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
1st. The vital forces, the effect of which is to impart to all the
organs which they animate a degree of tone sufficient to resist the
entrance of the fluids, leave, when they are extinct, the fibres of
these same organs in a state of laxity that renders them everywhere
permeable. Thus transudation is now considered as hardly any thing
else than a phenomenon that takes place only after death, which, if
transformed into a vital one, would offer an evident exception to
the laws of nature that are especially characterized by simplicity
and uniformity. 2d. The fatty oozing takes place in the experiment
noticed above, not only through the pores of the cartilages, but also
through those of the whole surface of the bone; so that by reasoning
from what has been here observed upon the dead body, it is evident that
during life the whole bone would be, if you may so say, immersed in
an atmosphere of synovia, a consequence, which being proved false by
the most simple inspection, demonstrates the falsity of the principle
deduced from it. 3d. The articulations of the cartilages of the larynx
are lubricated like those of the bones, by the synovial fluid; and yet
here all transudation of marrow is impossible, as it does not exist
in the substances of the cartilages. 4th. The marrow is almost always
sound in diseases which, affecting the articulations alter the fluid
that lubricates them. And reciprocally the synovia does not take a
different character in the affections of the interior of the bones,
which have an influence especially upon the medullary organ. 5th.
Finally, the experiment that I have made, and which has been stated in
the article upon the marrow, evidently proves the non-transudation of
this fluid.
Desault, in order to explain the manner in which the synovia is
separated from the blood, added to this pretended transudation of
the marrow, an oozing furnished by all the parts contained in the
articulation, such as the capsular and inter-articular ligaments, the
internal fat, the cartilages, &c. A comparison will suffice to show the
value of this hypothesis. What should we say of a system in which to
explain the production of the serous fluid of the abdomen, the source
of it should be placed in the liver, the spleen, the intestines, and in
general in all the organs of this cavity? No doubt we should answer,
that a fluid of the same nature, could not be furnished by parts of
such different structure, that it is much more simple to search for
a single source in the single membrane that covers all the gastric
viscera. The application is exact and the analogy perfect between it
and the articular cavity.
We can, I believe, without fear of error, conclude from all that has
been said above, that the synovia is not transmitted by transudation to
the articular surfaces.
I will now examine the last mode pointed out for the separation of the
synovia.
_Is the synovia transmitted by exhalation to the articular surfaces?_
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