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
In the organs in which the blood, or the white fluids differing from
it, alone enter, there can be no variety in the proportions; but the
varieties are frequent in those where these fluids enter at the same
time. In the serous, the dermoid, the mucous systems, &c. there are
sometimes more, sometimes less small vessels filled with blood; the
cheeks, of which I have spoken, are a remarkable example of this.
The least emotion, the slightest agitation, or a motion a little too
violent, accumulates, diminishes, and varies, in a thousand different
ways, the quantity of blood in them. The whole exterior of the skin
exhibits the same phenomenon, though less frequently. When this organ
is irritated or excited at any point, it immediately reddens; it
becomes white if it is compressed. Cold and heat uniformly produce
analogous varieties, when the change from one to the other is sudden.
All the mucous surfaces exhibit the same arrangement; see the glans in
the erection of coition, or in the flaccidity that succeeds it; the
difference in the quantity of the blood that this external membrane
contains, is very evident. Lay bare a serous surface; at first
white, soon there will be numerous red streaks. If we could see the
capillaries of the glands, I presume that we should find the quantity
of blood variable in these vessels, and that during the time that the
secreted fluids are poured out in abundance, their system would be
more copiously supplied than at any of the time when it furnishes the
materials of the secretions. Why are not the kidnies and the liver
subject to the same varieties in the quantity of their blood, as the
surface of the skin? When, by a violent motion, sweat pours out in
abundance, and the external surface of the body looks more red, does it
not indicate that the blood is there in a greater proportion?
There are two things to be distinguished, however, upon this subject;
it is only when the copious secretions arise from an increase of
life, that a greater afflux of blood is supposed to take place in the
glandular system. When this increased secretion proceeds from a want
of vital energy, the blood is not in greater quantity in the gland.
The same observation applies to exhalation; thus, in the above case,
in the commencement of fever, &c. more blood enters the skin; but when
the sweat arises from weakness, as in phthisis, &c. there is not this
accumulation of blood in the capillary system. But this deserves a
longer explanation.
_Different proportions of Blood in the Capillaries, according as the
Secretions and Exhalations are active or passive._
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