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
We have said that the varieties the glands exhibit in diseases are
innumerable, either as it respects the quantity or the quality of the
fluids they secrete. Now all these varieties are especially owing to
sympathetic influence. Observe the salivary glands moistening the mouth
or leaving it dry, filling it with a viscid or limpid fluid, frothy
or thin, the mucous glands of the tongue furnishing sometimes a thick
whitish substance, and sometimes a black crust. Physicians consider the
state of the tongue as a constant index of that of the stomach; this
is most often true. Nature has established such a sympathetic relation
between these two parts, that when the mucous surface of the stomach
is disordered, and is the seat of that kind of catarrh which is called
derangement, fulness of the stomach, &c. that of the tongue is also
affected and furnishes more mucous juices, which alter and destroy the
appetite, and thus prevent the taking of aliments which the stomach
could not digest, and which often even it would not bear. The tongue
is then, as in a state of health, a kind of sentinel placed over the
stomach, to refuse that which would injure, and to admit that which is
suitable for it. This is no doubt the cause of this singular influence
which the stomach exerts upon it in diseases. But let us also remark
that sometimes the tongue is foul, when the stomach is in the ordinary
state. This phenomenon is frequent in hospitals; it happens to me very
often. And vice versa, nausea, &c. sometimes takes place without a
catarrh of the tongue.
Shall I speak of the innumerable influences that the liver, the kidney
and the pancreas receive? When an organ is diseased in the animal
economy, these immediately perceive it; their secretion is increased,
diminished or altered, and oftentimes even the sympathetic affection
does not extend to these functions, but produces inflammation,
suppuration, &c. We know that abscesses are formed in the liver from
wounds in the head, &c. Shall I speak of the innumerable varieties of
the flowing of tears in acute diseases, in inflammatory and malignant
fevers, &c.? Who does not know that the eye is then more or less moist,
that it is often constantly weeping? Now whence arise these varieties?
from the sympathetic influence which the lachrymal gland receives. The
disease itself is often foreign to it; but the unknown consensus which
connects the glands with the diseased parts, makes them then enter into
action. We weep from a variety of passions, from grief especially; how
does this happen? Because the influence of the passion is first carried
to the epigastric region, as the violent sensation experienced there,
proves; and the affected organ reacts upon the lachrymal gland. We weep
in the same way as we sweat from fear, or spit copiously in anger, a
phenomenon which the vulgar express by these words, _foaming with rage_.
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