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
It is essential to distinguish the swellings of the lymphatic glands by
the influence of the diseases of the neighbouring viscera, from those
which arise from tabes mesenterica and other analogous, scrophulous
diseases. 1st. In the latter case, the texture of the gland is always
primarily affected; it is only secondarily in the other. 2d. The one
from scrophulous affections appears exclusively in childhood; the other
at all ages. 3d. Finally, a gland swollen from the affection of another
organ, most frequently preserves a texture, and colour analogous to its
natural state. It is only in the last periods that the texture becomes
sometimes hard, like cartilage, and even suppurates; but it is not
with the same phenomena as the texture of the mesenteric and bronchial
glands swollen by scrophula. The appearance and structure are wholly
different. This last exhibits in this case a white substance which is
found in small quantity in the first periods; so that when we cut the
gland, we easily distinguish this substance from the texture of the
gland that remains, where it still exists, with its natural colour and
arrangement. In the latter periods, this white matter has encroached
upon the whole gland, the texture of which has disappeared. However in
phthisis, and sometimes, though more rarely, in cancers, the swelled
glands exhibit in consequence an analogous appearance; but in all the
other cases it is different.
We know that nature often chooses these glands in important fevers, as
the place of the crisis. They are the seat of what are very improperly
called parotid tumours, in adynamic fevers.
The absorbents are, like their glands, influenced by the affections
of the neighbouring organs. I am well persuaded that the different
alterations which the absorption of chyle undergoes, the absorption
of the aqueous part of the bile and the urine, and the derangement
of those of the serous surfaces in many diseases, are effects purely
sympathetic. But it is not very easy to distinguish when they are
not so. There are certainly sympathetic absorptions, as there are
sympathetic exhalations and secretions.
On the other hand, the absorbent system being affected, the other
organs very often experience sympathetic influences. In tabes
mesenterica, and in the enlargement of the bronchial glands that
correspond with it, there are many symptoms that evidently arise from
the sympathetic relations that connect these glands to the other
organs. It is not my province to point out these symptoms.
As to the influence of the diseases of the absorbents upon the other
organs, we know but little of it. When their course is inflamed from a
puncture, from a wound with an instrument having on it some virus, &c.
there are often vomitings, diarrhœa, &c.
ARTICLE FOURTH.
OF ABSORPTION.
I. _Influence of the Vital Forces upon this Function._
Public-domain text, read in full here on John Shaqi.
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