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
1st. Nothing is more rare than affections of the mass of the brain;
nothing is more common than inflammation of the tunica arachnoides that
covers it. 2d. Oftentimes one membrane of the eye only is affected,
the others preserving their ordinary degree of vitality. 3d. In
convulsions or paralysis of the muscles of the larynx, the mucous
surface is unaffected; and on the other hand the muscles perform their
functions as usual in catarrhs of this surface. Both these affections
are foreign to the cartilages, and vice versa. 4th. We observe a
variety of different alterations in the texture of the pericardium,
but hardly ever in that of the heart itself; it remains sound while
the other is inflamed. The ossification of the common membrane of the
red blood does not extend to the neighbouring textures. 5th. When the
membrane of the bronchia is the seat of catarrh, the pleura is hardly
affected at all, and reciprocally in pleurisy the first is scarcely
ever altered. In peripneumony, when an enormous infiltration in the
dead body shows the excessive inflammation that has existed during
life in the pulmonary texture, the serous and mucous surfaces often
appear not to have been affected. Those who open dead bodies know that
they are frequently healthy in incipient phthisis. 6th. We speak of a
bad stomach, a weak stomach; this most commonly should be understood
as applying to the mucous surface only. Whilst this secretes with
difficulty the nutritive juices, without which digestion is impaired,
the serous surface exhales as usual its fluid, the muscular coat
continues to contract, &c. In ascites, in which the serous surface
exhales more lymph than in a natural state, the mucous oftentimes
performs its functions perfectly well, &c. 7th. All authors have said
much of the inflammation of the stomach, the intestines, the bladder,
&c. For myself I believe that this disease rarely ever affects at first
the whole of any of these organs, except in the case where poison
or some other deleterious substance acts upon them. There are for
the mucous surface of the stomach and intestines, acute and chronic
catarrhs, for the peritoneum serous inflammations, perhaps even for
the layer of organic muscles that separates the two membranes, there
is a particular kind of inflammation, though we have as yet hardly any
thing certain upon this point; but the stomach, the intestines, and the
bladder are not suddenly affected with these three diseases. A diseased
texture can affect those near it, but the primitive affection seizes
only upon one. I have examined a great number of bodies in which the
peritoneum was inflamed either upon the intestines, the stomach, the
pelvis, or universally; now very often when this affection is chronic,
and almost always when it is acute, the subjacent organs remain sound.
I have never seen this membrane exclusively diseased upon one organ,
while that of the neighbouring ones remain untouched; its affection is
propagated more or less remotely.
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