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 continual motion of a part sometimes increases a little the organic
sensibility of the nerves that are found there, makes their nutrition
more active and their size more apparent; but generally this phenomenon
is infinitely less sensible in them than in the muscles. On the other
hand though the nerves may have lost the faculty of transmitting
sensation and motion, this last especially, they still preserve for a
long time the same degree of organic sensibility, and their nutrition
is the same as usual. I have many times examined comparatively
the nerves of the sound side and those of the side affected with
hemiplegia; I have never found in them any difference. It is only when
the limb becomes atrophous, which never happens except at the end of a
long time, that the nerve diminishes in size.
I have often searched to see, if, when a part, in which there are
nerves, has been a long time the seat of uninterrupted painful
sensations, the nutrition of these is altered, and consequently if
their organic sensibility is affected. I have dissected the stomachic
cords in cancers of the pylorus, the uterine nerves in those of the
womb; I have not found any sensible difference, except in two subjects,
in whom they were a little enlarged. Desault discovered also in a
body affected with carcinoma of the fingers, the median nerve of
uncommon size; but this phenomenon certainly is not as general, as
the dilatation of the arteries in this kind of tumours. As to acute
pains, like those of rheumatism, of different inflammations, &c.
however severe they may be, they have no effect upon the nutrition of
the nerves which transmit them. When the pain is seated even in the
nervous texture itself, as in the tic douloureux, there is oftentimes
no organic affection. At least Desault had occasion to open two
patients that had had that disease, and the nerves were the same on
each side. This, however, deserves further research, and it may be,
that in many cases, the internal substance of the nervous cords is a
little altered; for I preserved the sciatic nerve of a patient, who had
experienced very acute pain in its whole course, and this had at its
superior part, a number of little varicose dilatations of veins that
entered it.
_Influence of the cerebral nerves upon the organic properties of other
parts._
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