The nature of instinct, in its relation to the glands of internal secretion, is a problem for another chapter. But we may note that the James-Lange theory of an emotion regards it as a consciousness of the very changes in the organism adrenalin causes. Since adrenalin is the starter of the whole process, and since McDougal has defined emotion as the feeling aspect of an instinct, just as an instinct may be defined as the motor aspect of an emotion, the adrenals as emotion-genetic, and instinct-genetic, play a part in the most profound processes of the subconscious and unconscious.

THE MECHANISM OF FEAR

We may therefore visualize a mechanism of fear. An instant excess of adrenalin occurs in the blood of, say, a cat when it is alarmed by the sight of a dog. In that cat, at the image of its hereditary enemy, certain brain cells vibrate. A nerve tract, in use as the line for that particular message in a hundred thousand generations of cats, whirrs its yell to the medulla of the adrenal gland. Through the tiny, solitary veins of the glands, an infinitesimal quantity of the reserve adrenalin responds. And with what an effect! The blood, that primary medium of life, the precious fluid that is everything, must all, or nearly all, be sent to the firing line, the battle trenches, the brain and muscles, now or never. So the blood is drafted from the non-essential industries—from the skin where it serves normally to regulate the heat of the body—from the digestive organs, the stomach and intestine, which must forsooth stop now, since if the organism will die, their last effort of digestion has been done—from the liver and spleen, great chemical factories in normal times, but now of no moment. Besides, should they be wounded, it is better they should be bloodless, and so run the least chance of bleeding to death, or getting infected, for the more tissue there is around, the greater the danger of infection. So, like the skin, the liver which usually holds in its great lakes and vessels about a quarter of all the blood in the body, is almost drained and blanched. At the same time, its great storehouses of sugar open their sluices and pour into the blood, increasing its sugar content by about a third because the combustion of sugar is the easiest way of getting energy free in the cells, sugar being the most quickly burned up of all the foods, and so the great food of the muscles and the heart. The poisons of fatigue, acid products of the contraction of muscles, are antagonized and neutralized by substances formed in the course of the oxidation of the sugar. Adrenalin, too, is directly fatigue antagonist. It causes the blood to clot faster than under ordinary circumstances. It erects the hair of the animal, and dilates the pupils of the eyes. There is an increase of the apparent size, all of which are to intimidate the enemy, like an Indian's painting of his face blue and green. It also—but what else does it not do?

The story of adrenalin would have delighted the heart of Samuel Butler. His "Note Books," opulent as they are, would have been the richer in pages and pages with his comments on it. Contending as he did with the pompous, dogmatic mechanism worship of the new scientific clique of his time on the one hand, and the superstitions of the old theological caste on the other, he had to fight the hardest kind of guerrilla warfare in defense of the Purpose of Life. Adrenalin, that weapon of a gland tracing its ancestry back to the begetter of the brain itself, for brain and adrenal gland both have evolved from the small nerve ganglia of the invertebrates, would have backed up to the hilt his argument, which he had to elaborate on the indirect grounds of analogy and induction. Essential for defense, and for protection,— an organ in which everything necessary for the stratagems of retreat, or the offensives of attack, are supplied ad libitum, while everything non-essential or detrimental to the matter of the moment is inhibited, arrested and suppressed—no more perfect sample of the design with which Life is drenched could be imagined by the most closeted of passionate idealists.

FAILURE OF THE ADRENALS

As the gland of acute stress and strain, the adrenals in modern life are called upon to function more heavily and frequently than in the past. As a matter of fact, the life of the beast of jungle and field, as well as of savage and barbarian, is just as full of emergencies and shocks as that of the average city man or woman. In the case of the latter, however, inhibitions, education, and the conditions of modern living, improper food, sedentary indoor confinement, and universal rack and noise, have undoubtedly made greater and greater demands upon the adrenal glands. Chemical quantitative studies have shown that by repeated stimulation, the adrenal glands may be exhausted of their reserve supply of secretion, which returns only insufficiently if not enough time is given for recuperation. There results a condition of temporary or chronic adrenal insufficiency, supposedly an insufficient functioning of the gland as a whole. In persons so afflicted there appears a fatigability, a sensitiveness to cold, cold hands and feet, which are sometimes mottled bluish-red, a loss of appetite and zest in life, and a mental instability characterized by an indecision, and a tendency to worry, a weepishness upon the slightest provocation.

A certain number of the temporary breakdowns or nervous prostrations, which seem to be growing more common or fashionable, may be sometimes traced to such a deficiency of normal response to the needs of everyday conflict by the adrenal gland. In some, mental and physical elasticity are totally lost, and even the slightest exertion in either field often causes so much weariness and exhaustion as to be prohibited. Depression and even melancholia are associated with the fear of not being able to accomplish good work hitherto easy and enjoyed. Sometimes they are obsessed with the thought that they have lost their nerve completely, and so dread to commit themselves in even the most trivial of situations. The vacillating frame of mind is so distressing at times as to arouse thoughts of suicide. When these symptoms concur in the type of personality whom I shall describe as the unstable adrenal-centered individual, there is evidence for explaining the process as the effect of an insufficiency of secretion by the adrenal gland.

Shock, collapse, heart failure and sudden death following abnormal emotion, like an attack of rage, or the terrors of a railroad accident, or bad news, or excessive exertion like running a long race or climbing a high mountain when in poor general health, as the phrase goes, or in the terminal stages of infections like epidemic influenza or Asiatic cholera, have been put down to an acute insufficiency of the adrenal gland. A lowered temperature, blood pressure, and blood vessel tone, exhibited in tests of the response of the skin to stroking, are present in all of these and point the same moral.

In the second half of the 19th century, an American physician, Beard, described Neurasthenia, a general disturbance of the body and mind, not properly classifiable as a disease, but serious enough to incapacitate or at least greatly limit the sufferer. The neurasthenic is to be recognized by the fact that the most painstaking objective examination of his organs reveals nothing the matter with them. Yet, according to his complaint, everything is the matter with him. He cannot sleep when he lies down, he cannot keep awake when he stands up. He cannot concentrate, but still he is pitifully worried about his life. The slightest irritant causes him to go off the handle. As he works himself up into his hysterical state as a reaction to a disagreeable person or problem, irregular blotches may appear on his face and neck. Generally, his hands and feet are clammy and perspiring, his face is abnormally flushed or pallid, the eyes are worried or starey, unwonted wandering sensations involving now this area of the body, or now that obsess him. As the blood pressure is too low for the age, the circulation is nearly always inadequate and palpitation of the heart is a frequent complaint. So frequent, that attention is often centered upon the heart, a diagnosis of heart disease is made, and the unfortunate is doomed for life—to brood over horrible possibilities. The brooding over themselves and their troubles is one of the distinctive features of the whole complex. Neurasthenia may masquerade as any organic disease. An individual with a soil for a neurasthenic reaction to life will become neurasthenic when confronted by any stone wall, including a serious ailment within himself.

Beard's Neurasthenia leaped at once into the limelight. It was seized upon and applauded in Europe as a good new name for an old condition, observed particularly in Americans abroad to rest from the fatigues of the get-rich-quick games of industrial speculators. In fact, the name of the American Disease was given to it. Various theories about the effects of climate, sunlight per square inch and unit of time, oxygen content of the air, and so on, were offered up upon the altar of scientific explanation. Sir Arbuthnot Lane, famous protagonist of Lane's intestinal kink, said that all Americans were neurasthenic. Neurasthenia became one of the most popular of diagnoses, and remains so today.

Neurasthenia, regarded as a reaction of people to the stress and strain of life, has without a doubt increased. The most casual of observers will tell you that the generation of the Great War is a neurasthenic generation. It takes its pleasures too intensely, its pains too seriously, its troubles too flippantly. But what is neurasthenia? Beard himself regarded it as a chronic fatigue and loss of tone of the nervous system, a literal interpretation of his term. That the conception, as far as it goes, is valid is proved by the fact that it is the neurasthenics who furnish the majority of the clientele of the cults, the Christian Scientists, the osteopaths and the chiropractors, and who are the subjects of the faith and miracle cures, like those of Lourdes. That is because their particular disease, or what appears to them to be their very own disease—and they certainly cherish their ailments—is but an expression of, a compensation for, indeed a consolation for, the underlying feelings of insufficiency or inferiority. Were there no moral code, were there no social system, nor the consequent inculcated conscience to be responsible to, there would be no such disguising symptom as the disease which preoccupies the consciousness. The feeling of insufficiency would be there, and would be recognized as in itself the disease. To the physiologist and the psychologist, the feeling of insufficiency is the disease, no matter how spectacular the overlaying phenomena—a cripple on crutches or a man blind and speechless. Shell shock is now acknowledged to belong to this group.

