Human Anatomy Reference Edition
Hero plate — sagittal head section, engraving style

Classification: Homo sapiens Seven systems · 78 organs · 37 trillion cells

The Human Body

An annotated reference to the machine you live inside. Every plate is labelled, every figure sourced, and every explanation available in two registers — plain language, or clinical terminology.

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System 01 · Skeletal systema skeletale

A frame that carries you — and rebuilds itself while you sleep.

Bone looks finished, but it isn’t. Cells tear it down and lay it back again continuously, so the skeleton you carry today is not the one you had a decade ago. It also stores minerals, manufactures blood, and absorbs the load of every step you take.

Osseous tissue undergoes continuous remodelling: osteoclasts resorb mineralised matrix while osteoblasts deposit osteoid, replacing roughly 10% of adult skeletal mass annually. The skeleton is the principal calcium–phosphate reservoir and houses haematopoietic marrow within trabecular compartments.

206
Bones, adult
from ~270 at birth
10%
Remodelled
per year
15%
Of total
body mass

Source: Standring (ed.), Gray’s Anatomy, 42e, 2020

Sense of scale — where the bones are

Hands and feet106
All the rest100

Twenty-seven bones in each hand, twenty-six in each foot. Just over half the skeleton is given to grasping and walking.

Skeletal plate — full anterior skeleton
Plate 01 — appendicular & axial skeleton, anterior view

System 02 · Muscular systema musculare

Six hundred engines, and every one of them can only pull.

Muscle never pushes. Each one shortens by up to a third of its length and then has to be pulled back by an opposing partner, which is why the body is built in pairs. Precision comes from how few fibres you recruit, not how many.

Skeletal muscle generates force through actin–myosin cross-bridge cycling; sarcomeres shorten up to ~30% of resting length. Movement arises from agonist–antagonist pairs acting across joints, with force graded by orderly motor-unit recruitment from small to large.

600
Skeletal
muscles (approx.)
40%
Of body mass
upper range
30%
Max fibre
shortening

Source: Gray’s Anatomy, 42e · Guyton & Hall, 14e, 2021

Sense of scale — muscle against frame

Muscle, share of body mass40%
Skeleton, share of body mass15%

The engine outweighs the chassis it moves by more than two to one.

Muscular plate — superficial musculature, posterior view
Plate 02 — superficial musculature

System 03 · Nervous systema nervosum Deep dive

Eighty-six billion cells, arguing at 120 metres per second.

Your brain runs on about twenty watts — less than a household bulb — while handling balance, language, memory and grief at once. Signals race down insulated fibres as electrical pulses, then leap chemical gaps thinner than a wavelength of light.

Action potentials propagate saltatorily along myelinated Aα fibres at up to 120 m/s, then transduce chemically across synaptic clefts of 20–40 nm. The CNS accounts for ~2% of body mass yet ~20% of resting oxygen and glucose consumption.

86B
Neurons
Azevedo, 2009
120
m/s peak
conduction
20W
Resting power
draw, brain

Source: Azevedo et al., J. Comp. Neurol., 2009 · Guyton & Hall, 14e

Sense of scale — signal speed

Fastest nerve fibre432 km/h
TGV at service speed320 km/h

A reflex reaches your spinal cord faster than any train you can buy a ticket for.

Nervous plate — mid-sagittal brain section
Plate 03 — mid-sagittal section, central nervous system

System 04 · Cardiovascular systema cardiovasculare

A pump the size of your fist, on a hundred-thousand-kilometre circuit.

The heart is two pumps in one housing: the right side sends blood a short way to the lungs, the left drives it everywhere else. It repeats the cycle roughly once a second, without a single day off, for a lifetime.

The heart functions as a dual pump in series: the right ventricle perfuses the pulmonary circuit at ~25/10 mmHg, the left the systemic circuit at ~120/80 mmHg. Resting cardiac output is ~5 L/min (stroke volume ~70 mL × heart rate ~70 bpm).

5L
Per minute
at rest
100k
km of vessels
estimated
2.5B
Beats in an
average life

Source: Guyton & Hall, 14e, 2021 · Gray’s Anatomy, 42e

Sense of scale — total vessel length

Your vasculature100,000 km
Once around the Earth40,075 km

Laid end to end, the circuit would wrap the planet two and a half times.

Cardiovascular plate — heart in section with great vessels
Plate 04 — cardiac section, coronal view

System 05 · Respiratory systema respiratorium

Seventy square metres of surface, folded into your chest.

Lungs don’t breathe — they’re passive bags. The diaphragm drops, pressure inside the chest falls below the air outside, and the atmosphere is pulled in. Oxygen then crosses a barrier thinner than a soap film.

