced their greatness in art by a true +appreciation and close imitation of natural form. +The position of their figures is life-like; and, +therefore, we love to contemplate them. The +outline in them exhibits a graceful disposition +of curves and obliques; and it is because the +great sculptors of Greece were, in this and in +other respects, so true to nature that their works +have commanded the admiration, and served as +models for the imitation, of all succeeding ages.</p> + +<p>It is one of the master results of creation, +and one of the peculiar marks of creative genius, +that <i>perfection</i> and <i>beauty</i> are usually presented +together. As truth is the soul of eloquence, so +is perfection the soul of beauty. The works of +nature are beautiful because there is so much +excellence in them, such admirable adaptation to +their purpose; and we find the works of man +beautiful only so far as they are correct imitations +of their great originals in nature, or show +some approach to nature’s excellence. And man +is the most beautiful object in nature because +he is the most perfect, that is, because the purpose +of his existence is the highest, and because +his physique exhibits the most marvellous moulding +to adapt it to its high purpose; because, in +short, in him the material is wrought to such a<span class="pagenum" id="Page_42">42</span> +point of refinement as to be the receptacle and +minister of the immaterial.</p> + +<p>The movements of the three joints between +the foot and the leg take place in harmony. +The following is the order observed. The raising +of the <i>heel</i> is accompanied by a rolling of +the foot <i>in</i>wards, and by an increased <i>flexure</i> of +the plantar arch; and the raising of the <i>toes</i> is +accompanied by a rolling of the foot <i>out</i>wards +and a <i>straightening</i> of the sole.</p> + + +<h3><i>The Muscles of the Leg and Foot.</i></h3> + +<figure class="figcenter illowp77" id="f12" style="max-width: 20em;"> + <img class="w100" src="images/f12.jpg" alt="Muscles and tendons that raise the heel"> + <figcaption>Fig. <a href="#fignote_12">12</a>.</figcaption> +</figure> + +<p>The <i>first</i> series of the movements just described +is effected, mainly, by three muscles. Of<span class="pagenum" id="Page_43">43</span> +these one (<span class="lowercase smcap">A</span>, fig. 12) raises the heel while the +other two (<span class="lowercase smcap">B</span>, fig. 12, and <span class="lowercase smcap">C</span>, fig. <a href="#f13">13</a>) raise and +support the ankle. The muscle which acts upon +the heel is one of the largest and most powerful +in the body; and well it may be, for in +raising the heel it has to raise the whole weight +of the body. Its fibres, accumulated at the middle +and upper part of the leg, form the “calf;” below +they taper into a thick tendon (a) connected +with the hinder extremity of the heel-bone, and +called the <i>Tendo Achillis</i>. The name, it need +scarcely be said, refers to the tale of Thetis +holding her son Achilles by this part when she +dipped him in the river Styx. Her hand prevented +the part from coming in contact with +the water; and so it did not partake of the invulnerability +which was conferred upon the rest +of his body by the immersion. We read, accordingly, +he was finally killed by a wound in +the heel<a id="FNanchor_2" href="#Footnote_2" class="fnanchor">2</a>.</p> +<p><span class="pagenum" id="Page_44">44</span></p> +<p>The other two muscles (<span class="lowercase smcap">B</span> and <span class="lowercase smcap">C</span>) also descend +from the leg and terminate in tendons (b and c) +which pass, one on either side, behind the projections +(<span class="lowercase smcap">D</span> and <span class="lowercase smcap">E</span>) which we call respectively the +inner and outer ankle, to the inner and outer edges +of the instep. They assist to raise the ankle, and +support it so as to prevent its swerving from side +to side; and they permit it to play to and fro upon +them, like a pulley upon ropes running under it, +in a safe and easy manner. The inner (b, fig. 12) +of the two tendons passes, as before mentioned, +beneath the head of the key-bone, and adds +greatly to the strength of the arch. It is, moreover, +the chief agent in effecting the two movements +which are associated with the elevation of +the heel, viz. the turning of the sole inward and +the flexion of the foot.</p> + +<figure class="figcenter illowp70" id="f13" style="max-width: 20.625em;"> + <img class="w100" src="images/f13.jpg" alt="Muscles and tendons that raise the toes"> + <figcaption>Fig. <a href="#fignote_13">13</a>.</figcaption> +</figure> + +<p>The <i>second</i> series of movements—the raising +<span class="pagenum" id="Page_45">45</span>the toes, the turning the sole downwards, and the +straightening the foot—are effected by two muscles +(<span class="lowercase smcap">F</span>, fig. <a href="#f12">12</a>, and <span class="lowercase smcap">G</span>, fig. 13), the tendons +(f and g) of which pass, one in front of the inner +ankle, and the other in front of the outer ankle, +to the respective edges of the instep. These require +much less power than their opponents; and +the muscles on the front of the leg are, therefore, +smaller and weaker than those behind.</p> + +<p>A question of practical interest here suggests +itself. How is the balance between these antagonistic +muscles maintained, and the proper position<span class="pagenum" id="Page_46">46</span> +of the foot preserved? If the muscles which +cause the elevation of the heel and the other +movements associated with it are so much stronger +than those which produce the opposite series of +movements, and if, as we know to be the case, +muscles are always, even when a limb is at rest, +contracting with a certain amount of force, why +do not those of superior power gain and maintain +the ascendancy, and hold the limb in the position +to which they have a tendency to draw it? And +why, in this instance, are not the feet kept with +the heels raised and the soles inturned and bent? +The reply is, that the ill consequence suggested +is prevented, and a proper adjustment between +the opponent sets of muscles, in this and other +parts of the body, is effected through the medium +of the nervous system. That system institutes +friendly relations, and compels an orderly and +harmonious action of the several muscles; and it +does so by frequently exerting its influence upon +them, keeping them in drill, as it were, and enforcing +the habit of yielding in a kindly manner +to one another.</p> + +<figure class="figright illowp27" id="f14" style="max-width: 6.5625em;"> + <img class="w100" src="images/f14.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_14">14</a>.<br>Club-foot.</figcaption> +</figure> + +<p>You have often observed, and perhaps wondered +at, the almost incessant, semi-involuntary +and, seemingly, meaningless movements of infants, +especially the peculiar sprawlings out of their +fingers and toes. Now these are for the purpose<span class="pagenum" id="Page_47">47</span> +of keeping the different sets of muscles in practice +and in order, till the will acquires a due control, +when they gradually cease. They are going on +before birth as well as afterwards; and when they +are deficient, or when they take place irregularly, +in consequence of an imperfection in the nervous +system, the limbs are liable to become deformed. +The feet, under these circumstances, are often +drawn into the very position I have just mentioned; +the sole is turned inwards and upwards, +so as never to touch the ground; the heel and +the toes are approximated; and the foot rests upon +the ground on the outer side, or quite on the fore +part, of the instep. Such a condition constitutes +one of the most common forms of what is called +“club foot.” Children are often born with one or<span class="pagenum" id="Page_48">48</span> +both of their feet thus distorted. Happily, however, +if they be submitted in time to the modern +improved modes of treatment they may usually +be set right. The accompanying woodcut gives a +sketch of the foot of a young woman who had +not the good fortune to be thus attended to.</p> + +<p>The muscles compose the flesh or chief part of +the bulk of a limb. The “calf” is almost entirely +made up of the fibres of the “calf-muscle.” But +at the ankle there are no muscles. As they descend +the leg, all the <i>muscular</i> fibres disappear, +and there are only <i>tendons</i>. These, though much +thinner than the muscles, are very strong; and +they are the cords or ropes by which the muscles +pull upon distant parts. As they pass over the +ankle they are strapped down close to the bones +by means of stout sinewy cross-bands, which prevent +their starting from their places when the +muscular portions pull at them.</p> + +<p>Two especial advantages result from this +arrangement.</p> + +<p><i>First</i>, the lower part of the leg and the ankle +are reduced in size. Thereby the resistance to +the passage of the limb through the air is lessened; +and when it is upon the ground, the leg is +less in the way of the other foot which is swinging, +to and fro, beside it. An elegance of shape is also +thereby imparted. The “pretty ankle” owes<span class="pagenum" id="Page_49">49</span> +much of its charm to the mode in which the tendons +are disposed. How comparatively thick and +clumsy would the ankle be if the tendons of the +toes took the straight course represented by the +line <i>a</i> in the drawing, instead of being bound +down, as they are, to the curve of the ankle!</p> + +<figure class="figleft illowp57" id="f15" style="max-width: 9.0625em;"> + <img class="w100" src="images/f15.jpg" alt="Shows ligaments restraining tendons on front of ankle"> + <figcaption>Fig. <a href="#fignote_15">15</a>.</figcaption> +</figure> + +<p><i>Secondly</i>, the obliquity with which the tendons +run to their insertions is increased by this arrangement; +and the velocity of the movements to +which they minister is increased also. True, a +loss of strength is involved in such a disposition, +but the gain in velocity is of more importance. +If (to refer again to the diagram, fig. 15) the tendon +ran in a straight course from the front of the +leg to the great toe, the angle at which it joined +the toe would enable it to act with more strength; +but the movements connected with it could not be +so quick as they now are.</p> + +<p><span class="pagenum" id="Page_50">50</span></p> + +<p>We find in the construction of the human +frame many instances in which strength is sacrificed +to rapidity of movement in this and other +ways. Scarcely any conceivable amount of +strength, for instance, would be an adequate compensation +for a loss of that celerity of movement +of the hand which enables us to strike a blow and +drive a nail. No wonder, therefore, that strength +is here sacrificed to obtain celerity. And the +same principle holds good for other parts.</p> + +<p>The length and direction of the heel affords a +good illustration of the principle of which I am +speaking. When the heel-bone runs out to a considerable +distance, and nearly straight, behind the +ankle, as it does in some of the lower animals and in +the inferior races of mankind, it presents a better +leverage to the calf-muscle, which is, then, enabled +to raise the ankle with a less amount of effort; +but there is proportionately less velocity. Accordingly, +in the more perfectly formed foot, such as +we find it in the higher races of mankind, the +heel-bone, instead of running out backwards, +descends very obliquely, almost vertically.</p> + +<p>In this instance, the loss of strength, which +is thus incurred for the purpose of acquiring +celerity in movement, is usually compensated for +by the greater development of the calf-muscle. +Hence the high heel and the well-developed<span class="pagenum" id="Page_51">51</span> +calf go together; and, like most of the other +features of good bodily formation, they are, on +the whole, best marked in the nations which are +endued with the highest intelligence, and which +are, in this way, physically, as well as mentally, +qualified to occupy the foremost places in the +human family. Thus, we may mark a relation +between the heel and the brain; and, as the +comparative anatomist is able by the inspection +of a bone to trace out the skeleton to which it +belonged, so might it be possible for the human +anatomist, by observing minutely the peculiarities +of the heel and the other features of the +foot in any particular race of men, to form some +estimate of the capacity and conformation of the +skull, and thereby, of the amount of intelligence.</p> + +<p>Contrast the foot and leg of the <span class="smcap">European</span> +(fig. 16), as represented in the drawing reduced +from the Farnese Hercules, with those of the +<span class="smcap">Negro</span> (fig. 17), the drawing of which was taken +from a native of Sierra Leone. In the former +the leg is plump and the calf well developed; +the foot is compact and well arched; the heel +descends nearly vertically; and the inner ankle +stands clearly out and is raised high above the +ground. In the Negro the leg is thinner and +the calf is not so well defined; the foot is long, +flat, and sprawling; the heel is more horizontal;<span class="pagenum" id="Page_52">52</span> +and the inner ankle does not show clearly, and +almost touches the ground.</p> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell vab"> +<figure class="figcenter illowp100" id="f16" style="max-width: 10.375em;"> + <img class="w100" src="images/f16.jpg" alt="Leg of European - side view"> + <figcaption>Fig. <a href="#fignote_16">16</a>.</figcaption> +</figure> +</div> +<div class="cell vab"> +<figure class="figcenter illowp100" id="f17" style="max-width: 12.25em;"> + <img class="w100" src="images/f17.jpg" alt="Leg of Negro - side view"> + <figcaption>Fig. <a href="#fignote_17">17</a>.</figcaption> +</figure> +</div> +</div> +<div class="row"> +<div class="cell vab"> +<figure class="figcenter illowp100" id="f18" style="max-width: 10.375em;"> + <img class="w100" src="images/f18.jpg" alt="Foot of European"> + <figcaption>Fig. <a href="#fignote_18">18</a>.<br> +European.</figcaption> +</figure> +</div> +<div class="cell vab"> +<figure class="figcenter illowp100" id="f19" style="max-width: 12.25em;"> + <img class="w100" src="images/f19.jpg" alt="Foot of Negro"> + <figcaption>Fig. <a href="#fignote_19">19</a>.<br> +Negro.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>Contrast also the outline (fig. 19) of the foot of +the same Negro with that (fig. 18) of an Englishman. +Both were traced upon the ground, and reduced +upon the same scale. The Negro was 5 ft. +2 in. in height; the Englishman was 6 ft.; both were +of the same age: yet the Negro’s foot was considerably +the larger. It was 11 inches long, <span class="nowrap">3 <span class="fraction"><span class="fnum">1</span><span class="bar">/</span><span class="fden">2</span></span></span> inches +across the middle of the instep, and <span class="nowrap">10 <span class="fraction"><span class="fnum">1</span><span class="bar">/</span><span class="fden">2</span></span></span> inches +round the balls of the toes. Whereas the Englishman’s +foot was less than <span class="nowrap">10 <span class="fraction"><span class="fnum">1</span><span class="bar">/</span><span class="fden">2</span></span></span> inches long, was <span class="nowrap">2 <span class="fraction"><span class="fnum">1</span><span class="bar">/</span><span class="fden">2</span></span></span><span class="pagenum" id="Page_53">53</span> +inches across the middle of the instep, and <span class="nowrap">9 <span class="fraction"><span class="fnum">1</span><span class="bar">/</span><span class="fden">2</span></span></span> +inches round the balls of the toes. Even in this +simple outline how much less shapely is the African’s +foot. Some allowance must be made for the +fact that the Negro was more accustomed to go +barefooted than the Englishman; and the pressure +of the boot or shoe has, in some degree, the effect +of giving compactness to the foot.</p> + +<p>In the native <span class="smcap">Australian</span> the leg is commonly +still more lanky, there being less calf than +in the African; and in the <span class="smcap">Monkey</span> the heel +is quite horizontal, the sole is flat, and the muscular +fibres of the leg are continued low down, +close to the ankle, instead of being concentrated +higher up; so that the leg has nearly the same +thickness from the knee to the foot, and there +is no calf at all. Indeed, in the <span class="smcap">Gorilla</span> (see +fig. at page <a href="#Page_91">91</a>) the circumference of the leg increases +towards the ankle. Thus, the calf may +be regarded as the characteristic of <span class="smcap">Man</span>; and +a well-developed calf is a characteristic of the +higher members of the human species. The pride, +therefore, which is felt in a well-formed leg is +not altogether a senseless folly, but finds some +excuse in the fact that its foundation lies deep in +the laws of physiology and ethnology. It must +be confessed, that the fashion which, in the last +century, dictated the knee-breeches, the silk stocking,<span class="pagenum" id="Page_54">54</span> +and the shoe, evinced a truer appreciation of +the dignity and beauty of the human figure than +do the modern investments, which quite cover up +the limbs, encumbering their movements and +hiding the beauty of the leg and ankle.</p> + +<p>In the addition of the <i>high heel</i> to the shoe +we recognise an effort to improve upon the original, +by exaggerating one of the peculiar features +of the human foot; but it results in a failure, +as is invariably the case with such strainings after +a greater perfection than nature has given. It +increases the apparent height of the person and +of the arch of the instep; but it throws the +weight too forward upon the toes, and detracts +from the length and security of the step. Moreover, +by causing disuse of the elevators of the +heel, it interferes with the full growth of the +calf.</p> + +<figure class="figright illowp81" id="f20" style="max-width: 11.5em;"> + <img class="w100" src="images/f20.jpg" alt="Deformed Chinese foot"> + <figcaption>Fig. <a href="#fignote_20">20</a>. Chinese.</figcaption> +</figure> + +<p>This is, however, a harmless piece of vanity +in comparison with the monstrous efforts of the<span class="pagenum" id="Page_55">55</span> +Chinese to mould the foot to their ideal by +squeezing the heel and the toes together. They +effect this to such a degree that (fig. 20) the +heel-bone descends vertically from the ankle, the +plantar arch is bent to an acute angle, and the +foot is so crumpled up that all movement in it +is effectually prevented, and the part is reduced +almost to a mere stump. These observant and +ingenious people have caught, it may be, the idea +that compactness, elevation of instep, and sudden +descent of heel are characteristics of the well-formed +foot, and may urge that they are helping +nature to perfection in the direction which she +has herself indicated. But in their silly attempt +at the preternatural, in this impious use, as it +were, of fire stolen from heaven, they simply +burn and cripple themselves, and render themselves +ridiculous, and give to all other nations +the much needed lesson that it is enough for +man to follow as a humble imitator of his Maker’s +works, and that his attempts to alter, or improve +upon, any part of the wondrous design of creation +will assuredly have the effect of spoiling +and defacing it<a id="FNanchor_3" href="#Footnote_3" class="fnanchor">3</a>.</p> +<p><span class="pagenum" id="Page_56">56</span></p> +<p>It seems that the several races of mankind are +usually rather proud of their peculiarities, and +that each has an inclination to make much of, +and artificially exaggerate, the points in which it +differs from the others. Thus the Chinese are +remarkable for the spareness of their hair and +the smallness of their feet; so the men shave +their heads, leaving only the pig-tail, and the +women squeeze up their feet in the remorseless +manner we have seen. The Singhalese, who are +flat-footed, are said to consider it one of the requisites +for a ‘belle’ that the soles of her feet +should not have any hollow. The red Indians of +America delight in staining and painting their +skins of a lively red colour. The Columbian tribe +of Indians increase the natural lowness of their +forehead by flattening it out in infancy, and +succeed in bringing about a deformation of the +skull almost as remarkable in its way as is the +effect of Chinese cramping upon the foot. These +people also take pains to reduce the small quantity +of hair upon their eyebrows, lips, and chin, +by plucking it out.</p> + +<p><span class="pagenum" id="Page_57">57</span></p> + + +<h3><i>Joints of the Metatarsus with the Tarsus.</i></h3> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowe100" id="f25" style="max-width: 5.8125em;"> + <img class="w100" src="images/f25.jpg" alt="Little toe"> + <figcaption>Figs. <a href="#fignote_21">25</a>.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe100" id="f24" style="max-width: 5.8125em;"> + <img class="w100" src="images/f24.jpg" alt="Fourth toe"> + <figcaption>24.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe100" id="f23" style="max-width: 5.8125em;"> + <img class="w100" src="images/f23.jpg" alt="Middle toe"> + <figcaption>23.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe100" id="f22" style="max-width: 5.8125em;"> + <img class="w100" src="images/f22.jpg" alt="Second toe"> + <figcaption>22.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe100" id="f21" style="max-width: 5.8125em;"> + <img class="w100" src="images/f21.jpg" alt="Big toe"> + <figcaption>21.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>I will briefly draw your attention to one other +point in the anatomy of the foot; and that is, +the mode in which the “metatarsal” bones are +jointed with the “tarsal.” If you take hold of the +ends of the metatarsal bones—in other words the +“balls”—of the great toe and of the two toes +next to it, in your own foot, you will find that +you can move them scarcely at all; they are +firmly set upon the rest of the foot, almost as +though they formed one piece with it. If you +then try the end of the metatarsal bone of the +fourth toe you will be able to move it a little +upwards and downwards; and in the case of +the little toe the movement is still more distinct. +This difference depends upon the mode +of construction of the joints of the metatarsal +bones with the tarsal, which is easily understood +by the aid of the accompanying drawings, representing +sections, from above downwards, through +these joints. In 21, 22, and 23, which are the +tarso-metatarsal joints of the great toe and the +two next it, the opposed surfaces of the bones +between <i>c</i>, <i>c</i>, are quite flat, so that the only +movement that can take place is a slight sliding +of one bone upon the other, just enough to assist<span class="pagenum" id="Page_58">58</span> +in breaking the jar, but not enough to interfere +with the firm basis of support which these toes +are required to afford to the plantar arch in consequence +of the great stress of the weight in walking +being borne upon this side of the foot. In No. 24, +which is the joint of the ring toe, and still more in +No. 25, which is the joint of the little toe, the end +of the metatarsal bone (<span class="lowercase smcap">A</span>) is rounded and is received +into a corresponding concavity or cup in the tarsal +bone (<span class="lowercase smcap">B</span>). This allows a slight revolving of one bone +upon the other to take place, and permits the +movement which you discover when you grasp the +balls of these two toes between your fingers. The +outer part of the foot needs not to be so strong and +firm as the inner part, because it does not lie so +nearly in the plane of gravity during walking; and +the provision just described, which permits some +movement in the outer two metatarsals, enables +the balls of the toes to adapt themselves to inequalities +on the ground, and to share more equally, +under various circumstances, the weight which is +thrown upon them.</p> + +<p><span class="pagenum" id="Page_59">59</span></p> + + +<h3><i>Standing and Stooping.</i></h3> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowp100" id="f26" style="max-width: 5.5625em;"> + <img class="w100" src="images/f26.jpg" alt=""> + <figcaption>Figs. <a href="#fignote_26">26</a>.<br>Standing.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f27" style="max-width: 7.1875em;"> + <img class="w100" src="images/f27.jpg" alt=""> + <figcaption>27.<br>Bowing.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f28" style="max-width: 7.4375em;"> + <img class="w100" src="images/f28.jpg" alt=""> + <figcaption>28.<br>Stooping.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f29" style="max-width: 7.9375em;"> + <img class="w100" src="images/f29.jpg" alt=""> + <figcaption>29.<br>Squatting.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>When we <span class="smcap">Stand</span> straight upright (fig. 26) the +centre of gravity of the head is directly over a +point midway between the two ankles; and the +plane of gravity, represented by the vertical line +in the figure, descends, from the head, through the +spine, pelvis, and lower limbs, to the key-bone of +the instep. And you observe that, between the +head and the ankle, the skeleton is not quite +straight, but is arranged in six curves, which are,<span class="pagenum" id="Page_60">60</span> +alternately, in front of and behind the line of gravity. +Of these curves the upper three are in the +spine. They are well marked; the uppermost (<i>a</i>) +is in the neck and is directed forwards; the next +(<i>b</i>) is in the back and is directed backwards; the +third (<i>c</i>) is in the loins and is directed forwards. +The fourth curve (<i>d</i>), less distinct than those above +it, is in the pelvis and is directed backwards. The +fifth and sixth curves are very slight; the fifth (<i>e</i>), +directed forwards, is at the hip-joint; and the sixth, +(<i>f</i>), directed backwards, is at the knee. The last +two curves, though slight, are not unimportant; +and they contribute very much to our comfort +and to prevent fatigue when we are standing: they +do so in the following way. The strong ligaments +of the hip are placed towards the <i>fore</i> part of the +joint, that is, in <i>front</i> of the line of gravity; and +the strong ligaments of the knee are placed towards +the <i>back</i> part of the joint, that is, <i>behind</i> +the line of gravity. It follows that when these +joints are fully extended they are “locked,” as it +is termed, just as is a hinge when opened to a +little beyond the straight line; and, by this means, +the muscles are set at rest, and we are able to +maintain the erect posture, for some time, steadily +and without fatigue.</p> + +<p>When standing upright in this way, at rest on +both legs, or on one leg in the military position of<span class="pagenum" id="Page_61">61</span> +“at ease,” and the muscles are off their guard, if a +sudden and unexpected, though slight, pressure be +made upon the ham, so as to bend the knee a +little and throw the joint in front of the line of +gravity, the man will drop, unless the muscles +come quickly to the rescue—a tendency which has +not escaped the observation of school-boys.</p> + +<p>In <span class="smcap">Bending</span> or <span class="smcap">Bowing</span> (fig. <a href="#f27">27</a>) the head is +carried forwards; and, to maintain the balance, the +opposite pole of the trunk is carried backwards, +so as to preserve the line of gravity still over the +ankles.</p> + +<p>In <span class="smcap">Stooping</span> (fig. <a href="#f28">28</a>) or <span class="smcap">Squatting</span> (fig. <a href="#f29">29</a>), +as in picking up any thing from the ground, the +lower limbs and the trunk are bent in a zigzag +manner; the heels are raised; and the plane of +gravity falls, in front of the ankles, over the balls +of the toes. Now we recognise one of the advantages +which accrues to man from the great length +of his thigh. For the head and upper part of the +trunk are advanced so far in <i>front</i> of the feet, that +it would be impossible to maintain a balance at +all, even upon the balls of the toes, and we +should necessarily fall forwards, were it not that, +owing to the length of the thigh, the lower part +of the trunk is carried backwards to a plane <i>behind</i> +the heels, and so serves to maintain the +equilibrium.</p> + +<p><span class="pagenum" id="Page_62">62</span></p> + + +<h3><i>Walking.</i></h3> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowp100" id="f30" style="max-width: 8em;"> + <img class="w100" src="images/f30.jpg" alt="First stage stance taking a step"> + <figcaption>Figs. <a href="#fignote_30">30</a>.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f31" style="max-width: 6.1875em;"> + <img class="w100" src="images/f31.jpg" alt="Second stage stance taking a step"> + <figcaption>31.<br>Walking.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f32" style="max-width: 7.4375em;"> + <img class="w100" src="images/f32.jpg" alt="Third stage stance taking a step"> + <figcaption>32.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowp100" id="f33" style="max-width: 6.0625em;"> + <img class="w100" src="images/f33.jpg" alt="Foot position - first stage"> + <figcaption>Figs. <a href="#fignote_33">33</a>.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f34" style="max-width: 7.1875em;"> + <img class="w100" src="images/f34.jpg" alt="Foot position - second stage"> + <figcaption>34.<br>Walking.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f35" style="max-width: 6.125em;"> + <img class="w100" src="images/f35.jpg" alt="Foot position - third stage"> + <figcaption>35.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>Let us next consider the part which the foot +performs in <span class="smcap">Walking</span>. To understand this it is +necessary to consider its positions and movements +in the several stages of a step. When first placed +upon the ground the foot (<span class="lowercase smcap">R</span>, fig. 30) is a little in +advance of the body; and the heel comes first (fig. 33) +into contact with the ground. The toes quickly +follow; and the body, then, passes, vertically, over, +the ankle and the key-bone of the instep. The foot<span class="pagenum" id="Page_63">63</span> +(<span class="lowercase smcap">R</span>, fig. 31 and fig. 34) now rests steadily upon the +heel and the balls of the toes; the other foot (<span class="lowercase smcap">L</span>) +leaves the ground, so that the whole weight is +borne by one foot; and the plantar arch of that +foot expands a little, so as to cause slight lengthening +of the foot, under the weight that is laid +upon it. Much yielding of the arch is, however, +prevented by the ligaments that brace the arch +(fig. <a href="#f07">7</a>), and by the muscles that are disposed beneath +it. Next, the heel (fig. 35) is raised by the +action of the calf muscle, and the weight of the +body is thrown forwards, over the balls of the toes, +while the other foot (<span class="lowercase smcap">L</span>, fig. 32) is carried onwards, +and is placed upon the ground ready to receive the +weight and commence its carrying work. When +this has been done the foot is withdrawn from the +ground; and, in the withdrawal, a final impulse +onward is given, so as to throw the weight of the +body fairly over to the other foot. The fore part +of the foot is then raised, and the knee is bent a +little. By these means the toes are kept clear of<span class="pagenum" id="Page_64">64</span> +the ground, while the foot is swung forward, beside +the other, so as to be ready again to rest upon +the ground and bear the weight of the body.