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 state of the animal muscular system is truly the thermometer of the
state of the brain; the degree of its movements indicates the degree of
energy of this organ. Those who attend in a lunatic hospital have often
occasion to consult this thermometer. At the side of a furious patient,
whose muscular power is doubled, or even trebled, you see a man all
whose motions languish in a remarkable inertia. A thousand different
degrees are observed in these motions; now these degrees do not depend
upon the muscles; the most furious madman is often he whose very
delicate external forms indicate the weakest muscular constitution; as
the most perfect automaton is sometimes he whose muscles are the most
powerfully developed. The muscles are to the brain what the arteries
are to the heart. The physician learns by these vessels the state of
the central organ of circulation which communicates impulse to them; by
the muscles of animal life, he learns the state of the central organ of
this life. Observe patients in many important fevers; in the morning
there is prostration, in the evening you find an extreme agitation in
the muscles. Now what is the seat of this revolution? It is not the
muscles, but it is the brain. There has been a translation to the head,
as it is commonly called.
If from the bed of the sick we go to the laboratory of the
physiologist, we shall see experiments in perfect accordance with
the preceding observations. The ligature of all the arteries that go
to the brain, interrupts immediately the movements of this organ,
movements necessary to its action, and produces a sudden cessation
of voluntary motion, and afterwards death. By injecting through the
carotid and towards the head, ink, solutions of neutral salts, acids,
substances whose contact is fatal to cerebral action, I have always
seen the animal perish with previous convulsive motions. The injection
of water does not produce this effect; it can with impunity to the life
of the brain be introduced into the arterial blood, if it is injected
moderately; but pushed with force, you will irritate extremely this
organ, and in an instant the animal is seized with violent agitations;
moderate the force, rest succeeds. I have already related this
experiment elsewhere. If we lay bare the cephalic mass, and irritate
it with a mechanical or chemical agent, &c. in an instant the animal
muscular system is brought into action. It is however to be observed
that in these experiments the convexity of the organ appears to be much
less connected with the motions, than its base. The irritation confined
to the cortical substance, to the superficial layers of the medullary,
is almost nothing; it is not till we arrive at the inferior layers,
that the convulsions come on. I have wished to try many times to
ascertain with precision the place where the irritation becomes a cause
of convulsion; but this has always appeared to me very difficult, and
the results have been infinitely various.
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