MUSCULAR SYSTEM OF ANIMAL LIFE.
The general muscular system very evidently forms two great divisions, differing essentially from each other, by the vital forces that animate them, by their external forms, by their mode of organization, and especially by the parts they perform, the one in animal life, and the other in organic. We shall not then consider them together. Let us begin by the examination of the muscles of animal life; these are spread out in great number in the human body. No system as a whole, is of more considerable size; no one occupies more space in the economy. Besides the numerous regions that the muscles fill, they are generally spread out under the skin, and partake, as it were, of the functions of this organ, protect like it the subjacent parts, like it bear with impunity the action of external bodies, and can even be divided in a more or less considerable extent, without the general functions of life suffering from it; which renders them very fit to defend the deep-seated organs, whose lesion would be very injurious.
ARTICLE FIRST.
Of the Forms of the Muscular System of Animal Life.
From their external forms, the muscles may be divided, like the bones, into long, broad and short. Their arrangement varies according to these three general forms.
I. Forms of the Long Muscles.
The long muscles occupy in general the limbs, to the conformation of which theirs is accommodated. Separated from the skin by the aponeuroses, from the bone by the periosteum, they are situated in a sort of fibrous gutter, which retains them powerfully, and in which they are arranged in layers more or less numerous, the deep ones are confined in their place by the superficial ones, which, in their turn, have the aponeuroses to support them. These last are very long; they commonly belong to the motions of three or four bones and even more, examples of which we have in the sartorius, the semi-tendinosus and membranosus, the biceps, the flexors and the extensors. As they become deeper, they are also shorter and generally destined to the motions of two bones only, as the adductors, the pectineus, &c. are a proof.
Cellular layers separate them; they are loose where great motions take place, more compact where these motions are less, very thick where vessels and nerves go between the muscular fasciculi. Often spaces more or less considerable, filled with cellular texture, separate these fasciculi from each other. We divide the long muscles into simple and compound. They are simple when a single fasciculus forms them, compound when they arise from the union of many. These fasciculi are found then in two different manners; sometimes in fact its division is at the top of the muscle, as we see in the brachial and femoral biceps; sometimes it is at the inferior part, at the most moveable side that this division is met with, as in the flexor and extensor muscles of the leg and the fore-arm.
The long muscles often separate from each other, are sometimes held together by means of aponeuroses, which confound a more or less considerable portion of two, three and even four of these neighbouring organs. The origin of the muscles of the internal and external tuberosities of the humerus exhibits this arrangement, whence results an essential advantage in the general motions of the limb. Then in fact the contraction of each muscle serves, both to cause a motion below in the moveable part to which it is attached, and to strengthen above the fixed point of the neighbouring muscles which contract at the same time with it.
Every long muscle is in general thicker in its middle than at its extremities, a form which arises from the manner of the insertion of the fleshy fibres, which arising above and terminating below, some successively below others, are so much the less numerous as we approach nearer each extremity, whilst in the middle they are all found in juxta-position. The anterior rectus, the long supinator, the external radial muscles, &c. have manifestly this arrangement.
There is a particular kind of long muscles, which has no analogy but in external appearance with that of the muscles of the limbs. They are those that are embedded in front and especially behind the spine. Though they appear simple at first view, these muscles have as many distinct fasciculi as there are vertebræ. The transversalis colli, the sacro-lumbalis, the longus colli, &c. represent very well an elongated fasciculus like the sartorius, the anterior rectus of the thigh, &c.; but the structure of this fasciculus has nothing in common with that of these muscles; it is a series of small fasciculi, which have each their distinct origin and termination, and which appear to be confounded into one muscle only because they are in juxta-position.
II. Forms of the Broad Muscles.
The broad muscles occupy in general the parietes of the cavities of the animal economy, those of the thorax and abdomen especially. They form in part, these parietes, defend the internal organs, and at the same time by their motions assist their functions.
Their thickness is not great; most of them appear like muscular membranes, sometimes arranged in layers, as in the abdomen, sometimes covering the long muscles, as on the back; they are in the first case, much more extensive superficially than deeper seated.
Whenever abroad muscle arises and terminates on one of the great cavities, it preserves everywhere nearly its breadth, because it has a large surface for its insertion. But if from a cavity it goes to a long bone, or to a small apophysis, then its fibres gradually approximate; it loses its breadth, increases in thickness, and terminates in an angle which is succeeded by a tendon, which concentrates into a very small space fibres widely scattered on the side of the cavity. The great dorsal and pectoral muscles present us an example of this arrangement, which is met with also in the iliacus, in the glutæi medius and minimus. The broad muscles of the pectoral cavity have a peculiar arrangement which the ribs require; their origin takes place by serrated points fixed to these bones, and separated by spaces between them.
The broad muscles are most often simple; many rarely unite to form compound ones. Different cellular layers separate them, like the long muscles; but they are hardly ever like them covered by aponeuroses; the greatest number is merely subjacent to the integuments; the reason is that their form naturally protects them from these displacements, of which we have spoken in the article on aponeuroses, and which, without these membranes, would be so frequent in the long muscles. I do not know that the cramp has ever been observed in those of which we are treating. When the abdominal muscles are laid bare by incisions made through the integuments of a living animal, I have observed, that in contracting, the bulk of each preserves the same place.
III. Forms of the Short Muscles.
The short muscles are those in which the three dimensions are nearly equal, having a thickness in proportion to their width and their length. They are found in general in the places, where is required on the one hand much power, and on the other small extent of motion; thus around the temporo-maxillary articulation the masseter and pterygoids, around the ischio-femoral the quadratus the gemini the obturators, &c. around the scapulo-humeral the supra-spinalis and the teres minor, in the hand the muscles of the palmar eminences, in the foot various fleshy fasciculi, in the vertebral column the interspinal, in the head the small and great anterior, posterior and lateral recti, exhibit more or less regularly the form of which we are treating, and answer the double object that I have indicated, on the one hand by the very considerable number and on the other by the shortness of their fibres.
The short muscles are, more often than the broad, united to each other, either in their origin or termination, as we see in the foot and the hand. Sometimes they are of a triangular form, as in these two parts; sometimes they approach to the form of a cube, of which there is an example in the masseter and pterygoid muscles. In general they are rarely covered by aponeuroses, undoubtedly because the shortness of their fibres prevents them from being liable in a great degree to considerable displacements.
Besides, the division of the muscles into long, broad and short, is, like that of the bones, subject to an infinite number of modifications. In fact many of these organs have mixed characters; thus the sub-scapularis and the infra-spinalis have a form intermediate to the broad and short one; thus the cruræus, the gemelli of the leg, &c. cannot be considered precisely long or broad muscles. Nature varies, according to the functions of the organs, the conformation of the agents of their motions, and we can only establish approximations in our anatomical divisions.
ARTICLE SECOND.
ORGANIZATION OF THE MUSCULAR SYSTEM OF ANIMAL LIFE.
The part peculiar to a muscle is what is commonly called the muscular fibre; the vessels, the nerves, the exhalants, the absorbents and the cellular texture, which is very abundant around this fibre, form its common parts.
I. Texture peculiar to the Organization of the Muscular System of Animal Life.
The muscular fibre is red, soft, of an uniform size in the great and small muscles, sometimes disposed in very evident fasciculi and separated from each other by remarkable grooves, as in the gluteus maximus, the deltoid, &c. sometimes more equally in juxta-position, as in most of the broad muscles, always united to many others of the same nature like it, easily by this union distinguished by the naked eye, but eluding microscopic researches when we wish to examine it in a separate manner, so great is its tenuity. Notwithstanding this extreme tenuity, an infinite number of researches have been made during the last age, to determine with precision the size of this fibre. On this point may be read the result of the labours of Leuwenhoek, Muysk, &c. I shall not give here this result, because science can draw nothing from it, and because we cannot rely upon its accuracy; of what importance moreover is the precise size of the muscular fibre? its knowledge would add nothing to our physiological views upon the motion of the muscles.
Every muscular fibre runs its course without bifurcating or dividing in any manner, though many have thought otherwise; it is found only in juxta-position to those which are near it, and not intermixed, as often happens in the fibrous system; an arrangement that was rendered necessary by the insulated motions it performs; for the general contraction of a muscle is the union of many partial contractions, wholly distinct and independent of each other.
The length of the fleshy fibres varies very much. If we examine in general the mass which they form by their union, we observe that this mass has sometimes much greater extent than the tendinous portion of the muscle, as the biceps, the coraco-brachialis, the rectus internus femoris, &c.; that sometimes its length is much less as in the small plantar and palmar muscles, &c.; and that sometimes it is about equal, as in the external radial, &c. If from the examination of the fleshy mass, we pass to that of the separate fibres that compose it, we see that the length of the first is rarely the same as that of the second. There are hardly any but the sartorius and some analogous muscles, whose fibres run the whole extent of the fleshy, mass; in almost all the others, they are found obliquely arranged between two aponeuroses, or between a tendon and an aponeurosis; so that though each of them may be very short, as a whole they are very long, as we observe in the anterior rectus of the thigh, the semi-membranosus, &c. This arrangement may also arise from various tendinous intersections, which cut at different distances the length of the fibres. In general, the muscles which owe their length to long fibres, have great extent and very little power of motion; whilst those with short fibres, but multiplied so as to give great length as a whole, are remarkable for an opposite character. And this is the reason: all the fibres being equally large, whatever may be their length, have the same degree of force; it is evident then that this force considered in a muscle as a whole, is measured by the number of its fibres. On the other hand, the longer a fibre is, the more it shortens in its contraction; then by contracting, a muscle brings its attachments so much the nearer in proportion as its fibres are longer.
All the fibres of the voluntary muscles are straight, those of the sphincters excepted. They are either parallel as in the rhomboids, or obliquely situated in relation to each other, as in the great pectoral. Sometimes in the same muscle many sets cross each other in different directions, as we see in the masseter; but this crossing is wholly different from that of the involuntary muscles in which there is more crossing of fibres, whilst here we see only fasciculi in different directions, in juxta-position to each other.
I shall not speak here of the cylindrical form according to some, and the globular one according to others, of the fleshy fibre; inspection teaches us nothing upon this point; how then can we make that an object of research and give an opinion upon it, which has no real foundation? Let us say thus much of the intimate nature of this fibre, upon which so much has been written. It is unknown to us, and all that has been said upon its continuity with the vascular and nervous extremities, upon its pretended cavity, upon the marrow, which according to some filled it, &c. is only a collection of vague ideas, which nothing positive confirms, and to which a methodical mind would not attend. Let us begin to study nature where she begins to come under our senses. I would compare the anatomical researches upon the intimate structure of the organs, to the physiological researches upon the first causes of the functions. In both we are without guides, without precise and accurate data; why then give ourselves up to them?
All that we can know upon the nature of the muscular fibre, is that it is peculiar, that it is not the same as that of the nerves, nor as that of the vessels, nor as that of the tendons or the cellular texture; for where there is identity of nature, there ought to be identity of vital properties and of texture. Now we shall see that all these systems differ essentially from each other in this point of view; there can be between them no analogy in relation to their nature, whence the properties are always derived.
The muscular texture is remarkable for its softness and small degree of resistance. It is by this that it is essentially different from the fibrous texture. It breaks with ease in the dead body. In the living, this rupture is rare, because the contraction which exists in all the violent efforts, gives it a density, by which it gains an enormous increase of resistance, but which it loses when it is no longer in a state of contraction. There are however examples of the rupture of muscles; it is principally in the rectus abdominis and quadratus lumborum that they take place. I have seen one in this last. Observe that this muscle and all those placed between the ribs and the pelvis, are much disposed, from their situation, to these ruptures. In fact, when the pelvis and the thorax are carried in an opposite direction, these muscles are so much the more violently stretched, as in these motions all the superior part of the body forms with the thorax, a great lever, which is moved in an opposite direction to another great lever, which is formed by the pelvis and all the inferior parts; now from their length, these levers are capable of receiving a very great motion, of communicating it consequently to the abdominal muscles which are stretched between the two, and which serve to unite them. Hence how in a violent inclination to the right, the quadratus of the left side can be torn, &c. Observe that but few of the muscles in the economy are found between two levers so great, consequently are capable of being so much distended, and especially of being so with a force greater than that of their contraction; for every muscular rupture supposes the excess of the external motion, which distends, over that of the fleshy fibres which contract to oppose this distension. If the external efforts were concentrated upon a single muscle, they would be able more often to overcome the resistance; but almost always many partake of the effort to support and the resistance to oppose.
Composition of the Muscular Texture.
The muscular texture has been with chemists, a more particular object of research than most of the other organized textures. They have examined it under all its relations. I refer to their works, to that of Fourcroy especially, for all which is not strictly relative to the nature of this texture, for all which considers consequences not applicable to physiology, which we can deduce from the knowledge of the principles that enter into its composition.
Exposed to the action of the air, the muscular texture is affected in two ways. 1st. It dries, if cut into thin slices, admitting of the evaporation of the fluids it contains. Then its appearance is of a dull brown; its fibres contract, it becomes thinner, hard and brittle. If replunged into water within some days, even fifteen or thirty after its drying, it resumes its primitive softness and form, and has a less deep coloured tinge. The water that has been used for this softening is more or less fetid, and similar to that of macerations. 2d. Exposed in too great a mass to the air, the muscular texture does not dry, but becomes putrid. Thus in making anatomical preparations by drying, care should be taken to lessen the thickness of the fleshy parts, or to arrange them so that the air can penetrate them everywhere. Putrefaction is inevitable if the air is moist, if the evaporation of the fluids is not quick enough to produce drying. When it becomes putrid, the muscle assumes a green, livid colour; it exhales an offensive odour. Under the influence of the same circumstances it becomes putrid much quicker than the fibrous, the cartilaginous and the fibro-cartilaginous systems. The odour that it exhales then is also very different from that of these systems; a phosphoric light often escapes from it. A mass of putridity, in which all the fibres have almost disappeared, takes the place of the muscle, when putrefaction is advanced. This mass of putridity gradually evaporates in part, and there remains a dark brown residue, which dries and becomes hard and brittle, nearly like the muscle dried in the ordinary state, though the appearance however may be very different.
Exposed to the action of water, the muscle undergoes different phenomena, according as it is hot or cold. Cold water takes from it at first its red colour, of which it appears to dissolve the principle. To effect quickly this phenomenon, it is necessary to expose the flesh, at first in thin layers, to the action of water that is often changed, by placing a muscle for example under a fountain, in the current of a river, or what is much better, by frequently expressing the water it imbibes; for if we keep it in a vessel, its exterior only whitens a little, and the interior preserves its colour. Water which has been used to wash a muscle, looks like blood spread out in this fluid; it contains the colouring matter, a little of the extractive substance, gelatine, &c. I believe that of all the organs the muscle is that from which we remove most easily its colour by artificial means. Ought we to be astonished after this, if nature varies so evidently and so frequently this colour by the phenomena of nutrition, as we soon shall have occasion to remark? Kept in water at a moderate temperature, the muscular texture remains for a long time without softening; it finally does, and changes layer by layer into a kind of putridity very different however from that which is formed in the open air, as I have frequently observed in macerating the muscles in a cellar, the temperature of which is uniform. At other times, instead of putrefying thus, the muscle is changed, as Fourcroy has remarked, into a substance like spermaceti; then its fibre is hard and solid. But all the muscles when kept in water by no means exhibit this phenomenon. When it does take place, very often a kind of reddish product, scattered here and there on the surface of the muscle, and which is an evident effect of decomposition, announces and afterwards accompanies this state, without which also, it often takes place. Maceration in dissecting rooms frequently exhibits this phenomenon.
When we have taken from the muscles their colouring substance by repeated washings, there remains a white fibrous texture, from which we can still extract albumen by ebullition, which rises in scum, gelatine by suffering it to grow cold, extractive matter which has a deep colour, by letting it settle, and some phosphoric salts. When all these substances have disappeared, the residue of the muscle is a fibrous substance, of a greyish colour, insoluble in warm water, soluble in the weak acids, giving out much azote from the action of the nitric acid, and presenting all the characters of the fibrin of the blood. It appears, as Fourcroy has remarked, that this substance is truly the nutritive substance of the muscle, that which, continually exhaled and absorbed, contributes to its nutritive phenomena more than all the others; it constitutes the essence of the muscle, it especially characterizes it, as the phosphate of lime is the nutritive characteristic matter of the bones. Is this substance formed in the blood and carried from it to the muscle, or is it formed in the muscle by nutrition, and thence carried to the blood? I know not. Whichever may be the case, it appears to experience very great varieties in its exhalation and absorption. The state of laxity, of cohesion, the thousand various appearances of the muscular texture, appear to belong in part to these varieties of proportion. Thus the phosphate of lime or gelatine, diminished by nutrition, give to the bones softness or brittleness.
