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
We cannot doubt but that this organic state of the brain in old age,
has much influence upon the preceding phenomena; to this must be
referred the less acuteness of pain at this age. A cancerous tumour
of an old person, exactly analogous in its position, form, size and
nature to that of an adult, produces much less suffering. Cancers of
the womb, the stomach, the breast, &c. furnish examples of this. All
the local causes of pain show also the same thing. In the numerous
experiments I have made upon living animals, I have uniformly observed,
that young ones, when the sensible parts are cut, give signs of the
most acute pain; whilst old ones show infinitely less expression of it
under similar circumstances. I would make one other remark upon this
subject; it is that the variety appears in dogs, in a certain degree to
have an influence upon the acuteness of their sensations. All the large
varieties make but little noise, and are not much agitated, when their
skin, their nerves, &c. are cut; whilst all the small ones, though they
may be old, struggle, are agitated, and manifest upon the slightest
cause, the most acute sensibility.
As to the influence of age upon pain, it is not astonishing that the
animal sensibility having become very obscure in a natural state,
should preserve the same character in disease. An old person suffers
then much less than the adult, and especially than the infant, under
the influence of the same causes; it is a compensation for the
diminution of their enjoyments. The infant finds in every thing that
surrounds him, a cause of pleasure or of pain; thus smiles and tears
succeed each other a hundred times a day upon his little face. An old
person on the contrary is always calm; indifference is his natural
state.
The nerves experience the same changes as the brain; they harden
gradually with age; however their proportion of hardness in the
first and last ages is much less remarkable than that of this organ;
this arises from the nervous coat; for the effect upon the medullary
substance appears to be the same. This medullary substance has appeared
to me to be less abundant in the optic nerve of an old person; however
it is difficult to determine the quantity. The colour of the nerves
becomes dull, like that of the brain. They receive fewer vessels. They
are never ossified.
Sometimes we say that the extremities of the nerves have become
callous; it is a vague expression, to which no meaning can be attached.
When will medical language cease to refer to the empty and inaccurate
hypotheses that formerly constituted medicine? Most of these hypotheses
have passed away, yet the names to which they gave birth remain.
Public-domain text, read in full here on John Shaqi.
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