CHAPTER VIII.

THE

PHILOSOPHY OF HEALTH;

OR,

AN EXPOSITION

OF THE

PHYSICAL AND MENTAL CONSTITUTION

OF MAN,

WITH A VIEW TO THE PROMOTION OF

HUMAN LONGEVITY AND HAPPINESS.

BY

SOUTHWOOD SMITH, M.D.,

_Physician to the London Fever Hospital, to the Eastern Dispensary,

and to the Jews’ Hospital_.

IN TWO VOLUMES. VOL. II.

_THIRD EDITION._

LONDON:

C. COX, 12, KING WILLIAM STREET, STRAND.

1847.

London: Printed by WILLIAM CLOWES and SONS, Stamford Street.

CONTENTS OF VOL. II.

CHAPTER VIII.

OF THE FUNCTION OF RESPIRATION.

Respiration in the plant; in the animal—Aquatic and aërial

respiration—Apparatus of each traced through the lower to the

higher classes of animals—Apparatus in man—Trachea, Bronchi, Air

Vesicles—Pulmonary artery—Lungs—Respiratory motions: inspiration;

expiration—How in the former air and blood flow to the lungs; how

in the latter air and blood flow from the lungs—Relation between

respiration and circulation—Quantity of air and blood employed in each

respiratory action—Calculations founded on these estimates—Changes

produced by animal respiration on the air: changes produced by

vegetable respiration on the air—Changes produced by respiration on

the blood—Respiratory function of the liver—Uses of respiration Page 1

CHAPTER IX.

OF THE FUNCTION OF GENERATING HEAT.

Of the temperature of living bodies—Temperature of plants—Power

of plants to resist cold and endure heat—Power of generating

heat—Temperature of animals—Warm-blooded and cold-blooded

animals—Temperature of the higher animals—Temperature of the different

parts of the animal body—Temperature of the human body—Power of

maintaining that temperature at a fixed point, whether in intense

cold or intense heat—Experiments which prove that this power is a

vital power— Evidence that the power of generating heat is connected

with the function of respiration—Analogy between respiration and

combustion—Phenomena connected with the functions of the animal body,

which prove that its power of generating heat is proportionate to

the extent of its respiration—Theory of the production of animal

heat—Influence of the nervous system in maintaining and regulating the

process—Means by which cold is generated, and the temperature of the

body kept at its own natural standard during exposure to an elevated

temperature Page 120

CHAPTER X.

OF THE FUNCTION OF DIGESTION.

Process of assimilation in the plant; in the animal—Digestive

apparatus in the lower classes of animals; in the higher

classes; in man—Digestive processes—Prehension, Mastication,

Insalivation, Deglutition, Chymification, Chylification, Absorption,

Fecation—Structure and action of the organs by which these operations

are performed—Ultimate results—Powers by which those results are

accomplished—Two kinds of digestion, a lower and a higher; the former

preparatory to the latter Page 159

CHAPTER XI.

OF THE FUNCTION OF SECRETION.

Nature of the function—Why involved in obscurity—Basis of the

apparatus consists of membrane—Arrangement of membrane into elementary

secreting bodies—Cryptæ, follicles, cæca, and tubuli—Primary

combinations of elementary bodies to form compound organs—Relation of

the primary secreting organs to the blood-vessels and nerves—Glands,

simple and compound—Their structure and office—Development of glands

from their simplest form in the lowest animals to their most complex

form in the highest animals—Development in the embryo—Number and

distribution of the secreting organs—How secreting organs act upon

the blood—Degree in which the products of secretion agree with, and

differ from, the blood—Modes in which modifications of the secreting

apparatus influence the products of secretion—Vital agent by which the

function is controlled—Physical agent by which it is effected Page 279

CHAPTER XII.

OF THE FUNCTION OF ABSORPTION.

Evidence of the process in the plant, in the animal—Apparatus

general and special—Experiments which prove the absorbing power of

blood-vessels and membrane—Decomposing and analysing properties

of membrane—Endosmose and exosmose—Absorbing surfaces, pulmonary,

digestive, and cutaneous—Lacteal and lymphatic vessels—Absorbent

glands—Motion of the fluid in the special absorbent vessels—Discovery

of the lacteals and lymphatics—Specific office performed by the

several parts of the apparatus of absorption—Condition of the system

on which the activity of the process depends—Uses of the function

Page 332

CHAPTER XIII.

OF THE FUNCTION OF EXCRETION.

In what excretion differs from secretion—Excretion in the

plant—Quantity excreted by the plant compared with that excreted

by the animal—Organs of excretion in the human body—Organization

of the skin—Excretory processes performed by it—Excretory

processes of the lungs—Analogous processes of the liver—Use of the

deposition of fat—Function of the kidneys—Function of the large

intestines—Compensating and vicarious actions—Reasons why excretory

processes are necessary—Adjustments Page 369

CHAPTER XIV.

OF THE FUNCTION OF NUTRITION.

Composition of the blood—Liquor sanguinis—Recent account of the

structure of the red particles—Formation of the red particles in

the incubated egg—Primary motion of the blood—Vivifying influence

of the red particles—Influence of arterial and venous blood on

animal and organic life—Formation of human blood—Course of the new

constituents of the blood to the lungs—Space of time required for the

complete conversion of chyle into blood after its first transmission

through the lungs—Distribution of blood to the capillaries when

duly concentrated and purified—Changes wrought upon the blood while

it is traversing the capillaries—Evidence of an interchange of

particles between the blood and the tissues—Phenomena attending the

interchange—Nutrition, what, and how distinguished from digestion—How

the constituents of the blood escape from the circulation—Designation

of the general power to which vital phenomena are referrible—Conjoint

influence of the capillaries and absorbents in building up

structure—Influence of the organic nerves on the process—Physical

agent by which the organic nerves operate—Conclusion Page 422

THE

PHILOSOPHY OF HEALTH.

CHAPTER VIII.

OF RESPIRATION.

Respiration in the plant; in the animal—Aquatic and aërial

respiration—Apparatus of each traced through the lower to the

higher classes of animals—Apparatus in man—Trachea, Bronchi, Air

Vesicles—Pulmonary artery—Lung—Respiratory motions: inspiration;

expiration—How in the former air and blood flow to the lung; how

in the latter air and blood flow from the lung—Relation between

respiration and circulation—Quantity of air and blood employed in each

respiratory action—Calculations founded on these estimates—Changes

produced by animal respiration on the air: changes produced by

vegetable respiration on the air—Changes produced by respiration on

the blood—Respiratory function of the liver—Uses of respiration.

313. No organized being can live without food and no food can nourish

without air. In all creatures the necessity for air is more urgent than

that for food, for some can live days, and even weeks, without a fresh

supply of food, but none without a constant renewal of the air.

314. The food having undergone the requisite preparation in the

apparatus provided for its assimilation, is brought into contact with

the air, from which it abstracts certain principles, and to which

it gives others in return. By this interchange of principles the

composition of the food is changed: it acquires the qualities necessary

for its combination with the living body. The process by which the air

is brought into contact with the food, and by which the food receives

from the air the qualities which fit it for becoming a constituent part

of the living body, constitutes the function of respiration.

315. In the plant, the air and the food meet in contact and re-act

on each other in the leaf. The crude food of the plant having in its

ascent from the root through the stalk, received successive additions

of organic substances, by which its nature is assimilated to the

chemical condition of the proper nutritive fluid of the plant (320

and 325), undergoes in the leaf a double process; that of Digestion

and that of Respiration. The upper surface of the leaf is a digestive

apparatus, analogous to the stomach of the animal; the under surface

of the leaf is a respiratory apparatus, analogous to the lung of the

animal. For the performance of this double function, incessantly

carried on by the leaf, its organization is admirably adapted.

[Illustration: Fig. CXXII.

View of the net-work which forms the solid structure of the leaf, and

which consists partly of woody fibres, and partly of spiral vessels.

1. Vessels of the upper surface; 2. vessels of the under surface; 3.

distribution of the vessels through the substance of the leaf; 4.

interspaces between the vessels occupied by parenchyma or cellular

tissue.]

316. The solid skeleton of the leaf consists of a net-work composed

partly of woody fibres and partly of spiral vessels which proceed

from the stem, and which are called veins (fig. CXXII. 1, 3). In

the interstices between the veins is disposed a quantity of cellular

tissue, termed the parenchyma of the leaf (fig. CXXII. 4): the whole is

enveloped in a membrane, called the cuticle (fig. CXXIII. 1), which is

furnished with apertures denominated stomata, or stomates (fig. CXXIV.).

[Illustration: Fig. CXXIII.

Vertical section of the leaf as it appears when seen highly magnified

under the microscope. 1. Cells of the cuticle filled with air; 2.

double series of cylindrical cells occupying the upper surface of

the leaf filled with organic particles; 3. irregular cells forming

a reticulated texture occupying the under surface of the leaf; 4.

interspaces between the cells, termed the intercellular passages or

air chambers.]

