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
_Influence of the cellular texture upon the formation of cicatrices._
Cicatrices may be considered under two relations, 1st. in the external
organs, in the sub-cutaneous texture and skin particularly; 2d. in the
internal organs. Let us examine them at first in the external.
Every wound that follows the ordinary periods, presents between its
formation and its cicatrization, the following phenomena; 1st. it
inflames; 2d. fleshy granulations are formed upon its surface; 3d.
it suppurates; 4th. it sinks down; 5th. it is covered with a fine
pellicle, red at first and afterwards becoming whitish. Let us trace
these different periods.
_First period._
Inflammation commences the instant the wound is made. This is the
sudden result of the irritation caused by the instrument, the contact
of the air, the dressings and surrounding bodies. Shut out until
then from the contact of the air, most of the parts concerned in the
solution of continuity, enjoy only organic sensibility; but then these
contributing to form the surface of the body, ought to enjoy animal
sensibility, that which transmits to the brain the impressions that
are received. Now the effect of inflammation upon organs endowed only
with the first kind of sensibility, is to raise it so much, that it
ascends to the same degree as the second, and can like it, transmit to
the brain its impressions; so that by it the parts divided by a wound
become capable of performing the functions of the integuments. This
is the first advantage, without doubt, of this inflammatory period of
cicatrization.
Another advantage of this period is to dispose the parts to the
development of fleshy granulations. In fact, inflammation always
precedes this development; now the increase of life that it produces
in the organs, appears to be necessary to animate the parts that are
to be reproduced; by it the cellular texture, where the granulations
are formed, is endowed with more sensibility and more insensible
contractility; it raises it to a temperature above that of the
neighbouring organs; it becomes the centre of a small circulating
system independent of that of the heart. It is in the midst of
this extension of the forces, that the fleshy granulations arise
and increase, for the production of which the natural forces would
have been insufficient. Hence the paleness and flaccidity of these
granulations, when these different functions are weakened or cease.
_Second period._
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