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 mucous corion is very various as to thickness; it differs in
this respect in each organ. That of the gums and the palate is the
thickest of all. Then come those of the nasal fossæ and the stomach,
then those of the small intestines and the gall-bladder, then those
of the large intestines, of the urinary bladder, the urethra and the
other excretories, until it begins at length to become so fine as to
appear transparent like a serous surface when it is removed with care.
Finally, the finest and most delicate is that of the sinuses of the
face and the interior of the ear; the arachnoides is often coarser.
I have called the texture within the ear mucous, though all anatomists
call the membrane of the cavities of this organ periosteum. In fact,
1st, we see it evidently continued with the pituitary membrane,
by means of the elongation of the Eustachian tube. 2d. We find it
constantly moistened by a mucous fluid which this canal serves to
convey out, a character foreign to the periosteum, which, like the
fibrous membranes, always adheres by both its surfaces. 3d. No fibre
can be distinguished in it. 4th. Its fungous appearance, though white
and soft, and the ease with which it is torn, are evident attributes
of the mucous membranes. Every thing proves that the membrane of the
tympanum, that of the meatus, &c. belong to the system of which we are
treating. Thus in catarrhs of the pituitary membrane, and of that of
the fauces, we most often find that the ear is affected; thus the ear
is, like the mucous surfaces, the seat of hemorrhage, thus polypi arise
in it, as in the nose and on the surface of the womb. We consider as a
sign of deposition of pus in the ear, every purulent discharge coming
from that cavity. But how can we conceive of a purulent collection in
a part in which there is hardly any cellular texture, in a part wholly
osseous? Besides the fibrous system, to which the periosteum of the
tympanum belongs, hardly ever suppurates, as we know. Every thing then
induces us to believe that these discharges are only the effect of a
catarrh of the ear, a catarrh which is sometimes acute and sometimes
chronic. I have moreover a recent and decisive fact upon this point;
the body of a man subject to these discharges during life exhibited
a remarkable thickness and redness of the membrane of the tympanum,
but without the least trace of erosion. The ear suppurates like the
urethra, the vagina, &c. it is not a new fluid which is formed by
suppuration; it is that which naturally comes from the meatus which
increases in quantity and comes through a preternatural opening of the
membrane of the tympanum.
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