The World's Greatest Books [Volumes 1-15, 17-20]
- Автор: Gutenberg
- Год: 1910
- Язык: английский
- Жанр: Культурология
Электронная книга - «The World's Greatest Books [Volumes 1-15, 17-20]». Краткое содержание книги:
The World's Greatest Books — Volume 01 — Fiction от Неизвестный
The World's Greatest Books — Volume 02 — Fiction от Неизвестный
The World's Greatest Books — Volume 03 — Fiction от Неизвестный
The World's Greatest Books — Volume 04 — Fiction от Неизвестный
The World's Greatest Books — Volume 05 — Fiction от Неизвестный
The World's Greatest Books — Volume 06 — Fiction от Неизвестный
The World's Greatest Books — Volume 07 — Fiction от Неизвестный
The World's Greatest Books — Volume 08 — Fiction от Неизвестный
The World's Greatest Books — Volume 09 — Lives and Letters от Неизвестный
The World's Greatest Books — Volume 10 — Lives and Letters от Неизвестный
The World's Greatest Books — Volume 11 — Ancient and Mediæval History от Неизвестный
The World's Greatest Books — Volume 12 — Modern History от Неизвестный
The World's Greatest Books — Volume 13 — Religion and Philosophy от Неизвестный
The World's Greatest Books — Volume 14 — Philosophy and Economics от Неизвестный
The World's Greatest Books — Volume 15 — Science от Неизвестный
The World's Greatest Books — Volume 17 — Poetry and Drama от Неизвестный
The world's greatest books от Mee, Arthur, 1875-1943, joint editor & Hammerton, John Alexander, Sir, 1871-1949, joint editor & McClure, S. S. (Samuel Sidney), 1857-1949, joint editor
The World's Greatest Books — Volume 19 — Travel and Adventure от Неизвестный
The World's Greatest Books — Volume 20 — Miscellaneous Literature and Index от Неизвестный
II.—Systemic Circulation
What remains to be said is of so novel and unheard of a character that I not only fear injury to myself from the envy of a few, but I tremble lest I have mankind at large for my enemies, so much do wont and custom that become as another nature, and doctrine once sown that hath struck deep root, and respect for antiquity, influence all men.
And, sooth to say, when I surveyed my mass of evidence, whether derived from vivisections and my previous reflections on them, or from the ventricles of the heart and the vessels that enter into and issue from them, the symmetry and size of these conduits—for Nature, doing nothing in vain, would never have given them so large a relative size without a purpose; or from the arrangement and intimate structure of the valves in particular and of the many other parts of the heart in general, with many things besides; and frequently and seriously bethought me and long revolved in my mind what might be the quantity of blood which was transmitted, in how short a time its passage might be effected and the like; and not finding it possible that this could be supplied by the juices of the ingested aliment without the veins on the one hand becoming drained, and the arteries on the other getting ruptured through the excessive charge of blood, unless the blood should somehow find its way from the arteries into the veins, and so return to the right side of the heart; when I say, I surveyed all this evidence, I began to think whether there might not be a motion as it were in a circle.
Now this I afterwards found to be true; and I finally saw that the blood, forced by the action of the left ventricle into the arteries, was distributed to the body at large, and its several parts, in the same manner as it is sent through the lungs, impelled by the right ventricle into the pulmonary artery; and that it then passed through the veins and along the vena cava, and so round to the left ventricle in the manner already indicated; which motion we may be allowed to call circular, in the same way as Aristotle says that the air and the rain emulate the circular motion of the superior bodies. For the moist earth, warmed by the sun, evaporates; the vapours drawn upwards are condensed, and descending in the form of rain moisten the earth again. And by this arrangement are generations of living things produced; and in like manner, too, are tempests and meteors engendered by the circular motion of the sun.
