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
The solution of the two preceding problems seem naturally to lead
to that of the question which we here propose. The certainty of
the two following data may, I think, be relied on; 1st. Secretion,
exhalation and transudation are the only means by which a fluid
different from the blood can be transmitted to an organ. 2d. Secretion
and transudation are foreign to the transmission of the synovia.
Now from these two certain data, can we not draw this conclusion as
certain, that exhalation is the mode by which the synovia is carried
to the articulations? But let us add to these negative proofs some
considerations which establish this proposition positively.
The most striking relations are observed between the synovia and the
fluid that lubricates the parietes of the serous membranes. 1st. The
relation of composition. These two fluids are essentially albuminous.
Albumen predominates in both, though a little different in each, as
Marguerron has demonstrated. Havers had previously pointed out this
analogy; he knew that these two fluids are coagulable by alkohol,
the acids, and caloric, without knowing the principle to which this
property is owing. 2d. The relation of functions. Both are destined to
lubricate surfaces on which much motion takes place, to diminish the
friction which is the inevitable consequence of it and to prevent fatal
adhesions. Both are in the same state on their respective surfaces;
it is merely a dew spread upon these surfaces, and soon taken up from
them. 3d. The relation of affections. Inflammation dries up the source
of both, and produces adhesions, more common in the serous membranes
and more rare in the articulations in which they produce anchylosis.
Both are subject to preternatural enlargement, which is designated
by a common word, viz. dropsy. 4th. The relation of absorption. The
lymphatic system is for both the way by which they re-enter the
circulation, after having remained sufficiently long upon their
respective surfaces.
Do not these various resemblances, which with some slight differences
of composition only, so evidently connect the synovia with the fluid
of the serous membranes, lead us to this very simple consequence, viz.
that these two fluids being analogous in all other respects must be
so also as to the manner in which they are separated from the mass of
blood? Now it is a point in physiology at the present day generally
acknowledged, that the fluid of the serous membranes is brought to them
by exhalation; then we are evidently lead by induction to this which
answers the question proposed above; The synovia is transmitted by
exhalation to the articular surfaces.
This rigorous and accurate conclusion drawn from obvious and uniform
facts will become, I think, a demonstrated truth, when to the analogies
already established we shall add that of the membranous organ, the
essential seat of the exhalation of the synovia.
II. _Remarks upon the Synovia._
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