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
In the rectum, in which the excrements have not a long canal, but only
a simple opening to pass, this is furnished with a sphincter which
is wanting in the urethra. This sphincter habitually closed must be
dilated by the impulse communicated to the excrements. When they are
in the rectum a short time and in small quantity, the sensible organic
contractility is not brought into action with sufficient power to expel
them; it requires the action of the neighbouring voluntary muscles.
If this action is not determined by the influx from the brain, the
excrements remain in the intestines; hence how, for some time, we
retain them at will. But as they increase in quantity, and become
more acrid by remaining and consequently more irritating, then the
sensible organic contractility strongly brought into action, empties
the intestine involuntarily. If the sphincter, which is voluntary, is
paralyzed, there will be incontinence, because no resistance is opposed
to the tendency of the rectum to contract, a tendency which though
feeble as long as it is but partly filled, is however always real.
From what we have said, it appears evidently that the bladder and
rectum, though receiving cerebral nerves, are yet less influenced by
the brain than it at first view appears, and that there is evidently
between them and the voluntary muscles a very great difference. They
are not mixt, as it is called; they approach the organic muscles
infinitely nearer than the others; I doubt even whether if no accessory
power acted with and compressed them, the mind could by the nerves
which come from the sacral plexuses, make them contract at will. I have
never seen an animal void his excrements when the abdomen was open.
Let us conclude from all that has been thus far said, that the cerebral
nerves which go to the organic muscles have upon them an influence
which by no means resembles that of the cerebral nerves going to the
muscles of animal life. I am ignorant moreover of the nature of this
influence.
All the organic muscles receive nerves from the ganglions, both the
preceding ones which are also penetrated by the cerebral nerves, and
the small intestines, and the cœcum, colour, &c. which are exclusively
pervaded by them. Now by cutting, tying or irritating in any manner
these nerves, by stimulating the ganglions from which they go, by
destroying or burning them with a concentrated acid or alkali, the
muscle remains in its natural state; its contractions are neither
accelerated nor retarded.
I have not been contented with ordinary agents in convincing myself
of the deficiency of real action of the nerves upon the organic
muscles; a fact, which all good physiologists have always admitted,
notwithstanding the opinions hazarded by some physicians who apply the
vague term of nervous influence to organs which are not susceptible of
it.
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