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 organization of the mucous system and its vital properties are
accommodated to this habitual contact of substances heterogeneous to
the living economy. That which is a foreign body to the other systems,
the cellular, the muscular, &c. is not so to this. Solid substances,
the metals, stones, wood, &c. which introduced into our parts excite
in them inevitably suppuration and an antecedent inflammation by
their simple contact, pass with impunity over this, provided that
their angles and asperities do not tear it; they only augment a
little the secretion, as I shall say. We can swallow a ball of lead,
of wood, &c. and pass it by the anus without inconvenience. All the
irritating fluids without being caustic, that we inject into the great
intestines in enemas, or that we swallow, would produce abscesses,
&c. if they were forced into the cellular system, &c. Surgeons employ
the term foreign bodies in too general a manner; that which is so
for one system, is not for another. Foreign is, in this respect, a
term of comparison which we should employ only after a knowledge of
the peculiar sensibility of each system, and not after that of this
property described in a vague manner.
The mucous system not only bears without danger the presence of all
bodies that are introduced into the economy, but also when it goes out,
it can be exposed with impunity to the contact of external stimuli.
Observe what takes place in prolapsus of the womb in which the whole
membrane of the vagina sometimes becomes external, in those inversions
of the intestinal tubes that take place through preternatural ani, in
prolapsus of the rectum, &c.; then the mucous surfaces serve really as
integuments; now in these cases the surrounding bodies produce hardly
any more pain on them than upon the skin. On the contrary, the instant
a serous surface is laid bare, as for example in the operation of
hernia, in which the intestine is suffered to come out, on account of
an opening unfortunately made by the point of a bistoury, this surface
inevitably inflames. All the cellular, muscular, nervous, glandular
systems, &c. laid bare, exhibit the same phenomenon. There is no danger
in opening the bladder as it respects the contact of the air, whilst
there is much in permitting this fluid to penetrate into an articular
cavity, a tendinous groove, a serous sac, &c. We know how much in
the high operation for the stone, we fear to wound the peritoneum,
how uncertain are the results of empyema on account of the contact
of the air upon the pleura, &c. The dangers of the action of this
fluid upon these surfaces have been perhaps exaggerated, but they are
notwithstanding real.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account