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 vital properties of the glands are never simultaneously excited
in all. When one is in action, the others are in remission. We might
say, that there is but a determinate quantity of life for all, and
that one cannot live more without the others living less. To this law
is the digestive order accommodated. In the first period the salivary
glands furnish at first a great quantity of fluid; in the second, the
parietes of the stomach; in the third, in which the chyme passes into
the small intestines, the liver and the pancreas are principally in
action; in the fourth, it is the mucous glands of the great intestines
which especially act; and finally the kidneys enter into a particular
action in order to evacuate the residue of the fluids. All the glands
cannot act at the same time; it is as in the external motions in which
certain muscles always rest whilst the others contract. The most
improper time for coition is that of digestion, because we then make
the mucous, hepatic, pancreatic secretions, &c. coincide with that of
the testicles. In diseases one gland increases its secretion only at
the expense of the others. Observation proves this every day.
We might, as I have said, make use of this remark, by producing in
various glandular and other affections, artificial catarrhs, a disease
which we can always produce on the mucous surfaces by the introduction
of a foreign body. I have for some time past made much use of ammonia
respired by the nose. Pinel prescribes it before the paroxysms of
epilepsy. There are an infinite number of other cases in which it is
very efficacious, as in some kinds of cephalalgia, in ataxic fevers,
in certain apoplexies, in various comatose affections, &c. A blister
does not act till the expiration of some time; it requires four, five,
six hours even for it to produce an irritation. Who does not know that
oftentimes in diseases in which the forces are much prostrated, it has
no action on the cutaneous system? On the contrary, the excitement of
the pituitary membrane by ammonia is always sudden on the one hand
and always efficacious on the other. Its effect, it is true, is only
instantaneous, but this is precisely its advantage; for in many cases
a blister is only useful the moment it irritates the skin; hence the
use of drying it immediately and reapplying it. The employment of
ammonia or of any other strong stimulant upon the pituitary membrane,
can be repeated every quarter of an hour, every five or six minutes
or even every minute. If habit renders the patient less sensible to
its excitement, we can replace it by another irritating substance,
whereas we cannot thus change the cutaneous excitement by a blister.
What I have said of the pituitary surface is applicable to those of the
rectum, the urethra and stomach, on which we can in many cases apply in
diseases excitements in a more advantageous manner than is done upon
the skin by means of blisters.
Public-domain text, read in full here on John Shaqi.
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