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BICHAT¡¡AND¡¡THE¡¡BODILY¡¡TISSUES

Much¡¡the¡¡same¡¡thing¡¡may¡¡be¡¡said¡¡of¡¡another¡¡generalization¡¡regarding¡¡the¡¡animal¡¡body£»¡¡which¡¡the¡¡brilliant¡¡young¡¡French¡¡physician¡¡Marie¡¡Francois¡¡Bichat¡¡made¡¡in¡¡calling¡¡attention¡¡to¡¡the¡¡fact¡¡that¡¡each¡¡vertebrate¡¡organism£»¡¡including¡¡man£»¡¡has¡¡really¡¡two¡¡quite¡¡different¡¡sets¡¡of¡¡organsone¡¡set¡¡under¡¡volitional¡¡control£»¡¡and¡¡serving¡¡the¡¡end¡¡of¡¡locomotion£»¡¡the¡¡other¡¡removed¡¡from¡¡volitional¡¡control£»¡¡and¡¡serving¡¡the¡¡ends¡¡of¡¡the¡¡¡¨vital¡¡processes¡¨¡¡of¡¡digestion£»¡¡assimilation£»¡¡and¡¡the¡¡like¡£¡¡He¡¡called¡¡these¡¡sets¡¡of¡¡organs¡¡the¡¡animal¡¡system¡¡and¡¡the¡¡organic¡¡system£»¡¡respectively¡£¡¡¡¡The¡¡division¡¡thus¡¡pointed¡¡out¡¡was¡¡not¡¡quite¡¡new£»¡¡for¡¡Grimaud£»¡¡professor¡¡of¡¡physiology¡¡in¡¡the¡¡University¡¡of¡¡Montpellier£»¡¡had¡¡earlier¡¡made¡¡what¡¡was¡¡substantially¡¡the¡¡same¡¡classification¡¡of¡¡the¡¡functions¡¡into¡¡¡¨internal¡¡or¡¡digestive¡¡and¡¡external¡¡or¡¡locomotive¡¨£»¡¡but¡¡it¡¡was¡¡Bichat's¡¡exposition¡¡that¡¡gave¡¡currency¡¡to¡¡the¡¡idea¡£

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It¡¡was¡¡but¡¡a¡¡step¡¡from¡¡this¡¡scientific¡¡classification¡¡of¡¡tissues¡¡to¡¡a¡¡similar¡¡classification¡¡of¡¡the¡¡diseases¡¡affecting¡¡them£»¡¡and¡¡this¡¡was¡¡one¡¡of¡¡the¡¡greatest¡¡steps¡¡towards¡¡placing¡¡medicine¡¡on¡¡the¡¡plane¡¡of¡¡an¡¡exact¡¡science¡£¡¡This¡¡subject¡¡of¡¡these¡¡branches¡¡completely¡¡fascinated¡¡Bichat£»¡¡and¡¡he¡¡exclaimed£»¡¡enthusiastically£º¡¡¡¡¡¨Take¡¡away¡¡some¡¡fevers¡¡and¡¡nervous¡¡trouble£»¡¡and¡¡all¡¡else¡¡belongs¡¡to¡¡the¡¡kingdom¡¡of¡¡pathological¡¡anatomy¡£¡¨¡¡But¡¡out¡¡of¡¡this¡¡enthusiasm¡¡came¡¡great¡¡results¡£¡¡¡¡Bichat¡¡practised¡¡as¡¡he¡¡preached£»¡¡and£»¡¡believing¡¡that¡¡it¡¡was¡¡only¡¡possible¡¡to¡¡understand¡¡disease¡¡by¡¡observing¡¡the¡¡symptoms¡¡carefully¡¡at¡¡the¡¡bedside£»¡¡and£»¡¡if¡¡the¡¡disease¡¡terminated¡¡fatally£»¡¡by¡¡post¡­mortem¡¡examination£»¡¡he¡¡was¡¡so¡¡arduous¡¡in¡¡his¡¡pursuit¡¡of¡¡knowledge¡¡that¡¡within¡¡a¡¡period¡¡of¡¡less¡¡than¡¡six¡¡months¡¡he¡¡had¡¡made¡¡over¡¡six¡¡hundred¡¡autopsiesa¡¡record¡¡that¡¡has¡¡seldom£»¡¡if¡¡ever£»¡¡been¡¡equalled¡£¡¡Nor¡¡were¡¡his¡¡efforts¡¡fruitless£»¡¡as¡¡a¡¡single¡¡example¡¡will¡¡suffice¡¡to¡¡show¡£¡¡By¡¡his¡¡examinations¡¡he¡¡was¡¡able¡¡to¡¡prove¡¡that¡¡diseases¡¡of¡¡the¡¡chest£»¡¡which¡¡had¡¡formerly¡¡been¡¡classed¡¡under¡¡the¡¡indefinite¡¡name¡¡¡¨peripneumonia£»¡¨¡¡might¡¡involve¡¡three¡¡different¡¡structures£»¡¡the¡¡pleural¡¡sac¡¡covering¡¡the¡¡lungs£»¡¡the¡¡lung¡¡itself£»¡¡and¡¡the¡¡bronchial¡¡tubes£»¡¡the¡¡diseases¡¡affecting¡¡these¡¡organs¡¡being¡¡known¡¡respectively¡¡as¡¡pleuritis£»¡¡pneumonia£»¡¡and¡¡bronchitis£»¡¡each¡¡one¡¡differing¡¡from¡¡the¡¡others¡¡as¡¡to¡¡prognosis¡¡and¡¡treatment¡£¡¡The¡¡advantage¡¡of¡¡such¡¡an¡¡exact¡¡classification¡¡needs¡¡no¡¡demonstration¡£