It is in this fibrous and essential portion of the muscle, that particularly resides the faculty of crisping by the action of caloric, whether by plunging a muscle into boiling water, or exposing it to the fire; for this crisping is as evident in the muscle deprived of its colouring matter, its gelatine, its albumen, and even a portion of its extractive substance as in the ordinary muscle. There is in general a constant relation between the quantity of this fibrous substance contained in the muscles, and the quantity that the blood contains of it. In the strong, vigorous, sanguineous temperaments, as they are called, the muscles are thick and much more fibrous. In all the slow cachexiæ in which the blood is impoverished, the pulse small and feeble and in which muscular nutrition has had time to share but little of the fibrin of the blood, the muscles are small, weak, soft, &c. In general, the muscles and the blood are always in constant relation, whilst other systems often predominate and whilst this fluid seems to be in less quantity in the economy.
Exposed for a long time to ebullition, as in common boiled meat, the muscular texture, still united to the adjacent organs, and to its common parts, gives, 1st, an albuminous scum which appears to arise more from the lymph of the cells than from the muscle itself; 2d, many fatty drops coming also especially from the cellular texture, almost foreign consequently to the texture of the muscle, and which swim on its surface; 3d, gelatine formed especially by the aponeurotic intersections; 4th, an extractive substance which colours in part the water in which it is boiled, gives it a peculiar taste and remains in part adherent to the flesh to which it communicates a deep tinge wholly different from that of raw flesh, a tinge which arises also from the colouring matter of the muscle, and which moreover changes, when the liquor cools, into a less deep and even a whitish tinge; 5th, various salts which contribute much to the taste of the liquor, and the nature of which chemists have ascertained. These are the natural phenomena of the ebullition of the muscle.
The more extensive analysis of boiled flesh is not my province; but what ought not to escape us here, are the phenomena of which the fibre is the seat, whilst the preceding products are extracted, whether from it, or the surrounding textures. These phenomena can be referred to three periods. 1st. When the water is only tepid, and even a little above the temperature of the body, it leaves the muscular texture in the same state, or softens it a little. 2d. When it approaches ebullition and begins to be covered with an albuminous scum, the texture crisps, thickens and contracts and gives to the muscle a density much greater than what is natural to it, and augments considerably its resistance. I have observed that in this state the muscles bear much greater weights than in a natural state. They approximate, if we may so say, that remarkable density which characterizes them when they contract in the living body, and which so powerfully opposes their rupture. This condensation of the muscular texture, which is prompt and sudden, increases till the period of ebullition, when it is at its greatest height; it continues only for a certain time. 3d. Gradually it diminishes, the fibres soften, and are more easily torn than in their natural state. This softening, the reverse of the hardening that precedes, is produced slowly and by degrees. When arrived to a certain degree, the meat is rendered fit for the table. Observe that then the muscle has not returned to the state in which it was found before the hardening; among other phenomena which distinguish it, the following is an essential one; it has lost the power of crisping, of acquiring the horny hardness, from the action of the concentrated acids, from alkohol or from caloric. In general it becomes putrid more slowly. Its putrefaction does not give the same odour. We know how much its taste differs. The principles it has lost are undoubtedly one of the great causes of these differences.
When a muscle is exposed to an open fire, as in the roasting of meat, the albumen is condensed, the gelatine melts, the fibrin filled with juices softens, the extractive matter flows in part with the gelatine and the salts held in solution; it is this that forms the gravy, which is, as we know, very different from melted fat. The exterior of the meat remains more dense than the interior; it is coloured by the extractive substance. The interior loses in part its natural colour; its consistence, its taste and its composition even change entirely. The fibres, as in ebullition, lose the power of contracting and of crisping from the action of strong stimuli and especially that of fire.
No part in the animal economy is more easily altered by the digestive juices than the muscles. Almost all stomachs can bear boiled meat, whilst many reject other organs when cooked. Carnivorous animals seize upon the muscles of their prey in preference to the pectoral and gastric viscera. Muscular flesh is with most people the most common aliment, that with which they are never disgusted; it appears to be the most nourishing of all those, which are afforded by the different textures of animals; is it, as it has been said, because it contains the most azote? Whatever may be the reason, the general part which the muscular system takes in the digestion of all carnivorous animals, of man especially, is remarkable. Yet all the parts of this system do not appear to be equally agreeable to the taste of animals. It is, for example, a singular fact, that those bodies which are brought to our dissecting rooms, and which have been attacked by rats, are found almost always exclusively gnawed in the muscles of the face.
Observe in regard to the use of the muscles in digestion, that it is the portion of the fibrous system which adheres to them, and forms, as it were, a part of them, I refer to the tendons, which is the most easily altered by maceration, by ebullition and by the digestive juices. Observe also that the great mass which the muscles form in the body of all animals, of which they are more than one third, presents to the carnivorous species ample materials for their nutrition; thus nature, by multiplying these organs for the wants of the individual which they move, seems to multiply them also for those of the individuals which he is one day to nourish. In forming them in each species, it labours for other species as well as for this. Who knows if this general design, which observation finds in the series of all animals, be not the cause of this remarkable predominance which the muscles have over the other systems? Who knows, if nature would not have diminished the powers of the animal mechanism which are so numerous and so complicated in comparison with those of artificial machines, who knows if she would not have simplified the means and given the same results, if the motions of the animals had been the only object of the formation of the muscles?
The sex has great influence on the quality of the flesh of animals. I do not believe that any thing precise is known as to the nature of the influence which the genital parts exert upon it; but the following are remarkable facts upon this subject. The muscles of males are stronger and better nourished, have more taste, resist boiling for a longer time, are firmer, &c. Boiling water on the contrary alters quicker the texture of females; it is more tender and gives to the liquor a less strong taste. In the season of sexual intercourse, the muscular system of the first has a peculiar odour, which often renders it disagreeable even to the taste. It is an observation that is easily made in quadrupeds, birds and fishes that are brought to our tables. Without having as strong an odour, the flesh of the second becomes at this period soft, flaccid and but little savoury.
II. Parts common to the Organization of the Muscular System of Animal Life.
Cellular Texture.
The cellular texture is very abundant in the muscular system; I know of no system that has a greater proportion of it. This texture forms a very evident covering around each muscle. This covering is most commonly loose, filled with fat, easily distended with air in emphysema and serum in anasarca. At other times it is more dense, compact and really arranged like a membrane. Such, for example, is the case with that which covers the great oblique muscle of the abdomen, and the dissection of which on this account, students at first find very difficult. The other abdominal muscles, the trapezius, the serratus major and the great dorsal exhibit also this arrangement. We might say that in this way nature compensated for the aponeuroses, which are wanting on the broad muscles of the trunk. Besides, this covering has only a membranous appearance; it has nothing of its organization, it disappears in the infiltration in which all the true membranes remain.
Besides this general covering of the muscle, each fasciculus has a less covering, each fibre a still less one, and each smaller one a real though almost insensible sheath. We can then represent the cellular texture of the muscles as forming a series of coverings successively decreasing. These coverings favour the motion of the fibres which they separate, either by the serum of the cells, or by the fat they contain, both fluids, by lubricating, allow them to slip more easily upon each other. Frequently between these fibres, the cellular texture appears to form a kind of cross pieces which go at right angles. We see this arrangement especially in the proper extensor of the great toe, and in the common extensor, the fleshy fasciculi of which are broad and delicate when distended. In most of the thick muscles nothing similar is observed.
The quantity of intermuscular cellular texture is remarkably variable. In general, in all the broad muscles and in all the large, long muscles, it is very abundant. It is less in proportion between the fibres of those of the vertebral canals. Back of the neck, the splenii, complexi, &c. have less of it than many others, especially in the spaces that separate them.
Sometimes very considerable cellular elongations are found in the middle of the muscles, and seem to divide them into two; such is that which separates the clavicular portion of the great pectoral; this has even sometimes embarrassed anatomists as to the division of these organs.
The cellular texture in general fixes the muscles in their position; the art of dissection proves it. The effusions of pus which often perform the office of the scalpel, render also very evident this use, which does not prevent the motion in all directions, that the great extensibility of the cellular texture allows. The cellular texture not only fixes the muscles to each other, but it also attaches each of their fibres to neighbouring ones; it flattens them when they contract, and elongates them when they are distended; if they are deprived of it their motions become irregular and uncertain. I have many times separated with a scalpel a muscle laid bare in a living animal, into many small fasciculi; in afterwards making this muscle contract by the irritation of the medulla, by means of a stilet introduced into its canal, I have observed in an evident manner this irregularity of motion. Cut longitudinally a muscle of an extremity from its superior tendon to its inferior, so as to divide it into two or three entirely distinct portions, irritate afterwards one of these portions, the other or the two others will remain almost always at rest, whilst a single irritated fibre in a sound muscle, puts in motion the whole of that muscle. The section of the vessels and the nerves has no doubt a little influence upon this phenomenon; but that of the cellular texture certainly contributes to it also.
In dropsical subjects, the serum of the intermuscular texture is often reddish; this phenomenon is owing to the action of this serum after death upon the colouring substance. I believe that this can take place during life only with great difficulty. The fat sometimes abounds in this texture, to such a degree that the fleshy fibres disappear and the fat only is visible; but oftentimes also the yellow appearance of the muscular fibres, which is produced by the absence of the colouring substance, is taken for this fatty state of the muscles. I have seen the first state but rarely; the second is extremely frequent; we are sometimes deceived at first view. But ebullition and combustion easily prove, that the fat is wholly foreign to this want of colour of the muscles examined in this state.
Blood Vessels.
The arteries of the muscles are very apparent; they come from the neighbouring trunks, penetrate the whole circumference of the organ, more however towards its middle, than towards its extremities. They run at first between the principal fasiculi, then divide and their divisions go between the secondary fasciculi, subdivide and wind between the fibres, and finally become capillaries and accompany the small fibres, in which they deposit by the exhalant system the nutritive matter. There are but few organs, which have, in proportion to their size, more blood than the muscles.
The blood is essentially necessary to support their excitability, as we shall see; it is that which colours the muscular texture, but not, as it at first seems, by circulating in its texture. The circulating or free portion contributes but little to it. It is the portion combined with the muscular texture, that which contributes to its nutrition, that gives it its colour; the following are proofs of it: 1st. The fibres of the intestines are as much or more penetrated with the circulating blood, than those of the muscles of animal life, and yet their texture is evidently whitish, where these vessels are not found. 2d. Many animals with red and cold blood, frogs in particular, have muscles almost white, and yet many red vessels run through this white texture. 3d. I have observed that in animals destroyed by asphyxia, the colouring substance does not change colour, no doubt because it is slowly combined with the muscle by nutrition; that on the contrary, if we cut a muscle of these animals in the last moments of life, whilst the venous blood still circulates in the arterial system, this blood flows out by black jets from the muscular arteries, the muscular texture itself remaining red. This curious experiment, which I have noticed in another work, is made by producing asphyxia in an animal by compressing the trachea, or by intercepting the air in any other way in this tube, whilst we examine the system of the muscles. When a muscle has been exposed for some time to the contact of the air, to that of oxygen especially, its red colour becomes evidently more brilliant.
The muscular vessels permit under certain circumstances the escape of the blood they contain; hence different kinds of remarkable hemorrhages, especially in scorbutic patients, sometimes in putrid fevers, rarely or never in those diseases that are characterized by an increase of vitality. Infiltrated with blood in preternatural hemorrhages, particularly in false aneurisms, the muscles lose in part their motion; this happens also in contusions, in which similar infiltrations are observed.
The veins everywhere follow the arteries in the muscles; they have the same distributions, and receive from the contractions of these organs an essential assistance to their action. The throw of blood is more powerful when the patient we have bled contracts his muscles, than when he relaxes them; the fluid is as it were expressed, as from a wet sponge which is squeezed. The arterial circulation does not exhibit this phenomenon. I have observed that if we open the artery of the foot of an animal, and by the irritation of the nerves, make the muscles of the leg and thigh, through which this artery passes before reaching the foot, contract powerfully, the throw of blood is not stronger than during the relaxation.
I have many times injected the veins of the muscles of animal life with ease, from the trunks towards the branches, which makes me believe, notwithstanding what Haller has said, that in these organs, as in the heart, the valves are less numerous than in many others. No doubt the assistance the veins derive from their surrounding organs supplies the place of these folds, or rather renders them useless, the weight of the column of blood not making a great effort against the venous parietes. The varices of the muscular veins are, as we know, extremely rare. These veins are of two orders; one accompanies the arteries and follows the same course, the others are spread superficially on the surface of the organ, without having corresponding arteries.
There are absorbents and exhalants in the muscles; but we can with difficulty trace the first, and the second cannot be perceived.
Nerves.
Almost all the nerves of the muscles of animal life come from the brain; the ganglions furnish a few of them; when this happens, as in the neck, the pelvis, &c. besides the filaments coming from these nervous centres, there are always filaments of cerebral nerves; without this, these muscles would be involuntary. Few organs receive more nerves in proportion to their size than the muscles. In general the extensors appear to have rather fewer than the flexors; but the difference is trifling. It is true that all the great nervous trunks are in the direction of flexion, that in that of extension there are only branches, as we see in the posterior part of the arm, of the fore-arm, the vertebral column, &c. It is true also that this remark is likewise applicable to the existence of the vessels, which are larger and more numerous in the first than in the second direction; but this greater number of vessels and nerves arises from this, that there are many more flexors than extensors, that the first are stronger and have more numerous fibres; so that each of these fibres hardly receives more nervous or vascular filaments in one kind of muscles than in the other. I think that there is but little foundation for what has been said upon the difference of the strength of the fibres of the flexors and of the extensors, upon the predominance of the first, &c. If these are superior, it is either because they are more numerous, as in the foot, the hand, &c. or more advantageously arranged, as in the trunk on which the abdominal muscles act very far from the point of attachment to bend the spine, whilst to extend it, the dorsal muscles exert their action immediately at the side of this point of attachment, as also in the neck, where the muscles that draw down the lower jaw and head when this bone is fixed, are much further from the occipital condyles, than the muscles which produce extension. Whatever may be the cause of the superiority of the flexors, the fact cannot be doubted. 1st. In hysterical convulsions, in those of infants, in all the spasmodic motions in which the will has no part, the contractions take place much more in the direction of flexion than in that of extension. 2d. In old people the flexors finally become superior to the extensors; for example, the fingers and toes are almost uniformly bent. 3d. In all the motions, the power is always on the side of flexion.
The nerves enter the muscles of the extremities at a very acute angle, because the nervous trunks are in the natural direction of these organs. In the trunk, on the contrary, the nerves going from the spine, the cervical especially, enter their muscles at almost a right angle or one less evidently acute; this circumstance is of no importance. Each branch in the fleshy fibres, is at first divided and then sub-divided in their interstices, and afterwards lost in their texture. Does each fibre receive a small nervous filament? We should be led to believe so from this observation, that the principal branch being irritated, all the fibres are put into action, no one remains inert. But on the other hand, if we irritate one of them, all move also, which is certainly a sympathetic phenomenon or one arising from the communication of the cells.
Are the nerves deprived of their cellular coverings, and do they become pulpy when they enter the muscles? Dissection has shewn me nothing like it.
ARTICLE THIRD.
PROPERTIES OF THE MUSCULAR SYSTEM OF ANIMAL LIFE.
There are but few systems in the economy in which the vital properties and those of texture are found in so great and evident a degree as in this. It is from the muscles that examples must be selected to give a precise and accurate idea of these properties. The physical properties on the contrary are slightly marked in them; a remarkable softness characterizes them; there is no elastic power in their texture; there is but very little resistance from this texture after death; it is from vitality that it derives the power that characterizes it in its functions.