Now one of the outstanding effects of disease of the adrenal glands is the feelings of muscular and mental inefficiency. And as a matter of fact, a good number of observations conspire for the idea that a certain number of neurasthenics are suffering from insufficiency of the adrenal gland. The chronic state of the acute phenomenon, known as the nervous breakdown, really represents in them a breakdown of the reserves of the adrenals, and an elimination of their factor of safety. In the light of that conception, the great American disease—dementia americana—is seen to be adrenal disease—and the American life to be the adrenal life, often making too great demands upon that life, and so breaking down with it.

ADRENAL EXCESS

The converse of adrenal insufficiency, that of adrenal excess, also exists. In certain types of the middle-aged, a high blood pressure, accompanied by a great capacity for work, has been shown to be associated with hypertrophy of the cortex. In women, there is a degree of masculinity, as the adrenal in women makes for masculinity, neutralising more or less the specifically feminine influences of the internal secretions of the ovary. Such women possess a vigor and energy above the normal, and command responsible positions in society, not only among their own sex, but also among men. They are the ones who, in the present overturn of the traditional sex relationships, will become the professional politicians, bankers, captains of industry, and directors of affairs in general.

THE GONADS

(Sexual, Puberty or Interstitial Glands)

The gonads is the name applied to the generative or reproductive glands considered collectively. In the male, they are the testes; in the female, the ovaries. They are, therefore, sometimes called the sexual glands. As they possess definite canals for the removal of their gross secretion, the specific reproductive cells, ova or spermatozoa, to a surface of the body, they are first of all glands of external secretion. But they have been also found to hold secretory cells not concerned with the making of the reproductive corpuscles, but, as all the evidence indicates, with the manufacture of an internal secretion. These interstitial cells form the interstitial gland. A classic example of a gland of internal secretion lodged in the interstices of a gland of external secretion is thus furnished by the gonads.

ORIGIN OF SEX TRAITS

The history of sex goes back far in the scheme of life. The immortality of the ameba was at one time one of the indisputables of biology. Then some observations were made which threw doubt upon a long accepted fact, now declared a dogma. Lately, opinion has veered back to immortality. But in the case of a close relative of the ameba, the one-celled animal known as the paramecium, union with another paramecium, true conjugation, has been proved necessary to prevent death sooner or later. Sex here appears in its most primitive form, on the basis of exchange of necessary materials, between individuals to prevent death, their own having been, so to speak, worn out, in the course of metabolism.

Specifically different sexes come later, when mortality is a universal fate, as a means of rebirth and escape from death. Then the sexes develop their latest function, most prominent among the younger vertebrates, of acting as nature's most potent method of variation and differentiation. In the pursuit of the different, nature has exalted sex, and the intensity of the sex life. As far as the preservation of a species is concerned, and the reproduction of the individual, the asexual methods, budding, for example, would have done well enough. But when it comes to enacting a different individual apart from the effects of environment, sex stands out as the favored method of Life.

The development of the sexes and the sexual life brought a new element of conflict into the living world. Before the advent of the sexes the conflict was essentially for the means of existence, food alone. But with the sexual life came a conflict for sex pleasure, a competition among members of the same species for the same individual as their sex partners. The result was the introduction of a factor in evolution which Darwin examined so closely in the "Descent of Man."

The sex conflict has been the cause for the origin and the survival of certain physical and mental traits, helpful in sex attraction, sex combat, the growth of the embryo, and the nutrition and safety of the young of a species,—in short, the whole process of sexual selection. The proportions of the skeleton, the distribution of hair and fat, the construction of organs of attack and defense, the color of the skin, the cyclic processes of preparation for impregnation, the oestrus or heat period in animals, the menstrual period in the human being, the psychic reactions to danger and combat have all been thus determined. That man is bearded while woman is not,—that woman has potentially functional breasts while man has not,—the aggressive pugnacity of man contrasted with the more passive timidity of woman, have all been evolved in the sex struggle, surviving because most effective in that struggle. These so-called secondary sexual characteristics are an expression of the influence of the internal secretion of the gonads, or the interstitial glands. Some call them puberty glands, because their ripening initiates puberty.

We know that these interstitial glands, to stick to that name, (rather than to the name of the puberty glands, since they serve not only to induce puberty but to maintain maturity) are the actual primary dictators of the process by which male and female are distinguished, if not created. Castration was probably the first surgical operation carried out for experimental purposes, suggested no doubt by a curiosity concerning its effects. Trepanning of the skull, the geologic record indicates, was done even by the cave man. But as an experimental operation, castration seems to hold the primary position in the annals of surgery.

Its effects noted, the satisfaction of one of the lower human instincts, jealousy, popularised it. From the days of Semiramis, eunuchs have been commonplace figures of the East, their function definite: to guard the harems of the powerful. The age of Abdul Hamid witnessed no diminution of the barbaric tortures by which children are prepared for the profession. It is to the credit of England that in its dominions in the Orient the practice has been abolished. But it goes on even today. According to the best authorities, four out of five of these victims at the auto-da-fe of a vicious human instinct die immediately or soon after from exhaustion due to pain and infection. Not all of the ancient nations countenanced the brutal horror. The Hebrews placarded castration an unpardonable sin, making it a sin to castrate even animals. Nor was any man so mutilated permitted to worship in the house of the Lord (Deuteronomy xxiii, 11). Yet we have evidence that the latter Jewish kings employed foreign eunuchs in their harems, who often held the most important positions as ministers of the court.

Besides the eunuchs, another group of people have presented material for the study of the interstitial glands. These are the Skoptzi of Russia and the Lipowaner of Roumania. Among them castration is a religious ritual. Mankind has always been most brutal to itself in the name of the ideal. These sects were founded because in the eighteenth century an antipode of Joseph Smith and Brigham Young discovered this passage in Matthew xix, 12.

"For there are some eunuchs which were so born from their mother's womb, and there are some eunuchs which were made eunuchs of men: and there be eunuchs which have made themselves eunuchs for the kingdom of heaven's sake. He that is able to receive it, let him receive it."

He decided that he was inspired to spread the gospel of castration. A sect was founded who thought that surgery was the easiest way to enter the gates of Paradise, and they multiplied and fructified. The sect exists today, and some of the most interesting studies of the internal secretion of the interstitial glands have been made among them.

Related to acquired eunuchism is the condition of eunuchoidism, the eunuchs which were so born from their mother's womb. Baron Larey, the great surgeon of Napoleon's armies, was their first painter. He was the only altruist Bonaparte said he had ever met in his life. He portrayed a group of soldiers with peculiarly high-pitched voices, smooth and hairless skins, and atrophied generative organs. A somewhat similar picture is evolved in certain types of insufficiency of the pituitary gland. Features of the picture are exhibited with disturbances of the other internal secretory glands also, like the thymus.

But a host of experiments and data prove the interstitial glands to be the direct controllers of elementary sexuality and the specific sex traits of male and female. Beginning with Berthold back in the first half of the nineteenth century, who studied the fowl, a number of observations have been made on the effects of excision, translocation and transplantation of these glands.

The results of the experiments and observations can be summed up as follows: if the male individual is castrated before puberty, that is, before the advent of the sexual life, secondary sex qualities do not develop. In males, the generative organs do not grow, hair on the face does not appear, hair elsewhere on the body remains generally scanty, the voice continues as high-pitched as the child's, there is more or less muscle weakness, obesity, and mental sluggishness. In other words, we have an effeminate man, technically a eunuch. In the castrated female, the pelvis does not grow to the normal feminine size, the breasts do not swell as they should, more or less hair comes out on the face, the voice is low-pitched, and tends to be rather husky, the legs are longer, and again, the mentality is dulled. That is, a masculine sort of woman is produced.

In short, the castrated male takes on a feminine type, and the castrated female, a male type. In either case there is also an infantilism, a retention of the infantile mental traits, a lack of development of the adult mental attitudes and reactions. Now, if in the castrated male is transplanted an ovary, the positive characteristics of the female are evoked, such as enlarged mammary glands, and a tendency to secretion of milk. Experiments have also been reported in which a uterus was also placed in such an animal, with a means of entry, and pregnancy followed. If in the castrated female a testicle is planted, the masculine traits become much more marked and striking. A direct exchange of the male and female roles can thus be achieved. Castration after puberty cannot modify profoundly structures like the skeleton which are already completed. Yet it may unquestionably bring about definite retrogressive changes in the secondary sex characters: reduction or loss of virility, diminution of facial and body hair, and a general presenility or hastening of senility.

