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
Different hypotheses have been proposed concerning the manner in which
fat is separated from the blood. Malphigi spoke of glands and excretory
ducts, which no anatomist since his time has seen and which no one
believes in at present. Haller supposed that the fat was completely
formed in the arterial system, that it circulated with the blood
and floated on its surface on account of its specific levity. This
circulating fat then, according to him, escaped through the pores of
the arteries, and oozed from all parts into the neighbouring cellular
texture. This opinion supposes two things; 1st. the existence of fat
ready formed in the arterial system, an existence that is proved
by no positive fact, of which I never could convince myself by the
examination of red blood as it comes out of the vessels, for if it did
exist there would be numerous little drops floating on its surface
at the moment it was drawn. In my experiments upon the colouring of
the blood, I have frequently established this; I have observed it
also in examining the blood of maniacs upon whom arteriotomy has been
performed at the Hôtel Dieu. 2d. The opinion of Haller is founded upon
a transudation truly mechanical, a transudation that easily takes
place in dead bodies, but never in living. In fact, if we lay bare
an artery of a living animal, separate it entirely from every thing
else, and examine it ever so long, we shall discover no oozing of fat
through its coats, though the blood circulates in it as usual. There
is an infinity of arteries, spread in the cellular texture, through
which fat never transudes, as we see in the scrotum, the eyelids, &c.;
now in these places the arteries are organized as elsewhere, and they
ought therefore to have the fat ready formed in the blood that they
circulate; then, according to Haller, fat would be deposited there.
Besides, we shall see under the article upon exhalations, that this
transudation through the pores of the arteries, whatever fluid is
supposed to be transuded is evidently repugnant to the laws of the
animal economy. I refer then to this article, to establish the fallacy
of Haller's opinion; under that article we shall see also, that the fat
is separated by an exhalation analogous to that of all other exhaled
fluids, that is to say, by the vessels of a particular order, which are
intermediate between the extremities of the arteries and the cellular
texture. Some authors have thought that they saw the vessels that carry
the fat, and have designated them under the name of adipose; but it
appears, that like the other exhalants, they are invisible and can
only be proved by a train of reasoning, which however, satisfactorily
establishes their existence. We can apply to the exhalants of fat, what
will be said upon the exhalant system in general.
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