that which in the hen’s egg I have called the colliquament) is secreted
by this “primordium” or “ovum;” in clearness and brilliancy far
exceeding the remaining fluid of the ovum in which it is contained. It
is of a circular form, and inclosed in a very delicate and transparent
membrane of its own called the “amnion.” The other fluid, of a denser
and thicker character, is contained in the outer envelope, or chorion,
which is in immediate contact with the concave surface of the uterus,
and which also encompasses the entire ovum: the shape of this second
membrane varies according to that of the uterus: in some animals it is
oval, in others oblong, but in those with cloven feet it resembles a
saddle-bag. After a short time a red pulsating point shows itself within
the transparent substance, and from this point exceedingly fine twigs,
or rather rays of vessels, start forth. By and by the first aggregated
portion of the body makes its appearance, folded upon itself
orbicularly, and somewhat resembling a grub: the remaining parts follow
in the order described in our history. For I have ascertained that the
production of the fœtus from their ova or “conceptions” in viviparous
animals, takes place exactly in the same way as the growth of the chick
within the egg.
As I before observed, “conceptions” in viviparous animals vary in form,
number, and in their modes of attachment to the uterus. At first,
especially in the cloven-footed animals, the “conception” does not
adhere to the uterus, but is only in contact with, and fills and
distends the organ, and can be easily extracted entire. In
cloven-footed animals, which conceive within the horns of the uterus,
and also in the solidungula, one ovum only of this kind is found, and
that stretching up into either horn of the uterus: and although these
animals sometimes produce one, sometimes two young at a birth, and so
sometimes one, sometimes two colliquaments are found, one in the right,
the other in the left horn of the uterus, yet the two are always
contained in one and the same ovum.
In other animals, however, the number of ova answers to the number of
fœtuses, and within them are as many colliquaments: this is the case in
the dog, cat, mouse, and other animals of this kind with teeth in either
jaw. In cloven-footed animals the ovum is shaped like a saddle-bag: the
form, in fact, under which Fabricius represented the allantois. In the
mare, the figure of the uterus internally resembles an oblong bag; in
the woman it is of a globular form.
In animals in whom the “conception” adheres to the uterus, (and in very
many it does not do so until the fœtus is fully formed), this takes
place in various modes. In some it is adherent in one place by the
intervention of a fleshy substance, which in the woman is called the
“placenta,” from its resemblance to a round cake (placenta): in others
it is attached at many points by certain fleshy bodies, or “carunculæ:”
these are five in number in the hind and doe; more numerous, but of
smaller size, in the cow; and in the sheep they are in great numbers and
of various sizes. In dogs and cats these fleshy bodies entirely surround
each ovum like a girdle. A similar substance, in the hare and mole,
grows to the side of the uterus: like the human placenta, which embraces
about half the “conception,” (just as the cup does the acorn at the
commencement of its growth), it is attached by its convex aspect to the
uterus, and by its concave surface to the chorion.
With these observations premised, I shall now state my opinions on the
humours, membranes, fleshy substance of the uterus, and the distribution
of the umbilical vessels, in the order described by Fabricius.
The words δεύτερα and ὔστερα are correctly understood by Fabricius[379]
to answer to “secundæ” and “secundina” (the secundines): and by these
are implied not only the membranes, but everything which comes away from
the uterus at the last stage of parturition, or at least not long after
it, viz. the humours, membranes, fleshy substance, and umbilical
vessels.
_Of the Humours._
The doctrines inculcated on the subject of the humours, and which, as
being entertained by the ancients, Fabricius regards as certain truths
requiring no farther proof, are altogether inconsistent and false; the
doctrines, I mean, that the fluid within the amnion, wherein the fœtus
swims, consists of sweat; and that within the chorion of urine. For both
these humours are found in the “conception” before any trace of the
fœtus is visible; added to which, the fluid they call urine can be seen
before that which they regard as sweat. In truth, these humours,
especially the outer one, may be observed in unfruitful conceptions
where nothing like a fœtus is discoverable.
Women sometimes expel conceptions of this kind, analogous to the
subventaneous or wind egg. Aristotle[380] says they are called “fluxes;”
among ourselves they are termed “false conceptions,” or “slips.” An ovum
of this kind was aborted in the case of Hippocrates’s pipe-player. “In
all creatures,” we are informed on the authority of Aristotle,[381]
“which breed another within themselves, immediately on conception an
egg-like body is formed; that is to say, a body in which a fluid is
contained within a delicate membrane just like an egg with the shell
removed.” The humour in the chorion, which Fabricius and other
physicians consider to be urine, Aristotle seems to have regarded as the
seminal fluid (spermatis sive genituræ liquor). He says,[382] “when the
semen is received into the uterus, after a certain time it becomes
surrounded by a membrane, and if expulsion takes place before the fœtus
is formed, it has the appearance of an egg with the shell removed and
covered by its membrane: this membrane, moreover, is loaded with
vessels.” It is, in fact, the chorion; so called from the conflux or
multitude of veins. I have often observed ova of this kind escape in the
second and third month; they are frequently decomposed internally, and
come away gradually in the form of a leucorrhœal discharge, and thus the
hopes of the parent are lost.
Another reason why these humours cannot be sweat and urine, is, that
they exist in such abundance at the very beginning;--for the purpose, no
doubt, of preventing the body of the fœtus from coming in contact with
the adjacent parts when the mother runs, jumps, or uses violent exertion
of any kind.
Added to which, many animals never sweat at all, (and we must remember
what is said by Aristotle,[383] “that all creatures which swim, walk, or
fly,” I will add serpents and insects, whether viviparous or oviparous,
or generated spontaneously, “are produced after the same manner,”) as is
the case with birds, serpents, and fishes, which neither sweat nor pass
urine. The dog and cat also never sweat; neither in fact does any animal
in which the urinary secretion is very abundant. Besides, it is
impossible that urine can be passed before the kidneys and bladder are
formed.
Moreover, and this is the strongest argument that can be brought
forward, those humours can never be excrementitious into which so many
branches of the umbilical vessels are distributed by means of the
chorion; these vessels, in fact, in this manner taking up nourishment,
(as it were from a large reservoir,) and then conducting it to the
fœtus.
Besides what need is there of an allantois, if the fluid within the
chorion is urine? And if that in the amnion is sweat, why does Nature,
who contrives all things well, ordain that the fœtus should float about
in its own excrement? And why, too, should the mother (as is the case
with some animals) immediately after birth, so greedily devour the
excretions of its own offspring, together with the containing membranes?
Some have even observed that if the animal fails to eat up these matters
it does not give its milk freely.
Notwithstanding these arguments, it may possibly be imagined by some
that the humours which I believe serve for the nutrition of the fœtus
are excrementitious, led chiefly by the fact that they increase as the
fœtus grows larger, and in some animals are observed to exist in immense
quantities at the period of birth (at which time it might be supposed
that all alimentary matters would have been absorbed), and serve besides
other uses hardly compatible with their supposed function of nutrition.
I nevertheless most confidently assert my belief that these humours are
at the commencement destined for the nourishment of the fœtus, just as
the colliquament and albumen are in the case of the chick; but that, in
course of time, when the thinner and purer portions are absorbed, the
remainder takes on the character of excrementitious matter, but still
has its uses, and in some animals especially conduces to the safety of
the fœtus, and also greatly facilitates birth. For just as wine becomes
poor and tasteless when the spirit has evaporated; and as all excreted
matters owe their origin for the most part to what has been previously
food; so, after all the nutrient portions of the fluid contained in the
chorion have been taken up by the fœtus, the remainder become
excrementitious, and is applied to the above-mentioned uses. But all the
fluid of the amnion is usually consumed by the time of birth; so that it
is probable the fœtus seeks its exit on account of deficiency of
nutriment.
Lastly, if any other fluid is ever contained within the allantois, and
this is sometimes the case, I believe it to be unnatural. For sometimes
we see women at their delivery have an enormous flow of water, sometimes
a distinctly double flow; and this the midwives call the “by-waters.”