How remarkably these interstitial cells influence the entire structure and vitality of the organism is indicated by these facts. How much they have to do with sexual impulses, sexual excitement, and sexual desire, what the Freudians have popularized as the libido, and how subtly they act upon the coming and duration of adolescence and maturity, as well as sexual precocity and peversions, we shall consider in a later chapter. But it is enough now to remember that these interstitial glands are the primary dictators of the genital sense and flair of the individual. In any attempt at measurement of men and women, the quality and quantity of the internal secretion of the interstitial cells must be respected as a fundamental consideration. The womanly woman and the manly man, those ideals of the Victorians, which crumbled before the attack of the Ibsenites, Strindbergians and Shavians in the nineties, but which must be recognized as quite valid biologically, are the masterpieces of these interstitial cells when in their perfection. They are such solely because of the right concentration in the blood of the substances manufactured not only by these cells, but by all the glands of internal secretion. For it cannot be repeated and emphasized too often that the interstitial cells of the sex glands are most sensitive to all kinds of other influences, and, in particular, the other internal secretory organs. They may indeed be watched as an index scale or barometer of the general tone of the whole internal secretion system. Sex variations offer a variety of clues to variations, disturbances, predominances and abnormalities in all the components of the ductless gland association.

To take a single instance, the development of the long bones is dependent upon the handling of food lime by the body. Eunuchs and eunuchoids, that is, individuals with insufficient internal secretion of the interstitial cells, have longer bones and more fragile bones than the normal. Vice versa, those with an excess of the secretion have shorter and thicker bones. The earlier the onset of menstruation, which means puberty, the shorter the extremities, as the action of the internal secretion of the ovaries closes the story of the growth of the long bones.

The ovaries are a most important factor in the regulation of the power of the organism to keep lime in the bones. If they over-secrete in an excess which cannot be taken care of by the other glands of internal secretion, the body loses lime, a softening and curving of the bones occurs, and the most horrible deformities and tortures for the sufferer. Taking out the ovaries has cured some of the afflicted. Administration of the antagonizing gland extracts has helped others. An Italian, Bossi, in 1907, used adrenal gland curatively. More recently, a British student of the subject, Blair Bell, was given the direction of the treatment, at long range, of a number of cases in India, the land of chronic pregnancy with insufficient food, and consequent oversecretion of the ovaries, with the typical softening of the bones. At his suggestion pituitary was used successfully.

Some of the glands of internal secretion act as accelerators to the sex glands. Others act as retarding antagonists. Among the most important of the latter is

THE THYMUS

The thymus is the gland which dominates childhood. It appears to do so by inhibiting the activity of the testes or ovaries. Castration causes a persistent growth and retarded atrophy of the thymus. Removal of the thymus hastens the development of the gonads.

Situated in the chest, astride the windpipe, it descends and covers over the upper portion of the heart, overlapping the great vessels at the base of the heart. It is a brownish red mass, which when cut presents the spongy effect of a sweetbread. The more intimate view of detail revealed by the higher powers of the microscope shows conglomerations of the white cells of the blood known as lymphocytes. But scattered through the substance of the gland, between these lymphocytes, like the interstitial cells of the sex glands placed between the sex cells, are peculiarly staining cells in whorls. Of which there are many more in the thymus of embryonic and early postnatal life, known after their discoverer as Hassal's Corpuscles. They are believed by some to elaborate the specific internal secretion of the thymus. Present in all vertebrates, there seems to be more of it in the carnivora than in the herbivora, like the thyroid.

Concerning the exact function of the thymus, we are a good deal at sea. The latest opinion about the results of extirpation even in young and growing animals is that they are nil. Yet there is a certain justification for proclaiming the thymus the gland of childhood, the gland which keeps children childish and sometimes makes children out of grown-ups. There is a quantity of data for that proposition. In the first place, the curve of rise of growth of the gland seems to coincide with the period of childhood, the curve of its decline with the period of adolescence and the rise of the sex glands. In the past, it was accepted, that with puberty the thymus atrophied and was replaced by some sort of fatty tissue. Nowadays, it is held that secretion cells persist throughout life. When the extent of this persistence is too great, the gland being from five to ten times as large as the normal, a number of other features become prominent to make the extraordinary individual, the status lymphaticus, who amid the hazards of life will react in an extraordinary way. He will be taken up in the consideration of internal secretion personalities.

Then there are the varied and remarkable phenomena of thymus enlargement and hyperactivity in childhood itself. When an enlarged thymus is present in an infant, the initiation of breathing in the new-born, the introduction of the newcomer to the oxygen of the air, may be an exceedingly prolonged, difficult, matter. Such a baby is said to be born blue, and the breathing may be stridorous for days, becoming normal for a time, to be followed later by spells of trouble in breathing, breathlessness or breathlessness with blueness, and threatened extinction. Sometimes these spells come out of a clear sky in an apparently healthy child. That some poison, probably an oversecretion of the thymus, is responsible is shown by the relief obtainable by X-ray shrinkage of the gland, or the surgical removal of a part of it.

Moreover, the gland is influenced by and influences the factors of body weight and growth with an extreme readiness and lability. Deficient general undernutrition leads to rapid decline in its weight. Back in 1858, the pioneer student of the thymus, Friedleben, declared that the size and condition of the thymus is an index to be the state of nutrition of the body. Underfeeding for four weeks will reduce it to one thirtieth the normal. It seems to act as a storage and reserve organ, affording some protection against the limitation of growth by lack of food material. In exhausting or wasting disease, the weight of the gland sinks much more quickly than other glands. Scattered instances have been reported of children growing, putting on inches in height and expanding mentally, when thymus was fed to them, in whom every other measure previously tried had failed. A French study of over four hundred idiotic children with normal thyroids reported that over three fourths had no thymus at all. Everything points to the most direct and close relation between the gland and nutrition and growth, but with nothing tangibly definite like our knowledge of the thyroid and the pituitary.

There is evidence that the thymus is involved in the health and efficiency of muscle cells and muscularity. Certain tumors of the thymus, presumably destructive of the gland substance proper, and thus cutting off its secretion, are accompanied by a singular muscle weakness and atrophy of the muscle cells, entirely out of proportion to the general damage suffered by the other cells of the body when affected by the poison of a malignant growth. Also, the thymus has been discovered diseased in certain mysterious progressive muscular wastings. A remarkable fatigability of muscles, which appears after the slightest exertion, is a feature. The feeding of thymus has caused muscle cramps which apparently depends upon an increased excitability of the muscle nerve endings.

Feeding of thymus to some of the lower creatures of the animal kingdom will completely hold up differentiation. Take the unfolding of the specialized tissues and organs which transform the tadpole into the frog and the chrysalis into the butterfly. A tadpole kept supplied with enough thymus in a nutrient medium will swell into an extraordinary giant tadpole, but will not change into a frog. Recently, this experiment has been contradicted. Yet this effect corresponds to the conception of its importance in childhood as a retardant of precocity, physical and mental. Clinical observations emphasize that in childhood it is the chief brake upon the other glands of internal secretion which would hasten development and differentiation, checking them perhaps for a given time and so profoundly influencing growth.

THE PINEAL

The pineal is another gland which has been credited with similar abilities and a like holding-the-reins-tight-in-childhood function among the cells. Like the thymus, it has been supposed one of the distinctive organs of childhood and to die with it. Generations of anatomists solemnly asserted, repeating each other's mistakes with the aplomb of the historians who declare that history repeats itself, that the pineal body was a useless, wastefully space consuming vestige of a once important structure. That was the view in that century of grandly inaccurate assertions, the nineteenth. Not that they relegated it with that statement to the limbo of the dull and the uninteresting. Quite the contrary. They conferred upon it a distinguished romance and mystery by identifying it as the last heir and vestigial remnant of a third eye, situated in the back of the head, which may still be observed in certain reptiles. Imagine it! Somewhere, stuck away in a cranny of the floor of your head and mine, is this descendant of an organ that once sparkled and shone, wept and glared, took in the stars and hawks and eagles, and now is condemned to eternal darkness and an ineffectual sandiness. Today, we have not discarded that view of its history, but we know a little more regarding its composition and function.

What and where is the romantic object? It is a cone-shaped bit of tissue hidden away at the base of the brain in a tiny cave behind and above its larger colleague, the pituitary. Microscopic scrutiny reveals that it is made up in part of nerve cells containing a pigment similar to that present in the cells of the retina, thus clinching the argument for its ancient function as an eye. But the outstanding and specifically glandular cells are large secreting affairs, which too reach back to the tidewater days of our vertebrate ancestors, when Eurypterus and other Crustaceans were engrossed with the fundamental problems of brain versus belly. Besides these, there are the singular masses upon which has been fastened the unnecessarily opprobious epithet of brain sand. These, noted and commented upon from the earliest times, consist of collections of crystals of lime salts, sometimes small, lying about in discrete irregular masses, and sometimes grouped into larger mulberry-like concretions, varying much in size. These brain sand particles have become of practical importance in the detection of pineal disease because they, like all lime salts, will stop the X-rays, and so can be photographed.