And so in all likelihood does it come to pass in the body through the motion of the blood. The various parts are nourished, cherished, quickened by the warmer, more perfect, vaporous, spirituous, and, as I may say, alimentive blood; which, on the contrary, in contact with these parts becomes cooled, coagulated, and, so to speak, effete; whence it returns to its sovereign, the heart, as if to its source, or to the inmost home of the body, there to recover its state of excellence or perfection. Here it resumes its due fluidity, and receives an infusion of natural heat—powerful, fervid, a kind of treasury of life—and is impregnated with spirits and, it might be said, with balsam; and thence it is again dispersed. And all this depends upon the motion and action of the heart.
Confirmations of the Theory
Three points present themselves for confirmation, which, being established, I conceive that the truth I contend for will follow necessarily and appear as a thing obvious to all.
The first point is this. The blood is incessantly transmitted by the action of the heart from the vena cava to the arteries in such quantity that it cannot be supplied from the ingesta, and in such wise that the whole mass must very quickly pass through the organ.
Let us assume the quantity of blood which the left ventricle of the heart will contain when distended to be, say, two ounces (in the dead body I have found it to contain upwards of two ounces); and let us suppose, as approaching the truth, that the fourth part of its charge is thrown into the artery at each contraction. Now, in the course of half an hour the heart will have made more than one thousand beats. Multiplying the number of drachms propelled by the number of pulses, we shall have one thousand half-ounces sent from this organ into the artery; a larger quantity than is contained in the whole body. This truth, indeed, presents itself obviously before us when we consider what happens in the dissection of living animals. The great artery need not be divided, but a very small branch only (as Galen even proves in regard to man), to have the whole of the blood in the body, as well that of the veins as of the arteries, drained away in the course of no long time—some half hour or less.
The second point is this. The blood, under the influence of the arterial pulse, enters, and is impelled in a continuous, equable, and incessant stream through every part and member of the body in much larger quantity than were sufficient for nutrition, or than the whole mass of fluids could supply.
I have here to cite certain experiments. Ligatures are either very tight or of middling tightness. A ligature I designate as tight, or perfect, when it is drawn so close about an extremity that no vessel can be felt pulsating beyond it. Such ligatures are employed in the removal of tumours; and in these cases, all afflux of nutriment and heat being prevented by the ligature, we see the tumours dwindle and die, and finally drop off. Now let anyone make an experiment upon the arm of a man, either using such a fillet as is employed in bloodletting, or grasping the limb tightly with his hand; let a ligature be thrown about the extremity and drawn as tightly as can be borne. It will first be perceived that beyond the ligature the arteries do not pulsate, while above it the artery begins to rise higher at each diastole and to swell with a kind of tide as it strove to break through and overcome the obstacle to its current.
Then let the ligature be brought to that state of middling tightness which is used in bleeding, and it will be seen that the hand and arm will instantly become deeply suffused and extended, and the veins show themselves tumid and knotted. Which is as much as to say that when the arteries pulsate the blood is flowing through them, but where they do not pulsate they cease from transmitting anything. The veins again being compressed, nothing can flow through them; the certain indication of which is that below the ligature they are much more tumid than above it.
Whence is this blood? It must needs arrive by the arteries. For that it cannot flow in by the veins appears from the fact that the blood cannot be forced towards the heart unless the ligature be removed. Further, when we see the veins below the ligature instantly swell up and become gorged when from extreme tightness it is somewhat relaxed, the arteries meanwhile continuing unaffected, this is an obvious indication that the blood passes from the arteries into the veins, and not from the veins into the arteries, and that there is either an anastomosis of the two orders of vessels, or pores in the flesh and solid parts generally that are permeable to the blood.
And now we understand wherefore in phlebotomy we apply our fillet above the part that is punctured, not below it. Did the flow come from above, not from below, the bandage in this case would not only be of no service, but would prove a positive hindrance. And further, if we calculate how many ounces flow through one arm or how many pass in twenty or thirty pulsations under the medium ligature, we shall perceive that a circulation is absolutely necessary, seeing that the quantity cannot be supplied immediately from the ingesta, and is vastly more than can be requisite for the mere nutrition of the parts.
And the third point to be confirmed is this. That the veins return this blood to the heart incessantly from all parts and members of the body.