I. Properties of Texture. Extensibility.
Extensibility is manifested in the animal muscular system under many circumstances. The different motions of our parts render this property evident. Such is in fact the arrangement of the muscular system, that one of its portions cannot contract, without the distension of another. The thigh being strongly bent, the semi-membranosus, the semi-tendinosus and the biceps are elongated. The arm being carried out, the great pectoral is extended, being raised, the great dorsal and the teres major are stretched. All the great flexions bring into action this property in the extensors; all the extensions render it evident in the flexors. A muscle which is stretched by its antagonist is in a state purely passive; it is as it were for a moment abandoned by its contractility, or rather it possesses it, without its being brought into action; it is made to obey the motion that is communicated to it. Observe that in these cases, the distension is confined to the fleshy portion, and the tendon has no connexion with it; it remains the same, whatever may be the distance, of the points of attachment, for these points are nearer or more remote in the different extensions to which the muscles are exposed; the longest muscles yield the easiest. The sartorius, the posterior muscles of the thigh, &c. exhibit this phenomenon in an evident manner; as their position is accommodated to it. In general all the muscles remarkable for their length are superficial, and go most commonly to two articulations, sometimes even to three or four, as in the limbs. Now the number of these articulations renders the space comprised between the two points of attachment susceptible of very great variations, which the great extensibility of these muscles allows. It may be understood from what has been said above, that it is to the length of the fleshy fibres and to the whole length of the muscle, that its degree of extensibility is to be referred. Those in which many aponeuroses are intermixed, and which derive in part from these membranes or from tendons their length, possess less of this property. Hence why, in the same motions, muscles of the same total length become more or less short, more or less elongated in their fleshy portion. Observe however that when on the one hand the tendinous portion predominates much, and on the other that it is very delicate, it yields a little, as we see in the small plantar and palmar muscles.
If from the natural state we pass to the morbid, we see the muscular extensibility manifested in a much more evident degree. In the face, the air accumulated in the mouth, swells it by elongating the buccinators; the various tumours of this cavity, as the fungous and sarcomatous ones, often distend the small facial muscles in a manner which would astonish us, if we considered the naturally small extent of these muscles which are trebled and even quadrupled. The muscles of the eye-lids and the eye in the large carcinomas of that organ, those of the anterior part of the neck in the great swellings of the thyroid gland, the great pectoral in large aneurisms or in other tumours of the axilla, the abdominal muscles in pregnancy, in dropsy, in the various tumours of the abdomen, &c. the broad and superficial muscles of the back from wens that are under them, present us these phenomena of distension in a remarkable manner. The muscles of the extremities are less subject to them, because on the one hand fewer causes develop tumours beneath them, and because on the other the aponeuroses do not yield so easily to these phenomena.
Contractility of Texture.
The contractility of texture is carried to the highest point in the muscles. These organs have a continual tendency to contraction, especially when by being elongated, they have surpassed their natural size. This tendency is independent of the action of the nerves, and of the irritable property of the muscular texture. It is influenced by life, but it is not entirely dependent on it; it depends essentially on the structure of the muscles. The remarkable phenomenon of the antagonist muscles results from it. The following is this phenomenon.
Each moveable point of the animal frame is always between two opposite muscular forces, between those of flexion and extension, of elevation and depression, of adduction and abduction, of rotation without and rotation within, &c. This opposition is a condition essential to the motions; for in order to perform one of them, it is necessary that the moveable point should be in the opposite motion; in order to bend, it is necessary that it should be first extended, and reciprocally. The two opposite positions which a moveable part takes, are for it alternately the point of departure and the point of arrival; the two extremes of these positions are the two limits between which it can move. Now between these limits there is a middle point; it is the point of rest of the moveable part; when it is found there, the muscles are in their natural state; when it passes it, some are extended, others are contracted, and such is their arrangement, that the contraction and extension which take place in an opposite direction, are exactly in direct ratio. Hence, in the reciprocal influence that the muscles exert upon each other, they are alternately active and passive, power and resistance, organs moved and organs which move. The effect of every muscle which contracts is not then only to act upon the bone in which it is inserted, but also upon the opposite muscle. Between two muscles thus opposed, there is often no solid intermediate organs, as in the lips, the linea alba, &c. The muscle of one side acts then directly upon that which corresponds to it, in order to distend it. Now this action of the muscles upon each other is precisely the phenomenon of the antagonists; two muscles are such when one cannot contract without elongating the other and vice versa. Let us examine in this phenomenon the part of the contractility of texture; it is necessary to distinguish its influence from that of the vital forces, which has not been heretofore sufficiently done.
A muscle once placed in the middle position, can only be removed from it by the influence of the vital forces, by the animal or sensible organic contractility, because in this position the contractility of texture of its antagonist is equal to its own, and there is consequently required a force added to this to overcome that which is opposed to it. But if the muscle is found in one of the two extreme positions, for example in adduction, abduction, flexion, extension, &c. then there will be an inequality of action in the antagonists, as it respects the contractility of texture; the one most stretched, will make in order to contract itself, an effort much greater than that which is already contracted. To maintain the equilibrium, it is necessary then that the vital forces continue to influence the contracted muscles. Thus every extreme position of the limbs and of any moveable part, cannot in an ordinary state be supported except by the influence of the vital forces. When these forces cease to be in action, immediately the contractility of texture of the elongated muscle, which had a tendency to exert itself, but was prevented, exerts itself, becomes efficacious, and draws back the moveable part to the middle position, a position in which the equilibrium is restored. Hence why in all the cases in which the cerebral influence has no power over the muscles, in which they are not irritated by stimulants, the limbs are uniformly found in a medium position between extension and flexion, abduction and adduction, &c. This is the case in sleep, in the fœtus, &c. I have shewn elsewhere how the osseous arrangement of each articulation is adapted to this phenomenon, how every kind of relation between the articular surfaces, except that of this medium position, exhibits a forced state in which some ligaments are necessarily more stretched than others, and in which the osseous surfaces are never in so general contact as in this position. In certain fevers which have so deleterious an influence upon the muscular life and texture, the horizontal prostration and extension of the extremities do not arise from an increase of the action of the extensors, but from the want of energy of the flexors, which have not power to overcome the weight of the limb; thus observe that every analogous attitude always coincides with the signs of general weakness; this is the attitude of putrid fevers, &c.
The section of a living muscle presents us with two phenomena which are evidently the product of the contractility of texture.
1st. The two ends retract in opposite directions; there exists between these divided ends a space proportional to the retraction. This retraction is not in proportion, as has been thought, to the degrees of the contractions of the muscle; if it was, it would be sufficient in a transverse wound, in order to bring the divided edges together, to place the limb in the greatest possible relaxation; now oftentimes, in these cases, these ends still remain at a distance; then the retraction is often superior to the greatest contraction of the muscle considered in its natural state.
2d. The antagonist of the divided muscle which has no effort to overcome, contracts and makes the moveable part incline from its side, if there are not other muscles, which acting in the direction of the first supply its functions. This last phenomenon takes place also to a certain extent in paralysis of the face. The mouth is then drawn from the sound side. I have observed however in this respect, that this deviation is never as evident as it would be by the division of the paralytic muscle, which has preserved its contractility of texture. This remaining contractility forms a partial equilibrium with that of the muscles of the sound side, during the absence of motions; thus the deviations do not become very evident until the patients wish to speak, until consequently the vital forces bring into action the sound muscles, which the others cannot oppose. The paralysis of the sterno-mastoideus exhibits for the whole head a phenomenon analogous to that which the preceding muscles produce for the mouth. Strabismus also oftentimes arises from this cause.
In general in all the phenomena, it is necessary to distinguish that which belongs to the vital forces, from that which arises from the contractility of texture. The muscles are antagonists as it respects these forces, as well as it respects this contractility; now as the contraction dependant on the nervous influence or irritability, is much more conspicuous than that arising from the organic texture, the phenomena of the antagonists are much more striking in paralysis, when the sound muscles are brought into action in the first manner. It appears that in many cases of paralysis, the contractility of texture of the affected side is also a little altered; but it is never so completely destroyed, that in the amputation of a paralyzed limb, there is no muscular retraction. I have made this experiment upon a dog; the nerves having been cut ten days before, and the limb having remained immoveable since that period, the division of the muscles produced a manifest separation between their edges; and even, in afterwards cutting for the sake of comparison the limb that remained sound, I did not find any difference.
It is especially when muscles have been first stretched, and this stretching has ceased, that the contractility of texture becomes evident. The puncture in ascites and an accouchement as it respects the abdominal muscles, the opening of deep abscesses as it respects those of the trunk, the extirpation of a tumour situated under any muscle, &c. show us this property in action in a very striking manner. There is however an observation to be made on this point, viz. that if the extension has been of long continuance, or if it has been frequently repeated, the subsequent contraction is much less, because the muscular texture has been weakened by the painful state in which it has been; hence, 1st, the flaccidity of the abdomen after repeated pregnancy; 2d, the laxity of the scrotum, after the puncture of an old hydrocele; 3d, I have seen at Desault's a man who was operated upon in Germany for a fungus in the mouth, and who had, on that side on which the disease had been, remarkable wrinkles, owing to the greater extent of the fleshy part of that side, which could no longer contract like the other; mastication, at this time could only be performed on the sound side; 4th, when women have had many children, the diaphragm is weakened by repeated pressure, and hence in part the greater mobility of the ribs, which compensate in some measure in females for the deficiency of action of this muscle. I think that in many chronic affections of the chest and abdomen, in which there is a long continued distension of this muscle, physicians ought more than they do, to have regard to this cause of difficulty of respiration, when the principle of distension no longer exists, as after the evacuation of dropsies, &c.
The extent of the contractility of texture is in the muscles in proportion to the length of the fibres; hence why in amputations, the superficial part retracts more than the deep-seated; why in sleep the phenomena of contractility of texture are very apparent in the extremities, the muscles of which are very long; why, in the antagonists, nature has in general opposed muscles of proportional length; why consequently, a muscle with long fibres has rarely for a counterpoise one with short ones, and vice versa. The flexors and extensors of the arm, the fore-arm, the thigh and the leg are nearly of the same extent; the rotators of the humerus within and without, the first inserted into the sub-spinal depression, the others into the sub-scapular, resemble each other also in this respect. The proportion between the antagonists is still more remarkable on the face, where the same muscles act most commonly in an opposite direction on each side of the median line.
The quickness of the contractions, arising from the contractility of texture, is not like that produced by the animal or sensible organic contractility, which is uniformly more or less marked, according as the nervous influence of the stimulant acts more or less strongly. Every motion originating from the contractility of texture is slow, uniform and regular; it is only when the muscular texture is weakened that it diminishes; it does not increase except when this texture is more developed; hence it follows that the varieties of quickness can only be observed in different individuals, or in the same individual at different periods, and not, as in the exercise of the vital forces, from one instant to another. This is a great and remarkable difference between the two species of properties.
Death weakens the contractility of texture but does not annihilate it; a muscle being cut retracts a long time after life has left it. Putrefaction alone puts a limit to the existence of this property. It is the same with regard to extensibility. I would observe however that while the muscles retain the vital heat, they have more power of retraction, than when the chill of death has seized them.
Haller places on the same line and derives from the same principles, the phenomena resulting from the contractility of texture, which, with some slight differences, answers to his dead power, and those produced by the action of the concentrated acids, alkohol, fire, &c. on animal substances, which crisp, contract and acquire the horny hardness from the effect of these different agents. But there are many differences which essentially separate these phenomena from each other. 1st. The contractility of texture is very slight in the organs in which the faculty of having the horny hardness is very evident, for example, in all the organs of the fibrous, fibro-cartilaginous, serous systems, &c. &c. 2d. The contractility of texture is distributed in very various degrees, to the different parts; from the muscles and the skin, which possess the greatest degree of it, to the cartilages which seem destitute of it, there are many variations; on the contrary, the faculty of acquiring the horny hardness from the agents pointed out is almost uniformly distributed, or at least its differences are much less evident. 3d. One becomes nothing in dried organs, the other is evidently preserved for many years, as parchment is a proof. 4th. The first clearly receives an increase of power from life, especially in the muscles; the second appears to be hardly modified by it. 5th. This always exhibits sudden effects, rapid contractions. To feel the contact of the fire, of the concentrated acids or alkohol, and to assume the horny hardness, are two phenomena which the second brings together in the animal parts; the contractility of texture, on the contrary, exerts itself but slowly, as we have said. 6th. This last can never give to the parts, the muscles especially, that remarkable density which they exhibit in their horny hardening. 7th. The absence of extension of the fibres is the only thing necessary for the contractility of texture which has an unceasing tendency to activity; it requires on the contrary in order to crisp the fibres, that they should be in contact with a foreign body. I could add to these many proofs, in order to establish an essential difference between the phenomena confounded by the illustrious physiologist of Switzerland.
II. Vital Properties.
The most of these properties perform a very important part in the muscles. We shall first examine those of animal life, and afterwards treat of those of organic.
Properties of Animal Life. Sensibility.
Animal sensibility is that of all the vital properties which is the most obscure in these organs, at least if we consider them in the ordinary state. Cut transversely in amputations, in experiments upon living animals, they do not experience any very painful sensation; it is only when a nervous filament is touched, that pain is manifested. The peculiar texture of the muscle is but slightly sensible; irritation by chemical stimulants does not show much sensibility in it.
There is however a peculiar sensation, which in the muscles very evidently belongs to this property; it is that which is experienced after repeated contractions, and is called lassitude. After long standing, it is in the thick bundle of lumbar muscles that this sensation is especially felt. After walking, running, &c. if on a horizontal plain, it is all the muscles of the lower extremities which are more particularly fatigued; if on an ascending plain, it is especially the flexors of the ilio-femoral articulation; if on a descending one, it is the posterior muscles of the trunk. In the employments which exercise particularly the superior extremities, this sensation is often experienced in a remarkable manner, which is certainly not owing to the compression made by the muscles in contraction, upon the small nerves which run through them. In fact it can take place without this antecedent contraction, as is observed in the commencement of many diseases, in which it extends in general over the whole muscular system, and in which the patients are, as they say, fatigued and wearied, as after a long march. This sensation appears to depend on the peculiar kind of animal sensibility of the muscles, a sensibility which the other agents do not develop, and which the permanency of contraction renders here very apparent. Thus the fibrous system, sensible only to the means of distension which act upon it, does not receive a painful influence from the other agents of irritation. Observe that this painful sensation, which a too prolonged motion produces in the muscles, is intended by nature to warn the animal to place limits to it, without which the consequences would be serious. Thus the peculiar sensation which arises from distended ligaments, is designed to make the animal limit their extension. Observe how each organ has its peculiar kind of sensibility; how false an idea we should have of the existence of this property, if we judged of it only from mechanical and chemical agents, and observe particularly how nature accommodates to the uses of each organ its kind of animal sensibility.
In phlegmasia of the peculiar muscular texture, the animal sensibility is very often raised to a very great height; the least touch on the skin becomes painful; the patient can hardly bear the weight of the clothes, and frequently the least jar produces in the limbs the most acute pains. But in general these pains are wholly different from the painful sensation which we call lassitude; thus the pain of a ligament stretched in a sound state, is not the same as that which arises from the inflammation of a ligament or any other fibrous organ.
I would add to what I have said above upon this sensation, that some organs are fatigued like the muscles, from too long continuance of their functions; for example, the eyes by the contact of light, the ears by that of sounds, the brain by thinking, &c. and in general all the organs of animal life; it is even this general lassitude which brings on sleep, as I have proved in my Researches upon Life. But observe that the sensation which the eye, the ear, the brain and all the external organs produce when thus fatigued is not the same as that which arises from the over-exertion of the muscles; another proof of the peculiar kind of their sensibility, and in general of that of every living part.
Animal Contractility.
This animal property, upon which all the phenomena of locomotion and voice depend, which assists those of the internal and external functions, has its seat exclusively in the animal muscular system; it is this which distinguishes it from the organic, and from all the others. It consists in the faculty of moving under the cerebral influence, whether the will or other causes produce this influence. The animal contractility has then, like the sensibility of the same species, a peculiar character, differing from the two organic contractilities, a character which consists in this, that its exercise is not concentrated in the organ which is moved, but that it requires also the action of the brain and the nerves. The brain is the principle from which, if we may so say, this property goes, as it is that to which all the sensations come; the cerebral nerves are the agents which transmit it, as they are, though in an opposite direction, the conductors of the sensitive phenomena. Whence it follows, that in order to understand this property well, it is necessary to examine it in the brain, in the nerves and in the muscle itself.
