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
6th. When the action of caloric is carried to a very considerable
extent, it begins to act upon the skin, and its effects are the more
evident in proportion as it is the more intense. 1st. The slightest of
these effects is to produce an evident redness, a kind of erysipelas;
the caloric then acts like a simple rubefacient. 2d. The second is to
redden the skin and then to produce vesicles on it. 3d. In the third
there is a real horny hardening, a crisping of the fibres of the
chorion which contract, like those of all the animal textures exposed
to too strong a degree of heat. 4th. In the fourth and last effect,
the dermoid texture is burnt, blackened and reduced to mere carbon.
These different degrees of burning arise only from different degrees of
caloric. I would observe that in the two first effects, this fluid acts
upon the vital forces, and that these two effects cannot consequently
take place except during life. The two last are exerted only upon the
texture of the organ; thus they take place after death precisely as
before. Cooks often employ the horny hardness, to give to the skin a
hardness and brittleness necessary in some kinds of cooking.
7th. Cold carried to a great degree acts also upon the cutaneous organ,
and produces different effects, according to its intensity. The first
of these effects is very analogous to the first effect of a slight
degree of caloric. It consists of a kind of local inflammation. The
tip of the nose, the ears and the fingers, the cheeks, &c. become red
from a slight degree of cold. I have not accurately observed the other
effects between this and the last, which consists in a sudden privation
of life. But there is this difference between the gangrene that then
takes place, and that produced by a high degree of caloric, that the
blackness is sudden in this last, whereas it takes place only as a
consequence in the other. Observe in fact that there is in gangrene
two things which physicians do not sufficiently distinguish, 1st, the
mortification of the part; 2d, its putrefaction. The mortification
is always antecedent; it is produced by a thousand different causes;
sometimes by the ligature of an artery, as in aneurism; sometimes
by that of a nerve; often by violent inflammation; sometimes by a
contusion, attrition, a bruise, &c. Whenever a part is dead in the
midst of those which live, whatever may be the cause of its death, it
becomes putrid precisely like a dead body, every part of which life has
left. Putrefaction takes place then even sooner, because on the one
hand the natural heat of the body, and on the other the moisture of
the surrounding parts, favour it remarkably. This putrefaction varies
according to the state in which the part was at the instant of death.
If much blood infiltrated it, as when inflammation destroys life, it
quickly becomes putrid, blackens immediately and allows a fetid sanies
to escape; this putrefaction is called moist. If there is but little
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