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
It is to this texture also, that the organs subjacent to the skin owe
in part the facility with which they move in the great contractions of
which they are susceptible. The fat contained in great quantity in its
cells, contributes to protect the subjacent parts from the impression
of the external air. We know, that in general this fluid is more
abundant there in winter than in summer, that it is found in a very
considerable proportion under the skin of animals that inhabit cold
countries, that in consequence of the emaciation that follows great
diseases, the impression of the external air is often very sensible, &c.
The serum appears to be in the sub-cutaneous texture, considerably
more than in other parts; it has a greater tendency to accumulate
there, no doubt on account of its laxity. If we compare the quantity
of fluid which enters this texture in a dropsical limb, with that
which occupies the intervals between the muscles and the interstices
of the fibres of the different subjacent organs, we shall see that it
exceeds it considerably, and that the size of the limb is in proportion
much more increased by the dilatation of the portion of sub-cutaneous
cellular texture, than by that of the portions situated deeper. To be
convinced of this, place at the side of a healthy, lower limb, stripped
of its integuments and subjacent texture, a dropsical limb prepared
in the same manner, and consequently having like the other, only its
aponeurotic covering, you will see that the difference is not very
great.
_Sub-mucous cellular texture._
The mucous membranes have the same relations with the cellular texture,
that the skin has, of which they are a continuation, and with which,
as we shall see, they have a great analogy in their structure. There
is then a sub-mucous, as well as a sub-cutaneous texture. But there is
between them, this essential difference, that the texture of the first
is infinitely more compact and condensed than that of the other, and
consequently that the adhesion of the mucous system to the neighbouring
parts is much greater, than that of the cutaneous system. It is to this
difference that may be referred, 1st. the difficulty of dissecting
the mucous membranes and of separating them from the subjacent parts.
2d. The impossibility that I have always found in many successive
experiments, of producing an artificial emphysema in the sub-mucous
texture, whilst I have done it almost every where else, by blowing in
air. 3d. The uniform absence of this fluid in this texture, even when
the natural emphysemas are the most generally spread. 4th. The equally
uniform absence of serum in the sub-mucous cells, in the most general
leucophlegmasia; a phenomenon essential to the functions of the hollow
organs, which would soon be obliterated, if the sub-mucous texture
swelled as much in dropsy as the sub-cutaneous.
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