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
From all these considerations it would appear, that the epidermis does
not exist upon the deep seated mucous surfaces, and the great quantity
of mucous juices constantly poured out by the subjacent glands,
supplies its place in defending the papillæ and the chorion from the
impression of substances heterogeneous to the economy, contained in
the internal cavities. Yet there is a circumstance that would seem to
demonstrate the existence of the epidermis upon the deep seated mucous
surfaces; it is the separation of preternatural membranes, which are
often detached from these surfaces, and which may be considered as a
kind of epidermoid exfoliation. Many authors give examples of these
membranes formed either upon the bladder and voided by the urethra,
or upon the stomach and œsophagus and thrown up by vomiting, or upon
the intestines and expelled with the alvine evacuations; Haller has
collected many cases. Dr. Montaigu informed me that he saw a membrane
vomited up, which formed a sac without a rent, exactly analogous to
that of the stomach whose internal surface it lined. Desault saw a sac
almost analogous to the bladder, voided by a patient who was affected
with retention of urine.
I confess that I have made no observation on this point, so that I
cannot say what is the nature of these membranes. But authors in
general agree in attributing to them a soft and pulpy nature, which
does not appear to me to accord with that of the epidermis. I have
many times seen at the Hôtel Dieu white membranes detached from the
œsophagus after poisoning with the nitric acid. But these membranes
are evidently the superficial portion of the mucous organ, which is
disorganized, and thrown off by suppuration which takes place below. It
is thus that cutaneous eschars fall off in the form of membranes from
large burns; in this way the osseous layers are formed in necrosis,
which are only the superficies of the bone that dies and is detached in
a lamellated form.
From this, the existence of the epidermis of the deep seated mucous
surfaces appears to me to be very uncertain, and cannot be admitted
till a new examination, which will, I think, prove rather against
than in favour of its existence. What is the place in which the
epidermis terminates that lines the origin of the mucous surfaces,
or if it exists everywhere, where does it begin to become no longer
apparent from the action of our different reagents? We cannot, I think,
determine with precision; it diminishes in an insensible manner, and is
lost as it were by degrees.
ARTICLE THIRD.
OF THE NAILS.
All the fingers have at their extremity, on the outer side or that of
extension, hard, transparent and elastic layers, of the nature of the
horns of many animals, and which are called nails.
I. _Forms, Extent, Relations, &c._
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