1 8 PHYSIC 



disengagement by the individual tissue fabrics ; they may 

 be designed for direct and absolutely immediate discharge 

 from the body, as no longer necessary, or as noxious and 

 hurtful, to the physiological condition, or they may have 

 important duties, mechanical, material, or dynamic, still 

 to perform ere they are finally disposed of as altogether 

 excrementitious or used up materials, whose disengagement 

 and elimination have become absolutely necessary for the 

 maintenance of perfect health. The egesta are finally 

 eliminated by the alimentary channel, as more or less solid 

 residuum ; the kidneys, as a fluid in which are dissolved 

 or suspended a large amount of katabolic, saline, and other 

 ingredients ; the lungs, from which is eliminated as vapour 

 or gas a large proportion of the carbonaceous products of 

 chemical reactions ; the olfactory, pituitary, and coccygeal 

 glandulatures, and the skin, from which are eliminated 

 the neural lymph, and exfoliated the results of neuronal 

 growth and axonal extension and denudation. The three 

 first representing the structural displacement and elimina- 

 tion of sympathetic nerve elements with the exception 

 of what escapes from the systemic into the sympathetic 

 via the motor nervature and rami communicant* s. 



If the final acts of elimination, exudation, excretion, 

 and exfoliation of effete matter be absolutely perfect in 

 their performance, then it will follow that a larger pro- 

 portion of the morbid processes, set in operation by 

 circulatory stasis, will be non-existent, from the effect of 

 obviated pathogenic incidence, by the maintenance of exit 

 patency and free surface denudation. 



If, on the contrary, these final acts of effete material 

 disposal be interrupted by influences sufficient to induce 

 stasis of egestive circulation, then it must likewise inevi- 

 J:ably follow that morbid processes will be evolved from 

 these stases in accordance with the anatomical position of 

 the particular stasis and the character of the arrestment 

 phenomena involved by it. Thus, obstruction of the 

 bowel, gravedo, acromegaly, and coccydynia with reten- 

 tion of urine, asphyxia, retained perspiration, and hindered 

 cuticular exfoliation, are produced, and produce arrest- 

 ment phenomena in accordance with the anatomical 

 arrangements of the circulatory media and the nature of 