</p> + +<p>In each complete step, therefore, there is a period +during which the foot rests upon the ground, +and a period in which it is swinging in the air. In +walking the former period is considerably longer +than the latter; and at the commencement, and at +the end, of that period (figs. <a href="#f30">30</a> and 32) the other +foot is also upon the ground, so that it is only +during the middle of the time (fig. <a href="#f31">31</a>) in which +the foot rests upon the ground that it has to bear +the whole weight of the body.</p> + + +<h3><i>Running.</i></h3> + +<p>In <span class="smcap">Running</span> the process is much the same as +in walking. The chief difference is that, whereas +in walking <i>both</i> feet are never <i>off</i> the ground at +the same time, and both are <i>upon</i> the ground at +the beginning and end of each step; in running +<i>both</i> feet are never <i>on</i> the ground at the same +time, and both are <i>off</i> the ground, and the body is +flying unsupported through the air, at the beginning +and end of each step (figs. 36 and 38). Thus, +you may always distinguish running, though it be +ever so slow, from walking, because, in the latter,<span class="pagenum" id="Page_65">65</span> +the two feet are upon the ground at the same +time; while, in the former, only one foot touches +the ground at a time.</p> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowp100" id="f36" style="max-width: 8.5625em;"> + <img class="w100" src="images/f36.jpg" alt="First stage running stance"> + <figcaption>Figs. <a href="#fignote_36">36</a>.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f37" style="max-width: 7.375em;"> + <img class="w100" src="images/f37.jpg" alt="Second stage running stance"> + <figcaption>37.<br>Running.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f38" style="max-width: 9.6875em;"> + <img class="w100" src="images/f38.jpg" alt="Third stage running stance"> + <figcaption>38.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>The period during which the body rests upon +the ground in running is comparatively very short, +being merely the time when one foot is set down +in the middle of each step (fig. 37); and great force +has, consequently, to be exerted to propel the body +through the air during the whole remainder of the +step. Hence the exertion of running is much +greater than that of walking. In slow running the +same parts of the foot are applied upon the ground +as in walking, and in the same order; but in quick +running the balls of the toes only touch the ground. +The quicker we run the shorter, relatively to the +rest of the step, is the time during which the foot +rests upon the ground, and the greater, consequently, +is the effort.</p> + +<p>After the foot leaves the ground, in running, it<span class="pagenum" id="Page_66">66</span> +is thrown up behind; and, at the same time, the +fore part of the sole and the toes are turned a +little obliquely <i>in</i>wards, so as to prevent their +catching against adjacent objects. If the toes +were turned <i>out</i>, when thrown up behind, it would +present a very awkward appearance, and we should +frequently be tripped up by their coming in contact +with substances near which we pass. While the +foot is being swung forwards the toes are gradually +turned a little the other way. Thus, by the time +they pass the other leg the toes have lost the inclination +inwards, and are directed straight <i>for</i>wards; +and when the foot has reached a point in advance +of the other leg, and the sole is preparing to present +itself to the ground, the toes are turned a +little <i>out</i>wards. This turning of the foot <i>in</i>wards +and <i>out</i>wards during its movement <i>back</i>wards and +<i>for</i>wards, in each step, is a graceful movement, +and may be compared to the “feathering” of an +oar. It takes place, also, in walking, but is less +marked than in running; and in many persons it +can scarcely be discerned during walking.</p> + +<p>The distinction between the paces of other animals +resembles that between the walking and the +running of man, and is equally definite. Take, for +instance, the <span class="smcap">Walking</span>, <span class="smcap">Trotting</span>, and <span class="smcap">Galloping</span> +of the Horse. In <span class="smcap">Walking</span> the fore and the +hind limbs of the <i>same</i> side are moved together, or<span class="pagenum" id="Page_67">67</span> +nearly together, but they do not leave the ground +till the limbs of the opposite side are placed upon +it; so that at one period all four limbs are upon +the ground together. In <span class="smcap">Trotting</span> the fore and +the hind limbs of <i>opposite</i> sides move together; but, +as in walking, neither of them are withdrawn from +the ground till the opposite one has reached it<a id="FNanchor_4" href="#Footnote_4" class="fnanchor">4</a>.</p> + +<p>In <span class="smcap">Galloping</span>, or <span class="smcap">Cantering</span>, the horse springs +or bounds with all four limbs at the same time; +all the feet are thrown up nearly together; all are +off the ground together; and all reach the ground +again nearly at the same time ready for another +spring. I say that the feet are all thrown up +<i>nearly</i>, and not <i>quite</i>, together, because the fore +and the hind limbs of one side take the precedence +a little of the others, or “lead,” as it is called. +The trained horse is taught to lead, habitually, +with one, usually the right, side, because the motion +is more steady when the horse is accustomed +to gallop in one way than if he be allowed to vary +it. Directly the horse begins to gallop, the rider +knows, by the motion, whether he is leading with<span class="pagenum" id="Page_68">68</span> +the proper leg. In some animals, as the <span class="smcap">Deer</span>, +the two fore and the two hind feet move together +exactly in galloping. Anthony Trollope tells us that +in Panama, Cuba, and other Spanish countries in +the West, the horses are “taught to pace, that is, +move with the two off legs together, and then with +the two near legs. The motion is exceedingly gentle, +and well fitted for those hot climates, in which +the rougher work of trotting would be almost too +much for the energies of debilitated mankind.” +This <i>pacing</i> is probably only a quick walk.</p> + +<p>When we walk the heels follow one another +nearly in a straight line, as is shewn by “walking +a chalk,” or more readily by walking along the +line between the curb and the flagstone pavement; +and the plane of gravity of the body corresponds +with this line. There ought, therefore, to be no +perceptible <i>swerving</i> of the trunk from side to +side in walking. There should, also, be scarcely +any <i>rising</i> or <i>falling</i>; inasmuch as there are provisions +in the mode of bending the limbs (which I +cannot here discuss) to prevent the body from being +moved up and down during the step. The head +and shoulders should be carried along nearly in +a straight line. If it were otherwise, if they were +moved in a zigzag or undulating manner, from +right to left, or up and down, the space traversed +in a given distance would be much increased, and<span class="pagenum" id="Page_69">69</span> +there would be a proportionately greater expenditure +of muscular force. By a beautiful combination +of movements this is prevented, and a rectilinear +course is maintained, while the weight of +the body is transferred from foot to foot, in a +succession of steps.</p> + +<p>Only observe a good walker for a minute or +two, and you will see how straight the head is +carried along; and when your eye falls upon a +person who “rolls in his walk” you perceive how +ungainly are his movements, and you have an instinctive +feeling that he is an awkward fellow. +Whether you are disposed to make an exception +in favour of the British tar, in consequence of his +many other good qualities, I must leave you to +judge. His peculiar gait on shore is probably due +to his not being sufficiently practised in straight +walking to counteract the effect of the lounging +manner and general disregard for appearances +which he acquires on board ship. Whatever the +reason may be, though he has the better of us +in a storm at sea, he certainly does not always +appear to advantage on <i>terra firma</i>. Now that +a general improvement in gait and step may be +expected among landsmen, as a result of the volunteer +movement, it becomes still more desirable +that the sailor should participate in the good influences +of the drill.</p> + +<p><span class="pagenum" id="Page_70">70</span></p> + +<p>Although the heels follow one another in a +line the toes diverge a little from the line, because +the foot slants, as I have just said, somewhat +<i>out</i>wards when it is placed upon the ground. +It results from this position of the foot that the +weight of the body descends upon it with a slight +obliquity, <i>in</i>wards as well as forwards; and that +is precisely the direction in which the foot is best +prepared to receive weight. For, when the foot +rests upon the ground in this position all the ligaments +on the inner side (and they are very strong) +as well as those beneath, are on the stretch; and +the joints, with the exception of the ankle-joint, +are as it were locked, so as to afford a secure, +steady basis of support to the leg. When the +weight of the body descends upon the foot in the +direction mentioned a sprain rarely occurs. It is +when the weight falls in the opposite direction, +that is, more or less obliquely <i>out</i>wards, and throws +the ankle out, that a sprain easily happens. Thus +a slight inequality of the ground, or any other +cause that tilts up the inner edge of the foot, +is likely to lead to a sprain, especially when we +are going down hill or down steps.</p> + +<p>Here let me remark that a <span class="smcap">Sprain</span> is the +result of a stretching of some ligament, or other +part, caused by an undue force being brought to +bear upon it. The ligaments are very strong,<span class="pagenum" id="Page_71">71</span> +and under ordinary circumstances are not very +sensitive; and they are capable of offering great +resistance to force applied in the direction in +which they are calculated to meet it. But, if the +force be applied in a direction in which they are +not calculated to meet it, they are easily injured, +and they become, then, very painful. The same +is, also, likely to occur if the force be severe or +sudden.</p> + +<p>The muscles are a very great assistance to the +ligaments, forasmuch as, by placing and retaining +the joints in proper positions, they regulate the +direction in which forces are brought to bear upon +the ligaments. Moreover, by steadying or bracing +the joints, they check or break the force and +prevent its being suddenly imposed upon the ligaments. +And the muscles, by virtue of their contractile +property, have the capability of becoming +tight in any position of the joint, which is an immense +advantage; whereas a ligament having no +contractility and, usually, no elasticity, is tight +only in one position. The office of a ligament is +to limit the movement of a joint in a particular +direction; and, till the joint has assumed a certain +position—till it is bent or straightened to a +certain angle—the ligament does not come into +play. During the bending or straightening of a +limb the muscles regulate the movement, and<span class="pagenum" id="Page_72">72</span> +bring it to a stop or check it before it has gone +to its full extent; and, thus, the ligament is relieved +from that sudden imposition of force which +would result if it were required to check the +movement of a joint in its full swing.</p> + +<p>Accordingly, when the muscles are prepared +and in proper action, that is, when they place +the joint in a suitable position and duly support +or brace it, a sprain very rarely occurs. It is +when the muscles are unprepared, when we make +a false step, or when the foot encounters an unexpected +obstacle, and the weight falls suddenly +upon the ligaments in an unfavourable direction, +that a sprain occurs. A man jumps from a considerable +height, or descends deep steps with a +heavy weight upon his back, and no harm results; +but he slips off the curb-stone, or treads +unwarily upon a piece of orange-peel, or turns his +foot hastily, to avoid some object on the ground, +and sprains his ankle.</p> + +<p>In order that they may do their work well, +be alert, and maintain good guard, the muscles +need to be kept in practice. A person unaccustomed +to throw a ball is very liable to sprain his +elbow with the sudden jerk which is required for +that feat; or if a person takes to tumbling and +jumping, without proper training, he will probably +suffer for his temerity. Again, common experience<span class="pagenum" id="Page_73">73</span> +tells us that a joint which has been sprained +is, for a long time, liable to be sprained again. +This is because the part remains tender as well +as weak; and the muscles do not brace it steadily +and firmly, or come nimbly to its aid when it +is in danger.</p> + +<p>In consequence of the foot, in walking, being +placed upon the ground with the toes slanting +a little outwards, the <i>out</i>er and hinder edge of +the heel first touches the ground. Hence this +part of the heel of the shoe is usually worn down +before the remainder. The ball of the little toe +next comes to the ground, and the balls of the +other toes follow in quick succession; and it is +from the great toe—that is, from the inner side +of the foot—that the last impulse is given to +propel the body, forwards, over the other foot. +In order to give full effect to this final impulse +an especial muscle, the “Long Fibular” muscle +(<span class="lowercase smcap">I</span> in fig. <a href="#f13">13</a>), is provided. The tendon (i) of this +muscle passes, behind the outer ankle, beneath +the sole of the foot, to the great toe. It has the +effect of pressing the ball of the great toe upon +the ground, while it raises the outer ankle, and +so contributes to throw the weight, across, in the +direction of the other foot.</p> + +<p>Thus the foot revolves upon the ground, from +the heel to the balls of the toes, and from the<span class="pagenum" id="Page_74">74</span> +outer edge of the former to the inner edge of the +latter; and during the revolution, which has been +compared, though the comparison fails in many +points, to the revolving of the segment of a wheel, +the ankle is raised and advanced forwards.</p> + +<p>On the complete and steady execution of this +movement good walking chiefly depends, more +particularly upon the full performance of the last +stage of the process, viz. the rising fairly upon +the balls of the toes and delivering the weight +steadily over to the other foot. This is the most +difficult part of the process, the whole weight of +the body during its execution being borne upon the +fore part of the foot, that is, upon the longer pillar +of the plantar arch; forasmuch as the heel is being +raised and the other foot is off the ground. For +the good performance of this part of the process, +all the features of the well-made foot are essential. +There must be a high and firm plantar arch, +a heel set at a proper angle, and a strong great +toe running straight forwards. There must be +also a fully developed calf to set the machinery +well in motion.</p> + +<p>If the plantar arch be low it cannot bear the +strain attendant upon this movement; and the +person, in consequence, shirks the full performance +of it. He does that by turning the toes too much +out; and, then, he contrives to roll over the<span class="pagenum" id="Page_75">75</span> +inner side of the foot, instead of rising upon the +balls of the toes; and so he gets along with short, +shuffling, feeble steps. How many persons, owing +to one cause or other, hobble in this way! Some +turn the toes very much in, and rise over the +ball of the little toe, instead of over the great toe. +This is done with comparative ease, because the +ball of the little toe is nearer to the ankle; but +the step is, thereby, shortened, as well as rendered +less firm and less graceful.</p> + +<p>The revolving movement of the foot, or the +bringing of its several parts into contact with the +ground in succession, in a distinct manner, is +peculiar to man. Many animals do not bear upon +the heel at all; they only tread upon the toes, +and are, therefore, called <span class="smcap">Digitigrade</span>. Some, +indeed, bear only upon the tips of the toes, as the +Horse (fig. <a href="#f05">5</a>, p. 15). Others go upon the balls +of the toes, as the Cat, the Hare, the Pig, and +the Dog. Some animals bear upon the heels as +well as the toes, and are called <span class="smcap">Plantigrade</span>, +as the Bear, the Badger, and the Monkey; but +these all flop the sole upon the ground in its whole +length at once. The foot in them is not sufficiently +compact and strong to bear the weight of +the body first upon one part then upon another; +and they, consequently, walk in an ungainly manner, +as compared with man.</p> + +<p><span class="pagenum" id="Page_76">76</span></p> + + +<h3><i>Character evinced by manner of Walking.</i></h3> + +<p>Bear in mind that for the firm vigorous walk +there is required, not only the well-formed limb, +but also the manly and determined <span class="smcap">Will</span>, acting +in a decided and authoritative manner over +the several members of the body, so that these +are accustomed readily, and steadily, to obey its +commands; just as the soldiers of a well-drilled +regiment obey the directions of the superior officer +in an orderly and efficient manner. And, as you +may judge of the character of the officer by the +discipline of his men, so may you form an estimate +of a man by the movements of his limbs. +You see a man walk along the street, and you +instinctively form an opinion of him by the mode +in which he carries himself and treads the ground. +Be careful not to allow yourselves to be inflexibly +biassed by these first impressions, as that +amounts to prejudice. Nevertheless, experience +tells us that they are not to be altogether despised. +They originate in a perception of the +working of the great laws by which body and +mind are harmonized; and, if fairly estimated, +they rarely deceive us.</p> + +<p>We have little difficulty in recognising three +chief classes among pedestrians. <i>First</i>, there are<span class="pagenum" id="Page_77">77</span> +those who pay too much attention to the movements, +who walk with a pompous strut, or a mincing gait, +or affect some style or other. We are naturally +very little inclined in favour of such persons; indeed, +we have usually to make an effort not to +be decidedly prejudiced against them. <i>Secondly</i>, +there are those who pay too little attention to +their movements, who do not seem to be sufficiently +alive to the responsibility attaching to the +possessors of so noble a structure as the human +frame, and who do not give themselves the trouble +to exert the powers of the glorious mechanism +with which they are charged. They slouch, or +dawdle, along in a listless lazy manner. Instinct +tells us, and tells us rightly, to beware how we +trust such persons with the conduct of our affairs, +or with any office of responsibility. We feel that +the lack of energy manifested in the guidance of +their limbs is, too probably, a feature of character, +which unfits them for the active duties of life; +and we know that such men are not usually successful +in their calling. <i>Thirdly</i>, there are those +who shew, by the firmness and precision of their +step, and by the regularity in the succession of +the movements by which the step is made, that +they are conscious of the dignity of their species, +of the responsibility attendant on that dignity, +and of the respect due to themselves. Such men<span class="pagenum" id="Page_78">78</span> +we feel are likely to pursue their avocations energetically +and methodically, as well as with punctuality.</p> + +<p>Many points of character peep out in the way +men walk. Our poet tells us that in one we may +read</p> + +<p class="tac fs85"> +“rascal in the motions of his back<br> +And scoundrel in his supple sliding knee.” +</p> + +<p class="ti0">Another has a halting, shuffling, undecided gait; +while a third walks in a bold, determined, straight-forward, +erect and independent manner. One +has a cautious, parsimonious step, as if sparing +of shoe-leather, or afraid to trust the ground; he +has, however, probably, trusted the funds with +considerable investments. Some walk with long, +pretentious, measured strides; others make short, +quick, insignificant steps. Some, again, are hurried, +fussy, noisy; while others glide along in a +quiet, shrinking, unpretending, it may be timid, +manner.</p> + +<p>I need not dilate upon these diversities. Your +own observation will supply abundant illustrations +of the correspondence between character and +manner of walking.</p> + +<p>The several movements in walking are under +the control of the <span class="lowercase smcap">WILL</span>, and are directed by it, +to such an extent that the continuous agency of +the will is essential to the process. If the influence<span class="pagenum" id="Page_79">79</span> +of the will be suspended, but for a moment, +the action ceases, and the man falls to the ground. +Nevertheless, the play of the individual muscles, +and their co-ordination, or the manner in which +their several movements are combined, are, in a +great measure, independent of the will. They are, +to a certain extent, automatic, and result from +peculiar relations between the nervous and the +muscular systems. The will may be compared to +the driver of an engine, who, by turning on the +steam, and maintaining the supply, sets the machine +in motion, and regulates the rate of its +speed; but the several wheels are so arranged +that they go on irrespectively of his immediate +superintendence. It would be impossible for the +engine-man to attend to the working of each detail +of his machine; and it would be too much +for the will to have to direct all the movements +of the limbs in walking. We should be wearied +with such an effort of attention before we had +walked across a room; for the exercise of the will +is exhausting, and soon engenders fatigue. The +more we think of any movement and take pains +to direct it, the sooner we are tired and unable +to continue it; and the more the attention is +diverted, the less quickly do we experience a feeling +of exhaustion; while those movements in the +body which are not at all under the influence of<span class="pagenum" id="Page_80">80</span> +the will—the movements of the heart for instance—go +on unceasingly, through a long life, without +any sense of weariness. What so prevents fatigue, +when we are walking, as the diverting conversation +of an agreeable companion?</p> + +<p>But though the combination of the movements +in walking is, to a certain extent, automatic, it is +not complete without the proper control of the +will. This is proved by the gait of those unfortunate +beings in whom the mind, and with it commonly +the will, is deficient from birth—I mean +<span class="smcap">Idiots</span>. Their movements are, usually, more or +less, irregular and unharmonious, jerky, without +proper steadiness and rhythm; the head is tossed +about; the eye looks one way; the fingers are +sprawled out in another direction; the foot is +jerked out at a hazard, as it were, so that you +don’t know when it will reach the ground, perhaps +it kicks against the other foot. A sad spectacle +this. The visit to an Idiot Asylum fills one, it is +true, with a sense of the value of an institution +where these poor members of the human family +are kept out of harm’s way, and away from the +gibes of the village boys, and are made clean, and +tidy, and taught so far as they are capable of instruction; +but I know no sadder sight than is presented +by a string of the inmates of such an asylum, +guided from room to room by the foremost of<span class="pagenum" id="Page_81">81</span> +the number, who shews by his walk, somewhat +more steady than that of the others, that he is +gifted with rather more intelligence than they, and +is so fitted to be their guide.</p> + +<p>An equally melancholy, an even more distressing, +spectacle is that of criminals pacing, like animals +in their dens, up and down the court-yard of +their prison; for in them we know, that there is +no deficiency of will. It is strong enough to control +and regulate the movements of their limbs; +but there is a still more important deficiency, viz. +a deficiency of that moral sense which should control +the will.</p> + +<p>Another sad, but physiologically interesting, +sight is the rolling walk of the drunkard. Here, +again, the will is not deficient; but it is, partly, +and by its own agency, dethroned. Enough of the +will is left to set the machine going, not enough +to guide it and control it well. Though the movements +follow one another, for the most part, in +proper sequence, they are uncertain and ill-directed. +The balancing power is partly lost. The +feet are dragged hither and thither, and thrown +about, by the swerving weight of the body; and +they follow one another upon the ground at uncertain +intervals, and in any but a straight line. +You watch a man in this state staggering from +side to side, and wonder how he keeps his legs at<span class="pagenum" id="Page_82">82</span> +all. Soon the foot catches against some slight obstacle +or against the other leg, or fails to come +quickly enough into the required place, and the +man rolls over. The supple manner in which his +unstrung limbs give under the weight, perhaps, +saves him, to some extent, from the shock; but +you must not imagine that drunkards have any +charm against injury. A large proportion of the +accidents admitted into our Hospitals are the result +of drunkenness.</p> + + +<h3><i>Distinctive Features of the Human Foot.</i></h3> + +<p>I have already made a few comparisons between +the human foot and that of certain of the +lower animals. It will be interesting to add some +others.</p> + +<p>There are several animals, as the Monkey, the +Bear, and some Reptiles, in which the foot resembles +the human foot in many particulars. It has, +for instance, the same number of toes as the human +foot, and the same, or nearly the same, number +of bones, and the latter disposed in much +the same manner. Certain peculiarities, however, +distinguish the human foot. These all have reference +to the power which man, and man alone, +possesses of standing firmly upright, and of walking +steadily, upon the two feet.</p> + +<p><span class="pagenum" id="Page_83">83</span></p> + +<p>The following are the most important of these +distinctive features.</p> + +<p><i>First.</i> The several parts are fitted and bound +together in a compact firm manner, so as to combine +strength and elasticity in the highest degree. +In this respect the human foot contrasts very +remarkably with the sprawling foot of the Seal +or Lizard (figs. <a href="#f02">2</a> and 3, p. 11). The result is +obtained, partly, by the great size of the tarsal +bones, in proportion to the other components of +the foot, and, partly, by the formation of the +“Plantar Arch,” which is higher and stronger in +man than in any of the lower animals.</p> + +<p><i>Secondly.</i> The <span class="smcap">Toes</span> are short and small in +relation to the other parts of the foot. In many +animals, the Monkey for instance (fig. <a href="#f44">44</a>, p. 89), +the toes form the greater part of the foot; and, +in some, the bones of the instep are reduced in +number as well as in size: the reason being that, +in such animals, the toes are required to perform +a variety of offices—burrowing in the ground, +scratching, holding on to the branches of trees, +catching and tearing prey, &c.—for which their +services are not needed by man.</p> + +<p>It may here be noticed that one of the great +points of dissimilarity between the foot and the +hand consists in the difference which the length +of the digits bears to the other components in the<span class="pagenum" id="Page_84">84</span> +two members. They form nearly <i>half</i> the length +of the hand, but not more than a <i>tenth</i> of that +of the foot. Clearly, therefore, they constitute a +far less important segment of the lower limb than +they do of the upper, and are intended to perform +much less important functions in it. In the +hand the fingers and thumb may be said to constitute +the essential part; whereas the toes do +little more than help the foot to adapt itself to +inequalities of the ground and so to obtain a +firmer holding. In civilized countries, accordingly, +where we walk, chiefly, upon even paths and paved +streets, very little evil results from the loss of the +services of the toes which is incurred by covering +over the foot to protect it against the hardness +of the roads.</p> + +<p>We often hear the toes spoken of as ill-treated +members, which are not allowed fair play because +the art of man keeps them in a state of inertness +and deprives them of their natural functions. +Anatomy, too, gives some countenance to the idea, +inasmuch as it shews that the muscles which +minister to the toes are as numerous as those +which are concerned in moving the fingers; and +we occasionally see persons, who, having been born +without hands, or having lost them, contrive to +write and paint and do other unusual offices with +their toes. Watch the movements in an infant’s<span class="pagenum" id="Page_85">85</span> +foot as yet unshod. They are considerably more +free than in your own; especially you will observe +that there is a power of separating the great +toe from the others and approximating it to them +which you have, probably, altogether lost. The +small size, however, of the toes, and the comparative +fixedness of the inner, or great toe, prove, +that they were never intended for anything like +the same variety of purposes as the fingers, and +shew that, under the most favourable circumstances, +the <i>pes</i> could never be <i>altera manus</i>, as +some would persuade us that it is. Certainly it +was never intended to be an organ of prehension. +Hence, although in practice, boot-makers may +excite our wrath and deserve our condemnation, +I don’t think that, in principle, they are so much +to be complained of.