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
Different causes can make the pulse vary; these causes are, 1st,
relative to the heart, almost the only agent of impulse; thus its
sensible organic contractility, increased, diminished, altered
sympathetically or in any other way, can make it with the same stimulus
contract quicker, slower, or more irregularly than common; thus the
diseases of its organization inevitably alter its motion. 2d. The blood
charged with different natural or morbific substances is a stimulant
more or less capable of putting in play the motion of the heart. 3d.
The general capillary system, according as it receives a greater or
less quantity of blood, or refuses admission to that which the arteries
send there, &c. produces necessarily numerous varieties in the pulse.
There are but few causes relative to the arteries themselves.
If now we consider the great number of causes that can be referred
to these three principal heads, we shall cease to wonder at the
prodigious variety that the pulse exhibits in health, and especially
in diseases. Besides, I shall not examine here in its whole extent
the question concerning the pulse; it is sufficient to have announced
the principles; I shall hereafter develop the consequences, which
are, as we know, of the greatest importance to the physician. We see
by the different views that I have presented, that almost all authors
have described in an inaccurate manner the motion of the blood, and
what loose ideas they have had of it. Experiments have only served to
confuse them; it is a work that requires to be entirely done again,
either with the materials that many respectable authors have already
amassed, especially Haller, Spallanzani, Weitbreck, Lamure, Jadelot,
&c. or with new facts. I have only presented the first bases of this
work.
We have seen how favourable the firm and elastic structure of the
arterial texture is to the locomotion of the arteries, and the
influence the curves of these vessels have upon it. I will add that
the loose union that they form with the neighbouring parts, and their
uniform position in the cellular texture, singularly favour this
locomotion.
If the red blood flowed in the veins, we should feel under the finger
a kind of rustling, instead of the motion of the pulse; this is what
happens in varicose aneurism. There would be no locomotion if the
arterial parietes were made of the dermoid, mucous, serous textures,
&c. there would be different phenomena with the common impulse.
There are then two things in the pulse; 1st, impulse of the blood,
sudden and general motion of its mass by the contraction of the heart;
2d, locomotion of the arteries, an effect produced by this fluid
upon the arterial parietes which transmit it. The first is the most
essential; as to the second, it would vary, if the arterial texture
that produced it ceased to be the same; it depends upon this texture,
and is not essential to the circulation.
Public-domain text, read in full here on John Shaqi.
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