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)
21. This epidermis is very distinct upon the glans, at the anus, at
the orifice of the urethra, at the entrances of the nasal fossæ,
and of the mouth, and in general wherever the mucous membranes
arise from the skin. It is demonstrated in these different places
by the frequent excoriations which occur on them; it may be raised
from the lips by a very fine lancet by the action of boiling water,
a hot iron, or even by epispastics, as the method of the ancients
proves, who employed them to produce a fresh raw surface for the
cure of the hare lip.
22. But in proportion as we go into the depth of the mucous
membranes, the existence of this coat becomes more difficult to be
demonstrated; it cannot be raised by the finest instrument, nor
detached by boiling water, at least in the gall bladder, in the
stomach, and intestines. I have made these experiments in fresh
slain animals, and also in those where the natural heat had quite
left them. But what our experiments cannot effect, inflammations
will often produce. All the authors, who have written on the
affections of the organs which are lined by these membranes,
mention instances in which flakes, more or less considerable, have
been voided by the urethra, anus, mouth, nostrils, &c. Haller has
collected a great number of similar observations. Without doubt
the separation of the epidermis in these cases is produced nearly
in the same way as we observe it in cutaneous inflammations. In
many subjects that have died with symptoms of inflammation of the
mucous membranes, and which I have already had the opportunity of
dissecting, or of seeing dissected, I have not yet been able to
observe this separation going on; that is to say, the epidermis
separated at one point, and still remaining adherent at others, as
in erysipelas. I have tried in vain to produce this effect by the
application of an epispastic to the inner surface of the intestines
of a dog.
23. This epidermis is subject, like that of the skin, to become
callous by pressure. Choppart cites a case of a shepherd, "dont
le canal de l'urètre présentoit cette disposition, à la suite de
l'introduction fréquemment répétée d'une petite baguette pour se
procurer des jouissances voluptueuses." We know the density that
this envelope takes in the stomachs of the gallinacea. In certain
circumstances, where the mucous membranes are protruded from
the body, as in prolapsus ani, inversion of the vagina, in the
artificial anus, &c., sometimes the pressure of the dress produces
in this epidermis a thickness evidently more considerable than is
natural to it.
24. The epidermis is attached to the hair on the skin, although
it does not afford its immediate origin; sometimes also piliform
productions are observed in the mucous membranes. The bladder, the
stomach, the intestines, and the pituitary membrane have been in
various instances the seat of these unnatural excrescences: Haller
has cited various instances of them.
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