</p> + +<p>The <i>third</i> striking peculiarity of the human +foot is the size of the inner or <span class="smcap">Great Toe</span> and +the firm manner in which its metatarsal bone is +joined to the other bones, so as to render it a +main pillar of support to the foot. These features +of the great toe have reference to the share of the +weight of the body which is borne by the inner +side of the foot, more particularly during the last +stage of the step, when the body is propelled forwards +over the other foot. Hence it is sometimes +called the “hallux,” from a Greek word (ἅλ-λομαι)<span class="pagenum" id="Page_86">86</span> +signifying to bound or spring. The <i>mobility</i> +of the <i>thumb</i>, enabling it to be opposed so easily +to each of the other fingers, is a characteristic of +the human <i>hand</i>; and the <i>solidity</i> of the <i>great toe</i> +is equally, or even more, characteristic of the human +<i>foot</i>. The great toe should be continued, +from the instep, straight along the inner edge of +the <i>foot</i>, or inclined a little <i>in</i>wards; often, as +before mentioned, its phalanges become inclined +<i>out</i>wards so as to interfere with the other toes<a id="FNanchor_5" href="#Footnote_5" class="fnanchor">5</a>.</p> + +<p>Though, in many animals the number of the +toes is the same as in man, this is not the case +in all; and we may trace a gradual and progressive +diminution of the number, in the following +order.</p> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowp100" id="f39" style="max-width: 6.5em;"> + <img class="w100" src="images/f39.jpg" alt=""> + <figcaption>Figs. <a href="#fignote_39">39</a>.<br>Elephant.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f40" style="max-width: 7.5em;"> + <img class="w100" src="images/f40.jpg" alt=""> + <figcaption><a href="#fignote_40">40</a>.<br>Hippopotamus.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f41" style="max-width: 7.75em;"> + <img class="w100" src="images/f41.jpg" alt=""> + <figcaption><a href="#fignote_41">41</a>.<br>Rhinoceros.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f42" style="max-width: 6.1875em;"> + <img class="w100" src="images/f42.jpg" alt=""> + <figcaption><a href="#fignote_42">42</a>.<br>Ox.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowp100" id="f43" style="max-width: 3.9375em;"> + <img class="w100" src="images/f43.jpg" alt=""> + <figcaption><a href="#fignote_43">43</a>.<br>Horse.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>I have said (page <a href="#Page_10">10</a>) that the inner toe is incomplete +in all animals, forasmuch as, in none, +does it possess the same complement of bones as +do the other toes. You will not be surprised to +find, therefore, that it is the first to be missing. +The <span class="smcap">Elephant</span> goes upon <i>five</i> toes; but if you +look closely you will perceive that the inner toe +(fig. 39, <span class="lowercase smcap">I</span>.) has not attained even its usual incomplete +number of bones. It is short of one; and the +inner wedge-bone, which looks like a metacarpal<span class="pagenum" id="Page_87">87</span> +bone, is prolonged, downwards, to supply the place, +and to give sufficient length to the toe. The same +thing may be seen in some other animals, and it<span class="pagenum" id="Page_88">88</span> +is interesting as shewing the first indication of departure +from what may be called the standard +number of the phalanges. In the <span class="smcap">Hippopotamus</span> +(fig. 40) we have an additional stage of imperfection +in this same toe; for here there is only one +small bone to remind us of the existence of the toe +(it is the same in the Rhinoceros, <span class="lowercase smcap">I.</span>); all the rest +have failed to be developed; and the animal, consequently, +goes upon <i>four</i> toes. Next the failure +appears on the <i>out</i>er side of the foot, and affects +the little toe. Thus, the <span class="smcap">Rhinoceros</span> (fig. 41) +goes upon <i>three</i> toes—namely, Nos. <span class="lowercase smcap">II.</span> <span class="lowercase smcap">III.</span> and <span class="lowercase smcap">IV.</span>—and +there is scarcely a trace either of the first +toe or of the fifth. In Ruminating animals, as the +<span class="smcap">Ox</span> (fig. 42), the second toe is wanting, as well as +the first and the fifth; so that the foot rests upon +<i>two</i> toes (Nos. <span class="lowercase smcap">III.</span> and <span class="lowercase smcap">IV.</span>); and in the <span class="smcap">Horse</span> (fig. +43), as we have already seen, only <i>one</i> toe—the +middle one (No. <span class="lowercase smcap">III.</span>)—is developed sufficiently to +reach the ground.</p> + +<figure class="figright illowp26" id="f44" style="max-width: 5.25em;"> + <img class="w100" src="images/f44.jpg" alt="Leg and foot bones"> + <figcaption>Fig. <a href="#fignote_44">44</a>. Gorilla.</figcaption> +</figure> + +<p>Whatever pretensions to Humanity the <span class="smcap">Monkey</span> +may make—and they are sufficiently striking +to render some persons very uncomfortable on the +score of relationship—he is certainly far removed +from us in the construction of the foot (fig. 44); +and the good people to whom I have alluded may +derive consolation from the reflection that, in this +respect at least, there is very little indication of<span class="pagenum" id="Page_89">89</span> +cousinship. Indeed we ought not to speak of his +<i>foot</i> at all; for the part which corresponds with the +human foot does not even deserve that name. It +is so much more like a hand, that the term four-handed, +or <i>quadrumanous</i>, is by naturalists applied +to this class of animals. There is scarcely any +plantar arch; the animal bears, chiefly, upon the +outer edge of the foot; the digits are long and +strong; and the inner one, instead of being parallel +with the others, diverges from them so as to constitute +a true <i>thumb</i> instead of a great toe. All these +points are very suitable for enabling the animal to +cling to branches of trees, and for other prehensile +purposes; but they unfit him for the upright posture, +and render it impossible for him to walk +steadily upon his lower limbs.</p> + +<p><span class="pagenum" id="Page_90">90</span></p> + +<figure class="figleft illowp57" id="f45" style="max-width: 16.875em;"> + <img class="w100" src="images/f45.jpg" alt="Drawing of stuffed specimen"> + <figcaption>Fig. <a href="#fignote_45">45</a>. Gorilla.</figcaption> +</figure> + +<p>In the great ape called the <span class="smcap">Gorilla</span>, which is +found in the south-western part of Africa, and of +which many specimens have now been sent to this +Country, the <i>hind-hand</i> is of great size and strength, +as may be seen in the accompanying drawing made +from a stuffed specimen in the British Museum. +The lower part of the leg is also very thick, +owing to the size of the muscles which move the +great toe and the other digits, and which enable +them to give a most powerful grasp. So strong +and savage is the creature that all efforts to capture +one alive, when full-grown, have, hitherto,<span class="pagenum" id="Page_91">91</span> +failed. He is said to give evidence of his strength +of hand and of his amiable propensities in the following +way. He swings by his fore-hands from +the trees, and, letting himself down quietly by +them, watches an opportunity of seizing by the +neck, with his huge hind-hand, some unwary Negro +who may be passing by, draws him up, and holds +him with vice-like grasp, till his struggles have +ceased, and then drops him a strangled corpse to +the ground.</p> + +<p>Most of the characters above mentioned as distinctive +of the human foot—such as its compactness +and strength, the height of the plantar arch, +the shortness of the toes—are, like the size of the +calf, most marked in the higher members of the +human family, in those, that is to say, who are +gifted with the highest intelligence. Thus the +formation of the foot is found to have a correspondence +with the formation of the head, and may, +like it, be, to a certain extent, taken, as I have +before remarked, to be an index of intellectual, as +well as of physical, capacity. The relation between +the intellectual power and the physical conformation +of man, which is here exemplified, and which +is maintained throughout the frame, is a subject +of extreme interest, and is one which has not attracted +the attention of anatomists and ethnologists +so much as it deserves.</p> + +<p><span class="pagenum" id="Page_92">92</span></p> + +<p>To what secondary causes this harmonious +adaptation of body to mind may be due, we cannot +clearly tell; but we can see in it a provision +for giving physical ascendancy to superior intellect. +And it is most gratifying to be able to derive, +as we may do, from this as well as from the +observation of the past and the present, the assurance +that the cultivation of the mind, provided +its moral tone be preserved and proper sanitary +precautions be taken, is not likely to be attended +with any deterioration of the body. On the contrary, +we have good reason to believe that the +present civilized nations of the earth, with their +higher mental culture, are inferior to none of their +predecessors in the qualities of the body; surely +soldiers never maintained a hand-to-hand struggle +better than the victors at Inkermann; and we know +that the civilized nations are physically superior +to most of the uncivilized. We have good ground, +therefore, to hope that the extension of education +and commerce will be productive, on the whole, of +an improvement of the physical condition of the +species.</p> + +<p>Sir James Emerson Tennent says that the Veddahs, +or aboriginal inhabitants of Ceylon, use the +foot in drawing the bow. They sit down, place +the toe against it, and draw the string with the +hand; and some of the American Indians appear<span class="pagenum" id="Page_93">93</span> +to have used both feet in the same way. These +Veddahs furnish a good illustration of the low physical +condition which is usually associated with absence +of mental culture. They are described as in +a singularly degraded state. “They have scarcely +any language, no knowledge of God, nor of a future +state, no temples, no idols, no altars, prayers, or +charms; and, in short, no instinct of worship, except +it be some addiction to ceremonies, analogous +to devil worship, to avert storms, lightning, and +sickness. All presented the same characteristics of +wretchedness and dejection—projecting mouths, +prominent teeth, flattened noses, stunted stature, +and other evidences of the physical depravity which +is the usual consequence of hunger and ignorance. +The children were unsightly objects, entirely naked, +with misshapen joints, huge heads, and protuberant +stomachs. The women were the most repulsive +specimens of humanity I have ever seen +in any country.”</p> + +<p><span class="pagenum" id="Page_94">94</span></p> + + +<h3><i>The Proportions of the Limbs.</i></h3> + +<p>A few years ago I took the measurements of +numerous skeletons which I found in the museums +in France, Germany, and England, and made the +following table to shew the proportions of the +several parts.</p> + +<p>The length of the foot and hand is in all somewhat +greater than it should be, in consequence of +the bones composing them being usually less +closely articulated in the artificial skeleton than +they are in nature.</p> + +<p>From this it appears that the limbs of <span class="smcap">Man</span> +differ from those of the <span class="smcap">Ape</span>, chiefly, in the proportionate +length of the thigh and arm, and in +the shortness of the foot and hand. And it will +be seen that, in both these particulars, the <span class="smcap">Negro</span> +differs from the <span class="smcap">European</span> and exhibits some approximation +to the <span class="smcap">Ape</span>.</p> + +<p><span class="pagenum" id="Page_95">95</span></p> + + +<p class="tac">MEASUREMENTS OF SKELETONS (IN INCHES).</p> + +<table id="skel" class=""> +<tr> +<td class="tal ball" rowspan="2"></td> +<td class="tac ball" rowspan="2"><div>Height.</div></td> +<td class="tal btb" rowspan="2"> </td> +<td class="tac btb" rowspan="2"><div>Middle point of.</div></td> +<td class="tar btb" rowspan="2"> </td> +<td class="tac ball" rowspan="2"><div>Spine, length of.</div></td> +<td class="tac ball" rowspan="2"><div>Circumference of Skull.</div></td> +<td class="tac ball" rowspan="2"><div>Humerus.</div></td> +<td class="tac ball" rowspan="2"><div>Radius.</div></td> +<td class="tac ball" rowspan="2"><div>Hand.</div></td> +<td class="tac ball" rowspan="2"><div>Femur.</div></td> +<td class="tac ball" rowspan="2"><div>Tibia.</div></td> +<td class="tac ball" rowspan="2"><div>Foot.</div></td> +<td class="tac ball" colspan="2"><div>Pelvis.</div></td> +</tr> +<tr> +<td class="tac ball"><div>Trans. diameter.</div></td> +<td class="tac ball"><div>Ant-post. diameter.</div></td> +</tr> +<tr> +<td class="tal ball" style="padding-left:0.8em; text-indent:-0.5em">European (average of 25)</td> +<td class="tac ball"><div>65</div></td> +<td class="tar btb vab"><div><img src="images/39x6bl.png" width="6" height="39" alt="" ></div></td> +<td class="tac btb"><div>Symphysis pubis.</div></td> +<td class="tal btb vab"><img src="images/39x6br.png" width="6" height="39" alt="" ></td> +<td class="tac ball"><div>22.2</div></td> +<td class="tac ball"><div>20.5</div></td> +<td class="tac ball"><div>12.7</div></td> +<td class="tac ball"><div> 9.2</div></td> +<td class="tac ball"><div> 7.3</div></td> +<td class="tac ball"><div>17.88</div></td> +<td class="tac ball"><div>14.4</div></td> +<td class="tac ball"><div>10.6 </div></td> +<td class="tac ball"><div>5.2</div></td> +<td class="tac ball"><div>4.3</div></td> +</tr> +<tr> +<td class="tal ball" style="padding-left:0.8em; text-indent:-0.5em">Negro (average of 25)</td> +<td class="tac ball"><div>62</div></td> +<td class="tar btb vab"><div><img src="images/39x6bl.png" width="6" height="39" alt="" ></div></td> +<td class="tac btb"><div>1 inch below Symphysis.</div></td> +<td class="tal btb vab"><img src="images/39x6br.png" width="6" height="39" alt="" ></td> +<td class="tac ball"><div>19.3</div></td> +<td class="tac ball"><div>19.8</div></td> +<td class="tac ball"><div>12.1</div></td> +<td class="tac ball"><div> 9.4</div></td> +<td class="tac ball"><div> 7.7</div></td> +<td class="tac ball"><div>17 </div></td> +<td class="tac ball"><div>14.4</div></td> +<td class="tac ball"><div>11.11</div></td> +<td class="tac ball"><div>4.6</div></td> +<td class="tac ball"><div>4.1</div></td> +</tr> +<tr> +<td class="tal ball" style="padding-left:0.8em; text-indent:-0.5em">Bosjesman (average of 3)</td> +<td class="tac ball"><div>54</div></td> +<td class="tal btb"></td> +<td class="tac btb"><div>Symphysis.</div></td> +<td class="tar btb"></td> +<td class="tac ball"><div>17 </div></td> +<td class="tac ball"><div>19.6</div></td> +<td class="tac ball"><div>10.8</div></td> +<td class="tac ball"><div> 8.3</div></td> +<td class="tac ball"><div> 6 </div></td> +<td class="tac ball"><div>15 </div></td> +<td class="tac ball"><div>12.9</div></td> +<td class="tac ball"><div> 7.5 </div></td> +<td class="tac ball"><div>4.4</div></td> +<td class="tac ball"><div>3.5</div></td> +</tr> +<tr> +<td class="tal ball" style="padding-left:0.8em; text-indent:-0.5em">Idiot (in Berlin Museum)</td> +<td class="tac ball"><div>57</div></td> +<td class="tal btb"></td> +<td class="tac btb"></td> +<td class="tar btb"></td> +<td class="tac ball"><div>19.5</div></td> +<td class="tac ball"><div>13.5</div></td> +<td class="tac ball"><div>12 </div></td> +<td class="tac ball"><div> 8.8</div></td> +<td class="tac ball"><div> 7 </div></td> +<td class="tac ball"><div>16 </div></td> +<td class="tac ball"><div>12.5</div></td> +<td class="tac ball"><div> 8.5 </div></td> +<td class="tac ball"><div>5 </div></td> +<td class="tac ball"><div>3.8</div></td> +</tr> +<tr> +<td class="tal ball" style="padding-left:0.8em; text-indent:-0.5em">Chimpanzee (average of 4)</td> +<td class="tac ball"><div>50</div></td> +<td class="tar btb"><div><img src="images/39x6bl.png" width="6" height="39" alt="" ></div></td> +<td class="tac btb"><div>3 inches above Symphysis.</div></td> +<td class="tal btb"><img src="images/39x6br.png" width="6" height="39" alt="" ></td> +<td class="tac ball"><div>17 </div></td> +<td class="tac ball"></td> +<td class="tac ball"><div>12.2</div></td> +<td class="tac ball"><div>11 </div></td> +<td class="tac ball"><div> 9 </div></td> +<td class="tac ball"><div>12.4 </div></td> +<td class="tac ball"><div>10 </div></td> +<td class="tac ball"><div>10.5 </div></td> +<td class="tac ball"><div>4 </div></td> +<td class="tac ball"><div>5.5</div></td> +</tr> +<tr> +<td class="tal ball" style="padding-left:0.8em; text-indent:-0.5em">Orang (average of 2)</td> +<td class="tac ball"><div>44</div></td> +<td class="tar btb"><div><img src="images/39x6bl.png" width="6" height="39" alt="" ></div></td> +<td class="tac btb"><div><span class="nowrap">3<span class="fraction"><span class="fnum">1</span><span class="bar">/</span><span class="fden">2</span></span></span> inches above Symphysis.</div></td> +<td class="tal btb"><img src="images/39x6br.png" width="6" height="39" alt="" ></td> +<td class="tac ball"><div>18 </div></td> +<td class="tac ball"></td> +<td class="tac ball"><div>14 </div></td> +<td class="tac ball"><div>14 </div></td> +<td class="tac ball"><div>10 </div></td> +<td class="tac ball"><div>10.6 </div></td> +<td class="tac ball"><div> 9.2</div></td> +<td class="tac ball"><div>12 </div></td> +<td class="tac ball"><div>3.8</div></td> +<td class="tac ball"><div>4.5</div></td> +</tr> +<tr> +<td class="tal ball" style="padding-left:0.8em; text-indent:-0.5em">Gorilla (average of 3)</td> +<td class="tac ball"><div>58</div></td> +<td class="tar btb"><div><img src="images/39x6bl.png" width="6" height="39" alt="" ></div></td> +<td class="tac btb"><div>4 inches above Symphysis.</div></td> +<td class="tal btb"><img src="images/39x6br.png" width="6" height="39" alt="" ></td> +<td class="tac ball"><div>21 </div></td> +<td class="tac ball"></td> +<td class="tac ball"><div>16.6</div></td> +<td class="tac ball"><div>12.9</div></td> +<td class="tac ball"><div> 9 </div></td> +<td class="tac ball"><div>13.9 </div></td> +<td class="tac ball"><div>11.3</div></td> +<td class="tac ball"><div>12 </div></td> +<td class="tac ball"><div>5.7</div></td> +<td class="tac ball"><div>7.3</div></td> +</tr> +</table> + +<p><span class="pagenum" id="Page_96">96</span></p> + +<p>I found, also (the tables shewing this are given +in my work on the Human Skeleton), that these +characteristic proportions of the European are +brought out only during growth; for that in the +early periods of infancy the foot and hand are, +relatively, very long, and the thigh is actually +shorter than either the leg or the foot, and the +arm is shorter than either the forearm or the +hand; and it is only, gradually, during the advance +to manhood, that the proper proportions +are attained. So that the transient or immature +condition of the human frame shews certain resemblances +to the permanent Negro type and to +that of the quadrumanous animals; and these +resemblances become obliterated during further +growth.</p> + +<p>The accounts of travellers indicate that some +other nations present great varieties in the proportion +which the length of the foot and hand +bears to the height. Bushmen and Hottentots +are very diminutive, commonly under 5 feet in +height; and their hands and feet are remarkably +small and delicate, in which respect they differ +from Negroes. Mr Bartram observes with regard +to the Cherokees or Muscogulges—a tribe of North +American Indians—that the women are, perhaps, +the smallest race of women yet known, almost all +under 5 ft.; and their hands and feet are not larger +than those of Europeans of 9 or 10 years of age. +He tells us, also, what is very strange, that the +men of this same tribe are of gigantic stature, “a +full size larger than Europeans,” many of them +above, and a few under, 6 ft.; but he says nothing +of the size of their hands and feet. The hands +and feet of the Patagonians are said to be very +small. This may be contrary to what we might<span class="pagenum" id="Page_97">97</span> +expect; but it accords with what I found to be +the case in the skeletons of some Giants which I +measured; for in all of them the feet and the +hands were disproportionately short. It would +seem, therefore, that, whether the stature of the +individual be diminutive or gigantic, the foot and +the hand, in either case, are, usually, less than +their proper relative length. A greater number of +accurate data are, however, necessary to enable us +to generalise correctly upon this and other points +of a like nature, or to decide what truth there is +in the common remark, that a long foot in a child +indicates a tall man.</p> + +<p>In former times the parts of the human body +were used as measures; and it was not uncommon +to illustrate the tables of measures by drawings +of the human body, with descriptions of the foot, +palm, &c. One of the tables of the 16th century, +derived in great part from the Romans and the +Greeks, is founded upon the notion, which is not +very far from the truth, that in the well proportioned +man, the breadth of the palm is a 24th +part of the whole stature, and the length of +the foot a 6th part, and the length of the cubit—from +the elbow to the end of the fingers—a 4th. +The measures, however, varied at different times +and in different countries, even though the names +were the same. The latter have, in several instances,<span class="pagenum" id="Page_98">98</span> +remained, though the definite measure +which they now indicate is different from what it +was, and differs from that of the part of the body +from which the name was taken. Thus, our present +foot measure (twelve inches) is considerably +more than the length of the human foot.</p> + + +<h3><i>The Skin of the Sole.</i></h3> + +<p>The <span class="smcap">Skin</span> of the sole is soft and yet very tough +and strong. It underlies a thick pad of fat, which +separates it from the bones and the plantar ligament. +The fat is interwoven with fibres passing, +through it, from the tissue of the skin to the +bones and ligaments. It is, in this way, rendered +very firm, though it retains much of the soft +quality of fat; and it forms an admirable cushion +for receiving the weight of the body and defending +from injurious pressure both the skin and +the other parts of the foot. The fibres just mentioned +bind the skin to the superjacent bones and +ligaments, and hold it firmly to them, so as to +prevent its being displaced from them in the +movements of the foot upon the ground.</p> + +<figure class="figcenter illowp100" id="f46" style="max-width: 24.75em;"> + <img class="w100" src="images/f46.jpg" alt="Side view foot bones and sole"> + <figcaption>Fig. <a href="#fignote_46">46</a>.</figcaption> +</figure> + +<p>The accompanying woodcut shows that these +connecting fibres are most numerous where there +is the greatest pressure, viz. beneath the heel and<span class="pagenum" id="Page_99">99</span> +the balls of the toes. It shows, too, that they +take the direction at each of those parts which +is most calculated to prevent displacement. Thus, +at the heel their direction is chiefly from the heel-bone, +backwards, to the skin. When we place the +heel upon the ground in walking, the weight of +the body has a tendency to drive the heel-bone +<i>for</i>wards from the skin; and the direction of the +fibres, from the heel-bone, <i>back</i>wards, just resists +this tendency and holds the skin and the bone +firmly together. On the contrary, when we withdraw +the foot from the ground the pressure is +in the opposite direction, and has a tendency to +drive the metatarsal bones <i>back</i>wards from the +skin. The course of the fibres is, consequently, +changed. They, many of them at least, run <i>for</i>wards +from the bones and prevent the displacement +that would be likely to occur. This direction +is also very marked, and for the same reason,<span class="pagenum" id="Page_100">100</span> +at the end of the great toe. A bundle of fibres +radiates from the projecting process, or tubercle, +which is conspicuous upon the under surface of +the bone near its end; and the greater number +of them run <i>for</i>wards, through the pulp of the toe, +to the skin, and maintain the connection of the +skin with the bone when the latter is pressed <i>back</i>wards +in withdrawing the foot from the ground.</p> + +<p>The skin of the sole has a peculiar sensitiveness, +which enables it to take quick cognisance +of contact with the ground or of any injurious +substances lying upon the ground. The sensitiveness +in the foot is rather increased by its being +so much covered up. We are aroused to a consciousness +of this sensitiveness when the soles are +tickled, or when any one treads on our toes, especially +if there happen to be a corn there. We +know also how sensitive the feet are to cold, and +how liable we are to catch cold from wet feet. +This sensitiveness renders washing the feet a refreshing +luxury, especially in hot climates or when +we are fatigued. It is a luxury much indulged in +by Eastern nations; “Mephibosheth had neither +dressed his feet nor trimmed his beard from the +day the king departed, until he came again in +peace;” and among the Jews in our Saviour’s +time (Luke vii. 38), when guests were made very +welcome, their sandals were unloosed, and their<span class="pagenum" id="Page_101">101</span> +feet washed and carefully wiped, and, if the person +were of high rank, anointed.</p> + +<p>The integument of the foot varies in different +animals, according to the nature of the ground +upon which they tread and other circumstances. +Thus the Elephant, the Hippopotamus, and the +Rhinoceros, living in jungles and in marshy districts, +have a more or less soft covering of skin. +Oxen and Horses gallop about upon dry ground; +and their feet are soled with thick hoofs of horn. +The Dog has tough pads of skin with thick cuticle +upon his feet; and the feet of the Feline tribe +are muffled with fur so as to enable them to approach +their prey with a noiseless tread. Man’s +foot is, by nature, like the rest of the surface +of his body, comparatively unprotected; but as +the foot, by its efficiency, emancipates the hand +from the drudgery of carrying, so does the latter +make some return for this relief by providing +artificial coverings which enable the foot to tread +upon various surfaces, and protect it against the +inclemencies of the seasons.</p> + +<p><span class="pagenum" id="Page_102">102</span></p> + + +<h3><i>On Shoes.</i></h3> + +<p>A few words on the subject of <span class="smcap">Shoes</span>. No one +will dispute the correctness of the principle that +the shoe should be made to fit the foot; yet it is +not a little remarkable that this principle is so +often departed from in practice, and that the usual +plan is to make the foot adapt itself to the shoe. +That is, the shape of the shoe is determined according +to the fancy of the maker or the dictates +of fashion, and the foot is expected to mould itself +accordingly. This is particularly the case with the +fore part of the shoe, into which the toes, or most +compliant parts of the foot, are squeezed. Thus, +the shape of the sole of a sound foot is about that +represented in fig. 47; the great toe is seen to be +free from the others, and the line of its axis, prolonged +backwards, traverses the centre of the heel. +Compare this with the outline of the sole of a shoe +as usually made; and the violence that is done to +nature is at once perceived. The shoe is made +quite symmetrical, or is curved a little in the part +between the heel and the sole—in the “waist” as +it is called—when the shoes are to be worn on the +left and right foot respectively; and the toes, instead +of being allowed to spread out a little, are<span class="pagenum" id="Page_103">103</span> +pressed together, and made to converge to a point +in the line of the middle toe, as seen in fig. 48.</p> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowe8_4375" id="f47"> + <img class="w100" src="images/f47.jpg" alt="Normal alignment of toes"> + <figcaption>Figs. <a href="#fignote_47">47</a>.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe6_625" id="f48"> + <img class="w100" src="images/f48.jpg" alt="Unsatisfactory symmetrical shoe style"> + <figcaption><a href="#fignote_48">48</a>.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe7_375" id="f49"> + <img class="w100" src="images/f49.jpg" alt="Misaligned toes from poor-fitting shoes"> + <figcaption><a href="#fignote_49">49</a>.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe5_8125" id="f50"> + <img class="w100" src="images/f50.jpg" alt="Misaligned foot bones"> + <figcaption><a href="#fignote_50">50</a>.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>The line of the great toe is thus quite altered, +and the other toes are tightly wedged together +(figs. 49 and 50); or, not being able to find room +side by side, they overlap one another and form +unsightly projections beneath the upper leather of +the shoe. No wonder that “corns” and “bunions” +and “in-growing toe-nails” are the frequent result +of this treatment, and that so many persons are +compelled to walk in a cautious, feeling manner, +and to watch the ground narrowly, lest their<span class="pagenum" id="Page_104">104</span> +cramped and tender toes come into contact with +a stone or other projecting body.</p> + +<p>How greatly to be lamented it is that the foot +should be thus maltreated and distorted, and that +walking should be made so painful, and that the +shoe, which is intended to befriend and protect +the foot, and which, if well fitted, would support +it and preserve its shape, and make some amends +to it for the rough hard roads upon which it is +compelled to tread, should be thus perverted into +a means of galling it and impairing its functions.</p> + +<p>This subject has been treated of in a simple +and concise manner by Dr Meyer, Professor of Anatomy +at Zurich, in a small pamphlet, which has +been translated into English by Mr Craig, and entitled, +“<i>Why the Shoe pinches</i><a id="FNanchor_6" href="#Footnote_6" class="fnanchor">6</a>.” I hope it may be +read by boot-makers, and may lead to some improvement +in their art. Dr Meyer very properly +remarks that one of the main points to be attended +to is, to allow the great toe to have its normal position; +and this can be done by making the inner +edge of the sole incline <i>in</i>wards, from the balls of +the toes, instead of <i>out</i>wards. The accompanying<span class="pagenum" id="Page_105">105</span> +drawing (fig. 51) gives the outline of a shoe designed +under his superintendence, and shows the +difference between it and the usual shape, the latter +being indicated by the dotted outline. In fig. 52 +the shoe is pointed, the pointing being effected +from the outer side. I have often laboured, but +laboured in vain, to impress the same point, and +hope the more systematic attempt of Professor +Meyer may lead to better results.