General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3) — John Shaqi
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 influence of the degeneracy of the fluids in diseases has no doubt
been exaggerated; too frequent a source of morbid derangements has
been placed in this portion of the economy. But it cannot be denied,
that according to the different alterations that the fluids exhibit,
they may be capable of exciting differently the solids that contain
them. We know that in the same individual, and with the same mass of
aliments, digestion varies from one day to another in the duration of
its periods; that some aliments prolong and others accelerate it; that
some remain very long in the stomach, as it is said, and others as it
were only pass through it. Now in all these cases the organ remains
the same, the fluid only varies. According as the kidney secretes
urine more or less acrid and consequently more or less irritating, the
bladder retains it for a longer or shorter time. Such is oftentimes
its stimulating qualities, that the moment it comes into this organ
it is involuntarily rejected. Shall I speak of emetics and evacuants
by the intestinal canal, the effects of which are so variable? We
know that the words drastic, purgative, laxative, &c. indicate the
different degrees of the stimulating qualities which certain substances
introduced into the alimentary canal exhibit, degrees which are to be
considered abstractedly from those of the sensibility of the organs;
this in fact can be such, that a laxative may produce greater effects
than a drastic purge.
Not only the quality, but also the quantity of the fluids contained in
the organic muscles, has an influence upon their contractility. 1st.
The word plethora is certainly employed too loosely in medicine; but we
cannot doubt that the state which it expresses sometimes exists; now
the more blood there is in the heart, the more are its contractions
accelerated. 2d. I have many times made transfusion in dogs, whether
with a view to that alone, or in researches relative to respiration
and circulation. Now I have always observed, that by not opening a
vein, to empty the blood as fast as the external jugular receives it
(for I always choose this vein for the experiment) by thus producing
consequently an artificial plethora, I have, I say, always observed
that the motion of the heart was accelerated. I have even seen the
eye of a dog become bright and as it were inflamed; in others this
phenomenon has not been observed. 3d. We know that in running, in
which all the muscles by contracting press out from all sides the
venous blood contained in their texture, this which enters the heart in
abundance, makes it palpitate powerfully. 4th. There is not doubt but
that the quantity of urine and excrements as much and more than their
quality, is for the bladder and the rectum, a cause of involuntary
contraction. 5th. We know the serious consequences that arise from
giving emetics and cathartics in too large doses. 6th. A glass of tepid
water often does not produce vomiting when a pint will bring it on
powerfully, &c.
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