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 moisture of the skin is owing to two causes wholly foreign to each
other; 1st, to the increase of the fluid furnished by the cutaneous
exhalants; now the action of these exhalants may be increased from
three causes. First, every thing which accelerates the motion of the
heart, as running, the paroxysm of acute fevers, &c. drives to the
skin, as it is commonly expressed. In the second place, every thing
which tends to relax and expand the cutaneous organ by a direct action
exerted upon it by the surrounding bodies, increases also the action of
these exhalants, as in the great heat of summer, as in a bath and after
coming out, as in a heated room, &c. In the third place, the action
of the skin is in many cases, sympathetically increased. Here may be
classed the sweats of phthisis of which the lungs are the source; those
of fear, which depend upon a sudden affection of an epigastric organ;
those of many acute diseases, &c. Now in all these cases, however
active the solution by the air may be, the skin will be constantly
moist, because there is thrown out upon it more fluid than the air can
dissolve. Thus in catarrhs of the lungs, in which more mucous juices
are thrown into the bronchia than the air can remove, it is absolutely
necessary that there should be cough and expectoration to carry off the
remainder.
2d. There are cases in which the moisture of the skin arises from the
solution not being sufficient. This is what takes place in the moisture
of the bed in which the air is not changed, in damp weather, &c.
There is not then more fluid exhaled; but the ordinary fluid becomes
evident, because it is not dissolved. It is under this point of view
that we must consider the action of the air upon the cutaneous organ
which transpires. It carries off nothing in this organ; it has no real
action upon it; it takes only what its vessels throw off. Solution
is merely accessory, it is always subsequent to exhalation, and has
no relation with it. In the same day, in which the temperature has
remained the same, the skin is often dry, moist, humid and even wet
with sweat. If the air acts upon transpiration, it is by contracting
or relaxing the exhalants, and not by dissolving what they throw out.
If the skin formed a sac without an opening, like the serous surfaces,
transpiration would go on though it was removed from the contact of the
air, the same as if in contact with it. Why in fact should not that
take place there, which does upon these surfaces?
Public-domain text, read in full here on John Shaqi.
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