Part 13

From this mode of origin of external cicatrices, it is easy to conceive, 1st. why they adhere intimately to the places in which they are found, and have no laxity in the integuments; 2d. why the skin approximates from all the neighbouring parts to cover the wound; 3d. why it wrinkles in approximating; 4th. why, where it yields the most, the cicatrix is the smallest, as in the scrotum, the axilla, &c.; and why on the contrary it is the largest, where it yields but little, as on the sternum, the cranium, the great trochanter, &c.; 5th. why the thickness of all cicatrices is uniformly in an inverse ratio to their width; in fact as there is only the same quantity of cellular granulations to form them, it is necessary that they should lose in one way what they gain in another; hence those that are broad are much more easily torn; 6th. why they have not a regular organization, do not partake of the functions of the cutaneous organ they replace, and why their texture is absolutely different from this organ. The cicatrization of wounds left to themselves, especially those with loss of substance, differs essentially from the union by the first intention, which is effected by the agglutination of the edges. In this last there is neither the second period, that of fleshy granulations, nor the third, that of suppuration, nor the fourth, that of sinking down. Union succeeds immediately to the first, that of inflammation.

We see, from all that has been said, that the cellular texture is the essential agent in the production of all cicatrices, that it forms their basis and their principle, that without it they could not take place, and that they depend especially upon the property it has of extending and increasing.

_Influence of the cellular texture in the formation of tumours._

In the formation of cicatrices, the cellular texture grows but a few lines above the level of the place of division; the cells it forms in its reproduction are generally small. It is not so when there is a departure from the ordinary laws of cicatrization, when any accidental cause alters the vital properties; then we see a very extensive growth, which often has more of this texture than the parts from which it arises. All those different excresences, known by the names of fungous flesh, fleshy protuberances, soft flesh, &c. are but the result of this increase of the cellular system, being greater than what it should be by the ordinary laws of cicatrization; thus the cicatrices are not effected while these irregular productions continue; it is not until they are repressed that consolidation takes place. But it is especially in different tumours that we see this development, this remarkable growth of cellular texture. All the fungi, and productions that are developed exclusively in the mucous membranes, in the sinuses, the nasal cavities, the mouth and the womb particularly, and which differ essentially from those that have their seat on the fibrous membranes, the dura-mater for example, though they are compounded under a common name, all the fungi, I say, arise from the cellular texture, they are of a peculiar substance deposited there, which as it is more or less abundantly separated, leaves its primitive base more or less exposed.

Polypi, whether mucous or sarcomatous, tumours that are equally the attribute of the mucous system, have also the cellular texture for the primitive base of their organization. All the different kinds of cancers exhibit it in a manner more or less evident, in the swelling of the parts which they occasion. It would be necessary to notice almost all tumours, to point out those that the cellular texture assists to form.

We may then consider it as forming the general base, the nutritive parenchyma of almost all excrescences. It shoots up, and grows first at the part where the tumour is to be developed; then it is encrusted with different foreign substances, and their difference constitutes the difference of the tumours. These phenomena are precisely analogous to those of ordinary nutrition. In fact, all the organs resemble each other in their nutritive base, the parenchyma of nutrition, which is vascular and cellular; they differ in the nutritive substances deposited in this parenchyma. All tumours then are cellular, this is their common character. Their peculiar character is derived from the substances that the texture separates, according as the morbid alterations of which it is the seat, modify differently its vital forces and place it in relation with this or that substance; thus as we have said, all the internal cicatrices are similar in the first period, in that of fleshy granulations, and differ as the nutritive substance of the organ to which they belong, penetrates them.

Thus we see, that nature is the same in her operations, that a uniform law presides over all, and the only difference arises from the application of this law. Wherever there is natural nutrition or an accidental modification of this function, the cellular texture performs an essential part; now this important part which it has in cicatrization and the formation of tumours, arises from the singular property it possesses of extending itself, of dilating and growing. Examine the tumours that appear in the muscles, the tendons, the cartilages, &c. you will not see there an expansion of fleshy, or tendinous fibres, or of the cartilaginous substance, &c. the cellular texture alone goes from the organ and is spread in the tumour; thus the fibres of the bones, the muscles, the fibrous substances divided in solutions of continuity, are not raised above the level of the wound, as the cellular texture of the part is for the production of granulations.

The tumours of which I have spoken, have nothing in common, as has been imagined, with the acute swellings that constitute phlegmon, nor with that engorgement that the limbs experience where there is a violent irritation, as a compound fracture or luxation, a whitlow, a puncture with a poisoned weapon, &c. an engorgement that is generally seen around the whole external parts, which are violently affected; it sometimes comes on almost instantaneously, and is not really inflammatory, though there is tension, pain, &c.; it deserves rather the name of inflation than engorgement.

