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
These are the general phenomena that cutaneous cicatrices offer in
the two first periods of their formation. The internal cicatrices
show nearly the same thing. Now it is easy to prove that the cellular
system here performs not only an important but an exclusive part, and
that all these phenomena take place in its texture or its cells. The
following observations prove in a satisfactory manner the cellular
nature of the granulations and the provisional pellicle that arises
from them. 1st. Where the cellular system is most abundant, as in the
cheeks, granulations grow most easily and wounds are soonest healed.
2d. The skin, stripped too much of the cellular texture, is not
covered with ease with these productions, and adheres with difficulty
to the neighbouring parts; hence the precept so strongly inculcated
in surgery, of saving this texture in dissecting out tumours, in the
extirpation of wens, cysts, &c. 3d. Maceration always reduces to
this first base the surfaces of granulating wounds, when we expose a
dead body that has one to this simple experiment. 4th. The nature of
fleshy granulations is the same every where, whatever be the organ
that produces them, whether a muscle, a cartilage, the skin, a bone, a
ligament, &c.; only they are more or less backward, according as the
life of each organ is more or less active, more or less decided, and
the vital forces found there marked in a greater or less degree; thus
they appear at the end of four or five days upon the skin, and it is
very much longer before they are visible upon the bones; but their
structure, their external appearance, their nature, are always the
same; then they are only the expansion, the enlargement of an organ,
that is met with in all the others; now this organ common to all, this
general base of every organized part, is the cellular texture.
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