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
When the intermediate organ that receives the excitement is diseased,
the contractility is uniformly altered. The same stimulus produces slow
or rapid contractions, according as the affection raises or diminishes
the sensibility of this intermediate organ. A slight inflammation of
the exterior of the bladder produces a kind of incontinence of urine;
that of the intestines occasions diarrhœa, &c. &c. On the contrary,
old catarrhs of the bladder, the affections in which weakness of the
mucous surface of this organ predominates, are the frequent causes of
retention.
I would observe that the existence of this intermediate organ is a
remarkable difference between the sensible organic contractility and
the insensible, for this organ does not exist in this last, in which
the same system receives the impression and reacts upon the body that
has produced it; for example, in the glandular, serous, cutaneous
systems, &c. the fluid which enters them for secretion or exhalation
produces in them the sensation, which is instantly followed by the
reaction. In the sensible contractility on the contrary, one system
feels and another is moved. This kind of mobility is less removed from
that of animal life, in which the organs of the senses and those of the
motion being wholly different, are very distant from each other.
_Sensible Organic Contractility considered in relation to its duration
after Death._
This duration is longer than that of the animal contractility. When the
spinal marrow is irritated, the external muscles remain immoveable,
whilst the internal ones are still in activity. There have been so many
examples related of this duration, Haller has multiplied experiments so
much upon this point, that there is no occasion for me to give proofs
here of a fact of which no one can any longer doubt. To this duration
are owing the evacuations of fecal matter and urine which often take
place an instant after death; the vomitings that are observed in some
subjects, if not in as evident a manner as during life, at least
sufficient to raise the aliments into the mouth of the dead body, which
is often completely filled with them, as I have frequently seen.
It is necessary, in relation to this duration, as in relation to that
of the animal contractility, to distinguish two species of death; 1st,
those that take place suddenly; 2d, those which are the consequence of
long disease.
In every sudden death, produced either by a violent lesion of the
brain, as in apoplexy, concussion, compression, effusion, &c. or by
an affection of the heart, as in syncope, a wound, or a ruptured
aneurism; or by a cessation of the action of the lungs, as in asphyxia
from deleterious gases, a vacuum, submersion, &c. the duration of
contractility is very evident; general death comes on first, then the
organs die partially; each vital force is afterwards successively
extinguished.
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