We must not confound these tumours with certain chronic swellings, in which, without increasing or growing, the cellular texture is infiltrated, and different substances enter it, that change its nature; such are those that take place in the diseases of the articulations; such is the callosity of fistulas, &c.; the fatty matter that is found in some tumours, &c. In all these cases there is neither growth or enlargement, as in a polypus, a fungus, &c.; it is a substance more solid than serum, that infiltrates the cellular texture, obliterates its layers, and presents a homogeneous appearance.

There is after death a great difference between an acute and chronic tumour, between that produced by growth and that by infiltration. In fact, one remains the same, and preserves, until putrefaction, its size, its form, and its density, like all the organs. The other sinks away, as I have remarked, by the loss of the vital forces. This subsidence varies; if the tumour is nothing but the cellular inflation of which I have spoken, and which is so common in external injuries, it entirely disappears; if, besides this inflation, there is an accumulation of blood, as in carbuncle, phlegmon, &c. a portion of the tumour remains, though always much diminished in size. It is generally in this inflation, of the immediate cause of which I am ignorant, that the subsidence especially takes place. Let us pass to a function of the cellular texture not less important, and which is very analogous to this.

_Influence of the cellular texture in the formation of cysts._

A cyst is a membrane, in the form of a sac without an opening, which is accidentally developed, and which, containing fluids of a different nature, has been on this account divided into many species. The cysts are formed from the cellular texture; they arise in its cells, grow in the midst of them, and have all its characteristics.

To be convinced of the influence of the cellular system in the formation of cysts, it is sufficient to prove that between them and the serous membranes, there is the greatest analogy, and almost identity; for we shall see that these membranes are essentially cellular. The following are some of the analogies of these two kinds of productions, the one of which is natural and the other accidental.

1. Analogy of conformation. The cysts form all kinds of sacs without an opening, containing a fluid that is exhaled from them, having a smooth, polished surface contiguous to this fluid, an uneven, loose one, continuous with the neighbouring cellular texture.

2. Analogy of structure. Always formed of a single layer, like serous membranes, cysts have like them a cellular texture, as is proved by maceration and inflation. Thus they constantly arise in the midst of the cellular organ, usually where it is most abundant. Few blood-vessels enter them; the exhalant system is conspicuous there.

3. Analogy of the vital properties. There is no animal sensibility in them in an ordinary state, but it is very evident in inflammation; organic sensibility is always remarkable in them, and tone, which is characterized by a slow and gradual contraction, in consequence of the artificial or natural evacuation of the contained fluids, &c.; these are the characters of cysts, they are also, as we have seen, those of serous membranes.

4. Analogy of functions. Cysts are evidently secretory or rather exhalant organs, which exhale the fluid they contain. Exhalation becomes very evident there, when after the evacuation of the fluids, the membranous sac has not been removed, or an artificial inflammation excited in it. Absorption is proved, in the spontaneous cure of encysted dropsies, a cure which must depend on this function alone.

5. Analogy of affections. Who does not know that between the dropsy of the tunica vaginalis and the encysted dropsy of the cord, there is the greatest analogy; that the curative means are the same, that in both cases the inflammation that is produced by the injection of a foreign fluid, wine, for example, is the same, and that the cure is effected by a similar mechanism? Whoever has opened two bodies, each having one of these affections, and examined the sacs in which the fluid is contained, must have perceived that their appearance is precisely the same. Remove the fluid from the cyst of a soft wen, and you will discover but little difference between it, dropsical cysts, and serous membranes.

