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
proportion as to development with the cerebral nerves, if these form
them by expanding? 9th. Why has not pain the same character in each
species of nerves?
I have no opinion as to the nature or the functions of the ganglions,
because I have no fact to support me; but there is certainly something
more in their texture, than a mere expansion of nervous filaments.
Scarpa admits a peculiar matter which separates these filaments; but
this substance ought to predominate considerably, as the ganglion
surpasses in size the nerves which are thought to give origin to it.
Now I have never seen this substance; I do not know what it is; all is
solid when the ganglion is cut. I think then by admitting, even to a
certain extent, the internal arrangement that this author has observed
in the ganglions, we cannot describe these organs in the point of view
in which he has presented them.
We know but little of the alterations that diseases produce in the
texture of the ganglions. I have already many times examined in
diseases of the heart, of the liver, of the stomach, the intestines,
the ganglions that send nerves to these viscera; they have never
appeared to me to have undergone any change. In cancers of the stomach
in the very last stage, in which all the cellular texture is engorged,
and in which all the lymphatic glands are considerably swelled, I have
always found the semi-lunar ganglion untouched, except however in one
case where it was enlarged and its density a little increased. At
another time I found this same ganglion of the size of a small nut,
with a cartilaginous substance in its centre, resembling the stone
of it, in the body of a man brought to the Hôtel Dieu on account of
periodical mania. Some authors have thought, and I suspect the same
thing also, that the hysteric paroxysms, which begin by a contraction
at the epigastric region, and in which the patient feels a ball mount
up even to the throat, arise from some affections of the semi-lunar
ganglions, from the solar plexus and the communications which go from
ganglion to ganglion, even to the neck. However two bodies that I have
opened lately, exhibited no alteration, though during life the subjects
had been frequently attacked with these paroxysms; but they may arise
evidently from the ganglions and the epigastric plexuses, without their
being altered in their structure, as a number of cerebral affections
leave after them no trace in the brain. This point deserves particular
examination.
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