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
Authors have considered sympathies in too loose a manner. Some have
admitted, others have rejected the intermediate office of the brain;
some have not pronounced upon it. All would be agreed, if instead
of attempting to resolve the question in a general manner, they had
distinguished the sympathies according to the vital forces, of which
they are only aberrations and irregular developments; they would have
seen, that in the animal sympathies of contractility, the cerebral
action is essential; for we cannot conceive of any contractility of
this species, without the double influence, nervous and cerebral,
upon the muscles; that on the contrary, in the organic sympathies of
contractility, the action of the brain is nothing; the affected organ
acts directly and without any thing intermediate upon that which
contracts sympathetically. When the heart, the stomach, the intestines,
&c. move, when the parotid and other glands increase their action by
the sympathetic influence of an affected organ, certainly this organ
does not act first upon the brain; for it would then be necessary that
this should re-act upon those that contract; now it would not be able
to influence them except by the nerves, since it is only by these that
it is united to them; but all experiments and all facts prove as we
shall see, that the brain has not by this means any influence over the
organs with involuntary motions; then the action is direct and there is
nothing intermediate. There are sympathetic motions like the natural
ones; the sensible and insensible contractilities are constantly
brought into action by a direct stimulus applied to the organ, whilst
that the animal contractility is never exercised but by the cerebral
stimulant, which itself requires a cause, either sympathetic or
direct, in order to act upon the muscles.
Next to animal contractility, the sensibility of the same nature is
the most often brought sympathetically into action in the animal
muscular system. The lassitude, wandering pains, sensation of weight
and stretchings that are felt in the limbs in the beginning of many
diseases, are phenomena purely sympathetic, in which this property
enters into action in the muscles. At advanced periods of many other
affections, these sympathetic troubles are also very remarkable, but
less in general than at the beginning.
The organic properties are for the most part rarely sympathetically in
action in the species of muscles of which we are treating. Besides, if
they are so, we can hardly judge of it, because no sign points it out
to us. The sweat in the skin, the secreted fluids in the glands, the
fluids exhaled upon many of the surfaces, are general results which
indicate to us the sympathetic derangements of the organic sensibility
and of the insensible contractility of the same species. In the
muscles, we have not the same means of knowing these alterations.
_Characters of the Vital Properties._
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