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
Authors have formed very different ideas concerning the exhalants.
We know the decreasing vessels of Boerhaave, and the error loci for
which his imagination created these vessels. Lately all the white
vessels continuous with the arteries have been rejected, and in order
to explain exhalation, recourse has been had only to inorganic pores
in the arterial parietes, through which the fluids transude upon the
organs. Frequent observation of similar transudations upon the dead
body, as those of the bile through the gall-bladder, of the marrow
through the osseous texture which it discolours, &c. is one of the
great supports of this method of explaining the exhalant system. But
we have already many times observed, that these phenomena never take
place during life, when the organic sensibility of the parts refuses
to produce them. Besides, exhalation is evidently subjected to the
influence of the vital forces, since it varies continually in a part,
according as the vital forces of the part themselves vary. Moreover,
if the exhaled fluids escaped through inorganic pores, it would be
necessary that not only the vascular parietes, but also those of the
serous surfaces which receive these fluids, should be perforated
with small holes; why then would not these fluids, of which these
surfaces are the reservoirs, transude into the neighbouring cellular
texture? Let us reject then every opinion that disregards anatomical
observation, and let us endeavour by this observation to ascertain what
the exhalants are.
It is undoubtedly difficult to form a precise idea of these vessels,
their extreme tenuity constantly conceals them from us in a natural
state. Yet by the aid of experiments and accurate reasoning, it
appears to me that we may come at some degree of accuracy.
We have seen that the existence of a capillary system terminating
the arteries, is in the parts where exhalation takes place as in the
others, a thing incontestably proved by experiment with injections, by
inflammations which arise spontaneously, and by those that are produced
at will; so that a serous, cutaneous surface, &c. on which nothing
appears, is covered with an infinity of little vessels suddenly in the
first case, and at the end of a longer or shorter time in the second.
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