317. The cuticle consists of a layer of minute cellules, colourless,

transparent, without vessels, without organic particles of any kind,

and probably filled with air (fig. CXXIII. 1). These cellules open

externally, at certain portions of the cuticle, by apertures or

passages which constitute the stomates (fig. CXXIV.), and which present

the appearance of areolæ with a slit in the centre (fig. CXXIV.).

They form a kind of oval sphincters, which are capable of opening

or shutting, according to circumstances, and they are disposed on

both surfaces of the leaf, but most abundantly on the under surface,

excepting in leaves which float on water, in which they are always on

the upper surface only.

[Illustration: Fig. CXXIV.

View of the stomata of a leaf, some of them represented as open and

others as closed.]

318. The cellular tissue or parenchyma, immediately beneath the

cuticle, when examined in thin slices, and viewed under a microscope

with a high magnifying power, presents a regular structure disposed

in perfect order. It consists, on the upper surface, of a layer, and

sometimes of two and even three layers, of vesicles of an oblong or

cylindrical form, placed perpendicularly to the surface of the leaf,

set close to each other (fig. CXXIII. 2), and filled with organic

particles constituting the green matter which determines the colour

of the leaf. On the under surface, on the contrary, the vesicles,

which are larger than the cylindrical, are of an irregular figure,

and are placed in an horizontal direction, at such distances as to

leave wide intervals between each other (fig. CXXIII. 3); yet uniting

and anastomosing together, and thus forming a reticulated tissue,

presenting the appearance of a net with large meshes (fig. CXXIII. 3).

319. A leaf, then, consists of a double congeries of vesicles

containing organic particles, penetrated by woody fibre and air vessels

(which is probably the true nature of the spiral vessels), the whole

being enclosed within a hollow stratum of air-cells.

320. The crude sap, composed principally of water, holding in solution

carbonic acid, acetic acid, sugar, and a matter analogous to gum,

is transmitted through the leaf-stalk to the cylindrical vesicles

of the upper surface of the leaf (fig. CXXIII. 2). These vesicles

exhale a large proportion of the water; the evaporation of which is

so powerfully assisted by the action of the sun’s rays, that it would

probably become excessive, were it not for the perpendicular direction

of the cylindrical vesicles (fig. CXXIII. 2); but in consequence of

their being disposed perpendicularly to the surface of the leaf, their

ends only are presented towards the heavens (fig. CXXIII. 2), and thus

the main part of their surface is protected from the direct influence

of the solar rays. The primary effect of the evaporation carried on in

the cylindrical vesicles, is the condensation of the organic matters

contained in the sap.

321. At the same time that the cylindrical vesicles pour the

superfluous water of the sap into the surrounding atmosphere, they

abstract from the atmosphere in return carbonic acid, which, together

with that already contained in the sap, is decomposed. The oxygen is

evolved; the carbon is retained. The physical agent by which this

chemical change, which constitutes the digestive process of the plant,

is effected, is the solar ray; hence the vesicles which contain the

fluid to be decomposed, are placed on the upper surface of the leaf,

where their contents are fully exposed to the action of the sun;

and hence also this process takes place only during the day, and

most powerfully under the direct solar ray: but although the direct

influence of the sun be highly conducive to the process, yet it is

not indispensable to it; for it goes on in daylight although there be

no sunshine. Light, then, would appear to be the physical agent which

effects on the crude food of the plant a change analogous to that

produced on the crude food of the animal by the juices of the stomach.

322. After the sap has been elaborated in the cylindrical vesicles,

by the exhalation of its watery particles, by the condensation of its

organic matter, by the retention of carbon and the evolution of oxygen,

it is transmitted to the reticulated vesicles of the under surface of

the leaf (fig. CXXIII. 3), These vesicles, large, loose, and expanded,

as they have an opposite function to perform, are arranged in a mode

the very reverse of the cylindrical: in such a manner as to present

the greatest possible extent of surface to the surrounding air (fig.

CXXIII. 3): at the same time the broad interspaces between them (fig.

CXXIII. 4) are so many cavernous air-chambers into which the air is

admitted through the stomates (fig. CXXIV.). The cylindrical vesicles,

exposed to the direct rays of the sun, are protected by the closeness

with which they are packed; and by the small extent of surface they

present to the heavens: the reticulated vesicles, whose function

requires that they should have the freest possible exposure to the

surrounding air, are protected from the solar ray, first by their

position on the under surface of the leaf; and, secondly, by the dense

and thick barrier formed by the stratum of cylindrical vesicles (fig.

CXXIII. 2).

323. In the cylindrical vesicles carbonic acid is decomposed; in the

reticulated vesicles, on the contrary, carbonic acid is re-formed. The

oxygen required for this generation of carbonic acid is abstracted

partly from the surrounding air; the carbon is derived partly,

perhaps, from the air, but chiefly from the digested sap, and the

carbonic acid, formed by the union of these elements, is evolved into

the surrounding atmosphere.

324. This operation, which is strictly analogous to that of respiration

in the animal, in which carbonic acid is always generated and expired,

is carried on chiefly in the night. In this manner, under the influence

of the solar light, the leaf decomposes carbonic acid; retains the

carbon and returns the greater part of the oxygen to the air in a

gaseous form. At night, in the absence of the solar ray, the leaf

absorbs oxygen, combines this oxygen with the materials of the sap to

produce carbonic acid, which, as soon as formed, is evolved into the

surrounding air. The carbonic acid gas exhaled during the night is

re-absorbed during the day and oxygen is evolved; and this alternate

action goes on without ceasing; whence the plant deteriorates the

air by night, by the abstraction of its oxygen and the exhalation of

carbonic acid; and purifies it by day by the evolution of oxygen and

the abstraction of carbonic acid.

325. The result of these chemical actions is the conversion of

the crude sap into the proper nutritive juice of the plant. When

it reaches the cylindrical vesicles, the sap is colourless, not

coagulable, without globules, composed chiefly of water holding in

solution carbonic and acetic acids, sugar, gum, and several salts;

when it leaves the reticulated vesicles it is a greenish fluid,

partly coagulable and abounding with organic particles under the

form of globules. Its chemical composition is now wholly changed; it

consists of resinous matter, starch, gluten, and vegetable albumen. It

is now thoroughly elaborated nutritive fluid; the proper food of the

plant (cambium); rich in all the principles which are fitted to form

vegetable secretions: it is to the plant what arterial blood is to

the animal, and like the vital fluid formed in the lung, the cambium

elaborated in the leaf, is transmitted to the different parts and

organs of the plant to serve for their nutrition and development.

326. The formation of this nutritive fluid by the plant is a vital

process, as necessary to the continuance of its existence, as the

process of sanguification is necessary to the maintenance of the life

of the animal. If the plant be deprived of its leaves, if the cold

destroy, or the insect devour them, the nutrition of the plant is

arrested; the development of the flowers, the maturation of the fruit,

the fecundation of the seeds, all are stopped at once, and the plant

itself perishes.

327. The proper nutritive juice of the plant, completed by the process

of respiration, is formed by the elaboration of organic combinations

of a higher nature than those afforded by the sap. Acid, sugar, gum

(325) are converted into the higher organic compounds, resin, gluten,

starch, albumen, probably by chemical processes, the result of which

is the inversion of the relative proportions of oxygen and carbon. In

the organic matters contained in the sap, the proportion of oxygen,

compared with that of carbon, is in excess; on the contrary, in the

higher compounds contained in the cambium, the carbon preponderates: by

the inversion of the relative proportions of these two elements, the

organic compounds of a lower nature, appear to be changed into those of

a higher; to be brought into a chemical condition nearer to that of the

proper substance of the plant; a condition in which they receive the

last degree of elaboration preparatory to their conversion into that

substance.

328. In the process of respiration in the animal, as in the plant,

parts of the digested aliment mix with the air; parts of the air mix

with the digested aliment; and by this interchange of principles, the

chemical composition of the aliment acquires the closest affinity to

that of the animal body; is rendered fit to combine with it; fit to

become a constituent part of it.

329. The extent and complexity of the respiratory apparatus in the

animal, is in the direct ratio of the elevation of its structure and

the activity of its function, to which the quantity of air consumed by

it is always strictly proportionate.

330. The process of respiration in the animal is effected by two

media, air and water; but the only real agent is the air; for the

water contributes to the function only by the air contained in it.

Respiration by water is termed aquatic, that by the atmosphere,

atmospheric or aërial respiration.

331. The quantity of air contained in water being small, aquatic

is proportionally less energetic than aërial respiration; and,

accordingly, the creatures placed at the bottom of the animal scale,

having the simplest structure and the narrowest range of function, are

all aquatic.

