General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
I would observe that in this respect it is necessary to distinguish
acute from chronic affections. In the chronic inflammations, for
example, of the pleura, of the peritoneum, &c. the redness continues
after death, because the blood is combined, as it were, with the organ;
it makes a part of it, as it makes a part of the muscles in a natural
state. So the chronic affections of the skin, of the mucous surfaces,
retain after death nearly the same blood, that they had during
life; whereas in acute affections, the blood retained for a time by
irritation, escapes when life has ceased, upon which this irritation
depended. These principles can be applied to many diseases; I repeat
it, they are of great importance in examining bodies. The neglect of
them has often led me into an error, upon the degree and even the
existence of acute inflammations, of which the organs that I examined
had been the seat.
V. _How, notwithstanding the general communication of the Capillary
System, the Blood and the Fluids differing from it, remain separate._
Since in the dead body, and consequently during life, there is in
the capillary system no organic obstacle to the communication of the
fluids through its small branches; since the general net-work that
these vessels form is everywhere free, how does it happen that the
blood does not pass into the part destined to the white fluids? how
is it that these do not enter where the blood is to circulate? Why
does not this fluid go out by the exhalants and the excretories, since
these tubes communicate with the arteries by the anastomoses of the
capillary system? This depends wholly upon the relation which exists
between the organic sensibility of each part of the capillary system,
and the fluid that it contains. That which carries the blood, finds in
all the other fluids irritants that make it contract at their approach;
and reciprocally, where the other fluids belong, the blood would be a
foreign fluid. Why does the trachea admit air, and reject every other
fluid? Why do the lacteals choose only chyle from the contents of the
intestines? Why does the skin absorb certain substances, and repel
others, &c.? It all depends upon this, that each part, each portion of
an organ, every organic particle, has its own sensibility, which is in
relation only with one substance, and repels others.
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