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 ordinary state if more blood is carried to this organ, as in
anger; if opium, taken in a moderate dose, excites it slightly; if
wine produces the same effect, the muscular action increases in energy
in proportion as that of the brain is thus increased. If terror by
retarding the pulse, by diminishing the force of the heart, and even
the quantity of blood sent to the brain, strikes it with atony; if
the different narcotics, carried to excess, produce the same effect;
if wine prevents its action by its too great quantity, then observe
these muscles languish in their motion and experience even a remarkable
intermission. If the brain is wholly engrossed in its relations with
the senses, or in its intellectual functions, it, if we may so say,
forgets the muscles; these remain inactive; the man who looks or hears
with attention, does not move; neither does he who contemplates,
meditates and reflects. The phenomena of ecstasy, the history of the
studies of philosophers, often present us with this important fact,
this muscular inertia, the principle of which is in the distraction of
the cerebral influence, which does not increase in other functions,
only by diminishing in locomotion.
In diseases, all the causes which act strongly on the brain, re-act
suddenly on the animal muscular system; now this reaction is manifested
by two opposite states, by paralysis and by convulsions. The first is
the indication of diminished energy, the second that of increased; one
takes place in compressions from pus, effused blood, bones driven below
their natural level, and from the consequences of apoplexy; it is seen
in the attack of most hemiplegias, a sudden attack in which the patient
falls down, loses all consciousness and has all the signs of a cerebral
lesion. This lesion disappears, but its effect remains, and this effect
is the immobility of a part of the muscular system. The other state or
the convulsive, arises from the various irritations of the cerebral
organ from osseous fragments driven into its substance, from its own
inflammation or that of its membranes, from different tumours of which
it may be the seat, from organic lesions that it may have, lesions
which I have rarely observed in the adult, but which infancy sometimes
exhibits, and from the causes even of compressions; for oftentimes we
see this convulsive state existing at the same time with different
effusions, with hydrocephalus, &c.
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