</p> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowe8_625" id="f51"> + <img class="w100" src="images/f51.jpg" alt="Faulty and corrected shoe style "> + <figcaption>Fig. <a href="#fignote_51">51</a>. </figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe8_25" id="f52"> + <img class="w100" src="images/f52.jpg" alt="Faulty tapered shoe toe"> + <figcaption> Fig. <a href="#fignote_52">52</a>.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>With regard to the <i>heel-piece</i>, I have already +said that it should not be high because it makes +the step less steady and secure, and at the same +time shortens it, and impairs the action of the<span class="pagenum" id="Page_106">106</span> +calf-muscle. A high heel-piece, moreover, renders +the position of the foot upon the ground oblique, +placing the fore part at a lower level than the +heel; thus the weight is thrown too much in +the direction of the toes, and they are driven forwards +and cramped against the upper leather of +the shoe. The high-heel of a boot, therefore, tends +to aggravate the evils which are caused by the insufficient +and ill-adjusted space which is allowed +to the toes.</p> + +<p class="mt2em">This account of the foot has necessarily been +very superficial and imperfect. There are many +points in its anatomy to which I have not even +alluded; but, if I have succeeded in giving you +some idea of the general plan of its construction, +and in stimulating you to further enquiry respecting +the mechanism of the Human Frame, my purpose +will have been served. Still more will it +have been so, if you carry away with you some +sense both of the Pride and of the Humility which +the review of such a structure is calculated to excite—of +pride, not selfish pride, but pride resulting +from a consciousness of the nobility of your +physical nature, a pride which will make you spurn +what is bad and degrading, and will help you to +aspire to what is elevated and good. The impressions +resulting from a comparison of this one<span class="pagenum" id="Page_107">107</span> +fragment of Nature’s work with our own most +laboured achievements must quell any other pride; +and the very admiration with which we contemplate +the structure of our body impels us to walk +humbly with our God, whose gift that body is.</p> +<hr class="chap x-ebookmaker-drop"> + +<div class="chapter"> +<p><span class="pagenum" id="Page_109">109</span></p> + +<h2 class="nobreak" id="THE_HUMAN_HAND">THE HUMAN HAND.</h2> +</div> + + +<p class="dropcap">THE great characteristic of the Hand, as distinguished +from the Foot, is the mobility of the +first digit, or thumb. Accordingly when this digit +stands out apart from the others, and can be +moved independently of them, so as to be more or +less completely opposed to them, in the upper or +Mammalian Class of animals, at least, we call the +member a Hand. When this digit is absent, or is +fixed in the same manner as the others, which is +the case in each of the four limbs of Quadrupeds, +we call the member a Foot. In Monkeys, or in +most of them, the thumb is present and is separate +and moveable in each of the four limbs; and these +animals are, therefore, called “quadrumanous” or +“four-handed.” Man, having the moveable thumb +upon each of the two upper limbs only, is “bimanous” +or “two-handed.” By this peculiarity, perhaps +more definitely than by any other, he is distinguished +in structure from all the rest of the<span class="pagenum" id="Page_110">110</span> +animal series; and naturalists have, accordingly, +given the epithet “Bimanous” to the class in +which he is placed, and in which he stands alone.</p> + +<p>The hand is the executive or essential part of +the upper limb. Without it the limb would be +almost useless. The whole limb is, therefore, so +made as to give play and strength to the hand; +and, in ever so brief a description of the hand, it +is necessary, even more than in the case of the +foot, to give some idea of the manner in which the +other parts of the limb are constructed, and to +dwell a little upon such points as have relation to +its movements.</p> + +<figure class="figcenter illowe25" id="f53"> + <img class="w100" src="images/f53.jpg" alt="Skeleton of arm and hand"> + <figcaption>Fig. <a href="#fignote_53">53</a>.</figcaption> +</figure> + +<p>The general plan of construction of the upper +limb will readily be understood by means of the +drawings (figs. 53 and <a href="#f58">58</a>, p. 122). It resembles<span class="pagenum" id="Page_111">111</span> +very much that of the lower limb (see fig. <a href="#f04">4</a>, page +15). The one bone of the upper arm—the <i>humerus</i>—resembles +the one bone of the thigh, and is +jointed, above, with the shoulder-blade, which, with +the collar-bone, corresponds with the pelvis. Below, +it is connected with the two bones of the fore-arm—the +<i>radius</i> and <i>ulna</i>; and these correspond +with the two bones of the leg. In the wrist there +are eight bones, called <i>carpal</i> bones, arranged in +two rows. These are connected with five <i>metacarpal</i> +bones; and these, like the metatarsals of the +foot, are jointed with the <i>phalanges</i>. Of the latter +there are three in each finger; but in the thumb, +as in the great toe (page <a href="#Page_10">10</a>), there are only two.</p> + +<figure class="figright illowe10_125" id="f54"> + <img class="w100" src="images/f54.jpg" alt="Diagrammatic drawing of hand bones"> + <figcaption>Fig. <a href="#fignote_54">54</a>.</figcaption> +</figure> + +<p>The diagram shows how the bones of the hand +are arranged in three divisions. Thus, the upper +row of carpal bones (3, 4, 5) consists, practically, +of three bones; the fourth (6), which is much<span class="pagenum" id="Page_112">112</span> +smaller than the others, being rather an appendage +to one of them than a distinct constituent of +the wrist. (According to this view, the number of +the wrist-bones corresponds exactly with that of +the tarsal bones of the foot, viz. 7). The <i>outer</i> of +these three carpal bones (3) bears the thumb<a id="FNanchor_7" href="#Footnote_7" class="fnanchor">7</a> and +the fore-finger (<span class="lowercase smcap">I.</span> and <span class="lowercase smcap">II.</span>), and constitutes, with +them, the outer division of the hand; the inner +one (5) bears the ring-finger and the little finger +(<span class="lowercase smcap">IV.</span> and <span class="lowercase smcap">V.</span>), and constitutes the <i>inner</i> division of +the hand; and the middle one (4) bears the middle +finger (<span class="lowercase smcap">III.</span>), and is the <i>middle</i> division of the +hand. The diagram shows, too, that the two outer +bones (3 and 4), with the two outer divisions of +the hand, are connected with the radius; whereas +the inner bone (5) only, with the inner division of +the hand, is connected with the ulna. Strictly +speaking, even this bone is not directly connected +with the ulna, but is separated from it, as will be +shown presently, by a thick ligament.</p> + +<p>You frequently hear ignorant persons (and the +greater number of persons are lamentably ignorant +of the structure of their own body) speaking of the<span class="pagenum" id="Page_113">113</span> +<i>small bones</i> of the shoulder, or the <i>small bones</i> of +the elbow. You may think this a matter of no +importance, and that it does not concern you and +people generally to have any knowledge of human +anatomy. But I will tell you what is very often +happening, and will leave you to judge whether +such complete ignorance on this subject is not attended +with some practical disadvantage. A man +meets with an injury, falls and hurts his shoulder. +The immediate effects of the injury subside; but +he does not quickly recover the use of the part; +he still cannot raise his elbow, or put his hand +upon his head, or put it behind him. Soon he begins +to think that something more is wrong than +has been suspected; and the notion creeps over his +mind, and gradually takes possession of it, that +some small bone is displaced. Not content with +the assurances of his medical man, he resorts to a +quack, called a “bone-setter.” The latter, taking +advantage of the popular fallacy, gratifies the patient +with the information that his fears are correct, +affirms that “a small bone is out,” and proceeds +forthwith to employ the requisite forcible +measures for putting the said “small bone” in. I +need not say with what result. Every year, in +this civilized country, many persons are maimed +for life by these attempts to put imaginary small +bones in. I beg you, therefore, particularly to observe<span class="pagenum" id="Page_114">114</span> +that <i>there is no small bone</i> either at the +shoulder or at the elbow. The only small bones +are at the wrist; and these are so well fitted to +one another, and so firmly bound together, that +nothing short of a crushing force suffices to displace +them. This remark respecting the small +bones of the wrist is true of nearly all the small +bones in other parts of the body. So that, in fact, +small bones are very rarely dislocated; and when +you hear it asserted that a small bone is out, you +may pretty confidently conclude that the speaker +does not know what he is talking about.</p> + +<p>I have said that the upper limbs resemble the +lower in their general construction. There are, +however, some important differences; and one +of the chief of these is the greater variety and +freedom of the movements in the upper limbs. +<i>Strength</i>, for the purpose of carrying the body, is +the object in the lower limbs. <i>Mobility</i> is the +requisite in the upper limbs. Of this one example +has already been given in the instance of the +thumb as compared with the great toe.</p> + + +<h3><i>Movements at the Shoulder.</i></h3> + +<p>An equally striking example is afforded by the +shoulder. In the first place, the “Shoulder-blade” +itself can be moved in several directions—upwards,<span class="pagenum" id="Page_115">115</span> +downwards, backwards and forwards;—whereas the +“Pelvis,” i. e. the part which bears to the lower +limb the same relation that the shoulder-blade +does to the upper-limb, is immoveably fixed.</p> + +<p>Secondly, the “Shoulder-joint” is so made as +to permit a great variety and extensive range of +movements to take place. We can move the arm +forwards or backwards, as in throwing a ball, or, +in sword exercise; we can raise it so that the limb +points straight upwards; and we can swing it +round in any direction. It is owing to the free +movement in this joint that we are able to apply +the hand to every part of the body, so as to remove +sources of irritation. It is interesting to +observe how other animals get on without hands, +though they are much exposed to what we should +consider great annoyance, as from flies, &c. The +Cow, for instance, lashes its hide with its tail. +The Cat licks itself with its tongue. The Sparrow +dusts itself by the road-side. The Pig and the +Donkey roll in the mud. And many of them, as +the Horse and the Ox, have a thin muscle, called +“panniculus carnosus,” spread out under the skin, +which effects those sudden twitchings of the skin +whereby they are enabled to jerk off anything +that troubles them. In Man the hand answers +better than all these methods combined; and it is +necessary that it should do so, because his skin is<span class="pagenum" id="Page_116">116</span> +more sensitive and less protected by natural covering +than that of any other animal.</p> + +<figure class="figright illowe10_9375" id="f55" style="width: 200px"> + <img class="w100" src="images/f55.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_55">55</a>.<br>Chest and shoulders of man.</figcaption> +</figure> + +<p>For this freedom of movement of the arms, +so important to the usefulness of the hand, we +are much indebted to the “Collar-bones.” These +bones, so called because they are placed at the +lower part of the <i>collum</i> or neck, extend, horizontally, +from the upper edge of the breast-bone, +to the processes of the blade-bones which overhang +the shoulder-joint. Thus they hold the +shoulders apart, and give width to the upper part +of the chest. They also steady the shoulder-blades, +and afford a <i>point d’appui</i> to the muscles which +effect the lateral movements of the arms,—for +instance, to the muscles which tend to draw the +arms together, as when we hold anything, between +the hands, in front of us; and to those which +separate the arms from one another, as when we +stretch them out at right angles with the body.</p> + +<p><span class="pagenum" id="Page_117">117</span></p> + +<figure class="figleft illowe10" id="f56"> + <img class="w100" src="images/f56.jpg" alt=""> + <figcaption >Fig. <a href="#fignote_56">56</a>.<br>Chest and shoulders of bird.</figcaption> +</figure> + +<p>Many animals—the <span class="smcap">Elephant</span>, the <span class="smcap">Rhinoceros</span>, +the <span class="smcap">Horse</span> and the <span class="smcap">Ox</span>—have no collar-bones; +and they are only able to swing their fore +limbs to and fro. They cannot execute any lateral +movements. They cannot throw the limbs +out sideways, nor press their fore feet together, +so as to hold anything between them. If the +horse wants to seize or hold any substance he +must do it with his mouth. The Elephant has +a special provision for the purpose of prehension +in his trunk, which enables him to provide himself +with food by pulling down the branches of +trees. The <span class="smcap">Lion</span> and the <span class="smcap">Tiger</span> can press their +fore paws together sufficiently to enable them to +hold their prey, and fix it upon the ground, while +they put the head down to it and pull at it and +tear it with their teeth; and they are furnished +with rudimentary, or half, collar-bones suspended +in the flesh of the upper part of the chest; while +the little <span class="smcap">Squirrel</span>, which sits upon its hind legs, +and holds up the nuts between its fore paws to be +nibbled, has complete collar-bones. So has the +flying <span class="smcap">Bat</span>, the climbing <span class="smcap">Sloth</span> and the digging +<span class="smcap">Mole</span>. In <span class="smcap">Birds</span> the collar-bones (fig. 56, <span class="lowercase smcap">AA</span>) +are very large; and, for the purpose of giving +them greater strength, they are united together +in the middle line just above the breast-bone, +forming what is commonly called the “merry-thought;”<span class="pagenum" id="Page_118">118</span> +and, as this is not sufficiently strong +to resist the force of the powerful muscles which +flap the wings and sustain the animal in the air, +there are, in addition, stout “side-bones,” called by +anatomists “coracoid bones.” These (<span class="lowercase smcap">B</span>) run, from +the breast-bone (<span class="lowercase smcap">D</span>), in the same direction as the +collar-bones, one, on either side, to the shoulder-blades +(<span class="lowercase smcap">C</span>); and they afford even more efficient +support to the shoulders than do the collar-bones. +The coracoid bones are peculiar to oviparous +animals, or nearly so. In some reptiles, as the +<span class="smcap">Crocodile</span>, they quite supersede the collar-bones.</p> + +<p>These few examples are enough to show that +freedom of movement of the arms, especially of +lateral movement, is closely associated with, and, +indeed, is dependent upon the shoulder-blades<span class="pagenum" id="Page_119">119</span> +being supported and steadied by bones, which extend +from the breast-bone to the shoulder-blades, +and fasten the one to the other.</p> + +<p>But, even the powers and advantages conferred +by nature have often some drawbacks; and +this free play of the arm at the shoulder in man, +of which we are speaking, and the provision for it +afforded by the collar-bone, are no exceptions to +the remark. It is necessary for so great a range +of movement that the socket in the shoulder-blade +should be shallow, and that the ligaments which +connect the arm-bone with the blade-bone should +be loose. Hence the shoulder-joint is weak as +regards its ability to resist injury. The collar-bone +also causes the shoulder to project so much +that it is greatly exposed to injury and often +bears the brunt of a fall. A man is thrown from +a horse or is knocked down upon the ground, and, +if anything prevents the hand being stretched out, +the chances are that he falls upon the shoulder. +True, the head is saved thereby; but the shoulder +suffers. Hence the shoulder-joint is more often +dislocated than any other; and no bone is more +frequently broken than the collar-bone. Even in +little children, in whom, notwithstanding their +many tumbles, the other bones usually contrive to +escape, the collar-bones are often broken; and +in grown-up persons the shoulder is sometimes<span class="pagenum" id="Page_120">120</span> +dislocated by the mere action of the muscles, as +in swimming, or throwing, or lifting a weight +above the head.</p> + +<p>That you may understand the movements of +the shoulder a little more fully, I will ask you to +contrast the drawing (fig. <a href="#f58">58</a>), which shows the +position of the blade-bone upon the chest in Man, +with the drawing (fig. 57) of the corresponding +parts of the Rhinoceros; and you will at once +recognise several important differences, besides +the presence of the collar-bone in the one and +its absence in the other.</p> + +<figure class="figcenter illowe30" id="f57"> + <img class="w100" src="images/f57.jpg" alt="Rhinoceros skull, neck and shoulder girdle"> + <figcaption>Fig. <a href="#fignote_57">57</a>. Rhinoceros.</figcaption> +</figure> + +<p>In the <span class="smcap">Rhinoceros</span> the chest is deep, from +the back-bone to the breast-bone, and is flattened +at the sides; and the depth of this part of the +trunk is increased, slightly, by the breast-bone +projecting, keel-like, underne1ath, and, much more,<span class="pagenum" id="Page_121">121</span> +by the spines of the back-bone running up into +a high ridge, above. The blade-bone and the +arm-bone are applied against the flat side of the +chest, and lie, lengthways, between the spine and +the breast-bone, nearly parallel with the broad +flat ribs. The blade-bone has no process overhanging +the shoulder-joint, and, as before said, +there is no collar-bone. The short thick arm-bone +descends nearly in a line with the blade-bone, +and has huge processes at its upper end +for the attachment of muscles. The parts are +designed to bear the great weight of the animal, +and to carry its ponderous head and horn; but +the only movement of which they admit is a +sliding of the blade-bone and arm-bone, backwards +and forwards, upon the side of the chest.</p> + +<p>In animals of similar construction to the Rhinoceros, +but of lighter frame, and of greater fleetness, +the blade-bone is placed more obliquely, +which gives freer and easier movement both to it +and to the arm-bone. This, for instance, is the +case with the well-bred horse, and if we want a +quick-going horse, one that can lift his fore feet +well, we should observe whether the shoulder-blade +is oblique, and whether the spines of the back +rise well above it. Such a horse is said to have +“a good shoulder” and to be “well up.” He will +carry a saddle well, and is not likely to trip.</p> + +<p><span class="pagenum" id="Page_122">122</span></p> + +<figure class="figright illowe11_25" id="f58"> + <img class="w100" src="images/f58.jpg" alt="Side view of human shoulder, arm and chest"> + <figcaption>Fig. <a href="#fignote_58">58</a>.</figcaption> +</figure> + +<p>In <span class="smcap">Man</span> the chest has proportionately less +depth and length, and greater breadth, than in +any other animal; the breast-bone is quite flat; +and the spines of the back are sloped downwards, +so that they do not project beyond the level of +the ribs and the blade-bones. Hence he can lie +easily either upon the stomach or the back—a +privilege which is shared with him by very few of +the lower animals. Scarcely any of them can lie +upon the back, or even upon the stomach without +the help of the fore limbs. The donkey enjoys +rolling over and over upon a dusty road, +but he cannot poise himself for a minute upon +his back.</p> + +<p>The sides of Man’s chest, moreover, are not +<i>flat</i>, as in the Rhinoceros and Horse, but <i>rounded</i>, +so that the blade-bones can revolve upon them +to and fro, as well as slide upwards and downwards;<span class="pagenum" id="Page_123">123</span> +and the long arms—comparatively long, +that is, from the shoulder to the elbow—hang +quite free of the chest and form sharp angles with +the blade-bones.</p> + +<p>The blade-bones are accommodated to the +shape of the chest; for, instead of being elongated +in a direction parallel with the ribs, they +are prolonged downwards, along the sides of the +chest, at right angles with the ribs. This prolongation +of the lower part of the blade-bone is +very important, inasmuch as it enables the muscles +to hold the bone steady upon the wall of the +chest, and so gives greater power to those muscles +which pass from the blade-bone to the arm and +act upon the shoulder-joint. Were it not for this +provision the contraction of the muscles intended +to raise the arm would quite fail to produce the +desired effect, and instead of it would simply cause +the shoulder-blade to revolve upon a transverse +axis. That is to say, when we endeavoured to +raise the arm our effort would merely have the +effect of raising the hinder part of the shoulder-blade.</p> + +<p>In each of these particulars—in the form of +the chest, and in the shape and direction of the +shoulder-blade—the Monkey is intermediate between +Man and the inferior animals. The Monkey’s +chest is broad and round, in proportion<span class="pagenum" id="Page_124">124</span> +to its length, if we compare it with other animals; +but this is less marked than in the human chest. +And you perceive that the Monkey’s back-bones +project, as they do in other animals, beyond the +level of the ribs. The blade-bones are also like +those of Man in being prolonged downwards, and +in being carried, to a certain extent, across the +ribs; but their lower angles do not run so far +in this direction as they do in the human skeleton.</p> + +<figure class="figcenter illowe20" id="f59"> + <img class="w100" src="images/f59.jpg" alt="Side view of monkey shoulder, arm and chest"> + <figcaption>Fig. <a href="#fignote_59">59</a>. Monkey.</figcaption> +</figure> + +<p>The movement of raising the arm, as in carrying +the hand <i>outwards</i>, or pointing upwards, or +putting the hand upon the head, is rather a +difficult one, and requires the combined action of +many muscles. It is, therefore, to be avoided by<span class="pagenum" id="Page_125">125</span> +persons to whom muscular straining is likely to +be injurious; and the power of effecting this movement +is easily impaired by accident or disease. +A long time often elapses even after a slight +bruise of the shoulder, before the person recovers +the power of putting the hand upon the head.</p> + +<p>The exercise of raising the arms above the +head is a good one for those in health, and is +much, and wisely, recommended by the directors +of gymnastics. It brings many muscles into play, +not only those of the shoulder, but the muscles +all round about the chest, viz. those which pass +from the spine and ribs, as well as from the breast-bone, +head, and pelvis, to the shoulder-blade and +arm; and, thus, it tends to strengthen the spine +and the chest, as well as the shoulders and arms. +There is, perhaps, no exercise so good as this; and +it is much to be regretted that the dress of young +ladies, with its paraphernalia of stays and shoulder-straps, +interferes so greatly with it. The frequency +among them of “pigeon-breast” and “crooked +spine” must, partly, be attributed to the confinement +of the arms, caused by the mode of dress and the +customs of life. One of the few opportunities afforded +to the arms of availing themselves of this +exercise is in the dressing-room during the process +of brushing the hair. I would by all means, therefore, +recommend young ladies to give sufficient<span class="pagenum" id="Page_126">126</span> +time and attention to this part of the toilette, and +not to delegate it to the lady’s maid. If, in addition, +I suggest that it be commonly done with +open window, I feel sure that I shall have a deservedly +great authority among them—Miss Nightingale—on +my side.</p> + +<figure class="figcenter illowe7_75" id="f60"> + <img class="w100" src="images/f60.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_60">60</a>.<br>Elbow-joint.</figcaption> +</figure> + +<p>The movement at the <span class="smcap">Elbow</span> is, merely, that +of bending and straightening, in a hinge-like manner; +yet there is a slight obliquity in the direction +in which it takes place, an obliquity resembling +that in the movement at the knee (page <a href="#Page_39">39</a>).</p> + + +<h3><i>Pronation and Supination of the Hand.</i></h3> + +<p>In the <span class="smcap">Forearm</span> and <span class="smcap">Hand</span> there is a movement +with which we have nothing exactly corresponding +in the leg. It is called “Pronation and +Supination.” In <i>pronation</i> we turn the palm +<i>down</i>wards, as in picking up any substance from<span class="pagenum" id="Page_127">127</span> +a table; in <i>supination</i> we turn the palm <i>up</i>wards, +as a boy does when he holds out his hand for a +caning, or for the more agreeable purpose of having +a shilling put into it.</p> + +<p><span class="smcap">Pronation</span> and <span class="smcap">Supination</span> take place in the +following manner. Each of the two bones of the +forearm extends from the elbow to the wrist (fig. <a href="#f53">53</a>); + but one of them—the “ulna”—is chiefly connected +with the elbow; and the other—the “radius”—is +chiefly connected with the wrist, and, by +means of the wrist, with the hand. The two bones +are separate from one another, except at their +ends. There they touch, and are jointed together +in such a manner that the large lower end of the +radius can play round, or partly round, the small, +button-like, lower end of the ulna; and, in so +doing, it carries the hand with it. In this movement +the upper end of the radius (<span class="lowercase smcap">A</span>, fig. <a href="#f60">60</a>) does +not leave its place, but simply revolves, upon its +own axis, on the surface of the arm-bone; and its +edge turns in a notch cut for it in the upper end +of the ulna (<span class="lowercase smcap">B</span>), which remains still.</p> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowe100" id="f61" style="max-width: 8.4375em;"> + <img class="w100" src="images/f61.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_61">61</a>.<br>Hand supine.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe100" id="f62" style="max-width: 8.4375em;"> + <img class="w100" src="images/f62.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_62">62</a>.<br>Hand prone.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>In the drawings (figs. 61 and 62) the relation +of the parts in the supine and in the prone state +is shown by the aid of a plumb-line falling from +the part of the arm-bone upon which the upper +end of the radius revolves. The line traverses the +upper end of the radius, then passes along the interval<span class="pagenum" id="Page_128">128</span> +between the two bones, then traverses the +lower end of the ulna, and, finally, takes the<span class="pagenum" id="Page_129">129</span> +course of the ring finger. And, provided the limb +be held vertically, the line traverses the same +parts whatever be the position of the forearm and +hand. It does so in complete supination, as shown +in fig. 61; it does so in complete pronation, as +shown in fig. 62; and it does so in every intermediate +position. We may call it, therefore, the axis +upon which the radius and the hand turn in pronation +and supination; and, according to this representation, +the ring finger remains stationary during +the movement, while the other fingers and the +thumb perform their partial revolutions around it.</p> + +<p>I have said there is no movement in the lower +limb exactly like the pronation and supination of +the forearm and hand. We have, it is true, a +power of moving the leg upon the thigh in a +somewhat similar manner; but this can only be +done when the knee is bent. For instance, when +sitting in a chair with the foot upon a fender, or +with the toes upon the ground, we can make the +foot revolve so as to turn the heel in or out. A +little careful observation, however, will prove that +this movement takes place, altogether, at the knee, +and that <i>both</i> bones of the leg participate equally in +it, the <i>whole</i> leg revolving with the foot. Whereas, +in the case of the forearm, the movement takes +place, partly, at the wrist, and, partly, at the elbow; +and <i>one</i> bone (the ulna) remains <i>still</i> while<span class="pagenum" id="Page_130">130</span> +the lower end of the other bone (the radius) revolves +around it. Moreover, the pronation and +supination of the hand and forearm are much more +free than these movements of the foot and leg; +and they take place with equal facility and freedom +in any position of the limb. We can turn the +palm up or down as easily when the elbow is +straight as when it is bent.</p> + +<p>The movement of which I am speaking is so +important to the usefulness of the hand, that I +will call your attention to three of the muscles by +which it is effected.</p> + +<p>And, let me remark, by the way, that all the +movements in the solid parts of the body—probably +all without exception, even the slight wrinklings +of the skin that take place when it is exposed +to cold—are the result of muscular action. +Muscles are bundles of fibres which have usually a +red colour and constitute what is commonly called +the “flesh” or “lean meat” of animals. They are +endued with the power of contracting or shortening +themselves; and it is this property which +gives rise to the various movements of animal +bodies. At their ends muscles often dwindle into +“tendons” or “sinews” which, though occupying +much less space, and having no contractile power, +are very strong, and serve to connect the muscles +with the bones.