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 other circumstances the brain is only affected sympathetically. In
many acute affections what is called translation to the brain, does not
arise from more blood being carried to it; the pulse is not fuller,
the face is not more flushed; there are often even signs of languor
in the action of the vascular system. The brain is affected, like all
the other organs by sympathy, a happy word, which serves to veil our
ignorance in respect to the relations of organs to each other; the
brain is affected then like the heart, the liver, &c. Take for example
peripneumony; the lungs are then the organs that are essentially
injured, from this essential and local injury, arise many sympathetic
ones more or less severe. If the liver is sympathetically affected,
bilious symptoms are joined to the symptoms of the principal affection;
if it is the stomach then gastric symptoms are manifested. The heart is
always agitated; hence there is fever. When the sympathetic influence
extends to the brain, there is violent motion, convulsions, &c.; for,
as I have said, the state of the muscles is the index of the state of
this organ; now, in this last circumstance, the will has nothing to do
with the animal contractility in exercise; the patient cannot prevent
the convulsive agitation of his muscles; the sympathetic irritation of
the brain is stronger than the influence of the will. This example of
cerebral affection in peripneumony, though more rare than in many other
diseases, may however give us an idea of what takes place in all other
cases in which the muscles are convulsively agitated by the injury of
any organ, by that of the fibrous system distended, of the ligaments
and especially of the aponeuroses, by dentition, by violent pains in
the kidneys, in the salivary glands or the pancreas, occasioned by
a stone, by injuries of the diaphragm, the nerves, &c. In all these
cases, there is an affected point in the economy; from this point the
sympathetic irradiations go off, which especially reach the brain; this
irritated by them, enters into action and excites the muscles; their
contraction takes place and the will is a stranger to it.
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