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
Nearly uniform at this age, as it respects the proportion of their
size, all the organic muscles are not as much so in regard to that of
their texture. The heart is evidently firmer and more dense than all
the others; its texture is very distinct. The fibres of the stomach,
intestines and bladder are soft and loose and resemble exactly those of
the muscles of animal life; but little blood goes to them in proportion
to what they are afterwards to receive. The fibres of the heart, on
the contrary, dense and compact, have a power of action in proportion
to what they are afterwards to have. Their redness is as distinct; as
much blood penetrates and consequently nourishes them. This redness of
the heart, analogous in the adult to that of the voluntary muscles,
forms at this period a contrast with the remarkable paleness of these
muscles. Besides it has, as in all the other parts where it exists, a
deep tinge, owing to the kind of blood that produces it.
We easily see the reason of the quantity of blood that penetrates the
heart, as this organ then very active in its motions, has need of much
force, whilst the others, almost immoveable, require but little.
Yet the sensible organic contractility of the heart in the fœtus and
in the first age has been exaggerated, undoubtedly on account of the
extreme rapidity that the circulation then exhibits. This rapidity
depends as much on the activity of the tonic forces of the general
capillary system, as on that of the heart; for the blood, when it has
arrived in the capillary system, is wholly beyond the influence of
the heart, as we have seen; the stay that it makes there is wholly
dependant upon the forces of the system itself; now these forces, at
that time very active, accelerate the course of the blood, and send
it into the venous system, from which it goes to the heart. If the
excitability of this were double and even treble, and the blood entered
it but slowly, it would be unable to support a rapid and at the same
time continuous pulse. Haller was drawn to this opinion by believing
that the heart was the only agent of impulse of the blood circulating
even in the small vessels. Besides, there is no doubt that the sensible
organic contractility of the heart is less easily put into action by
experiments in the fœtus, and that it is also much less durable. Then
the strongest stimuli have less effect upon it an instant after death,
than those of less power exhibit upon the heart of an animal that has
been born. I have many times established this fact upon fœtuses of
guinea-pigs. Compared with that of the voluntary muscles, the mobility
of the heart is undoubtedly remarkable in the fœtus; but compared to
what it will be after birth, it is but slight.
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