And so some women are seen with the abdomen immensely distended, and yet
they bring forth a little shrivelled fœtus accompanied by a vast flow of
water. Some imagine that a larger quantity of water is found with weakly
and female children, whilst stronger and male fœtuses have a smaller
share. I have often seen the waters come away in the middle of
pregnancy, and abortion not take place, the child remaining strong and
vigorous until birth. Since, then, there are naturally two collections
of fluid, one in the chorion, the other in the amnion, so it sometimes
happens that unnatural accumulations take place either in membranes of
their own, or between the duplicatures of the chorion.
_Of the Membranes._
With respect to the membranes or tunics of the uterus; as their special
office is to contain the “waters,” and as these waters are two only, it
is pretty certain that the membranes themselves do not necessarily or
usually exceed that number.
Those who enumerate three tunics are, I believe, in error, owing to the
ancients having described the same membrane at one time under the title
of “chorion,” from the concourse of veins, at another under the name of
“allantois” from its form.
Unquestionably, every “conception” is inclosed in two envelopes, just as
the brain is surrounded by its two membranes; every tree and fruit,
moreover, has its double bark; and lastly, seeds and fruits are
protected by a double covering, the outermost of which is harder and
stronger than the inner one.
Of the above-mentioned membranes, the innermost (that which contains the
colliquament or purer fluid,) is exceedingly delicate; it is called the
“amnion,” i.e. the mantle, from the way in which it is disposed round
the fœtus. The outer tunic, however, is much thicker and stronger, and
has received the name of “chorion,” “because,” says Fabricius, “a
multitude of arteries and veins are aggregated together and arranged in
it, as it were, after the manner of a chorus. Hence one of the tunics of
the eye has been denominated χοροειδὴς (choroid) from its vessels having
a similar arrangement to those in the chorion; the plexus of arteries
and veins in the ventricles of the brain has also gained its name from
the same circumstance.”
The chorion fills the whole uterus, and contains a viscid and rather
turbid fluid; whilst the placenta, or carunculæ, adhere to its outer
surface, and thus attach the “conception” to the uterus.
In the woman it is usually adherent to the amnion at its lower portion;
nor can it be separated there without difficulty. In cloven-footed
animals the chorion is of very large size, and contains a hundred times
more fluid than the amnion: this last membrane at first is scarcely as
large as a nutmeg, or broad bean, and is generally found in one or other
horn of the uterus; that, namely, in which the embryo lies.
In the woman, more particularly, the chorion is externally rough and
viscous, but internally it is smooth, slippery, and interwoven with
abundance of vessels. In the woman, also, the upper part is thick and
soft, but the lower is thinner and more membranous in character.
The placenta in the woman grows to the upper part of this membrane. In
the sheep, numerous carunculæ adhere to it at various points. In the
fallow and red deer the ovum is united to the uterus in five places
only; whilst in the mare it is in contact with the inner surface of the
uterus by an almost infinite number of points of attachment. Hence
Fabricius[384] states that in almost all viviparous animals there is a
soft, loose, porous, and thick fleshy body of a dark colour, in intimate
union with the terminations of the umbilical vessels; he compares it to
a sponge, or to the loose parenchyma of the liver or spleen; hence, too,
it was called by Galen[385] “glandular flesh;” and it is now commonly
known by the name of the uterine liver, in which the extremities of the
umbilical vessels ramify to bring nutriment from the uterus to the
fœtus.
But this fleshy substance is not found in all animals, nor at all
periods of utero-gestation; but in those alone in which the conception
adheres to the uterus; and then only when it becomes attached for the
purpose of taking up nutriment. At the commencement the “conception”
(like an egg placed within the uterus) is found in contact with every
part of the uterus, yet at no point is it adherent; but produces and
nourishes the embryo out of the humours contained within it, as I have
explained in the instance of the hen’s egg. This adhesion, or growing
together, first takes place, and the fleshy mass (constituting the bond
of union between the “conception” and the uterus) is first produced,
when the fœtus becomes perfectly formed, and, through want either of
different or more abundant nourishment, dispatches the extremities of
the umbilical vessels to the uterus, that from hence, (as plants do from
the earth by their radicles) it may absorb the nutrient juices. For in
the beginning, as I have said, when the “punctum saliens” and the blood
can alone be seen, the ramifications of the umbilical vessels are only
visible in the colliquament and amnion. When, however, the fabric of
the body is completely formed, the ramifications extend further, and are
distributed in vast numbers throughout the chorion, that from the
albuminous fluid which there exists, they may obtain nourishment for the
fœtus.
Hence it is manifest that the young of viviparous animals are at the
beginning nourished in exactly the same manner as the chick in the egg;
and that they are detained within the uterus in order that (when they
can no longer supply themselves with nutriment from their own stores)
they may form adhesions to it by means of this fleshy substance, and
receiving more abundant supplies of food from the mother, may be
nourished and made to grow.
Wherefore Fabricius has rightly observed, that in some animals the
“conception” is scarcely attached to the uterus at all. Thus the sow and
the mare have no such fleshy mode of union,--but in them the ovum or
“conception,” as in the beginning it is formed out of the humours of the
uterus, so it is nourished subsequently by the same means; just as the
ovum of the hen is supplied with aliment at the expense of the
albuminous matter without any connexion whatever with the uterus: and
thus the fœtus is furnished with aliment by the “conception” in which it
is contained, and is nourished as the chick is from the fluids of the
egg. This is a strong argument that the fœtus of viviparous animals is
no more nourished by the blood of the mother than the chick in the egg;
and moreover, that the fluid within the chorion is neither urine nor any
other excrementitious matter; but serves for the support of the fœtus.
Although, as I have before remarked, it is possible when all the
nutrient portions have been taken up, the remainder may degenerate into
excrementitious matter resembling urine. This is also clear from what I
formerly observed of the cotyledons in the deer, viz., that in these
animals the fleshy mass was of a spongy character, and constituted, like
a honeycomb, of innumerable shallow pits filled with a muco-albuminous
fluid, (a circumstance already observed by Galen[386]); and that from
this source the ramifications of the umbilical vessels absorbed the
nutriment and carried it to the fœtus: just as, in animals after their
birth, the extremities of the mesenteric vessels are spread over the
coats of the intestines and thence take up chyle.
_Of the Placenta._
In my opinion, then, the placenta and carunculæ have an office analogous
to that of the liver and mamma. The liver elaborates for the nourishment
of the body, the chyle previously taken up from the intestines: the
placenta, in like manner, prepares for the fœtus alimentary matters
which have come from the mother. The mammæ also, which are of a
glandular structure, swell with milk, and although in some animals they
are not even visible at other times, they become full and tumid at the
period of pregnancy; so, too, the placenta, a loose and fungus-like
body, abounds in an albuminous fluid, and is only to be found at the
period of pregnancy. The liver, I say, then, is the nutrient organ of
the body in which it is found; the mamma is the same of the infant, and
the placenta of the embryo. And just as the mother forms more milk from
her food than is requisite to sustain her own flesh and blood, which
milk is digested and elaborated in the mamma; so do those animals,
furnished with a placenta, supply to the fœtus nourishment which is
purified in that organ. Hence it happens that the embryo is furnished
with good or bad nutriment just as the mother takes wholesome or
unwholesome food, and in proportion as it is elaborately prepared or not
in these uterine structures. For some embryos have a more perfect
structure provided for them, such as that fleshy substance mentioned
above, which in some is altogether wanting. In some, also, the placenta
is observed to be thicker, larger, and more loaded with blood; whilst in
others it is more spongy and white, like the thymus or pancreas. But
there is not more variety found in the placenta than in the mamma or
viscera generally: for instance, the liver in some animals is red and
filled with blood, in others, as is the case with fishes and some
cachectic persons in the human species, it is of much paler hue. The
mare feeds on crude grass, and does not ruminate; the sow gorges itself
with any unclean food; and in both the placenta, or organ for perfecting
the aliment, is wanting.
