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
Among the vital properties, the organic sensibility is the only
one of this system in the ordinary state, as I have proved by many
experiments on living animals in which these surfaces have been laid
bare and irritated by various agents. But the increase of life which
inflammation produces by raising this sensibility, transforms it into
animal sensibility; this is what is observed, 1st, in the wounds in
which these membranes are exposed to the contact of the air; 2d, in
the long continued irritation they experience from foreign bodies
preternaturally developed in the articulation; 3d, in the various
affections of the articular surfaces, &c.
This kind of sensibility of the synovial membranes serves to confirm
what I have already established above, viz. that most of the
articulations, the ginglymoid especially, are destitute of fibrous
capsules. In fact, I have observed that these capsules, as well as
the lateral ligaments, have a kind of animal sensibility, which is
developed by pulling them; so that if all the neighbouring organs of an
articulation, except the synovial membrane and the lateral ligaments,
are removed and this articulation afterwards twisted, the animal
gives signs of the most acute pain. But afterwards cut the ligaments,
and leave only the synovial membrane, the twisting no longer gives
pain; then there is no fibrous capsule united to the synovial. This
experiment, which is easily repeated upon the fore or hind legs,
enables us to recognise everywhere the articulations in which the
synovial membrane exists alone, and those in which it is found united
to a fibrous capsule. This being of the same texture as the lateral
ligaments, produces the same pains when it is pulled, as is proved
elsewhere by experiments made upon the articulations clothed with these
capsules.
The alternate exhalation and absorption which takes place upon the
serous surfaces, prove the insensible contractility in them.
I have already observed that the synovial surfaces perform but a small
part in the sympathies, that they feel but very slightly the affections
of the other organs. Whilst in the acute affections of the important
viscera, the skin, the mucous surfaces, the cellular texture, the
nerves, &c. &c. have a greater or less sympathetic derangement, all
the synovial membranes remain unaffected; they do not become the seat
of irregular pains, nor of a more active or slower exhalation. They
resemble in this respect the osseous, cartilaginous, and even fibrous
systems. Thus it is not necessary that the physician should seek in the
synovial system a frequent seat of the accessory symptoms in diseases,
of that class of symptoms which does not belong to the injury of the
diseased organ itself, but to its relations with other parts.
In the pains of the articulations, there are certainly cases in which
the synovial membrane is diseased, and others in which the fibrous
organs alone are affected. The distinction of these cases should be
sought.
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