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
It is especially when muscles have been first stretched, and this
stretching has ceased, that the contractility of texture becomes
evident. The puncture in ascites and an accouchement as it respects the
abdominal muscles, the opening of deep abscesses as it respects those
of the trunk, the extirpation of a tumour situated under any muscle,
&c. show us this property in action in a very striking manner. There
is however an observation to be made on this point, viz. that if the
extension has been of long continuance, or if it has been frequently
repeated, the subsequent contraction is much less, because the muscular
texture has been weakened by the painful state in which it has been;
hence, 1st, the flaccidity of the abdomen after repeated pregnancy; 2d,
the laxity of the scrotum, after the puncture of an old hydrocele; 3d,
I have seen at Desault's a man who was operated upon in Germany for a
fungus in the mouth, and who had, on that side on which the disease had
been, remarkable wrinkles, owing to the greater extent of the fleshy
part of that side, which could no longer contract like the other;
mastication, at this time could only be performed on the sound side;
4th, when women have had many children, the diaphragm is weakened by
repeated pressure, and hence in part the greater mobility of the ribs,
which compensate in some measure in females for the deficiency of
action of this muscle. I think that in many chronic affections of the
chest and abdomen, in which there is a long continued distension of
this muscle, physicians ought more than they do, to have regard to this
cause of difficulty of respiration, when the principle of distension no
longer exists, as after the evacuation of dropsies, &c.
The extent of the contractility of texture is in the muscles in
proportion to the length of the fibres; hence why in amputations,
the superficial part retracts more than the deep-seated; why in
sleep the phenomena of contractility of texture are very apparent
in the extremities, the muscles of which are very long; why, in the
antagonists, nature has in general opposed muscles of proportional
length; why consequently, a muscle with long fibres has rarely for
a counterpoise one with short ones, and vice versa. The flexors and
extensors of the arm, the fore-arm, the thigh and the leg are nearly
of the same extent; the rotators of the humerus within and without,
the first inserted into the sub-spinal depression, the others into the
sub-scapular, resemble each other also in this respect. The proportion
between the antagonists is still more remarkable on the face, where the
same muscles act most commonly in an opposite direction on each side of
the median line.
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