332. Whatever the medium breathed, respiration in the animal is

energetic in proportion to the extent of the respiratory surface

exposed to the surrounding element. As the water-breathing animals

successively rise in organization, their respiratory surface becomes

more and more extended, and a proportionally larger quantity of water

is made to flow over it. It is the same in aërial respiration: the

higher the animal, the greater the extent of its respiratory surface;

and the larger the bulk of air that acts upon it.

333. Whatever the medium breathed, respiration is effected by the

contact of fresh strata of the surrounding element with the respiratory

surface. The mode in which this constant renewal of the strata is

effected, is either by the motion of the body to and fro in the

element; or by the creation of currents in it, which flow to the

respiratory surface. A main part of the apparatus of respiration

consists of the expedients necessary to accomplish these two objects;

and that apparatus is simple, or complex, chiefly according to the

extent of the mechanism requisite to effect them.

334. Whatever the medium breathed, the organic tissue which constitutes

the essential part of the immediate organ of respiration is the skin.

The primary tissue of which the skin is composed is the cellular (23

et seq.), which, organized into mucous membrane (33 et seq.), forms

the essential constituent of the skin (34). In all animals the skin

covers both the external and the internal surfaces of the body (34).

When forming the external envelop, this organ commonly retains the

name of skin; when forming the internal lining, it is generally called

mucous membrane; and in all animals, from the monad to man, either in

the form of an external envelop, or an internal lining, or by both in

conjunction, or by some localization and modification of both, the

skin constitutes the immediate organ of respiration. In different

classes of animals it is variously arranged, assumes various forms,

and is placed in various situations, according to the medium breathed,

and the facility of bringing its entire surface into contact with the

surrounding element; but in all, the organ and its office are the

same: it is the modification only—that modification being invariably

and strictly adaptation, which constitutes the whole diversity of the

immediate organ of respiration.

335. At the commencement of the animal scale, in the countless tribes

of the polygastrica (vol. i. p. 34, et seq.), respiration is effected

through the delicate membrane which envelops the soft substance of

which their body is composed. The air contained in the water in which

they live, penetrating the porous external envelop, permeates every

part of their body; aërates their nutritive juices; and converts them

immediately into the very substance of their body. They are not yet

covered with solid shells, nor with dense impervious scales, nor with

any hard material which would exclude the general respiratory influence

of water, or render necessary any special expedient to bring their

respiratory surface into contact with the element.

336. But in some tribes even of these simple creatures there is visible

by the microscope an afflux of their nutritive juices to the delicate

pellicle that envelops them, in the form of a vascular net-work, in

which there appears to be a motion of fluids, probably the nutritive

juices flowing in the only position of the body in which they could

come into direct contact with the surrounding element. In some more

highly advanced tribes, as in wheel animalcules, there is an obvious

circulating system in vessels near the surface of the skin. In other

tribes, the internal surface constituting the alimentary canal, is of

great extent and width, and forms numerous cavities which are often

distended with water. In this manner a portion of the internal, as

well as the external surface is made contributary to the function

of respiration, and this extended respiration is conducive to their

great and continued activity, to their rapid development, and to the

extraordinary fertility of their races.

[Illustration: Fig. CXXV.—_Medusa._

1. The mouth; 2. the stomach; 3. large canals going from the stomach;

4. smaller canals which form; 5. a plexus of vessels at the margin of

the disc serving for respiration; 6. margin of the disc.]

337. In creatures somewhat higher in the scale, a portion of the

external surface is reflected inwards in the form of a sac, with an

external opening (fig. CXXV. 1). In some medusæ there are numerous

sacs of this kind, which pass inwards until they are separated only

by thin septa from the cavities of the stomach. The water permeating

and filling these sacs comes into contact with an interior portion

of the body, not to be reached through the external surface. At the

margin of the disk (fig. CXXV. 6) there is spread out a delicate

net-work of vessels (fig. CXXV. 5); these vessels communicate with

small canals (fig. CXXV. 4) which open into larger canals (fig. CXXV.

3) that proceed directly from the stomach (fig. CXXV. 2). As the

aliment is prepared by the stomach, it is transmitted thence by these

communicating canals to the exterior net-work of vessels where it is

aërated.

338. As organization advances, as the component tissues of the body

become more dense, and are moulded into more complex structures, when,

moreover, these structures are placed deep in the interior of the body,

far from the external envelop, and proportionally distant from the

surrounding element, the respiratory apparatus necessarily increases

in complexity. The first complication consists in the formation of

minute, delicate, transparent tubes (fig. CXXVI. 5), which communicate

with the external surface by a special organ (fig. CXXVI. 4) that

conveys water into the interior of the body (fig. CXXVI. 5). By means

of these ramifying water-tubes, upon the delicate walls of which the

blood-vessels are spread out in minute and beautiful capillaries, the

water is brought into immediate contact with the vascular system.

[Illustration: Fig. CXXVI.—_Holothuria._

1. Mouth; 2. salivary sacs; 3. intestine; 4. cloaca; 5. ramified

tubes, conveying water for respiration into the interior of the body.]

339. Next, in the ascending scale, the external envelop of the body is

extended into a distinct additional or supplemental organ, by which

the function of the skin is assisted. This additional organ is called

branchia or gill. The simplest form of branchia consists of folds

or duplicatures of skin, forming ramified tufts (fig. CXXVII. 1),

which in general have a regular and often a symmetrical disposition

on the external surface (fig. CXXVII. 1). Sometimes, as in the water

breathing annelides, these tufts form a fan-like expansion around the

head; but at other times they are disposed in regular series along the

whole extent of the body.

[Illustration: Fig. CXXVII.—_Lumbricus Marinus._

1. Respiratory tufts. 2. Artery and vein, supplying the respiratory

apparatus. 3. Dorsal vessel.]

340. Instead of branchiæ in the form of ramified tufts, the ascending

series of animals, namely, the higher crustacea, possess branchiæ

composed of numerous, delicate, thin laminæ or leaves, divided from

each other, yet placed in close proximity, like the teeth of a

fine comb, whence this arrangement is termed pectinated. Over the

blood-vessels of the system spread out on these delicate, fringed,

pectinated leaves, the water is driven in constant streams.

341. Still higher in the scale, as in molluscous animals, an internal

sac is formed to which are sometimes attached numerous tufts; but which

at other times is itself plaited into beautifully disposed regular

folds, crowded with blood-vessels and constantly bathed with fresh

currents of water.

[Illustration: Fig. CXXVIII.

Trichoda showing the form and a frequent arrangement of Cilia.]

342. In all these water-breathing creatures, respiration is effected,

either by the progressive motion of the body through the water, or by

the creation of currents which bring fresh strata of the fluid into

contact with the respiratory surfaces. Both objects are effected by the

same instruments, namely, minute fibres having the appearance of fine

hairs or bristles. These fibres which are called cilia, have in general

an elongated, flattened, thin, and tapering form (fig. CXXVIII). Their

number, position, and arrangement, are infinitely various. Sometimes,

as in the poriferous animals, they are so minute that they cannot

be rendered visible to the eye even by the microscope, although the

evidence of their existence and action is indubitable. Sometimes they

are of great size and strength, attached by distinct ligaments to the

body and moved by powerful muscles, as in wheel animalcules. Sometimes,

as in polypiferous animals, they are disposed around the orifice of the

polypes or upon the sides of the tentacula, the instruments by which

the animal seizes its prey. Sometimes they are symmetrically disposed

in longitudinal series along the surface of the body, as in the Beroe

pileus; at other times they are arranged in circles; whenever there

are branchiæ, they are disposed around the margin of the branchial

apertures, and always on the margins of the minute meshes which compose

the branchiæ themselves.

343. In some cases the number of these cilia is immense. Each polype,

for example, has usually twenty-two tentacula, and there are about

fifty cilia on each side of a tentaculum, making two thousand two

hundred cilia on each polype. As there are about one thousand eight

hundred cells in each square inch of surface, and the branches of an

ordinary specimen present about ten square inches of surface, we may

estimate that an ordinary specimen of this zoophite presents more

than eighteen thousand polypes, three hundred and ninety-six thousand

tentacula, and thirty-nine million six hundred thousand cilia. But

other species contain more than ten times these numbers. Dr. Grant has

calculated that there are about four hundred million cilia on a single

Flustra foliacea.

344. The motions of these cilia are regular, incessant, and when in

full activity far too rapid to be distinguished by the eye even when

assisted by the microscope. They are generally to be perceived only

when their motions are comparatively feeble. They produce two effects.

In animals capable of progressive motion, they transport the body

through the water, while they constantly bring new strata of water into

contact with the respiratory surface. In this case they are partly

organs of locomotion, and partly organs subservient to respiration.

