General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
The animal contractility is foreign to the muscles of organic life.
To be convinced of this, we must recollect that on the one hand this
contractility always supposes the influence of the brain and the
nerves, to bring in play the action of the muscle, and that on the
other, the brain, in order to exert this influence, must be excited
by the will, by stimulants or by sympathies. Now none of these causes
acting upon the brain, the organic muscles cannot contract.
Every body knows that these muscles are essentially involuntary. If
some men have had the faculty of arresting the motions of the heart,
it is not upon this organ that the brain has acted; the action of the
diaphragm and the intercostals has first been suspended; respiration
has ceased for a time; then consequently the circulation.
If we irritate the brain with a scalpel or any other stimulant, the
muscles of animal life become convulsed; they are paralyzed if we
compress this organ. Those of organic life, on the contrary preserve in
both cases their natural degree of motion. The heart still continues
to beat, the intestines and stomach move some time after the cerebral
mass and spinal marrow have been taken away. Who does not know that
the circulation goes on very well in acephalous fœtuses; that after
the blow that has knocked down an animal, and rendered his whole
voluntary muscular system immoveable, the heart is still for a long
time agitated, the bladder rejects the urine, the rectum expels the
excrements, &c. the stomach even sometimes vomits up aliments? Opium,
which benumbs the whole animal life, because it acts especially
upon the brain which is the centre of it, which paralyzes all the
voluntary muscles, leaves the others unaffected in their contractions.
Intoxication produced by wine exhibits the same phenomenon. A man
staggers after drinking; his limbs refuse to carry him, and yet his
heart beats with force; his stomach often heaves and rejects the
surplus fluids it contains. All narcotic substances also produce this
effect.
If from experiments we pass to observations on the sick, we see that
all cerebral affections are foreign to the organic muscular system.
Wounds of the head with depression, fungi of the brain, effusions of
blood, pus and serum, apoplexy, &c. affect exclusively the voluntary
muscles, the action of which they increase, weaken or destroy. In the
midst of this general derangement of animal life, the organic remains
unaffected. The paroxysm of mania and malignant fever likewise proves
this fact. Who does not know that in this last the pulse is oftentimes
scarcely altered, that sometimes even it is slower?
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