Animal Contractility considered in the Brain.
Every thing in the phenomena of animal contractility proclaims the influence of the brain.
In the ordinary state if more blood is carried to this organ, as in anger; if opium, taken in a moderate dose, excites it slightly; if wine produces the same effect, the muscular action increases in energy in proportion as that of the brain is thus increased. If terror by retarding the pulse, by diminishing the force of the heart, and even the quantity of blood sent to the brain, strikes it with atony; if the different narcotics, carried to excess, produce the same effect; if wine prevents its action by its too great quantity, then observe these muscles languish in their motion and experience even a remarkable intermission. If the brain is wholly engrossed in its relations with the senses, or in its intellectual functions, it, if we may so say, forgets the muscles; these remain inactive; the man who looks or hears with attention, does not move; neither does he who contemplates, meditates and reflects. The phenomena of ecstasy, the history of the studies of philosophers, often present us with this important fact, this muscular inertia, the principle of which is in the distraction of the cerebral influence, which does not increase in other functions, only by diminishing in locomotion.
In diseases, all the causes which act strongly on the brain, re-act suddenly on the animal muscular system; now this reaction is manifested by two opposite states, by paralysis and by convulsions. The first is the indication of diminished energy, the second that of increased; one takes place in compressions from pus, effused blood, bones driven below their natural level, and from the consequences of apoplexy; it is seen in the attack of most hemiplegias, a sudden attack in which the patient falls down, loses all consciousness and has all the signs of a cerebral lesion. This lesion disappears, but its effect remains, and this effect is the immobility of a part of the muscular system. The other state or the convulsive, arises from the various irritations of the cerebral organ from osseous fragments driven into its substance, from its own inflammation or that of its membranes, from different tumours of which it may be the seat, from organic lesions that it may have, lesions which I have rarely observed in the adult, but which infancy sometimes exhibits, and from the causes even of compressions; for oftentimes we see this convulsive state existing at the same time with different effusions, with hydrocephalus, &c.
The state of the animal muscular system is truly the thermometer of the state of the brain; the degree of its movements indicates the degree of energy of this organ. Those who attend in a lunatic hospital have often occasion to consult this thermometer. At the side of a furious patient, whose muscular power is doubled, or even trebled, you see a man all whose motions languish in a remarkable inertia. A thousand different degrees are observed in these motions; now these degrees do not depend upon the muscles; the most furious madman is often he whose very delicate external forms indicate the weakest muscular constitution; as the most perfect automaton is sometimes he whose muscles are the most powerfully developed. The muscles are to the brain what the arteries are to the heart. The physician learns by these vessels the state of the central organ of circulation which communicates impulse to them; by the muscles of animal life, he learns the state of the central organ of this life. Observe patients in many important fevers; in the morning there is prostration, in the evening you find an extreme agitation in the muscles. Now what is the seat of this revolution? It is not the muscles, but it is the brain. There has been a translation to the head, as it is commonly called.
If from the bed of the sick we go to the laboratory of the physiologist, we shall see experiments in perfect accordance with the preceding observations. The ligature of all the arteries that go to the brain, interrupts immediately the movements of this organ, movements necessary to its action, and produces a sudden cessation of voluntary motion, and afterwards death. By injecting through the carotid and towards the head, ink, solutions of neutral salts, acids, substances whose contact is fatal to cerebral action, I have always seen the animal perish with previous convulsive motions. The injection of water does not produce this effect; it can with impunity to the life of the brain be introduced into the arterial blood, if it is injected moderately; but pushed with force, you will irritate extremely this organ, and in an instant the animal is seized with violent agitations; moderate the force, rest succeeds. I have already related this experiment elsewhere. If we lay bare the cephalic mass, and irritate it with a mechanical or chemical agent, &c. in an instant the animal muscular system is brought into action. It is however to be observed that in these experiments the convexity of the organ appears to be much less connected with the motions, than its base. The irritation confined to the cortical substance, to the superficial layers of the medullary, is almost nothing; it is not till we arrive at the inferior layers, that the convulsions come on. I have wished to try many times to ascertain with precision the place where the irritation becomes a cause of convulsion; but this has always appeared to me very difficult, and the results have been infinitely various. I believe that we can hardly establish any thing more than a general result, viz. that the nearer we approach in the experiments the annular protuberance, and in general the cerebral base, the more apparent are the convulsive phenomena; they are so much the less as we remove from them, they are nothing on the convex surface. Observe that it is on the side of its base, that is to say, on the side of its essential part, that the brain receives the numerous vessels which carry to it excitement and life, whether by the motion which they communicate to it, or by the nature of the red blood which they carry to it, as my experiments published the year passed have, I think, demonstrated.
Add to these experiments those of the artificial commotions. The muscles of the ox vacillate, and are unable to support themselves, the instant the blow is struck. At other times animals expire, their limbs convulsively agitated from a blow given on the occiput; rabbits often exhibit this phenomenon. Pigeons die with convulsive motions of the wings. Irregular agitations arising from an irregular influx of the power of the brain always precede the instant of death, which the commotion has produced.
Let us conclude from all these experiments and the observations that precede them, that the action of the animal muscular system is always essentially connected with the state of the brain, and that when this action is increased or diminished there is almost always an increase or diminution of the cerebral action.
Let us not however exaggerate the relation which connects the muscular to the cerebral phenomena; observation would prove us incorrect. There are various examples of aqueous, sanguineous and even purulent congestions in the brain, without having produced any alteration in muscular motion. Different tumours and defects of conformation have occasioned disturbance of the intellectual functions, without affecting those of the muscles; how many times is the brain disordered in various species of alienations; how many times do the understanding, memory, attention and imagination indicate these derangements by their irregular aberrations, without their being felt by the muscular system. Is there not often an alteration of the external sensation, without an alteration of motion? In general the brain has three great functions. 1st. It receives the impressions from the external senses; it is in this relation the seat of perception. 2d. It is the principle and the centre of the voluntary motions, which are not exerted but by its influence. 3d. The intellectual phenomena are essentially connected with the regularity of its life; it is as it were the seat of them. Now it can be deranged as to one of these functions, and remain sound as to the others; it can be a regular principle of the motions, and an irregular centre of the phenomena of the understanding; not communicating with external objects by the senses, and determining motions, or presiding over intellectual functions, as happens in sleep which is disturbed by dreams, &c.
From what has been said we can understand why acephalous fœtuses cannot live out of the womb of the mother. As animal life is nothing in the fœtus, as respiration does not take place, as the functions are limited to the great circulation, to the secretions, exhalations and nutrition, the acephalous fœtuses can live in the womb of the mother, and acquire a very considerable size; but at birth they cannot breathe, the intercostals and diaphragm being unable to act. The gastric viscera receives no influence from their muscular parietes; all the limbs are immoveable. Animal life, which commences in others at birth, cannot commence in them, because they have not the centre of this life; they have senses, but nothing to receive their impressions; muscles, but nothing to make them move; they can continue to live but a little while in themselves, without beginning to live from without. But as in general it appears that when the infant quits the womb, the red blood becomes necessary to it, that to have this, it must respire, and as this function cannot commence, it loses the internal life which it had in the womb of the mother. There are acephalous fœtuses which have at the origin of the nerves a small medullary swelling; in others the spinal marrow is larger. If these medullary swellings, if the spinal marrow by its peculiar texture, supply the place of the brain, life can continue, and it is in this way that we can explain some examples of acephalous subjects that have lived a certain time. But certainly an acephalous subject organized like ourselves, which has nothing to supply the place of the brain, cannot live. Thus in almost all the examples of these monsters, related by authors, and especially by Haller, the death of the individual took place at its birth.
Animal Contractility considered in the Nerves.
The brain, at a distance from almost all the muscles, communicates with them by the nervous system, and by it transmits to them its influence; now this communication is made in two ways. 1st. There are nerves which go directly from the brain to the muscles of animal life. 2d. The greatest number does not go from this organ itself, but from the spinal marrow. Almost all the muscles of the neck, all those of the chest, the abdomen and the extremities receive theirs from this last source. The spinal marrow is, as it were, a general nerve, of which the others are only divisions and principal branches.
All the lesions of this principal nerve are felt by the muscles that it has under its influence; the compressions that it experiences from a fracture of the vertebræ, from any displacement, from an effusion of blood, serum, pus, &c. in the vertebral canal, the derangements which take place from a violent blow received upon the whole region of the spine, from a fall upon the loins, or on the superior part of the sacrum, are followed by numbness and paralysis of the subjacent muscles. Divide the spinal marrow, by introducing a scalpel into the canal, immediately all motion ceases below the division. If you wish on the contrary to produce convulsions, introduce a stilet into the canal; irritate the marrow with it or by chemical agents placed on it, there will be immediately agitation and convulsion in all the animal and muscular system that is below.
The higher the lesion of the marrow is, the more dangerous is it. In the lumbar region its influence extends only to the inferior extremities, and the muscles of the pelvis; in the back it paralyzes these muscles and those of the abdomen; now as these last contribute indirectly to respiration, this function begins to be embarrassed; if the lesion is above the dorsal region, it becomes still more painful, because the intercostals lose their action; the diaphragm alone then supports the respiratory phenomena, because the phrenic nerve still receives and transmits the cerebral influence. But when the lesion happens above the origin of this nerve, there is no more action of the diaphragm, and no more contraction of the intercostal and abdominal muscles; respiration ceases; from the same cause the circulation is interrupted; the blood being no longer carried to the brain, the action of this organ is annihilated. Hence why the luxations of the first vertebra on the second are suddenly fatal, when the displacement is very great; why judicious surgeons dare not sometimes run the hazard of reduction, when these luxations are partial, for fear of rendering them complete, and of thus seeing the patient, whom they attempted to relieve, perish in their hands; why, when we wish to knock down an animal, the blow should be given on the superior and posterior part of the spine; and why a stilet plunged between the first and second vertebræ immediately destroys life.
We see very distinctly the successive influence of the different parts of the marrow on the muscles and on the general life, by introducing a long piece of iron into the inferior part of the vertebral canal of an animal, of a guinea pig for example, and carrying it up through this canal to the cranium, through the spinal marrow which it tears. We observe evidently as it ascends, at first convulsions of the inferior extremities, then those of the abdominal muscles, then derangement of respiration, then its cessation, then death which is the consequence of it.
From all these facts, we cannot, I think, call in question the influence of the spinal marrow upon motion, the principle of which it receives from the brain and afterwards transmits it to the nerves. These last carry this principle, which they have received, to the muscles, either by means of the spinal marrow, as in almost all those of the trunk and the extremities, or directly from the brain, as in those of the face, the tongue, the eyes, &c. There are the same proofs for this nervous influence, as for that of the preceding sensitive organs. The tying, division or compression of a nerve paralyzes the corresponding muscle. Irritate with any agent a nerve laid bare in an animal, convulsive contractions are immediately seen in the muscle. These experiments have been so often and so accurately repeated by many authors, that I think it useless to go into details, which the reader may find everywhere. Irritation continued some time upon one point of the nerve destroys its influence upon the muscle, which remains immoveable; but it is put in motion again, if the irritation is carried to a lower part of the nerve. If we tie it, the motion ceases, if irritation is made above the ligature, it returns when it is made below, or when the ligature is removed.
I would remark that all the nerves of animal life do not appear to be equally capable of transmitting to the muscles the different irradiations of the brain. In fact whilst in diseases, in wounds of the head, in our experiments, &c. the muscles of the extremities are convulsed or paralyzed with great ease, those of the abdomen, the neck, and especially the chest do not exhibit these phenomena, except when the causes of excitement and debility are carried to the highest point. Nothing is more frequent than to see the abdomen and the chest with their ordinary degree of muscular contraction, whilst the extremities or the face are agitated with convulsive motions. Examine most hemiplegias; the mouth is twisted, the superior and inferior extremity of one side become immoveable, and yet the pectoral and abdominal motions continue. Those of the larynx are more easily interrupted than these in paralysis; hence the different injuries of the voice. We could make a scale of the susceptibility of the muscles to receive the cerebral influence, or of the nerves to propagate it, for it is difficult to determine to which of these two causes the phenomenon is owing; we could, I say, make a scale, at the top of which should be placed the muscles of the extremities, then those of the face, then those of the larynx, afterwards those of the pelvis and the abdomen, and finally the intercostals and diaphragm. These last become convulsed and paralyzed with the most difficulty of all. Observe how this scale is adapted to that of the functions. What would become of life, which is always actually connected with the soundness of respiration, if all the cerebral lesions were as easily felt by the diaphragm and the intercostals, as by the muscles of the extremities? Paralysis in these last only takes from the animal a means of communication with external objects; in the others it interrupts immediately both internal and external life.
The nervous influence is only propagated from the superior to the inferior part, and never in an inverse direction. Cut a nerve in two, its inferior part when irritated will make the subjacent muscles contract; let them do what they will to excite the other, no contraction is produced in the superior muscles; so the spinal marrow divided transversely and pricked above and below, produces no sensible effect but in the second direction. The nervous influence never extends upward for motion, as it does for sensation.
Animal Contractility considered in the Muscles.
The muscles essentially destined to receive the cerebral influence by means of the nerves, have however an active part in their own contraction. It is necessary that they should be entire to exercise this property, and answer to the excitement of the brain. When any lesion affects their texture, and it is no longer the same as usual, the muscle remains immoveable or moves with irregularity, though it receives a regular nervous influx. The following are various circumstances relative to the muscle itself, which prevent or alter its contractions.
1st. An inflamed muscle does not contract; the blood which then infiltrates it and penetrates its fibres, their great excitement and the increase of its organic forces, do not permit it to obey the stimulus it receives. In angina, deglutition is as much interrupted by the inaction of the muscles, as by the inflammation of the mucous membrane. We know that the inflammation of the bladder is one cause of the retention of urine; that of the diaphragm renders respiration very painful, which the intercostals perform almost alone.
2d. Every thing which tends to weaken and relax the muscular texture, as external blows, bruises, contusions, infiltrations of serum in dropsical limbs, or distension from a subjacent tumour long continued, alters, changes the nature of, and can even annihilate animal contractility.
3d. Whenever the blood ceases to enter the muscles by the arteries, these organs remain immoveable. Steno has observed, and I have always seen, that in tying the aorta above its bifurcation which forms the internal iliacs, paralysis of the inferior extremities immediately comes on. We know that in the operation for aneurism, a numbness more or less considerable almost always follows the ligature of the artery. This numbness continues until the anastomoses supply the place of the artery which no longer brings any fluid. The internal motion created in the muscle by the entrance of the blood, is then a condition essential to muscular contraction. Thus the habitual motion imparted to all the other organs and especially to the brain, maintains their excitement and their life.
4th. It is necessary in order to obey the cerebral influence that the muscle should not only receive the shock of the blood, but also of the red or arterial blood. Black blood cannot by its contact support motion. A general weakness and the fall of the animal are the first symptoms of asphyxia, a disease in which the black blood goes to all the parts. I shall not here repeat the proofs of this assertion, which appears to me to be amply demonstrated by my Researches upon the Different Species of Death. I refer to my work upon this point.
5th. A fluid differing from the blood, water, oily and albuminous fluids, and for a stronger reason acrid and irritating fluids, the urine, solutions of the acids and the alkalis, &c. are not proper to support muscular action; on the contrary they paralyze it; injected into the crural arteries of a living animal instead of blood, which is stopt above by a ligature, they weaken and even annihilate the motions, as I have frequently satisfied myself. The result varies in these experiments according to the fluid employed in making them; the rapidity of the cessation of the motions is more or less striking; they are either weakened or totally suspended; but there is always a very great difference between that and the natural state.
6th. Does the contact of the different gases upon the muscles modify their contractions? Since the publication of my Treatise upon the Membranes, I have made no experiment upon this point. Those which are contained in it present the following results; frogs and guinea pigs rendered emphysematous by blowing air into the sub-cutaneous texture which afterwards penetrates the cellular interstices, and comes everywhere in contact with the muscular system, move almost the same as usual. If oxygen is used, the motions of the emphysematous animals are not accelerated; they are not diminished if we employ the carbonic acid gas, hydrogen, &c. In general, all the artificial emphysemas that I have made upon the two species mentioned, in order to have an example in each class of animals with red and cold blood, and of those with red and warm blood, succeeded very well, and did not appear to cause any sensible embarrassment to the animal, which gradually got rid of it. Emphysema with nitrous gas is constantly fatal; the contact of this gas seems almost suddenly to strike the muscles with atony.
