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
Inflammation with a livid colour, small degree of heat, prostration of
the forces in the part, and termination by gangrene, is evidently to
well marked adynamic fever, what phlegmon is to inflammatory fever,
what irritation of the primæ viæ, which is called bilious affection,
is to the meningo-gastric fever, &c. I think if we examine attentively
local affections and general fevers, we shall always find a particular
kind of fever corresponding in its nature to a particular kind of local
affection. But let us return to inflammation.
If it terminates by suppuration, it is evident that there is a new
alteration of the organic sensibility to produce pus. The same thing
in scirrhus. The termination by resolution takes place when this
sensibility returns to its natural type. Examine well the inflammatory
phenomena in their succession; you will see, that always a particular
state in this property, precedes the changes they exhibit.
When our medicaments are applied upon an inflamed part, it is not upon
the blood that they act; it is not by lessening the heat, or relaxing.
The expressions _to soften_, _unbend_ and _relax_ the solids, are
inaccurate, because they are borrowed from physical phenomena. We
relax, we soften dry leather by moistening it; but we only act upon
the living organs, by modifying their vital properties. Observe that
though we already begin to recognize the empire of these properties in
diseases, medical language is still wholly borrowed from theories which
employ physical principles in the explanation of morbid phenomena. We
have arrived at a period when the manner of expressing ourselves upon
these phenomena should be changed; I do not here speak of the names of
diseases. Certainly every emollient, astringent, discutient, relaxing,
tonic, medicament, &c. employed with different views upon an inflamed
part, only acts by modifying differently from what it was, organic
sensibility. It is thus that our medicaments cure or often aggravate
diseases.
From what has been said, it is evident that the solids perform the
first part in inflammations, and the fluids only the second. Modern
authors have perceived this truth, and they have immediately assigned
an important part, in this respect, to the nerves; but we have seen
that these appear foreign to organic sensibility, that they are so
even after the most rigorous observation. The nervous influence, that
at least which we know in other parts, is, in inflammation, as in
secretion, exhalation and nutrition, almost entirely wanting. There is
in this affection, unalteration of the organic sensibility, and this is
every thing.
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