General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
The animal sensibility exists in it in the natural state; but it
appears in a peculiar way, of which no system in the economy, I
believe, offers an example and which no one has precisely pointed
out. The ordinary agents that put it in action, such as the different
stimulants, mechanical, chemical, &c. cannot develop it here, unless
the organ is in an inflammatory state. The tendons, the aponeuroses,
the fibrous membranes, the ligaments, &c. laid bare in operations,
in experiments upon living animals and irritated in various ways do
not occasion any pain. What has been written on the sensibility of
the periosteum, the dura-mater, &c. taken in this sense is evidently
contrary to observation. But if the fibrous organs are exposed to a
sudden and violent extension, then the animal sensibility is evident in
it to the greatest degree; this fact is particularly remarkable in the
ligaments, the fibrous capsules, the aponeuroses, &c.
Lay bare an articulation in a dog, that of the leg, for example;
dissect carefully the organs that surround it; remove the nerves
especially, so as to leave nothing but the ligaments; irritate these
with a chemical or mechanical agent; the animal remains unmoved and
gives no sign of pain. Then stretch these ligaments, by twisting
the articulation, the animal in an instant throws himself down, is
convulsed, cries out, &c. Finally cut these ligaments so as to leave
only the synovial membrane which exists here without the fibrous
capsule, and twist these two bones in an opposite direction; the
twisting ceases to be painful. The aponeuroses, the tendons even laid
bare and drawn in an opposite direction, produce the same phenomenon.
I have frequently repeated these experiments which prove incontestably
what I have advanced, viz. that the animal sensibility of the fibrous
system, incapable of being brought into action by the ordinary means,
is very evident in the distensions of which they are the seat. Observe
that this manner of being excited is analogous to the functions that it
performs. Separated in fact by its deep position from every external
excitement which can act upon it chemically or mechanically, it has no
need, like the cutaneous system for example, of a sensibility which
would transmit the impression of it; on the contrary, the most of
these organs, as the ligaments, the fibrous capsules, the tendons,
&c. being very subject to being distended, stretched and twisted in
the violent motions of the limbs, it was necessary that they should
communicate to the brain this kind of irritation, the excess of which
might without this become injurious to the articulations or the limbs.
Observe how nature accommodates the animal sensibility of each organ to
the different excitements it may experience, to those especially which
would become dangerous if the mind was not informed of them; for this
vital power is the essential agent by which the animal watches over its
preservation.
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