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 intestines, gastric and intestinal derangements, foulness of the
tongue from those of the mucous membranes, overflowings of bile from
that of the liver, &c. Thus in a machine in which the whole is united
and connected together, if one part is deranged all the others are so
also. We should laugh at the mechanist who attempted to mend but one
of these pieces, and neglected to repair the local derangement from
which all those arose which the machine exhibits. Let us not laugh at
the physician who attacks only a single symptom, without combating
the disease, of which he oftentimes knows not the principle, though
he knows that this principle exists; but let us laugh at him, if he
attaches to his treatment an importance which is nothing compared with
that of the disease.
The intestines next to the stomach are the most often sympathetically
affected in diseases. The bladder is the organic muscle that is the
last to feel the influences that go from the diseased organ; this
sometimes however happens. In fevers, we know that retentions of
urine from sympathetic and temporary paralysis, are not very rare;
incontinence of urine is less often seen.
_Character of the Vital Properties._
We see from what has been said, that the vital properties are very
active in the organic muscles, especially as it respects contractility.
These muscles are really during life, in constant action: they receive
with great ease the influence of other organs. Their vital properties
are altered with the greatest promptness, especially that which I have
just pointed out; for the insensible contractility is rarely altered in
them, because it does not perform an essential part. Observe in fact
that the morbid derangements of an organ affect always the predominant
vital force of that organ. Animal contractility is frequently
altered in the preceding system; in this it is the sensible organic
contractility. On the contrary, the insensible being very small,
the phenomena over which it presides remain always nearly the same;
nutrition is always uniform; lesions of the muscular texture are rare;
when they take place, it is rather by communication, as in cancers of
the stomach, in which the disease begins upon the mucous surface, and
in which the fleshy fibres are only consequently affected. The heart
and the womb are the muscles that are the most subject to these morbid
alterations; yet in the first they belong oftener to the internal
membrane than to the fleshy fibres themselves. On the contrary in the
systems in which the sensible organic contractility is incessantly in
action, as in the cutaneous, the serous, &c. in which it presides over
nutrition and exhalation; in the glandular, the mucous, &c. in which
it produces secretion and nutrition, it is this which is especially
altered. From these derangements arise alterations of texture, organic
diseases properly called, which are as common in these systems, as they
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