Physiological Researches on Life and Death

by Xavier Bichat

I can easily believe that the simple action of such a substance on the nerves of the lungs, may have a very marked effect on the economy, and be capable of troubling the functions of the system very sensibly; much indeed in the same way as with some individuals a mere odour, or the sight of a hideous object, will occasion syncope, in the same way that an irritating enema will suddenly awake the system into life, or the introduction of certain substances within the stomach, will be felt throughout the body, before such substances can have passed into the circulatory torrent. We meet at every moment with examples of these very remarkable phenomena, produced by the simple impressions of foreign bodies on the mucous surfaces; I cannot deny that deleterious substances may act in the same way upon the nerves of the lungs, though we must not exaggerate the sphere of this mode of action.[105]

In fact, I am not acquainted with any one example, where the contact of a deleterious substance with a mucous membrane, has been the sudden cause of death. It may indeed be productive of such effect after a certain time, but never at the moment of its action; nevertheless, in those asphyxiæ which are produced by mephitic vapour, so rapidly does death come on, that the black blood can scarcely have had the time to exert its influence upon the body. The principal cause of the cessation of the functions is manifestly the action of the pernicious substance.

These considerations, then, incline me to believe, that these substances pass into the blood through the lungs, and that in circulating with the blood they carry to the organs the immediate cause of their death. Such passage into the blood has already been suspected by many physicians; the truth of the fact appears to be indubitably proved by the following reflections.

1st, It can hardly be doubted, that the poison of the viper and many other venomous animals, and that the saliva of rabid animals, pass into the system of the blood, and are taken up either by the veins or the lymphatics.

2dly, It appears to be very certain, that a portion of the atmospheric air is actually absorbed through the mucous membrane of the lungs itself, and not by means of the absorbent system. Now, if this be the case, I know not what should hinder the passage of mephitic vapour in the same way.[106] We are not sufficiently acquainted with the limits of the particular sensibility of the membrane of the air cells, to say that it cannot give a passage to such vapour.

3dly, The respiration of an air which has been charged with the exhalations arising from oil of turpentine, communicate a particular smell to the urine. It is thus that this fluid is affected from the residence of the persons in a newly varnished room. In this case it is evidently by the lungs in part, that the odoriferous fluid has its passage into the blood, and so on to the kidneys. In fact, I have often assured myself by breathing out of a bottle through a tube, air so charged (in which case it could not act on the cutaneous surface) that the smell of the urine undergoes a change. If, then, the lungs will admit a variety of substances, which do not enter into the composition of respirable air, for what reason should they not admit the mephitic vapour of mines and subterraneous places.

4thly, The respiration of humid air produces dropsy. The extent of the fact has been exaggerated, indeed, but the fact itself is true. It proves, that an aqueous fluid may pass into the blood, and consequently that other substances may pass into it also.

5thly, If an animal be asphyxiated in sulphurated hydrogenous gas, and a plate of metal some time after its death be placed under one of its muscles, the surface of the plate contiguous to the muscle, will be sensibly sulphurated. The foreign principle, then, which is here united with the hydrogen, must have been introduced into the circulatory torrent by the lungs, and have penetrated with the blood into all the parts. The deputies of the Institute have observed this phenomenon in their experiments. I have made a similar remark in asphyxiating animals with nitrous gas. A phenomenon of the same nature accompanies the exhibition of mercury.

From the above, we have nearly a right to conclude, that the different deleterious substances of which the gases are the vehicles, do actually pass into the blood, and so affect the organs. Of this matter, however, I shall adduce some further proofs.