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
4. Analogy of functions. Cysts are evidently secretory or rather
exhalant organs, which exhale the fluid they contain. Exhalation
becomes very evident there, when after the evacuation of the fluids,
the membranous sac has not been removed, or an artificial inflammation
excited in it. Absorption is proved, in the spontaneous cure of
encysted dropsies, a cure which must depend on this function alone.
5. Analogy of affections. Who does not know that between the dropsy of
the tunica vaginalis and the encysted dropsy of the cord, there is the
greatest analogy; that the curative means are the same, that in both
cases the inflammation that is produced by the injection of a foreign
fluid, wine, for example, is the same, and that the cure is effected
by a similar mechanism? Whoever has opened two bodies, each having
one of these affections, and examined the sacs in which the fluid is
contained, must have perceived that their appearance is precisely the
same. Remove the fluid from the cyst of a soft wen, and you will
discover but little difference between it, dropsical cysts, and serous
membranes.
The preceding considerations induce us to admit a perfect resemblance
between cysts and serous membranes, of whose characters they partake,
and into the system of which they essentially enter, and consequently
into the cellular system. It is very probable that there is a relation
between them, and that when a cyst is formed and exhales copiously,
the exhalation of the serous membranes is diminished; this does not,
however, rest upon direct proof. There is this essential question,
how are these cysts developed? How a membrane, which does not
exist in a natural state, can arise, grow, and even acquire a very
considerable development under certain circumstances. This problem
is usually resolved in the following manner; at first, it is said,
a small quantity of fluid collects in a cell; this fluid increases
and dilates in every direction, the parietes of the cell, which are
attached to the neighbouring cells and thus increased in thickness.
Gradually this fluid, serous in dropsy, white and thick in steatoma,
&c. increases in quantity, presses in every direction the sac that
contains it, enlarges, crowds against the neighbouring organs, and
thus acquires the form under which we see it. Nothing at first sight
appears more simple than this mechanical explanation; nothing is less
conformable to the process of nature. The following considerations
will serve to prove this. 1st. The cysts are analogous in every point
of view to serous membranes; how then could they have a different
origin from these membranes, which are never formed, as we shall see,
by the compression of the cellular texture? 2d. Does an origin thus
mechanical, in which the vessels compressed against each other would
inevitably be obliterated, as we see the skin become callous, accord
with the exhaling and absorbing function of the cysts and with their
peculiar kind of inflammation? 3d.
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