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
It is for the same reason, that though these
pores may be very evident, as I have said, in a separate portion of
epidermis when examined against the light, this portion will support
mercury, without giving passage to its particles. 6th. Most of the
preceding means, which produce their effect only by an alteration of
the vital forces, have no effect in raising the epidermis in the dead
body. Putrefaction, maceration and ebullition are those by which it is
effected. All act by breaking the elongations which extend from the
dermis to the epidermis, though the mechanism of this rupture is not
exactly known.
II. _Organization, Composition, &c._
Authors have made many conjectures upon the structure of the epidermis,
which it would be useless to relate here. I shall only speak of what
accurate observation demonstrates. Its thickness is in general very
uniform in all the parts. It has not appeared to me to be increased or
diminished, according to the varieties of thickness of the skin on the
back, the abdomen, the extremities, &c. It is only on the soles of the
feet, the palms of the hands and the corresponding face of the fingers,
that this thickness becomes greater. It is even so great in these
places, that there is no proportion between them and the other parts of
the body as it respects this membrane; it is especially towards the
heel that it exhibits this character. This excessive thickness appears
to be owing to different layers which are applied upon each other, and
which seem to be superadded to the layer of the ordinary epidermis;
but there is also a real difference, though but little known, in the
organization; for example, when the epidermis has been removed from
these parts by maceration, we cannot see, as in the others, those small
appendices or inequalities regularly scattered over it, and which are
the remains of the broken exhalants. In these places these vessels are
torn smoother on the internal surface of the epidermis, on which are
seen only the traces of the wrinkles of which we have spoken.
I attribute to this excessive thickness of the epidermis of the soles
of the feet and the palms of the hands, the difficulty and oftentimes
impossibility of making blisters act in these places, on which I have
often applied them there, because I thought that the sensibility being
greater, they would produce more effect in some diseases. The failure
of my attempts has compelled me to renounce them.
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