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
Have the cerebral nerves any influence upon the organic sensibility
of other parts? I think not, and this is the essential difference
that distinguishes it from animal sensibility, which we can with
difficulty conceive of, especially in its natural state and in the
external sensations, without the nervous influence intermediate
between the brain and the part that receives the impression. To prove
this assertion, let us examine the functions that depend upon organic
sensibility. These are, 1st, the capillary circulation, 2d, secretion,
3d, exhalation, 4th, absorption, 5th, nutrition. In all the phenomena
of these functions, the fluids make an impression on the solids of
which we have no consciousness, and in consequence of which the solids
react. It is by the organic sensibility that the solid receives the
impression, it is by the insensible contractility that it reacts; now
in none of these cases do the nerves appear to perform an essential
part.
1st. The capillary circulation exists in the cartilages, the tendons,
the ligaments, &c. in which the nerves of animal life do not enter.
Inflammation, which is only a derangement, an increase of this
capillary circulation, takes place in these organs, as well as in those
that are the most nervous; what do I say? where the nerves are the
most numerous, this affection is not the most frequent; the muscles
are an example of this. The tongue, whose surface alone has more than
four or even five times the quantity of nerves of the mucous surface,
is not so often inflamed as the rest of this system. The retina,
which is entirely nervous, is rarely inflamed. Nothing is more rare
as I have said, than the inflammation of the nerves themselves; the
internal substance of the brain is hardly ever inflamed. On the other
hand, examine the serous surfaces, the cellular texture, in which there
are infinitely less nerves; the capillary circulation is constantly
active there, and inflammation comes on. In the limbs of paralytic
patients, in animals in whom the nerves are cut in order to render a
part insensible, does not the capillary circulation continue as usual,
when the nervous action has ceased there? Have you ever accelerated
this circulation in a limb, or produced inflammation, by increasing
convulsively by irritation the action of the nerves of this limb? The
phenomena of convulsions and those of paralysis, are wholly distinct
and have no analogy with those of inflammation; this would not be so,
however, if the cerebral nerves had any influence upon them. In the
first phenomena, it is the animal sensibility that is altered; in the
second it is the organic; this is then independent of the cerebral
nerves.
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