General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
The following are the cerebral membranes that are found at the origin
of the nerves; 1st. the dura mater forms for them a kind of canal in
the fissure through which they go out, then it quits them entirely, and
is partly lost in the cellular texture, and the remainder is reflected
upon the edges of the opening and continued with the periosteum. The
optic nerve is the only exception to this; it is accompanied in its
whole course by a fibrous canal, which goes even to the sclerotic coat,
which in this way, communicates with the dura mater. 2d. The tunica
arachnoides surrounds every nerve at its origin with a fold formed
oftentimes in the shape of a tunnel, the broadest part of which is at
the origin. By carefully raising the brain, or by opening the dura
mater of the spinal canal, we very easily discover this fold, which is
continued to the osseous opening, through which the dura mater enters,
it is then reflected upon the surface of this membrane corresponding
with the brain, forming a sac between it and the nerve. Sometimes, as
in the optic nerve and the motor externus, it penetrates the fibrous
canal of the dura mater, and accompanies the nerve to the middle of the
canal, which, consequently, is lined in part by the tunica arachnoides,
and partly by the cellular texture. 3d. The pia mater is used in a
manner that is difficult to understand, and which has not as yet been
well explained. I shall speak of its continuity upon the nerves, in
treating of their peculiar membrane.
The nerves go over a more or less considerable extent before going
out of the cranium or the spinal canal. 1st. The two that arise from
the cerebrum are much longer within than without. 2d. Among those of
the tuber annulare and its dependancies, the pathetic nerves are the
only ones that remain any length of time in the cranium before they
go out of it, and that have a greater extent there than externally;
all the others go out almost immediately. 3d. The nerves of the spine
have a much greater extent when examined lower down. Above, they become
directly external; below, they are six inches long in the canal, and
consequently pass many foramina before they arrive at their own;
hence it happens, as has been observed by Jadelot, that if we avail
ourselves of the spinous processes, on account of their prominence, to
judge of the origin of the nerves in the application of the moxa, it
is necessary, in the neck, in order to act upon a point corresponding
with the origin of any nerve in particular, to take nearly the spinous
process of the vertebra that corresponds numerically with the pair that
we have in view, whilst in the loins it is much above this vertebra
that the application should be made.
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