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
Few systems exhibit these properties more obscurely than this. If we
draw a nerve, in an opposite direction, in a living animal, it is
extended with difficulty, makes great resistance, and acquires a
length but little more than what is natural to it; this appears to
depend particularly on the nervous coat. The medullary substance would
yield much more. We know how much that of the brain is stretched in the
dropsy of the ventricles. If a great trunk is distended by a subjacent
tumour, as in popliteal aneurism, by a swelling in the axilla, &c. it
is flattened down like a ribbon; its filaments are separated and lay
at the side of each other, and it is consequently much widened. Thus
distended, these filaments can yet sometimes transmit sensation and
motion, at other times these two functions are annihilated there.
In general, a sudden distension interrupts them much more certainly
than that which comes on slowly. Hence why the luxation of the head of
the humerus often occasions paralysis, whilst it rarely happens from
very large chronic tumours in the axilla. Spontaneous luxations of
the vertebræ, which always come on slowly, are rarely accompanied by
paralysis, an accident which is always the result of those that happen
from external violence. It is thus in the brain, osseous tumours,
large fungi which increase slowly, disturb its functions but little,
while the least depression of a bone of the cranium, that succeeds
a fracture, entirely deranges them. In hydrocephalus, also, a great
collection of serum has oftentimes but little effect upon sensation,
which is nearly destroyed, when a little more of this fluid than common
is exhaled in the ventricles, as happens in some kinds of apoplexy.
When a large cavity, like the abdomen, is distended, the nerves that
are there yield partly because their curves disappear, and partly
because they are really elongated; there is also a greater separation
of them.
The contractility of texture is still less evident than the
extensibility. A nerve cut transversely, does not retract at the two
ends, which remain opposite to each other, like those of a tendon.
In amputation, the end of the nerve remains longer than those of
the muscles, the skin, &c. This is sometimes the cause of a painful
pressure from some part of the dressing.
II. _Vital properties._
These are less evident in the nerves, than would be thought at first,
from the opinions of a great many physicians, who have made these
organs perform almost the whole part in diseases.
_Properties of animal life._
The nerves must be considered, in regard to sensibility, in two points
of view. 1st. We should examine that which is inherent in them. 2d. It
is necessary to consider the part which they take in that of all the
other organs.
_Animal sensibility inherent in the nerves._
Public-domain text, read in full here on John Shaqi.
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