On the other hand, in animals which are not capable of moving from

place to place, they create currents by which the respiratory surface

is constantly bathed with fresh streams of water. These currents

are regular, constant, unceasing. Like some physical phenomena not

depending on vitality, it is a continued stream as regular as the

motions of rivers from their source to the ocean, or any other

movements depending on the established order of things. Dr. Grant, to

whom we are indebted for our knowledge of the true nature of these

currents, as well as of the instruments by which they are effected,

gives the following account of the observation which led to the

discovery:—“I put,” says he, “a small branch of the spongia coalita,

with some sea water into a watch-glass, under the microscope, and on

reflecting the light of a candle through the fluid, I soon perceived

that there was some intestine motion in the opaque particles floating

through the water. On moving the watch-glass, so as to bring one of the

apertures on the side of the sponge fully into view, I beheld, for the

first time, the splendid spectacle of this living fountain, vomiting

forth from a circular cavity an impetuous torrent of liquid matter,

and hurling along in rapid succession opaque masses which it strewed

everywhere around. The beauty and novelty of such a scene in the animal

kingdom long arrested my attention, but after twenty-five minutes of

constant observation, I was obliged to withdraw my eye from fatigue,

without having seen the torrent for one instant change its direction,

or diminish in the slightest degree the rapidity of its course. I

continued to watch the same orifice, at short intervals, for five

hours, sometimes observing it for a quarter of an hour at a time, but

still the stream rolled on with a constant and equal velocity.”

[Illustration: Fig. CXXIX.—_Diagram of the Apparatus of the Circulation

and Respiration in the Fish._

1. Auricle (Single) of the heart. 2. Ventricle (single) of the heart.

3. Trunk of the branchial artery. 4. Division of the branchial

artery going to the branchiæ or gills. 5. Leaves of the branchiæ. 6.

Branchial veins, which return the blood from the branchiæ, and unite

to form. 7. the aorta, by the division of which the aërated blood is

carried out to the system.]

345. The simple expedients which have been described suffice for

carrying on the function of respiration in the water-breathing

invertebrata; but in creatures that possess a vertebral column, and the

more perfect skeleton of which it forms a part, there is a prodigious

advancement in the organization of the whole body, of the nervous and

muscular systems especially, the organs of the animal, as well as in

all the organs of the organic life. A corresponding development of

the function of respiration is indispensable. Accordingly, a sudden

and great development in the apparatus of this function is strikingly

apparent in fishes, the lowest order of the vertebrata, in which the

branchiæ, though still preserving the same form as in the animals

below them, are large and complex organs. The branchiæ of fishes

still consist of fringed folds of membrane disposed, as in the

preceding classes, in laminæ or leaves (fig. CXXIX. 5); but there are

now commonly four series of these leaves, on each side of the body,

placed in close approximation to each other, the several leaves being

divided into minute fibres, which are set close like the barbs of a

feather, or the teeth of a fine comb (fig. CXXIX. 5). Each leaf rests

either on a cartilaginous or a bony arch, which exactly resembles the

rib of the more perfect skeleton, and performs a strictly analogous

function; for these arches are capable of alternately separating from,

and of approximating to, each other, and these alternate motions are

effected by appropriate muscles. As these movements of separation or

approximation take place, the branchiæ are either opened or closed,

and their surface proportionally expanded or contracted. Upon these

leaves (fig. CXXIX. 5) the veins (347) of the system (fig. CXXIX. 4)

are spread out in a state of capillary division of extreme minuteness,

forming a net-work of vessels of extreme tenuity and delicacy. So

prodigiously is the surface increased for the expansion of these

vessels by the leaf-like disposition of the branchiæ, that it is

computed that the branchial surface of the skate is at least equal to

the surface of the whole human body.

346. Through this extended surface the whole blood of the system

must circulate, and every point of it must be unceasingly bathed

with fresh streams of water. To generate the force necessary for

the accomplishment of these objects, an increase of power must be

communicated both to the circulating and to the respiratory apparatus.

Neither the contractile power of the vessels by which in some of

the simpler animals the nutritive fluid is put in motion, nor the

contraction of the rudimentary heart by which in creatures somewhat

higher in the scale a more decided impulse is given to the blood, are

sufficient. A muscular heart, capable of acting with great power, is

now constructed, which is placed in such a position as to enable it to

propel with velocity the whole blood of the body through the myriads

of capillary vessels that crowd every point of the surface of the

branchial leaflets. To bring the water with the requisite degree of

force into contact with this flowing stream, the apparatus of cilia

is wholly inadequate. The water entering by the mouth, is driven with

force, by the powerful muscles of the thorax, through apertures that

lead to the branchial cavities. At the instant that the branchial

leaves receive the currents of water through the appropriate apertures,

the cartilaginous or bony arches which sustain the leaves, separate to

some distance from each other, and to that extent expand the leaves and

proportionally increase the surface exposed to the water: at the same

time, the rush of water through the leaves unfolds and separates each

of the thousand minute filaments of which they are composed, so that

they all receive the full action of the fluid as it flows over them.

347. After the venous blood of the system has been thus exposed to the

action of the respiratory medium, it is taken up by the vessels called

the branchial veins (fig. CXXIX. 6), which for the reason assigned

(372) are functionally arteries, as the branchial artery (fig. CXXIX.

4) is functionally a vein. The branchial veins uniting together form

the great arterial trunk of the system, (fig. CXXIX. 7) by which the

aërated blood is carried out to every part of the body.

348. But as if even this extent of apparatus were insufficient to

afford the amount of respiration required by the system of the fish,

the entire surface of its body, which in general is naked and highly

vascular, respires like the branchiæ. Moreover, many fishes swallow

large draughts of air, by which they aërate the mucous surface of

their alimentary canal, which also is highly vascular; and still

further, numerous tribes of these animals are provided with a distinct

additional organ, a bag placed along the middle of the back filled

with air. Commonly this air bag communicates with some part of the

alimentary canal near the stomach, by means of a short wide canal

termed the ductus pneumaticus, but sometimes it forms a simple shut

sac without any manifest opening; at other times it is divided and

subdivided in a perfectly regular manner, forming extended ramified

tubes; while at other times its ramifications present the appearance of

so many pulmonary cells. It is the rudiment of the complex lung of the

higher vertebrata, and it assists respiration; although since in some

tribes it contains not atmospheric air but azote, it is without doubt

subservient to other uses in the economy of the animal.

349. In water-breathing animals, from the lowest to the highest, it

is then manifest that a special apparatus is provided for, constantly

renewing the streams of water that are brought into contact with their

respiratory surface.

[Illustration: Fig. CXXX.—_Tracheæ._

1. Integument or skin of the body. 2. Spiracula opening on the

external surface of the skin. 3. Tracheæ, or air tubes, proceeding in

form of radii from the spiracles to 4. the alimentary canal.]

350. It is the same in aërial respiration. In the simplest form of

aërial respiration the apparatus consists of minute bags or sacs,

placed commonly in pairs along the back, which open for the admission

of the air on the external surface, by small orifices called spiracula

or spiracles (fig. CXXX. 2), at the sides of the body. In the common

earth-worm there are no less than one hundred and twenty of these

minute air vesicles, each of which is provided with an external opening

placed between the segments of the body. In the leech, the number is

reduced to sixteen on each side, which open externally by the same

number of minute orifices. Over the internal surface of these air

vesicles the blood of the system is distributed in minute and delicate

capillaries; and is capable of being aërated by whichever medium may

pass through the external orifices, whether water or air.

351. In this simple apparatus is apparent the rudiment of the more

perfect aërial respiration by the organs termed tracheæ, minute air

tubes which ramify like blood-vessels through the body (fig. CXXX. 3).

These air tubes open on the external surface by distinct apertures

termed _spiracula_ or _spiracles_ (fig. CXXX. 2), which are commonly

placed in rows on each side of the body (fig. CXXX. 2), with distinct

prominent edges (fig. CXXX. 2), often surrounded with hairs; sometimes

guarded by valves to prevent the entrance of extraneous bodies, and

capable of being opened and closed by muscles specially provided for

that purpose. These tubes, as they proceed from the spiracles to

be distributed to the different organs of the body, often present

the appearance of radii (fig. CXXX. 3), and when traced to their

terminations are found to end in vesicles of various sizes and

figures, but commonly of an elongated and oblong form. These minute

vesicles, when examined by the microscope, are seen to afford still

minuter ramifications, which are ultimately lost in the tissues of the

body.

352. The tracheæ are composed of three tunics, the external dense,

white and shining; the internal soft and mucous, between which is

placed a middle tunic, dense, firm, elastic, and coiled into a

spiral. By this arrangement the tube is constantly kept in a state of

expansion, and is therefore always open to the access of air. A great

part of the blood of the body, in the extensive class of creatures

provided with this form of respiratory apparatus, including the almost

countless tribes of insects, is not contained in distinct vessels, but

is diffused by transudation through the several organs and tissues of

the body. All the creatures of this class live in air, and possess

great activity; they therefore require a high degree of respiration;

yet they are commonly small in size, and often some portions of

their body consist of exceedingly dense and firm textures; hence to

have localized the function of respiration, by placing the seat of

it in a single organ, would have been impossible, on account of the

disproportionate magnitude which such an organ must have possessed; in

this case it was easier to carry the air to the blood, than the blood

to the air, and accordingly the air is carried to the blood, and, like

the blood in creatures of higher organization, is diffused through

every part of the system.

