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
In the organic sympathies of the fibrous system, it is sometimes
the insensible organic contractility that is brought into action,
and sometimes the sensible organic contractility; the following
are examples of the first. 1st. The dura-mater being inflamed, the
inflammation which always supposes an increase of the tonic forces
or of the insensible organic contractility, is often discoverable in
the pericranium and vice versa. 2d. The irritation of a considerable
extent of the periosteum often makes the medullary organ inflame and
suppurate. 3d. The articular ligaments being stretched by twisting,
all the neighbouring parts, and frequently the whole limb, swell and
become a centre of irritation in which all the vital forces of life,
insensible contractility in particular, are found much more raised than
usual, &c.
At other times it is the sensible organic contractility which is
brought into action. 1st. We often observe in the operation for
cataract by depression, that the wound of the sclerotica occasions
sympathetic vomitings, risings of the stomach, intestines, &c. 2d.
A violent pain in any part, in the fibrous system in particular,
increases very much the sensible organic contractility of the heart
and thus produces from sympathy an acceleration in the motion which
it gives to the blood. 3d. I have seen a man in whom Desault reduced
a luxation, and who, from the great pain which the stretching of the
ligaments gave him, was unable to retain his fœces, so great was the
contraction of the rectum.
We see that in these sympathies, it is sometimes the fibrous system
which exerts its influence upon the others, and sometimes they exert
their action upon it. It is principally when it is drawn, when the
peculiar kind of animal sensibility which it enjoys is put into action
that it occasions in the whole economy a remarkable sympathetic
derangement. I presume the ancients considered as nerves all the
white parts, the ligaments, the tendons, &c. on account of the very
serious accidents they had observed from their stretching in sprains,
in complicated luxations of the knee, the elbow, the ankle, luxations
which can never be produced without a violent stretching of many
ligaments, of aponeurotic and tendinous parts, &c. A stroke of a sabre
which divides the ligaments of the tarsus, a body which bruises them,
produce consequences much less serious, than a false step that twists
them. This leads us to an important general consideration, the truth
of which is proved by the examination of the other systems; viz. that
it is the predominant vital property in a system, which is especially
brought into action by sympathies. As the animal sensibility, capable
of responding to the agents of distension, is here the most strongly
marked, it is this that performs the principal part in the fibrous
sympathies.
ARTICLE FOURTH.
DEVELOPMENT OF THE FIBROUS SYSTEM.
I. _State of the Fibrous System in the first age._
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