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
Sometimes it is the animal contractility that is brought
sympathetically into action; thus the diaphragm, the intercostal and
abdominal muscles contract to produce sneezing from irritation of the
pituitary membrane, or cough from the irritation of the membrane of
the bronchia, or from that even of the surface of the stomach, which
produces stomachic coughs, which, as we know, have nothing to do with
affections of the chest. We know the general spasm that seizes all the
muscles the instant a foreign body passes between the mucous edges of
the epiglottis. Stones of the bladder and the urethra, by making the
cremaster contract sympathetically, produce retraction of the testicle.
Physicians might, I think, profit by the knowledge of these mucous
sympathies. In apoplexy, in which the bronchia is sometimes filled with
mucus that the patient cannot evacuate, the action of ammonia upon the
pituitary membrane produces the double effect, 1st, of stimulating the
brain as blisters do; 2d, of freeing, by the cough it occasions, the
surface of the bronchia, which being obstructed, is an obstacle to the
passage of the air.
Sometimes it is the animal sensibility that is put into action by an
affection of the mucous surfaces. The stone, that irritates that of the
bladder, causes an itching at the end of the glans penis. That of the
intestines being irritated by worms, an inconvenient itching is felt
at the end of the nose. Whytt has seen a foreign body introduced into
the ear, affect painfully the whole corresponding side of the head; an
ulcer of the bladder, produce every time the patient passed water, a
pain on the superior part of the thigh, &c. &c.
The sensible organic contractility is often sympathetically excited
by the affections of the mucous system. I might at first refer to
this subject what I have observed respecting the organic muscles,
almost all of which move from an excitement of a contiguous mucous
surface; but that is a natural phenomenon; there are many others that
are preternatural. A stone that irritates the internal surface of the
pelvis of the kidney produces vomiting, which is, as we know, produced
any time at will by an irritation of the uvula. The instant the semen
passes the urethra in coition, the action of the heart is commonly
accelerated. Tissot speaks of a stone which, being entangled in the
duct of Warton, produced a sympathetic discharge from the bowels. I
saw at the Hôtel Dieu two women, who, whenever they menstruated, and
the mucous surface of the womb was consequently in activity, could
retain the urine but a short time in the bladder, which contracted
involuntarily to expel it the moment it entered it. At ordinary times,
there was nothing peculiar in the evacuation of this fluid.
Public-domain text, read in full here on John Shaqi.
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