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
From the red colour of fleshy granulations, it has been thought that
they were a vascular expansion; but their development is unlike every
production of the blood-vessels. On the one hand we have seen, that
the cellular texture contains so many exhalants and absorbents, that
it seems to be almost made up of them; on the other hand, we shall see
that in inflammation a passage is constantly given to red blood in this
kind of vessels; then, as the fleshy granulations are cellular, they
consequently partake of the nature of this system; and when found in
a real inflammatory state, we conceive that their redness is the same
as that of an inflamed pleura, of the cellular texture that has become
the seat of phlegmon, of erisypelatous skin, &c.; a redness that does
not imply an elongation of blood vessels, but only the passage of red
blood, in those that usually carry white. This is so true, that when
the inflammation is gone, the blood ceasing to enter these vessels, the
membrane takes its natural colour; so that the granulations, after the
formation of the cicatrix that arises from their near approach to each
other, whiten because the blood no longer enters them. Now if it had
been a new production of vessels, they would continue and perform their
functions. Moreover, how can we suppose a development of blood-vessels
where they did not primarily exist, as in the tendons, the cartilages,
&c. which have, like other organs, fleshy granulations in their
solutions of continuity?
Let us conclude from these circumstances, that the arterial system
is not connected with the formation of fleshy granulations; that the
cellular system is alone concerned in it, because that this alone is
endowed with the faculty of increasing, extending, and reproducing
itself.
This is what takes place in the second period of the cicatrization of
wounds; the cellular texture, by the increase of power that it acquired
in the first period, is raised into vesicles irregularly disposed,
which exhale a white substance, that is not well understood, and unite
at their superficies and form a provisional membrane. But how is this
membrane changed into that of the cicatrix? Observe nature, and you
will see that it brings on suppuration and a sinking down of the parts,
before the arrival of this period.
_Third period._
The period of suppuration does not take place in the cicatrization of
the bones, in that of broken cartilages, of torn muscles and generally
in the reunion of all divided organs without external wounds. We must
then show what relation there is between their cicatrices and those
of the external organs; for a common principle presides over all the
operations of nature, though they may have a different appearance.
Public-domain text, read in full here on John Shaqi.
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