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
There has not been in the materia medica, a general system; this
science has been governed by the different theories that have
successively predominated in medicine; each has, if I may so express
myself, flowed back upon it. Hence the vagueness and uncertainty
that it presents at this day. An incoherent assemblage of incoherent
opinions, it is perhaps of all the physiological sciences, that
which best shows the caprice of the human mind. What do I say? It is
not a science for a methodical mind, it is a shapeless assemblage
of inaccurate ideas, of observations often puerile, of deceptive
remedies, and of formulæ as fantastically conceived as they are
tediously arranged. It has been said that the practice of medicine was
disgusting; I add further, that it is not in some respects the study
of a reasonable man, when its principles are derived from the greatest
part of the works on the materia medica. Take away those medicines, the
effect of which is known only by accurate observation, as evacuants,
diuretics, sialagogues, anti-spasmodics, &c. those consequently that
act upon a particular function; what knowledge have we of the remainder?
It is, without doubt, extremely difficult at present to class remedies
according to their modus operandi; but it is undeniable that all have
for their object, the restoration of the vital forces to the natural
type, from which they have been driven by disease. Since the morbid
phenomena may be considered as different alterations of these forces,
the action of remedies should also be viewed as the means by which
these alterations are to be brought back to the natural type. Upon this
principle, each of the properties has its class of appropriate remedies.
1st. We have seen that there is in inflammations an increase of organic
sensibility and insensible contractility; diminish then this increase
by cataplasms, fomentations, and local baths. In some dropsies, in
white-swellings, &c. there is a diminution of these properties; raise
them by the application of wine and all those substances that are
called tonics. In every species of inflammation, suppuration, tumours
of different kinds, ulcers, obstructions; in every alteration of
secretion, exhalation, or nutrition, the remedies act peculiarly upon
the insensible contractility, to increase, diminish, or alter it in
some way. All those that are called resolvents, tonics, stimulants,
emollients, &c. act upon this property. Observe, that these remedies
are of two kinds: 1st. general; as wine, ferruginous substances,
oftentimes the acids, &c.; these re-animate insensible contractility,
and give tone to the whole system: 2d. particular; thus this property
is separately excited by nitre in the kidnies, mercury in the salivary
glands, &c.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account