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
We may conclude from these facts, that if the moderate exhalation of
fat indicates strength, its superabundance is almost always a sign of
weakness, and that there is in this point of view a kind of connexion
between fatty and serous infiltrations, as I have mentioned before.
It should be observed, however, that leucophlegmasia almost always
arises from an organic disease of some of the viscera, particularly
the heart, the lungs, the liver, the womb, and the spleen; hence it is
usually incurable, and death is the consequence of the organic disease.
On the other hand, an organic disease rarely accompanies corpulency,
which does not prevent a long life. If leucophlegmasia arose only
from cellular weakness, I am persuaded that it would not disturb the
regularity of the functions.
Great fatty collections are oftentimes an effect almost instantaneous
of certain circumstances, for example, of atmospheric influence. It
is thus that in twenty-four hours, a fog fattens thrushes, ortolans,
red-throats, &c. so that they are unable to escape the sportsman. This
phenomenon, which is very frequent in autumn, is never so striking in
the human species.
The diminution of the fat is as frequent as its increase, and it may be
said that there are more cases of extreme emaciation than of remarkable
corpulency. The causes which diminish this fluid are these: 1st. long
abstinence; the necessary fasting and sleep of dormant animals, furnish
us with an example of this; so that in this point of view, fat is the
nourishment which is reserved for the time when the ordinary kind is
taken away; 2d. every organic disease, continued for a long time, as
phthisis, cancer of the pylorus and womb, disorders of the liver,
of the heart, &c.; those who are in the habit of examining bodies
can judge by the external appearance, without knowing the previous
disease, whether the organization of an essential part is changed. In
general, in organic affections, there is not only emaciation, but also
an alteration in the nutrition of the organs; they are more slender
than usual. On the other hand, after an acute fever that has lasted
only a few days, emaciation only is observed; nutrition, a function
that is deranged as it is exercised, that is to say, slowly, is not
yet sensibly affected. There is in this respect a great difference
between two bodies equally emaciated; it is sufficient, in most cases,
to dissect a limb of each, without seeing the internal viscera, to
determine if death has been the gradual effect of an organic disease,
or the sudden result of a bilious or putrid fever, &c. To the causes
already pointed out, we must add, 3d. every considerable purulent
collection, especially if it depends upon a chronic affection; 4th.
leucophlegmasia, though we must not believe that fat and serum mutually
exclude each other, since we often observe much sub-cutaneous fat in
dropsical subjects; 5th. all melancholy affections of the mind which
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