For a long time, indeed up to scarcely more than a few decades or so ago, the pineal was believed to have no present function at all, or at least no ascertainable or accessible duty in the body economy. That it might perhaps be, in a sense, a gland of internal secretion was a despised theory. Then a classic case, the most extraordinary and curiosity-piquing sort of case, with symptoms involving the pineal gland, in a boy, was reported by the German neurologist, Von Hochwart. That boy provoked a little army of researches. He came to the clinic complaining about his eyes and other troubles which pointed pretty definitely to a brain tumor as the diagnosis to pigeon-hole him. Nothing extraordinary about him in that respect. But the story told by his parents was quite extraordinary, even to the jaded palate of the clinic professor and his assistants. They said that he was a little over five years old, a statement conclusively proved correct at his death. Up to the time at which his illness began, he had been quite normal in size, intelligence and interests. But with the onset of his misfortune, he had begun to grow, and rapidly until now he looked and corresponded in all measurements to a normal boy of twelve or thirteen. Hair developed all over his skin, most prominently and abundantly in the typically hairy places of adults. His voice became low-pitched, and most remarkable of all, his sexuality and mentality precocious. He became capable of true sexual life and is said to have asked many questions about the fate and condition of the soul after death. On one occasion he remarked reflectively: "It is odd how much better I feel when I let other children play with my toys than when I play with them myself." Other statements attributed to him imply the most astounding maturity of thought and mental process. Headaches finally came, and he died about four weeks later. The cause of the whole bizarre tragedy was found to be a tumor of the pineal gland.

As has happened before in medical history, no sooner was the one prodigy reported, than a score of others of the same ilk sprang into the limelight. Cases of precocious genital development, especially, some of them occurring as early as the second year of life, were linked with them. It is an interesting point to be noted that in these, as in those started by an overaction of the adrenal cortex, it is premature masculinity that is stimulated. The adrenal cortex must be classed as a gland of masculinity. The pineal possibly acts as a brake upon the adrenal cortex.

Very soon after the report of Von Hochwart's prodigy appeared, an experimental research on the pineal was begun in New York. The pineal glands of a number of young bullocks were obtained and used for feeding, to see whether an overaction of the internal secretion could be produced. Guinea pigs, kittens and rabbits were used. The experiments covered about two years in time. Of a dozen small kittens, the subjects outgrew the controls rapidly in activity, size, intelligence, and resistance to intercurrent disease. Of ten small rabbits, the controls weighed about a third less than the subjects, which were strikingly clean, active, fat and salacious.

Feeding of the gland was then extended to a particular class of defective children, children with well-shaped heads, normal eyes, symmetrically functioning limbs, excellent digestion, strong muscles and generally, normal, sometimes rapid growth. It is to them, particularly when mental normality has progressed up to the eighth, tenth or twelfth year and stopped, that the term "moron" has been applied. They have been a hopeless lot, belonging to the limbo of the incurables. Moreover, they, emphatically the physically normal ones, differ from one another enormously in the extent to which mental operations are possible. As all transitions and degrees exist, no definite classification and subdivision of them has been made. Yet ever since the cretin, once looked upon as an eternally damned defective, was transformed by thyroid feeding into an apparently normal being, there has been no dearth of effort to find the right kind of internal secretion to fit their desperate situations, but in vain. In defectives with definitely, organically damaged brains, no result of course was to be expected. In those of any class over fifteen, no response has been elicited by feeding pineal gland. In the others the results have been contradictory.

A set of observations have related the pineal to muscle function, inviting comparison of it with the thymus. There is a singular muscle shrinking and deforming disease, known as progressive muscular dystrophy, hitherto a complete and unsolved mystery. Newer studies of the pineal in this disease during life by means of the X-ray have shown it calcified, that is, buried in lime salts, which signifies put out of business. Recently thus another hint as to its function has been ferreted out.

The tadpole as a reagent to test out the growth effects of different glands of internal secretion has also been employed for the pineal. Ten-day-old tadpoles fed on pineal present a marked translucency of the skin due to a retraction of the skin pigment cells. Now without a doubt a number of as yet unknown growth and metabolic effects follow exposure of the body to the complete gamut of light rays. The interesting suggestion follows that the pineal influences the body by varying the degree of light ray reaction.

The pineal, the ghost of a once important third eye at the back of our heads, still harks back in its function to a regulation of our susceptibility to light, and its effect upon sex and brain. So it becomes one of the significant regulators of development, with an indirect hastening or retardation of puberty and maturity according as it works in excess, or too indolently. It appears thus the blood brother of the adrenal cortex which also influences the skin pigment and so susceptibility of the organism to light, brain growth and sex ripening. It is interesting that Descartes, in 1628, considered the pineal the seat of the soul.

THE PARATHYROIDS

Sometimes imbedded within the substance of the thyroid in the neck, sometimes placed directly behind it upon the windpipe, are four tiny glands, each about the size of a wheat seed, the parathyroids. For long they were swamped in the nearness of their great neighbor, and considered merely a variable part of it. There are some who contend that even today. But it has been proven that they are separate, individual glands, with a structure and function of their own, and a definite importance to the body economy.

On the animal family tree they appear early, contemporaneously with the thyroids. In the embryo they develop from about the same sites. And very often they look very much alike under the microscope, especially when the cells are in certain quiescent stage of secretion. Yet they are wholly independent in nature, activity and business.

First experimenters upon the effects of removal of the thyroid were confused by contradictory findings with different animals because in some they would take out the parathyroids at the same time without knowing it, and in others they would not. That possibility suggested, more careful dissectors accomplished the job of extirpating the thyroid while leaving the parathyroids intact and vice versa. In consequence some definite information about the parathyroids is available, even though their internal secretion has never been isolated, or its existence established as more than an inference.

When the parathyroids are removed, an astounding increase in the excitability of the nerves follow. It is as if the animal were thoroughly poisoned with strychnine. The slightest stimulus will make him jump, or throw him into a spasm. When the excitability of the nerves is measured by an electrical instrument it is found augmented by from five hundred to one thousand per cent. The reflexes, those automatic responses of brain and spinal cord to certain stimuli and situations, become enormously sensitive, so that merely letting the light into a darkened room will make the subject of the experiment go into a series of convulsions.

On the chemical side, an explanation for these nervous phenomena has been advanced. Lime in the blood and cells appears to be necessary in a number of ways. In the making of bone and teeth, in the coagulation of the blood, in the keeping of fluid within the blood vessels, and in maintaining the tone of the nerves, it plays a major role. Now the parathyroids, among all the glands of internal secretion, seem to act as the prime regulators of the amount of lime held within the blood and cells. For when the parathyroids have been completely and aseptically excised, without injuring any other organ, immediately the body begins to lose lime. Something has gone out of it that helped it to bind lime, and without that essential something, the internal secretion presumably of the parathyroids, the lime departs. As a conspicuous consequence the teeth fail to develop properly, particularly as to their enamel, for which lime is an essential constituent. Hair is lost, there is a general wasting, the nails get brittle, and the bones soften, and the animal dies. Supplying lime directly, particularly by direct injection into the blood, will relieve the symptoms.

In man, a condition of nervous over-excitability has been described as tetany. It occurs most often in the young, the pregnant, or in vomiting after operations. All sorts of tests have related the malady to the phenomena succeeding parathyroid deprivation, and they are now looked upon as aspects of it. Individuals have been reported suffering from an insufficiency of the internal secretion of parathyroids, with a sudden extreme depression, nervousness and restlessness, an inability to sleep or sit still, and a tremulous handwriting. Such reports round out the evidence for the importance of the parathyroids in an understanding of the factors which control growth, especially as regards lime utilization, for without lime properly handled no building of cells is possible. Also the parathyroids are necessary to a steadiness of muscle and nerve.

THE PANCREAS

The business of the parathyroids concerns the keeping of lime in the body. Another gland, the pancreas or sweetbreads, this time within the abdomen, a close neighbor of the solar plexus, alias the abdominal brain, is occupied with holding and hoarding sugar in the body, particularly in the liver, the great sugar warehouse. This matter of retaining sugar and controlling its output is one of the utmost significance for growth and metabolism, the resistance to infections, the response to emergency situations, and in general to the mobilization of energy for physical and mental purposes. For without sugar sufficiently at hand for the cells, no muscle work or nerve work, the essentials of the struggle for existence, are possible.