</p> + +<p><span class="pagenum" id="Page_131">131</span></p> + +<p>One of the three muscles just mentioned (<span class="lowercase smcap">A</span>, +fig. <a href="#f61">61</a>) passes from a projecting process on the inner +side of the arm-bone, at its lower end, to the +outer edge of the middle of the radius. Its contraction +causes the radius to roll over, or in front +of, the ulna. It thus pronates the hand, and is +called a “<i>Pronator</i>” muscle. Another muscle (<span class="lowercase smcap">B</span>, +fig. <a href="#f62">62</a>) passes, from a projecting process on the +outer side of the arm-bone, to the inner edge of +the radius near its upper part. It runs, therefore, +in an opposite direction to the former muscle and +produces an opposite effect, rolling the radius and +the hand back into the position of supination. +Hence it is called a “<i>Supinator</i>” muscle.</p> + +<figure class="figcenter illowe29_75" id="f63"> + <img class="w100" src="images/f63.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_63">63</a>. The Biceps Muscle.</figcaption> +</figure> + +<p>The third is a very powerful muscle. It is +called the “<i>Biceps</i>” muscle (fig. 63), because it has +<i>two</i> points of attachment to the shoulder-blade. +It descends along the front of the arm, and, bulging +there, forms a conspicuous feature, to which +athletic persons are proud to point in evidence of +their muscular development. Its tendon crosses +over the front of the elbow, and is inserted into +the hinder edge of a stout tubercle which is seen +on the inner side of the radius near its upper end. +The chief effect of this muscle is to bend the +elbow; but it also rotates the radius so as to supinate +the hand; and it gives great power to that +movement. When we turn a screw, or drive a<span class="pagenum" id="Page_132">132</span> +gimlet, or draw a cork, we always employ the <i>supinating</i> +movement of the hand for the purpose; +and all screws, gimlets, and implements of the like +kind, are made to turn in a manner suited to that +movement of the right hand, because mechanicians +have observed that we have more power to supinate +the hand than to pronate it, though they are, +probably, not aware that the preponderating influence<span class="pagenum" id="Page_133">133</span> +of the <i>biceps</i> muscle is the cause of the difference.</p> + +<p>The movement of which I am speaking is +performed to its full extent only by Man. +Monkeys cannot completely supinate the hand; +and in most of the lower animals the part +corresponding with the hand remains nearly, +or quite, fixed in a state of pronation. Even in +Man, complete supination is rather a constrained +and awkward position. It is not a position which +is habitual or natural to us. When we see any +one sitting or walking with the palms turned forward +it strikes us as strange, and the idea is suggested +to us that the individual must be strange +too, that, possibly, his head may be a little turned +as well as his hands. In a state of ease the hand +is naturally more or less prone; so that when it is +desired to place the forearm or hand at rest, as in +case of disease or injury, the prone position is +usually selected. If the forearm be broken, for instance, +the surgeon sets the fracture and fixes the +limb with the hand prone or semiprone. This is, +also, the position of greatest strength, as well as of +most ease. Hence, in striking a blow, or carrying +a weight, or making any strong muscular effort, +the palm is always kept more or less inturned.</p> + +<p><span class="pagenum" id="Page_134">134</span></p> + + +<h3><i>The Wrist.</i></h3> + +<figure class="figcenter illowe20_625" id="f64"> + <img class="w100" src="images/f64.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_64">64</a>. Wrist-joints.</figcaption> +</figure> + +<p>This drawing (fig. 64) represents what is seen +when a section has been made, from side to side, +through the wrist and lower part of the forearm. +It gives an idea of the mode in which the several +bones of the wrist are adapted to one another and +held together by ligaments. The upper three +wrist-bones (<span class="lowercase smcap">C</span>, <span class="lowercase smcap">E</span>, <span class="lowercase smcap">D</span>) are joined together, so as to +present a convex surface, which is received into a +wide cup, or socket, formed by the end of the<span class="pagenum" id="Page_135">135</span> +radius (<span class="lowercase smcap">A</span>) and a ligament passing from the radius +to the ulna (<span class="lowercase smcap">B</span>); and, in pronation and supination, +the end of the radius, together with this ligament +and the wrist-bones, revolves upon the end of the +ulna.</p> + +<p>All the bones here represented are so well fitted +to one another, and so strongly bound together, +that, as I have before said, displacement very +rarely occurs among them. We sometimes <i>hear</i> of +a dislocation of the wrist, but very seldom <i>see</i> one. +The wrist is often bruised, or its ligaments strained, +by falls upon the hand; or, what very often happens, +especially after the middle period of life, the +bones of the forearm are broken a little above the +wrist.</p> + +<p>You might think that, in such an accident, the +radius only would suffer, inasmuch as it is especially +connected with the wrist-bones, and so receives +the force directly from the hand. But, if +you observe the line of contact of the radius and +ulna (running from <span class="lowercase smcap">F</span>), you will see that it is oblique, +and that its direction is such as to cause the +ulna to support the radius, and to receive some +of the force from it; and this disposition, which +makes the ulna share the duties of the radius, +makes it, also, share the dangers; hence, it is very +frequently involved with the radius in fracture of +the forearm.</p> + +<p><span class="pagenum" id="Page_136">136</span></p> + +<p>By the joints of the wrist we are enabled to +move the hand backwards and forwards, and also +slightly sideways.</p> + + +<h3><i>The Movements of the Hand.</i></h3> + +<p>I come now to speak more particularly of the +movements that take place in the Hand. I have +already said that the mobility of the thumb is the +chief characteristic of the hand as distinguished +from the foot. Another important distinction between +the hand and the foot is the greater length +and mobility of the fingers as compared with the +toes. The toes are short; and our power of moving +them is, under any circumstances, slight. They +constitute a small, and, comparatively, unimportant, +part of the foot. The fingers, on the contrary, +are long; they form a half, and, including +the thumb, the more important half, of the hand. +Without them the rest of the hand, indeed the +rest of the limb, would be comparatively useless. +Their movements are varied and free, and take +place with singular facility and rapidity. We can +bend them quite down upon the palm, and can +extend them beyond the straight line; we can +separate them from one another to a considerable +extent; and we can bring them together with some<span class="pagenum" id="Page_137">137</span> +force, as a waiter does when he carries a number +of wine-glasses between his fingers; and persons +who have lost the thumb contrive to hold a pen, a +knife or fork, or other things, between the fingers.</p> + +<figure class="figright illowe8_875" id="f65"> + <img class="w100" src="images/f65.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_65">65</a>.<br>Muscles of forearm and hand.</figcaption> +</figure> + +<p>Let me endeavour to give you an idea of some +of the muscles which are concerned in executing +these movements.</p> + +<p>The wrist and hand are bent forwards upon<span class="pagenum" id="Page_138">138</span> +the forearm by means of three muscles (<span class="lowercase smcap">A</span>, <span class="lowercase smcap">B</span>, <span class="lowercase smcap">C</span>, +fig. 65). These all pass downwards from the inner +side of the lower end of the armbone. The outer +and inner ones (<span class="lowercase smcap">A</span> and <span class="lowercase smcap">C</span>) are connected, by tendons, +with the wrist-bones; and the tendon of the middle +one (<span class="lowercase smcap">B</span>) runs over the wrist and becomes spread +out in the palm like a fan, so as to support the +skin of the palm and to protect the nerves and +blood-vessels, which lie beneath it, from injurious +pressure, when we grasp any substance firmly in +the hand. The fan-like expansion of this tendon +in the palm is called the “palmar fascia.” It is +very strong, and is connected, below, with the +ends of the metacarpal bones, and with the sheaths +of the fingers. The bundle of muscles near <span class="lowercase smcap">D</span> +forms what is called the “ball of the thumb,” +and serves to move the thumb in various directions.</p> + +<figure class="figleft illowe8_875" id="f66"> + <img class="w100" src="images/f66.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_66">66</a>.<br>Muscles and tendons of hand.</figcaption> +</figure> + +<p>Beneath these three muscles which bend the +wrist and strengthen the palm lies another set of +muscles (<span class="lowercase smcap">A</span>, <span class="lowercase smcap">B</span>, fig. 66) which bend the thumb and +fingers. They pass from the bones of the forearm, +and end in long tendons or “leaders” +which run over the wrist and palm and along +the fingers and are firmly connected with the +last phalanges of the fingers. They lie close to +the bones in their whole course, and are held +in their places by sinewy cross bands and sheaths<span class="pagenum" id="Page_139">139</span> +which are seen, both at the wrist and in the +fingers, in fig. 65.</p> + +<figure class="figcenter illowe8_75" id="f67"> + <img class="w100" src="images/f67.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_67">67</a>.<br>Muscles and tendons on back of forearm and hand.</figcaption> +</figure> + +<p>Fig. 67 represents the muscles on the back +of the forearm. The tendons pass from them, +and run, some to the wrist and extend, or bend +backwards, the wrist upon the forearm, some +to the thumb and extend the several joints of<span class="pagenum" id="Page_140">140</span> +the thumb; and others run to the back of the +fingers. These leaders lie nearer to the skin +than do those on the palmar aspect; and most +of those which go to the thumb and fingers may +be distinguished through the skin. The short +muscles (<span class="lowercase smcap">A</span>, <span class="lowercase smcap">A</span>) situated upon and between the +metacarpal bones pass from them to the sides<span class="pagenum" id="Page_141">141</span> +of the fingers; some of these serve to spread +the fingers out from one another, while others +have the effect of drawing them together. There +are several such small muscles on both surfaces +of the hand, but I must not detain you by a +description of them; and there are other little +muscles passing from the flexor tendons to the +phalanges, which have been called <i>fidicinales</i>, +from their assisting in performing the short +quick motions of the fingers, and from their +being, accordingly, called into action in playing +upon the violin and other musical instruments.</p> + + +<h3><i>Movements of the Thumb.</i></h3> + +<p>In its adaptation to the purposes of bearing +the weight and ministering to the locomotion +of the body the human foot excels that of any +other animal; and, unquestionably, the human +hand is not less preeminently distinguished by +the nicety, the variety, and the freedom of its +movements. This is shown by the manner in +which it can be twisted about, by the exquisite +play of the fingers; and it is shown, above all, +by the mode in which the thumb can be moved +to and fro, can be opposed to the other fingers, +and to any part of them individually and collectively,<span class="pagenum" id="Page_142">142</span> +and can be folded beneath them or +clasped upon them as occasion may require.</p> + +<p>The power which the thumb possesses, and +gives to the hand, is signified by its name—“pollex,”—derived +from the Latin word <i>pollere</i>, +which means to have power. Some have supposed +that the word “poltroon” is derived from +<i>pollice truncato</i>, and signifies one so cowardly +that he has submitted to have his thumb cut +off in order that he may be incapacitated for +fighting.</p> + +<p>The faculty which we possess of moving the +thumb in the way I have mentioned, athwart +the other fingers, and of touching any part of +the palmar surface of either of them depends, +partly, upon its being set, not quite in the +same plane with them, but, obliquely, so that +when it is moved towards the palm it faces or +opposes the other fingers; and, partly, upon the +nature of the joint between its metacarpal bone +and the bone of the wrist with which it is connected.</p> + +<p>This joint is so constructed as to admit of +three different movements. <i>First</i>, the thumb can +be moved forwards or backwards, that is, towards, +or, away from, the palm. <i>Secondly</i>, it can be +“adducted” or “abducted,” that is, approximated +to the forefinger or inclined away from it.<span class="pagenum" id="Page_143">143</span> +<i>Thirdly</i>, it can be “circumducted,” that is, its +extremity can be made to describe a circle, as +in “twiddling the thumbs.” These several movements +are effected with great power and rapidity +by means of the bundle of muscles which forms +the “ball of the thumb” (fig. <a href="#f65">65</a>. <span class="lowercase smcap">D</span>), as well +as by the long muscles and tendons which descend, +from the forearm, to the thumb.</p> + + +<h3><i>Movements of the metacarpal bones of the +Fingers upon the Wrist.</i></h3> + +<p>The movements of the thumb, through the +medium of its metacarpal bone, upon the wrist +are much more free than those of any of the +other fingers. The middle finger, indeed, has its +metacarpal bone set upon the wrist so fixedly +as to admit of scarcely any such movement. The +forefinger can be thus moved a little; the ring +finger more and the little finger still more.</p> + +<p>You may easily prove this by taking the +knuckles or heads of the respective metacarpal +bones of one hand between the fingers and +thumb of the other hand, when you will find +that you can press the knuckle of the little +finger backwards and forwards in a very perceptible +manner. Then try the knuckle of the<span class="pagenum" id="Page_144">144</span> +ring finger; the movement is distinct, though +not so free as in the case of the little finger. +The knuckle of the forefinger you will find to +be almost fixed; and in that of the middle finger +you will be unable to perceive any movement at +all.</p> + +<p>In fact the joints of the metacarpal bones of +the fingers with the wrist resemble those of the +outer four toes with the tarsus; and the drawings +of these joints of the foot (figs. <a href="#f22">22</a> to 25) +will serve sufficiently well to illustrate those of +the hand.</p> + +<p>These movements of the metacarpal, or knuckle, +bones upon the wrist enable us to increase or +diminish the hollow of the palm by bringing +its edges more or less forward. Thus, when we +make a cup of the hand we bring forward the +metacarpal bones of the thumb and the little +finger, wrinkling the skin of the palm; and +when we spread the hand open we carry those +bones backwards, rendering the skin of the palm +tense.</p> + +<p>These movements, moreover, enable us to +bring the little fingers and the thumb more easily +into contact.</p> + +<p>Have you ever wondered what advantage is +gained by the fingers and thumb all differing +from one another in length; or don’t you take<span class="pagenum" id="Page_145">145</span> +the trouble to reflect upon little matters of this +sort? If you have, I would ask you now to remark +that there is, in the several fingers, a relation +between their shortness, their position near +the edge of the hand, and the amount of mobility +of their metacarpal bones upon the wrist. Thus +the finger which is in the middle of the hand is +the longest, and its metacarpal is the most fixed. +The fore-finger is not quite so long; and its metacarpal +is rather less immovable. The ring-finger +comes next in shortness and in the mobility of +its metacarpal. Then the little finger; and the +thumb which is much shorter than any other has +also its metacarpal much more moveable.</p> + +<figure class="figright illowe13_75" id="f68"> + <img class="w100" src="images/f68.jpg" alt="Hand position holding a ball"> + <figcaption>Fig. <a href="#fignote_68">68</a>.</figcaption> +</figure> + +<p>Observe, further, that, when the fingers and +thumb are separated from one another, and then +bent, the middle knuckle-bone remains stationary, +but the others are advanced a little forwards, each +to an extent proportionate to its mobility upon +the wrist, and to the shortness of the finger. The +fore-finger is, by this means, advanced a little, +the ring and the little fingers more, and the +thumb most of all. And the result is, that the +tips of the fingers and the thumb come all to a +level, and form, with the palm, a great hollow in +which we can grasp any substance, a cricket-ball, +for instance, and hold it very firmly. The length +of the several fingers and the thumb is, therefore,<span class="pagenum" id="Page_146">146</span> +just so regulated, in relation to their mobility +upon the wrist, as to give us this power.</p> + +<p>You may observe, also, that when the fingers +and the thumb are spread out the space between +the thumb and the fore-finger is considerably +greater than either of the spaces between the other +fingers. Then, by a slight movement, the thumb +takes up a position in front of, or opposite to, +the fingers; and in grasping any substance it +has to antagonise the pressure exerted by all +the fingers. Hence it needs to be much stronger +than they are, and to be wielded by more +numerous and more powerful muscles.</p> + +<p><span class="pagenum" id="Page_147">147</span></p> + +<p>The <span class="smcap">Middle Finger</span> is not only the longest +and the largest finger; it is also, to a certain +extent, the centre about which the others move. +Thus, when the fingers are bent down into the +palm, their tips all converge towards the middle +finger; and when they are spread out, they all +diverge from it. Its greater length and the +greater prominence of its knuckle, expose this +finger to injury more than any of the others; +which may account for the fact that Surgeons +are called upon to amputate the middle finger +more frequently than either of the other fingers +or the thumb.</p> + +<p>The <span class="smcap">Fore-finger</span> has the greatest range of independent +movement. Hence it is used to point +with, and is called the “Index” or “Indicator” +finger.</p> + + +<h3><i>Writing.</i></h3> + +<p>In <span class="smcap">Writing</span> the pen should be held between +the pulps of the fore and middle fingers and the +thumb, in contact with all three, and firmly lodged +between them. The down-stroke is made by bending +the phalanges of the fingers and the thumb +inwards and the metacarpal bone of the thumb +outwards; and the up-stroke is made by straightening +all the joints of the fingers and thumb.<span class="pagenum" id="Page_148">148</span> +The hand rests lightly, not upon its whole +edge, but, upon the hindermost and foremost +parts of the edge, that is, upon the pisiform +bone of the wrist and upon the little finger near +the end, so that it can be moved easily along the +paper, and can be inclined, or rolled, a little to +either side. The obliquity of the stroke is not +imposed by mere arbitrary rule, but is in accordance +with the direction in which there is the freest +movement of the fingers and thumb when thus +holding the pen. Make the experiment for yourselves +of moving the pen in different directions, +and you will soon be satisfied that the writing-master +has nature on his side in insisting on a +particular movement as well as a particular mode +of holding the pen. Some persons make the +strokes vertical, or slope them the wrong way; +but in either case the writing is stiff and awkward; +it is not natural.</p> + +<p>The custom of writing from left to right may +also be regarded as correct or natural, inasmuch +as we can move the pen more freely upwards and +<i>out</i>wards than upwards and <i>in</i>wards. Hence the +light <i>up</i> or advancing stroke—that which connects +a letter with the one which follows it—is most +easily made <i>out</i>wards or to the right; and the letters +are, consequently, made to follow one another +in that direction. To understand this more clearly<span class="pagenum" id="Page_149">149</span> +make a down-stroke upon paper in the usual +manner; you will then find that you can make +up-strokes from any part of it more easily to the +right than to the left; and if you make a series of +continuous up-and-down-strokes at a little distance +from one another, the up-stroke is, not +merely habitually, but naturally, made fine and +inclined to the right, whereas the down-stroke +is made heavier or thicker and is sloped to the +left. Moreover, you will perceive that the hand +slides along the paper more easily from left to +right than from right to left.</p> + +<p>It is worthy of remark that the writing of all +that great class of languages called Indo-European, +which includes Sanscrit, Greek, Latin, and many +others, with our own, is from left to right; whereas +nearly all the writing of another great class called +the Semitic, which includes the Hebrew and Arabic, +is in the opposite direction, viz. from right to +left. Some nations write in perpendicular columns, +the letters being placed under one another, of +which the Chinese affords an example. But either +of the two latter methods must be inferior to the +Indo-European style in ease of execution and expedition.</p> + +<p><span class="pagenum" id="Page_150">150</span></p> + + +<h3><i>Reason for the Ring being usually placed upon the +Fourth finger.</i></h3> + +<p>The <span class="smcap">Ring-finger</span> has less independent movement +than either of the others. It cannot be bent +or straightened much without being accompanied +by one or both of those next it. This is, partly, +because its extensor tendon is connected, by means +of a band of fibres, with the tendon on either side +of it. You may discern these connecting bands +working up and down under the skin of the back +of your hand when you move the fingers to and fro +(they are represented in fig. <a href="#f67">67</a>). The ring-finger +is, therefore, always, more or less, protected by the +other fingers; and it owes to this circumstance a +comparative immunity from injury, as well, probably, +as the privilege of being especially selected +to bear the ring in matrimony. The left hand is +chosen for a similar reason; a ring placed upon it +being less likely to be damaged than it would be +upon the right hand.</p> + +<p>Other reasons have been given for this preference. +It has been attributed to a notion among +the ancients that the ring-finger is connected with +the heart by means of some particular nerve or +vessel, which renders it a more favourable medium<span class="pagenum" id="Page_151">151</span> +than the other fingers for the reception and transmission +of sympathetic impressions; the left hand +being selected, in preference to the right, because +it lies rather nearer to the heart.</p> + +<figure class="figright illowe9_75" id="f69"> + <img class="w100" src="images/f69.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_69">69</a>.<br>Nerves of hand.</figcaption> +</figure> + +<p><span class="pagenum" id="Page_152">152</span></p> + +<p>Some slight foundation for such a notion might +be imagined to exist in the fact (supposing the ancients +to have been acquainted with it) that the +distribution of the nerves to the ring-finger is +rather peculiar. The peculiarity will be readily +understood by reference to the accompanying +drawing (fig. 69). Two chief nerves are seen descending, +in their course from the brain, along the +arm and forearm, to supply sensation to the palmar +surface of the hand. One (<span class="lowercase smcap">A</span>), the larger of the +two, passes in front of the middle of the wrist, and +divides into branches which are distributed to the +skin of the thumb, of the fore and middle fingers, +and of the <i>out</i>er side of the ring-finger. The other +nerve (<span class="lowercase smcap">B</span>) lies on the <i>in</i>ner side of the forearm and +wrist, and its branches go to the skin of the little +finger, and of the inner side of the ring-finger. +You see, therefore, that there is, in this finger, a +meeting of the branches of the two nerves; the +two sides of the finger being supplied by different +nerves. It would be a mistake, however, to suppose +that it gains any superiority in sensitiveness +or sympathetic relations by this arrangement; and +this distribution of the nerves certainly does not +offer so probable an explanation of the selection of +that finger for the honourable office of ring-bearer +as the one I have suggested.</p> + +<p>I must remark, here, that the nerve (<span class="lowercase smcap">B</span>), in<span class="pagenum" id="Page_153">153</span> +passing from the arm to the forearm, lies on the +inner side of the back of the elbow, and is popularly +known by the misnomer of the “funny-bone<a id="FNanchor_8" href="#Footnote_8" class="fnanchor">8</a>.” +It lies, pretty much out of harm’s way, in a well-protected +channel between two bones. Nevertheless, +it is now and then hurt; and you know that +when the “funny-bone” is struck, a peculiar pain, +or tingling, is experienced along the little finger +and the adjacent side of the ring-finger.</p> + +<p>The practice of wearing rings upon the hand is +a very ancient one. In some instances they were +badges of slavery. More generally they were marks +of high esteem or authority; as when “Pharaoh +took off his ring from his hand and put it upon +Joseph’s hand,” and when “Ahasuerus took off his +ring, which he had taken from Haman, and gave it +to Mordecai.” The Roman knights also wore rings +of gold. Sometimes rings were worn as charms +against diseases; a practice which has been revived +in our own day. They were placed upon any of +the fingers, and upon the right hand as well as +the left. Thus we read in Jeremiah, “though +Coniah the son of Jehoiakim king of Judah were +the signet upon my right hand.” The preference +of the left hand and of the ring-finger seems to be +comparatively modern, originating, probably, when<span class="pagenum" id="Page_154">154</span> +the ring was made lighter and more fragile, and +was, at the same time, adorned with precious +stones, and when it became, therefore, desirable +to place it upon the part of the hand where it is +least exposed to injury.</p> + + +<h3><i>The Monkey’s Hand.</i></h3> + +<p>Most of you have spent some time in watching +the inmates of that interesting part of a zoological +collection, the <span class="smcap">Monkeys’</span> cage, and have observed +how nearly the hand of that animal resembles the +human hand, in the presence of a thumb, in the +variety and celerity of its movements, in the facility +with which it can catch and pick up objects +and hold them up to the mouth, and in some other +points. A little closer observation, however, will +show that there are some differences between the +two. The several parts do not bear the same relation +to one another in the Monkey’s hand which +they do in the human hand; neither have they quite +so great variety or range of movement. The hand +is altogether narrower, and straighter. The thumb +is shorter and less strong, scarcely reaching beyond +the knuckle of the fore-finger. The fingers, on the<span class="pagenum" id="Page_155">155</span> +contrary, are longer and of more uniform length; +they do not admit of being separated so widely +from each other in a fan-like manner; and the +metacarpal bones at the edges of the hand, i. e. +the metacarpal bones of the thumb and of the ring +and little fingers, have not the same amount of +play upon the wrist. Hence the thumb and the +fingers of the Monkey cannot be opposed to one +another so easily as in man; neither can they be +so advanced in front of the middle finger as to +form a hollow or cup, in the way I described when +speaking of the hollow of the palm and the different +lengths of the fingers in the Human hand. +When you throw a Monkey a nut he usually picks +it up and holds it between the thumb and the <i>side</i> +of the bent fore-finger, not between the tips of the +thumb and fingers. The length of the fingers +adapts the Monkey’s hand well for clasping firmly +the branches of trees, and assisting the animal to +climb about in its native forests, or to hold on to +the bars of its cage; and so the part answers the +requirements of the creature better than if these +qualities had been sacrificed to a greater regard +for variety and range of movement.</p> + +<p><span class="pagenum" id="Page_156">156</span></p> + + +<h3><i>The Hand the Organ of the Will.</i></h3> + +<p>The human hand is peculiarly an organ devoted +to the will, being more directly and completely +under its influence than is any other part +of the body. The <span class="smcap">Will</span>, remember, is that self-directing +faculty which can be said to exist, definitely +and decidedly, in Man alone, which is +associated in him with the responsibility attaching +to the selection between good and evil, and +which is given to him to fit him to be the reasonable +servant of his Maker, and upon which, therefore, +his dignity, and his capability for occupying +a position between the low animal and the +high spiritual world, so much depend. How appropriate +is it, then, that the will should have +a special organ assigned as its more peculiar +minister. It is to the complete subjection of +the hand to the will, no less than to the combination +of strength with variety and delicacy in +its movements, that Man is indebted for his dominion +over the rest of the animal world, and for +the ability to execute the wonderful works which +his genius designs.</p> + +<p>When we reflect how essential is the hand +to Man’s well-being, power, and progress, and upon +the infinite variety of purposes which it serves<span class="pagenum" id="Page_157">157</span> +in obedience to the will, we are not surprised that +the construction of the foot, indeed of every part +of the frame, should have reference to the object +of liberating the hand from the subordinate work +of locomotion to a degree which we find in no +other animal, and of leaving it free to execute +its higher offices in a ready and efficient manner.</p> + +<p>But, after all, notwithstanding the excellence +of its mechanism and its intimate relation to the +will, what would the hand be without the reflecting +and designing <span class="smcap">Mind</span>—the mind that can build +upon the past and prepare for the future, and so +carry on the ever-advancing work of human civilization +and progress. Without it Man would remain +stationary, like the other animals; and, as +age succeeded age, the hand would only suffice +to provide the necessary requirements of the body. +Nay, even this is saying too much; for without +the mind, without, at least, some higher instinctive +or reflective faculty than the other animals +possess, Man would, in reality, be inferior to them. +He would be absolutely unable to maintain his +existence, and would be a miserable victim to +the fineness of his organisation. His hand would +fail to supply him with food, or to defend him +against his numerous enemies, or to provide for +the protection of his delicate and sensitive frame +from the inclemency of the elements.