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
On the other hand morbid anatomy proves that the internal surface
of the dermis, in which are especially found the texture and the
spaces of which we have spoken, is entirely free from most cutaneous
eruptions. This is no doubt true as it respects the small pox, the
itch and many species of herpes; I have satisfied myself of it as to
the vaccine vesicles, the miliary eruption, &c. &c. It is certain that
in erysipelas, the external surface only of the chorion is coloured
by the blood which enters the exhalants; thus the slightest pressure,
causing the blood to flow back, produces a sudden whiteness which soon
disappears by the return of the blood into the exhalants. It is this
which forms the essential difference between simple erysipelas and
phlegmon, in which not only the external face of the chorion, but its
whole texture and the subjacent cellular one are inflamed. In measles
and scarlatina, the redness is also very evidently superficial. These
phenomena accord with those of injections; for if they succeed at all
in children, the skin of the face and less frequently that of the other
parts, becomes almost entirely black. Now this blackness is much more
evident on the external than the internal surface of the skin, no doubt
because more exhalants are found in the first than in the second, which
the arterial trunks only traverse.
The preceding considerations evidently prove that the texture of the
internal surface of the chorion, and even that of its interior, have a
vital activity much less than that of the external surface; that this
texture is disconnected with all the great phenomena which take place
upon the skin, with those especially which relate to the sensations and
the circulation; that it is in the papillæ that the first are seated
and in the reticular body the second; and that it is almost passive
in nearly all the periods of activity of this double portion of the
dermis. Its functions, like those of the fibrous texture, suppose it
to be almost always in this passive state; they are only to defend the
body and to protect it from the action of external bodies. It is this
which forms our real covering; thus its properties are well adapted
to this use. Its resistance is extreme. It requires very considerable
weight to tear very narrow strips of chorion, when it is suspended from
them; drawn in various directions, these strips are broken also with
much difficulty.
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