Rightly then is it observed by Fabricius,[387] that “this fleshy
structure, differs much in shape, size, position, and number in
different kinds of animals. The human female has one placenta only; as
is the case with the mouse, rabbit, guinea-pig, dog, and cat:” so also
with many animals which have the toes distinct, and incisor teeth in
both jaws. “All those which have the hoof cloven and incisors in one jaw
only, have several placentæ, whether they be domesticated animals, like
the sheep, cow, and goat, or wild, as the red-deer, roe, fallow-deer,
and others of the same kind. Again, where there is only one of these
fleshy structures it either resembles a cake, (whence its name
placenta), as in the human female, rabbit, hare, mole, mouse, and
guinea-pig; or else it is like a girdle or bandage encircling the trunk
of the body, as in the dog, cat, ferret, and the like.” In some it
resembles the cup or chalice of the acorn, and surrounds the greater
part of the “conception,” as in the hare and rabbit, its convex part
adhering to the uterus, the concave looking towards the fœtus. “Again,
in animals which have this structure in the form of a cake, although the
shape is similar, the situation in which it is found is very different.
In the human female it adheres to the fundus of the uterus, and is as
far removed from the fœtus as possible, their connexion being effected
by means of long vessels. In the mouse, guinea-pig, and rabbit, it is
attached partly in the region of the loins, partly at the sides of the
thorax. Those animals which have numerous placentæ are all furnished
with incisors in one jaw only, as the sheep, cow, goat, red-deer, roe,
and the like. Yet in these some variety is observable.”
For in the sheep the carunculæ are many in number, and of different
magnitudes, the largest being of the size of a nutmeg, the smallest of
that of a pea or vetch: they are also of a rounded form and reddish hue,
with their convex portion turned towards the uterus, something in the
semblance of soft warts or nipples. “In the cow they are larger, wider,
and whiter, more like a spongy or fungoid body,” and they appear to take
their origin from the chorion. In the red or fallow-deer they are five
only in number; these spring from the walls of the uterus, and thrust
themselves inwards, exhibiting their depressions or acetabula on the
side of the fœtus. But in all animals it is observed that the carunculæ
adhere firmly to the uterus, and cannot be separated from it without
considerable difficulty, except at the period of birth; at which time
they become loosened from their attachments and fall like ripe fruit. If
they are forcibly torn from the uterus, I have observed the greater part
of the blood that escapes to flow, not from the “conception,” but from
the uterus itself.
Fabricius,[388] when discussing the mode of union between the “fleshy
substance” and the uterus, uses many arguments, but in my opinion weak
ones, to prove that the umbilical vessels anastomose with those of the
uterus: yet he seems chiefly to have done so to countenance the old
opinion once held almost by all; for he confesses that he can make no
positive assertion on the subject, “because the fleshy mass itself
stands in the way of any accurate investigation.” Yet neither reason nor
observation would lead us to believe that more anastomoses exist in the
uterus, than in the liver between the branches of the vena portæ and the
cava; or in the mamma, between the vessels which transmit blood and
those which carry milk. There may be, indeed, at places a juxtaposition
of vessels, and sometimes the insertion of one into the coats of
another; but the perfect coalition and union, described by Fabricius,
never exist. Were it so, the veins and arteries ought to be continuous;
for the vessels which bring the blood from the mother into the uterus
and carunculæ are arteries, whilst those which pass from the uterus to
the fœtus are veins, as is readily apparent; for they carry blood from
the placenta into the vena cava.
Hence the opinion of Arantius seems to me to be the true one, viz. that
the orifices of the umbilical veins are in no way continuous with the
uterine vessels. For there is a smaller number of vessels carrying blood
to the uterus than there is of veins returning it to the fœtus; and the
greater part of the roots of those terminate in the chorion. Yet
Fabricius, either from respect to the ancients, or through an envious
feeling towards Arantius, most pertinaciously holds to the old opinion.
_Of the Acetabula._
Fabricius[389] has ascertained nothing on the subject of the
“cotyledons” or “acetabula;” he gives only the various opinions of the
ancients. In the former part of my work, however, in the history of the
fœtus in the deer, I have mentioned the animals in which acetabula are
found; at the same time I described them as constituting numerous cells
of a small size scattered throughout the carunculæ, or “fleshy
substance,” and filled with an albuminous or mucilaginous fluid, like a
honeycomb full of honey.
In the deer they greatly resemble in shape the cavity of the haunch-bone
which receives the head of the thigh; hence their name in Greek,
κοτυλήδονες (little measures); and in Latin, acetabula, because they
resemble the little cups formerly brought to table filled with vinegar
for sauce.
These cavities do not exceed in size the holes in a large sponge, and a
delicate ramification of the umbilical vessels penetrates deeply into
each of them; for in them aliment is laid up for the fœtus, not indeed
constituted of blood, as Fabricius would have it, but matter of a mucous
character, and greatly resembling the thicker part of the albumen in the
egg. Hence it is clear, as I have before observed, that the fœtus in
cloven-footed animals (as indeed in all others) is not nourished by the
blood of the mother.
Aristotle’s[390] statement, “that the acetabula gradually diminish with
the growth of the fœtus, and at last disappear,” is not borne out by
experiment; for as the fœtus increases so do the carunculæ; the
acetabula at the same time become more capacious and numerous, and more
full of the albuminous matter.
If the carunculæ are pressed no blood escapes, but just as water or
honey can be squeezed from a sponge or honeycomb, so if pressure is made
a whitish fluid oozes from out of the acetabula, which then become
shrunk, white, and flaccid, and at last come to resemble a nipple, or a
large flabby wart.
Aristotle asserts, with truth, that acetabula are not found in all
animals; for they do not exist in the woman, nor (as far as I know) in
any animal which possesses a single fleshy substance or placenta. As to
the uses of the carunculæ, I believe that, like the mamma, they
elaborate not blood but a fluid resembling albumen, and that this serves
for the nourishment of the fœtus.
_Of the Umbilical Cord._
Fabricius gives an elegant description, as well as most beautiful
figures, of the umbilical vessels. “The veins,” he says,[391] “which
pass from the uterus in the direction of the fœtus are always closely
united and become larger and larger as they proceed; nor does this
mutual interlacement cease until all end in two large trunks; these
penetrate the fœtus at the umbilicus, and become one vein of great size,
which is inserted into the liver of the fœtus, and has a communication
both with the vena cava and vena portæ. In like manner the arteries
which accompany the veins, being many in number and exceedingly minute,
pass from the uterus towards the fœtus, and, gradually uniting and
increasing in size, terminate in two large trunks; these, after
penetrating the umbilicus, separate from the veins, and attaching
themselves to the lateral surface of the bladder by the intervention of
a membrane, proceed downwards on either side and become continuous with
the branches of the aorta descending to the thigh.” It must be observed,
however, that this description of Fabricius applies only to the
umbilical vessels of the human fœtus, and not to the young of every
animal. Nor even does it hold in the case of the human fœtus except when
it is full grown; for at the beginning the arteries make little show,
and are so small as to require the eyes of a lynx to see them; nor
afterwards indeed are they distinguishable except by their pulsation: in
other particulars they resemble veins. Since then, as I have elsewhere
shown, the very small branches of arteries do not pulsate, in so far as
the eye is concerned, there can be no difference between them and veins.
The arteries, I say, at this time are so fine and minute, that they are
woven, as it were, like the most delicate threads, into the tissues of
the veins, or rather in some obscure manner insinuate themselves into
them; hence they almost entirely elude the sight. But all the veins, by
a retrograde movement, unite their twigs and terminate in one trunk like
the branches of a tree, in the same manner as the mesenteric veins, all
of which terminate in the vena portæ.
