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
I first made, like Lieutaud, experiments upon dogs to convince myself
of it; but the inequality in the size and age of those that were
brought to me, making me fear that I should not be able to compare
their spleens correctly, I repeated them upon guinea-pigs of the same
litter and size, and examined at the same time, some when the stomach
was empty and others when it was full. I have almost always found the
size of the spleen nearly equal, or at least the difference was not
very sensible. Yet in other experiments, I have seen under various
circumstances, inequalities in the size of the spleen and especially
in the weight of this viscus; but it was indifferently during or after
digestion.
It appears from all this, that if during the vacuity of the stomach,
there is a reflux of blood towards the omentum and spleen, this reflux
is less than it has been commonly said to be. Besides during this
state of vacuity, the numerous folds of the mucous membrane of this
viscus leaving it, as we have said above, almost as much surface and
consequently as many vessels as during fulness, the blood can circulate
in it almost as freely. It has no real obstacles but in the tortuous
courses, and not in the obstruction, compression and choaking of these
vessels by the contraction of the stomach; now this obstacle is easily
surmounted, or rather it is not one as I have proved in my Researches
upon Death. As to the other hollow organs, it is difficult to examine
the circulation of the neighbouring parts during their fulness and
vacuity, as the vessels of these are not superficial as in the omentum,
and as they themselves are not insulated like the spleen. We can only
then, to decide the question, see the state of the mucous membranes on
their internal face; now this face has always appeared to me to be as
red during the contraction as during the dilatation.
Besides I only give this as a fact without pretending to draw from it
any consequence in opposition to the common opinion. It is possible in
fact that though the quantity of blood may be nearly always the same,
the rapidity of the circulation being increased, more of this fluid may
consequently in a given time enter it when it is full; which appears
to be necessary to the greater secretion that then takes place of the
mucous fluids, a secretion excited by the presence of the substances in
contact with the surfaces of the same name. For example, there is no
doubt that there is three or even four times as much mucus secreted in
the urethra, when a sound fills it, as when it is empty; now the blood
must be in proportion.
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