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
Each involuntary muscle is at first especially in relation with
the fluid which ordinarily acts as its stimulus. The blood alone
can regularly support the motions of the heart. Let this fluid be
altered in any manner, the contractions become irregular. All foreign
substances forced into the veins produce this phenomenon. The urine,
which supports with harmony the motions of the bladder, would disturb
those of the heart, if it circulated in its cavities. The blood,
more soft in appearance than the urine, can agitate convulsively the
bladder, if it happens to be in it. I took care with Desault of a
patient affected for a long time with retention of urine, and whom
he had cut for a very large stone. After the operation, the urine
remained stagnant in the bladder as long as it was alone, but when a
little blood entered this organ, it contracted involuntarily and the
bloody urine was evacuated. The excrements, which could continue for
a long time in the rectum without making it contract, would make the
stomach heave in an instant, &c. All these phenomena are to be referred
to varieties of sensibility of the mucous membranes, varieties which we
shall notice again. They prove evidently that each muscle has a degree
of organic contractility which is peculiar to it, and that this or that
fluid of the economy can exclusively, in a natural state, put it in
exercise in a regular manner.
Foreign fluids exhibit the same result; the emetic which makes
the stomach contract, is injected with impunity into the bladder;
purgatives do not produce vomiting, &c. This relation of foreign fluids
with the sensible organic contractility takes place, whether, as in
the preceding case, these fluids are applied to the mucous surfaces
corresponding to the muscles, or whether they come to the muscles by
the circulation, as the experiments have proved which were made in the
last age upon the introduction of medicinal substances into the veins;
experiments of which Haller has collected a great number of results.
We have seen in these experiments, the circulation present to all the
organs sometimes an emetic, and the stomach alone contracts; sometimes
a purgative, and the intestines only enter into action, &c. Taken
in by cutaneous absorption, medicinal substances occasion the same
phenomenon. Applied by friction, purgatives, emetics, &c. do not make
all the organic muscles contract, though the circulation presents them
to all, but only those with which their sensibility is in relation.
In the various affections of which they are the seat, we see the
organic muscles having each a peculiar mode of irritation answer to
each stimulus, and remaining deaf, if we may so say, to the voice of
the others.
_Second Variety. Age._
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