CHAPTER IV.

OF THE MOTION OF THE HEART AND ITS AURICLES, AS SEEN IN THE BODIES OF

LIVING ANIMALS.

Besides the motions already spoken of, we have still to consider those

that appertain to the auricles.

Caspar Bauhin and John Riolan,[85] most learned men and skilful

anatomists, inform us from their observations, that if we carefully

watch the movements of the heart in the vivisection of an animal, we

shall perceive four motions distinct in time and in place, two of which

are proper to the auricles, two to the ventricles. With all deference to

such authority I say, that there are four motions distinct in point of

place, but not of time; for the two auricles move together, and so also

do the two ventricles, in such wise that though the places be four, the

times are only two. And this occurs in the following manner:

There are, as it were, two motions going on together; one of the

auricles, another of the ventricles; these by no means taking place

simultaneously, but the motion of the auricles preceding, that of the

heart itself following; the motion appearing to begin from the auricles

and to extend to the ventricles. When all things are becoming languid,

and the heart is dying, as also in fishes and the colder blooded

animals, there is a short pause between these two motions, so that the

heart aroused, as it were, appears to respond to the motion, now more

quickly, now more tardily; and at length, and when near to death, it

ceases to respond by its proper motion, but seems, as it were, to nod

the head, and is so obscurely moved that it appears rather to give signs

of motion to the pulsating auricle, than actually to move. The heart,

therefore, ceases to pulsate sooner than the auricles, so that the

auricles have been said to outlive it, the left ventricle ceasing to

pulsate first of all; then its auricle, next the right ventricle; and,

finally, all the other parts being at rest and dead, as Galen long since

observed, the right auricle still continues to beat; life, therefore,

appears to linger longest in the right auricle. Whilst the heart is

gradually dying, it is sometimes seen to reply, after two or three

contractions of the auricles, roused as it were to action, and making a

single pulsation, slowly, unwillingly, and with an effort.

But this especially is to be noted, that after the heart has ceased to

beat, the auricles however still contracting, a finger placed upon the

ventricles perceives the several pulsations of the auricles, precisely

in the same way and for the same reason, as we have said, that the

pulses of the ventricles are felt in the arteries, to wit, the

distension produced by the jet of blood. And if at this time, the

auricles alone pulsating, the point of the heart be cut off with a pair

of scissors, you will perceive the blood flowing out upon each

contraction of the auricles. Whence it is manifest how the blood enters

the ventricles, not by any attraction or dilatation of the heart, but

thrown into them by the pulses of the auricles.

And here I would observe, that whenever I speak of pulsations as

occurring in the auricles or ventricles, I mean contractions: first the

auricles _contract_, and then and subsequently the heart itself

_contracts_. When the auricles contract they are seen to become whiter,

especially where they contain but little blood; but they are filled as

magazines or reservoirs of the blood, which is tending spontaneously

and, by the motion of the veins, under pressure towards the centre; the

whiteness indicated is most conspicuous towards the extremities or edges

of the auricles at the time of their contractions.

In fishes and frogs, and other animals which have hearts with but a

single ventricle, and for an auricle have a kind of bladder much

distended with blood, at the base of the organ, you may very plainly

perceive this bladder contracting first, and the contraction of the

heart or ventricle following afterwards.

But I think it right to describe what I have observed of an opposite

character: the heart of an eel, of several fishes, and even of some [of

the higher] animals taken out of the body, beats without auricles; nay,

if it be cut in pieces the several parts may still be seen contracting

and relaxing; so that in these creatures the body of the heart may be

seen pulsating, palpitating, after the cessation of all motion in the

auricle. But is not this perchance peculiar to animals more tenacious of

life, whose radical moisture is more glutinous, or fat and sluggish, and

less readily soluble? The same faculty indeed appears in the flesh of

eels, generally, which even when skinned and embowelled, and cut into

pieces, are still seen to move.

Experimenting with a pigeon upon one occasion, after the heart had

wholly ceased to pulsate, and the auricles too had become motionless, I

kept my finger wetted with saliva and warm for a short time upon the

heart, and observed, that under the influence of this fomentation it

recovered new strength and life, so that both ventricles and auricles

pulsated, contracting and relaxing alternately, recalled as it were from

death to life.