</p> + +<p><span class="pagenum" id="Page_158">158</span></p> + +<p>The real excellence of the human hand—and +the remark applies equally to the whole human +body—consists, not in the admirable construction +of its several parts, nor in their well-adjusted +relation to one another, so much as in the adaptation +of the whole to the mind that presides over +it. This it is that renders Man the lord of the +creation, that enables him to subdue all his foes, +and gives him, in some measure, power over the +elements, so that land and water, fire and air, +are made to serve his purpose. By this harmonious +co-aptation of mind and body Man is rendered +cosmopolitan, being able to thrive in every +clime, from the regions of continual snow to those +burning equatorial plains where even reptiles +perish from the heat and drought, and being able +to convert the barren plain into a fertile field, +and to draw water out of the stony rock.</p> + +<p>At the late meeting of the British Association +at Oxford, a gentleman related that he had a +monkey which was very partial to oysters, and +was very fond of playing with a hammer; but +he never could be taught to use the hammer for +the purpose of breaking the oyster-shells to gratify +his appetite. How wide a gulf does the +absence of intelligence in this simple matter indicate +between ourselves and the animal that +approaches nearest to us!</p> + +<p><span class="pagenum" id="Page_159">159</span></p> + + +<h3><i>The Hand an Organ of Expression.</i></h3> + +<p>Further, we cannot fail to recognise and admire +the adaptation of the hand to the mind at +all ages, and under various circumstances; in its +weakness and suppleness, and in its purposeless +and playful movements in infancy and childhood; +in its gradually increasing strength and steadiness +as the intellect ripens; in the stiffness and shakiness +of declining years; in the iron grasp of the +artizan; in the light delicate touch of the lady; +in the twirlings, fumblings, and contortions of the +idiot; in the stealthy movements of the thief; in +the tremulousness of the drunkard; in the open-handedness +of the liberal man; and in the close-fistedness +of the niggard.</p> + +<p>Thus the hand becomes an organ of expression +and an index of character. What would the +nervous young gentleman in a morning call give +to be quit of these tale-telling members; or what +would he do without a hat or a stick to employ +and amuse them? How effective an auxiliary to +the orator is the wave of the hand, or, even, the +movement of a finger. Some men, indeed, seem +to owe the efficiency of their declamations as +much to the hand as to the tongue. I have seen<span class="pagenum" id="Page_160">160</span> +a practised orator (he was a man of the most complete +self-possession) quell an excited audience by +one determined movement of his hand. It happened +to me to hear two of the most celebrated +preachers of the day within a short period. In +each of them the movements of the hand were +remarkable, though very different. In one, the +free, impassioned, but natural, and, therefore, easy +action of the hand showed a deep and genuine +interest in the subject, and helped to waft the +fervid sentiments straight from his own heart to +the hearts of his audience. In the other, who was +a no less accomplished speaker, the constrained +and carefully regulated movements of the hands +were evidently the result of forethought and +study; they were intended to be impressive, but +were too obviously done for effect; and, therefore, +were far less effective as well as less pleasing.</p> + +<p>Our great and venerable orator, as well as high +authority on the art of speaking (Lord Brougham), +tells us that the subject of a speech should be +carefully studied, and the sequences well adjusted. +He says that, in the most effective passages, even +of practised speakers, the exact words are usually +selected beforehand; but he is silent respecting +the actions by which they should be accompanied. +These, at least, should be unpremeditated; and +they will best assist to convey to others the real<span class="pagenum" id="Page_161">161</span> +feelings and emotions when they are the simple +result of the natural working of the mind upon +the body.</p> + +<p>The kind of expression that lies in the hand, +being much dependent on the effect of the +muscles upon it, is very hard for the artist to +catch, though very important to the excellence +of the picture. Painters, usually, make the hand +a subject of careful study, but rarely succeed in +throwing the proper amount, either of animation +or of listlessness, into it. In portraits, especially, +the hands are a difficult part to treat satisfactorily; +yet the artist feels that they are too important +not to have a prominent place, and he, +commonly, imposes upon himself the task of representing +them both in full. I have seen them +drawn held up in front, like the paws of a +kangaroo, in an otherwise good picture. The +stereotyped position in portraits is that one hand +lies upon a table, though it, probably, evinces +an uneasiness there, while the other rests, perhaps +equally uneasily, upon the arm of a chair. +Vandyck, in whose paintings the hand usually +forms a prominent feature, is considered to have +peculiarly excelled in imparting to it a sentimental +air imbued with deep pathos.</p> + +<p><span class="pagenum" id="Page_162">162</span></p> + + +<h3><i>Shaking Hands.</i></h3> + +<p>How much do we learn of a man by his +“<span class="lowercase smcap">SHAKE-OF-HAND</span>.” Who would expect to get +a handsome donation, or a donation at all, from +one who puts out two fingers to be shaken and +keeps the others bent as upon an “itching palm”? +How different is the impression conveyed by the +hand which is coldly held out to be shaken and +slips away again as soon as decently may be, +and the hand which comes boldly and warmly +forward and unwillingly relinquishes its hearty +grasp? Sometimes one’s hand finds itself comfortably +enclosed, nursed, as it were, between both +hands of a friend, an elderly friend probably; or +it is shaken from side to side in a peculiar short +brisk manner. In either case we are instinctively +convinced that we have to do with a warm and +kindly heart. In a momentary squeeze of the +hand how much of the heart often oozes through +the fingers; and who that ever experienced it +has forgotten the feeling conveyed by the eloquent +pressure of the hand of a dying friend, +when the tongue has ceased to speak?</p> + +<p>Why do we shake hands? It is a very old-fashioned +way of indicating friendship. Jehu +said to Jehonadab, “Is thine heart right as my<span class="pagenum" id="Page_163">163</span> +heart is with thine heart? If it be, give me +thine hand.” It is not merely an old-fashioned +custom; it is a strictly <i>natural</i> one, and, as +usual in such cases, we may find a physiological +reason, if we will only take the pains to search +for it. The Animals cultivate friendship by the +sense of touch, as well as by the senses of smell, +hearing, and sight; and for this purpose they +employ the most sensitive parts of their bodies. +They rub their noses together, or they lick one +another with their tongues. Now, the hand is +a part of the human body in which the sense of +touch is highly developed; and, after the manner +of the animals, we not only like to see and +hear our friend (we do not usually smell him, +though Isaac, when his eyes were dim, resorted +to this sense as a means of recognition), we, +also, touch him, and promote the kindly feelings +by the contact and reciprocal pressure of the +sensitive hands.</p> + +<p>Observe, too, how this principle is illustrated +by another of our modes of greeting. When we +wish to determine whether a substance be perfectly +smooth and are not quite satisfied with +the information conveyed by the fingers, we +apply it to the <span class="lowercase smcap">LIPS</span> and rub it gently upon them. +We do so, because we know by experience that +the sense of touch is more acutely developed in<span class="pagenum" id="Page_164">164</span> +the lips than in the hands. Accordingly, when +we wish to reciprocate the warmer feelings we +are not content with the contact of the hands, +and we bring the lips into the service. A <span class="lowercase smcap">SHAKE-OF-HANDS</span> +suffices for friendship, in undemonstrative +England at least; but a <span class="lowercase smcap">KISS</span> is the token +of a more tender affection.</p> + +<p>Possibly it occurs to you that the <span class="smcap">Tongue</span> is +more sensitive than either the hands or the lips. +You have observed that it will detect an inequality +of surface that escapes them both, and that minute, +indeed, is the flaw in a tooth which eludes its +searching touch. You are right. The sense of +touch is more exquisite in the tongue than in any +other part of the body; and to carry out my theory, +it may be suggested that the tongue should be +used for the purposes of which we are speaking. +It is so by some of the lower animals. But, in +man, this organ has work enough to do in the cultivation +and expression of friendship in its own +peculiar way; and there are obvious objections to +the employment of it in a more direct manner for +this purpose.</p> + +<p><span class="pagenum" id="Page_165">165</span></p> + + +<h3><i>The Skin of the Hand.</i></h3> + +<p>By the aid of the accompanying drawings you +will be able to form some idea of the structure of +the <span class="lowercase smcap">SKIN</span> of the hand.</p> + +<figure class="figright illowe21_875" id="f70"> + <img class="w100" src="images/f70.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_70">70</a>. Skin.</figcaption> +</figure> + +<p>One of them (fig. 70) represents a section of +the skin, made perpendicular to the surface, as<span class="pagenum" id="Page_166">166</span> +seen under the microscope. It is from the end of +the thumb, and includes three of those delicate +lines, or ridges that are found there.</p> + +<p>The superficial, or uppermost strata (<i>a</i> and <i>b</i>), +are the “Cuticle” or “false skin.” The outer layer +(<i>a</i>) is hard, horny, and dry. It is composed of +numerous fine scales laid upon one another, like +the tiles upon the roof of a house, but adhering +more closely together, so as to form one continuous +sheet extending all over the body. The outermost +of these scales are continually being shed, peeling +off as scurf, or being rubbed off; and fresh ones are +supplied by the next layer (<i>b</i>), which is a softer +material and lies immediately upon the surface of +the “cutis” or “true skin.”</p> + +<p>This softer layer (<i>b</i>) is often called the “<i>Rete +Mucosum</i>.” It is made up of minute bags or bladders, +named “cells” by anatomists, which grow +and propagate upon the exterior of the true skin, +being nourished by the blood in the skin. Those +which lie nearest the cutis are the youngest and +the softest. Gradually they are pushed outwards +by their successors or offspring; and, as they approach +the surface, they become flatter and drier +and more adherent to one another, and are finally +converted into the thin scales of the cuticle. Thus, +there is no real line of division between the cuticle +and the rete mucosum; but the cells of the latter<span class="pagenum" id="Page_167">167</span> +are gradually transformed into the scales of the +former.</p> + +<p>The rete mucosum is thicker in the Negro than +in the white man, and contributes somewhat to the +softness of his skin. It contains also the colouring +matter in the form of minute black particles diffused +among its cells (fig. <a href="#f72">72</a>). These particles disappear, +more or less, as the cells become changed +into scales; hence the outer part of the cuticle of +the Negro is not so dark as the rete mucosum, +but, as it is transparent, or nearly so, it allows the +dark colour of the rete to show through it.</p> + +<p>Persons commonly speak of the cuticle as if it +were the whole thickness of the skin. Thus, when +a blister has drawn, they say the <i>skin</i> is raised; +whereas it is only the <i>cuticle</i>. This is forced off +from the skin by the fluid effused into its softer +layer—i. e. into the rete—in consequence of the +irritating influence of the blister.</p> + +<p>The cuticle has no nerves, and, therefore, no +feeling. It may be cut or torn without pain. The +snipping of a blister with the scissors is not felt, +because the cuticle only is touched. It forms a +covering to the whole surface of the body, and +is invaluable as a means of preventing too great +evaporation. Without it we should be dried up, +almost mummified, by the end of a summer’s day. +It also protects the delicate sensitive skin underneath.<span class="pagenum" id="Page_168">168</span> +How sore is the knuckle when the cuticle +has been rubbed off! The cuticle has, moreover, +the accommodating property of becoming thickest +where it is most wanted, as on the sole of the foot, +and on the palms of the hands of blacksmiths, and +artizans, and persons who handle the oar. And if +any other part of the body be subjected to much +friction, for instance, the knees of housemaids, or +the shoulders of men who carry packs, the cuticle +soon becomes thickened there.</p> + +<p>Beneath the cuticle lies the “Cutis” or “True +Skin” (<i>c</i>, fig. <a href="#f70">70</a>, and <i>c</i> and <i>d</i>, fig. <a href="#f71">71</a>). It is a +tough structure consisting of interlacing fibrous +and fine muscular tissue, and contains the blood-vessels +and nerves. The cuticle may be pared off +without any bleeding; but directly the skin is +wounded the blood flows. The cutis does not present +an even surface next the cuticle, but shoots +out into a number of little finger-like processes, +called “Papillæ,” which project into the contiguous +soft stratum of the cuticle, and are embedded in +it. Thus the superficies of the skin is increased; +and as the blood-vessels and nerves of the cutis +are continued into the papillæ, they contribute +very greatly to the sensitiveness of the skin. They +are most numerous in parts where the sensitiveness +of the skin is greatest; for instance, they are +more numerous on the palmar, than on the dorsal,<span class="pagenum" id="Page_169">169</span> +surface of the hand. Near the ends of the fingers +and thumb they are arranged in a linear manner,<span class="pagenum" id="Page_170">170</span> +forming the delicate ridges that encircle the cones +of the pulps. Sections of these ridges are represented +in fig. <a href="#f70">70</a>.</p> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowe5_8125" id="f72"> + <img class="w100" src="images/f72.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_72">72</a>.</figcaption> +</figure> +</div> +<div class="cell"> +<figure class="figcenter illowe10_8125" id="f71"> + <img class="w100" src="images/f71.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_71">71</a>. Skin.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>The superficial or papillary part of the cutis +is of finer and more delicate structure than the +deeper or fibrous layer, and is, therefore, sometimes +described as a separate layer. It is so represented +in the accompanying figure (71, <i>c</i>).</p> + +<p>As we are upon the subject of the cuticle and +the papillæ, I will take the opportunity to say a +word respecting two diseases of these structures, +in which most of you, probably, have a personal +interest. I mean “Warts” and “Corns.”</p> + +<div class="center"> +<div class="table"> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowe100" id="f73" style="max-width: 20em;"> + <img class="w100" src="images/f73.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_73">73</a>. Corn.</figcaption> +</figure> +</div> +</div> +<div class="row"> +<div class="cell"> +<figure class="figcenter illowe100" id="f74" style="max-width: 20em;"> + <img class="w100" src="images/f74.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_74">74</a>. Wart.</figcaption> +</figure> +</div> +</div> +</div> +</div> + +<p>A <span class="smcap">Wart</span> (fig. 74) depends chiefly on a diseased +state of the papillary stratum of the skin. The +papillæ become coarse and grow up beyond the +level of the surrounding skin, so as to present an +uneven or “warty” surface. They carry a layer of<span class="pagenum" id="Page_171">171</span> +cuticle before them. This layer is usually thin, so +that the wart bleeds easily when it is rubbed. +Sometimes, however, it is very thick and hard like +a piece of horn. We, now and then, hear of a horn +growing upon some part of the body, perhaps on +the forehead. Such a horn is, usually, nothing +more than a conical mass of cuticle formed upon +the surface of a large wart. Warts are generally +caused by something irritating the skin, as dirt or +soot rubbed into the cuticle. For this reason they +are more frequent upon the hands than upon other +parts of the body.</p> + +<p>In a <span class="smcap">Corn</span> (fig. 73), also, the papillæ are somewhat +enlarged; and this accounts in part for the +great tenderness of corns. But the primary and +essential feature of a corn is a thickened state of +the cuticle. This is caused by too great rapidity +in its formation, and is, usually, dependent upon +pressure, especially if the pressure be combined +with some friction. Hence corns are most commonly +found upon the foot, and upon the parts of +the foot, where the skin is subject to pressure and +rubbing against the shoe. The drawing shows the +appearance presented by a vertical section through +a corn and through a small portion of the skin on +either side. The accumulated layers of cuticle are +seen, and the enlarged papillæ shooting up into +them. I need scarcely add that it is owing to<span class="pagenum" id="Page_172">172</span> +ignorance, or something worse, when corn-cutters +talk of curing the malady by taking out the +<i>roots</i>; for, corns, evidently, have no roots.</p> + +<p>One word of advice about corn-cutting. Most +persons have some experience in this art, and +some opportunity of practising it on themselves; +and many pride themselves on their skill in it. +The usual plan is to shave off layer after layer +from the whole surface of the corn; and this, by +lessening the projection of the corn, may give +relief for a few days, though it does not always +do that. Soon, however, the distress returns; +and the area of the corn increases after each +operation. Now, I would have you observe that +it is at the <i>middle</i> of the corn that the papillæ +are most enlarged; and it is here that the formation +of cuticle goes on most quickly, giving +rise to the little white cone or cones often seen +in a corn and sometimes wrongly called the roots. +The proper mode is to confine the cutting to this +part, and to remove as much of the thickened +cuticle as you can from this spot, digging, as it +were, a hole in the middle and leaving the circumference +intact. The circumference, which is +not usually tender, thus forms a wall round the excavated +centre and defends it from pressure; and +great relief is experienced. Further benefit will +be found from covering the corn with some soft<span class="pagenum" id="Page_173">173</span> +adhesive plaster; and you may sometimes, with +advantage, lightly apply common caustic before +putting on the plaster. If you follow these directions +carefully you may be your own chiropodists, +and almost defy your bootmakers.</p> + +<p>If, in cutting a corn, you go too deeply, you +will wound the tops of the papillæ and cause some +bleeding; this is not however usually followed +by any ill consequences.</p> + + +<h3><i>Nails.</i></h3> + +<p>Almost all vegetable as well as animal surfaces +are covered with some kind of cuticle. It +forms the smooth exterior of a leaf and the +rind of an apple; and the soft down of a moth +or a butterfly, the scales of fish, the feathers +and claws of birds, the quills of the porcupine, +the horns of oxen and the hoofs of the horse +are examples of modifications of cuticle. <span class="lowercase smcap">NAILS</span> +and <span class="lowercase smcap">HAIR</span> are also of this nature. They are both +continuous with the cuticle, and peel off with it +when it is, by any process, separated from the +skin. Both are formed, like the cuticle, of compressed +plates or scales matted together; and +these are continually being shed or rubbed off +on the one side, and supplied from the rete mucosum +on the other.</p> + +<p><span class="pagenum" id="Page_174">174</span></p> + +<p>The rete mucosum, it should be stated, extends +over the whole surface of the body. In +most situations, as already mentioned, it is the +medium from which the ordinary cuticle is produced; +but on the upper part of the ends of the +fingers and toes it is converted into nail, and in +the hair follicles, as I will presently describe, it +is transformed into hair.</p> + +<figure class="figright illowe15_375" id="f75-77"> + <img class="w100" src="images/f75-77.jpg" alt=""> + <figcaption>Figs. 75, 76, 77.<br>Longitudinal sections of Nail.</figcaption> +</figure> + +<p>The drawings will help you to understand the +relation of the nails to the cuticle and the cutis. +In the upper of the three (fig. 75) the nail with +the cuticle has been detached from the cutis, so +that the continuity of the two, at either end, +is shown. In the middle one (fig. 76) it is represented +lying in its bed in the cutis; its thin +hinder edge being received into a furrow made +for it in the cutis. The layer of rete mucosum +(<i>b</i>) extends behind and beneath it, between it (<i>d</i>)<span class="pagenum" id="Page_175">175</span> +and the cutis (<i>c</i>), and continually adds fresh +material to the nail, just as, in other parts, it +adds to the substance of the cuticle. The cuticle, +or white line (<i>a</i>) is continuous with the nail at +the sides as well as at either end. The lower +figure (77) shows the bed of the cutis in which +the nail reposes, the nail as well as the adjacent +cuticle and the rete having been cleared away.</p> + +<p>Thus the addition from the rete—in other +words the growth of the nail—takes place at +the hinder edge and at the under surface. In +consequence of the addition from <i>behind</i> the nail +is increased in length and is pushed forward; +and as it advances forwards it receives accessions +from <i>beneath</i>, which increase its thickness and +strength. Unless they be cut, or worn down, +the nails grow to an indefinite length; and, +when they extend beyond the tips of the fingers, +their edges are bent in towards each other, and +they become curved like claws. This tendency to +a convex form is shown also if the nails be not +properly supported by the pulps of the fingers. +For instance, when persons become emaciated +the pulps of the fingers usually participate in +the general wasting and the nails become curved. +Hence this shape of the nails has been regarded +as an indication of consumption. You will understand, +however, from what I have said that it<span class="pagenum" id="Page_176">176</span> +is not really a symptom of any one particular +disease. It simply indicates that, from some +cause or other, the nutrition of the body is not +properly maintained.</p> + +<p>The Dervishes in some parts of Asia allow the +thumb-nail to grow long, and then pare it to a +point, so as to be able to write with it. Dr Wolff, +the Eastern traveller, has told me that he has +repeatedly seen this done, and that he has in his +possession manuscripts written in this way.</p> + +<figure class="figcenter illowe22_5" id="f78"> + <img class="w100" src="images/f78.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_78">78</a>. <br>Transverse section of Nail Rete and Cutis.</figcaption> +</figure> + +<p>Beneath the nail the cutis is disposed in a +series of parallel ridges (fig. 78) with intervening +furrows. These take the same direction as the +nail, and, indeed, give rise to the fine lines that +you see upon the surface of the nail. The rete +mucosum, or deep soft layer of the nail, extends +into the furrows between the ridges, just as the +soft stratum of the cuticle extends between the +papillæ of the cutis. It thus serves to keep the +nail steady in its place, while it permits a certain<span class="pagenum" id="Page_177">177</span> +amount of movement, and allows the nail to slide +forwards upon the skin under the pressure caused +by the growth at its hinder edge.</p> + +<p>A little in front of the root of the nail the +ridges of the cutis suddenly become larger and +more vascular. This gives a pink hue to the nail +in the greater part of its extent; while the hinder +portion, separated from the front by a crescentic +line, is white, in consequence of the subjacent +cutis being there, more pale. You will, at once, +recognise the distinction between these parts by +looking at your own nails.</p> + +<p>The ridges and furrows serve, like the papillæ +in other parts of the skin, to increase the surface +of the cutis; and, by affording more space for the +distribution of the vessels and nerves, they contribute +to the sensitiveness of the part, and account +for the severe pain which is caused when +any foreign body is thrust under the nail. The +pulp in the interior of a tooth, and the frog of a +horse’s foot, are also instances in which an exquisitely +sensitive structure is placed beneath a hard +or horny substance. The object, in each case, is +the same, viz. to give the power of taking cognizance +of impressions which are made upon the +surface.</p> + +<p><span class="pagenum" id="Page_178">178</span></p> + + +<h3><i>Hairs.</i></h3> + + +<p><span class="smcap">Hairs</span> may also be regarded as modifications +of the cuticle, because, like the nails, they are continuous +with the cuticle, and are formed from +the rete mucosum. Each hair (figs. 79 and <a href="#f83">83</a>) is +received into a depression of the cutis, which is +called a “follicle,” and which is lined, as far as the +bottom, by cuticle (<i>a</i>), and rete mucosum (<i>b</i>). At +the bottom of the follicle (<i>d</i>) the cuticle is absent, +and the hair rests, directly, upon the rete; and, at +this part, the rete, instead of being converted into<span class="pagenum" id="Page_179">179</span> +cuticle, as it is at the sides of the follicle, becomes +transformed into hair, in the following way.</p> + +<div class="center"> +<table> +<tr> +<td rowspan="2"> +<figure class="figcenter illowe12_3125" id="f79"> + <img class="w100" src="images/f79.jpg" alt="Longitudinal section of finger/toe nail"> + <figcaption>Fig. <a href="#fignote_79">79</a>. Hair.</figcaption> +</figure> +</td> +<td> +<figure class="figcenter illowe8_5" id="f81"> + <img class="w100" src="images/f81.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_81">81</a>.</figcaption> +</figure> +</td> +<td> +<figure class="figcenter illowe8_75" id="f82"> + <img class="w100" src="images/f82.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_81">82</a>.</figcaption> +</figure> +</td> +</tr> +<tr> +<td colspan="2"> +<figure class="figcenter illowe15_25" id="f80"> + <img class="w100" src="images/f80.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_80">80</a>.</figcaption> +</figure> +</td> +</tr> +</table> +</div> + +<p>The cells of which the rete is composed swell +out as they ascend, and so form the soft “bulb” of +the hair. The outermost cells are gradually flattened, +and assume an imbricated arrangement, +overlapping one another like the tiles upon a +roof (fig. 79, <i>e</i>, and fig. 80); and those in the interior +are elongated, so as to be converted into +more or less distinct fibres. The cells nearest the +middle, or axis, of the hair remain moister and +softer than those nearer the exterior, and form +what is sometimes called the “marrow” of the +hair (figs. 81 and 82).</p> + +<p>The colour of the hair is given by the presence +of minute grains of colouring matter, like those in +the cuticle of the Negro. They are formed in the +cells at the root of the hair, and pass up with them +into its structure. The quantity of colouring matter +is usually slight in infancy and childhood, and +increases during adolescence. Hence the hair becomes +darker as we grow up. It is more or less +deficient in the grey hair of old age; and in the +instance of Marie Antoinette, and others whose +hair is said to have turned grey in a few hours, +the colouring matter is supposed to have been destroyed +by some fluid, formed from the blood, and +passing, through the pulp, into the hair.</p> + +<p><span class="pagenum" id="Page_180">180</span></p> + +<p>The hairs serve to protect the skin; and, as a +general rule, they are most abundant upon the +parts which are most exposed, and which, therefore, +stand most in need of such protection. They +are scattered over the back of the hand. On the +palmar surface they are not required, and they +would have interfered with the sense of touch; and +we do not, accordingly, find them there, nor upon +the sole of the foot, nor upon the edges of the lips. +In certain parts of some animals, however, they +serve as valuable adjuncts to the tactile organs by +extending the range within which the contact of +surrounding substances is felt. Thus the whiskers +of the cat are set upon papillæ so sensitive that +the slightest touch upon any part of the hair is +felt; and the animal is thereby assisted in threading +its way in the dark. This provision, added to +the mode in which their feet are muffled with soft +hair and their claws are retracted, enables the +members of the feline tribe to steal with almost +absolute stillness upon their prey.</p> + + +<h3><i>Oil-glands.</i></h3> + +<figure class="figright illowe11_25" id="f83"> + <img class="w100" src="images/f83.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_83">83</a>.<br>Hair, and Oil-glands.</figcaption> +</figure> + +<p>There are also in the skin a number of little +<span class="smcap">Glands</span>. One set of these are called “oil-glands;” +for their office is to furnish an oily, or waxy, substance,<span class="pagenum" id="Page_181">181</span> +which serves to keep the skin soft and pliable, +and defends it against too much moisture, or +too great dryness of the atmosphere. They are +usually, as shown in the accompanying sketch, (fig. +83, <i>g</i>, <i>g</i>) connected with the hairs, lying beside them; +and their ducts—the little tubes that carry off the +oily matter formed in them—open either into the +hair follicles, or penetrate the cuticle at some other +part. They are not found on the palms of the hand +or the soles of the feet, because those parts are, in +great measure, sheltered from atmospheric influences, +and are well moistened with perspiration.