Selected Monographs.

  • New Sydenham Society.
Date:
1888
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Licence: Public Domain Mark

Credit: Selected Monographs. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    in this sense by different authors. M. Legroux had recorded an example of it in his thesis; M. V. Francois had cited a second example of it.* Still further the same idea has been found clearly expressed even in the Sepulchretum of Bonet and the Commentaries of Van Swieten. But this is of little importance. Far from diminishing the merit of M. Virchow, these facts ought simply to pass for an anticipated confirmation of the views of the eminent Berlin professor who, by the numerous experi- mental proofs with which he has supported his theory, by the extension which he has given to it, deserves to be considered as its veritable founder. Conclusive facts have been produced in this sense by M. Schutzenberger.f Finally, my learned teacher, M. Gubler, and quite recently M. Ball, J have completed the demonstration, by making it clear that fragments of clots found in very remote parts of the circula- tory system can nevertheless be adapted very exactly one to another in such a way as to permit the primitive clot to be reconstituted. To-day we may say that embolism has gained its cause, and there remains nothing more to be done except to defend it against its own excesses.§ But if we consider it along with arteritis, we cannot but find between these two maladies the greatest resemblance as to their effects. Both present this common condition : the interference at first with the supply of a sufficient quantity of oxygenated blood in a given area of the arterial system. On the other hand, the study of the anatomical lesions presented by the nervous system has for a long time been made from the point of view of gangrene. In an excellent memoir, published in 1836, M. Godin has rendered || the view extremely probable that most gangrene has for its cause a venous obliteration, and ought in consequence to be brought into proximity with the cedemas; it is almost generally admitted to-day that venous obstruction, although incapable by itself of determining gangrene on account of the great number of anastomoses, has at least the power of modifying its character. * Op. tit., p. 202. f « De l'obliteration subite des artferes par des corps solides, <Stc. Gaz. Mad. de Strasbourg, Feb. 28, 1857. % These de Paris, 1862. § Vide Klinik der embolichen Gefass-Krankheiten. Berlin, 1861. | Archives generates de Medecine, 1836, 2e Serie, T. xii., p. 52.