The preceding considerations induce us to admit a perfect resemblance between cysts and serous membranes, of whose characters they partake, and into the system of which they essentially enter, and consequently into the cellular system. It is very probable that there is a relation between them, and that when a cyst is formed and exhales copiously, the exhalation of the serous membranes is diminished; this does not, however, rest upon direct proof. There is this essential question, how are these cysts developed? How a membrane, which does not exist in a natural state, can arise, grow, and even acquire a very considerable development under certain circumstances. This problem is usually resolved in the following manner; at first, it is said, a small quantity of fluid collects in a cell; this fluid increases and dilates in every direction, the parietes of the cell, which are attached to the neighbouring cells and thus increased in thickness. Gradually this fluid, serous in dropsy, white and thick in steatoma, &c. increases in quantity, presses in every direction the sac that contains it, enlarges, crowds against the neighbouring organs, and thus acquires the form under which we see it. Nothing at first sight appears more simple than this mechanical explanation; nothing is less conformable to the process of nature. The following considerations will serve to prove this. 1st. The cysts are analogous in every point of view to serous membranes; how then could they have a different origin from these membranes, which are never formed, as we shall see, by the compression of the cellular texture? 2d. Does an origin thus mechanical, in which the vessels compressed against each other would inevitably be obliterated, as we see the skin become callous, accord with the exhaling and absorbing function of the cysts and with their peculiar kind of inflammation? 3d. Why, if the cells adhering to each other, form these unnatural sacs, is not the neighbouring cellular texture diminished and destroyed, even when they acquire great size? 4th. If, on the one hand, the cysts are formed by the compression of the cellular texture, and if it is true on the other, as we cannot doubt, that their fluid is exhaled by them, it is necessary to conclude then, that this fluid pre-exists in the organ that separates it from the blood: I would as soon assert that the saliva pre-existed in the parotid, &c.

The immediate consequence of the preceding reflections, I think, is, that the common explanation of the formation of cysts, is directly opposite to the general course that nature pursues in her operations. How, then, do these sacs arise and grow? these tumours that appear externally, or are developed within; for there is no difference in these two sorts of unnatural productions, except in the form. Most tumours throw from their external surface the fluid that is separated there. A cyst, on the contrary, exhales this fluid by its internal surface, and preserves it in its cavity. Suppose a fungous, suppurating tumour, suddenly becomes a cavity, and suppuration is carried from the external surface to the walls of this cavity; this will be a cyst. On the other hand, suppose a superficial cyst, the cavity of which is obliterated, and the fluid of which is exhaled upon the external surface; this will be then a suppurating tumour.

As the form, then, establishes the only difference between tumours and cysts, why should not the formation of one be analogous to that of the other? Surely, no one ever thought of attributing to compression, the formation of external or internal tumours. We may conceive of the production of cysts in the following way; they begin to be developed and grow in the midst of the cellular organ, by laws very analogous to those of the general increase of our organs, and which seem to be aberrations, and unnatural applications of these fundamental laws, of which we are ignorant. When the cyst is once characterized, exhalation commences; at first scanty, it afterwards increases as the cyst grows. The increase of the exhalant organ, then, always precedes the accumulation of the exhaled fluid, so that other things being equal, the quantity of suppuration in a tumour is in a direct ratio to its size.

ARTICLE SIXTH.

DEVELOPMENT OF THE CELLULAR TEXTURE.

I. _State of the cellular system in the first age._

In the first periods after conception, the fœtus is only a mucous mass, homogeneous in appearance, and in which the cellular texture seems almost exclusively to predominate. In fact, when the organs begin to be developed in this mass, the spaces that are left between them are filled with a substance which, exactly similar to that which before formed the whole of the body, can be considered as the residue of it, or rather perhaps it exists in a distinct manner, because it has not been penetrated with the peculiar nutritive substance, like that which forms the parenchyma of nutrition of the organs, which before this penetration resembled it precisely. This substance that lies between the organs, and which is the principle of the cellular texture, is the farther removed from a fluid state, as the period of labour approaches. First it is a true mucus, then a kind of glue, then the cellular texture begins to appear.

This primitive state of the cellular organ, this appearance that it has at first, is owing to the great quantity of fluids that enter it at that period; it does not denote an inorganic existence; we can then compare it to the vitreous humour, which appears wholly fluid at first sight, because the transparency of its layers do not permit us to see them in the humour that enters its cells; make a puncture so as to evacuate this humour, and they become evident.

Thus the cellular texture, extremely fine and even transparent in the first periods of life, is then concealed by the humour that fills it, and becomes more sensible as this humour diminishes with age. This phenomenon sometimes takes place in after life, in different serous infiltrations, those especially in which the infiltrated fluid has some viscidity.

What is this humour that is so abundant in the cellular system, in the first months after conception? Is it albuminous like that which afterwards lubricates it? Probably it is; I should think, also, that it has much of the character of gelatine, a character which predominates, we know, in the animal humours at this period; I know of no experiment upon this point. Whatever the humour is, it is much more viscid and unctuous than it is afterwards; the touch is sufficient to convince us of this. It is its predominance, joined to the delicacy of the cellular layers, that, in the first months, makes every attempt to render the fœtus emphysematous, by blowing air under the skin, almost absolutely useless.

At birth and some time after, the great quantity of sub-cutaneous fat makes artificial emphysema very difficult; it does not appear that the fœtus ever has a natural one. The delicacy of the cellular layers and filaments is such at this period, that the imagination cannot represent it; the texture of the hair is gross in comparison with it. I presume that the ball of fat, which I have said almost always exists in the cheek of the fœtus, arises from a rupture of several layers, a rupture from which is produced a great cell, that is filled with fat.