Besides this, however, I have occasionally observed, after the heart and

even its right auricle had ceased pulsating,--when it was in articulo

mortis in short, that an obscure motion, an undulation or palpitation,

remained in the blood itself, which was contained in the right auricle,

this being apparent so long as it was imbued with heat and spirit. And

indeed a circumstance of the same kind is extremely manifest in the

course of the generation of animals, as may be seen in the course of the

first seven days of the incubation of the chick: A drop of blood makes

its appearance which palpitates, as Aristotle had already observed; from

this, when the growth is further advanced and the chick is fashioned,

the auricles of the heart are formed, which pulsating henceforth give

constant signs of life. When at length, and after the lapse of a few

days, the outline of the body begins to be distinguished, then is the

ventricular part of the heart also produced; but it continues for a time

white and apparently bloodless, like the rest of the animal; neither

does it pulsate or give signs of motion. I have seen a similar condition

of the heart in the human fœtus about the beginning of the third month,

the heart being then whitish and bloodless, although its auricles

contained a considerable quantity of purple blood. In the same way in

the egg, when the chick was formed and had increased in size, the heart

too increased and acquired ventricles, which then began to receive and

to transmit blood.

And this leads me to remark, that he who inquires very particularly into

this matter will not conclude that the heart, as a whole, is the primum

vivens, ultimum moriens--the first part to live, the last to die, but

rather its auricles, or the part which corresponds to the auricles in

serpents, fishes, &c., which both lives before the heart[86] and dies

after it.

Nay, has not the blood itself or spirit an obscure palpitation inherent

in it, which it has even appeared to me to retain after death? and it

seems very questionable whether or not we are to say that life begins

with the palpitation or beating of the heart. The seminal fluid of all

animals--the prolific spirit, as Aristotle observed, leaves their body

with a bound and like a living thing; and nature in death, as

Aristotle[87] further remarks, retracing her steps, reverts to whence

she had set out, returns at the end of her course to the goal whence she

had started; and as animal generation proceeds from that which is not

animal, entity from non-entity, so, by a retrograde course, entity, by

corruption, is resolved into non-entity; whence that in animals, which

was last created, fails first; and that which was first, fails last.

I have also observed, that almost all animals have truly a heart, not

the larger creatures only, and those that have red blood, but the

smaller, and [seemingly] bloodless ones also, such as slugs, snails,

scallops, shrimps, crabs, crayfish, and many others; nay, even in wasps,

hornets and flies, I have, with the aid of a magnifying glass, and at

the upper part of what is called the tail, both seen the heart pulsating

myself, and shown it to many others.

But in the exsanguine tribes the heart pulsates sluggishly and

deliberately, contracting slowly as in animals that are moribund, a fact

that may readily be seen in the snail, whose heart will be found at the

bottom of that orifice in the right side of the body which is seen to be

opened and shut in the course of respiration, and whence saliva is

discharged, the incision being made in the upper aspect of the body,

near the part which corresponds to the liver.

This, however, is to be observed: that in winter and the colder season,

exsanguine animals, such as the snail, show no pulsations; they seem

rather to live after the manner of vegetables, or of those other

productions which are therefore designated plant-animals.

It is also to be noted that all animals which have a heart, have also

auricles, or something analogous to auricles; and further, that wherever

the heart has a double ventricle there are always two auricles present,

but not otherwise. If you turn to the production of the chick in ovo,

however, you will find at first no more than a vesicle or auricle, or

pulsating drop of blood; it is only by and by, when the development has

made some progress, that the heart is fashioned: even so in certain

animals not destined to attain to the highest perfection in their

organization, such as bees, wasps, snails, shrimps, crayfish, &c., we

only find a certain pulsating vesicle, like a sort of red or white

palpitating point, as the beginning or principle of their life.[88]

We have a small shrimp in these countries, which is taken in the Thames

and in the sea, the whole of whose body is transparent; this creature,

placed in a little water, has frequently afforded myself and particular

friends an opportunity of observing the motions of the heart with the

greatest distinctness, the external parts of the body presenting no

obstacle to our view, but the heart being perceived as though it had

been seen through a window.

I have also observed the first rudiments of the chick in the course of

the fourth or fifth day of the incubation, in the guise of a little

cloud, the shell having been removed and the egg immersed in clear tepid

water. In the midst of the cloudlet in question there was a bloody point

so small that it disappeared during the contraction and escaped the

sight, but in the relaxation it reappeared again, red and like the

point of a pin; so that betwixt the visible and invisible, betwixt being

and not being, as it were, it gave by its pulses a kind of

representation of the commencement of life.[89]

The Works of William Harvey M.D. Translated from the Latin with a life of the author · 第 4 / 27 章