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
Frequently in diseases of the head, there are spasmodic vomitings; the
action of the heart is accelerated in cerebral inflammations, &c. But
these are sympathetic phenomena which happen in the organic muscles, as
they do in all the other systems; they may not appear nor be developed;
a thousand irregularities are observed in their progress. Whereas
the contraction of the muscles of animal life by affections of the
brain is a constant, invariable phenomenon, which nothing disturbs,
and the development of which nothing prevents, because the means of
communication are always the same between the affected organ and the
one that moves.
If in the examination of the phenomena relative to the cerebral
influence upon the organic muscles, we follow an inverse order, that
is to say, that in the affections of these muscles we examine the
state of the brain, we observe the same independence; consider most
vomitings, the irregular motions of the intestines which take place in
diarrhœas, those especially which form the iliac passion, &c.; observe
the heart in the agitations of fevers, in the irregular palpitations
of which it becomes frequently the seat, &c.; in these derangements
of the organic muscles, you will very seldom find signs of lesions of
the cerebral organ; it is calm, while every thing is disordered in
organic life. Cullen thought that in syncope the action of the brain
ceased first, and that that of the heart was afterwards consequently
suspended. It is precisely the reverse in the greatest number of cases.
The heart, at first affected, ceases to act; now its action being
essential to that of the brain, whether from the motion it communicates
to it, or from the red blood it sends, the functions of this last are
suddenly suspended and the whole animal life ceases. This is remarkable
especially in the syncopes that arise from the passions, in those from
hemorrhages, polypi, great evacuations, &c. I refer upon this subject
to my Treatise upon Life and Death.
If from the influence of the brain we pass to that of the nerves, we
find new proofs of the absence of animal contractility in the organic
muscles. The most of these muscles receive, as we have seen, two
species of nerves, the one cerebral, the other from the ganglions.
The heart, the stomach, the rectum and the bladder are evidently
entered by the first species of nerves; now by cutting, or irritating
in any way the cardiac filaments of the par vagum, the heart
experiences no alteration from it; its motion is neither retarded, nor
accelerated. The division of both branches of the par vagum is fatal,
it is true, but not until after some days; and I doubt whether it is by
the heart that death commences in this case. The principal phenomena
consequent upon this division show a great embarrassment in the lungs,
a great difficulty of breathing; the circulation appears to be troubled
only in consequence.
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