7th. If instead of blowing gas into the cellular texture of an animal, we force in different fluid substances, they produce different effects upon the muscles, according to their nature, and to their acrid, soft, or styptic qualities. No injection produces a more sudden and striking effect than that of opium dissolved in water, or than that of its various preparations; when the muscles feel it in contact, their motions cease, they fall as in paralysis.
In general I would observe that it is infinitely better to make the experiments of the contact of the gases and the different fluids upon the muscles, by blowing the first, and injecting the others into the intermuscular texture of a living animal, than by drawing out a muscle, and afterwards plunging it all alive into the one or the other; or than laying a muscle bare, in order to direct upon it the current of a gas, or to moisten it with a fluid, for the purpose of observing the phenomena of the contact.
It follows from all that we have just said, 1st, that to answer to the cerebral excitement by contracting, the muscle should be in general in a state determined by the laws of its organization; that out of this state it is not capable of contracting, or at least that it does it feebly and irregularly; 2d, that the contact of different foreign substances produces upon the muscle a very variable effect. Moreover many causes besides those stated above, appear to me also to alter the contractions, by acting directly upon the muscles, such as mercury taken by friction for the venereal disease, the influence of this metal, of copper and of lead, upon those who work in them, the action of cold, that of certain fevers, &c. The muscular tremor arising from these different causes, does not appear to arise from the brain; this organ at least does not most commonly give any sign of affection in this case; I confess however that in these different species of tremors, it is not easy to distinguish that which belongs to the peculiar affection of the muscle, from what arises from that of the nerves; perhaps these are especially affected, but the brain certainly does not participate.
Causes which bring into action Animal Contractility.
We have just seen that in the natural state this property constantly requires three actions, 1st, that of the brain; 2d, that of the nerves; 3d, that of the muscles; that it is from the brain that the principle of motion goes which is propagated by the nerves, and which the muscles receive. But it is necessary that some agent should excite the brain to determine it to exert its influence. In fact, the animal contractility being essentially intermittent in its exercise, so that each time after it has been exerted it is suspended, it is necessary that a new cause should place it again in activity; now this cause acts at first upon the brain in the natural state.
I refer to two classes the causes that excite the brain in order to produce animal contractility. In the first is the will, in the second are all the impressions which this organ receives, and which are not under the control of the mind.
The brain is only intermediate between the mind and the nerves, as the nerves are between the muscles and the brain; the principle, which wills, acts at first upon this organ, which afterwards re-acts. When they are thus produced, our motions are sometimes precise and regular; that is when the intellectual functions are sound, when the memory, imagination and perception are clearly exerted, when the judgment being correct, directs with regularity the acts of the will; sometimes they are irregular and singular, it is when the intellectual functions disturbed and agitated in various ways, produce a singular and irregular volition, as in the various mental alienations, in dreams, in the delirium of fevers, &c. But in all these cases, these are always voluntary motions; they go from the immaterial principle that animates us.
In the second class of causes which influence the brain, the animal contractility becomes involuntary; it is exerted without the participation of the intellectual principle, often even against its will. Observe an animal whose brain is artificially irritated in experiments; it tries to stiffen itself to prevent the contractions, they take place in spite of it; prick a nerve in an operation, the muscle contracts suddenly below, without the mind's participating in this movement; the patient has not even a consciousness of it; he has only that of the pain. When much blood flows to the brain in the violence of inflammatory fevers, this organ excited by the fluid, re-acts immediately upon the muscles, without the will's partaking in it. All the phenomena of contraction and relaxation, arising from different accidents which accompany wounds of the head, cerebral inflammations, &c. are equally involuntary, although having their seat in the muscles which the will habitually directs. These are the different circumstances in which the action of any agent upon the brain is direct and immediate, and in which there is a mechanical cause applied to the brain.
In other circumstances the brain is only affected sympathetically. In many acute affections what is called translation to the brain, does not arise from more blood being carried to it; the pulse is not fuller, the face is not more flushed; there are often even signs of languor in the action of the vascular system. The brain is affected, like all the other organs by sympathy, a happy word, which serves to veil our ignorance in respect to the relations of organs to each other; the brain is affected then like the heart, the liver, &c. Take for example peripneumony; the lungs are then the organs that are essentially injured, from this essential and local injury, arise many sympathetic ones more or less severe. If the liver is sympathetically affected, bilious symptoms are joined to the symptoms of the principal affection; if it is the stomach then gastric symptoms are manifested. The heart is always agitated; hence there is fever. When the sympathetic influence extends to the brain, there is violent motion, convulsions, &c.; for, as I have said, the state of the muscles is the index of the state of this organ; now, in this last circumstance, the will has nothing to do with the animal contractility in exercise; the patient cannot prevent the convulsive agitation of his muscles; the sympathetic irritation of the brain is stronger than the influence of the will. This example of cerebral affection in peripneumony, though more rare than in many other diseases, may however give us an idea of what takes place in all other cases in which the muscles are convulsively agitated by the injury of any organ, by that of the fibrous system distended, of the ligaments and especially of the aponeuroses, by dentition, by violent pains in the kidneys, in the salivary glands or the pancreas, occasioned by a stone, by injuries of the diaphragm, the nerves, &c. In all these cases, there is an affected point in the economy; from this point the sympathetic irradiations go off, which especially reach the brain; this irritated by them, enters into action and excites the muscles; their contraction takes place and the will is a stranger to it.
See also how the passions which have their influence particularly over the internal organs, which especially affect those placed around the epigastric centre, the heart, the liver, the stomach, the spleen, &c. imprint on our motions an impetuosity, which the will cannot make us masters of. The internal organ affected re-acts upon the brain, this excited stimulates the muscles; they contract, and the will is almost nothing in this contraction. Observe the man, whom jealousy, hatred or rage agitates to the greatest degree; all his movements follow each other with an impetuosity which judgment reproves, but which the will cannot moderate, so much does the influence of the sympathetic affection of the brain predominate over that of the will. At other times the passions exhibit an opposite phenomenon. They are marked by a general weakness of all the muscular motions. In astonishment accompanied with grief, or in that in which is mixed a lively joy, the arms fall down as it is commonly expressed; the cerebral influx ceases almost entirely, and yet it is not to the brain that the influence of this passion is carried, it is to the epigastric centre, as is proved by the sudden contraction which is felt there. One of the epigastric organs has been affected; it has reacted upon the brain; this has been interrupted in part in its functions; the muscles feel it and theirs cease. In fear in which this phenomenon is observed, as the paleness of the skin indicates the languor of the circulating system, it may happen that the cerebral and muscular inaction arises in great measure from this, that there is not received a sufficient impulse from the heart, upon which the first influence of the passion is exerted, and which by this influence is retarded in its motions. Fear, it is said, takes away the legs, petrifies, &c.; these expressions, borrowed from vulgar language, indicate the effect of this passion on the muscles; but this effect is only secondary; the first influence has been upon the heart, the second upon the brain; it is not till after the other two that the muscles are affected. Hence how certain animals remain immoveable at the sight of that which is about to seize them for its prey.
It is also to the sympathetic influence of the internal organs upon the brain, that should be attributed the motions of the fœtus, motions which the will does not direct; for the will is but a result of the intellectual phenomena; now these phenomena are nothing at this period of life. The internal functions then very active, suppose a great action in the liver, the heart, the spleen, &c.; now these organs in that way influence efficaciously the brain, and this in its turn puts the muscles in motion; so that the animal contractility is by no means voluntary in the fœtus; it does not begin to become so until the sensations have brought into action the phenomena of the understanding; until then, they must be compared to all those of which we have spoken above.
From all that has just been said, it will be easily understood, I hope, how the animal contractility can be or not subjected to the influence of the will. In both cases, the series of phenomena which it requires is always the same; there is always excitement by the brain, transmission by the nerves, execution by the muscles, or successive inactivity of these three organs. The difference is only in the cause which produces the cerebral excitement; now this cause can be, 1st, the will; 2d, an irritation immediately applied; 3d, a sympathetic irritation. It is essential to form precise and exact ideas concerning this vital force which performs so great a part in the living economy.
Duration of the Animal Contractility after Death.
The difference of the causes which act upon the brain in the animal contractility, in order to determine it to excite the muscles, appears particularly in a remarkable manner at the instant of death. Whatever may be the way in which this happens, the intellectual functions are always the first to cease; it is even to this that we especially attach the idea of the absence of life. Whence it follows that the first phenomenon of this absence must be the failure of the muscular contraction subjected to the influence of the will, which is the result of these intellectual functions. Every thing then remains immoveable in the muscular system, if no other cause acts upon the brain or the nerves; but these two organs are, yet for a long time, capable of answering to the various excitements of stimuli. Stimulate in any way the brain, the spinal marrow or the nerves of an animal recently killed, in an instant its muscles convulsively contract; it is the same phenomenon as that obtained during life from the same cause. Often even immediately after death, this phenomenon is still more apparent than during life; I have been frequently convinced of this in my experiments. If during life we irritate any nerve, the contraction oftentimes is almost nothing, because the will acting by the other nerves upon the same muscle, or at least upon those of the limb, produces contractions opposite to those which the irritation tends to produce. I have many times observed that the galvanic phenomena are also infinitely more easily produced an instant after death, even in animals with red and warm blood, than during life; in this last case often we can obtain hardly any result, because their influence is counteracted by the cerebral influence arising from the will. When the irritation is directly applied to the brain or the superior part of the spine, it then surpasses the will; it is stronger in the living animal; but on an insulated nerve, it is often inferior to it; not that the will acts by the irritated nerve, its influence in it is arrested at the place stimulated, but it exerts itself by the adjacent nerves.
It is to the susceptibility of the brain and nerves of still transmitting the principle of motion after death, that must be referred all the phenomena that are witnessed in the different kinds of decapitation. Ducks, geese and other animals of this family move their muscles with some regularity, after the head is taken off, in running, jumping, &c. Some time after the punishment of the guillotine, the inferior and superior extremities are still the seat of various tremors; the muscles of the face are sometimes even contracted so as to give to this part the expression of certain passions, an expression incorrectly referred to the sensitive principle still left for some time in the brain. The same phenomena were formerly observed in the punishment that consisted in cutting off the head with an axe. During the year past I have had a painful proof of these singular facts; a guinea-pig, whose heart I had just removed, plunged deep into my finger the four prominent teeth that distinguish this species. All these phenomena are only the result of the irritation produced, either by the cutting instrument, or by the air, upon the two divided extremities of the marrow; this is so true, that by increasing the irritation by a pricking, cutting instrument, &c. with a chemical agent applied to these extremities, the motions are very much increased. Nothing is more easy than to be convinced of this fact in an animal; I have many times proved it in those who have been guillotined, upon whom I have been allowed to make experiments for galvanic purposes. See how the alternate motions of respiration can continue for some time, after the brain has been destroyed, after a wound of the head in which its mass has been crushed, after a luxation of the first vertebra, in which the beginning of the spinal marrow has been compressed so as suddenly to stop life, after the injection of a very irritating fluid by the carotid, &c. &c.
In this duration of animal contractility after death, the muscles are absolutely passive; they obey, as during life, the impulse they receive from the nerves; it is this which distinguishes it essentially from the duration of irritability, a property by which, after death as during life, the muscle has in it the principle which makes it move.
The duration is greater or less according to the class of the animals; those with red and cold blood keep this property longer than those with red and warm blood; among these, the family of ducks are, as I have said, remarkable for this phenomenon, which is much more rapidly lost in the others and in quadrupeds. In the first class there are also varieties among the reptiles, fishes, &c.
In general I have constantly observed that the animal contractility ceases after death, first in the brain, then in the spinal marrow and last in the nerves. When the muscles no longer move by irritating the first of these organs, they contract by stimulating the others. The irritated nerves can still communicate a motion, when the spinal marrow, no longer exhibits this phenomenon. I have not observed that the superior part of the nerve ceased sooner to transmit motion, than the inferior. But what is remarkable is that certain nerves, under the influence of the same irritation, make their muscles contract more strongly than others; such for example is the phrenic. When all the other muscles cease to be moveable by the artificial excitement of their nerves, the diaphragm is still moved by this means. Whilst experiments have but little effect elsewhere, they are in full force upon this muscle; this is the more remarkable, as during life this is precisely the one which is the least affected by the state of the brain and the spinal marrow; paralysis and convulsions hardly ever affect it, as we have seen.
Besides, in thus comparing the duration of animal contractility, the same stimulant should always be employed; for the effects are more or less evident according to those which we use. When the whole brain and the nerves are no longer sensible to mechanical or chemical agents, they still powerfully obey galvanic impulses. The irritation of the metals is of all the means at present known, the most efficacious in perpetuating animal contractility some time after death.
Organic Properties.
Organic sensibility is the manifest portion of the muscles of which we are treating; constantly brought into action in them by nutrition, absorption and exhalation, it becomes still more apparent, when we irritate muscles that are laid bare; they feel this irritation, and the motion, of which we shall speak hereafter, is the result of this feeling which is centred in the muscle, and which is not referable to the brain.
Insensible organic contractility is the attribute of this muscular system, as of all the others.
The sensible organic contractility is very evident in it. If we lay bare a muscle in a living animal, and irritate it with any agent, it curls up, contracts and is agitated. A detached muscular portion exhibits for some instants the same phenomenon.
Every thing is irritating to the naked muscle, the air, water, neutral salts, the acids, the alkalis, the earths, metals, animal and vegetable substances, &c. The mere contact is sufficient to produce contraction. Yet besides this contact, there is something also which depends upon the nature of the stimuli, and which makes the intensity of the contractions vary. A powder of wood, coal, metal, &c. sprinkled upon the muscles of a frog, produce but slight motions in it; pour on it a neutral salt in powder, the marine salt for example, immediately irregular agitations, and a thousand different oscillations are manifested. Each body is by its nature capable of irritating the muscles differently, as according to individuals, ages, temperaments, seasons, climates, &c. the muscles are capable of answering differently to excitements made upon them.
It is not necessary to irritate the whole of a muscle to produce its contraction; two or three fibres only being pricked bring into action all the others. Often even when we make these experiments on a living animal, the contraction is communicated from one muscle to another. In general I have constantly observed that during life these experiments are less easy, and give results much more various, as we have already stated with regard to animal contractility. Lay bare a muscle, irritate it at many different times; sometimes it does not give the least sign of contractility; sometimes it moves with force; this varies from one instant to another. Whereas if it is upon an animal recently killed that the experiments are made, the results are always nearly the same in a given time, with the difference however of the weakness which the contractions have in proportion to the length of time after death. It never happens that you see a muscle immoveable under stimuli, which is not rare in a living animal. This essential difference which authors have not sufficiently pointed out, and which I have frequently proved upon different animals, arises from this, that during life, the effects of the nervous influence counteract those of the stimuli; for example, if an animal extends with force his thigh by the posterior muscles, we may in vain irritate the anterior ones, we cannot produce flexion by this irritation. The cerebral excitement in the extensors being stronger than the mechanical excitement in the flexors, triumphs. Often when we apply the stimulant, the brain acts with force upon the muscle, the effect is then much superior to the excitement we have applied. We are astonished; but the astonishment ceases, if we recollect that there is a concurrence of two excitements, of that of the external agent and of that of the brain. In general, those who have made experiments, have not paid sufficient attention to this concurrence of the two forces in a living animal.
In order to estimate correctly the sensible organic contractility, it is necessary to destroy the animal contractility. So long as these two clash, interrupt and counterbalance each other, we cannot properly estimate them, and determine what belongs to each and what is common to both. Now we destroy animal contractility in the living subject, by cutting all the nerves of a muscle or an extremity, which then become paralyzed. The brain can no longer act upon them, and the results we obtain from stimuli, belong to the sensible organic contractility.