The pancreas is an organ with both an internal and external secretion. The external secretion, long known, evolved by the major portion of the gland, is poured into the small intestine to play the star in digestion. Scattered here and there among the definitely glandular cell groups creating the external secretion are smaller collections of cells, called the islets of Langerhans, which have been demonstrated to elaborate the internal secretion. There are about a million of these islands in each gland. The hormone has been called insuline. Unlike most of the glands with a double secretion in which the internal is absolutely independent, and so to speak, unconscious of the external, these two of the pancreas are often disturbed together, perhaps because trouble easily hits them both together.

Quite the most well-known disease due to disturbed internal secretory function of the pancreas is diabetes. An enormous amount of work has been spent upon the various aspects of it as a mystery. Hundreds of papers in a dozen languages upon the subject are in existence. In a nutshell, they have established pretty well that diabetes is a disease in which there is an excess of sugar in the blood and urine because of an insufficient amount of the secretion of the islands of Langerhans in the pancreas. Removal of the pancreas makes the body, essentially the liver, unable to retain sugar, as well as unable to burn up sugar for energy. The situation is comparable to a locomotive with its coal bins leaking, and the coal itself acting as if made of slate or some equally uncombustible or only partially combustible material.

The control of sugar mobilization from the liver, where it is stored as glycogen or animal starch, is divided between the pancreas and the adrenals, the pancreas acting as the brake, the adrenals as the accelerator of the mechanism. Adrenal and pancreas are therefore direct antagonists, the pans of the scale which represents sugar equilibrium in the organism. Diabetes may be regarded as a disturbance of the adrenal-pancreas balance, assisted by events which produce adrenal overwork like great or prolonged emotion, or by strain of the pancreas, effected by over-eating for example.

There are other minor glands of internal secretions. But those considered are by far the most important and the most recently explored. In a summary, one would classify them as follows:

Name Secretion Function 1. Thyroid Thyroxin Gland of energy production Controller of growth of specialized organs and tissues—brain and sex

2. Pituitary— Gland of energy consumption and utilization—continued effort anterior Unknown Growth of skeleton and supporting tissues posterior Pituitrin Nerve cell and involuntary muscle cell, brain and sex tone

3. Adrenals The Gland of Combat cortex Unknown a. Brain growth—tone development of sex glands medulla Adrenalin b. Energy for emergency situations

4. Pineal Unknown a. Brain and sex development b. Adolescence and puberty c. Light and maturity

5. Thymus Unknown Gland of Childhood

6. Interstitial Testes in male Glands of secondary glands of Ovaries in female Sex traits

7. Parathyroids Unknown a. Controllers of lime metabolism b. Excitability of muscle and nerve

8. Pancreas Insuline Controller of sugar metabolism



CHAPTER IV

THE GLANDS AS AN INTERLOCKING DIRECTORATE

Now in considering each gland of internal secretion as a separate entity, and labelling it with certain properties and actions, we of course commit the usual sin of the intellect: the sin of abstraction and isolation of its material. This crime of analysis the intellect commits every day in the search for truth. Before its dissection, it seems to have to dip the elusive article in a fixative, and bottle it in a vacuum.

Yet nothing in reality is more of a changing flux than the body in all of its parts and tissues and organs. And of all these, the glands of internal secretion stand out as the most susceptible to change. Made to react to stimuli of offense and defense, instantaneously responsive to situations involving energy exchanges and protective reflexes, they are never for any minute the same or alone. They never function separately. Each influences the other in a communicating chain. Let one be disturbed, and all the others will feel the impact of the disturbance and vibrate with it.

Any break in the somatic or psychic equilibrium, a blow or an infection, or a startling thing seen, or a worrisome thought felt, will start a process going. This will only wind up when every gland has been somehow touched, and a final equilibrium reestablished. The thyroid, maybe, was first excited, and then in turn the adrenals, with a boomerang reinforcing effect upon the thyroid, and at the same time a stimulating effect upon the pituitary. Each gland is thus influenced and influencing, agent and reagent in the complex adjustments of the organism.

ENDOCRINE CO-OPERATIONS

The body-mind is a perfect corporation. Not quite perfect, for continually there arise little insurgencies, inadequacies and frictions to which in time it will succumb. Yet, in the efficiency of its co-operations, and in the co-ordination of the needs and supplies of producer, middle man, and consumer, there is no one of the great organizations of the captains of industry which can for a moment approach it.

Of this corporation the glands of internal secretion are the directors. But the huge corporation, not to topple over with its own unwieldy size, must be composed of smaller units, each within itself a corporation, and governed by a directorate. There are, in the corporation-organism, different departments and bureaus, subdivisions of function, which constitute the smaller corporations within the larger corporation. These subsidiary companies have their own glands of internal secretion as their directors.

Thus, the growth of the brain is presided over by the adrenal cortex, the thyroid, the thymus and the pituitary. They determine the size of the brain, the number of its cells, the complexity of its convolutions and the speed of its chemistry, which means the speed of thought and memory and imagination. As its directorate, therefore, they may be entitled. The disturbance of one of them means the disturbance of all of them, and a consequent deleterious effect upon the brain. Now take the burning up of sugar in the organism, the great material source of energy, which is controlled by the pancreas, the adrenals and the liver, the thyroid and the pituitary. Together they form the directorate of sugar metabolism. But, as is evident from a glance at the membership of the growth directorate, and comparing it with the directorate of sugar metabolism, there are some members who are present on both boards. An infection, an illness, an ailment, an exaltation or intoxication of such members will produce reverberations in both directorates. A disturbance of sugar metabolism might then cause a disturbance of growth. The advantages and disadvantages are before us of having, in the glands of internal secretion, an interlocking directorate, rulers over all the varied and manifold activities of the organism.

Behind the body, and behind the mind is this board of governors. Indeed, from the administrative and legislative points of view, the body-mind may be said to be governed by the House of Glands. It is the invisible committee behind the throne. Upon the throne is what? Man, the most baffling of complexities. Man who is not a mind, but owns a mind—Man who is not a body, but possesses a body, just as he might have a motor car, a fortune or a calamity. Back of all his daily activities, behind the life of body-mind is the mysterious unique individuality, the Ego, the Psyche or the Soul. Lately, a competitor with these ancient and honorable terms has come upon the scene as the Subconscious. In that darkened No Man's Land is determined a man's destiny. The endocrine association stands out as at least the most important physical determinant of the states and processes of the subconscious.

ANTAGONISMS AND CO-OPERATIONS

As within a corporation there are factions and cliques, influences that always work together, and forces that are always pulling in opposite directions, so within the interlocking directorate of the ductless glands there are antagonisms and inhibitions, co-operations and compensations. One gland will assist the action of another's secretion with its own, or will in turn be stimulated to secrete by it. Another will throw out its secretion in order to neutralize the effects produced. Or its own activity will be depressed or completely inhibited by it. Thus the pituitary arouses the interstitial glands and vice versa, whereas the pancreas and the thyroid are mutually inhibitory. Indeed, whole systems of glands may work in unison, or be pitted against each other in certain situations, especially when the organism is subjected to conflicting impulses with the clash of opposing instincts, like fear and anger. In general there is reciprocity and team work among the internal secretions.

A certain minimum amount of each must be present if life is to continue along the normal lines. Whether there is to be an excess of any one secretion above this minimum, or a deficiency below it, decides the fate of the individual. If there is deficiency of one, the other members of the directorate attempt to make up for what has been lost, and to carry on its work by an extra effort, to substitute. Or, released from the discipline of the deficient member, or the necessity for antagonizing it, they may be released from its stimulus to secrete, and produce less of their own specific secretion. A general reaction all along the line will accompany overaction, oversecretion, of one gland. Due to consequent stimulations and depressions of other glands, some may be excited by the event to overwork—some to assist—others, to act as antidote for—the excess secretion, while still others, relieved of a burden, do not have to supply as much of their quota under the circumstances and so shut down, or limit their output.

It is important to get clearly in mind these subtle inter-reactions of the different ductless glands. They may be antagonistic in their end effects because of the opposed functions of the nerves or organs stimulated. There are inhibitions and restraints produced when a gland will send out its secretions to stop another gland secreting. There are compensations resulting when because of insufficiency of a gland, others will endeavour, by manufacturing more of their own secretion, to compensate for the loss. There are mutual co-operations, partnerships, when a gland will oversecrete to assist another, or in response to another which is also oversecreting. There are losses of balance, so that when one gland ceases secreting, another will simultaneously or soon after. Normal secretion, oversecretion or undersecretion are thus adjusted, but leave a train of after effects.