Near the embryo [the umbilical veins] are divided into two trunks, but
when entered within it they constitute one umbilical vein, which ends in
the vena cava, near the right auricle of the heart, and passes through
the liver, entering the vena portæ; giving off no branches besides until
it leaves the convex portion of the liver by a very large orifice. So
that if the vena cava is opened from the right auricle downwards and
emptied of blood, three apertures may be seen close to each other; one
is the entrance of the vena cava descendens, the second that of the
hepatic vein, which ramifies throughout the convex portion of the liver,
and the third is the origin of the umbilical vein. Hence it is quite
clear that the origin of the veins is by no means to be looked for in
the liver; inasmuch as the orifice of the vena cava descendens is much
larger than the hepatic branch, which is indeed equalled in size by the
umbilical vein. For the branches are not said to be the origin of their
trunk; but where the trunk is greatest there the origin of the veins is
to be looked for, and this is the case at the entrance of the right
ventricle: here, then, the origin of all veins, and the storehouse of
the blood must be placed.
To return to the umbilical vessels, which are not subdivided in the same
way in all animals; for in some two or more branches of veins are found
within the body of the fœtus,--some of which pass through the liver,
whilst others join the portal and mesenteric veins. In the human fœtus,
at a distance of three or four fingers’ breadth from the umbilicus, the
trunks of the arteries and veins are involved together in a complicated
manner, (as if one were to twist several waxen tapers in the form of a
stick,) and are besides covered and held together by a thick gelatinous
membrane. This cord passes on towards the chorion, and when arrived at
the concave portion of the placenta and the inner surface of the
chorion, splits into innumerable branches; these divide again, and
constitute the means by which the nutrient matter is taken up, as by
rootlets, and distributed to the fœtus. The veins of the cord are marked
at various places by knots or varices, resembling vesicles filled with
blood; this is a contrivance of nature to prevent the blood rushing too
violently to the fœtus. From the number of these knots superstitious
midwives are accustomed to predict the number of the future offspring;
and if none can be seen at all they pronounce that the woman will be
ever after barren: they also absurdly prophesy by the distance between
the knots about the interval to take place between the birth of each
child, and also of its sex from their colour.
A like arrangement of the umbilical vessels is found in almost all
fœtuses furnished with a single placenta, as in the dog, mouse, and
others; but in these the cord is shorter and less convoluted. In the ox,
sheep, red-deer, fallow-deer, hog, and others, in which the nutrient
material is not supplied from one fleshy mass or placenta, but from
several, the umbilical vessels are distributed in a different manner.
The branches and extremities of these vessels are not only disseminated
through the fleshy substance, but still more and chiefly through the
membrane of the chorion itself by means of the most delicate fibres;
exactly in the same way as the vessels are distributed in the human
fœtus, without the aid of the cord, before the “conception” adheres to
the uterus. Hence it is plain that the embryo does not derive all its
nourishment from the placenta, but receives a considerable portion of it
from the fluid contained in the chorion.
As to the uses of the umbilical vessels, I cannot agree with Fabricius,
for he imagines that all the blood is supplied to the fœtus from the
uterus by means of the veins, and that the vital spirits are transmitted
from the mother by the arteries. He also asserts that no part of the
fœtus performs any common function, but that each individual portion
looks only to itself, how it may be nourished, grow, and be preserved.
In like manner, because he has found no nerve in the umbilical cord, he
refuses to allow sensation or voluntary motion to the fœtus. Just as if
the uterus or placenta of the mother were the heart or first source
whence these functions are derived to the fœtus, and whence heat flows
in and is distributed through all its parts. All these are manifest
errors. For the human fœtus, even before the completion of the fourth
month, (in some animals sooner,) in no obscure manner moves, rolls
about, and kicks, especially if it suffer from cold, heat, or any
external source of inconvenience. Moreover, the “punctum saliens”
(whilst yet the heart is not) moves to and fro, with an evident
pulsation, and distributes blood and spirits; and this part, as I have
before stated, if languid and nearly extinct through cold, will, if
warmth be applied, again be restored and live. In the Cæsarean section,
also, it is quite clear that the life of the embryo does not immediately
depend upon the mother, and that the spirits do not proceed from her;
for I have often seen the fœtus extracted alive from the uterus when the
mother has been dead some hours. I have also known the rabbit and hare
survive when extracted from the uterus of the dead mother. Besides, in a
tedious labour we learn whether the infant is alive or not by the
pulsation of the umbilical arteries; and it is certain that these
arteries receive their impulse from the heart of the fœtus and not of
the mother, for the rhythm of the two differs: this can be easily
ascertained if one hand is applied to the wrist of the mother and the
other to the umbilical cord. Nay, in the Cæsarean section, when the
embryo is still enveloped in the chorion, I have often found the
umbilical arteries pulsating, and the fœtus lively, even when the mother
was dead and her limbs stiffened. It is not, therefore, true that the
“spirits” pass from the mother to the fœtus through the arteries; nor is
it more so that the umbilical or fœtal vessels anastomose with those of
the uterus. The fœtus has a proper life of its own, and possesses
pulsating arteries filled with blood and “spirits,” long before the
“conception,” in which it is formed and dwells, is attached to the
uterus; just as it is with the chick in the egg.
In my treatise on the Circulation of the Blood I have shown the uses of
the arteries, both in the fœtus and in the adult, to be very different
from what is generally supposed, and my views receive confirmation from
the subject now under consideration.
In truth, the “secundines” are part of the “conception,” and depend upon
it, borrowing thence their life and faculty of growth. For, just as in
the mesentery, the blood is propelled to the intestines by the branches
of the cœliac and mesenteric arteries, and returns thence by means of
the veins to the liver and heart, together with the chyle, so in like
manner do the umbilical arteries carry the blood to the secundines;
which blood, together with the nutrient fluid, is brought back by the
veins to the fœtus. Hence it is that these arteries do not proceed
immediately from the heart, as if they were the principal vessels, but
take their origin from the arteries of the lower limbs, as being of
inferior rank, use, and magnitude.
Adrian Spigelius lately published a book entitled ‘On the Formation of
the Fœtus’ (de Formato Fœtu); in which he treats of the uses of the
umbilical arteries, and proves, by powerful arguments, that the fœtus
does not receive vital “spirits” from the mother through the arteries;
he also answers fully the arguments on the other side. He could also
have shown by the same arguments that neither is the blood transferred
to the fœtus from the vessels of the mother by means of the branches of
the umbilical veins; this is especially clear from the case of the hen’s
egg, and also of the Cæsarean section. In truth, if heat and life flow
to the blood from the mother, should she die the child must straightway
be destroyed also, for the same fatality must attach to both; nay, the
child must be the first to perish; for as dissolution approaches, the
subordinate parts languish and grow chill before the principal ones, and
so the heart fails last of all. The blood, I mean of the fœtus, would be
the first to lose its heat and become unfit to perform its functions
were it derived from the uterus, since the uterus would be deprived of
all vital heat before the heart.
ON CONCEPTION.
Fabricius has indeed recounted many wonderful things on the subject of
parturition; for my own part, I think there is more to admire and marvel
at in conception. It is a matter, in truth, full of obscurity; yet will
I venture to put forth a few things--rather though as questions proposed
for solution--that I may not appear to subvert other men’s opinions
only, without bringing forward anything of my own. Yet what I shall
state I wish not to be taken as if I thought it a voice from an oracle,
or desired to gain the assent of others by violence; I claim, however,
that liberty which I willingly yield to others, the permission, viz. in
subjects of difficulty to put forward as true such things as appear to
be probable until proved to be manifestly false.
It is to the uterus that the business of conception is chiefly
intrusted: without this structure and its functions conception would be
looked for in vain. But since it is certain that the semen of the male
does not so much as reach the cavity of the uterus, much less continue
long there, and that it carries with it a fecundating power by a kind of
contagious property, (not because it is then and there in actual
contact, or operates, but because it previously has been in contact);
the woman, after contact with the spermatic fluid in coitu, seems to
receive influence, and to become fecundated without the co-operation of
any sensible corporeal agent, in the same way as iron touched by the
magnet is endowed with its powers and can attract other iron to itself.
When this virtue is once received the woman exercises a plastic power of
generation, and produces a being after her own image; not otherwise than
the plant, which we see endowed with the forces of both sexes.
