Treatise on the Anatomy and Physiology of the Mucous Membranes: With Illustrative Pathological ObservationsBichat, Xavier
Science
Treatise on the Anatomy and Physiology of the Mucous Membranes: With Illustrative Pathological Observations
Bichat, Xavier
Membranes (Biology)
4. This manner of describing the track of the mucous surfaces by
saying that they extend, sink, penetrate, &c., from one cavity
to another, is certainly not conformable to the march of nature,
which forms in each organ the membranes that belong to it, and
does not thus extend them from one to the other; but our manner
of conceiving is best accommodated by this language, of which the
least reflection will rectify the sense.
5. In thus bringing all the mucous surfaces to two general
membranes, I am supported, not only by anatomical inspection,
but pathological observation also furnishes me with lines of
demarcation between the two, and with points of contact between
the different portions of the membranes of which each is the
assemblage. In the various sketches of epidemic catarrhs made
by authors, we frequently see one of these membranes has been
affected throughout its extent, whilst the other, on the contrary,
has remained untouched. It is not uncommon to observe a general
affection of the first, _viz._ that which extends from the mouth,
nose, and anterior surface of the eye, into the alimentary canal
and bronchi. The last epidemic observed at Paris, with which M.
Pinel was himself affected, bore this character: that of 1761,
described by Rayons, presented the same feature: that of 1732,
described in the Memoirs of the Edinburgh Society, was remarkable
for a like phenomenon. Now we do not see at the same time a
corresponding affection in the mucous membrane which spreads over
the organs of urine and of generation. Here is, therefore, (1)
an analogy between the different portions of the first, by the
uniformity of the affection; (2) a line of demarcation between
them, by the healthy state of the one and the disease of the other.
6. We observe also, that irritation on any one point of these
membranes frequently produces a pain in another point of the same
membrane, which is not irritated; thus a stone in the bladder
causes a pain at the end of the glans, worms in the intestines
produce an itching at the nose, &c. &c. Now in these phenomena,
which are purely sympathetic, it is extremely rare that the partial
irritation of one of these two membranes produces a painful
affection in a part of the other.
7. We ought, therefore, from inspection and observation, to
consider the mucous surface in general as formed by two grand
membranes, spread over several organs, and having no communication
with each other but by the skin, which is intermediate, and which,
being continuous with both, thus concurs with them to form a
general membrane, entire throughout, enveloping the exterior of the
animal, and extending to the interior over most of its essential
parts. It should seem, that there exists important relations
between the internal and external portions of this unique membrane,
and this we shall soon be shown by ulterior researches.
SECTION II.
OF THE EXTERIOR ORGANIZATION OF MUCOUS MEMBRANES.
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