[Illustration: Fig. CXXXI.—_Respiratory Organs of the Scorpion._

1. Spiracles. 2. Integument of one half of the body turned back.

3. Branchial organs. 4. Cells or pouches in which they are lodged.

_a._ One of the respiratory organs removed and magnified, showing

its resemblance to the branchial leaflets, and presenting the

pectinated appearance described in the text.]

[Illustration: Fig. CXXXII.—_Apparatus of Respiration in the Frog._

1. Trachea. 2. Vesicular lungs. 3. Stomach.]

353. The next advancement in the ascending scale is, by a step which

obviously connects this higher class with the classes below and above

it. It consists of distinct cells, termed pulmonic cavities (fig.

CXXXI. 4), which communicate externally by spiracula (fig. CXXXI.

1), like tracheæ (351), but which are lined internally by a soft and

delicate membrane plaited into folds, disposed like the teeth of a

comb (pectinated) (fig. CXXXI. _a_), presenting a striking analogy

to the structure of gills (345), and therefore called by the French

writers pneumo-branchiæ. These cavities have the internal form of an

aquatic organ, but they perform the function of air-breathing sacs. In

scorpions (fig. CXXXI. 1) and spiders, this form of the apparatus is

seen in its simplest condition; in the slug and snail it is more highly

developed: for in these latter animals a rounded aperture, placed

near the head, and guarded by a sphincter muscle, that alternately

dilates and contracts, leads to a single cavity, which is lined with a

membrane delicately folded, and overspread with a beautiful net-work of

pulmonary blood-vessels.

354. Passing from this to the lowest order of the air-breathing

vertebrata (fig. CXXXII.), the apparatus is perfectly analogous,

but more developed. In the reptile, this air-breathing sac, which

now constitutes a true and proper lung, instead of being simple

and undivided, is formed by numerous septa, which traverse each

other in all directions, into vesicles or cells (fig. CXXXII. 2),

which proportionally enlarge the surface for the distribution of

blood-vessels. In the Batrachian reptile, as the frog, salamander,

newt, &c. (fig. CXXXII.), the vesicles, comparatively few in number,

are of large size, and as thin and delicate as soap-bubbles. In the

ophidian reptile, as the serpent, the sac is large and elongated, but

divided only in the upper and back part into vesicles; while in the

Saurian reptiles, as the crocodile, lizard, chamelion, &c., the sac is

comparatively small, but subdivided into very minute vesicles, bearing

a close analogy to the more perfectly organized lung of the higher

animals.

[Illustration: Fig. CXXXIII.—_Respiratory Apparatus of the Bird, as

seen in the Swan._

1. The Trachea. 2. The lungs. 3. Apertures through which air passes

into, 4. Air cells of the body. 5. A bristle passed from one of the

air cells of the body, to the cavity containing the lungs. 6. A

bristle passed from the cavity of the thigh-bone into another air cell

of the body.]

355. In birds, the next order of vertebrata (fig. CXXXIII.), as in

insects, the class of invertebrated animals which are formed for flight

(352), the respiratory organs extend through the greater part of

the body (fig. CXXXIII. 4). The lungs (fig. CXXXIII. 2), which still

consist of a single pulmonic sac on each side (fig. CXXXIII. 2), are

divided into cells, minute compared with those of the reptile, yet

large compared with those of the quadruped; at the same time numerous

air sacs, similar in structure to those of the lungs, but of larger

size, are distributed over different parts of the body (fig. CXXXIII.

4), which communicate with the air cells of the lungs (fig. CXXXIII.

3); while of these larger sacs, several communicate also with the bones

(fig. CXXXIII. 6), so as to fill with air those cavities which in other

animals are occupied with marrow.

356. In the mammalia, the highest order of the vertebrata, respiration

is less extended through the system, and is concentrated in a single

organ, the lung, which, though comparatively smaller in bulk than in

some of the lower classes, is far more developed in structure. The lung

in this class consists of a membranous bag, divided into an immense

number of distinct vesicles or cells, in the closest possible proximity

with each other, yet not communicating, and presenting, from their

minuteness, a vast extent of internal surface. This bag is confined to

a distinct cavity of the trunk, the thorax (fig. CXXXIV.), completely

separated from the abdomen by the muscular partition, the diaphragm

(fig. CXXXIV. 10). This organ no longer sends down cells into the

abdomen, nor membranous tubes into the bones; but is concentrated

within the thorax along with the heart (fig. CXXXIV. 2, 3, 8). In

all the orders of this class, the development and concentration of

the organ are in strict proportion to the perfection of the general

organization.

[Illustration: Fig. CXXXIV.—_View of the Respiratory Apparatus in Man._

1. The Trachea. 2. The right lung. 3. The left lung. 4. Fissures,

dividing each lung into, 5. Large portions termed lobes. 6. Smaller

divisions termed lobules. 7. Pericardium. 8. Heart. 9. Aorta. 10.

Diaphragm separating the cavity of the thorax from that of the

abdomen.]

357. In man there are two pulmonary bags (fig. CXXXIV. 2, 3), of nearly

equal size, which, together with the heart, completely fill the large

cavity of the thorax (fig. CXXXIV.), their external surface being

everywhere in immediate contact with the thoracic walls. One of these

bags is placed on the right side of the body, constituting the right

lung (fig. CXXXIV. 2), and the other on the left, constituting the left

lung (fig. CXXXIV. 3). Each lung is divided by deep fissures, into

large portions called lobes (figs. CXXXIV. 4, and CXXXV. 6), of which

there are three belonging to the right, and two to the left lung. Each

lobe is subdivided into innumerable smaller parts termed lobules (figs.

CXXXIV. 6, and CXXXV. 6), while the lobules successively diminish in

size until they terminate in minute vesicles that constitute the great

bulk of the organ (fig. CXXXV. 8).

358. The complete centralization of the respiratory function which thus

takes place in man, renders the apparatus exceedingly complex both on

account of the expedients which are necessary to obtain the requisite

extent of surface, in the small allotted space, and to bring into

contact within that space the fluids that are to act on each other.

[Illustration: Fig. CXXXV.—_View of the Air Tubes and Lung._

1. The larynx. 2. Trachea. 3. Right bronchus. 4. Left bronchus. 5.

Left lung; the fissures denoted by the two lines which meet at 6,

dividing it into three lobes, and the smaller lines on its surface

marking the division of the lobes into lobules. 7. Large bronchial

tubes. 8. Minute bronchial tubes terminating in the air cells or

vesicles.]

359. The apparatus consists of a vessel to carry the air to the blood;

a vessel to carry the blood to the air; an organ in which the air and

the blood meet; and an organization by which both fluids are put in

motion. The vessel that carries the air to the blood is the windpipe

(fig. CXXXV. 1, 2); the vessel that carries the blood to the air is

the pulmonary artery (fig. CXL. 7); the organ in which the blood and

the air meet is the lung (fig. CXXXV. 5); the organization which puts

the air in motion, is the structure of bones, cartilage and muscles,

called the thorax (figs. CXLI. and CXLVI.), and the engine that

communicates motion to the blood is the right ventricle of the heart

(fig. CXL. 5).

360. The windpipe is a tube which extends from the mouth and nostrils

to the lung (figs. CLIII. 1, 9, and CXXXV. 2, 5). It is attached to

the back part of the tongue (fig. CLII. 2, 9), and passes down the

neck immediately before the esophagus, or the tube which leads to the

stomach (fig. CLIII. 9, 12).

361. In the different parts of its course the windpipe is differently

constructed, performs different offices, and receives different names

according to the diversity of its structure and function. The first

division of it is called the larynx (fig. CXXXV. 1.), the second the

trachea (fig. CXXXV. 2), the third the bronchi (figs. CXXXV. 3, 4, 7,

and CXXXVII.), and the fourth the air vesicles or cells (figs. CXXXV.

8, and CXXXVIII. 2).

[Illustration: Fig. CXXXVI.—_Posterior View of the Larynx and Trachea._

1. The os hyoides. 2. Thyroid cartilage. 3. Cricoid cartilage. 4.

Arytenoid cartilages, separated from each other. 5. Epiglottis. 6.

Opening of the glottis. 7. Termination of the cartilaginous rings of

the trachea. 8. The ligamentous portion of the trachea. 9. Trachea

laid open, showing its internal mucous surface and follicles, with the

anterior portion of the cartilaginous rings appearing through it.]

