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 just described separately the stimulant and the organ
stimulated; each being separate there is no effect upon the sensible
organic contractility; from their union alone results the exercise of
this property. What happens in this union? We know not. To wish to know
it, would be to wish to know how one body attracts another, how an acid
combines with an alkali, &c. In attraction, affinity and irritability,
we can only trace the phenomena to the action of bodies upon each
other. This action is the utmost limit of our researches.
But that which ought not to escape us here is, that in this last
property, the action is never immediate. There is always between
the stimulus and the organ something intermediate which receives
the irritation; this intermediate organ is a delicate membrane and
continuous with that of the arteries for the heart; it is a mucous
surface for the gastric viscera and the bladder. This intermediate
organ is more susceptible of receiving excitement than the muscle
itself. I have uniformly observed that by irritating the internal
surface of the heart, its contractions are greater, than by laying its
texture bare externally by removing its serous covering and afterwards
stimulating it. The same is true with regard to the organic muscles of
the abdomen.
Is there between the intermediate organ excited and the organ which
contracts, any nervous communications that transmit the impression?
I think not, the cellular texture is sufficient. In fact the serous
surfaces and the organic muscles have only this texture as a means
of union. The life of the first is in no way connected with that of
the others, since they often leave them as we shall see, and yet they
can transmit excitement to them. The pericardium and the peritoneum,
irritated in their portion corresponding with the organ that we wish
to move, produce a contraction in it. This fact is known to all those
who have made the least experiment; it is almost always in this way
that we stimulate the heart, the stomach, the intestines, the bladder,
&c. By carrying the stimulus over the serous surface but very lightly,
and so as not to communicate the motion to the fleshy fibres, we
obtain a result. Yet simple contact is not sufficient to transmit
the irritation; for example, by leaving the external layer of the
pericardium applied to the heart and afterwards irritating it, the
organ remains immoveable. If we separate the peritoneum from above the
bladder, so as to break all the cellular adhesions, and afterwards
reapply and stimulate it, the same immobility is observed.
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