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
From this it is evident, that all the glandular diseases ought to
suppose a derangement in these properties; for, as we have often seen,
they are the predominant properties of an organ, those, the exercise
of which constitutes its peculiar life, which especially determine its
diseases, by their alteration. This is in fact what observation shows
us. Here we see these properties increased or diminished, sometimes
produce an increase of secretion, as in diabetes, mercurial salivation,
immoderate flow of bile, &c.; sometimes a diminution, a suspension
even of this function, as in acute diseases in which all the ducts are
closed as it were in a moment, as in the suppression of urine, dryness
of the mouth, &c. It is the alteration in the nature of the glandular
sensibility that puts it in relation with fluids foreign to the glands
in a natural state; hence the innumerable varieties of the secreted
fluids especially in diseases. I have spoken of these varieties as
it regards the mucous fluids. The liver and the kidneys particularly
do not experience less numerous ones. The taste, the colour, the
consistence and odour of cystic bile appear in a thousand different
states in dead bodies. Who is ignorant of the innumerable alterations
of which the urine is susceptible? The saliva is less variable; but in
diseases how different is it from its natural state. It is sufficient
to have noticed for some time the various evacuations in diseases, to
see of how many modifications they are capable. Nothing less resembles
the urine and bile, than the fluids sometimes thrown out by the bladder
and the liver; whence do these varieties arise? From this, that
the variable organic sensibility places the organ in relation with
substances to which it was foreign in a natural state; and from this,
that the insensible contractility allows substances to enter the organ
which it before excluded. The same gland without changing its texture,
by a modification only of its vital forces, can then be a source of an
infinite variety of different fluids; I believe even that the kidney,
by taking a sensibility analogous to that of the liver, may secrete
bile. Why may it not secrete it, if it can secrete other fluids so
different from its own?
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