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
Let us take first the systems most exposed to inflammation; we shall
see that phlegmon is the inflammatory kind of the cellular, erysipelas
that of the dermoid, and catarrh that of the mucous. We have not yet a
general name to express that of the serous; but who does not know how
it differs from the others?
In the systems rarely subject to inflammation, we know this affection
infinitely less than in the preceding; but there is no doubt that
it differs essentially. Compare the length and permanency of that of
the bones, with the rapidity and disposition to change of that of the
muscles, or rather of the fibrous bodies, in rheumatism.
The results of inflammation do not vary less than its nature; if
resolution does not take place, each has its own mode of suppuration.
Compare the pus of erysipelas, that of phlegmon, the milky or
flocculent fluid of the serous membranes, the whitish or greyish
humour, of a mucous consistence, that escapes from the membranes of
the same name after catarrh, the blackish sanies of the bones in
suppuration, &c. We shall see that some organs, as the fibrous bodies,
do not suppurate.
Gangrene once taken place, is everywhere the same, since it is only
the absence of life, and all dead organs have the same properties. But
according to the sum of organic sensibility which each system has, it
is more or less disposed to die after inflammation, in the midst of
others which retain their life. Who does not know that the carbuncle
which soon kills the part it seizes, only attacks certain systems; that
the osseous, the cartilaginous, the nervous, &c. are always exempt from
it?
The essential fault of every medical doctrine is that of considering
diseases too abstractedly; they are so modified in each system, that
their aspect is wholly different. If I may be allowed the expression,
it is always the same individual, but in entering each system, it has a
different appearance there, so that often you cannot recognize it. When
will medicine be so far advanced that the treatment will correspond
with these varieties? There should certainly be a general treatment of
inflammation; but it should be modified differently, according as we
apply it to phlegmon, erysipelas, catarrh, &c.
This then is a very evident proof of that peculiar character which
inflammation takes in each part. We know with what ease and rapidity
the blood flows to any part of the skin in consequence of irritation
there; prick or rub briskly a part of this organ, it reddens in a
moment. This takes place also, though less sensibly, on the mucous
surfaces. This is not equally seen upon the serous; I have frequently
ascertained this on living animals, when I have laid bare these
surfaces and irritated them in different ways. The afflux of the blood
does not immediately follow the irritation: there is always an interval
between one and the other, never less than an hour.
VII. _Structure, and Properties of the Capillaries._
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