General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
It is in fact an essential character of the extensibility of almost all
the cellular system in which the layers and consequently the cells are
united, to have the power always of being put suddenly in action and in
an instantaneous manner. We have an example of this kind of extension
in emphysemas artificially produced, which make this texture go
suddenly from a state of perfect contraction to the greatest extension
of which it is capable. The artificial injection of different fluids
exhibits the same phenomenon. We observe it also as a consequence of
fractures, and contusions of the limbs, in which we sometimes see
enormous swellings appear in a manner almost as sudden. The cellular
texture is evidently the seat of those swellings which take place in
that texture which is sub-cutaneous, and not in that subjacent to the
aponeuroses, because the extensibility of these membranes not being
capable of being suddenly put into action, resists all dilatation
that is not gradually made. Many other organs, as the tendons, the
cartilages, the bones, &c. though possessing, like the cellular
texture, extensibility of texture, differ from it like the aponeuroses,
in the impossibility of being suddenly distended. In general, the
softness of the primitive structure appears to have great influence
upon this modification of extensibility.
The cellular texture, extended too far, becomes at first very thin, and
then breaks. In a natural state, no motion of the economy is capable
of being carried so far as to occasion this; for example, I have
remarked in regard to cellular texture taken from the axilla, that it
is necessary to extend it at least three times as far as it is in the
elevation of the arm, to produce this phenomenon. Besides, what opposes
also this rupture, is a kind of locomotion of which it is capable; so
that if too violently drawn, it displaces that which is contiguous
to it, draws it towards itself, and thus becomes less stretched. We
see this phenomenon in a remarkable manner in the swellings of the
testicle, in large hydrocele. Then all the surrounding texture, that of
the lower part of the abdomen, the top of the thighs, and the perinæum,
drawn by that which immediately covers the tumour, is thus brought also
upon it.
I have observed that the inflamed cellular texture loses in part this
property, and that upon the dead body it breaks with great ease. This
takes place also in different indurations of which it is the seat. For
example, that surrounding a cancerous womb, being swelled, loses the
capacity of being extended; it is brittle, if I may be allowed to use
the word; the least effort is sufficient to break it. This fact is
uniform in all cancerous affections, somewhat advanced, of the womb and
in those of many other organs.
_Contractility._
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