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 animal sensibility of the nerves has another peculiar character,
which consists in this, that the local irritation of a trunk often
produces suffering in the whole branches. 1st. We know that when the
cubital is compressed at the elbow, the pain extends along its whole
course, and that it spreads over the whole external part of the leg,
when the peroneal suffers. 2d. In the tic douloureux of the face, in
the sciatic disease, and generally in all that class of diseases of
which Mr. Chaussier has given a sketch under the name of neuralgia, an
analogous observation may be made. 3d. When we wound, without dividing,
one of the branches of the saphena, the internal cutaneous or muscular
cutaneous, in the operation of blood-letting, the subjacent part
frequently becomes numb, then painful and swelled; the irritated point
is a centre, whence go forth, along the whole course of the nerves,
painful irradiations, the consequences of which oftentimes cannot
wholly be stopped, except by dividing the irritated trunk. Thus, in
tic douloureux, the division of the nerves has sometimes overcome the
disease, though we shall succeed less frequently here by these means
than in the preceding case, where the affection is local, while here it
is usually extended along the whole course of the nerve. 4th. I have
irritated, in a dog, the sciatic nerve with nitric acid; the whole limb
was swelled and painful the next day. I have at this time another, the
whole of whose fore limb is swelled, because I passed a pin, two days
before, through one of the anterior nerves, taking care to entangle
some of the nervous filaments. This precaution is essential, for I
passed a pin through the cellular texture that separates the filaments
of the sciatic, without producing any effect. I should observe,
however, that these different experiments do not always succeed, and
that I have irritated a nerve at one point sometimes without producing
any effect. 5th. The ligature of nerves is rarely followed by these
accidents, because the communication with the brain is interrupted, by
the very means that irritate, and because the medullary substance is
flattened and its sensibility destroyed. However accidents have often
happened from tying a nerve in the operation for aneurism, and though
there is no real danger in making the ligature, all good practitioners
advise that it should be avoided.
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