Ventilation is driven by diaphragmatic contraction generating sub-atmospheric intrapleural pressure. Gas exchange proceeds by passive diffusion across the alveolar–capillary membrane (~0.2–0.6 µm) along partial-pressure gradients.

480M
Alveoli
Ochs, 2004
70m²
Gas exchange
surface
11k
Litres of air
per day

Source: Ochs et al., Am. J. Respir. Crit. Care Med., 2004

Sense of scale — the tennis-court myth

Gas-exchange surface70 m²
Singles tennis court196 m²

Lungs are often said to equal a tennis court. They are closer to a third of one — which is still seventy square metres folded inside your ribs.

Respiratory plate — bronchial tree and lungs
Plate 05 — tracheobronchial tree, anterior view

System 06 · Digestive systema digestorium

Nine metres of chemistry, turning matter into you.

The tract is one continuous tube from mouth to end — technically the outside world, threaded through you. Food only becomes part of your body once it has been broken small enough to cross that wall, a journey of one to three days.

The alimentary canal is a continuous mucosa-lined tube; absorption occurs chiefly in the jejunum, where plicae, villi and microvilli amplify surface area 60–120×. Roughly 5×10⁸ enteric neurons coordinate motility semi-autonomously of the CNS.

9m
Tract length
mouth to anus
30m²
Absorptive area
Helander, 2014
24–72
Hours total
transit time

Source: Helander & Fändriks, Scand. J. Gastroenterol., 2014 · Sender et al., 2016

Sense of scale — the tennis-court myth, again

Absorptive surface30 m²
Singles tennis court196 m²

Helander and Fändriks measured the real figure at about thirty square metres — nearer half a badminton court than a tennis court.

Digestive plate — abdominal viscera in situ
Plate 06 — abdominal viscera in situ

Section 07 · Connections Part two

Seven systems is a filing convenience. The body has never observed it.

Dividing the body into systems is how it gets taught, not how it works. The most interesting structures belong to two or three at once, and the divisions fall apart exactly where they are load-bearing. Six places the boundaries fail.

Part Three

When something goes wrong

Three ordinary complaints, traced back to the mechanism that produces them. These pages explain how a symptom is generated — they do not diagnose one. Nothing here is a substitute for a clinician.

Condition 08 · Headache cephalalgia

The brain cannot feel pain. A headache is everything around it complaining.

Cut into brain tissue and it registers nothing — there are no pain receptors in it at all. Surgeons operate on a conscious brain for exactly this reason. What hurts is the packaging: the tough membrane wrapping the brain, the big arteries at its base, and the muscles and vessels of the scalp outside the skull.

The cranium, brain parenchyma, ependymal lining and choroid plexus are pain-insensitive. Nociception arises from the dura mater and dural arteries, the proximal arteries of the circle of Willis, the great venous sinuses, cranial nerves, and extracranial muscle and vasculature — transmitted largely via trigeminal afferents with peripheral and central sensitisation.

40%
Of people affected
3.1 billion, 2021
70%
Report episodic
tension-type
3rd
Migraine rank,
global DALYs

Source: WHO headache disorders, 2024 · Clinical Methods, 3e, ch. 59

Cross-section through the scalp, skull, dura and brain, showing which layers carry pain receptors. Outside Inside Scalp muscle Skull no pain Dura Brain tissue no pain receptors Trigeminal V · CGRP
Diagram — pain-sensitive and pain-insensitive layers of the head
  1. 01The insensitive core. Skull, brain tissue, the ventricle lining and choroid plexus carry no nociceptors. Damage there produces no sensation of its own.
  2. 02The sensitive wrapper. The dura and its arteries, the large vessels at the base of the brain and the great venous sinuses are richly supplied with pain fibres.
  3. 03Trigeminal alarm. Dural nerve endings release CGRP and substance P, widening vessels and inflaming the membrane. The fibres then become easier to trigger than before.
  4. 04The outside layer. In tension-type headache, sustained contraction of scalp and neck muscles adds a second source — which is why the ache feels like a band rather than a point.

Condition 09 · Abdominal pain dolor abdominis

Your gut cannot feel a cut. It can only feel a stretch.

The nerves in your intestines ignore things that would be agony on skin. You can cut or burn the bowel wall and feel nothing. What they do report is stretching — a tube being pulled wider than it should be. That is why a stomachache is a vague, deep, hard-to-point-at ache rather than a sharp spot.

Visceral nociceptors respond to stretch as the primary stimulus, along with distension, contraction, traction, torsion and ischaemia, but not to cutting or thermal injury. Afferents travel in unmyelinated C-fibres entering the cord bilaterally at multiple levels, producing dull, poorly localised midline pain.

