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
This continual destruction of the epidermis has not sufficiently
arrested the attention of physiologists. The following are the proofs
of its reality; 1st, if with the blade of a knife, we scrape strongly
its external surface, a large quantity of powder is removed which
sulphuric acid easily dissolves, and which is greyish. The epidermis
whitens a little in this place, then resumes its colour, especially if
it is moistened. By scraping again, we do not remove any more powder,
it is necessary in order to obtain it, to wait twelve or twenty hours.
2d. This substance becomes superabundant, when the skin has not been
washed for a long time. Hence why those who soak their feet that have
not been cleaned for a long time, detach so great a quantity of it. It
is especially on the sole of the foot that this substance is formed
in abundance. We often observe in dead bodies that it forms almost a
layer in addition to the epidermis, but which is very distinct from
it, and can be removed with ease. I attribute this circumstance to the
thickness which the epidermis has in this place. We should no doubt
find as much upon the hand, were it not for the continual friction
of this part. We see it often on the patients in hospitals, after
remaining a long time in bed without having been cleansed.
Water naturally removes this substance, that is produced by the
destruction of the epidermis, and, which, mixing with the residue of
transpiration, that the air cannot carry off by evaporation, renders
bathing, as I have observed, a natural want. Though it may be neither
exhaled nor absorbed, and though its production may appear to be
owing to mechanical friction, yet we can, in its relation, consider
the epidermis as an emunctory of the body, since it is renewed by a
substance coming from the dermis, as fast as it is removed.
It is evident, as the epidermis has no vital properties, that it cannot
be the seat of any kind of sympathies, which are aberrations of these
properties. Hence its life is extremely obscure, I doubt even if it
possesses vitality. We might almost say that it is a semi-organized
body, inorganic even, which nature has placed between external
inanimate bodies and the dermis, which is completely organized, in
order to assist their passage and guard against their force.
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