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 extremely acute sensibility of the papillary body requires a
covering to defend it from strong impressions. This covering is the
epidermis. When it is removed, every touch is painful; the impression
of the air even is very much so; it is this removal of the epidermis
that produces the smarting that is felt when a blister is taken off.
Observe in fact that smarting is a very frequent kind of pain, which
the animal sensibility of the skin occasions when more raised than
usual. This term[1] is borrowed from burns, which, when they are only
to a certain extent, acting nearly like blisters, lay the papillæ bare;
now as it is always the skin which is exposed to the action of fire,
we transfer to all burnt organs the ideas which we attach to the word
smarting. But the pain is far from having the same character in the
other systems; this peculiar one belongs only to the dermoid, in which
it takes place from a burn, erysipelas, after a blister, &c. and during
all inflammations that have their seat in the reticular body. No other
system when inflamed gives us this sensation. The pain is throbbing
in the cellular; it exhibits a wholly different modification in the
muscular, when it is the seat of acute rheumatism, &c.
[1] In order to understand this sentence it should be observed that
the word which I have translated smarting is _cuisson_, which means
the action of fire upon animal bodies, and is also used for the
painful sensation which this action produces.—TR.
There is another kind of pain which is also peculiar to the cutaneous
system; it is itching, which is the first degree of smarting. We
remove it by a gentle friction, which exciting in the papillæ a
different sensation, effaces that of which they are then the seat;
but when this new sensation has passed off, the former one, which is
occasioned by a permanent cause, is reproduced and requires a new
friction; there happens then in a small way, what we observe in a
large one, when a stronger pain makes us forget one that is weaker. No
other system in the economy exhibits this kind of pain, so frequent in
itch, herpes and many other cutaneous eruptions. In their tubercular
inflammations, the serous membranes become the seat of white eruptions,
analogous to many of those of the skin; the mucous surfaces are also
often affected with many small pimples; now this sensation is never
manifested in either of them.
There is also a sensation which appears to be the minimum of that pain
of which smarting is the maximum; it is tickling, a mixed sensation,
an hermaphrodite, as an author has called it, which is agreeable when
carried to a certain degree and painful beyond it. Carry the fingers
lightly over a mucous or serous surface, a muscle or a nerve laid bare;
an analogous sensation will never arise from the contact.
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