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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
Every muscular motion is either simple or compound. Let us now speak of the first; by it we shall understand the second.
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.
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.