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
1st. The first reason that induces me to believe that the heart is
almost every thing, and that the arteries are particularly passive on
the score of vitality in the motion of the red blood, is the comparison
of the vital forces of these two organs, the astonishing activity
of the organic contractility of the heart, and the absence of this
property in the arteries. In fact, to move of itself, it is necessary
that an organ should have the principle of motion, that is to say,
one of the two kinds of vital contractility in a sensible degree, the
organic or the animal; for we do not know of other vital forces in the
animal organs, and we cannot say that nature has created one especially
destined for the arteries. Grimaud admitted that there was an active
dilatation of the vessels, which opened of themselves, according to
him, to receive the blood, and were not opened by its impulse. We shall
see that this kind of motion is real, to a certain extent, both in the
heart and in the organic muscles. But here it is wholly different;
the heart dilates of itself when it is empty, as we see by drawing it
out of a living animal, and by emptying it afterwards of the fluid it
contains, because it has in itself the cause of its dilatation. But in
no case have I seen the arteries thus undergo an alternate motion when
they are empty. They are uniformly found contracted upon themselves.
2d. If the arteries produce the pulse by their vital contraction, there
ought to be an irregularity in the pulsations below an aneurismal
tumour, since the arterial texture being altered, it loses in part its
contractility, or at least this property is changed. Now we observe
precisely the contrary. On the other hand, every organic disease of the
heart inevitably affects the pulse. Is there an increase of the fleshy
fibres, as in the aneurisms in which the left ventricle is so thick?
it becomes strong; it is irregular, if obstructions exist at the
mitral or aortic valves. If in old age, ossification exists only in the
arteries, the circulation is unaffected; if at the origin of the aorta
or in the heart, it is irregular. An artery might become a bony canal,
and the blood would circulate there as usual, with the difference
only of pulsation. What I have said of the chronic affections of the
heart may be said of the acute ones. Syncope arrests its motion, it
arrests also the pulse. Certain passions, as anger, fear, &c. seem to
be a stimulant to it; they hasten also the arterial motion. All kinds
of inflammation of the pericardium affect the pulse. This membrane
often adheres to the heart in consequence of inflammation, and at
the same time the pleura of both sides adheres to it also; so that
we might say then that the lungs and the heart made but one. I have
seen four examples of this morbid state, in which the motions of the
heart were much contracted; in all the pulse was small, irregular, and
intermittent. The more I open bodies, the more I am convinced that
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General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3) — John Shaqi
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