The duration of this last property, after the experiment I mentioned, proves completely that the nerves are wholly foreign to it, that it resides essentially in the muscular texture, that it is, as Haller said, inherent in it. Thus whilst in the different paralyses the muscles lose the power of obeying the cerebral influence, or rather this influence becomes nothing, they preserve that of contracting in an evident manner when stimulated.
This contraction of the muscles of animal life by stimulants, appears under two very different modes. 1st. The whole of the muscle can contract and shorten so as to approximate the two points of insertion. This happens in general when death is recent, when the muscle is still fully possessed of life. 2d. There are oftentimes numerous oscillations of the fibres; all are in action at the same time; now this action is not a contraction, but a real vibration, a fluttering, which has not a sensible effect upon the whole of the muscle, which not contracting cannot approximate its moveable points. When life is about abandoning entirely the muscle, it is thus that it moves. The diversity of the stimuli occasions also this double mode of contraction. Carry a scalpel over a living muscle, a contraction of the whole will be the consequence; afterwards sprinkle the same muscle with a neutral salt, sometimes there is an analogous contraction; but frequently there are only oscillations, vibrations similar to those of a muscle which life abandons.
During the life of the animal, its sensible organic contractility is rarely in action, because the muscles have not agents that act upon them in a sensible manner at least. Why then is this property so developed in them? I cannot determine.
All the muscles do not possess it to the same degree; the diaphragm and the intercostals are the most irritable; they are also those whose organic contractility is the most permanent after death. Observe that this contrasts, like their susceptibility to receive the nervous influence by the irritation of their nerves, especially of the phrenic, with the little disposition they have to feel, during life, convulsions or paralysis. After them I think that the temporal, the masseter, the buccinator, &c. are the most irritable. There is certainly as it respects irritability a great difference between them and the muscles of the extremities, which are all nearly equally susceptible to the effect of stimulants. Besides, it is only by a great number of experiments that we can establish general data; for nothing is more frequent than to find inequalities between two analogous muscles, and even between the corresponding ones of the two sides of the body.
Sympathies.
The animal muscular system performs a very important part in the sympathies. We see it very frequently agitated with irregular motions in the different affections of our organs, especially in infancy when every lively impression made upon any organ, is almost always followed by spasmodic and convulsive motions in the muscles of animal life. Observe in fact that it is the vital property predominant in this system, that is to say the animal contractility, that is most often brought sympathetically into action in it, by the influences that the organs exert upon each other.
In general it appears that when the animal sensibility is strongly developed in an organ, this system tends immediately to contract. The acute pains that stones occasion in the kidneys, in the ureter and even the urethra, distensions of the ligaments, of the aponeuroses, dentition, surgical operations in which the patient has suffered much, &c. produce very numerous and frequent sympathetic convulsions. I know that there are very severe pains without sympathetic convulsive motions; but it is very rare that you see convulsive motions of this nature, without the organ, from which these sympathetic irradiations go, is very powerfully affected, and the seat of great animal sensibility.
Observe on the contrary that most of the sympathies which develop to a great degree in any part, insensible organic contractility, or sensible organic contractility, are not marked by these acute pains in the affected organ from which the excitement goes; for example, sweats, sympathetic secretions, intestinal and gastric contractions are rarely produced by affections of the character of those from which arise the sympathies of animal contractility.
The brain is always first affected in this last species of sympathies in which the muscles are, as it were, passive, as we have already seen, and in which they are made to obey the impulse they receive. The affected organ acts at first upon the brain, then this re-acts upon the muscles.
Authors have considered sympathies in too loose a manner. Some have admitted, others have rejected the intermediate office of the brain; some have not pronounced upon it. All would be agreed, if instead of attempting to resolve the question in a general manner, they had distinguished the sympathies according to the vital forces, of which they are only aberrations and irregular developments; they would have seen, that in the animal sympathies of contractility, the cerebral action is essential; for we cannot conceive of any contractility of this species, without the double influence, nervous and cerebral, upon the muscles; that on the contrary, in the organic sympathies of contractility, the action of the brain is nothing; the affected organ acts directly and without any thing intermediate upon that which contracts sympathetically. When the heart, the stomach, the intestines, &c. move, when the parotid and other glands increase their action by the sympathetic influence of an affected organ, certainly this organ does not act first upon the brain; for it would then be necessary that this should re-act upon those that contract; now it would not be able to influence them except by the nerves, since it is only by these that it is united to them; but all experiments and all facts prove as we shall see, that the brain has not by this means any influence over the organs with involuntary motions; then the action is direct and there is nothing intermediate. There are sympathetic motions like the natural ones; the sensible and insensible contractilities are constantly brought into action by a direct stimulus applied to the organ, whilst that the animal contractility is never exercised but by the cerebral stimulant, which itself requires a cause, either sympathetic or direct, in order to act upon the muscles.
Next to animal contractility, the sensibility of the same nature is the most often brought sympathetically into action in the animal muscular system. The lassitude, wandering pains, sensation of weight and stretchings that are felt in the limbs in the beginning of many diseases, are phenomena purely sympathetic, in which this property enters into action in the muscles. At advanced periods of many other affections, these sympathetic troubles are also very remarkable, but less in general than at the beginning.
The organic properties are for the most part rarely sympathetically in action in the species of muscles of which we are treating. Besides, if they are so, we can hardly judge of it, because no sign points it out to us. The sweat in the skin, the secreted fluids in the glands, the fluids exhaled upon many of the surfaces, are general results which indicate to us the sympathetic derangements of the organic sensibility and of the insensible contractility of the same species. In the muscles, we have not the same means of knowing these alterations.
Characters of the Vital Properties.
From what we have thus far said, upon the muscular properties and sympathies, it is easily seen that the vital activity must be in general much greater in the muscles than in the organs previously examined in this volume; thus all their affections begin to take a peculiar character that distinguishes them from those of these organs; they are much more prompt and rapid. Yet let us remark that all the alterations of function which they exhibit, cannot assist us in estimating this vital activity. In fact, many of these alterations do not reside essentially in the muscular texture, their cause is not there; such are for example all the convulsive motions in which, as we have seen, the muscles act by obeying, but have not the principle of action in them. They are then the indices of cerebral alterations; thus the arteries, which exhibit such numerous varieties in the state of the pulse, are as it were only passive, and serve most frequently merely to indicate the state of the heart by their motion, whilst the veins, which have not at the origin of their circulation an analogous agent of impulse, very rarely exhibit varieties, though however their texture may have as great vital forces, and its life be as active or more so, than that of the arteries.
One proof that the texture of the muscle is less often altered than it at first seems to be in considering the frequency of the affections of these organs, is the infrequency of their organic lesions. These lesions are even less common in them than in the bones. We do not see in them those schirri, swellings, changes of texture in a word, which are so commonly met with in the other organs. Among the great number of subjects that I have had occasion to dissect or to have dissected, I do not recollect to have seen in the muscles of animal life other alterations than those of their cohesion, their density and their colour. It is a phenomenon that approximates them to those of organic life, in which we rarely meet with changes of texture, as the heart, the stomach, &c. are examples.
The muscular texture of animal life rarely suppurates; thus but little is known of its mode of suppuration. In general, it appears that inflammation terminates in it almost always by resolution. Induration, gangrene and suppuration, three terminations that this affection often makes in the other parts, are unknown to this in the greatest number of cases.
ARTICLE FOURTH.
PHENOMENA OF THE ACTION OF THE MUSCULAR SYSTEM OF ANIMAL LIFE.
Thus far we have spoken of muscular mobility, abstractedly from the phenomena that it exhibits in the muscles, when it is in exercise in them. These phenomena are now to be considered. They relate especially to contraction, which is the essentially active state of the muscle, relaxation being a state purely passive. We shall easily understand the phenomena of this, when those of the other of which they are the reverse are known to us.
I. Force of the Muscular Contraction.
The force of the contraction of the muscles of animal life varies much, according as it is brought into action by stimulants, or by the cerebral action.
Every irritation made upon a muscle laid bare produces only a brisk, rapid motion, but generally not very powerful. I have frequently satisfied myself in my experiments that it is impossible to approximate even at a great distance by this means, the great energy which the brain communicates to the muscles of animal life. The organic muscular system which stimuli directly applied put principally in motion, never has exacerbations of force corresponding to those which the animal contractility exhibits in so great a degree under certain circumstances. It is then especially when the muscles move in virtue of this last property, that the force of their contraction must be considered. Now this contraction can, as we have seen, be produced, 1st, by stimulating the brain in experiments; 2d, when its excitement takes place in the natural state by the will, or by sympathy. In the first case, the force of the contraction is never very powerful, whatever may be the stimulant employed, either upon the brain, or the nerves laid bare. I have uniformly observed a very rapid convulsive motion, analogous to that produced by exciting the muscles themselves, but never as strong as that which is the result of vital action. Notwithstanding what some physiologists have written, we can never by irritating the nerves of the flexors impart to them an energy comparable to that which the will can give them. Irritate for example the sciatic nerve in an inferior extremity which has just been amputated, the toes will never bend with the force which they do in certain cases in the natural state. I have twice made this experiment in amputations performed by Desault. Unacquainted then with physiology, I was much struck with this phenomenon.
In the cerebral excitement and in that of the spinal marrow, we cannot so well appreciate the force of the contractions which result from it, as when we stimulate an insulated nerve; in fact, all the system entering then into convulsive action, the extensors destroy in part the effort of the flexors and vice versa. The muscles simultaneously in action, counterbalance, interfere with and injure each other. The stimulant which gives the greatest force to the contractions, has always appeared to me to be galvanism.
In the living state, the force of muscular contraction depends on two causes; 1st, on the muscle; 2d, on the brain. These two causes are in a variable proportion; it is necessary to consider them separately.
Under an equal cerebral influence, a muscle well nourished, which appears distinctly through the integuments, and has very large fibres, will contract much more strongly than that which is delicate, slender, with loose, pale, small fibres, and which makes but a slight prominence under the integuments. In our ordinary manner of considering muscular force, it is to this state of the muscles that we especially attend. The statues which exhibit strength and vigour, have always as an attribute a powerful development of the muscular forms. When the brain acts upon these muscles with energy they are capable of extraordinary motions. I shall not relate examples of the astonishing efforts of which they are susceptible. Haller and others have cited many of them, either in the muscles of the back in carrying burdens, or in the muscles of the superior extremities in raising great weights, or in the inferior extremities in leaping or in order to preserve attitudes which suppose enormous resistances to be overcome.
It is especially the cerebral influence that increases much the force of muscular contraction. The will can raise this force very high; but the different excitements that are foreign to it, raise it infinitely more. We know the force that a man acquires in anger, that of maniacs, of persons in the cerebral excitement of a fever, &c. In all these cases the impulse communicated by the brain, is sometimes such, that the most delicate muscles of the feeblest woman surpass in energy those of the strongest man in the ordinary state.
The force of muscular contraction is then in a ratio compounded of the force of the organization of the texture of the muscles, and of the force of the cerebral excitement. If both are slight, the motions are almost nothing; if both are at the highest degree, it is difficult to conceive how far the effects may go which result from them; a maniac with thick and strong muscles is capable of efforts that we should in vain attempt to calculate. If the nervous force is very powerful, and the muscular texture feeble, or if an inverse state exists, the phenomena of contraction are less. In general nature has almost always united these two things in this last manner. Women and children who have a weak fleshy texture, have a very great nervous mobility; men on the contrary, those especially with athletic forms, whose nervous systems are less easily excited, receive more rarely the causes of a strong influence upon their muscles.
Whatever may be the point of view in which we consider the force of the contractions of the muscular system of animal life, it is always very great in proportion to the effect which results from these contractions. Nature in the economy follows a law the reverse of that of the motion of our common machines, the great advantage of which is to increase the moving powers, to produce a great effect with a small force. Here there is always a great expenditure of force for a small effect, which is owing to the numerous causes that tend to destroy the effect of this force. 1st. The muscles act almost always upon a very unfavourable lever, upon that in which the power they represent is nearer the point of support than the resistance. 2d. All in contracting have to overcome the resistance of the antagonists. 3d. As in each motion there is always a fixed point, the effort which, after contraction, is carried upon this fixed point, is entirely lost. 4th. Various frictions injure also the motion. 5th. The obliquity of the insertion of the muscles upon the bones, an obliquity that approaches nearer a horizontal than a perpendicular direction, an obliquity not less remarkable for the fleshy attachments upon the tendon or aponeuroses, offers a double cause of weakness. All these and many other reasons which we might with Borelli, who was the first to make these important remarks upon muscular motion, add to them, prove that the absolute or real force of the muscles is infinitely superior to their effective force. Yet all are not so unfavourably arranged; in some, as the solæus, the insertion is perpendicular to the bone; in others, as the muscles which act upon the head, we observe that they are powers of a lever of the first kind. In general, in order to estimate the force of a separate muscle, the deltoid, for example, it is necessary especially to have regard to the distance of its insertion at the point of support, to the degree of opening of the angles formed by the fleshy fibres upon the tendon, and afterwards by the tendon upon the bone, and to the division of the forces between the fixed and moveable points.
Some advantages seem to compensate in a slight degree in certain muscles for their bad arrangement as to the power of motion; such are, 1st, the sesamoids, the patella, the different eminences of insertion, the enlargement of the large bones at their extremities, &c. which remove the fibres to a distance from the moveable points; 2d, the intermuscular fat, that which is in the neighbourhood of the muscles, the fluid of synovial sheaths, which facilitate motions by lubricating the surfaces that execute them; 3d, the aponeurotic expansions that confine down the motions on the extremities; 4th, these motions themselves, those of flexion for example, which, as they take place, diminish the obliquity of the insertion of the flexors, and render it even perpendicular, as has been well observed by a modern author.
Many calculations have been made upon the waste of muscular motion, upon the effort of a muscle which contracts, compared with the effect that results from it. They can never be precise because the vital forces vary to an infinite degree, because they are not the same in two individuals and because the cerebral influence and the force of muscular organization are never in constant proportion in the same subject. It is a peculiarity of the vital phenomena to escape all calculations, and to exhibit, like the forces from which they emanate, a character of irregularity which distinguishes them essentially from the physical phenomena. Let us conclude only from the preceding observations, that the muscular effort carried to the highest point by cerebral excitement, can produce astonishing effects, which suppose a force of contraction hardly conceivable; such is the rupture of the strong tendons, of the patella, the olecranon, &c.; such is also the resistance often opposed to the enormous distensions that are used in luxations, fractures, &c.
II. Quickness of the Contractions.
The contractions should be considered under the relation of their quickness as under that of their force.
1st. If it is by stimulants that they are produced, by laying bare a muscle and acting directly upon it, they vary according to the state of vitality of the muscle, and according to the body which stimulates. In the first moments of the experiment, they succeed with rapidity and are sometimes connected together with such quickness that the eye can hardly follow them. As the muscle becomes weak, its contractions become less prompt; and they cease at the end of some time. We can reanimate them by employing a very active stimulant; the fibres finally become insensible to this also.
2d. If it is by irritating the nerve that we make a voluntary muscle contract, we produce a still greater quickness of contraction than by stimulating the muscle itself. Running would be almost immeasurably rapid, if each contraction that it requires was equal to those that we thus obtain, especially when we act on the one hand on very sensitive animals, and on the other with very active stimulants, galvanism for example. Upon this subject I have made a remark, it is that the quickness and the force of the contractions are not commonly greater if we irritate at the same time all the nerves that go to a muscle, than if we irritate but one.
