General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3) — John Shaqi
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
When the alteration of the organic sensibility which produces
inflammation, has no varieties except in its intensity, the
inflammation itself differs only in degree. But the nature of the
alteration is oftentimes different; a feeble character is frequently
united with it; the part has then less redness, heat, &c. Other
modifications are also observed; now all these depend upon the
difference of the alterations that the organic sensibility experiences;
at least these alterations always precede them.
The influence of these alterations is not less evident when
inflammation terminates, than when it begins. If the organic
sensibility has been so raised, that it is as it were exhausted,
then the solid dies, and the fluid, which is no longer in a living
organ, soon becomes putrid. Examine the phenomena of every gangrene;
putrefaction is certainly only a consequence; there is always, 1st,
a desertion of the solids by the vital forces; 2d, putrefaction of
the fluids. The first is never a consequence of the second. When the
organic sensibility begins to diminish, the blood brought there by
inflammation is already susceptible of putrefaction; but the defect of
tone in the solid always precedes. There is this local phenomenon, as
well as the general, in putrid fever. It is incontestable that in this
fever, the blood has a tendency to be decomposed, to become putrid; I
will say further, that it often exhibits a commencing putrefaction.
The index of the alteration of this fluid is always the general state
of the forces of the solids; these have first lost their spring;
the symptoms of weakness are evident before those of putridity. All
the animal fluids tend naturally to putrefaction, which takes place
inevitably when life abandons the solids in which they circulate. In
proportion as the forces diminish in the solids, this tendency is
manifested. A commencement of putrefaction in the fluids during life,
is not a general phenomenon more improbable than the local phenomenon
of which we have spoken, viz. that the blood of an inflamed part
begins to putrefy and the part consequently becomes fetid, before the
organic sensibility has entirely abandoned the solid. It is only when
this ceases, that this putrefaction becomes complete; but then it is
extremely rapid, because it had commenced during life. So bodies that
have died of putrid fevers decompose with a rapidity far surpassing
those that have died of other diseases, because putrefaction had really
commenced before death.
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