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
These different considerations prove in a positive manner, the
influence that a portion of an irritated nerve has upon the animal
sensibility of all the subjacent ramifications. Physicians do not
give sufficient attention to this cause of pain, which is often very
extensive without any apparent wound. An irritated nerve in a fracture
of the ribs, in that of a limb, in a wound, in a tumour, &c. can
produce at a distance a number of phenomena, the cause of which often
escapes us, and which we should soon discover if we reflected upon the
distribution of the branches going from the trunk of the nerve that is
near the affected part.
Why in these phenomena, is the animal sensibility of the nerve below
the affected part always raised? Why does this phenomenon never take
place on the side of the brain, though it is in this direction that
sensation is conveyed in a natural state? I know not.
No other system, among those all of whose parts are united like the
nervous system, presents the same phenomenon. The arterial, the venous,
the absorbent, never feel thus in their different ramifications, the
affections of any one part of their trunk. The cellular is not affected
at a distance by the diseases of one of its parts. In the mucous
which is continuous, a part being irritated, oftentimes others also
are affected, as when the stone in the bladder produces suffering in
the glans penis; but there is always an intermediate portion more or
less considerable, which remains without being painful; this is a real
sympathy; whereas in the other, the whole nervous trunk suffers, from
the affected part to the nervous extremities.
_Influence of the nerves upon the animal sensibility of all the organs._
After having considered the animal sensibility in the nervous system
itself, we must examine the part this system performs in this property
described in relation to all the other organs, in which it is often the
means of transmission between the organ that receives the sensation and
the brain which perceives it. So that when any point of the nervous
system suffers, as in the preceding cases, the portion of nerve that
is between this point and the brain, serves to conduct the impression.
Thus in animal contractility, the nerves are always intermediate to the
brain, which is the principle of the motion, and to the muscle that
executes the motion. There is, however, more difficulty in the first
kind of transmission than in this, which, to be explained accurately,
requires that we should distinguish two kinds of sensations perceived
by the internal sensitive principle, 1st. the external; 2d. the
internal.
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