CHAPTER X.

THE FIRST POSITION: OF THE QUANTITY OF BLOOD PASSING FROM THE VEINS TO

THE ARTERIES. AND THAT THERE IS A CIRCUIT OF THE BLOOD, FREED FROM

OBJECTIONS, AND FARTHER CONFIRMED BY EXPERIMENT.

So far our first position is confirmed, whether the thing be referred to

calculation or to experiment and dissection, viz., that the blood is

incessantly infused into the arteries in larger quantities than it can

be supplied by the food; so that the whole passing over in a short

space of time, it is matter of necessity that the blood perform a

circuit, that it return to whence it set out.

But if any one shall here object that a large quantity may pass through

and yet no necessity be found for a circulation, that all may come from

the meat and drink consumed, and quote as an illustration the abundant

supply of milk in the mammæ--for a cow will give three, four, and even

seven gallons and more in a day, and a woman two or three pints whilst

nursing a child or twins, which must manifestly be derived from the food

consumed; it may be answered, that the heart by computation does as much

and more in the course of an hour or two.

And if not yet convinced, he shall still insist, that when an artery is

divided a preternatural route is, as it were, opened, and that so the

blood escapes in torrents, but that the same thing does not happen in

the healthy and uninjured body when no outlet is made; and that in

arteries filled, or in their natural state, so large a quantity of blood

cannot pass in so short a space of time as to make any return

necessary;--to all this it may be answered, that from the calculation

already made, and the reasons assigned, it appears, that by so much as

the heart in its dilated state contains in addition to its contents in

the state of constriction, so much in a general way must it emit upon

each pulsation, and in such quantity must the blood pass, the body being

healthy and naturally constituted.

But in serpents, and several fishes, by tying the veins some way below

the heart, you will perceive a space between the ligature and the heart

speedily to become empty; so that, unless you would deny the evidence of

your senses, you must needs admit the return of the blood to the heart.

The same thing will also plainly appear when we come to discuss our

second position.

Let us here conclude with a single example, confirming all that has been

said, and from which every one may obtain conviction through the

testimony of his own eyes.

If a live snake be laid open, the heart will be seen pulsating quietly,

distinctly, for more than an hour, moving like a worm, contracting in

its longitudinal dimensions, (for it is of an oblong shape,) and

propelling its contents; becoming of a paler colour in the systole, of a

deeper tint in the diastole; and almost all things else by which I have

already said that the truth I contend for is established, only that

here everything takes place more slowly, and is more distinct. This

point in particular may be observed more clearly than the noon-day sun:

the vena cava enters the heart at its lower part, the artery quits it at

the superior part; the vein being now seized either with forceps or

between the finger and thumb, and the course of the blood for some space

below the heart interrupted, you will perceive the part that intervenes

between the fingers and the heart almost immediately to become empty,

the blood being exhausted by the action of the heart; at the same time

the heart will become of a much paler colour, even in its state of

dilatation, than it was before; it is also smaller than at first, from

wanting blood; and then it begins to beat more slowly, so that it seems

at length as if it were about to die. But the impediment to the flow of

blood being removed, instantly the colour and the size of the heart are

restored.

If, on the contrary, the artery instead of the vein be compressed or

tied, you will observe the part between the obstacle and the heart, and

the heart itself, to become inordinately distended, to assume a deep

purple or even livid colour, and at length to be so much oppressed with

blood that you will believe it about to be choked; but the obstacle

removed, all things immediately return to their pristine state--the

heart to its colour, size, stroke, &c.

Here then we have evidence of two kinds of death: extinction from

deficiency, and suffocation from excess. Examples of both have now been

set before you, and you have had opportunity of viewing the truth

contended for with your own eyes in the heart.

The Works of William Harvey M.D. Translated from the Latin with a life of the author · 第 10 / 27 章