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 first considerations that induced me to think that the great
sympathetic is not a nerve like the others, but a series of
anastomoses, were the following. 1st. These communications are often
interrupted, without any inconvenience, in the organs to which the
great sympathetic goes. There are subjects, for example, in whom is
found a very distinct interval between the pectoral and lumbar portions
of this pretended nerve, which seems cut in this place, because the
last pectoral ganglion and the first lumbar do not send branches to
each other. I have often seen also the sympathetic nerve cease, and
afterwards appear again between two ganglions and from the same cause,
whether in the loins, or in the sacral region. 2d. Every one knows
that the opthalmic ganglion, the spheno-palatine, &c. are constantly
distinct, and that they do not communicate by their branches except
with the cerebral nerves. It uniformly happens that there is between
them and those of the great sympathetic, what we sometimes see between
these last, viz. a complete deficiency of communication. 3d. In birds,
as has been observed by Cuvier, the superior cervical ganglion is also
found constantly distinct; it never communicates with the inferior.
The filament which in quadrupeds descends the length of the neck, is
wanting in them. In many other animals we frequently find interruptions
in this succession of anastomoses of ganglions, which constitute
what is called the great sympathetic. 4th. The communications of the
ganglions are usually made by a single branch; but sometimes many go
from one of these organs to the other, so that if the great sympathetic
was a nerve like the others, it would present, in this respect, an
arrangement wholly different from that of the cerebral nervous system.
5th. Whence does the great sympathetic arise? From the sixth pair? But
all the nerves diminish as they go from the brain towards the organs;
but this presents then an arrangement entirely different; it increases
as it sends off branches. Does it arise from the spinal marrow? But
then the branches with which it furnishes a region would come from the
branches that it receives from the spinal marrow in this region. Thus
the great and small splanchnic would arise from certain intercostal
pairs, now they are evidently much larger, the first especially, than
the sum of the branches from which they would derive their origin.
Observe then that all anatomists have been of a different opinion upon
the origin of the great sympathetic. How could they agree upon a thing
that has no real existence?
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