Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
In these experiments which I have frequently repeated, I have
never found that the least fissure has been made in the bronchiæ;
nevertheless, I confess that it is difficult to say, whether this
be so in their last ramifications. The following phenomenon,
however, may throw some light upon the subject; for as often as
air is pushed into the lungs with great violence, there will be
produced an emphysema of the breast, or neck, from the infiltration
of this fluid among the cellular texture, in addition to its
passage into the blood. But if the impulse be moderate, and the
quantity of air injected not much beyond the measure of a full
inspiration, it will pass into the blood only, and not into the
cellular texture.[107]
The experiments of which I have given the detail, exemplify
phenomena which do not indeed take place in the ordinary process
of inspiration, and therefore I allow that no very rigorous
induction can be drawn from them, with respect to the passage of
deleterious substances into the mass of the blood; nevertheless
it appears to me, that they very much confirm the probability of
such fact, which besides is demonstrated by many of the preceding
remarks. I shall conclude, then, that such passage is real. In
fact, we have seen 1st, That the sole transmission of the black
blood into the arteries, will not account for the infinitely
various phenomena exemplified in the different sorts of asphyxiæ;
2dly, That the simple contact of the deleterious substance with
the nerves of the lungs, can by no means be the cause of a death
so rapid as that which is occasioned by these accidents; 3dly,
That, therefore, we are forced as it were to suspect the passage
of the poison itself into the blood; 4thly, That a number of
considerations are in favour of such suspicion, and thus that the
fact is proved both directly and indirectly.[109]
This principle being once established, a variety of results must
flow from it. Of the first of these, of the mode of action, namely,
which the deleterious substance must exercise upon the different
organs, I shall say nothing, having nothing to offer but conjecture.
I shall accordingly content myself with inquiring what system it
is which is particularly influenced by these substances, when
mingled with the blood.--Now, 1st, This system appears to be the
nervous one, and that portion of it especially, which presides over
the parts of the animal life, the organic functions being only
secondarily affected; 2dly, Of all the nervous system, the brain
is that part which is the most affected; 3dly, Under this relation
Monsieur Pinel appears to me to have been right, in placing some
of the asphyxiæ (those for instance which are occasioned by the
presence of a deleterious substance) among the neuroses. On this
head the following considerations should leave us little doubt.
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