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
This example gives an idea of what occurs in diseases, in all of which
the solids are especially in action; but the cause of this action,
sometimes exists in them, and sometimes not. It is no doubt essentially
necessary to seek the distinction of these cases. The following
reflections are made with this view. 1st. I distinguish, in the present
question, diseases into two classes; 1st. into those which especially
affect animal life; 2d. into those that particularly disorder organic
life. I say particularly, for such is the connexion of these two lives,
that the one can hardly be altered without the other; thus fevers that
affect organic life, produce cerebral effects that agitate the animal:
thus also primitive cerebral affections influence sympathetically
the circulation, respiration, &c. But certainly we cannot deny, that
there are some affections, whose principal and primitive character is a
disorder of the animal life; such are convulsions, spasms, paralysis,
mania, epilepsy, catalepsy, &c. But it appears that the cause of these
diseases is almost always in the solids, and that the fluids most
commonly are not affected. Therefore you see that crises, in every case
are foreign to these diseases. Hypochondria, hysteria, melancholia,
&c. though they appear to reside more particularly in the solids, can
yet be in a degree dependant on the fluids, as different examples will
prove.
Diseases, on the other hand, that particularly affect organic life,
as fevers, inflammations, &c. may have their principle as well in the
fluids as in the solids. Hence the reason, that these diseases are
subject to crisis, and are cured by evacuants, alteratives, &c.
2dly. It is necessary in order to resolve the question of the affection
of the solids or the fluids in diseases, to distinguish their phenomena
into those which are sympathetic, and those that are the product
of a direct excitement. Every sympathetic phenomenon has its seat
essentially and necessarily inherent in the solids. In fine, the
solids alone act upon each other and correspond together by means yet
unknown. All sympathetic vomiting, febrile agitation of the heart,
exhalation, secretion, and absorption, arise from a change effected,
by the influence of a part more or less remote, in the solids of those
which are the seats of these phenomena. When cold acts upon the skin
covered with sweat, immediately the pleura becomes affected. If cold
water is conveyed into the stomach while the body is hot, an effect is
oftentimes produced upon a distant organ. This is sympathy, and not the
repercussion of the humours. In this work I have cited a great number
of examples of sympathy under each system; but in none of them I think
is it possible to conceive of an affection of the fluids.
3dly. The division of diseases into organic, or those which alter
the texture of the organs, and into those which leave this texture
untouched, is still essential here. The first have their seat evidently
in the solids.
Public-domain text, read in full here on John Shaqi.
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