362. The first portion of the windpipe called the larynx (figs. CXXXV.

and CXXXVI), constitutes the organ of the voice. It is situated at

the upper and fore part of the neck (fig. CLIII. 7, 9), immediately

under the bone to which the root of the tongue, called the os hyoides

(figs. CLIII. 6, and CXXXVI. 1), is attached. The larynx forms a

very complex structure, and is composed of a variety of cartilages,

muscles, ligaments, membranes, and mucous glands (fig. CXXXVI. 2, 3,

4, 5). At its upper part is a narrow opening of a triangular figure

called the glottis (fig. CXXXVI. 6), by which air is admitted to and

from the lung. Immediately above this opening is placed the cartilage,

which obtains its name from its situation, _epiglottis_ (fig. CXXXVI.

5), which is attached to the root of the tongue (fig. CLIII. 6, 7), and

which may be distinctly seen in the living body by pressing down the

tongue.

363. The Epiglottis is highly elastic, and is an agent of no

inconsiderable importance in respiration, deglutition, and speaking.

In respiration it breaks the current of air which rushes to the lungs

through the mouth and nostrils, and prevents it from flowing to the

delicate air cells with too great a degree of force. During the

action of deglutition the epiglottis is carried completely over the

glottis (fig. CLIII. 6, 7, 8), partly because it is necessarily forced

backwards, when the tongue passes backwards in delivering the food to

the pharynx (fig. CLIII. 6, 7, 8, 10), partly because it is carried

backwards by certain minute muscles which act directly upon it, and

perhaps also partly in consequence of its own peculiar irritability.

The moment the action of deglutition has been performed the epiglottis

springs from the aperture of the glottis, partly by its own elasticity,

and partly by the return of the tongue to its former position. During

the act of speaking the column of air which is expelled from the lung,

which rushes through the glottis, and which thus forms the voice,

strikes against the epiglottis, and the voice becomes thereby in some

degree modified.

[Illustration: Fig. CXXXVII.

View of the trachea, showing, first, the division of the tube into

the right and left bronchus, and the subdivision of the bronchi into

the bronchial tubes; and secondly, the membranous and cartilaginous

tissues of which the organ is composed.]

364. The second portion of the windpipe termed the trachea (fig. CXXXV.

2), commences at the under part of the larynx (fig. CXXXV. 1), and

extends as far as the third dorsal vertebra, opposite to which it

divides into two branches which are termed the bronchi (fig. CXXXV. 3,

4, and CXXXVII.). One of these branches, called the right bronchus,

goes to the right lung; the other branch, called the left bronchus,

goes to the left lung (fig. CXXXV. 3, 4).

365. The trachea of man, like the tracheæ of the air-breathing insect

(351), is composed of three tissues. These tissues differ essentially

from each other in nature, and are widely different in form and

arrangement. They consist of membrane, muscle, and cartilage.

366. The membranous portion of the human trachea consists of

three coats, the cellular (fig. CXXXVII.), the ligamentous (fig.

CXXXVI. 8), and the mucous (fig. CXXXVI. 9). From the cellular and

ligamentous coats the tube receives its strength, and in some degree

its elasticity; and the mucous coat constitutes the chief seat of

the respiratory function. Between the ligamentous and mucous coats

are placed two sets of muscular fibres; the first, the external set,

passes in a circular direction around the tube; the second set,

placed immediately beneath the circular, is disposed longitudinally,

and collected into bundles. The office of the circular fibres is to

diminish the calibre of the tube, and that of the longitudinal is to

diminish its length.

367. As the tracheæ of the insect are kept constantly open for the

free admission of air by their middle membranous tunic, dense, firm,

elastic, and coiled into a spiral (351), so, for the accomplishment

of the same purpose, there are placed between the membranous coats

of the human trachea delicate rings of the more highly organized

substance, cartilage (35). These cartilaginous rings amount in the

entire course of the tube to sixteen or eighteen in number (fig. CXXXV.

2); each cartilage being about a line in breadth, and the fourth of a

line in thickness. They never form complete circles, but only a large

segment of a circle (fig. CXXXVI. 7); the circle is incomplete behind

(fig. CXXXVI. 7, 9), because there the esophagus is in direct contact

with the trachea (fig. CLIII. 9, 12), and instead of dense and firm

cartilage, a soft and yielding substance is placed in this situation,

in order that there may be no impediment to the free dilatation of the

esophagus during the passage of the food.

368. The point at which the bronchi enter the substance of the lung is

called the root of the lung (fig. CXXXV. 3, 4). As soon as the bronchi

begin to divide and ramify within the lung each cartilage, instead of

preserving its crescent shape, is divided into two or three separate

pieces, which nevertheless are still so disposed as to keep the tube

open. With the progressive diminution in the size of the bronchial

branches, their cartilages become less numerous, and are placed at

greater distances from each other, until at length as the bronchi

terminate in the vesicles, the cartilages wholly disappear; and with

the decreasing number and size of the cartilages, the thickness of the

cellular, ligamentous, and muscular coats of the bronchi also lessens,

until at the points where the cartilages disappear, the muscular and

mucous tunics, now reduced to a state of extreme tenuity, alone remain.

The essential constituent of the air vesicles, then, is the mucous

membrane; but there is reason to suppose that the muscular tunic is

likewise continued over these vesicles.

369. It has been stated that the tracheæ of the insect terminate in the

different tissues of its body by minute vesicles of an oblong form.

The termination of the bronchi in the human lung presents a strikingly

analogous appearance. Malpighi, who with extraordinary talent and

success devoted his life to the investigation of the minute structures

of the various organs of the human body, represents the mucous membrane

of the bronchial tubes as terminating in minute vesicles of unequal

size: and Reisseissen, who has more recently resumed the inquiry and

examined this structure with extreme care, agrees with Malpighi in

stating that the bronchial tubes at their terminal points expand into

minute, delicate, membranous vesicles of a cylindrical and somewhat

rounded figure (fig. CXXXVIII. 2). The bronchial tubes do not divide

to any great degree of minuteness (fig. CXXXVIII. 1), but terminate

somewhat abruptly in the vesicles (fig. CXXXVIII. 2), which though

minute are large enough to be visible to the naked eye (fig. CXXXVIII.

2). Viewed in connexion with the bronchial tubes at their terminal

points, the vesicles present a clustered appearance, not unlike

clusters of currants attached to their stem (fig. CXXXVIII. 2).

[Illustration: Fig. CXXXVIII.—_View of the Bronchial Tubes terminating

in Air vesicles._

Fig. 138.

Fig. 139.

External view.—1. Bronchial tube. 2. Air vesicles. Fig. 139. The same

laid open.]

370. In the insect, for the reason assigned (351), these vesicles are

diffused over the system, aërating every point of the body; in man

they are concentrated in the lung; yet by their minuteness, and by

the mode in which they are arranged, they present in the small space

occupied by this organ, so extended a surface that Hales, representing

the size of each vesicle at the 100dth part of an inch in diameter,

estimates the amount of surface furnished by them collectively at

20,000 square inches. Keil estimating the number of the vesicles at

174,000,000, calculates the surface they present, at 21,906 square

inches. Leiberkuhn at 150 cubic feet; and, according to Monro, it is

thirty times the surface of the human body.

[Illustration: Fig. CXL.

1. The trachea. 2. The right and left bronchus; the left bronchus

showing its division into smaller and smaller branches in the lung,

and the ultimate termination of the branches in the air vesicles. 3.

Right auricle of the heart. 4. Left auricle. 5. Right ventricle. 6.

The aorta arising from the left ventricle, the left ventricle being in

this diagram concealed by the right. 7. Pulmonary artery arising from

the right ventricle and dividing into, 8. The right, and 9. The left

branch. The latter is seen dividing into smaller and smaller branches,

and ultimately terminating on the air vesicles. 10. Branches of one of

the pulmonary veins proceeding from the terminations of the pulmonary

artery on the air vesicles, where together they form the net-work of

vessels termed the Rete Mirabile. 11. Trunk of the vein on its way to

the left auricle of the heart. 12. Superior vena cava. 13. Inferior

vena cava. 14. Air vesicles magnified. 15. Blood-vessels distributed

upon them.]

371. Such is the structure of the vessel that carries the air to the

blood, and such is the mode of its distribution.

The vessel that conveys the blood to the air is the pulmonary artery,

the great vessel which springs from the right ventricle of the heart

(fig. CXL. 5).