So with loss or insufficiency of the thyroid, there may be pituitary overgrowth, because the pituitary may act as vicar for the thyroid. The thyroid and thymus are antagonistic, for the thyroid hastens differentiation, puberty and the coming of sexual maturity, while the thymus delays and retards them and prolongs the period of childhood. The thyroid and the pancreas are antagonists, for when the thyroid has been excised, the pancreas appear no longer necessary to act as a break upon the mechanism of sugar liberation into the blood from the liver. The thyroid stimulates the interstitial glands, for menstruation and pregnancy are impossible with no thyroid or an insufficient thyroid. Removal of the pituitary makes the thymus shrink because the restraining influence of the latter is no longer needed. But there is an enlargement of the thyroid to compensate. In castrates there is an increase in the size and number of the cells of the anterior pituitary, again a compensation or substitution effect. The pituitary and the adrenal cortex are mutually assistant, alike in their influence upon the tone of the brain and sex cells.

THE KINETIC SYSTEM

So there are combinations of glands to assist or restrain others, or to control a body function, or to determine the domination or abeyance of an instinct. One such has been named the kinetic system because it comes into play in situations which demand prompt adaptation without hesitancy, and a consequent immediate transformation of static or stored energy into kinetic or active energy. According to this conception the brain, the adrenals, the liver, the thyroid and the muscles together constitute a machine very much like an automobile. The self-starter of the machine is the brain, with storage battery (composed of stored past memories) and ignition combined. The thing seen without, or the idea felt within, act as the initial sparks, while the adrenals, as the carburetors, permit the freer flow of fuel, sugar, from the liver. The thyroid works as the accelerator, the original impulse finally landing upon muscles keyed up and supplied with food to meet the situation, be it that of removing a poison, removing an aggressor (attack) or removing the individual himself (running away). When one is exhausted by exertion and emotion, injury, intoxication or infection, it is these members of the kinetic system, the brain, the adrenals, thyroid and liver, which are exhausted. Exhaustion diminishes when the activity of the brain is diminished by anesthetics, and cured when it is abolished by sleep.

If the adrenal gland may be called the Gland of Emergency energy, the Kinetic System is entitled to the name of Council of Emergency Defense for the organism. The Kinetic Drive is the name that has been given to the whole system at work. It is one of the best examples we have of inter-glandular co-operations and reactions in reply to the threat of danger or the hint of pleasure.

THE CHECK AND DRIVE SYSTEM

Another instance of the complexity of these inter-glandular reactions is furnished by the thyroid and the adrenals. The thyroid and the adrenals are mutually stimulating—when the thyroid oversecretes, the adrenal dittos, and vice versa. Yet they have directly opposed effects upon the economy—because they act upon antagonistic portions of the involuntary or vegetative nervous system, the system which is independent of the will. Before proceeding further, it is worth while sketching this division of the nervous system.

In the construction of a motor car from the point of view of absolute control of it at every moment, the first thought of the mechanic is an adequate brake and an efficient regulator of speed, instruments antagonistic, but necessary to work simultaneously or alternately. The involuntary or vegetative nervous system is built upon the same principle. It supplies every organ in the body beyond the control of the will (that is to say, the brain) with two sets of filaments which have opposing functions. One group of filaments in general increases or activates the function of the organ to which it is distributed. The other group of filaments, when tingling, inhibits or prohibits that function. They are like the two buttons on the wall which regulate the supply of electricity to incandescent bulbs, one switching on the current, the other switching it off. It has been agreed to call the stimulative or activating portion the autonomic or drive system. To its antagonist has been left the older name of the sympathetic or check system. It is because they do not both act upon these two components of the vegetative nervous system, but only upon one, that the thyroid and adrenal though in themselves complementary, come to exert opposite effects. For the internal secretion of the thyroid has a selective affinity for the autonomic or activating system, while that of the adrenals has a selective affinity for the sympathetic or inhibiting system.

In the stomach, for instance, extracts of the adrenal glands have been proved to intensify the function of the sympathetic or check system in different degrees, so that there is a lessening of the amount and acidity of the gastric fluid. On the other hand, thyroid extracts will intensify the action of the autonomic or drive system, so that the amount and acidity of the digestive juice is increased.

The stomach cell may, therefore, be regarded as a test-reagent for the different internal secretions, as they affect the check and drive systems.

These constitute an automatic device for regulating the activities of every organ. Three factors enter into the mechanism. One is the amount of the circulating internal secretions. Another is the organic and functional integrity of the nerve filaments comprising the check and drive systems. The third consists of the number and vitality and limitations of the terminal receiving cells acted upon by the nerve filaments, which in their turn have been acted upon by the internal secretions. Upon every organ, including the mind, through the brain, a stimulus from without or within will act according to its ability to influence one or others of these factors.

Normally, the check and drive systems are properly balanced. But under stress and strain the balance is upset. Indeed, the Kinetic Drive may be defined as a mechanism contrived in the course of evolution as the normal, healthy mode for meeting stress and strain. The Kinetic chain of organs, brain, adrenals, liver, thyroid and muscles, began working together in desperate situations for their possessor ages ago. Successful in helping him to survive, they have survived as a functional unit.

It was probably evolved in the Post-Tertiary Era, about twenty million years ago, when the coming of the carnivores introduced direct body-to-body conflicts, and their concomitants, a quick and versatile nervous system. During the Tertiary epoch the earth basked in the heat of a tropical sun nearly everywhere on its surface. The luxuriant vegetation of the torrid zone flourished and swarmed, for the temperature all over was what it is today at the equator. Gigantic vegetarians were the animals, creatures like the dinosaurs, enormous, gargoylean monsters, of an incredible size and strength, but clumsy and grotesque, with small brains and little intelligence. For what need was there for brain and intelligence when food lay about so abundantly at hand for them to gorge themselves. As there was no competition for food, there were no enemies.

Then as the earth evolved and grew cooler, vegetation failed, the ancestors of the present carnivora appeared, the fathers of the wolf and tiger, light, lithe and pugnacious, with senses acute and ferocious weapons of attack, who set out to destroy everybody. They destroyed pretty nearly all of the huge leaf-eating species, and only the more plastic and smaller ones, who were more keen-sensed and swift-footed (of whom the deer and antelope, horse and ox are the descendants), escaped. The smallest either took to the air to become the bat, or, like the forerunners of the squirrel and ape, took to the trees.

It was the coming of the carnivores, therefore, that accelerated the development of brain matter, and started the process which created man. But in the millions and millions of years of conflicts, instincts grew into being that sank deep into bone and marrow. The most fundamental reflexes, those immediate responses to irritation or danger, were laid down, and among them the drive and check system. When the animal had decided to fight its enemy or was forced to fight, or determined to prey, then was the time for the drive system to do its utmost to speed up everything that would help in the fight, while the check system came into play to hinder whatever would interfere or burden in the fray. First the drive mechanism must have been hit upon, and then the value of the check devices must have been found in fear and flight, and especially in hiding and simulation of death, when even breathing had to be inhibited. Until finally there developed, for everyday use, a complete check and drive nerve machinery for every organ, to be used according to the exigencies of the moment, with the thyroid as the primary stimulant and controller of the drive system and the adrenal as the primary dictator over the check system.

THE HARMONY OF THE HORMONES

All the glands, in fact, work in unison, with a distribution of the balance of power that diplomatists might envy. In the co-ordinating synchronism, the vegetative nervous system plays the part of an agent that acts as well as is acted upon. The chemical interaction of the internal secretions is not the only way in which they influence each other. For, as the case of the thyroid and the adrenal so well shows, secretions which, when directly interacting, are mutually reinforcing, when affecting nerves, may become clashing opponents.

The Kinetic Chain is about as good a case as there is of the glands of internal secretion co-operating. The Check and Drive systems, with the adrenals and thyroid opposed, are one of the best instances of their antagonisms. Besides, there are a number of other relationships between them that might be cited. They all bear with more or less pressure, positive or negative, upon the sex glands which will be considered in its place. If one wished to consider all the glands in their pro and anti relations, a separate volume would be required.

THE VEGETATIVE APPARATUS

The combination of the internal secretions and the vegetative system has been spoken of as the vegetative or autonomic apparatus. The vegetative apparatus is the oldest part of the nervous system. And some acquaintance with its constitution is necessary to any understanding of the possibilities of control of human nature.

For modern thought does not regard the brain as the organ of mind at all, but as one unit of a complex synthesis, of which mind is the product, and the vegetative apparatus is the major component. That involves the blasting of the last current superstition of the traditional psychology, the dogma that the brain is the exclusive seat of mind.

