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
2d. Many remedies act particularly upon the sensible organic
contractility; such are emetics, which produce a contraction of the
stomach; cathartics, and drastics especially, which create a strong
contraction of the intestines. Art does not excite the heart in the
same manner as these viscera; we do not artificially increase its
movements as we do those of the stomach in gastric diseases. It will,
perhaps, hereafter be attempted, especially if it is true that fever
may often be a method of cure, and then it will not, I think, be
difficult to find the means of effecting it. At other times, we have
to diminish sensible organic contractility, and then remedies are
employed that act in a manner opposite to the preceding, as in stopping
vomitings, in diminishing intestinal irritation, &c.
3d. Animal sensibility has also remedies that are peculiar to it.
But they act in two ways—1st. in diminishing pain in the part where
it is seated, as different applications upon tumours, obstructions,
&c.: 2d. in acting upon the brain that perceives the pain; thus all
narcotic preparations, taken internally, remove the sensation of pain,
while the cause still subsists. In cancer of an ulcerated uterus, the
disease continues its progress with activity, but the prudent physician
stupifies the brain so much, that it is incapable of perceiving it. It
is essential to distinguish accurately these two actions of remedies
upon the animal sensibility. They are totally different from each other.
4th. Medicinal substances have also their influence on animal
contractility. Every thing that produces an active excitement on the
external surface of the body, as vesicatories, frictions, smarting,
&c. tends to re-animate in paralysis this benumbed faculty. All those
substances that paralyze the cerebral action, prevent the brain from
governing the muscles of animal life; when these muscles, therefore,
are convulsively agitated, these substances are true anti-spasmodics.
In presenting these observations, I do not mean to offer a new plan
for the materia medica. Medicines are too complicated in their action
to be arranged anew, without more reflection than I profess as yet to
have bestowed on the subject. Moreover, an inconvenience common to
every classification, would here present itself: the same medicine
acts often upon many vital properties. An emetic, while it brings into
action the sensible organic contractility of the stomach, excites the
insensible contractility of the mucous glands, and oftentimes the
animal sensibility of the nervous villi. The same observation may be
made with regard to the stimulants of the bladder, of the intestines,
&c. My only object is to show, that in the action of substances applied
to the body to heal it, as in the phenomena of diseases, every thing
must be referred to the vital properties, and that their augmentation,
diminution, or alteration, are ultimately the invariable object of our
curative method.
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