The pulmonary artery soon after it issues from the right ventricle of

the heart divides into two branches (fig. CXL. 7, 8, 9), one for each

lung (fig. CXL. 8, 9). Each branch of the pulmonary artery as soon as

it enters its corresponding lung (fig. CXL. 9) divides and ramifies

through the organ in a manner precisely similar to the bronchial

tubes. Every branch of the artery is in contact with a corresponding

branch of the bronchus (fig. CXL. 2), divides as it divides, and

accurately tracks its course throughout (fig. CXL. 2), until the

ultimate divisions of the artery at length reach the ultimate vesicles

of the bronchus (fig. CXL. 2, 10), upon the delicate walls of which

the capillary arteries rest, expand, and ramify, forming a net-work of

vessels, so complex that the anatomist who first observed it, named it

the _Rete Mirabile_, the wonderful net-work, and it is still called

the _Rete Mirabile Malpighi_, or the _Rete Vasculosum Malpighi_ (fig.

CXL. 2, 9, 10).

372. The blood which has finished its circulation through the system,

returned by the great systemic veins (fig. CXL. 12, 13), to the right

side of the heart (fig. CXL. 3), is driven by the right ventricle (fig.

CXL. 5), into the pulmonary artery (fig. CXL. 7); by the branches of

which (fig. CXL. 8, 9) it is distributed to the air vesicles of the

lungs: consequently the right heart of man bears precisely the same

relation to the lungs, that the single heart of the fish bears to the

branchiæ; the former is a pulmonic, as the latter is a branchial heart;

one half of the double heart of the more highly organized creature is

employed to circulate the venous blood of the system through the lungs,

as the whole of the single heart of the less highly organized animal,

is employed to propel the blood through the branchiæ (368). From the

capillary branches of the pulmonary artery in the Rete Mirabile (fig.

CXL. 9), arises another set of vessels termed the pulmonary veins

(fig. CXL. 10), which receive the blood from the venous vessels spread

out on the air vesicles: for the pulmonary artery is functionally a

vein, since it contains venous blood, though it is nominally an artery

because it carries blood from the heart (269); and in like manner the

pulmonary veins are functionally arteries since they contain arterial

blood, though they are nominally veins because they carry blood to the

heart (272). The branches of the pulmonary arteries are larger in size

and greater in number than those of the pulmonary veins, the reverse of

what is observed in any other part of the body; because the pulmonary

artery contains the blood which is to be acted upon by the air, while

the pulmonary veins merely receive the blood which has been acted upon

by the air, and the former ramifies more minutely than the latter, in

order that the air may act on a larger surface of blood.

373. In the Rete Mirabile the junction of the air-vessel with the

blood-vessel is accomplished. The combination of these two sets of

vessels constitutes the lung; for the lung is composed of air-vessels

and blood-vessels united, and sustained by cellular tissue, and

inclosed in the thin but firm membrane called the pleura (104 and 105).

374. Such is the arrangement of that part of the respiratory apparatus

which contains the fluids that are to act on each other. The object

of the remaining portion of it is to produce the movements which are

necessary to bring the fluids into contact. This is accomplished by

the mechanism and action of the thorax and diaphragm (figs. CXLI. and

CXXXIV. 10).

375. These organs, which invariably act in concert, are so constructed

and disposed, that when in action they give to the chest two alternate

motions, one that by which its capacity is enlarged; and the other that

by which it is diminished. These alternate movements are called the

motions of respiration. The motion by which the capacity of the chest

is enlarged is termed the action of inspiration, and that by which it

is diminished the action of expiration.

376. The action of inspiration, or that by which the capacity of the

chest is enlarged, is effected by the combined movements of the thorax

and diaphragm; by the ascent of the thorax and by the descent of the

diaphragm.

377. The osseous portion of the thorax, which has been fully described

(69 _et seq._), consists of the spinal column (fig. CXLI. 1), the

ribs with their cartilages (fig. CXLI. 2, 3), and the sternum (fig.

CXLI. 4). The soft portion of the thorax consists of muscles and

membrane (figs. CXLII., CXLVI., and CXLVII.), together with the common

integuments of the body. The chief boundaries of the cavity of the

thorax before, behind, and at the sides, are osseous, being formed

before by the sternum and the cartilages of the ribs (fig. CXLI. 4,

3); behind by the spinal column and the necks of the ribs (fig. CXLI.

1,2); and at the sides by the bodies of the ribs. Below the boundary is

muscular, being formed by the diaphragm (fig. CXLIII. 3).

378. Externally the thorax is convex and enveloped by muscle and skin;

internally it is concave (fig. CXLIII. 1), and lined by a continuation

of the same membrane which envelops the lungs, the pleura (104). But

that portion of the pleura which lines the internal wall of the thorax

is called the costal pleura (pleura costalis), in contradistinction to

that which envelops the lungs, which is termed the pulmonary pleura,

or pleura pulmonalis (104). By the costal pleura, a thin but firm and

strong membrane, smooth, polished, and like all the membranes of its

class (serous membrane 30, _et seq._), kept in a state of perpetual

moisture and suppleness, by a fluid secreted at its surface, the

movements of the thorax are facilitated, at the same time that they are

prevented from injuring the delicate organs contained in it.

379. The moveable parts of the osseous portion of the thorax are the

ribs and sternum. The ribs, though by one extremity tied with exceeding

firmness to the spinal column by ligaments specially constructed, and

admirably adapted for that purpose (figs. LVI. 1, and LVII. 1), and

though attached at their other extremity by their cartilages to the

sternum (fig. LVIII.), are capable of three motions, an upward, an

outward, and a downward motion.

[Illustration: Fig. CXLI.—_View of the osseous portion of the Thorax._

1. Spinal column. 2. Ribs. 3. Cartilages of ribs. 4. Sternum.]

380. The ribs form a series of moveable arches, the convexity of the

arches being outwards, and the whole being disposed in an oblique

direction (fig. CXLI. 2). The first rib springs from the vertebral

column at nearly a right angle (fig. CXLI. 2); the acuteness of this

angle increases in succession as the ribs descend from the first to

the last (fig. CXLI. 2); in this manner each rib is inclined obliquely

outwards and downwards, and the obliquity thus given to the general

direction of the ribs augments progressively from above downwards (fig.

CXLI. 2).

381. In consequence of this conformation and arrangement of the ribs,

every degree of motion which is communicated to them, necessarily

influences the capacity of the space they enclose. If they are moved

upwards they must enlarge that space at the sides, because the

intervals between each other will be increased (fig. CXLI. 2); and from

behind forwards, because the distance between the spinal column and the

sternum (the sternum being protruded forwards with their cartilaginous

extremities) (fig. CXLI. 3, 4), will be increased. If, on the other

hand, they are moved downwards, the capacity of the thorax will be

proportionally diminished in every direction (fig. CXLI.).

[Illustration: Fig. CXLII.

View of the intercostal muscles which fill up the interspaces between

the ribs. These muscles consist of a double layer of fibres, the

external and the internal, which cross or intersect each other.]

382. One part of the action of inspiration consists, then, of this

ascent of the ribs. The ascent of the ribs is effected by the

contraction of a double layer of muscles called the intercostal (fig.

CXLII.), placed in succession between each rib; and which communicate

this motion in the following mode. The first rib is fixed; the second

rib is moveable, but less moveable than the third, the third than the

fourth, and so on through the series: consequently the contraction of

the intercostal muscles (figs. CXLII. and CXLVI. 2) must elevate the

whole series, because the upper ribs afford fixed points for the action

of the muscles; and so, when all these muscles contract together, they

necessarily pull the more moveable arches upwards towards the more

fixed (figs. CXLI. and CXLVI. 2).

383. But from the oblique direction of the ribs, they cannot ascend

without at the same time protruding forwards their anterior extremities

(fig. CXLI.). Those extremities being attached to the sternum, which

forms the anterior wall of the thorax, they cannot be protruded

forwards without at the same time carrying the sternum forwards with

them (fig. CXLI.). Thus, by this two-fold motion of the ribs, an upward

and consequently an outward motion, the capacity of the thorax is

increased from behind forwards, that is, in its small diameter.

384. Such is the part of the action, in inspiration, performed by the

motion of the ribs. The remaining part of that action, by far the most

important, consists of the enlargement of the capacity of the thorax

from above downwards, or in its long diameter. This is effected by the

descent of the diaphragm (fig. CXLIII.).

385. The diaphragm is a circular muscle, forming a complete but

moveable partition between the thorax and the abdomen (figs. CXXXIV.

10, and CXLIII. 3). When not in action its upper surface forms an

arch (figs. CXLIII. 4, and CXLV. 1), the convexity of which is towards

the thorax (figs. CXLIII. 4, and CXLV. 1), and reaches as high as

the fourth rib (fig. CXLV. 1); its under surface, or that towards

the abdomen, is concave (figs. CXXXIV. 10, and CXLV. 1). Its central

portion is tendinous (fig. CXLIII. 4). This central tendinous portion

of the diaphragm, which is in apposition with the heart (fig. CXXXIV.