<span class="pagenum" id="Page_182">182</span> +When the dry easterly winds prevail one is disposed +to wish that these glands were more numerous +on the back of the hands; for a more liberal +supply of their secretion would, probably, prevent +the disagreeable chapping to which we are subject +at those times. As a substitute we resort to some +unctuous matter, such as glycerine, which if frequently +applied in small quantities performs, to +some extent, the part of the natural secretion in +keeping the cuticle soft and supple, and so preventing +its cracking.</p> + +<p>The secretion of these glands has an odour, the +purpose of which, in man, is not very obvious. It +is faintest in the highest and most civilized nations. +In none is it very agreeable; and persons +are fain to conceal it by substituting some other +odour, as that of lavender or eau-de-cologne. Unfortunately +the choice is not always so refined; +and one is, sometimes, disposed to think that the +natural odour must be very bad, if the substitute +be preferable. The odour varies at different parts +of the body; it varies also in different persons, +sufficiently to enable the acute nose of the dog to +track one particular man among a thousand.</p> + +<p><span class="pagenum" id="Page_183">183</span></p> + + +<h3><i>Sweat-glands.</i></h3> + +<p>To revert to the figure (<a href="#f70">70</a>) at page 165, the +little masses at <i>g</i>, <i>g</i>, are grains of fat lying in the +meshes of the deeper strata of the skin, or in the +structure just below it. And the little balls of +twisted tube (<i>f</i>, <i>f</i>) are <span class="smcap">Glands</span> that secrete the +<span class="smcap">Perspiration</span>; for, the perspiration does not ooze +up from the whole surface of the skin, but has a +regular system of factories for its formation. A +fine tube (<i>h</i>) is seen passing from each of these +“sweat-glands,” as they are called. It curls in a +spiral manner, like a cork-screw, where it traverses +the cuticle to open at the surface. On the palmar +aspect of the hand most of these tubes or ducts +open along the tops of the fine ridges which are +there seen; and with a magnifying glass of moderate +power you can distinguish their orifices on the +flattened tops of the ridges on your own fingers. +These are the “pores of the skin,” respecting which +we hear so much, and through which the Roman +Bath brings such streams from the subjacent +glands.</p> + +<p>The sweat-glands are scattered all over the +body, but are especially numerous in the palm +and in the sole; and the moisture issuing from<span class="pagenum" id="Page_184">184</span> +them tends to keep the skin of these parts soft +and moist, and so fitted for the reception of tactile +impressions. The quantity of fluid furnished by +them varies a good deal in different persons, and +under different circumstances. In some persons it +is habitually slight; and the hands feel dry and +harsh. Or, what is equally disagreeable, it is superabundant; +and the hands are habitually damp, +perhaps, cold and clammy, staining the gloves and +soiling everything they touch. In fever the perspiration +is defective; and the dryness and heat of +the palm are often the first symptoms of an accession +of fever that attract the patient’s notice.</p> + +<p>We all know that perspiration is usually increased +by exercise, or by the application of warmth +to the surface, as by the hot air in the sudatorium +of the Roman Bath; and then, by its evaporation, it +cools and relieves the body, and contributes to our +comfort. We know, too, that it is liable to be +increased by any thing that produces a depressing +effect, and that it then induces an uncomfortable +sensation, chilling the surface too much, and making +it cold and clammy. Most of you have experienced +the discomfort of the cold sweat caused by +fright; and some of you may have felt the cold, +clammy hand of one who was suffering under the +shock of a severe accident or the prostration caused +by the sudden onset of a dangerous malady. Why<span class="pagenum" id="Page_185">185</span> +perspiration should occur under these very different +conditions, producing, at one time, so much +relief, and, at another, so much additional discomfort, +it is not easy to say.</p> + + +<h3><i>The sense of Feeling and of Touch in the Hand.</i></h3> + +<p>I have mentioned three parts of the body as +remarkable for the acuteness of the sense of touch, +namely, the <span class="smcap">Tongue</span>, the <span class="smcap">Lips</span>, and the <span class="smcap">Hands</span>. +Now in each of these the skin is richly supplied +with nerves and blood-vessels; and it is also thick +and lies upon a soft cushiony substance, so as to +be yielding and to admit of being applied accurately +over any surface with which it is placed in +contact, and of again resuming its shape when the +pressure is removed. For instance, the tongue is +so soft and yielding that, when it is applied to a +tooth, it dips down between the inequalities and +coves accurate information of the condition of the +whole surface. The same is the case with the +edges of the lips, though not in so marked a degree +as in the tongue; and each of these parts is +indebted for its great sensitiveness very much to +the delicate soft supple nature of its structure. +The palmar surface of the hand too, though, like +the skin of the sole, it is strong and tough, so as +to offer considerable resistance to injury and to<span class="pagenum" id="Page_186">186</span> +prove no dainty morsel even to dogs, as we surmise +from the narrative of the death of Jezebel, is +yet very soft and yielding. It is also underlaid by +a stratum of fat interwoven with strong fibres of +tissue, just in the same manner as the skin of the +sole of the foot (fig. <a href="#f46">46</a>, p. 99).</p> + +<p>An accumulation of this fat and fibrous tissue +under the skin forms the “Pulps” at the ends of +the fingers. The slightly conical form and exquisite +softness of the Pulps adapts them well for the +examination of the surfaces of bodies; and the +sense of touch is more acute in them than in other +parts of the hand.</p> + +<figure class="figright illowe5" id="f84"> + <img class="w100" src="images/f84.jpg" alt=""> + <figcaption>Fig. <a href="#fignote_84">84</a>.<br>Bones of Finger.</figcaption> +</figure> + +<p>In connection with them it is interesting to +observe that the last bone of each finger and of +the thumb swells out, at the end, into a nodulated +lump, which serves the purpose both of supporting +the pulp and of giving breadth to the nail. It<span class="pagenum" id="Page_187">187</span> +also, like the corresponding part of the toe (page <a href="#Page_99">99</a>), +affords a basis of attachment for the fibres +that run, from the bone, through the pad of fat, to +the skin, and give firmness and consistence to the +part. The bulbous enlargement at the ends of the +phalanges of the fingers and toes is peculiar, or +almost peculiar, to man. In most Animals these +bones taper to a point; in many they are also +curved. Hence the nails are, in them, comparatively +unsupported, and they become bent in at +the sides and curved in their length, that is to say, +they are formed into claws. This is the case, to a +considerable extent, in the Monkey. The terminal +phalanges of the monkey’s digits are more +tapering than in man; the nails are more claw-like; +and the pulps are less well-formed. This +constitutes a not unimportant feature of difference +between the hand of that animal and the +human hand, in addition to those I have already +mentioned.</p> + +<p>You have experienced the sensitiveness to cold +of the pulps of the fingers and toes; and have, +probably, remarked that it is more difficult to +keep them warm than any part of the body. I +may add that, notwithstanding the liberal allowance +of the means of supporting life (that is, blood +and nervous influence) which they enjoy, they are +very liable to mortify from frost-bite and other<span class="pagenum" id="Page_188">188</span> +causes. I have repeatedly known that to happen +when all the rest of the hand has escaped. This +must be attributed, perhaps entirely, to their exposed +position as terminal parts; and they share +their susceptibility to cold with other parts similarly +circumstanced, such as the nose, the elbows, +the knees and the buttocks.</p> + +<p>It is necessary to make a distinction between +the <span class="smcap">Sense of Touch</span> and common <span class="smcap">Feeling</span> or +sensitiveness to pain; for they are not quite the +same. They are, it is true, very nearly alike, so +nearly that we may consider them to be modifications +of one another; and it is probable that the +same nerves minister to both. Still there is a +difference. The sense of touch is the sense of +contact with <i>ex</i>ternal bodies, and enables us to +take cognisance of their presence and inform ourselves +of their shape, consistence, smoothness or +roughness, &c.; whereas common sensation, or +the sense of feeling, has an <i>in</i>ternal relation. It +imparts to us information respecting the condition +of our own bodies or any part of them. By +the sense of touch in the tongue, for instance, +we judge of the size and hardness of the morsel +in the mouth; and by common sensation we learn +that the organ is being bruised or scratched by +it. Sensation of pain commonly destroys the sense +of touch. Put your finger into a vice, and you<span class="pagenum" id="Page_189">189</span> +may feel both sides of it. Screw it up, and you +have nothing but the sensation of pain. If you +were to awake in this state you would not, from +the mere sensation, know that you were <i>touching</i> +anything.</p> + +<p>As a general rule there is a relation between +the degree in which sensation and the sense of +touch are manifested in different parts of the +body. For instance, I have just been remarking +on the acuteness of the sense of touch in the +Tongue; and we know that this part is very +sensitive to pain. The pain caused by a bite of +the tongue is horrible; and so effectually does it +serve the good end of warning the tongue to +keep within its proper bounds, that that organ +very rarely suffers from the pressure of the teeth.</p> + +<p>But, forasmuch as sensitiveness to pain serves +a different purpose from the sense of touch, +namely, as in the instance of the tongue just +mentioned, it renders parts alive to injurious impressions, +and gives them warning to escape or +protect themselves; so it is, as we might expect, +most manifested in those surfaces where a slight +amount of injury would prove most detrimental.</p> + +<p>Thus, the membrane (the conjunctiva) which +lines the eyelids and covers the front of the eyeball +is exquisitely sensitive to pain. We are reminded +of this when anything touches the eye,<span class="pagenum" id="Page_190">190</span> +or when a fly has lodged itself under the eyelid. +And, when an operator wishes to ascertain whether +his patient is sufficiently under the influence +of chloroform he separates the eyelids and puts +his finger gently upon the eye, knowing that if no +indication be given, by flinching, that the impression +made here is felt, it is probable that the +patient will not be conscious of the more severe +impression to be made by the knife elsewhere. +Yet, this membrane is by no means pre-eminently +endued with the sense of touch. Indeed, the +very acuteness of its sensitiveness to pain quite +unfits it for distinguishing the quality of the impressions +made upon it. We know very quickly +that something is in contact with the eye, but +can form no idea what kind of substance it is, +whether it be hard or soft, rough or smooth.</p> + +<p>In the hand, on the contrary, the sensitiveness +to pain, though considerable, is not proportionate +to the acuteness of the sense of touch. +The sting of the rod on the palm, if my recollection +serves me right, is not so sharply felt as it +is upon that other region which shares with the +hand the privilege of receiving the wrathful attentions +of the master; and, yet, that other +region is by no means distinguished for acuteness +in the sense of touch.</p> + +<p>The mode in which sensitiveness to touch and<span class="pagenum" id="Page_191">191</span> +to pain are adjusted in the hand and in the eye in +relation to the functions of these two organs is one +of the admirable features of their construction. +Suppose the disposition to have been reversed—suppose +the hand to have been as tender as the +eye—of what use would it have been? The +contact of a particle of dust would have caused +agony; or, had the eye been no more sentient +than the hand, it would soon have been destroyed +by the chafing of foreign bodies upon its delicate +surface.</p> + +<p>How important is the sense of Feeling! more +important than any of the other senses; more so +than all the others taken together. It is almost +universal in the animal kingdom. Indeed, we +can scarcely conceive animal existence without it, +and are slow to admit that to be an animal which +shows no sign of it. Several of the lower animals +seem to be destitute of any of the other +senses. The <span class="smcap">Polyps</span>, for instance, have no sight, +hearing, taste, or smell, and are dependent, therefore, +entirely, upon feeling for their communication +with the external world; and the range of +this sense is extended in them by means of their +“tentacles” or “feelers” which wave about in +the water, and, when they come in contact with +foreign bodies, close upon them and draw them +towards the oral opening. Thus, the tentacle of<span class="pagenum" id="Page_192">192</span> +the polyp is a sort of rudimentary hand, and, by +the aid of feeling, fulfils one important function +of the hand, viz. that of the supplying the mouth +with food. The sprawling movements of an infant’s +hands and the tendency which they have +to close upon anything—dress, blanket, or whatever +it be—and draw it to the mouth remind +one forcibly of the feelers of a polyp.</p> + +<p>In most of the lower animals, however, the +sense of feeling, though present, serving for protection +and giving notice of injury, is not very +acute. It is not much employed by them for +the purpose of obtaining information respecting +external objects; and they can scarcely be said +to enjoy that modification of it which we call the +sense of touch in any high degree. Indeed, the +skins of animals have, commonly, such a covering +of thick, horny cuticle, scales, feathers, or hair, +as is incompatible with a fine discriminating sense +of touch.</p> + +<p>In many of them, however, some other sense +is highly developed. The <span class="smcap">Vulture</span> is guided by +the smell of carrion for miles and miles; and the +dog will, by the same sense, track game where +man cannot detect the trace of an odour. Some +birds can distinguish objects which are quite out +of the range of our sight. The <span class="smcap">Eagle</span>, for instance, +soars aloft, till it dwindles to a mere speck or is<span class="pagenum" id="Page_193">193</span> +lost to our view, and, then, from that great height, +will pounce, with unerring certainty, on an unhappy +grouse upon the ground. The sense of hearing +is a great means of protection to animals, and +necessitates extreme stillness and caution on the +part of their pursuers. The <span class="smcap">Deer</span>, when feeding, +directs his eyes upon the ground, and depends for +safety, chiefly, upon his hearing, which is so acute +that the huntsman is obliged to approach with all +possible wariness.</p> + +<p>In each of these instances, it may be observed, +the acuteness of the particular sense is manifested +chiefly in the power it gives to the animal of distinguishing +objects <i>at a distance</i>. Whereas, in the +ability to use the several senses for the nice discernment +of the <i>qualities</i> of substances and to derive +enjoyment from them, man stands quite unrivalled. +He alone appreciates the perfume of a +bouquet, or takes cognisance of the various shades +of colour and of the notes of music; and the sense +of touch, which is of especial service in aiding us +to an accurate knowledge of bodies, is much more +highly developed in man than in other animals.</p> + +<p>Fine as the sense of touch usually is in the +human hand, it becomes far more so when an unusual +demand is made upon it in consequence of +a deficiency, or absence, of other senses. The +rapidity with which blind persons can read with<span class="pagenum" id="Page_194">194</span> +their fingers is truly astonishing. Some are said +to be able to distinguish colours by the feel. (It +should rather be said that they are capable of recognising +the nice differences in certain substances +by which colours are caused; for one can scarcely +conceive it possible to distinguish by feeling the +colours in a ray of light separated by a prism.) I +am acquainted with a lady who has been, not only +blind, but deaf and dumb from infancy. The +sense of touch is, therefore, almost her only avenue +for impressions from without; and it is surprising +how much information is conveyed through it, and +how quickly. It enables her to hold converse with +her relatives, by the language of the fingers, almost +as freely and as briskly as others do with +the tongue. A few touches are sufficient to transmit +a series of thoughts. After one shake of the +hand her friends told me that she would recognise +me again; and, true enough, although several days +elapsed before I again saw her, she made the sign +for my name as soon as she touched my hand. +At our next meeting I presented my left hand, +but was, again, immediately recognised.</p> + +<p>Persons who have had much experience in the +instruction of the deaf and dumb find that the +hand, by means of writing and “dactylogy”, or the +language of finger-signs, is abundantly sufficient +for all the intercourse to which a deaf-mute is<span class="pagenum" id="Page_195">195</span> +equal; and they are, therefore, disposed to discourage +the teaching of articulation. Dr Kitto, in +his little book “On the Lost Senses,” which acquires +so much interest from the fact of his being +himself deaf and dumb in consequence of an accident, +relates that, after he had, with great difficulty, +reacquired considerable facility of speech, +he found it stood him in little stead. So efficient +a means of intercourse had the hand become that, +he tells us, he had not occasion for the use of his +tongue ten times in a year.</p> + +<p>Not only may the hand thus serve, to some +extent, as a substitute for some of the other +senses; it is also a most important auxiliary to +them. Particularly is it so to the sense of sight, by +proving, or correcting, the impressions which we +receive through the eye. Without its aid we +should often fail to distinguish between a real +object and a picture or a reflection in a mirror, +and should have difficulty in judging of size, +shape, distance, &c.</p> + + +<h3><i>Relation of the Hand to the Eye and the Mouth.</i></h3> + +<p>You cannot have watched a game of cricket +without being struck by the manner in which +the hand acts in harmony with the eye. With +what almost lightning-like rapidity it is in the exact +place to catch the ball; and with what precision<span class="pagenum" id="Page_196">196</span> +the practised cricketer can throw the ball to +a great distance. In this, however, he is surpassed +by the wonderful skill with which the Indian +throws the lasso. Again, it is enough for the +sportsman merely to get sight of the bird; he is +scarcely conscious of the process by which the +hand directs the gun and pulls the trigger at the +exact moment. Still more remarkable is the successful +aim when taken, as it occasionally is, without +bringing the gun to the shoulder.</p> + +<p>In estimating the importance of the hand, you +must not forget that the mouth is quite dependent +upon it for supplies. In most other animals the +jaws are prolonged, forwards, from the cranium, +and the head is placed in such a position that the +mouth becomes an organ of prehension, and is +enabled to provide for itself. But, in man, the +head is carried so high above the ground, and the +jaws are so shortened and compressed beneath the +forehead, that the mouth is of little use in obtaining +food. Its abilities and duties are restricted to +receiving, masticating, and swallowing; and, if it +had to rely upon its own efforts for supplies of +food, it would, indeed, be in a poor case. When +we look at one of the Sphinxes from Egypt, or at +one of the stately Bulls from Nineveh, in which +wisdom and power are represented by joining a +human head to the trunk and limbs of an animal,<span class="pagenum" id="Page_197">197</span> +the question suggests itself, “How is that mouth +to be fed?” In the Centaur and Mermaid this difficulty +is overcome by adding the hands, as well +as the human head, to the trunk and locomotory +organs of the horse in the one instance, and the +fish in the other; so that monstrosity does not preclude +the means of sustentation. Sufficient incongruities, +however, still remain to justify the exclamation</p> + +<p class="ml2em fs90 ti0">“Spectatum admissi risum teneatis amici?”</p> + +<p>In the <span class="smcap">Elephant</span> the mouth is circumstanced, +somewhat, as in man; and the office of feeder is +performed by the elongated snout or proboscis. +This organ, with its finger-like extremity, is so +sensitive and mobile as to be able to pick up small +bodies—pins or needles—from the ground, and so +strong as to pull down large branches of trees, and +gather the fruit from them. It is interesting, in +connection with the relation of the hand to the +will and the intellectual endowments, to remark +that this proboscidean substitute, which fulfils so +many of the purposes of the hand, is furnished to +the “half reasoning” elephant. The natural sagacity +and teachableness of this creature, of +which such interesting evidence is given in Sir +Emerson Tennent’s book on Ceylon, seem to render +it quite worthy of the privilege of having an +especial organ provided to minister to its will.</p> + +<p><span class="pagenum" id="Page_198">198</span></p> + + +<h3><i>Cheiromancy.</i></h3> + +<p>The <span class="smcap">Beauty</span> of the hand does not come in for +quite so great a share of admiration as that of the +foot. Perhaps, because we are less often gratified +with the view of the latter. Perhaps, because we +are conscious that the foot is even more decidedly +characteristic of the human form than is the hand; +inasmuch as the hand of the monkey approaches +more nearly to the human hand than does the +foot of any animal to the human foot. Still, we +are by no means insensible to the charms of a +pretty hand; and we prefer that the glove which +envelopes it should be of a material as thin and +pliable as kid, so that it may adapt itself accurately +to the part, and not conceal its form. A +small and delicate hand is thought to be one of +the best signs of high-breeding. Thus, Byron, who +was no bad judge of such matters, writes</p> + +<p class="ml2em fs90 ti0"> +“Even to the delicacy of her hand<br> +There was resemblance such as true blood bears,” +</p> + +<p class="ti0">and again,</p> + +<p class="ml2em fs90 ti0"> +“Though on more thorough-bred or fairer fingers<br> +No lips ere left their transitory trace.” +</p> + +<p>The <span class="smcap">Lines</span> upon the palm, or creases formed<span class="pagenum" id="Page_199">199</span> +in closing the hand, differ a little in different persons. +In former times, when men were addicted +to the arts of divination, and thought more about +the connection between the physical world and +the world of spirits, and strove, by a close observation +of the former, to penetrate the mysteries +of the latter, much attention was paid to these +lines. They were named with the names of the +Planets and the signs of the Zodiac; and a science +grew up akin to Astrology and Physiognomy. +<span class="smcap">Cheiromancy</span> was the name given to it; and numerous +and voluminous treatises were written upon +it. We are told that Homer was the author of a +complete essay upon the lines of the hand. That +something of the kind was practised among the +Romans we learn from a passage in Juvenal, translated, +somewhat freely, by Dryden, as follows:</p> + +<p class="ml2em fs90 ti0"> +“The middle sort, who have not much to spare,<br> +To cheiromancer’s cheaper art repair,<br> +Who claps the pretty palm to make the lines more fair.” +</p> + +<p>You will estimate the value of the science of +<span class="smcap">Cheiromancy</span> when you hear that equal furrows +upon the lower joint of the thumb argue riches +and possessions; but a line surrounding the middle +joint portends hanging. The nails, also, came in +for their share of attention: and we are informed +that, when short, they imply goodness; when long +and narrow, steadiness but dulness; when curved,<span class="pagenum" id="Page_200">200</span> +rapacity. Black spots upon them are unlucky; +white are fortunate. Even at the present day +Gipsies practise the art when they can find sufficient +credulity to encourage them.</p> + +<p>Whether any fancy of the like kind gave +origin to the notion still prevalent that a wound +or injury between the thumb and the fore-finger +is peculiarly likely to be followed by <span class="smcap">Lock-jaw</span>, +or whether the notion was grounded on some +notable instance in which that fearful malady +did actually supervene upon a wound in the +situation mentioned, I cannot tell. You may, +however, rest assured, that it is quite a fallacy. +Lock-jaw may result from a wound in any part +of the body, or it may occur without a wound; +it is very capricious in its attack; the surgeon +does not know when to look for it; it often +shows itself when he least expects it; but it is +not more likely to follow a wound between the +thumb and the fore-finger than a wound elsewhere. +I think it well to mention this, because +I have often known persons greatly alarmed when +they have accidentally cut themselves in the +dreaded spot.</p> + +<p><span class="pagenum" id="Page_201">201</span></p> + + +<h3><i>Cause of the preferential use of the Right Hand.</i></h3> + +<p>Why is man usually <span class="lowercase smcap">RIGHT-HANDED</span>? Many +attempts have been made to answer this question; +but it has never been done quite satisfactorily; +and I do not think that a clear and distinct +explanation of the fact can be given.</p> + +<p>There is no anatomical reason for it with +which we are acquainted. The only peculiarity +that we can discern is a slight difference in the +disposition, within the chest, between the blood-vessels +which supply the right and the left arms. +This, however, is quite insufficient to account for +the disparity between the two limbs. Moreover, +the same disposition is observed in left-handed +persons, and in some of the lower animals; and +in none of the latter is there that difference between +the two limbs which is so general among +men.</p> + +<p>Is the superiority of the right hand real and +natural, that is, congenital? or is it merely acquired? +I incline much to the latter view; because +all men are not right-handed; some are +left-handed; some are ambidextrous; and in all +persons, I believe, the left hand may be trained<span class="pagenum" id="Page_202">202</span> +to as great expertness and strength as the right<a id="FNanchor_9" href="#Footnote_9" class="fnanchor">9</a>. +It is so in those who have been deprived of their +right hand in early life; and most persons can do +certain things with the left hand better than with +the right.</p> + +<p>Nevertheless, though I think the superiority +of the right hand is acquired and is a result +of its more frequent use, the tendency to use it, +in preference to the left, is so universal that it +would seem to be natural. I am driven, therefore, +to the rather nice distinction, that, though +the superiority is acquired, the tendency to acquire +the superiority is natural.</p> + +<p>It may be argued that the tendency must be +based upon something physical, and that, therefore, +a tendency to superiority implies an actual +superiority. This may be so; but I do not think +that we are quite in a position to assert that it +is so. We perceive that there is a tendency to +the preferential use of the right hand; but we do +not know upon what that tendency depends, and +have, therefore no right to assert that the cause of +it lies in the construction of the limb or of the<span class="pagenum" id="Page_203">203</span> +parts which supply the limb with blood and nervous +influence, or, indeed, upon any strictly physical +cause whatever.</p> + +<p>It may be a tendency like that of certain +animals to make their holes and nests in particular +places and in particular ways, to watch for +their prey at particular spots, to migrate in certain +directions at particular periods, and to group +themselves in a particular order during their travels. +Such tendencies, or “Instincts” as they are +often called, may possibly be the result of a peculiar +conformation of the several animals; but it +is, at present, by no means certain that they +are so.</p> + +<p>I have said that man is the only animal in +whom a preference in the use of the limb or +limbs of one side is shown. This is a consequence +of the fact that he is the only animal who +has occasion to use the limbs of the two sides +separately, or who is in the habit of doing so. +Even in the rudest state of society this habit is +engendered in him from a very early period, as +in carrying a stick, throwing a spear, and in a +variety of ways. The habit increases as he becomes +more civilized, owing to the greater number +of offices which the hands are called upon to +perform; and the necessity for using the hands +separately would, of itself, lead each individual<span class="pagenum" id="Page_204">204</span> +to the employment of one more frequently than +the other; but that that one should so universally +be the right hand, seems to be accounted +for only by reference to some natural tendency. +The imitative propensity in man and the convenience +of uniformity of modes of action are scarcely +sufficient to account for it.</p> + +<p>I will not detain you by dwelling upon the +effect which the superiority of the right hand +has in giving a slight superiority to the right leg +and the right eye, and will content myself with +mentioning a single beneficial result of the preferential +use of one hand, viz. that by it, we +acquire a greater degree of skilfulness and dexterity +than we should do if both hands were +equally employed. The exclusive use, for instance, +of the right hand in writing, cutting, &c. +gives it a greater expertness than either hand +would have had if both of them had been accustomed +to perform these offices. Hence, we usually +find that persons who are left-handed are rather +clumsy-fingered, because, although, in them, the +left hand is used for many purposes which are +commonly assigned to the right, yet the conventionalities +of life interfere a good deal. The pen +and the knife, for instance, are still wielded by +the right hand. Accordingly such persons are +neither truly right-handed nor truly left-handed;<span class="pagenum" id="Page_205">205</span> +and they do not commonly acquire so great skill +in the use of either hand as do those whose natural +tendency is more in harmony with custom.