C
Unmyelinated fibres
slow, diffuse
3
Gut divisions
fore, mid, hind
Fibres that localise
once lining inflames

Source: StatPearls, Acute Abdomen, 2024 · Gray’s Anatomy, 42e

Diagram of the abdomen showing referred pain zones for foregut, midgut and hindgut, and the migration of appendicitis pain. Foregut · epigastric Midgut · periumbilical Hindgut · lower Spinal cord Right lower
Diagram — visceral referral zones and the migration of appendicitis pain
  1. 01A tube is stretched. Gas, obstruction or inflammation distends a hollow organ. Stretch — not cutting — is what the receptors in the wall are built to detect.
  2. 02The signal arrives everywhere at once. Slow C-fibres enter the spinal cord at several levels on both sides, so the brain gets no clear return address.
  3. 03The brain guesses the body wall. Gut and skin nerves converge on the same cord segments, so the ache is felt on the surface — foregut at the stomach, midgut at the navel, hindgut low down.
  4. 04Then it sharpens and moves. Once inflammation reaches the abdominal lining, fast Aδ fibres take over and pin it precisely — the reason appendicitis starts at the navel and ends in the right lower corner.

Condition 10 · Common cold rhinitis acuta

The symptoms are your defence, not the damage.

A cold virus barely harms you. Unlike flu, it does not wreck the lining of your nose — it slips into a few cells and copies itself. Almost everything you feel is your own immune system responding: the streaming, the blocked nose, the sore throat. You are not feeling the virus. You are feeling the reaction to it.

Rhinovirus binds ICAM-1 on nasal epithelium but, in contrast to influenza, produces no significant direct cytotoxicity. Symptoms derive from the innate immune response — bradykinin generation drives sore throat, rhinorrhoea and congestion, with interleukins and prostaglandins contributing systemic features.

2–5
Colds per year
adult average
160
Rhinovirus subtypes
and counting
1–4
Days incubation
before symptoms

Source: StatPearls, Upper Respiratory Tract Infections, 2023 · NHS, Common cold

Cross-section of the nasal lining showing virus binding, an intact epithelium, immune mediators, and the vein dilation that causes congestion. Airway Submucosa Epithelium — stays intact Binds ICAM-1 Bradykinin · interleukins Veins swell
Diagram — why a cold blocks your nose without damaging it
  1. 01The virus docks. Rhinovirus latches onto ICAM-1, a protein already sitting on your nasal cells, and gets inside. One to four days pass before you notice anything.
  2. 02Almost nothing is destroyed. Unlike influenza, rhinovirus causes no meaningful cell death. If damage caused symptoms, you would have none.
  3. 03The response arrives. Infected cells summon the innate immune system. Bradykinin produces the sore throat and the running nose; interleukins and prostaglandins produce the ache and fever.
  4. 04The block is blood, not snot. Veins in the turbinates dilate and engorge, narrowing the airway. That is why blowing your nose does not clear it — and why decongestants target vessels.

Section 11 · References

Every figure on this site traces back to a printed source.

Anatomical counts vary between authorities and across individuals. Where estimates differ, the figure quoted is the one most commonly reported in current reference texts, with the primary study named.

  1. 01Standring S. (ed.). Gray’s Anatomy: The Anatomical Basis of Clinical Practice, 42nd ed. Elsevier, 2020.
  2. 02Hall J.E. Guyton & Hall Textbook of Medical Physiology, 14th ed. Elsevier, 2021.
  3. 03Azevedo F.A.C. et al. Equal numbers of neuronal and non-neuronal cells make the human brain an isometrically scaled-up primate brain. J. Comp. Neurol., 2009.
  4. 04Ochs M. et al. The number of alveoli in the human lung. Am. J. Respir. Crit. Care Med., 2004.
  5. 05Helander H.F. & Fändriks L. Surface area of the digestive tract — revisited. Scand. J. Gastroenterol., 2014.
  6. 06Sender R., Fuchs S., Milo R. Revised estimates for the number of human and bacteria cells in the body. PLoS Biol., 2016.
  7. 07Blanda M. Headache. In: Walker H.K. et al. (eds). Clinical Methods: The History, Physical, and Laboratory Examinations, 3rd ed. Butterworths, 1990. NCBI Bookshelf.
  8. 08World Health Organization. Headache disorders — fact sheet. WHO, 2024. who.int.
  9. 09Patterson J.W. et al. Acute Abdomen. StatPearls. StatPearls Publishing, 2024. NCBI Bookshelf.
  10. 10Thomas M., Bomar P.A. Upper Respiratory Tract Infection. StatPearls. StatPearls Publishing, 2023. NCBI Bookshelf.
  11. 11National Health Service. Headaches and Common cold — condition guidance. NHS, 2024. nhs.uk.