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 insensible organic contractility is here very frequently in
sympathetic activity. It is the skin especially which exercises by
means of this property, a great influence upon the mucous system. 1st.
In hemorrhages of the mucous surface of the womb, the nostrils, &c.
a cold body applied to the skin in the neighbourhood, contracts this
surface and stops the blood. 2d. Who does not know that the production
of most catarrhs is often the sudden consequence of the action of
cold on the cutaneous organ? 3d. In various affections of the mucous
membranes, baths which relax and expand the skin, frequently produce
happy effects. 4th. When the temperature of the atmosphere benumbs
the cutaneous tone, that of the mucous system receives a remarkable
increase of energy. Hence why in winter and in cold climates, in
which the functions of the skin are very much diminished, all those of
this system increase in proportion. Hence the more evident pulmonary
exhalation, the more abundant internal secretions, a more active
digestion, more quickly performed and consequently an appetite more
easily excited. 5th. When on the contrary the heat of the climate
and the season relax and expand the cutaneous surface, the mucous
surface is in proportion contracted; in summer, at noon, &c. there
is a diminution of the secretions, of that of the urine especially,
a slowness in the digestive phenomena from a defect in the action of
the stomach and intestines, an appetite slow to return, &c. 6th. In
various general affections of the skin, certain portions of the mucous
membranes are almost always affected. In scarlet fever, the throat
most usually suffers sympathetically. This phenomenon is very common
in small pox. 7th. In the latter periods of organic affections of the
viscera, as in phthisis, diseases of the heart, enlargements of the
liver, cancers of the womb, &c. the mucous membranes are affected like
the serous surfaces. The kind of atony in which they then are, produces
a more copious flow of mucous juices in them which are altered, become
more fluid, &c.; hence the diarrhœas that are called colliquative,
which are then to the mucous surfaces, what dropsies are to the serous
ones; 8th. It is also to this atony that must be attributed the
pectoral hemorrhages which so frequently take place in the last periods
of organic diseases, in those of the heart especially. During the short
time that I have been at the Hôtel Dieu, there has already died more
than twenty patients whom I have opened, of these affections almost
forgotten by all practitioners before the time of Corvisart; I have
only observed four examples in which passive hemorrhage of the lungs
was not the precursor of death.
_Character of the Vital Properties._
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