Yet it is a matter of wonder where this faculty abides after intercourse
is completed, and before the formation of the ovum or “conception.” To
what is this active power of the male committed? is it to the uterus
solely, or to the whole woman? or is it to the uterus primarily and to
the woman secondarily? or, lastly, does the woman conceive in the womb,
as we see by the eye and think by the brain?
For although the woman conceiving after intercourse sometimes produces
no fœtus, yet we know that phenomena occur which clearly indicate that
conception has really taken place, although without result. Over-fed
bitches, which admit the dog without fecundation following, are
nevertheless observed to be sluggish about the time they should have
whelped, and to bark as they do when their time is at hand, also to
steal away the whelps from another bitch, to tend and lick them, and
also to fight fiercely for them. Others have milk or colostrum, as it is
called, in their teats, and are, moreover, subject to the diseases of
those which have actually whelped; the same thing is seen in hens which
cluck at certain times, although they have no eggs on which to sit. Some
birds also, as pigeons, if they have admitted the male, although they
lay no eggs at all, or only barren ones, are found equally sedulous in
building their nests.
The virtue which proceeds from the male in coitu has such prodigious
power of fecundation, that the whole woman, both in mind and body,
undergoes a change. And although it is the uterus made ready for this,
on which the first influences are impressed, and from which virtue and
strength are diffused throughout the body, the question still remains,
how it is that the power thus communicated remains attached to the
uterus? is it to the whole uterus or only to a part of it? nothing is to
be found within it after coitus, for the semen in a short time either
falls out or evaporates, and the blood, its circle completed, returns
from the uterus by the vessels.
Again, what is this preparation or maturity of the uterus which eagerly
demands the fecundating seed? whence does it proceed? Certain it is,
unless the uterus be ready for coition every attempt at fecundation is
vain; nay, in some animals, at no other time is the male admitted. It
happens occasionally, I allow, that this maturity arrives earlier in
some from the solicitations of the male animal; it is itself, however,
a purely natural result, just as is the ripening of the fruit in trees.
What these changes are I will now recount, as I have found them by
observation.
The uterus first appears more thick and fleshy; then its inner surface,
the future residence, that is, of the “conception,” becomes softer, and
resembles in smoothness and delicacy the ventricles of the brain; this I
have already described in the deer and other cloven-footed tribes. But
in the dog, cat, and other multiparous and digitated animals, the horns
of the uterus--clearly corresponding to the round tubes of the woman
[Fallopian tubes], the appendices of the intestines in birds, or the
ureters in man--exhibit little protuberances at certain intervals, which
swell up and become extremely soft; these, after intercourse, appear to
open themselves, (as I have observed in deer;) from them the first white
fluid transudes into the uterus, and out of this the “conception,” or
ovum, is formed. In this way the uterus, by means of the male, (like
fruit by the summer’s heat,) is brought to the highest pitch of
maturity, and becomes impregnated.
But since there are no manifest signs of conception before the uterus
begins to relax, and the white fluid or slender threads (like the
spider’s web) constituting the “primordium” of the future “conception,”
or ovum, shows itself; and since the substance of the uterus, when ready
to conceive, is very like the structure of the brain, why should we not
suppose that the function of both is similar, and that there is excited
by coitus within the uterus a something identical with, or at least
analogous to, an “imagination” (phantasma) or a “desire” (appetitus) in
the brain, whence comes the generation or procreation of the ovum? For
the functions of both are termed “conceptions,” and both, although the
primary sources of every action throughout the body, are immaterial, the
one of natural or organic, the other of animal actions; the one (viz.
the uterus) the first cause and beginning of every action which conduces
to the generation of the animal, the other (viz. the brain) of every
action done for its preservation. And just as a “desire” arises from a
conception of the brain, and this conception springs from some external
object of desire, so also from the male, as being the more perfect
animal, and, as it were, the most natural object of desire, does the
natural (organic) conception arise in the uterus, even as the animal
conception does in the brain.
From this desire, or conception, it results that the female produces an
offspring like the father. For just as we, from the conception of the
“form” or “idea” in the brain, fashion in our works a form resembling
it, so, in like manner, the “idea,” or “form,” of the father existing in
the uterus generates an offspring like himself with the help of the
formative faculty, impressing, however, on its work its own immaterial
“form.” In the same way art, which in the brain is the εἶδος or “form”
of the future work, produces, when in operation, its like, and begets it
out of “matter.” So too the painter, by means of conception, pictures to
himself a face, and by imitating this internal conception of the brain
carries it out into act; so also the builder constructs his house
according to previous conception. The same thing takes place in every
other action and artificial production. Thus, what education effects in
the brain, viz. art, with its analogue does the coitus of the male endow
the uterus, viz. the plastic art; hence many similar or dissimilar
fœtuses are produced at the same coitus. For if the productions and
first conceptions of art (the mere imitations of nature) are in this way
formed in the brain, how much more probable is it that copies
(exemplaria) of animal generation and conception should in like manner
be produced in the uterus?
And since Nature, all of whose works are wonderful and divine, has
devised an organ of this kind, viz. the brain, by the virtue and
sensitive faculty of which the conceptions of the rational soul exist,
such as the desires and the arts, the first principles and causes of so
many and such various works, of which man, by means of the impulsive
faculty of the brain, is by imitation the author; why should we not
suppose that the same Nature, who in the uterus has constructed an organ
no less wonderful, and adapted it by means of a similar structure to
perform all that appertains to conception, has destined it for a similar
or at least an analogous function, and intended an organ altogether
similar for a similar use? For as the skilful artificer accomplishes his
works by ingeniously adapting his instruments to each, so that from the
substance and shape of these instruments it is easy to judge of their
use and application, with no less certainty than we have been taught by
Aristotle[392] to recognize the nature of animals from the structure and
arrangement of their bodily organs; and as physiognomy instructs us to
judge of a man’s disposition and character from the shape of his face
and features, what should prevent us from supposing that where the same
structure exists there is the same function implanted?
But it is so unfairly ordered that, when customary and familiar matters
come to be debated, this very familiarity lessens their importance and
our wonder; whilst things of much less moment, because they are novel
and rare, appear to us far greater objects of marvel. Whoever has
pondered with himself how the brain of the artist, or rather the artist
by means of his brain, pictures to the life things which are not present
to him, but which he has once seen; also in what manner birds immured in
cages recall to mind the spring, and chant exactly the songs they had
learned the preceding summer, although meanwhile they had never
practised them; again, and this is more strange, how the bird
artistically builds its nest, the copy of which it had never seen, and
this not from memory or habit, but by means of an imaginative faculty
(phantasia), and how the spider weaves its web, without either copy or
brain, solely by the help of this imaginative power; whosoever, I say,
ponders these things, will not, I think, regard it as absurd or
monstrous, that the woman should be impregnated by the conception of a
general immaterial “idea,” and become the artificer of generation.
I know well that some censorious persons will laugh at this,--men who
believe nothing true but what they think so themselves. Yet this that I
do is the practice of philosophers, who, when they cannot clearly
comprehend how a thing really is brought to pass, devise some mode for
it in accordance with the other works of nature, and as near as possible
to what is true. And indeed all those opinions which we now regard as of
the greatest weight, were at the beginning mere figments and
imaginations, until confirmed by experiments addressed to the senses,
and made credible by a knowledge of their positive causes.
Aristotle[393] says “that philosophers are in some sort lovers of
fables, seeing that fable is made up of marvels.” And indeed men were
first led to cultivate philosophy from wondering at what they saw. For
my own part, then, when I see nothing left in the uterus after
intercourse to which I can ascribe the principle of generation, any more
than there is in the brain anything discoverable after sensation and
experience, which are the prime sources of art, and when I find the
structure of both alike, I have devised this fable. Let learned and
ingenious men consider of it, let the supercilious reject it, and those
who are peevish and scoffing laugh if they please.