8), and firmly attached to the pericardium (fig. CXXXIV. 7), is nearly

if not quite immoveable: it is only the lateral or muscular portions

(fig. CXLIII. 4) that are capable of motion. Its central portion is

constructed of dense and firm tendon, and is immoveable, primarily, in

order to afford one of the two fixed points (the ribs affording the

other fixed point), essential to the action of the muscular fibres that

constitute its lateral or moveable portions; and secondarily, in order

to afford a support to the heart, which rests upon this central tendon.

Thus, in consequence of this tendon being rendered absolutely fixed,

the motions of the diaphragm are completely prevented from incommoding

the motions of the heart; the function of respiration from interfering

with the function of the circulation.

[Illustration: Fig. CXLIII.—_View of the Diaphragm._

1. Cavities of the thorax. 2. Portion of cavity of the abdomen. 3.

Lateral or muscular and moveable portions of the diaphragm. 4. Central

or tendinous and fixed portion of the diaphragm.]

386. During the action of inspiration the muscular or lateral portions

of the diaphragm contract (fig. CXLIII. 3); its muscular fibres

shorten themselves, and are approximated towards the central tendon

(fig. CXLIII. 2); the consequence is that the whole muscle descends

(fig. CXLIV. 1); passes from the fourth to below the seventh rib

(fig. CXLIV.), loses its arched form and presents the appearance of

an oblique plane (fig. CXLIV.). At the same time the muscles of the

abdomen are protruded forwards (fig. CXLIV. 2), and the viscera

contained in its cavity are pushed downwards. The result of these

movements is, that the capacity of the thorax is enlarged by all the

space that intervenes between the fourth rib (fig. CXLV. 1), and the

lowest point of the oblique plane formed by the diaphragm (fig. CXLIV.

1), together with all that gained by the protrusion of the walls of the

abdomen and the descent of its viscera (fig. CXLIV. 2).

[Illustration: _Views of the Diaphragm in the different states of

Respiration._

Fig. CXLIV.

Fig. CXLV.

Fig. 144.—1. Diaphragm in its state of greatest descent in

inspiration. 2. Muscles of the abdomen, showing the extent of their

protrusion in the action of inspiration. Fig. 145.—1. Diaphragm in the

state of its greatest ascent in expiration. 2. Muscles of the abdomen

in action forcing the viscera and diaphragm upwards.]

387. By the action of the intercostal muscles, then, the capacity of

the thorax is enlarged at the sides and from behind forward, or in its

short diameter; by the action of the diaphragm, the capacity of the

thorax is enlarged from above downwards, or in its long diameter; by

the combined action of both, the capacity of the thorax is enlarged in

every direction, and thus the motion of inspiration is completed.

388. Expiration, the respiratory motion which alternates with that of

inspiration, consists of the diminution of the capacity of the thorax,

which is effected by the converse motions of the same organs; that is,

by the descent of the ribs and the ascent of the diaphragm.

389. By the descent of the ribs, the capacity of the thorax is

diminished in its short diameter, because by this motion, the oblique

arches of the ribs are approximated to each other and to the spinal

column, and the sternum is also approximated to the spinal column.

The descent of the ribs is effected first by the elasticity of their

cartilages (fig. CXLI. 2). When the intercostal muscles relax, the

force which raised the ribs ceases to be applied, and that moment the

elasticity of the cartilages comes into play, and carries the ribs down

wards. Secondly, by the contraction of the abdominal muscles (figs.

CXLV. 2, and CXLVI. 6, 7, 8), the direct effect of which is to pull the

ribs downwards (fig. CXLVI. 6, 7, 8).

390. By the ascent of the diaphragm the capacity of the thorax is

diminished in its long diameter (fig. CXLV. 1). When the diaphragm

ascends, it changes from the figure of an oblique plane (fig. CXLIV.

1), re-assumes its arched form (fig. CXLV. 1), and reaches as high as

the fourth rib (fig. CXLV. 1). At the same time the abdominal muscles

contract (fig. CXLV. 2), and are carried inwards towards the spinal

column (fig. CXLV. 2). The result of these movements is, that the

capacity of the thorax is diminished by all the space that intervenes

between the lowest point of the oblique plane formed by the diaphragm

and the fourth rib (fig. CXLV. 1), and by all the abdominal space lost

by the contraction of the muscles of the abdomen (fig. CXLV. 2).

[Illustration: Fig. CXLVI.—_View of the principal external Muscles of

Respiration._

1. The muscle called the Scalenus. 2. The muscles called the

Intercostals. 3. Subclavius. 4. The bone called the Clavicle. 5. The

muscle called the Serratus Magnus Anticus. 6. Obliquius Externus. 7.

Rectus. 8. Obliquius Internus.]

391. The first step necessary to the ascent of the diaphragm is the

relaxation of its muscular fibres. As soon as these fibres are in a

state of relaxation, that is, when the organ has changed from an active

to a completely passive state, the powerful muscles of the abdomen

(fig. CXLVI. 6, 7, 8) contract, and push the abdominal viscera and

the diaphragm with them upwards towards the cavity of the chest (fig.

CXLV. 2); and thus, by the descent of the ribs and the ascent of the

diaphragm, the capacity of the thorax is diminished in every direction,

and the motion of expiration is completed.

392. Such is the mechanism by which the capacity of the thorax is

alternately enlarged and diminished in the two alternate states of

inspiration and expiration, and the mechanism thus adjusted works in

the following mode.

393. Expiration succeeding to the state of inspiration, the ribs

descend, the diaphragm ascends, the capacity of the thorax lessens,

and the compressed lungs are forced within the smallest possible

space. Then, inspiration, succeeding to the state of expiration, the

ribs ascend and the diaphragm descends; the capacity of the thorax is

enlarged, and the lungs freed from their pressure expand and fill the

greater space obtained. In about a second and a half after the state

of inspiration has been induced, that of expiration recommences; the

motion of inspiration occupying about double the time of the motion

of expiration, and these alternate conditions succeed each other in a

regular and uniform course, day and night, during our sleeping and our

waking hours to the end of life.

394. As long as the function is performed in a perfectly natural

manner, a given number of these alternate movements takes place

in a certain time, constituting what is termed the rhythm of the

respiratory motions. These motions perfectly regular in number and

time, are likewise, in the natural state of the function, performed

only with a certain degree of energy; but they are variously modified

at the command of the will; in obedience to numerous sensations and

emotions; in the performance of a great variety of complex actions,

and in different states of disease. These modifying circumstances may

cause the action of inspiration to be more full and deep, and that of

expiration to be more forcible and complete than natural; or they may

cause both movements to be shorter and quicker than common: hence the

distinction of respiration into ordinary and extraordinary.

395. In ordinary respiration, that is, when the respiratory motions

are perfectly calm and easy, the ascent and descent of the ribs are

scarcely perceptible; the action is confined almost exclusively to the

ascent and descent of the diaphragm. In this condition the only action

of the intercostal muscles is to fix the ribs, and thus to afford one

of the two fixed points which have been shown (385) to be essential

to the action of the diaphragm. But in extraordinary respiration,

that is, when circumstances happen in the economy which require that

those motions should be extended, auxiliary sources can be put in

requisition. There are many powerful muscles situated about the breast,

shoulder and back (fig. CXLVI. and CXLVII.); which are capable of

elevating the ribs and protruding the sternum to a very considerable

extent (figs. CXLVI. 1, 2, 3, 5; and CXLVII. 1, 2, 3). Where, for

example, the fullest inspiration which it is possible to take is

required, the bones of the shoulder and shoulder-joint are firmly

fixed by resting the hands upon the knees, and then every muscle which

has the slightest connexion with the thorax, either before or behind,

capable of raising the ribs, is added to the inspiratory apparatus

(figs. CXLIV. and CXLVII.); at the same time that the abdominal muscles

are relaxed to the utmost degree, in order to facilitate the ascent of

the ribs and the descent of the diaphragm (figs. CXLIV. 2, and CXLVI.

6, 7, 8). If, on the contrary, the fullest possible expiration is

required, the abdominal muscles contract most forcibly (fig. CXLV. 2),

and every other muscle which is capable of still farther depressing the

ribs and of elevating the diaphragm (fig. CXLVI. 6, 7, 8) is called

into intense action. By these forcible and extraordinary efforts the

thorax may be enlarged or diminished double its ordinary capacity.

[Illustration: Fig. CXLVII.—_View of Muscles which are capable of

assisting in elevating the Ribs and protruding the Sternum, in states

of extraordinary respiration._

1. The muscle called the Great Pectoral. 2. The Small Pectoral. 3. The

Serratus Magnus.]

396. Such are the mechanism and action of the powers which communicate

to the thorax, the motions by which its capacity is alternately

enlarged and diminished, and by which the requisite impulse is

communicated to the fluids which flow to and from the lungs in the

different states of respiration; that is, by which air and blood flow

to the lungs in the action of inspiration, and from the lungs in the

action of expiration.

The Philosophy of Health; Volume 2 (of 2) or, an exposition of the physical and mental constitution of man · 第 1 / 9 章