3d. When it is the will that regulates the quickness of the muscular contractions, this quickness has infinitely various degrees; but there is always one beyond which we cannot go. This degree is not the same for all men; there is even among them in this respect very great differences, which are foreign to the force of organization of the muscles; it is rare even that individuals with a very powerful muscular system are the best runners. I do not know that we have yet observed the exterior habit of the body which indicates the quickness of the contractions, as there is one which denotes their force; it must however exist. Animals are like men; the degree of quickness which each can attain, is infinitely variable. I shall not cite examples of rapid races, of analogous motions given by the superior extremities, as those of the fingers in performing on certain instruments, the violin, the flute, &c.; astonishing ones may be read of in many authors. I would only remark, that there are but few motions which give us a greater idea of this quickness, than the sudden and rapid contractions which, in the inferior extremities, produce a leap, or that powerful action of these extremities when we give a kick with the foot; which in the superior serve for the projection of heavy bodies; which in the same limbs assist to push the trunk back, when we support them against a resisting point, and afterwards suddenly stretch them to push this point forward, which not yielding, the motion rebounds upon the trunk; which preside over the action of giving a blow of the hand; which in the fingers produce the sudden motion, from which results what is called a fillip, &c. &c. I confound all these motions almost entirely analogous to leaping, and which differ from it only in the more or less evident effects that they produce. Authors, it may be observed, have not sufficiently established the resemblances between these various sudden and rapid contractions; they have considered leaping in too insulated a manner. But let us return. The degree of rapidity of muscular contractions is greatly subordinate to exercise. The habit of making certain muscles act renders them more quick in their contraction; for example, walking which accustoms us to contract alternately the extensors and the flexors of the lower extremities, fits us wonderfully for swiftness in running. When any man practises for a little time this last exercise, he soon attains the greatest rapidity of which his muscular system is capable. On the contrary, the motions of adduction and abduction being more rare in the ordinary state, it requires a longer apprenticeship for dancers to learn to carry their legs rapidly in and out, for the purpose of executing steps in which they cross them alternately. In general, habit modifies much more the quickness than the force of the contractions. Yet there is always a limit which can never be passed, whatever may be the exercise that we give to the muscles; this limit depends on the constitution; each man is by it, a more or less active leaper and runner.
III. Duration of the Contractions.
There is as it respects the duration of the contractions a remarkable difference in the muscles, according as we excite these contractions artificially or naturally.
When upon a living animal or one recently killed, we excite the muscle itself, or we stimulate its nerves, the relaxation succeeds almost suddenly the contraction; neither state is ever lasting, though we continue for a long time the action of the stimulant; the effect which it has produced is immediately exhausted. When galvanism, mechanical or chemical agents are used in our experiments, the phenomenon is the same.
On the contrary, when the will directs the contraction, it can sustain it for a very long time. The support of burthens, standing, &c. clearly prove this fact. When even during life, a morbid irritation is directed upon the nerves, the contraction can be very permanent, of which we have terrible proofs in tetanus.
The permanence of the muscular contraction fatigues the muscle much more than alternate relaxation and contraction. Hence why when we are standing long, we contrive by turns to carry the weight of the body more upon one limb than the other.
IV. State of the Muscle in Contraction.
Muscles that contract exhibit different phenomena as follows:
1st. They evidently harden, as we may be convinced by placing the hand on the masseter, the temporal or any other superficial muscle in contraction.
2d. They increase in thickness; hence the greater prominence of all the sub-cutaneous muscles when the body is in violent action. Sculptors know this difference very well. A man at rest and a man in motion, have in their statues an exterior wholly different.
3d. The muscles when they are not confined by the aponeuroses, sometimes experience a slight displacement.
4th. They diminish in length, and thus the two points to which they are fixed approximate.
5th. Their volume remains about the same. What they lose in length, they nearly gain in thickness. Is the proportion very exact? Of what consequence to us is this insulated question, to which, since the days of Glisson, so much importance has have attached! it deserves none.
6th. The blood contained in the vessels of the muscles, especially in the veins, is in part pressed out; we increase the flow of the blood by the motions of the arm, the operation of bleeding proves both these facts.
7th. Yet the muscle does not change colour; it is because it is not the colouring portion of the blood circulating with it in the muscular vessels that colours the muscles, but, as I have said, that which is inherent in their texture and combined with their fibres; now this combined colouring substance remains the same in relaxation and contraction. The heart of the frog is pale when it contracts; but it is because the blood it contains is evacuated and the transparency of its parietes renders this phenomenon evident.
8th. In contracting, the muscles become the seat of many small transverse wrinkles, sensible especially in the contractions of oscillation, less apparent in those of the whole of the muscle, and almost nothing, when a muscle being laid bare in a living animal, contracts with a small degree of force.
9th. All authors consider contraction in too uniform a manner; they have described the phenomena of it, as if in every case the muscle contracted alike; but it is evident that there are numerous differences in the state in which it then is. 1st. There is the slow and insensible contraction produced by the contractility of texture, when we cut a muscle or when its antagonist is paralyzed. 2d. The quick and sudden contraction produced by the will, or by the excitement of a nerve, a mode of motion that takes place most commonly either in the ordinary state, or in convulsions. 3d. The species of oscillation of which I have already spoken, and which affecting each fibre in a muscle, does not yet produce any very sensible effect upon the whole, contracts it a little, but scarcely approximates at all its moveable points; this is the kind of motion which takes place in the tremors produced by cold, by fear, by the beginning of a fit of intermittent fever, &c. By laying bare a muscle in an animal that is made to shiver, we see that this kind of contraction resembles precisely that which is produced by pouring salt in powder upon a part of the muscular system. Then, although there may be in all the muscles, an internal motion infinitely more sensible than in the great contractions, yet the limbs are displaced but little, there are hardly any motions of the whole muscles, they are but slight jars. 4th. There are other modes of contraction less sensible than these, but which however exhibit differences. In general, to each species of motion of the muscle is adapted a particular manner of contracting; if we make but few experiments on living animals, we may easily be convinced how much the most judicious authors have been mistaken upon this point.
Two modes of contraction are often combined; for example, when we cut a muscle transversely in a living animal, there is at first a slow contraction of the whole, produced by the contractility of texture, then partial oscillations in all the divided fibres; now these oscillations are foreign to the retraction which takes place without them, often in the living animal and always in the dead body. So the oscillations can be combined with the sudden contraction arising from the nervous influence by the act of the will, or they may be disconnected with it, as happens almost always when the animal is in full life. We may be convinced of this last fact without recourse to experiments, by placing the hand upon the masseter muscle or the biceps of a thin person when they are contracting; we do not feel in them through the skin any motion analogous to these oscillations.
V. Motions imparted by the Muscle.
Every muscular motion is either simple or compound. Let us now speak of the first; by it we shall understand the second.
Simple Motion.
It must be considered, 1st, in the muscles with a straight direction; 2d, in those in a reflected one; 3d, in those in a circular one.
In the first, as in those of the extremities, the trunk, &c. if they are of an elongated form, and as they terminate by a tendon, each fibre contracting draws this tendon from its place; whence it follows that all act together to bring it towards the centre of the muscle, but at the same time each of them tends to give it another direction, and in this respect they are antagonists. The common motion remains; the opposite is destroyed.
Every effort of contraction in the long muscles is concentrated upon a single point, the tendon. In most of the broad muscles, on the contrary, the attachments being made at two sides by different points, all the fibres do not contribute to the same end. Thus the different parts of the same muscle can have very different and even opposite uses; thus the inferior portion of the great serratus does not act like the superior; often even the different portions of the same muscle do not contract at the same time. In a long muscle, on the contrary, as all the fibres contribute to produce the same effect, they always act simultaneously.
To estimate the effect which a muscle in the straight direction produces upon the bones in which it is inserted, different means are employed. A very simple one appears to be that, which I believe has never been mentioned. It consists in examining the direction of the muscle from its fixed to its moveable point, and in taking the inverse of this direction; this last is always the direction of the motion. Do you wish to know how the anterior radial acts upon the wrist; take it at its insertion at the condyle, then follow its direction downwards and outwards; you will see that it carries the hand upwards and inwards, that it bends it and places it a little in adduction. The tibialis anticus directed downwards and inwards raises the foot and carries it outwards. The anterior rectus of the thigh going straight from the pelvis to the patella, raises the leg directly up. All the other muscles will exhibit this arrangement. Whatever may be the attachment of their fixed or moveable point, they always act inversely to the supposed line of direction going from the first point; and as each attachment can be alternately moveable or fixed, the two bones which serve them are carried in an opposite direction; the coraco-brachialis directed downwards and outwards from the shoulder towards the arm, carries this last upwards and inwards; directed from below upwards and from without inwards from the arm towards the shoulder, it moves this downwards and outwards. By this general rule, it is sufficient to see a muscle in a dead body, to pronounce upon its uses.
When the whole of a broad muscle is united at a common point, as the deltoid which having many points of attachment above, is fixed below in a single tendon, the middle line of direction of all its fibres should be taken to estimate its uses.
When a muscle is attached by its two extremities at many points, and consequently the fibres that compose it, form many fasciculi with different directions and insulated motions, the line of direction of each fasciculus must be examined in order to estimate the action of the muscle. It is thus that we should study that of the trapezius, the great serratus, the rhomboid, &c.
In the muscles with reflected direction, as the great oblique of the eye, the lateral peronei, the circumflexus, &c. the action of the muscle should only be estimated by the point of reflection; thus the great oblique carries the eye inwards, though its fleshy portion contracts so as to carry the moveable point backwards.
The orbicular muscles, those placed around the lips, the eyes, the anus, &c. have in general no fixed or moveable points; they are not designed to approximate two parts to each other, but only to contract the opening around which they are situated. The anus is shut by its sphincter, when the excrements do not dilate it. The mouth remains closed, when the depressors, the elevators or the abductors of the lips are inactive. The eye is shut, when the elevator of the superior eye-lid is relaxed. I would remark upon this subject that the inferior eye-lid having no depressor, it is principally the other which contributes to shut or open the eye; and as its muscle cannot be in permanent contraction, the alterations of its relaxations produce those continual winkings which take place when the eye is open; they are to the eye what the alternate change of the weight of the body from one leg to the other is in long standing without motion. At every instant the muscle relaxes; the sphincter acts immediately; then it contracts and distends the sphincter; winking then is a continual struggle between the elevator of the eye-lid and the orbicularis. In sleep, it is not by the contraction of this that the eye is shut; it is relaxed like all the muscles; it is because the elevator is inactive, that the eye-lid falls by its own weight upon the eye; it communicates as it were the motion to the orbicularis that it shuts up, whilst, during the day, it is the orbicularis on the contrary that communicates this motion to it.
Compound Motions.
There are but few motions in the economy that are simple, but few muscles that can contract separately. Almost every sort of contraction supposes another, and for this reason; the two points to which a muscle is ordinarily attached are both capable of being moved; if one of them was not fixed, both would then be put in motion when the muscle contracted; thus in the contraction of its extensors, the leg if it was not fixed would approach the foot as much as the foot approached the leg; now it could not be fixed but by the muscles which act in an opposite direction to the effect which the extensors tend to produce upon it; then whenever the two attachments of a muscle are moveable, the insulated motion of one of them supposes the contraction of different muscles to fix the other.
It is only those muscles that are attached on one side to a fixed point and on the other to a moveable one, like those of the eye, and most of those of the face, that can move in an insulated manner, and without requiring a motion in the other muscles. It should be remarked however that in general the contractions destined to fix the point which should be immoveable in the ordinary motions, are less than they at first seem to be. In fact, in these ordinary motions, the point which moves is always the most moveable, that which remains without motion is the least so; for example, it requires a much greater effort in flexors to bend the arm upon the fore-arm, than to bend the phalanges upon the fore-arm, or the fore-arm upon the arm. By supposing their two attachments moveable, the gemelli would act much more powerfully on the foot than on the femur, &c. In the extremities, the superior point is always more moveable than the inferior, now it is this which almost always moves, the other being fixed; then as it offers more resistance by its position, it requires less effort of the muscular powers to retain it. It is only in violent motions, that the previous contraction of the muscles destined to fix one of the points of insertion Is very painful. This takes place on the chest when the trapezius, the great serratus and the great pectoral contract powerfully; then all the other muscles of this cavity contract strongly to dilate it, and thus offer a broader and more fixed attachment to those muscles, which move the shoulder in the support of burdens, or in any other analogous effort. The diaphragm contracts also; hence hernias, the descents which take place from a concussion in those motions which, at first view, have no analogy with the abdominal cavity. When in a horizontal position of the body we raise the head, the rectimuscles of the abdomen contract to fix the chest, and present a solid point to the sterno-mastoideus, &c.
We call especially a compound motion that which two or more muscles, acting upon the same point, contribute simultaneously to produce. In this case, the moveable point follows the direction of neither muscle, if there are two of them, but takes the diagonal of their direction. It is thus that the eye is moved outwards and upwards, outwards and downwards, &c.; that the head is depressed, that it is carried to one side, and that the arm is applied to the trunk, &c. In general nature has distributed muscles only in some principal directions around a moveable point, for example around the eye, in those of elevation, depression, adduction and abduction; the combination of these simple motions produces the compound ones. If the adductor and depressor contract equally, the eye will be carried exactly in a middle direction; if one acts with more force than the other, it will be carried a little nearer the other; so that the four muscles, by moving separately, or two by two in an equal manner, carry the eye in eight different directions. In all the intermediate directions, there is also a simultaneous action of two muscles, but always a superiority in the action of one of them. Thus almost all the motions of circumduction operate.
When two opposite muscles contract, the moveable part is not moved; they are perfect antagonists. When two muscles which contract at the same time are placed in the same direction, there is no loss of power; this is what takes place when the genio-hyoideus and the mylo-hyoideus depress the jaw or elevate the os hyoides; these muscles act completely together. But when two muscles are in part opposed and in part in the same direction, as the sterno-mastoidei, one portion of the forces is destroyed and the other remains. The action by which the sterno-mastoidei tend to carry the head to the right or the left, is nothing; that alone by which they direct it downwards produces its effect which is double, considering the action of the two muscles, which are thus at the same time acting together and antagonists. Hence we see that this applies not only to the motion produced by the contractility of texture, but also very often to those which the animal contractility occasions.
VI. Phenomena of the Relaxation of the Muscles.
When a muscle ceases to contract, it becomes the seat of phenomena precisely opposite to the preceding, which it is sufficient to know in order to understand these. The muscle becomes longer and softer; its wrinkles disappear; it returns exactly to the state in which it was found. It is needless to give in detail the series of these phenomena.
I would remark that in the state of relaxation of the muscles, the parts often execute motions which are only owing to their weight; such are the flexion forwards of the head in sleep, the fall of the fore-arm and the arm in the same case. Then the weight is often opposed to the limbs, remaining in their middle position, which are not supported. We see particularly these phenomena in paralysis.
ARTICLE FIFTH.
DEVELOPMENT OF THE MUSCULAR SYSTEM OF ANIMAL LIFE.
The muscular system exhibits great differences, according as we examine it before the completion of growth, or in the ages that follow that in which this growth is terminated.
I. State of the Muscular System in the Fœtus.
In the first month of the fœtus, this system is, like the others, a mere mucous homogeneous mass, in which can be distinguished scarcely any line of demarcation. Aponeuroses, muscles, tendons, &c. all have the same appearance. Gradually the limits are established, the muscular texture at first takes a deeper tinge, from the blood that enters it. Yet this tinge is at first much less evident than in the adult; it remains nearly the same till birth. If we make use of the bones as a means of comparison, this becomes striking. In the adult the interior of the bones is less red than the muscular texture; the difference is remarkable. It is the contrary in the fœtus; much more blood penetrates the already ossified portion of the bones, than the interior of the muscles. Nature distributes the blood in an inverse manner at these two periods of life in these two systems.
I presume that this phenomenon is principally owing to the kind of inertia in which the muscles remain before birth. Observe in fact that though some motions announce in the last months the presence of the fœtus in the womb of the mother, yet these motions are infinitely less than they are to be afterwards. The proof of this is the constant semi-flexed position which the limbs and trunk have, and the small space that there is to execute these motions in, especially in the last periods in which the waters are wonderfully diminished. In the early periods of pregnancy, though the space may be greater, by opening the females of animals, we constantly find the fœtus drawn up upon itself, and in an attitude almost immoveable.
Many respectable philosophers have found the muscles of the chick in its shell much less irritable than after birth, either by ordinary agents, or by galvanic influence. I have made the same experiment upon small guinea-pigs that were never born, by irritating directly their muscles, or by stimulating their nerves, their spinal marrow and the brain. The nearer we approach the term of conception, the less are the motions obtained. That which is especially remarkable is the rapidity with which, when the fœtus is dead, the muscles lose their irritability; the instant that extinguishes life seems to destroy this property. In the latter periods that precede accouchement, it is a little more permanent, and more susceptible of being brought into action, but always less than after birth. We can hardly doubt then that the motions are less at this age, though however they exist. We shall see that the nutrition, size and redness of the muscles are in general in the adult in proportion to the number of the motions they perform; it is not then astonishing that less blood penetrates them in the fœtus. Besides the nearer we approach the period of conception, the less abundant is this fluid in them. I have had occasion to make this remark on guinea-pigs killed at different periods of gestation. In the early periods, the muscles of the small ones really resemble those of frogs; white like them, they are marked with reddish lines, which indicate the course of the vessels.
