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
1st. When we lay bare a hollow muscle, the heart, the stomach, or the
intestines, and empty it entirely of the substances that it contains,
it contracts and dilates alternately as when it is full, if we apply an
external stimulant to it. 2d. If we empty by punctures all the great
vessels which go to the heart, or come from it, so as to evacuate it
entirely, its alternate dilatations and contractions continue for some
time. 3d. In order to judge comparatively of the degree of force of the
contraction and the dilatation, we can extract two hearts nearly equal
in size from two living animals; place immediately the fingers of one
hand into the auricles or the ventricles of the first, and grasp with
the other hand the exterior of the second; you will feel that one makes
as great an effort in dilating as the other does in contracting. This
fact already observed by Pechlin, is so much the more remarkable, as
the effort of dilatation is often greater than that of contraction. I
have even observed, in repeating this experiment, that whatever effort
we make with the hand, we cannot prevent the organ from dilating.
4th. The alternate extension and contraction, from which arises the
vermicular motion of the intestines, is seen during hunger when we open
the abdomen of an animal. 5th. The hardness of the organic muscular
texture is as evident during dilatation as during vacuity. 6th. I
have many times observed that at the instant in which I irritated the
heart with the point of a scalpel, that a dilatation was the first
consequence of it, and that contraction was only consequent to it.
It happens in general more often that contraction begins the motions
in our experiments; but certainly, the muscle being at rest, it is
frequently a dilatation that first manifests itself.
It appears then very probable that the dilatation of the organic
muscles is a phenomenon as vital as their contraction; that these two
states are united in a necessary manner; that both of them compose
muscular motion, of which contraction is but one part. Who knows even
if each may not be disturbed separately, if to a regular contraction
may not succeed an irregular dilatation and vice versa? Who knows
if certain alterations in the pulse do not belong to injuries of
dilatation and others to those of contraction? I am far from being
certain; for in medicine we must rest our belief on certainty and not
on presumption; but we can make this point an object of research.
Public-domain text, read in full here on John Shaqi.
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