That an animal is a vast concourse of cells is one of the accepted fundamentals of biology. What is not so generally taken into consideration is that the assemblage is formed by the agglutinations of millions of years, and that it is hence composed of parts of different ages and pedigrees, some exceedingly ancient and hoary, some middle-aged, and some relatively new and recent. In the invertebrates, who date further back in the history of the planet than any vertebrate, the nervous system consists of discrete patches of nerve cells, the ganglions composing the ganglionic system of which the vegetative or autonomic nervous system of man is the direct descendant and representative. The brain and central nervous system are definitely later acquisitions, imposed upon the original stratum of the check and drive machine.

The primitive chassis of the mechanism, so to speak, is the so-called vegetative nervous system. Grouped with that system are the primeval breathing, feeding and reproducing inventions, the viscera boxed up in the chest and abdomen. The third partner is the glands of internal secretion, which act upon the viscera both directly and indirectly through the check and drive effect upon the vegetative nerves. The glands are like tuning keys, by which certain strings in the instrument may be tightened, so that its vibratory activity is increased, or they may be loosened, the vibrations decreased, the activity lessened. Tuning up the motors is a constant process in the organism. Finally, there are the large nerve masses at the base of the brain known as the basal ganglia, which contain the nerve centers for the co-ordination of the other three. All these together constitute the oldest family of the corporate organism. Beside them, the brain and the face and the prehensile organs are mere parvenus.

THE OLDEST PART OF THE MIND

Granted, then, that this vegetative apparatus is the most deeply rooted core of our being. What warrant is there for the grandiloquence of the phrase: the Oldest part of the Mind? There is, indeed, room for rhetoric, even poetry, here. For all the evidence points to it as the rightful occupant of the throne upon which Shelley placed his Brownie as the Soul of the Soul. Or to put it in another way, we think and feel primarily with the vegetative apparatus, with our muscles, especially the involuntary, with our viscera, and particularly with our internal secretions. Whenever there is thought and feeling, there is movement, commotion, precedent and concomitant, among these. They are the oldest seats of feeling, thought and will and continue to function as such.

Just what evidence is there for this conception? In the first place, there is the fascinating story of the origin of vertebrates from invertebrates of the sea scorpion or spider type. Then there is a whole group of data which demonstrate that the primitive wishes which make up the content of a baby consciousness are determined, settled by states of relaxation or tension in different segments or areas of the vegetative apparatus. According to this, the brain enters as only one of the characters in the play of consciousness. It is just the organ of awareness by the organism of itself as an integer which must adjust itself to the specific condition within the disturbed vegetative apparatus. Consequently the brain emerges not as the master tissue, but as merely the servant of the vegetative apparatus.

Consciousness is a circuit. Swinging around in it are the wish-feelings generated by the vegetative dynamo. From each viscus, from the stomach and intestine, from the kidneys and bladder, from the liver and spleen, from the blood-vessels, from all the glands of external and internal secretion, there flow along the vegetative nerves, to and from the brain, energies of various qualities and intensities. All the members of the vegetative apparatus are more or less active, and so all our wishes are all more or less active. All our working hours we are aware of hunger, satiety or indifference, of a desire to empty the intestine or bladder, or of a lack of necessity of doing so, of a state of tranquillity of the blood-vessels and sweat glands, or of a perturbation of them, of a varying tensity of even the muscles that are, as we say, under the control of the will, of the state, in fact, of all the elements of the vegetative complex. The stream of feeling which constitutes the undertow of consciousness originates outside of the brain altogether, and is composed of currents arising from viscera, muscles, blood-vessels and glands.

Now the component currents are of different sizes and positions and variable degrees of warmth. That is another way of saying that whether or not a current is to become the center of the stream, or to approach it, or whether it is to be hot, cold, or tepid, depends upon the degree of activity of the various parts of the vegetative apparatus. A convenient name for this is tonus. Tonus can be experimentally watched and measured. Thus hunger, the most primitive of the wish-feelings, has been found to be simultaneous with certain characteristic contractions of the stomach. Stop those contractions, and you stop the hunger. The contractions begin slowly and weakly, and no awareness of them occurs in the mind. As they grow stronger, consciousness becomes a sensation rather like an itch somewhere in the upper abdomen, and accompanied sometimes by a sense of general weakness. The vegetative activity going on as a current almost on the outside of the stream of feeling has swelled and warmed, and so forced itself, in a manner of speaking, into the center of the stream. Or if you will, the rest of the stream has to arrange itself around it as the center. A similar mechanism for the tonus of the other members of the vegetative system, and how they determine consciousness and behaviour is understandable. It has been shown that when the bladder tone and the intestinal tone are of a definitely measurable size, one has the desire to empty them. The same applies to the sex glands. The pressure within a viscus is dependent upon the ratio between the amount of contraction of the involuntary muscle in its walls, the external pressure, and the quantity of its distending contents, the internal pressure. The resultant quotient, the internal pressure divided by the external pressure, measures the intravisceral pressure. The primitive wish-feelings are the direct expressions of the various intravisceral pressures, or tones. The primitive soul is an awareness of the fused primitive wish-feelings of themselves as a whole, and of the struggle between them for recognition, isolation, and, as we say, satisfaction. This satisfaction consists in a degradation of the highest intravisceral pressure to a point at which some other intravisceral pressure becomes higher and therefore predominant.

PHYSICS OF THE WISH

Mind, consciousness, may then be portrayed as an ocean comprised of mobile current layers, complexes built up around the awareness of different intravisceral pressures. A shifting hierarchy of such pressures form the points of focusing of consciousness that result in conduct. Behaviour may be defined as the resultant of the organism's pressure against the environment's counter pressure until there is a sufficient reduction of the specifically exciting intravisceral pressure. Just as water flows to its own level, so will conduct flow to reduce intravisceral pressure to its own level. A physics of the soul comes into prospect, in which a mathematical analysis will state the process quantitatively in terms of some common unit of pressure.

Not only conduct, but also character, because it is past conduct repeated, associated, and fixed, will be so statable. For intravisceral tonus or pressure is not simply or only an acute or passing affair. There is for it a persistent or average figure, the so-called normal for it, below which or above which the acute situation will bring it. Character is a matter then of standards in the vegetative system. Character, indeed, is an alloy of the different standard intravisceral pressures of the organism, a fusion created by the resistance or counter pressure of the obstacles in the environment. Character, in short, is the grand intravisceral barometer of a personality.

Thus the comfortable, healthy, happy, well-balanced, progressive, constructive, virile personality is one in whom there is a continuously harmonious reduction of the intravisceral pressures in the environment called society. For in a gregarious creature, like man, fellow beings are the most powerful determinants of negative and positive vegetative pressures. Not so well rounded are other types existing because of inferiorities or excesses of the standard visceral tone. There is, for instance, the sexually cold type, comfortable by creating for itself an anaphrodisiac environment composed of pressures that can be fitted into its own. Or there may be an insufficiency of standard pressure in the alimentary tract, and we have the ascetic, mal-nourished, striving, uplifting type. Different types will be made by the permutations and combinations of factors that determine the intravisceral pressure and the environmental, i.e., social resistances or counter pressures.

INTERNAL SECRETIONS DETERMINANTS OF VEGETATIVE PRESSURES

Now of all the different factors which determine the tones, that is to say, the internal pressures, of the various parts of the vegetative apparatus (including all structures not controlled by the will in the term), the internal secretions or hormones are by far the most important. This significance is conferred upon them because it is by their activities primarily that these pressures are produced, regulated, lowered and heightened; in short, controlled. We have seen how the thyroid and adrenal hold the reins of the drive or check systems in the vegetative apparatus. Together with the other ductless glands, they decide the advance or halt, forward or retreat, tension or relaxation, charge and discharge, of the visceral—involuntary muscle—blood vessel combination which is at the core of life. Here again they emerge as the directorate.

Carlson, the Chicago physiologist, who probably knows more about being hungry than any other man on the planet, once demonstrated that the injection of an ounce or two of the blood, which means the internal secretion mixture, of a starving animal, into one not starving increased the signs of hunger and the accompanying hunger contractions of the stomach. There can be no doubt that hunger is the expression of a certain specific concentration of internal secretion or secretions in the blood. When the quantity, in the cycles of metabolism, becomes sufficiently great, it stimulates the stomach to contract in a way which augments the pressure within it to a point at which the feeling of hungriness, and the wish to satisfy it, or to get rid of it, becomes imperative, and the dominant of consciousness.

