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
Ought we then to be surprised, if all the serous surfaces are not
equally subject to the same diseases; if inflammation attacks them
with such different degrees of violence; if it takes place ten times
upon the pleura to once that it appears upon the arachnoides; if in
the pericardium, the tunica vaginalis and the peritoneum, it does not
exhibit the same symptoms; if dropsies vary also wonderfully in each;
if the slow inflammations attack them differently, &c.? The pericardium
is subject to an affection which I have seen upon no other serous
surface, and which is yet extremely frequent upon this; I refer to
the white layers, more or less broad, that are formed on its internal
surface, which would be thought at first view to belong to its texture,
which can however be raised from it leaving it sound. I do not know
whence these layers come; do they correspond to the false membranes of
the pleura?
Neither should we be surprised at what has been said of the varieties
which the same membrane exhibits in its diseases. Frequently the whole
of the peritoneum is diseased, and the omentum remains sound and vice
versa. The layers of which I have just spoken are seen upon the cardiac
portion, and not upon the free portion of the pericardium.
Observe however that all the diseases of this system have a common
character which is evidently derived from the analogy of organization.
This and the synovial are the only ones in which large serous
collections take place, in which slow and tubercular inflammations
are formed. The most of their modes of adhesion belong only to
the serous system. Inflammation has a peculiar and distinctive
character in it, of which all the serous membranes partake with some
modifications. The inflammation of the meninges had been classed among
the serous phlegmasias, from the analogy of the symptoms, before I
had demonstrated that the arachnoides, one of these meninges, belongs
essentially to the serous system. It is on account of this membrane,
and not on account of the dura-mater which is of a fibrous nature, that
phrenitis should be referred to the diaphanous membranes.
ARTICLE THIRD.
PROPERTIES OF THE SEROUS SYSTEM.
I. _Properties of Texture. Extensibility._
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