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
This system, the name of which I borrow, like that of the preceding,
from the fluid that constantly lubricates one of its surfaces, is
always like it arranged in the form of membranes, and never in
fasciculi like the muscular system, or in round bodies like the
glandular. It is formed by the peritoneum, the pleura, the pericardium,
the arachnoides, the tunica vaginalis, &c. The term serous membrane
will then be very often used to designate it. No one, I believe, before
the publication of my Treatise on the Membranes, had considered in a
general manner these organs, which perform a less important part in
the functions than the mucous, but which in diseases are almost as
frequently affected. Pinel, who has perceived the analogy of their
inflammations, has taken this system as a character of one of the
classes of his phlegmasiæ.
ARTICLE FIRST.
OF THE EXTENT, FORMS, AND FLUIDS OF THE SEROUS SYSTEM.
The serous system occupies the exterior of most of the organs of which
the mucous lines the interior; such are the stomach, the intestines,
the bladder, the lungs, &c. We see it around all those that are
essential to life, as around the brain, the heart, all the gastric
viscera, the testicles, the bladder, &c. It does not form, like the
mucous system, a surface everywhere continuous upon the numerous
organs on which it is spread. But it is always found insulated in its
different divisions which never have any communication. The number of
these divisions is somewhat considerable. By considering in one view
all the different serous surfaces, we see that as a whole they exceed
the mucous surfaces viewed also in a general manner. One consideration
is sufficient to convince us of it. The mucous and serous surfaces
accompany each other in a very great number of parts, as in the
stomach, the intestines, the lungs, the bladder, the gall-bladder, &c.
so as to exhibit in them nearly the same extent. But on the one hand,
the mucous surfaces extend where the serous are not met with, as in the
nasal fossæ, the œsophagus, the mouth, &c. &c.; and on the other, there
is a very great number of serous surfaces existing separately from the
mucous, as the pericardium, the arachnoides, &c. Now if we compare
the extent of the separate serous surfaces, with that of the separate
mucous surfaces, we shall see that the first is much greater than the
other.
These considerations, apparently minute, deserve however particular
attention, on account of the relation of functions existing between
these two surfaces taken as a whole, a relation which is especially
connected with the exhalation of the albuminous fluids produced by one,
and with the secretion of the mucous fluids, of which the other is
the seat. Besides, in examining the extent of each serous membrane in
particular, we see great varieties from the peritoneum which has the
greatest surface, to the tunica vaginalis which has the least.
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