Since, then, nothing can be apprehended by the senses in the uterus
after coition, and since it is necessary that there be something to
render the female fruitful, and as this is probably not material, it
remains for us to take refuge in the notion of a mere conception and of
“species without matter” (species sine materiâ), and imagine that the
same thing happens here as every one allows takes place in the brain,
unless indeed there be some one “whom the gods have moulded of better
clay,” and made fit to discover some other efficient cause besides any
of those enumerated.
Some philosophers of our time have returned to the old opinion about
atoms, and so imagine that this generative contagion, as indeed all
others, proceeds from the subtile emanations of the semen of the male,
which rise like odorous particles, and gain an entrance into the uterus
at the period of intercourse. Others invoke to their aid incorporeal
spirits, such as demiurgi, angels, and demons. Others regard it as a
process of fermentation. Others devise other theories. I pray,
therefore, a place for this conjecture of mine until something certain
is established in the matter.
Many observations have been made by me which would easily overthrow the
opinions I have mentioned, so easy is it to say what a thing is not
rather than what it is; this is not, however, the place to introduce
them, although elsewhere it is my intention to do so. On the present
occasion I shall only observe, if that which is called by the common
name of “contagion,” as arising from the contact of the spermatic fluid
in intercourse, and which remains in the woman (without the actual
presence of the semen) as the efficient of the future offspring--if, I
say, this contagion (whether it be atoms, odorous particles,
fermentation, or anything else) is not of the nature of any corporeal
substance, it follows of necessity that it is incorporeal. And if on
further inquiry it should appear that it is neither spirit nor demon,
nor soul, nor any part of the soul, nor anything having a soul, as I
believe can be proved by various arguments and experiments, what
remains, since I am unable myself to conjecture anything besides, nor
has any one imagined aught else even in his dreams, but to confess
myself at a stand-still? “For whoever,” says Aristotle,[394] “doubts and
wonders, confesses his ignorance; therefore if to escape the imputation
of ignorance, ingenious men have turned to philosophy, it is clear they
follow their pursuit for the sake of knowledge, and not from any other
motive.”
It must not, then, be imputed to me for blame, if, eager for knowledge,
and approaching untrodden ground, I have presented aught which at first
sight may appear made up or fabulous. For as everything is not to be
received at once with an unthinking credulity, so that which has been
long and painfully considered must not be straightway rejected, even
although it fail to catch the eye of the quick-sighted. Aristotle
himself wrote a book, ‘De Mirabilibus audits,’ on hearsay wonders; and
elsewhere he says,[395] “We must not only thank those in whose opinions
we acquiesce, but those also who have said aught (to the purpose)
although superficially. For these bring in something to the common
stock, in this, that they exercise and train our habits. For if
Timotheus had not existed, we should have lost much music. Yet if
Phrynis had not been we should have had no Timotheus. So is it with
those who have laid down any truth. For we have received some opinions
from certain philosophers, yet were there others to whom these owed
their existence.”
Influenced, then, by the example and authority of so great a man, and
not to appear resolute only to subvert the doctrines of others, I have
preferred proposing a fanciful opinion rather than none at all, playing
in this the part of Phrynis to Timotheus, my object being to shake off
the sloth of the age we live in, to rouse the intellects of the
studious, and, rather than that the diligent investigator of nature
should accuse me of indolence, to bid him laugh at my ill-formed and
crude notions.
In truth, there is no proposition more magnificent to investigate or
more useful to ascertain than this: How are all things formed by an
“univocal” agent? How does the like ever generate the like? And this not
only in productions of art (for so house builds house, face designs
face, and image forms image), but also in things relating to the mind,
for mind begets mind, opinion is the source of opinion. Democritus with
his atoms, and Eudoxus with his chief good which he placed in pleasure,
impregnated Epicurus; the four elements of Empedocles, Aristotle; the
doctrines of the ancient Thebans, Pythagoras and Plato; geometry,
Euclid. By this same law the son is born like his parents, and virtues
which ennoble and vices which degrade a race are sometimes passed on to
descendants through a long series of years. Some diseases propagate
their kind, as lepra, gout, syphilis, and others. But why do I speak of
diseases, when the moles, warts, and cicatrices of the progenitor are
sometimes repeated in the descendant after many generations?[396] “Every
fourth birth,” says Pliny,[397] “the mark of the origin of the Dacian
family is repeated on the arm.” Why may not the thoughts, opinions, and
manners now prevalent, many years hence return again, after an
intermediate period of neglect? For the divine mind of the Eternal
Creator, which is impressed on all things, creates the image of itself
in human conceptions.
Having, therefore, overcome some difficulties relating to the subject, I
feel a greater desire to enter into it a little more closely, and this
with two objects in view--first, that what I have hitherto treated
cursorily may seem to carry with it a greater weight of probability; and
secondly, to stir up the intellects of the studious to search more
deeply into so obscure a subject.
To illustrate the matter, let A stand for the fecundated egg (the
“matter” that is of the future chick), which is alterable or
convertible into the chick, and is in fact the chicken in posse. Let B
be that which fecundates the egg, and thus distinguishes it from an
unfruitful egg, i. e. the “efficient cause” of the chick, or that which
puts the egg in motion, and converts it into a chick. And let C be the
chick, or “final cause,” for the sake of which both the egg and that
which fecundates the egg exist, the actual chick, namely, or “reason”
why the chick is.
Now we take for granted, as demonstrated by Aristotle,[398] that every
prime mover is “combined with” that which is moved by it. And these
things are more particularly said by him to be “together” which are
generated or produced at the same moment of time: thus that which moves
and that which is moved are actually together, and where one is there
the other is also; for it is evident that when the effect is present the
cause must be so too.
Whenever, then, A (i. e. the fecundated egg) is actually in being, B (i.
e. the internal moving and “efficient” or fecundating cause) is also
actually in being. But when B is actually in being, C also (i. e. the
immaterial “form” of the chick) must, at least in some sort, be existing
too. For B is the internal efficient cause of the chick, that, namely,
which alters A (the egg) into C (the “reason” why the chick is). Since,
then, everything which moves coexists with that which is moved by it,
and every cause with its effect, it follows that C coexists with B; for
the “final cause,” both in nature and art, is primary to all other
causes, since it moves, and is not itself moved; but the “efficient”
moves, because it is impelled by the “final cause.” There inheres, in
some way or other, in every “efficient cause” a ratio finis (a final
cause), and by this the efficient, co-operating with Providence, is
moved.
The authority of Aristotle is clearly on my side: “That,” he says,[399]
“appears to hold the chief place among natural causes which we signify
under this expression, ‘cujus gratiâ’--for whose sake. For this is the
‘reason;’ but the ‘reason’ is the chief thing, as well in artificial as
in natural subjects. For when a physician explains what health is,
either by definition or description, or a workman a house, he is
accustomed to give the reasons and causes of what he does, and adds why
he does it; although that cause, ‘cujus gratiâ,’ and the reason ‘for the
sake of the good and fair,’ are joined rather to the works of nature
than to those of art.”
“The end,” he elsewhere says,[400] “is this ‘cujus gratiâ’ (for whose
sake), as health is the thing for the sake of which we walk. For why
does a man walk? We answer, for the sake of his health; and when we have
thus said, we think we have given a ‘cause;’ and whatever else is
further interposed, by means of another agent, is done for the sake of
this end, as dieting, or purging, or drugs, or instruments, are all for
the sake of health; for all these are for the sake of the end.” Again,
“It is our business always to seek the primary cause of everything. For
instance, a man builds a house because he is a builder, but he is a
builder by reason of the art of building; this then (the art) is a prior
cause; and so in all things.” Hence it is that he asserts[401] “that the
cause which first moves, and in which the ‘reason’ and ‘form’ lie, is
greater and more divine than the ‘material cause.’”