Without doubt the sexual cravings are likewise so determined. Sex libido is an expression of a certain concentration, a definite amount peculiar to the individual, of the substance manufactured by the interstitial cells, circulating in the blood. It arouses its effects probably by (1) increasing the amount of reproductive material in the sex glands in a direct chemically stimulating effect upon the germinative cells, and so raising the internal pressure within them, (2) stimulating the involuntary muscles within the walls and the canals of the sex glands, and so, by augmenting the tenseness of the muscles, elevating the total intravisceral pressure, (3) by a direct chemical and indirect nervous effect upon the brain, the muscles, the heart, as well as the other glands of internal secretion stimulating the organism as a whole. Though the isolation in pure form of the substance or substances involved has never been scientifically achieved, their inference is entirely justified. It is indeed the only comprehensible mechanism conceivable that will fit all the known facts about the matter. And even though the assertions of Brown-Sequard were only the exaggerations of a semi-charlatan, it is certain that some day in the near future the particular substance, that he claimed he had discovered, will be handed about in bottles for the inspection of the curious.

Besides thyroxin, adrenalin, and the libido-producing secretion of the interstitial cells, the substance produced by the paired glandlets, situated behind the thyroid, the parathyroids, have a profound influence upon the vegetative apparatus and the vegetative nervous system. These direct the lime exchanges within the cells of the organisms, including the nerve cells. It has been shown that lime is, relatively, a sedative to cells. It raises the threshold or strength of stimulus necessary to evoke a reaction. Removing the parathyroids means removing the lime barrier, for with their deficiency there is a change in, and then an escape, from the blood, of the lime, by way of the kidneys. The result is sometimes an enormous increase in the excitability of all the cells, and especially of the vegetative apparatus. What that means for the individual whose comfort depends upon a stability of the intravisceral tones and pressures may be readily imagined.

The pancreas likewise acts as a sedative to the vegetative apparatus. In particular, this applies to the sugar mechanism in the liver under the discipline of the check and drive organization. The adrenal and the pancreas are the direct antagonists in the struggle for control of sugar. Removal of the adrenals will cause a decrease in the amount of sugar in the blood, while removal of the pancreas will produce an increase. Excess of sugar in the blood may thus be concomitant with changes of character considered incorrigible.

In different locales of the vegetative apparatus, as indeed of the body in general, the directorate seems to be handed over to a committee of control, generally made up of two members working in opposing directions. Such a division of power in the general directorate is analogous to the small holding corporations which divide functions in, for example, the United States Steel Corporation. The relative ratios of tonus in these smaller internal secretion balances are of the utmost significance as causes of differences in the vegetative apparatus, which are the basis of differences in structure, power, and character between individuals.

THE GENERAL LAWS OF THE DIRECTORATE

Our knowledge of the glands of internal secretions as an interlocking directorate presiding over all the functions of the organism is still exceedingly meagre. As yet, we seem to be knocking at the portals of the chemistry of the imponderable. There are holes in the bronze doors, and we glimpse the unfathomable distances of unexplored regions. But we do see something, and we do glimpse a beginning. Already the outlines of a differential anatomy, and a different physiology and a differential psychology, which will explain to us the unique in the constitution, the temperament and character of an individual, emerge. It is worth while, before proceeding to the details, so valuable to a society which would become rational, to summarize the general principles emerging, expressing the directing powers of the ductless glands over the individual. They may be regarded as the present postulates of a new science of the whys and wherefores separating and setting apart, as so recognizably distinct, those peregrinating chemical mixtures: men and women.

1. The life of every individual, in every stage, is dominated largely by his glands of internal secretion. That is, they, as a complex internal messenger and director system, control organ and function, conduct and character. The orderliness of human life, in the sequential march of its episodes, crises, successes and failures, depends, to a large extent, upon their interactions with each other and with the environment.

2. One or several of the glands possesses a controlling or superior influence above that of the others in the physiology of the individual and so becomes the central gland of his life, its dominant, indeed, so far as it casts a deciding vote or veto, in its everyday existence and incidents as well as in its high points, the climaxes and emergencies.

3. These glandular preponderances are at the basis of personality, creating genius and dullard, weakling and giant, Cavalier and Puritan. All human traits may be analyzed in terms of them because they are expressions of them.

4. Specific types of personality may be directly associated with particular glandular prominences, so that we have the thyroid-centered types, the pituitary-centered types, the adrenal-centered types, etc. These are the classic Three, the prototypes in their purity most easily described and recognized.

5. Combinations of these, as well as of other glands—with joint predominance—occur and indeed form the majority of populations. The phenomena of varieties in species are thus explained.

6. Internal secretion traits are inherited, and variations in heredity are essentially the structural representation of the resultant of a parallelogram of forces exerted by each of the parental prepotent glands. If they are of the same type, they may reinforce each other: if not, inhibitions and compensations will come into play. Mendelian laws may apply.

7. The process of evolution, as the play of natural selection upon these variations, becomes comprehensible from a new standpoint.

8. Certain diseases, and disease tendencies, both acute and constitutional, as well as traits of temperament and character, and predetermined reactions to certain recurring situations in life, are rooted in the glandular soils that compose the stuff of the individual.

9. The subconscious, of which the vegetative apparatus is the physical basis, leads back to the internal secretions for the profoundest springs of its secrets. We shall see how and why.

10. Given the internal secretory composition, so to speak, of an individual—his endocrine formula—and so his intravisceral pressures, one may predict, within limits, his physical and psychic make-up, the general lines of his life, diseases, tastes, idiosyncrasies and habits.

11. Within limits, if the previous history of an individual is known, his physical appearance may be approximately described, and his future outlined.

12. Conversely, given the physical and psychic composition of an individual, and his past history, one may deduce the internal secretion type to which he belongs.

Examples:

A. One Thyroid-centered Type has Bright eyes Good clean teeth Symmetrical features Moist flushed skin Temperamental attitude toward life Tendency to heart, intestinal and nervous disease

B. One Pituitary-centered Type Abnormally large or small size Musical—acute sense of rhythm Asymmetrical features Tendency to cyclic or periodic diseases

C. One Adrenal-centered Type Hairy Dark Masculinity marked Tendency to diphtheria and hernia

These are some of the master types. They have their variants depending upon the influences of the other glands, especially the interstitial cells of the sex glands.

ANTE-NATAL DEVELOPMENT

In their ensemble, the glands of internal secretion wield a determining influence upon the development of the individual from his very inception. If his various powers may be conceived of as an orchestra, they may be said to conduct it from the very beginning of its movements, and to cease only with its termination. From the moment when the spermatozoon penetrates and fecundates the ovum, the fate of the future being is settled by their disposition. The seal of his destiny is soaked with their substance.

POST-NATAL DEVELOPMENT

Every particle of protoplasm, every granule of the impregnated ovum carries the representatives of the parental ductless glands. As a consequence, they transmit chemically, with no figure of speech involved, the peculiar familial, racial and national characters from progenitors to offspring. They confer upon the child a number of the properties commonly recognized as inherited. All those features which distinguish Caucasian from Mongolian, Scandinavian from Italian, Italian from Jew are determined by them.

In short, at every step of his life, in every relation and association, in every expression of the inner forces that control his being, the normal individual is influenced by his internal secretions. Let us now see how.



CHAPTER V

HOW THE GLANDS INFLUENCE THE NORMAL BODY

The origin of the remarkable differences between individuals that distinguish species, varieties and families, has long been one of the chief puzzles of biology. It may indeed be called the leading puzzle, which led Darwin on to the collection of the data that culminated in the "Origin of Species." The why of the Unique is the fundamental problem of those who would understand life.

An explanation is an attempt at a consistent and persistent, sometimes an obstinate clarity of mind. A vast number of observations gathered by laboratory experimentalists as well as by those naturalists of the abnormal, physicians in active practice, prove that the construction of the individual both during development before maturity, and maintenance during maturity, his constitution, in short, is directed by the endocrine glands. It is possible now to present an explanation of the individuality of the individual.

To assert that variation is responsible for the individual, that it is the mechanism which isolates him as a being like none other of his fellows, not even his parents, brothers, and sisters, is merely to beg the question. What is variation? The internal secretion theory of the process offers, for the first time, an explanation that is coherent and comprehensive, based upon concrete and detailed observations. It provides an adequate interpretation of the numberless hereditary gradations and transitions, blendings and mixtures. It suggests a control of heredity in the future.

THE PURE TYPES

In the pure types, only one gland, either by being present in great excess above the average, or by being pretty well below the average, comes to exercise the dominating influence upon the traits of the organism. As the strongest link in the chain, or as the weakest, it rules. The others must accommodate themselves to it. Among them as commanders of growth, development and normal function, it holds the balance of power. In every emergency it stands out by its strength or by its weakness. It thus creates its own type of man or woman, with attributes and characteristics peculiar to itself. These pure types, as we have seen, are mainly the thyroid, the pituitary, and the adrenal-centered.