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
In acute diseases which have their seat in a particular organ, as in
the lungs, the stomach, the intestines, &c. the cellular texture is
often sympathetically affected; it becomes inflamed, suppurates, &c.
Most critical deposits arise from this real though unknown connexion
between the affected organ and the cellular texture. Oftentimes it is
the natural exhalation or absorption of this texture that is deranged
in acute affections; hence the swelling, and dropsies that sometimes
suddenly arise. I attended a man in the ward Saint Charles who, in
consequence of great terror, had a sudden contraction of the epigastric
region; a tinge of the jaundice, an indication of the affection of the
liver by the emotion of the mind, spread in a few hours after over his
face. In the evening he had great œdema of the lower limbs, an œdema
produced, without doubt, sympathetically by the influence of the liver
upon the cellular texture. This influence of the principal organs upon
this system becomes especially remarkable in chronic affections, in
the alterations of texture they experience. We know that most of the
gradual diseases of the heart, the lungs, the spleen, the stomach, the
liver, the womb, &c. have among their symptoms, in the latter stages, a
dropsy more or less general, which arises from the debility created in
the cellular texture. Medicine owes much to Corvisart, for being among
the first to perceive that almost all infiltrations are symptomatic,
that almost all consequently depend upon an influence produced by the
affected organ upon the cellular texture. That comes on gradually then,
which took place suddenly in the patient I mentioned just now.
We see in all acute diseases, that the skin very easily perceives
the sympathetic influence of diseased organs, that it is many times
alternately dry or moist, oftentimes in the same day. I am convinced
that the cellular texture experiences the same alterations as the skin,
and that if we could see what is going on there, we should perceive
that its cells are more or less moist, or more or less dry, according
to the kind of influence it receives; it is to this also that must
be referred the different state of bodies that have died of acute
diseases, which present innumerable varieties in their cellular serum.
Most physicians consider in too general a manner a number of symptoms,
which, to speak correctly, do not depend as they imagine, upon the
disease, but wholly upon a sympathetic affection produced by the
diseased organ upon the sound ones, which, according as they are
affected, give rise to different phenomena truly foreign to the
disease, that sometimes render it complicated but do not form an
essential part of it; they can take place or not, and the disease
remains the same.
Public-domain text, read in full here on John Shaqi.
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