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
If those physicians, who have considered the anastomosis as the
exclusive causes of all sympathy, had reflected how few they are in
comparison with what they appear at first view, they would have been,
by this simple reflection, led to a different opinion. In fact, it is
very evident, that though a filament is joined to a trunk, it has no
more relation to the filaments of that trunk, than these have among
themselves; that is to say, that there is nothing in common but the
cellular covering. The arterial and venous anastomoses are infinitely
more numerous than the nervous. I believe that they can perform a part
in neuralgia, in some sympathies even, a part foreign to the simple
communications of the filaments.
We can generally refer anastomoses to three classes. 1st. Two branches
belonging to different nerves, go on together, as in the example cited
above of the great hypo-glossal, and as also the branches of the facial
with those of the sub-orbitary, the occipital with the frontal, &c.
2d. The branches of the same nerve can unite together, as those of the
three portions of the trigemini. 3d. Sometimes the two nerves of the
same pair, or those of two different pairs, but coming from the two
halves of the nervous system, unite at the median line; some examples
of this may be seen in the superficial nerves of the neck, in those
of the chin, &c. This union does not take place upon the abdomen,
where the median line, entirely aponeurotic, has no nervous branch in
its texture. It is perhaps by these anastomoses that take place at
the median line, that we may explain, how certain motions can still
continue in a part affected with paralysis. This sort of anastomosis
is in general very rare. In the extremities it is evident, that they
cannot exist; in the trunk, they are hardly ever seen behind, and not
frequently before. If every pair of nerves gave examples of them, it is
clear that hemiplegia would rarely take place, because the sound side
of the brain or spinal marrow would through them have an influence upon
the nerves of the affected side.
_Anastomoses with the system of organic life._
This termination has a great analogy with the preceding, since there
are two nerves, which meeting at their extremity, are blended in such
a manner, that we cannot tell where one begins, or the other ends. I
shall treat of this in the following system.
_Termination in the organs._
Public-domain text, read in full here on John Shaqi.
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