LISTER¡¡AND¡¡THE¡¡PERFECTED¡¡MICROSCOPE

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Indeed£»¡¡so¡¡numerous¡¡and¡¡so¡¡important¡¡were¡¡the¡¡discoveries¡¡now¡¡made¡¡in¡¡the¡¡realm¡¡of¡¡minute¡¡anatomy¡¡that¡¡the¡¡rise¡¡of¡¡histology¡¡to¡¡the¡¡rank¡¡of¡¡an¡¡independent¡¡science¡¡may¡¡be¡¡said¡¡to¡¡date¡¡from¡¡this¡¡period¡£¡¡Hitherto£»¡¡ever¡¡since¡¡the¡¡discovery¡¡of¡¡magnifying¡­glasses£»¡¡there¡¡had¡¡been¡¡here¡¡and¡¡there¡¡a¡¡man£»¡¡such¡¡as¡¡Leuwenhoek¡¡or¡¡Malpighi£»¡¡gifted¡¡with¡¡exceptional¡¡vision£»¡¡and¡¡perhaps¡¡unusually¡¡happy¡¡in¡¡his¡¡conjectures£»¡¡who¡¡made¡¡important¡¡contributions¡¡to¡¡the¡¡knowledge¡¡of¡¡the¡¡minute¡¡structure¡¡of¡¡organic¡¡tissues£»¡¡but¡¡now¡¡of¡¡a¡¡sudden¡¡it¡¡became¡¡possible¡¡for¡¡the¡¡veriest¡¡tyro¡¡to¡¡confirm¡¡or¡¡refute¡¡the¡¡laborious¡¡observations¡¡of¡¡these¡¡pioneers£»¡¡while¡¡the¡¡skilled¡¡observer¡¡could¡¡step¡¡easily¡¡beyond¡¡the¡¡barriers¡¡of¡¡vision¡¡that¡¡hitherto¡¡were¡¡quite¡¡impassable¡£¡¡And¡¡so£»¡¡naturally¡¡enough£»¡¡the¡¡physiologists¡¡of¡¡the¡¡fourth¡¡decade¡¡of¡¡the¡¡nineteenth¡¡century¡¡rushed¡¡as¡¡eagerly¡¡into¡¡the¡¡new¡¡realm¡¡of¡¡the¡¡microscope¡¡as£»¡¡for¡¡example£»¡¡their¡¡successors¡¡of¡¡to¡­day¡¡are¡¡exploring¡¡the¡¡realm¡¡of¡¡the¡¡X¡­ray¡£

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