In all natural generation, therefore, both the “matter” out of which and
the “efficient cause” by which (namely, A, the thing which is moved, and
B, the thing moving) are alike for the sake of the animal begotten or to
be begotten; for that which moves and is not itself moved, viz. C, is in
(inest) both. For both those (viz. A and B) are at the same time capable
of motion, and are moreover moved, viz. the thing fecundating, B, (which
both moves and is moved) and the thing fecundated, A, the “matter,” viz.
or ovum, which is moved and changed only. Wherefore if no moveable thing
is actually moved, unless the thing which moves is present, so neither
will “matter” be moved, nor the “efficient” effect anything, unless the
first moving cause be in some way present; and this is the “form” or
“species” which is without matter, and is the prime cause. “For the
efficient and generating,” according to Aristotle,[402] “in so far as
they are so, belong to that which is effected and generated.” The
following syllogism, therefore, may be framed out of these first and
necessary predicates:
Whenever B is actually in existence, C also is actually in existence (i.
e. moving in some way).
Whenever A is actually in existence, B is also in actual existence.
Therefore whenever A is in actual existence, C is also in actual
existence.
Natural and artificial generation take place after the same manner.[403]
Both are instituted for the sake of something further, and by a kind of
providence both direct themselves to a proposed end;--both too are first
moved by some “form” conceived without matter, and are the products of
this conception. The brain is the organ of one kind of conception (for
in the soul, the organ of which is the brain, art, without the
intervention of matter, is the “reason” or first cause of the work), the
uterus or ovum of the other.
The “conception,” therefore, of the uterus or the ovum resembles, at
least in some sort, the conception of the brain itself, and in a similar
way does the “end” inhere in both. For the “species” or “form” of the
chick is in the uterus or ovum without the intervention of matter, just
as the “reason” of his work is in the artist, e. g. the “reason” of the
house in the brain of the builder.
But since the phrase “to be in” is perhaps equivocal, and things are
said to be coexistent in various senses, I affirm, further, and say,
that the “species” and immaterial “form” of the future chick are, in
some sort, the cause of the impregnation or fecundation of the uterus,
because after intercourse no corporeal substance can be found within
that organ.
But how this immaterial cause, this first principle, exists alike in the
uterus and brain, or how the conceptions of the brain and uterus,
answering to art and nature, resemble or differ from each other, and in
what way the thing which fecundates (viz. the internal efficient cause
whereby the animal is generated) exists alike in the male and his semen
and in the woman and her uterus--in the egg also, the mixed work of both
sexes--and wherein their differences consist, I shall subsequently
attempt to explain when I treat generally of the generation of animals
(as well of those creatures which are produced by metamorphosis, viz.
insects, as of spontaneously generated beings, in whose ova or
“primordia,” as in all other seeds, the “species” or immaterial “form”
plainly dwells, the moving principle, as it were, of those things which
are to be generated), and when I speak of the soul and its affections,
and how art, memory, and experience are to be regarded as the
conceptions of the brain alone.
THE ANATOMICAL EXAMINATION
OF THE BODY OF
THOMAS PARR,
WHO DIED AT THE AGE OF ONE HUNDRED AND FIFTY-TWO YEARS;
MADE BY
WILLIAM HARVEY,
OTHERS OF THE KING’S PHYSICIANS BEING PRESENT,
ON THE 16TH OF NOVEMBER, THE ANNIVERSARY OF THE BIRTHDAY
OF HER SERENE HIGHNESS
HENRIETTA MARIA, QUEEN OF GREAT BRITAIN, FRANCE AND IRELAND.
[This account first appeared in the work of Dr. Bett, entitled: “De Ortu
et Natura Sanguinis,” 8vo. London, 1669, the MS. having been presented
to Bett by Mr. Michael Harvey, nephew of the author, with whom Bett
informs us he was on terms of intimacy.--ED.]
ANATOMICAL EXAMINATION OF THE BODY OF THOMAS PARR.
Thomas Parr, a poor countryman, born near Winnington, in the county of
Salop, died on the 14th of November, in the year of grace 1635, after
having lived one hundred and fifty-two years and nine months, and
survived nine princes. This poor man, having been visited by the
illustrious Earl of Arundel when he chanced to have business in these
parts, (his lordship being moved to the visit by the fame of a thing so
incredible,) was brought by him from the country to London; and, having
been most kindly treated by the earl both on the journey and during a
residence in his own house, was presented as a remarkable sight to his
Majesty the King.
Having made an examination of the body of this aged individual, by
command of his Majesty, several of whose principal physicians were
present, the following particulars were noted:
The body was muscular, the chest hairy, and the hair on the fore-arms
still black; the legs, however, were without hair, and smooth.
The organs of generation were healthy, the penis neither retracted nor
extenuated, nor the scrotum filled with any serous infiltration, as
happens so commonly among the decrepid; the testes, too, were sound and
large; so that it seemed not improbable that the common report was true,
viz. that he did public penance under a conviction for incontinence,
after he had passed his hundredth year; and his wife, whom he had
married as a widow in his hundred-and-twentieth year, did not deny that
he had intercourse with her after the manner of other husbands with
their wives, nor until about twelve years back had he ceased to embrace
her frequently.
The chest was broad and ample; the lungs, nowise fungous, adhered,
especially on the right side, by fibrous bands to the ribs. They were
much loaded with blood, as we find them in cases of peripneumony, so
that until the blood was squeezed out they looked rather blackish.
Shortly before his death I had observed that the face was livid, and he
suffered from difficult breathing and orthopnœa. This was the reason why
the axillæ and chest continued to retain their heat long after his
death: this and other signs that present themselves in cases of death
from suffocation were observed in the body.
We judged, indeed, that he had died suffocated, through inability to
breathe, and this view was confirmed by all the physicians present, and
reported to the King. When the blood was expressed, and the lungs were
wiped, their substance was beheld of a white and almost milky hue.
The heart was large, and thick, and fibrous, and contained a
considerable quantity of adhering fat, both in its circumference and
over its septum. The blood in the heart, of a black colour, was dilute,
and scarcely coagulated; in the right ventricle alone some small clots
were discovered.
In raising the sternum, the cartilages of the ribs were not found harder
or converted into bone in any greater degree than they are in ordinary
men; on the contrary, they were soft and flexible.
The intestines were perfectly sound, fleshy, and strong, and so was the
stomach: the small intestines presented several constrictions, like
rings, and were muscular. Whence it came that, by day or night,
observing no rules or regular times for eating, he was ready to discuss
any kind of eatable that was at hand; his ordinary diet consisting of
sub-rancid cheese, and milk in every form, coarse and hard bread, and
small drink, generally sour whey. On this sorry fare, but living in his
home, free from care, did this poor man attain to such length of days.
He even ate something about midnight shortly before his death.
The kidneys were bedded in fat, and in themselves sufficiently healthy;
on their anterior aspects, however, they contained several small watery
abscesses or serous collections, one of which, the size of a hen’s egg,
containing a yellow fluid in a proper cyst, had made a rounded
depression in the substance of the kidney. To this some were disposed to
ascribe the suppression of urine under which the old man had laboured
shortly before his death; whilst others, and with greater show of
likelihood, ascribed it to the great regurgitation of serum upon the
lungs.
There was no appearance of stone either in the kidneys or bladder.
The mesentery was loaded with fat, and the colon, with the omentum,
which was likewise fat, was attached to the liver, near the fundus of
the gall-bladder; in like manner the colon was adherent from this point
posteriorly with the peritoneum.
The viscera were healthy; they only looked somewhat white externally, as
they would have done had they been parboiled; internally they were (like
the blood,) of the colour of dark gore.
The spleen was very small, scarcely equalling one of the kidneys in
size.
All the internal parts, in a word, appeared so healthy, that had nothing
happened to interfere with the old man’s habits of life, he might
perhaps have escaped paying the debt due to nature for some little time
longer.