I presume also that the kind of blood which circulates at this age in the arteries and which penetrates the muscles, is less proper to support and develop their mobility. In fact it is the black blood that then enters the muscles by the vessels. We know that in the adult, whenever this blood circulates preternaturally in the arterial system, life is altered, the muscular motion is weakened, and soon asphyxia comes on. It is to the nature and the colour of the blood of the fœtus, that must be attributed the livid and often deep tinge that its muscles exhibit; for this is also a character that distinguishes them from those of the adult. Not only their colour is less evident and they are paler, but their tinge is wholly different; and this tinge has uniformly the character of that of the fœtus before it has respired.
The muscles are slender, but little developed in the fœtus. Their development is infinitely less than that of the muscles of organic life. The size of the limbs arises especially from their sub-cutaneous fat. When this fat is in small quantity, and we compare the limbs with the trunk, they are much less in proportion than they will be afterwards. In the fœtuses that have much cutaneous fat, from whom we remove all the skin, we also see this disproportion of size. We know that at this age all the cavities of muscular insertion, all the apophyses destined to the same use, are almost nothing. The parietes of the temporal fossa, for example, more curved outward, enlarge the cerebral space, and contract that which the temporal muscle fills. This is a small anatomical fact which is the consequence of a great law of nutrition, viz. of the predominance of the nervous system to which the brain belongs, over the animal muscular, in respect to development. Let us remark that this predominance, whence arises at this age an evident disproportion between the muscular and nervous systems, when compared to what they will be afterwards, would alone prove that the muscles are not, as has been said, a termination and expansion of the nerves; in fact two species of organs whose development is inverse, cannot belong to one and the same system.
Many authors have pretended that the fleshy portion was in proportion much more developed in the fœtus than the tendinous, that this even did not exist. I cannot imagine whence this opinion arose. It may be conceived that they have thought that the aponeuroses of the limbs were wanting in the first months; I have uniformly observed that they have not then that white colour which characterizes them afterwards, a colour that they only take when their fibres are developed; they are transparent, like a serous membrane, and cannot at first sight be perceived. But the tendons have a very evident white colour; we distinguish them very well; they are quite as large and as long in proportion as they will be afterwards.
II. State of the Muscular System during Growth.
At birth, the muscular system of animal life experiences, like all the others, a remarkable revolution. Until then black blood only penetrated its arteries; then the red blood immediately enters them; for this blood is formed when respiration takes place; now this takes place in almost all its perfection at the very instant the fœtus leaves the womb of the mother. We evidently see besides that the livid tinge of the skin gives place almost immediately to a red colour, which arises from this difference of the blood. This new fluid entering the muscles, is a new cause of excitement, and consequently of motion. Add to this cause the sudden increase of cerebral action. Till then, the brain penetrated with black blood, was as in a kind of inertia, which was principally owing also to the absence of sensations, as I have elsewhere proved. Suddenly the red blood enters it; it stimulates it either by the principles that it contains, or because it was different from that which had penetrated it; for such is the nature of sensibility that it is capable of being affected in an organ, merely because the stimulus that is applied to it is new. Suddenly excited by the red blood, the brain re-acts upon the muscles, and determines them to contract. This cause, joined to the preceding, appears to me to be one of those which have the most influence on the sudden disappearance of the kind of inertia in which the fœtus was, or at least of the small degree of motion that it performed, by the general agitation of its limbs, its abdomen, chest, face, &c.; for immediately after birth all the muscles are moved more or less strongly.
Let us not, however, exaggerate the influence of a cause which is certainly not the only one; for example, the motions of the diaphragm and the pectoral muscles, are certainly prior to the entrance of the red blood in the brain, since their action is necessary to the production of this red blood. These muscles enter into action, because the excitement of the air on the whole exterior of the body, and on the mucous membranes in contact with this fluid, stimulates the brain which is the centre of all sensation. Moved by this excitement, this organ re-acts upon the muscles, and begins to make them contract. The contractions increase, when to this external and indirect excitement is added the internal and direct excitement of which we have just spoken. This second excitement is not absolutely necessary for the fœtus, for we often see infants that remain livid some instants after birth, move very well; but in general the motions are not so decided as when the red colour of the skin indicates the entrance of the arterial blood, which has undergone the influence of respiration.
The entrance of the red blood into the muscles does not give them immediately the colour they will afterwards have. For some time after birth, they have a deep tinge, as dissections clearly prove, because, as I have said, their colour does not come from the colouring portion circulating in their texture, but from that combined with this texture. Now nutrition alone produces the combination; but this function takes place gradually; it is truly a chronic function, in comparison with exhalation, absorption, and the circulation, which are evidently rapid in their progress.
As we advance in age, the muscles assume a redder tinge; more blood penetrates them; they are nourished in proportion more than various other organs. This is particularly remarkable in those of the lower extremities. I would remark, however, that as long as growth continues, it is especially upon the length and not upon the thickness of the muscles, that the energy of nutrition is carried. Hence why they are but slightly visible through the integuments and are scarcely at all prominent; why their forms are rounder and more graceful, but less masculine at this age. The exterior of a young man is in this respect wholly different from that of the adult, by considering each, separate from every cause that can have an influence upon their conformation. The external appearance of the infant and the young man is in general very analogous to that of woman.
Though we do not know so well the difference of the substances which penetrate the muscles in the first years and in the adult age, as we know it in the bones in which the addition of the phosphate of lime to gelatine exhibits a very striking phenomenon, yet we cannot doubt that these differences really exist. Treated by ebullition, combustion, maceration, &c. the flesh of the fœtus does not give the same results as that of the adult.
The broth made with the muscles of a young animal contains much more gelatine, a substance which greatly predominates at this period of life. It has less flavour than that of adult animals. The extractive substance consequently appears to be less. A mawkish, nauseous taste characterizes broths made of veal. The difference of the principles they contain has an influence even upon the gastric organs, of which they excite the contraction; they loosen the belly, as it is called, a phenomenon unknown to common broths. It does not appear that the fibrin is in as great a proportion in the muscles at this period of life; the following considerations make me think so.
1st. Instead of this substance, Fourcroy has found in the blood of the fœtus a soft texture, without consistence, and like gelatine; now the blood appears to be the reservoir of fibrin. 2d. The force and energy of the contractions are in general in proportion to the quantity of this principle contained in the muscles; now this energy is small in the first age. 3d. The muscles burn then, and crisp and contract less than in the adult. I have even two or three times seen their texture, when placed upon live coals, become puffed up like gelatine treated in the same way.
In general it appears that this last substance occupies in the muscles the place the fibrous system is afterwards to hold in them. Those who frequent dissecting rooms, have observed, no doubt, that other things being equal, the muscles of young subjects putrify less quickly than most other substances, and that when they do, they give out a less fetid odour. We know that broth made of veal turns sour more easily than that made of beef. It is always whitish, and never has the deep colour of the broth made with this last. It becomes like jelly much more easily. Young and old roast meats exhibit also great differences. Every kind of stewing either by the fire alone, or in any fluid, is much quicker and easier in the first age. The gravy that is then extracted from the muscles has a character wholly different, it is less strong. The effects of maceration are also more rapid; we obtain sooner that mucous pulp, to which the action of water finally reduces almost all animal substances.
III. State of the Muscular System after Growth.
After general growth is finished in length, our organs then increase in thickness; and it is especially in the muscles that this phenomenon is remarkable. To the slender and delicate body and round forms of the youth and young man, succeeds a large, strong and thick body with well developed forms. The muscles can be traced through the integuments, eminences and depressions are observed in them; different depressed lines serve as limits to various prominent ones. The animal muscular system is then more prominent in a state of repose, than it is in youth in its greatest motions. Painters and sculptors have studied more than anatomists the different degrees of the development of the muscles.
The period when the hairs grow, when the genital organs begin to become active, is principally that in which the muscles begin to become prominent in man. In woman, this last period does not present a similar phenomenon; the muscles preserve the original roundness, they scarcely ever lose it. In this sex, the roundness of the limbs, their agreeable forms, make a contrast with the kind of rudeness of those of man.
The increase in thickness in the muscles appears to be much more in the fleshy than the tendinous portion, and especially than the aponeurotic. The intermuscular aponeuroses principally do not appear to grow in proportion to the fibres that are inserted into them; so that these make a prominence, and at the place of the aponeurosis there is a depression. This is what we see very well in muscles cut for their insertions by many of these fibrous expansions, in the deltoid in particular. Not only the prominence through the skin of the whole of the muscle, makes the depressions evident that separate it from the others, but each fleshy bundle has a prominence which a groove separates; this, it is true, is only distinguishable upon thin subjects.
As the muscle grows in thickness, it increases in density. It becomes firmer and more resisting. If we place for comparison the hand upon two similar muscles of an adult and an infant, whilst they are in contraction, we feel a sensible difference in their hardness. Weights suspended for comparison to the muscles of the two ages, taken in the dead bodies, prove the different degree of their resistance. The muscular texture of adults yields more slowly to all re-agents.
The colour of the muscles continues to be red in the adult; but in general, and all things being equal in respect to the causes that make this colour vary, it begins to become of a less bright red after the thirtieth year. It is usually in the last years of growth, and even from the tenth to the twentieth, that the colour is the most brilliant.
In the adult this colour exhibits a very remarkable phenomenon. All men have their muscles red, but hardly two have the same shade. Those who have opened many dead bodies are easily convinced of this; a residence at the dissecting rooms proves this assertion. A thousand causes have an influence upon this colour; the temperament is the principal. The external appearance of the muscles without the skin indicates by their shades of colour the temperament, as well as the integuments do. Diseases make this colour vary wonderfully. All those that have a chronic progress alter it remarkably; it then becomes pale, dull, &c. Dropsies whiten it, when they are of long standing. In general, every thing that has upon the powers of life a slow and debilitating influence, diminishes the brightness of it. Acute diseases, whatever may be their nature, change it but little. Fevers with the greatest prostration, if they suddenly produce death, leave it untouched, because this colour can only change by nutrition; now as this function is slow in its phenomena, it is but little affected by acute diseases; it is only at the end of some time that it feels the affections reigning in the economy.
I would observe that the varieties of colour that are seen in the muscles of adults, even in the healthy state, distinguish them especially from those of the fœtus, which have in general an uniform paleness. This difference is owing to the fact, that in the first age, we are not subject to the action of the numerous agents which modify, in an infinitely variable manner in the after ages, the great functions, and of course nutrition which is the end of them. It is in these varieties of colour of the muscular system of the adult, that we clearly distinguish that the blood circulating in the arteries is wholly foreign to it; in fact it is uniform, and never partakes of those varieties of colour whatever they may be.
Many circumstances in the adult make the muscular nutrition vary; motion is the principal. The man who passes his life at rest is remarkable for the small prominence of his muscles, especially if we compare this prominence with that of the muscles of a man who takes great exercise. Not only general motion exhibits this phenomenon, but also local motion, as we see in the arms of bakers, the legs of dancers, the backs of porters, &c.
IV. State of the Muscular System in Old Age.
In old age, the texture of the muscles changes remarkably; it becomes resisting and stiff; the teeth tear it with difficulty. This too great density is injurious to its contractions, which can now only take place slowly; the action of the brain becomes less upon the muscles; the continuance of their motions is not as long; they are sooner fatigued.
I would remark that the density of the muscles should not be confounded with their cohesion. The first arises from substances that enter into the composition of the muscle. Cohesion on the contrary appears to be owing to vital influence, the effect of which is preserved after death. Dissect the muscles of a strong and vigorous adult; the fleshy mass is firm; it keeps in its place; it supports itself, though the scalpel may have removed from it every surrounding texture. On the contrary in a body dead of a chronic disease, in a dropsical or phthisical subject, the muscles are loose and cannot support themselves; the relations are destroyed when the surrounding texture is removed. The first subjects are much more suitable for the dissection of myology than the last. The muscular texture is in old subjects nearly as in these last, flaccid and loose; we feel this flaccidity under the skin in the solæus, the gemelli, the biceps, &c.; it does not prevent each fibre from being dense and tough. In general the muscular cohesion is in the inverse ratio of the age; the muscles of a young man are firm and compact; they are not moveable under the skin. Towards the fortieth year and afterwards, we begin to perceive more laxity; the calves of the legs vacillate in great motions; the glutei and in general all the prominent limbs exhibit also this vacillation, especially if the individual is thin. The muscles become more and more susceptible of moving thus, as we approach old age, a period in which the least motion makes the whole muscular system vacillate. Why? Because the muscle is no longer in sufficient contraction; it is as it were too long for the space it fills. This appears to be owing to the circumstance that the contractility of texture has diminished in the last age; we can be convinced of this by cutting transversely for comparison a muscle in an old man and a young one; it retracts more in fact in an opposite direction in the second than in the first. This contractility of texture approximates all the particles of the muscle when at rest; it can no longer produce this approximation; the muscle remains loose. Authors have not sufficiently observed this remarkable phenomenon which the muscular system experiences from the progress of age, a phenomenon which is really the index of its degree of contractile power.
Frequently in old age the muscular texture loses its colour and takes a yellowish one and has a fatty appearance, though however this colour does not arise from the fat, but from the absence of the colouring substance of the blood. I have often made this remark. If we strip all the surrounding fat from these pretended fatty muscles, and leave them only their texture, combustion or ebullition extracts no animal oil from them; they are in their fibrous state as usual; the colour only is different. I have remarked that the deep muscles of the back and those placed in the vertebral depressions are much more subject than all the others to lose their colour and to exhibit this yellowish aspect, an aspect that is rarely ever seen in the whole system, but only in some insulated muscles. Adults are subject, though less frequently however, than old people, to this alteration. Many times we see limbs that are poorly nourished, with an aspect, nearly the same. In recent palsies, in those even of three, four or six months, there is in general no change in the limbs; the muscles preserve their colour and their size; but at the end of a longer time, the absence of motion, perhaps also the deficiency of nervous influx, terminate by altering the nutrition left for a long time untouched without this influx, and then the muscles change colour, contract and diminish. But this phenomenon is not always constant, and there are at the Hôtel-Dieu hemiplegias of six, seven and even ten years, without the limb of the sound side predominating in its nutrition over that of the diseased one.
External pressures for a long time continued upon a muscle, produce nearly the same effect as want of nourishment; they discolour and whiten it by preventing the circulation in it. Those who make use of straps constantly passed under the arms, who habitually have girdles round the abdomen and who lift burdens, have often the muscles corresponding to the constant pressure they experience, in the state of those of old people. I would remark that these muscles contract notwithstanding; which proves that the colouring substance is not of absolute necessity to muscular action.
The blood is carried in general in much less quantity in the muscles of old people; their vessels are in part obstructed; this is what disposes them to the state of which I have just spoken.
V. State of the Muscular System at Death.
At the instant of death, the muscles remain in two different states; sometimes they are stiff and inflexible; sometimes they allow the limbs to execute motions very easily. It is sometimes necessary to make an effort to bend the thigh of a dead body; at others the least touch is sufficient to do it, as for example in asphyxia, from charcoal. These state of rigidity and relaxation have infinite degrees. The first is sometimes so great, that the subject raised against a wall remains standing; at other times it is nothing. Some muscles are stiff in subjects, while others are relaxed. It appears that these different states depend upon the kind of death, upon the phenomena that accompany the last moments. But how do they precisely happen? It is an object of interesting research. I have remarked that the muscles remaining stiff at the instant of death, are often torn with ease, if we attempt to force the motions of the limbs to which they go; that the tearing hardly ever takes place on the contrary in those remaining supple, whatever may be the impulse communicated at their moveable points; it is necessary to draw them directly, attach weights to them, &c. to produce this phenomenon, which is then easy.
The muscular texture is never preternaturally developed in the different organs in which nature has not originally placed it, as happens in the osseous, cartilaginous and even fibrous textures. If it were developed, it would not belong to animal but to organic life; because in order to depend upon the first, the cerebral nerves are essentially necessary, the muscle being but the agent of the motions which the latter communicate.
END OF VOL. II.