</p> + +<p class="mt2em">The great martyr of our Church, when at the +stake, is said to have held out his right hand +into the flames and to have been heard exclaiming, +till utterance was stifled, “This unworthy +hand.” This unworthy hand! Of whom or of +what was that hand unworthy? Was it unworthy +of Him who made it? Was it unworthy of him +who bore it? Was it unworthy of the purposes +for which it was made? Was it not, on the +contrary, a too worthy hand? a hand worthy of +a better usage than to be made, first, to sign a +recantation of faith and, then, to be burned for +having done so? a hand worthy of a better man? +No one would have admitted this more readily +than Cranmer. We may be sure that he would +never have thought of proclaiming a hand or any +of his members to be really unworthy of him. +Rather would he have willingly confessed that he +had fallen far short of the standard of excellence +which the body presents; and in that excellence, +we doubt not, he recognised an evidence of Divine +workmanship. His meaning, therefore, has +not been misunderstood. Nevertheless disparaging +remarks respecting the body, and the use of the<span class="pagenum" id="Page_206">206</span> +word “carnal” in the sense in which it is usually +employed, have some tendency to excuse a shrinking +from moral responsibilities on the ground of +the weakness of the flesh. Let us remember that +much of that weakness is of our own engendering, +that a moral obliquity is the source of many +of those physical infirmities which, we flatter ourselves, +may cover our delinquencies, and which +a sympathising humanity is wont, perhaps too +often, to throw as a shield over offenders against +the laws. In man, and in man alone of created +beings, the physical and the moral grow up together +and react upon one another; and the +charge of a body thus capable of influencing and +being influenced demands all our energies to +prove ourselves worthy of it.</p> +<hr class="chap x-ebookmaker-drop"> + +<div class="chapter"> +<p><span class="pagenum" id="Page_207">207</span></p> + +<h2 class="nobreak" id="EXPLANATION_OF_WOOD-CUTS">EXPLANATION OF WOOD-CUTS.</h2> +</div> + +<hr class="r15" > + +<h3>THE HUMAN FOOT.</h3> + +<table id="wcfoot"> +<tr> +<td>Fig.</td> <td>page</td> <td> </td> +</tr> +<tr> +<td> <a href="#f01" id="fignote_01">1</a></td> <td> 9</td> <td>Bones of foot, with the lower ends of the two + leg-bones.</td> +</tr> +<tr> +<td> <a href="#f02" id="fignote_02">2</a></td> <td> 11</td> <td>Bones of the hind foot of a seal, with lower ends + of leg-bones.</td> +</tr> +<tr> +<td> <a href="#f03" id="fignote_03">3</a></td> <td> 11</td> <td>The same of the hind foot of a lizard.</td> +</tr> +<tr> +<td> <a href="#f04" id="fignote_04">4</a></td> <td> 14</td> <td>Side view of the pelvis and lower limb of man. + A, the <i>haunch-bone</i>. B, the <i>ischium</i>, or part upon + which we sit. C, the <i>thigh-bone</i>. D, the <i>knee-pan</i>. + E, the <i>tibia</i>, or larger leg-bone, with the + <i>fibula</i>, or smaller leg-bone, alongside it. F, the + <i>heel-bone</i>. G, the <i>metatarsal</i> bones. H, I, K, the + <i>phalanges</i>, or bones of the toes.</td> +</tr> +<tr> +<td> <a href="#f05" id="fignote_05">5</a></td> <td> 14</td> <td>Similar view of the pelvis and hind limb of a horse. + The letters refer to the same parts as in the preceding + figure.</td> +</tr> +<tr> +<td> <a href="#f06" id="fignote_06">6</a></td> <td> 18</td> <td>Represents a section through the lower end of the + tibia and through the <i>heel-bone</i>, the <i>astragalus</i>, + <i>navicular</i> bone, inner <i>cuneiform</i> bone, and the bones + of the <i>great toe</i>. It shows the arrangement of + these bones in the arch of the foot and the disposition + of the plates of which these bones are composed. + <span class="pagenum" id="Page_208">208</span></td> +</tr> +<tr> +<td> <a href="#f07" id="fignote_07">7</a></td> <td> 25</td> <td>The same bones as in preceding, with two connecting + ligaments. A, the <i>plantar ligament</i>. B, ligament + passing from the heel-bone F to the scaphoid bone + E. D the <i>Astragalus</i>. C, one of two small bones, + called <i>sesamoid</i> bones, usually found at the ball of + the great toe.</td> +</tr> +<tr> +<td> <a href="#f08" id="fignote_08">8</a></td> <td> 29</td> <td>A foot, in an aggravated condition of “flat-foot.” + The sole is convex, and so is the inner margin + of the foot. It represents also another common + deformity, inasmuch as the great toe runs athwart + the second toe, which is pressed almost out of + sight.</td> +</tr> +<tr> +<td> <a href="#f09" id="fignote_09">9</a></td> <td> 38</td> <td>Front view of the right <i>tibia</i>, or larger leg-bone.</td> +</tr> +<tr> +<td><a href="#f10" id="fignote_10">10</a></td> <td> 38</td> <td>Right <i>tibia</i> lying on a board. The inner, as well + as the outer edge, of the upper end rests upon the + board; but the inner edge of the lower end is + turned away from the board. In other words, the + bone is so twisted that, though the upper end + lies flat upon the board, the lower end touches + it only by its outer edge.</td> +</tr> +<tr> +<td><a href="#f11" id="fignote_11">11</a></td> <td> 40</td> <td>Figure sitting upon the heel to draw the bow. It is + one of a beautiful series of statues in the Glyptothek + at Munich. They adorned the pediments + of a temple in Ægina, and are supposed to represent + the noble actions of the Æacidæ.</td> +</tr> +<tr> +<td><a href="#f12" id="fignote_12">12</a></td> <td> 42</td> <td>Represents some of the muscles and tendons seen + on the inner side of the leg and foot. A, <i>Gastro- + cnemius</i> and <i>Soleus</i> muscles. They are attached, + above, to the thigh-bone and the leg-bones; below, + by means of the <i>Tendo Achillis</i> (<i>a</i>) to the heel-bone; + they together form the calf-muscle. B, + <i>Posterior tibial</i> muscle attached, above, to the + tibia, below, by its tendon (<i>b</i>) to the scaphoid + bone. D, process of the tibia called the <i>internal + malleolus</i> or inner ankle. F, <i>Anterior tibial</i> muscle + attached, above, to the front of the tibia, below,<span class="pagenum" id="Page_209">209</span> + to the scaphoid bone. <i>k</i>, the <i>flexor tendon</i> of the + great toe.</td> +</tr> +<tr> +<td><a href="#f13" id="fignote_13">13</a></td> <td> 44</td> <td>Gives a corresponding view of the outer side of the + leg and foot. E, the lower end of the fibula, + called the <i>external malleolus</i>, or outer ankle. C, + the <i>short fibular</i> muscle attached, above, to the + fibula; below, by its tendon (<i>c</i>), to the outer + metatarsal bone. I, the <i>long fibular</i> muscle. Its + tendon (<i>i</i>) runs, behind the outer ankle and under + the instep, to the metatarsal bone of the great + toe; it is not seen in the latter part of its course. + G, the <i>anterior fibular</i> muscle attached by its tendon + <i>g</i> to the outer metatarsal bone. <i>h</i>, the <i>extensor + tendons</i> of the toes.</td> +</tr> +<tr> +<td><a href="#f14" id="fignote_14">14</a></td> <td> 47</td> <td>Foot of a young woman presenting the variety of + “club-foot” called “<i>Talipes varus</i>.” The sole is + very much bent, and turned inwards and upwards, + so that the part of the instep which should be above + and in front is directed downwards and comes into + contact with the ground.</td> +</tr> +<tr> +<td><a href="#f15" id="fignote_15">15</a></td> <td> 49</td> <td>Diagram (from Bell’s <i>Anatomy</i>) showing the mode + in which the extensor tendons of the toes follow + the curve of the ankle and are bound to it by + cross straps, instead of taking the direct course + represented by the line <i>a</i>.</td> +</tr> +<tr> +<td><a href="#f16" id="fignote_16">16</a></td> <td> 52</td> <td>Foot and leg from the cast of the Farnese Hercules + in the Fitzwilliam Museum, Cambridge.</td> +</tr> +<tr> +<td><a href="#f17" id="fignote_17">17</a></td> <td> 52</td> <td>Foot and leg of a Negro.</td> +</tr> +<tr> +<td><a href="#f18" id="fignote_18">18</a></td> <td> 52</td> <td>Outline of under surface of foot of an Englishman.</td> +</tr> +<tr> +<td><a href="#f19" id="fignote_19">19</a></td> <td> 52</td> <td> Outline of under surface of foot of a Negro.</td> +</tr> +<tr> +<td><a href="#f20" id="fignote_20">20</a></td> <td> 55</td> <td> Skeleton of the foot of a Chinese female. From a + drawing by B. Cooper, in <i>Phil. Trans.</i></td> +</tr> +<tr> +<td><span class="nowrap"><a href="#f21" id="fignote_21">21–25</a></span></td> <td> 57</td> <td>Sections, from above downwards, through the tarso-metatarsal + joints. A, <i>metatarsal</i> bone. B, <i>tarsal</i> + bone. C, C, the <i>ligaments</i> connecting the two. + <span class="pagenum" id="Page_210">210</span></td> +</tr> +<tr> +<td><span class="nowrap"><a href="#f26" id="fignote_26">26–29</a></span></td> <td> 59</td> <td>Figures standing, bowing, stooping, and squatting.</td> +</tr> +<tr> +<td><span class="nowrap"><a href="#f30" id="fignote_30">30–32</a></span></td> <td> 62</td> <td>Figures walking.</td> +</tr> +<tr> +<td><span class="nowrap"><a href="#f33" id="fignote_33">33–35</a></span></td> <td> 62</td> <td>Position of foot in three stages of a step in walking.</td> +</tr> +<tr> +<td><span class="nowrap"><a href="#f36" id="fignote_36">36–38</a></span></td> <td> 65</td> <td>Figures running.</td> +</tr> +<tr> +<td><a href="#f39" id="fignote_39">39</a></td> <td> 86</td> <td>Bones of the left hind limb of an Elephant.</td> +</tr> +<tr> +<td><a href="#f40" id="fignote_40">40</a></td> <td> 86</td> <td>Bones of the left hind limb of a Hippopotamus.</td> +</tr> +<tr> +<td><a href="#f41" id="fignote_41">41</a></td> <td> 86</td> <td>Bones of the left hind limb of a Rhinoceros.</td> +</tr> +<tr> +<td><a href="#f42" id="fignote_42">42</a></td> <td> 86</td> <td>Bones of the left hind limb of an Ox.</td> +</tr> +<tr> +<td><a href="#f43" id="fignote_43">43</a></td> <td> 86</td> <td>Bones of the left hind limb of a Horse.</td> +</tr> +<tr> +<td><a href="#f44" id="fignote_44">44</a></td> <td> 89</td> <td>Hind limb of a Gorilla, showing the length of the + digits, and the strong inner digit diverging from + the others.</td> +</tr> +<tr> +<td><a href="#f45" id="fignote_45">45</a></td> <td> 90</td> <td>Drawing of stuffed specimen of a Gorilla in the + British Museum.</td> +</tr> +<tr> +<td><a href="#f46" id="fignote_46">46</a></td> <td> 98</td> <td>Section of a foot, showing the disposition of the fibres + that run from the bones and plantar ligament to + the skin of the sole. At the heel the greater number + of the fibres are seen to run <i>back</i>wards from + the heel-bone to the skin. At the end of the + great toe and beneath the ball of the toe they run, + for the most part, <i>for</i>wards, from the bones and + plantar ligament, to the skin.</td> +</tr> +<tr> +<td><a href="#f47" id="fignote_47">47</a></td> <td>103</td> <td>View of the sole of a foot in its natural state.</td> +</tr> +<tr> +<td><a href="#f48" id="fignote_48">48</a></td> <td>103</td> <td>Outline of the sole of a shoe, as commonly made for + a man’s foot.</td> +</tr> +<tr> +<td><a href="#f49" id="fignote_49">49</a></td> <td>103</td> <td>Sole of the foot of a girl twenty-two years old, distorted + by the pressure of the shoe, but otherwise + healthy.</td> +</tr> +<tr> +<td><a href="#f50" id="fignote_50">50</a></td> <td>103</td> <td>View of the skeleton of a foot so deformed, from + above.</td> +</tr> +<tr> +<td><a href="#f51" id="fignote_51">51</a></td> <td>105</td> <td>The proper sole for a shoe laid, for the sake of + comparison, on the symmetrical sole of the ordinary + shape.</td> +</tr> +<tr> +<td><a href="#f52" id="fignote_52">52</a></td> <td>105</td> <td>The proper sole pointed at the toes.</td> +</tr> +</table> + +<p><span class="pagenum" id="Page_211">211</span></p> + + +<h3>THE HUMAN HAND.</h3> + +<table id="wchand"> +<tr> +<td>Fig.</td> <td>page</td> <td></td> +</tr> +<tr> +<td><a href="#f53" id="fignote_53">53</a></td> <td>110</td> <td>The bones of the arm (<i>humerus</i>), of the forearm + (<i>radius</i> and <i>ulna</i>, the former is the upper of the + two, the forearm and hand being semi-prone), and + of the hand. The names of the wrist-bones are, + <i>scaphoid</i>, <i>semilunar</i> (these two are in contact with + the radius), <i>cuneiform</i> (this is in a line with the + ulna, but separated from it by an interval in + which lies the triangular ligament, see fig. <a href="#f64">64</a>, + page 134), <i>pisiform</i> (faintly seen in shadow beneath + the cuneiform), <i>trapezium</i> (supporting the + metacarpal bone of thumb), <i>trapezoid</i> (supporting + the metacarpal bone of fore-finger), <i>magnum</i> (supporting + the metacarpal bone of the middle or + great finger), <i>unciform</i> (supporting the metacarpal + bones of the ring and the little fingers).</td> +</tr> +<tr> +<td><a href="#f54" id="fignote_54">54</a></td> <td>112</td> <td>Diagram of the bones of the hand with the ends of + the radius and ulna. 1, end of <i>radius</i>; 2, end of + <i>ulna</i>; 3, <i>scaphoid</i>; 4, <i>semilunar</i>; 5, <i>cuneiform</i>; + 6, <i>pisiform</i>; 7, <i>trapezium</i>; 8, <i>trapezoid</i>; 9, <i>magnum</i>; + 10, <i>unciform</i>; 11, 11, <i>metacarpal</i> bones; + 12, 12, first row of <i>phalanges</i>; 13, 13, second + row of <i>phalanges</i>; 14, 14, third row of <i>phalanges</i>; + <span class="lowercase smcap">I</span>, thumb; <span class="lowercase smcap">II</span>, forefinger; <span class="lowercase smcap">III</span>, + middle finger; <span class="lowercase smcap">IV</span>, + ring finger; <span class="lowercase smcap">V</span>, little finger.</td> +</tr> +<tr> +<td><a href="#f55" id="fignote_55">55</a></td> <td>116</td> <td>Drawing of the front of the chest and the shoulders, + with the collar-bones running across from the + upper edge of the breast-bone to the projecting + processes of the shoulder-blades.</td> +</tr> +<tr> +<td><a href="#f56" id="fignote_56">56</a></td> <td>117</td> <td>The chest and shoulder of an Eagle. <span class="lowercase smcap">A</span>, <span class="lowercase smcap">A</span>, the united + <i>collar-bones</i>, or “merry-thought;” <span class="lowercase smcap">B</span>, the <i>coracoid</i>, + or “side-bone;” <span class="lowercase smcap">C</span>, the long, slender <i>shoulder-blade</i>; + <span class="lowercase smcap">D</span>, the <i>sternum</i>; <span class="lowercase smcap">E</span>, the <i>humerus</i>. + <span class="pagenum" id="Page_212">212</span></td> +</tr> +<tr> +<td><a href="#f57" id="fignote_57">57</a></td> <td>120</td> <td>The head, fore part of chest, and shoulder of a + Rhinoceros. The chest is deep and flat at the + sides. The shoulder-blade and arm-bone are + nearly vertical, that is, they nearly correspond + with the ribs in their direction.</td> +</tr> +<tr> +<td><a href="#f58" id="fignote_58">58</a></td> <td>122</td> <td>Side view of chest, shoulder and arm (human). The + shoulder-blade is prolonged in the direction of the + spine, that is, <i>across</i> the ribs.</td> +</tr> +<tr> +<td><a href="#f59" id="fignote_59">59</a></td> <td>124</td> <td>Side view of fore part of a Monkey’s skeleton.</td> +</tr> +<tr> +<td><a href="#f60" id="fignote_60">60</a></td> <td>126</td> <td>A section, from side to side, through the Elbow-joint, + showing the shape of the surfaces of the bones. + <span class="lowercase smcap">A</span>, the <i>radius</i>; <span class="lowercase smcap">B</span>, the <i>ulna</i>; <span class="lowercase smcap">CC</span>, the side + <i>ligaments</i> holding the radius and ulna to the <i>arm-bone</i>, + <span class="lowercase smcap">D</span>.</td> +</tr> +<tr> +<td><a href="#f61" id="fignote_61">61</a></td> <td>127</td> <td>The upper limb with the forearm and hand in the + state of supination. <span class="lowercase smcap">A</span>, the <i>long Pronator</i> muscle.</td> +</tr> +<tr> +<td><a href="#f62" id="fignote_62">62</a></td> <td>127</td> <td>The same in a state of pronation. <span class="lowercase smcap">B</span>, the <i>short + Supinator</i> muscle.<br><br> + + In this and the preceding drawing a plumb-line, + descending from the outer condyle of the humerus + traverses the lower end of the ulna and the ring + finger.</td> +</tr> +<tr> +<td><a href="#f63" id="fignote_63">63</a></td> <td>131</td> <td>Drawing of the <i>biceps</i> muscle. The hand is in a + state of pronation. Driving the gimlet is effected + by the movement to the state of supination.</td> +</tr> +<tr> +<td><a href="#f64" id="fignote_64">64</a></td> <td>134</td> <td>Section, from side to side, through the Wrist, showing + the shapes of the bones and the mode in which they are adapted + to one another. <span class="lowercase smcap">A</span>, the + <i>radius</i>; <span class="lowercase smcap">B</span>, the <i>ulna</i>; + <span class="lowercase smcap">C</span>, <i>scaphoid</i> bone; + <span class="lowercase smcap">D</span>, <i>cuneiform</i> bone; + <span class="lowercase smcap">E</span>, <i>semi-lunar</i> bone; + <span class="lowercase smcap">F</span>, line of contact of radius + and ulna; <span class="lowercase smcap">G</span>, <span class="lowercase + smcap">G</span>, side <i>ligaments</i> connecting the wrist-bones + with the bones of the forearm. <span class="lowercase smcap">H</span>, + <span class="lowercase smcap">I</span>, <span class="lowercase smcap">K</span>, + <span class="lowercase smcap">L</span>, <span class="lowercase smcap">M</span>, + <i>metacarpal</i> bones of thumb and fingers.</td> +</tr> +<tr> +<td><a href="#f65" id="fignote_65">65</a></td> <td>138</td> <td>View of the superficial muscles on the palmar + aspect of the forearm and hand. <span class="lowercase smcap">A</span>, the <i>radial<span class="pagenum" id="Page_213">213</span> + flexor</i> of the wrist. <span class="lowercase smcap">B</span>, the <i>long palmar</i> muscle. + <span class="lowercase smcap">C</span>, the <i>ulnar flexor</i> of the wrist. <span class="lowercase smcap">D</span>, the muscles + of the “ball of the thumb.” <span class="lowercase smcap">E</span>, the <i>long supinator</i> + muscle. <span class="lowercase smcap">F</span>, the <i>long pronator</i>. <span class="lowercase smcap">G</span>, the + lower part of the <i>biceps</i> muscle. <span class="lowercase smcap">H</span>, Cross <i>ligaments</i> + binding the tendons in their places. (This + and the two following figures are from Quain’s + <i>Anatomy</i>.)</td> +</tr> +<tr> +<td><a href="#f66" id="fignote_66">66</a></td> <td>138</td> <td>View of the deep muscles and tendons on the + palmar aspects of the forearm and hand. <span class="lowercase smcap">A</span>, the + <i>long flexor</i> of the thumb. <span class="lowercase smcap">B</span>, some of the <i>flexors</i> + of the fingers. <span class="lowercase smcap">C</span>, the <i>Adductor</i> muscle of the + thumb.</td> +</tr> +<tr> +<td><a href="#f67" id="fignote_67">67</a></td> <td>139</td> <td>The <i>extensor</i> muscles and tendons of the wrist, + thumb, and fingers seen on the back of the + forearm and hand. <span class="lowercase smcap">A</span>, <span class="lowercase smcap">A</span>, <span class="lowercase smcap">A</span>, the <i>abductors</i> and + <i>adductors</i> of the fingers. <span class="lowercase smcap">B</span>, <span class="lowercase smcap">B</span>, the cross <i>ligament</i> + which binds the tendons in their places.</td> +</tr> +<tr> +<td><a href="#f68" id="fignote_68">68</a></td> <td>146</td> <td>Hand holding a cricket-ball, showing that the tips + of the fingers and the thumb all reach the same + level.</td> +</tr> +<tr> +<td><a href="#f69" id="fignote_69">69</a></td> <td>152</td> <td>Diagram showing the distribution of the <i>median</i> (<span class="lowercase smcap">A</span>) + and <i>ulnar</i> (<span class="lowercase smcap">B</span>) <i>nerves</i> in the hand.</td> +</tr> +<tr> +<td><a href="#f70" id="fignote_70">70</a></td> <td>165</td> <td>Drawing of a magnified section through the skin of + the palmar surface of the thumb, including three + of the ridges seen on that surface. <i>a</i>, the outer + or horny layer of the <i>cuticle</i>; <i>b</i>, the deeper layer + of the same called “<i>rete mucosum</i>;” <i>c</i>, <i>c</i>, <i>c</i>, the + <i>cutis</i>, with <i>papillæ</i> rising from its surface beneath + the ridges and projecting into the rete mucosum; + <i>g</i>, <i>g</i>, grains of <i>fat</i> lying in the deeper part of the + cutis and in the tissue beneath it. Between <i>f</i> + and <i>f</i> are three <i>sweat-glands</i>, each composed of a + tube rolled up into a ball or knot. The tubes (<i>h</i>, <i>h</i>) + are seen ascending from them through the cutis<span class="pagenum" id="Page_214">214</span> + and cuticle, and opening at the tops of the ridges. + (From Kölliker’s <i>Mikroskopishe Anatomie</i>.)</td> +</tr> +<tr> +<td><a href="#f71" id="fignote_71">71</a></td> <td>170</td> <td>Section of skin still more magnified. <i>a</i>, Outer or + horny stratum of cuticle; <i>b</i>, inner stratum of cuticle, + or “rete mucosum;” <i>c</i>, papillary stratum of + cutis; <i>d</i>, deeper or fibrous stratum of cutis. The + curling tube rolled into a ball at the lower part + is the sweat-gland. Its duct is seen ascending + through the fibrous structure of the cutis, and + presents the coiled appearance of a rope as it + traverses the cuticle.</td> +</tr> +<tr> +<td><a href="#f72" id="fignote_72">72</a></td> <td>170</td> <td>A few layers of the cuticle and rete mucosum of + a Negro, showing the spots of dark pigment in + the rete which give the black colour to the + Negro’s skin. (This and the preceding from + Todd and Bowman’s <i>Phys. Anatomy</i>.)</td> +</tr> +<tr> +<td><a href="#f73" id="fignote_73">73</a></td> <td>170</td> <td>Section of a Corn and adjacent skin. <i>a</i>, the <i>cuticle</i>; + <i>c</i>, the <i>cutis</i> with its <i>papillæ</i>. The cuticle is seen + to be very thick, and the papillæ are somewhat + enlarged in the corn.</td> +</tr> +<tr> +<td><a href="#f74" id="fignote_74">74</a></td> <td>170</td> <td>Section of a Wart and adjacent skin. <i>a</i>, <i>cuticle</i>; + <i>c</i>, the <i>cutis</i> with its <i>papillæ</i>. The latter are seen + to be enlarged, or “hypertrophied,” in the wart.</td> +</tr> +<tr> +<td><a href="#f75-77" id="fignote_75-77">75</a></td> <td>174</td> <td>Vertical section, made lengthways, of a Nail raised + from its bed, showing its connexion with the + cuticle. <i>a</i>, <i>a</i>, <i>cuticle</i>; <i>d</i>, <i>d</i>, <i>nail</i>.</td> +</tr> +<tr> +<td><a href="#f75-77">76</a></td> <td>174</td> <td>Similar section of a Nail lying in its bed of cutis. + <i>a</i>, <i>cuticle</i>; <i>b</i>, <i>rete mucosum</i>; <i>c</i>, <i>cutis</i>; <i>d</i>, <i>nail</i>.</td> +</tr> +<tr> +<td><a href="#f75-77">77</a></td> <td>174</td> <td>Section of the Cutis from which the nail, the cuticle, + and the rete have been removed.</td> +</tr> +<tr> +<td><a href="#f78" id="fignote_78">78</a></td> <td>176</td> <td>Transverse section of the Nail and Skin, made vertically. + <i>a</i>, <i>a</i>, <i>cuticle</i>; <i>b</i>, <i>rete</i>; <i>c</i>, <i>c</i>, <i>cutis</i>; <i>d</i>, <i>d</i>, + lines running through the cutis to the <i>papillæ</i>; + <i>e</i>, <i>e</i>, <i>e</i>, lines running through the nail to the rete. + (This and the three preceding from Kölliker.) + <span class="pagenum" id="Page_215">215</span></td> +</tr> +<tr> +<td><a href="#f79" id="fignote_79">79</a></td> <td>179</td> <td>Section of a Hair and Hair-follicle. <i>a</i> and <i>b</i>, the + <i>cuticle</i> and <i>rete</i> lining the follicle. <i>e</i>, the outer + layer, or rind, of the hair formed by closely-plaited + scales of cuticle continued upon it from + the bottom of the follicle <i>d</i>.</td> +</tr> +<tr> +<td><a href="#f80" id="fignote_80">80</a></td> <td>179</td> <td>Piece of the exterior of a Hair more highly magnified + to show the imbricated arrangement of the + plates or scales forming its outer surface.</td> +</tr> +<tr> +<td><a href="#f81" id="fignote_81">81,82</a></td> <td>179</td> <td>Transverse sections of Hairs. (These and two preceding + from Todd and Bowman.)</td> +</tr> +<tr> +<td><a href="#f83" id="fignote_83">83</a></td> <td>181</td> <td>Section of a Hair-follicle containing a Hair, and + with two Oil-glands, <i>g</i>, <i>g</i>, lying near it, and with + their ducts opening into it. <i>a</i> and <i>b</i>, cuticle and + rete; <i>d</i>, bottom of follicle. (From Kölliker.)</td> +</tr> +<tr> +<td><a href="#f84" id="fignote_84">84</a></td> <td>187</td> <td>The terminal Bone of a finger, with a portion of the + bone next it, showing the nodulated bulbous end + of the former.</td> +</tr> +</table> + + +<hr class="chap x-ebookmaker-drop"> + +<p class="ti0 tac fs70 mt-2em">CAMBRIDGE: PRINTED AT THE UNIVERSITY PRESS.</p> + +<p class="tac ti0 fs110 mtb3em"><i>By the same Author.</i></p> + + + +<p class="ti0 tac fs120">I.</p> + +<p class="ti0 tac fs120">A TREATISE ON THE HUMAN SKELETON,</p> + +<p class="ti0 tac">(<span class="lowercase smcap">INCLUDING THE JOINTS</span>),</p> + +<p class="ti0 tac"><i>With Two Hundred and Sixty Illustrations drawn from Nature.</i></p> + +<p class="ti0 tac">Medium 8vo. cloth, price £1. 8<i>s.</i></p> + + +<p class="ti0 tac fs120 mt2em">II.</p> + +<p class="ti0 tac fs120">AN ESSAY ON THE LIMBS OF VERTEBRATE<br> +ANIMALS.</p> + +<p class="ti0 tac">4to. sewed, 5<i>s.</i></p> + + +<p class="ti0 tac fs120 mt2em">III.</p> + +<p class="ti0 tac fs120">ON THE COAGULATION OF THE BLOOD IN<br> +THE VENOUS SYSTEM DURING LIFE.</p> + +<p class="ti0 tac">8vo. sewed, 2<i>s.</i> 6<i>d.</i></p> + + +<div class="footnotes"><h3>FOOTNOTES:</h3> + +<div class="footnote"> + +<p><a id="Footnote_1" href="#FNanchor_1" class="label">1</a> +<i>Treatise on the Human Skeleton</i>, p. 395.</p> + +</div> + +<div class="footnote"> + +<p><a id="Footnote_2" href="#FNanchor_2" class="label">2</a> +It does not appear that the legend is based upon any +peculiar ideas of susceptibility attached to the heel among Eastern +nations; nor can the passages in Scripture, that the Serpent +shall bruise man’s heel (Genesis iii. 15); “For the greatness of +thine iniquity are thy heels made bare” (Jeremiah xiii. 22), be +adduced as indicating the existence of such an idea. There +are some other myths resembling this one of Achilles; but in +them a different part of the body missed the protecting influence. +Thus, Ajax was wrapped by Hercules in the skin of the Nemæan +lion, and was, thereby, rendered invulnerable, except at the pit +of the stomach where the edges of the skin did not quite meet; +and he killed himself by running his sword in there. In the +<i>Niebelungenlied</i>, the hero, Siegfried, is represented to have rendered +himself invulnerable by smearing himself with the blood +of a dragon which he had killed. A leaf, however, adhering +to his back, prevented the contact of the fluid with one spot. +The secret was unwarily communicated by his wife Krimhild +to his enemy Hagan, who took advantage of the information +to plunge his sword into the fatal spot while Siegfried was stooping +down to drink at a rivulet.</p> + +<p>The lesson inculcated by these myths seems to be that all +men, even heroes, have their weak points.</p> + +</div> + +<div class="footnote"> + +<p><a id="Footnote_3" href="#FNanchor_3" class="label">3</a> +It is a remarkable statement by a correspondent in <i>The +Times</i>, Jan. 14th, 1861, that in the pillage of the Summer Palace +of the Emperor of Pekin “all the ladies of the Court must have +had natural-sized feet, all the slippers found in their rooms being +large; not a single cramped-footed shoe was seen.”</p> + +</div> + +<div class="footnote"> + +<p><a id="Footnote_4" href="#FNanchor_4" class="label">4</a> +In <span class="smcap">Walking</span> the hind leg moves first, then the fore leg of +the same side; and both reach the ground before the hind leg of +the opposite side is raised. So that at one time there are three +feet on the ground, at another two, but never less than two.</p> + +<p>In <span class="smcap">Trotting</span>, especially quick trotting, one foot is raised at +the same instant that the opposite one is put down. This renders +it difficult to make out the sequence of the movements.</p> + +</div> + +<div class="footnote"> + +<p><a id="Footnote_5" href="#FNanchor_5" class="label">5</a> +In ancient times warriors were wont to cut off the <i>great +toes</i> as well as the <i>thumbs</i> of their captives to disable them for +further service (Judges i. 6, 7).</p> + +</div> + +<div class="footnote"> + +<p><a id="Footnote_6" href="#FNanchor_6" class="label">6</a> +<i>Why the Shoe pinches</i>, a contribution to Applied Anatomy by +Hermann Meyer, M.D. Professor of Anatomy in the University +of Zurich, translated from the German by John Stirling Craig, +L.R.C.P.E., L.R.C.S.E., price sixpence.</p> + +<p>The preceding four figures and the two following are taken +from this pamphlet with Mr Craig’s permission.</p> + +</div> + +<div class="footnote"> + +<p><a id="Footnote_7" href="#FNanchor_7" class="label">7</a> +In deference to custom we call the palm the <i>front</i> of the +hand; and, therefore, we speak of the thumb as the <i>out</i>er and the +little finger as the <i>in</i>ner digit: though it would better accord +with the ordinary position of the part, with its correspondence +with the foot and with comparative anatomy, to reverse these +terms.</p> + +</div> + +<div class="footnote"> + +<p><a id="Footnote_8" href="#FNanchor_8" class="label">8</a> +It has been suggested, probably by <i>Punch</i>, that it is called +the “<i>funny-bone</i>” because it lies near the “<i>humerus</i>.”</p> + +</div> + +<div class="footnote"> + +<p><a id="Footnote_9" href="#FNanchor_9" class="label">9</a> +In the tribe of Benjamin “there were seven hundred chosen +men left-handed; every one could sling stones at an hair breadth, +and not miss.” Judges xx. 16. When David was at Ziklag +there came to him a company of men who “were armed with +bows and could use both the right hand and the left in hurling +stones and shooting arrows out of a bow.” 1 Chronicles xii. 2.</p> + +</div> +</div> + +<div style='text-align:center'>*** END OF THE PROJECT GUTENBERG EBOOK 75360 ***</div> +</body> +</html> + diff --git a/75360-h/images/39x6bl.png b/75360-h/images/39x6bl.png Binary files differnew file mode 100644 index 0000000..f644d00 --- /dev/null +++ b/75360-h/images/39x6bl.png diff --git a/75360-h/images/39x6br.png b/75360-h/images/39x6br.png Binary files differnew file mode 100644 index 0000000..2bbeb30 --- /dev/null +++ b/75360-h/images/39x6br.png diff --git a/75360-h/images/cover.jpg b/75360-h/images/cover.jpg Binary files differnew file mode 100644 index 0000000..d8abd6e --- /dev/null +++ b/75360-h/images/cover.jpg diff --git a/75360-h/images/f01.jpg b/75360-h/images/f01.jpg Binary files differnew file mode 100644 index 0000000..137ebab --- 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