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
Since, on one side, the vital properties are essentially seated in the
solids, and on the other, the morbid phenomena are but alterations of
these properties, it is evident that these phenomena reside especially
in the solids, and that to a certain limit the fluids are foreign to
them. Every kind of pain, all spasms and irregular movements of the
heart, that constitute the innumerable variations of the pulse, have
their seat in the solids.
Let us not believe, however, that the fluids are nothing in diseases;
they oftentimes carry the fatal principle of them. They possess, then,
in disease, the same place as in the state of health, in which the
solids are the active agents of all the phenomena that we observe, but
their action is inseparable from that of the fluids. That the heart may
contract, that the capillary system may close itself, it is necessary
that fluids should first go there. In proportion as the fluids are
in their natural state, the excitement is natural; but when this is
changed from any cause, as by the introduction of foreign substances,
at that instant they become unnatural excitants; the functions are
disordered, and diseases supervene. You see, then, that the fluids can
oftentimes be the principle of diseases, and the vehicle of morbific
matter. But this subject merits further consideration.
Here we can apply the distinction of fluids into those of composition
and those of decomposition. The first, which enter the system in
various ways, go into the blood, which, on one account, belongs
to them, but on another, to the fluids of decomposition. It is
incontestable, 1st. that the chyle can be loaded with a variety of
foreign substances, and carry into the blood the fatal principles
of disease, as when putrid and badly digested matter, principles of
contagion mixed with our aliment, &c. are found in the primæ viæ.
2d. Is it not established by many proofs, that cutaneous absorption
oftentimes introduces into the blood the causes of disease, and, 3dly.
that substances foreign to the constituent principles of the air,
and adapted to excite disease, may accidentally get into that fluid
through the medium of the lungs? these things we cannot doubt. Here,
then, there are already three ways open to the principles of morbific
matter, as we shall moreover have reason to be convinced in the course
of this work. 4th. There is another accidental one, that arises from
wounds, cuts, bites, lacerations, &c. by means of which destructive
principles are oftentimes conveyed into the animal economy. Under these
four we might produce a variety of cases, in which the fluids are the
first causes of diseases, by conveying their essential principles and
becoming unnatural excitants to the solids, in which they produce
phenomena contrary to the natural order. But it is evident, that it is
those fluids especially destined to the composition of the organs that
thus carry morbific principles; these are especially their vehicle,
and convey the disease.
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