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 organic sensibility of the skin is not less blunted in old age,
than its animal sensibility; hence the following phenomena; 1st,
contagious miasmata are absorbed with difficulty at this age; almost
all pass over the cutaneous surface with impunity. 2d. The exhalation
of sweat is uniformly less; it is hardly ever subject to those great
increases, that are seen in the adult. 3d. The oily fluid is also
furnished in much less quantity; hence the constant dryness of the
exterior of the skin, the cracking of the epidermis in some cases,
&c. 4th. All the diseases which suppose an increase of this organic
sensibility are much more rare. Erysipelas and the different kinds
of eruptions are a proof of it. When these affections take place,
they have a character of remarkable slowness. 5th. The skin resists
external cold much less; it loses easily the caloric of the body,
which always tends to escape in order to be in equilibrium with that
of the surrounding medium; thus old people are always fond of heat.
6th. I am well persuaded that the skin would resist also less, at this
age, a degree of temperature greater than that of the body, and as it
permits the internal caloric to be easily lost in a colder medium, it
would allow the external to penetrate in a warmer one. It would be very
curious to repeat, on the two extreme ages of life, the experiments of
the English physicians.
EPIDERMOID SYSTEM.
If we examine attentively, it is easy to perceive the immense
difference there is between the preceding system and this, which
physiologists have considered as one of its dependancies. Organization,
properties, composition, functions, growth, &c. every thing differs in
the two. By explaining these, the line of demarcation that separates
them will be perceived.
I rank in this system, 1st, the external epidermis; 2d, that which is
spread upon the mucous system, or at least upon one of its parts; 3d,
the nails. Though these last differ very much from the epidermis in
their external appearance, yet they resemble it in so many respects,
that it is difficult not to place them in the same system. In fact the
nails serve as an epidermis for the skin which is subjacent to them;
they are continued with that of the fingers in an evident manner, are
detached and regenerated during life with the same phenomena. The
composition appears to be very analogous. The kind of excrescences is
the same. After death, the nails are detached by the same means as the
epidermis, and then make, as it were, a part of it.
ARTICLE FIRST.
OF THE EXTERNAL EPIDERMIS.
The external epidermis is a transparent membrane, more or less thick,
according to the regions in which it is examined, covering everywhere
the skin, and receiving immediately the excitement of external bodies
which would act too powerfully upon this.
I. _Forms, Relations with the Dermis, &c._
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