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 skin does not appear to enjoy sensible organic contractility.
Stimuli usually produce no other action upon it, than the contraction
imperceptible to the eye, which composes insensible contractility, and
which takes place especially in the small capillary vessels. There is
however one circumstance in which this contraction is, to a certain
extent, apparent; it is when cold acts briskly upon the skin, which it
wrinkles into goose flesh, as it is called. I have pointed out above
the mechanism of this contraction, of which the chorion is the seat,
and which holds a medium, like many motions which I have already had
occasion to notice, between the two species of organic contractility.
_Sympathies._
We shall still follow the division of the sympathies into active and
passive, a division which is more remarkable here than in most of the
other systems, because the sympathies are much more numerous.
_Passive Sympathies._
The animal sensibility is very often brought into action in the skin,
by the affections of the other systems. We know that the application
of cold to the sole of the foot frequently produces affections of the
head; that in many cases, the different species of itching, and even of
smarting appear without an injury of the part where the pain is felt.
It is useless to cite examples that are known to all physicians. I will
confine myself to the sympathies of heat and cold alone, which have not
yet been spoken of.
I call by this name the sensation that is experienced upon the skin,
when there is not a superabundance or absence of caloric there. There
is evidently a material cause for the heat in inflammation and for the
cold in the ligature of a great artery. On the contrary, in the cases
of which I spoke, it is but an aberration of the internal sensitive
principle, which resembles that which takes place when we refer the
pain to the extremity of an amputated limb. This is what occurs in many
cases of shivering, in which the internal sensitive principle refers to
the skin a sensation of which the cause does not exist. By approaching
the fire then we do not become warm, because we really were not cold;
but we only destroy by a real sensation, the opposite sensation which
is illusory that we experience, or rather we turn the perception from
this sensation. We know that at the instant of the ejaculation of
semen, a sudden and sympathetic chill often extends over the body.
We know the cold of fear, which almost always arises, like the sweat
produced by this passion, from the sympathetic action exerted upon the
cutaneous organ by an epigastric organ affected by the passion.
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