General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
Though the different considerations offered above establish much
analogy between the cellular and the serous systems, they exhibit
however real differences. First their external appearance is not
the same. Then there is something in their intimate nature that we
are unacquainted with, and which differs also; for whenever two
organs are identical in their nature, they are subject to the same
affections; now there is a disease of the serous surfaces that is not
seen in the cellular system; it is those slow inflammations of which
I spoke just now, a disease which should not be ranked in the class
of the phlegmasiæ, and which the production of the small tubercles
that attend it, especially characterizes. Authors who have not
sufficiently attended to it, have denominated it chronic enteritis in
the peritoneum, latent inflammation in the pleura, &c. though however
foreign to every subjacent organ, except in the latter periods when it
is propagated by the cellular texture, it has its seat exclusively in
the serous membranes, and is an affection peculiar to these membranes,
as miliary eruptions are to the cutaneous surfaces, as aphthæ to the
mucous surfaces, &c. Add to this difference that of the pus which the
cellular texture and the serous surfaces secrete; this fluid is not the
same in the two systems. The difference of its nature is not known; but
its external appearance is by no means the same.
II. _Parts common to the Organization of the Serous System. Exhalants._
A very evident exhalation is constantly going on upon the serous
surfaces. A particular order of vessels is the agent of this
exhalation, the matter of which is the fluid mentioned above. These
vessels are very distinctly demonstrated in this system; it is the
only one in which the eye of the anatomist can accurately trace them.
The following are the means of seeing them; 1st, in a living animal,
draw out an intestine from the abdomen; it will have a reddish tinge
owing to the vessels under the serous coat, and hardly at all to the
vessels in this coat itself. Irritate it, and reduce the intestine
after attaching a string to it, as in the operation of hernia where
there is gangrene, draw it out again at the end of six and thirty or
eight and forty hours; it will exhibit many reddish lines, running over
this serous surface, and showing in it plainly the exhalants which
were insensible in the natural state, on account of the transparency
of their fluids. 2d. Very fine injections cover in an instant all the
serous surfaces with an infinite number of lines of the colour of the
injected fluid, lines which are evidently exhalants full of this fluid.
3d. In these injections an extremely fine dew is made to ooze out upon
the smooth surface of the serous membranes, a dew which takes place
without rupture or transudation, and of which the exhalants are the
sources. 4th. If a serous surface is laid bare in a living animal, and
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