General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3) — John Shaqi
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
Observe the itch, herpes, cancer, venereal disease, &c. when they have
ceased to be local affections, they spread themselves universally;
they alternately attack different textures, according to the relation
which they have with the organic sensibility of these textures. But it
is almost always separately that they attack them; an organ is never
as a whole influenced by them in all its parts. What do I say? If two
of these diseases exist at the same time, one seizes upon one texture,
the other upon a different one of the same organ. Thus the stomach, the
intestines, the lungs, &c. can be attacked by two different diatheses,
and each will be independent of the other, because each will be fixed
upon a different texture, one upon the mucous, for example, the other
upon the serous, &c.
Let us not, however, exaggerate this independence of the textures of
the organs in diseases, lest experience should contradict us. We shall
see that the cellular system is oftentimes a medium of communication,
not only from one texture to another in the same organ, but from one
organ to a neighbouring one. Thus in many chronic diseases, all the
parts of the same organ are gradually changed, and at the examination
of this organ after death, the whole of it appears to have been
affected, though one of its textures only was so at first. In the
cancer of the breast, you find at first only a small gland that rolls
under the finger; finally the glandular, the cellular, and even the
cutaneous textures are confounded in one common cancerous mass. Cancer
of the stomach, the intestines, the penis, &c. follows the same course.
Observe phthisis, exhibiting in the beginning some small tubercles in
the pulmonary texture, at length invading oftentimes the pleura, the
bronchial membrane, &c. How little soever you may examine bodies with
a view to the same chronic disease, and at different periods, you will
be convinced of the truth of this assertion, viz. that a texture being
at first affected in an organ, communicates its affection gradually to
others, and that you will be deceived in judging of the primitive seat
of the disease, if you attempt to determine it from the parts found
affected at the time of the examination.
In acute diseases, continuity is oftentimes sufficient to explain the
different symptoms that appear in textures that are not affected. The
peritoneal coat only being inflamed, vomiting is produced. We cough and
sometimes expectorate considerably when the pleura alone is diseased.
Delirium comes on when the tunica arachnoides is inflamed, though
the intellectual functions are not connected with it. Frequently the
diseases of the pericardium are sufficient to disturb the motion of the
heart, &c. We cannot deny after this, that oftentimes an alteration
in one of the textures alone of an organ is sufficient to disturb the
functions of all the others; but still it is in one only, that the
primitive source of the evil exists.
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