Sometime before birth, at that period and in the subsequent years, the cellular humour constantly diminishes; the cells become dryer, consequently more apparent; the whole mass of the cellular system diminishes, because as the organs increase, the interstices are contracted. This system however predominates for a long time over the others; hence the roundness of form that characterizes the infant, the want of prominence of its organs, that are almost concealed by it; hence in part the suppleness and multiplicity of its movements; hence also the frequent diseases of which it is the seat at that age.

The layers still preserve an extreme delicacy; they are still easily broken. In producing emphysema, upon very lean children, I have observed that often it forms in places very considerable dilatations, a kind of sacs in which the air accumulates in large quantity, and which arises from this rupture; whilst in the same experiment upon an adult, the air is propagated in an uniform manner and constantly infiltrates the cells without destroying them. By comparing in our slaughter-houses, the flesh of calves blown, and that of oxen in the same state, I have sometimes made an analogous observation.

In infancy and in youth, the vital energy of the cellular texture is very conspicuous; at this age, the fleshy granulations, essentially cellular as we have seen, arise more promptly and go through their periods more rapidly than at any other age; the union of wounds is easier; and all tumours, have in their development and their progress, a rapidity that particularly depends upon the high degree to which the vital forces of the cellular system are raised at this period. It is to the same cause, that must be referred the facility of absorption of serous fluid, which sometimes infiltrates accidentally the cells, as we see in the scrotum, the eye-lids, &c.; the suddenness of the formation of cysts, &c.; then dropsies are much less frequent. When they do take place, why are the superior extremities almost as often affected as the inferior, whilst the leucophlegmasia of adults commences almost always in the last? This is then as remarkable a phenomenon, as the singular tendency that there is in the legs of being infiltrated, compared with the arms. Does not this depend upon situation, which, forcing the lymph to ascend against its weight, gradually weakens the absorbents when it has continued for some time? This explains, why varices are, as we know, more frequent in the inferior than superior extremities.

II. _State of the cellular system in the after ages._

In the adult, the cellular texture is condensed and becomes firmer; its layers have a more compact texture. It appears also to lessen in quantity, because as the organs increase in thickness, their interstices are contracted. If there is not a real diminution, there is at least one in comparison with the state of the organs. It is to this circumstance that must be attributed in part, their prominence under the integuments, the striking appearance of the form of the muscles, &c. It appears besides, that the quantity of cellular texture varies according to temperaments; that in those called phlegmatic or lymphatic, it predominates over the other systems, and in the bilious, which is characterized by a dryness and rigidity of fibre, it is in the smallest proportion. In women, it is in larger quantity than in men; the roundness of their forms is in part the result of this.

The motion of a part appears to have no effect in producing a more active nutrition of its cellular texture, as takes place in the muscles, the nerves, and sometimes even in the blood-vessels.

In old age this texture is condensed and contracted; it acquires consistence and hardness. The teeth tear it with difficulty in the boiled flesh of old animals; like it, it is tough and requires long boiling to soften it. Much less fluid is exhaled there, hence a sort of dryness and rigidity, that render the motions of old age difficult. A kind of withering, that it experiences, contributes essentially to the general diminution that the body then undergoes. It loses its vital forces; hence its laxity, that prevents it from supporting the skin as usual. This becomes every where loose, dependent even in some places, in which it forms folds. The scrotum has no longer the power of contracting that characterized it and which it derived from the forces of the cellular system. This general relaxation, this sort of flaccidity is the constant attendant of old age, in individuals even in whom excess of all kinds, or a primitive disposition, have rendered this age premature. I saw at the Medical Society a dwarf, sixteen years of age, hardly two feet high, who had already begun to grow old; his sub-cutaneous texture had that laxity, that does not belong to his age. The premature decrepitude of the dwarf of the king of Poland, exhibited the same phenomenon. Two persons who lived a long time with him informed me, that at his death, there was externally this relaxation and flaccidity of integuments, of which the subjacent cellular texture appears to be the seat.

It is rare in old age to find osseous incrustations in the cellular texture. In the great number of old persons that I have had occasion to dissect, or to have dissected, I remember to have seen but one, and that occupied the posterior part of the mesentery. I have seen some others in adults, especially in women, in whom they are found frequently, in the cellular texture that separates the womb from the rectum; I have preserved several specimens of these.

NERVOUS SYSTEM OF ANIMAL LIFE.