The cause of death seemed fairly referrible to a sudden change in the
non-naturals, the chief mischief being connected with the change of air,
which through the whole course of life had been inhaled of perfect
purity,--light, cool, and mobile, whereby the præcordia and lungs were
more freely ventilated and cooled; but in this great advantage, in this
grand cherisher of life this city is especially destitute; a city whose
grand characteristic is an immense concourse of men and animals, and
where ditches abound, and filth and offal lie scattered about, to say
nothing of the smoke engendered by the general use of sulphureous coal
as fuel, whereby the air is at all times rendered heavy, but much more
so in the autumn than at any other season. Such an atmosphere could not
have been found otherwise than insalubrious to one coming from the open,
sunny and healthy region of Salop; it must have been especially so to
one already aged and infirm.
And then for one hitherto used to live on food unvaried in kind, and
very simple in its nature, to be set at a table loaded with variety of
viands, and tempted not only to eat more than wont, but to partake of
strong drink, it must needs fall out that the functions of all the
natural organs would become deranged. Whence the stomach at length
failing, and the excretions long retained, the work of concoction
proceeding languidly, the liver getting loaded, the blood stagnating in
the veins, the spirits frozen, the heart, the source of life, oppressed,
the lungs infarcted, and made impervious to the ambient air, the general
habit rendered more compact, so that it could no longer exhale or
perspire--no wonder that the soul, little content with such a prison,
took its flight.
The brain was healthy, very firm and hard to the touch; hence, shortly
before his death, although he had been blind for twenty years, he heard
extremely well, understood all that was said to him, answered
immediately to questions, and had perfect apprehension of any matter in
hand; he was also accustomed to walk about, slightly supported between
two persons. His memory, however, was greatly impaired, so that he
scarcely recollected anything of what had happened to him when he was a
young man, nothing of public incidents, or of the kings or nobles who
had made a figure, or of the wars or troubles of his earlier life, or of
the manners of society, or of the prices of things--in a word, of any of
the ordinary incidents which men are wont to retain in their memories.
He only recollected the events of the last few years. Nevertheless, he
was accustomed, even in his hundred and thirtieth year, to engage
lustily in every kind of agricultural labour, whereby he earned his
bread, and he had even then the strength required to thrash the corn.
LETTERS.
LETTER I.
_To Caspar Hofmann, M.D. Published at Nurenberg, in the ‘Spicilegium
Illustrium Epistolarum ad Casp. Hofmannum.’_
Your opinion of me, my most learned Hofmann, so candidly given, and of
the motion and circulation of the blood, is extremely gratifying to me;
and I rejoice that I have been permitted to see and to converse with a
man so learned as yourself, whose friendship I as readily embrace as I
cordially return it. But I find that you have been pleased first
elaborately to inculpate me, and then to make me pay the penalty, as
having seemed to you “to have impeached and condemned Nature of folly
and error; and to have imputed to her the character of a most clumsy and
inefficient artificer, in suffering the blood to become recrudescent,
and making it return again and again to the heart in order to be
reconcocted, to grow effete as often in the general system; thus
uselessly spoiling the perfectly-made blood, merely to find her in
something to do.” But where or when anything of the kind was ever said,
or even imagined by me--by me, who, on the contrary, have never lost an
opportunity of expressing my admiration of the wisdom and aptness and
industry of Nature,--as you do not say, I am not a little disturbed to
find such things charged upon me by a man of sober judgment like
yourself. In my printed book, I do, indeed, assert that the blood is
incessantly moving out from the heart by the arteries to the general
system, and returning from this by the veins back to the heart, and
with such an ebb and flow, in such mass and quantity that it must
necessarily move in some way in a circuit. But if you will be kind
enough to refer to my eighth and ninth chapters you will find it stated
in so many words that I have purposely omitted to speak of the
concoction of the blood, and of the causes of this motion and
circulation, especially of the final cause. So much I have been anxious
to say, that I might purge myself in the eyes of a learned and much
respected man,--that I might feel absolved of the infamy of meriting
such censure. And I beg you to observe, my learned, my impartial friend,
if you would see with your own eyes the things I affirm in respect of
the circulation,--and this is the course which most beseems an
anatomist,--that I engage to comply with your wishes, whenever a fit
opportunity is afforded; but if you either decline this, or care not by
dissection to investigate the subject for yourself, let me beseech you,
I say, not to vilipend the industry of others, nor charge it to them as
a crime; do not derogate from the faith of an honest man, not altogether
foolish nor insane, who has had experience in such matters for a long
series of years.
Farewell, and beware! and act by me, as I have done by you; for what you
have written I receive as uttered in all candour and kindness. Be sure,
in writing to me in return, that you are animated by the same
sentiments.
Nürnberg, May 20th, 1636.
LETTER II.
_To Paul Marquard Slegel, of Hamburg._
I congratulate you much, most learned sir, on your excellent commentary,
in which you have replied in a very admirable manner to Riolanus, the
distinguished anatomist, and, as you say, formerly your teacher:
invincible truth has, indeed, taught the scholar to vanquish the master.
I was myself preparing a sponge for his most recent arguments; but
intent upon my work ‘On the Generation of Animals’ (which, but just
come forth, I send to you), I have not had leisure to produce it. And
now I rather rejoice in the silence, as from your supplement I perceive
that it has led you to come forward with your excellent reflections, to
the common advantage of the world of letters. For I see that in your
most ornate book (I speak without flattery), you have skilfully and
nervously confuted all his machinations against the circulation, and
successfully thrown down the scaffolding of his more recent opinions. I
am, therefore, but little solicitous about labouring at any ulterior
answer. Many things might, indeed, be adduced in confirmation of the
truth, and several calculated to shed clearer light on the art of
medicine; but of these we shall perhaps see further by and by.
Meantime, as Riolanus uses his utmost efforts to oppose the passage of
the blood into the left ventricle through the lungs, and brings it all
hither through the septum, and so vaunts himself on having upset the
very foundations of the Harveian circulation (although I have nowhere
assumed such a basis for my doctrine; for there is a circulation in many
red-blooded animals that have no lungs), it may be well here to relate
an experiment which I lately tried in the presence of several of my
colleagues, and from the cogency of which there is no means of escape
for him. Having tied the pulmonary artery, the pulmonary veins, and the
aorta, in the body of a man who had been hanged, and then opened the
left ventricle of the heart, we passed a tube through the vena cava into
the right ventricle of the heart, and having, at the same time, attached
an ox’s bladder to the tube, in the same way as a clyster-bag is usually
made, we filled it nearly full of warm water, and forcibly injected the
fluid into the heart, so that the greater part of a pound of water was
thrown into the right auricle and ventricle. The result was, that the
right ventricle and auricle were enormously distended, but not a drop of
water or of blood made its escape through the orifice in the left
ventricle. The ligatures having been undone, the same tube was passed
into the pulmonary artery, and a tight ligature having been put round it
to prevent any reflux into the right ventricle, the water in the bladder
was now pushed towards the lungs, upon which a torrent of the fluid,
mixed with a quantity of blood, immediately gushed forth from the
perforation in the left ventricle; so that a quantity of water, equal to
that which was pressed from the bladder into the lungs at each effort,
instantly escaped by the perforation mentioned. You may try this
experiment as often as you please; the result you will still find to be
as I have stated it.
With this one experiment you may easily put an end to all Riolanus’s
altercations on the matter, to which he, nevertheless, so entirely
trusts, that, without adducing so much as a single experiment in support
of his views, he has been led to invent a new circulation, and even so
far to commit himself as to say that, unless the old doctrine of the
circulation[404] be overturned, his own is inadmissible. We may pardon
this distinguished individual for not having sooner discovered a hidden
truth; but that he, so well skilled in anatomy as he is, should
obstinately contend against a truth illustrated by the clearest light of
reason, this surely is argument of his envy--let me not call it by any
worse name. But, perhaps, we are still to find an excuse for Riolanus,
and to say, that what he has written is not so much of his own motion,
as in discharge of the duties of his office, and with a view to stand
well with his colleagues. As Dean of the College of Paris, he was bound
to see the physic of Galen kept in good repair, and to admit no novelty
into the school, without the most careful winnowing, lest, as he says,
the precepts and dogmata of physic should be disturbed, and the
pathology which has for so many years obtained the sanction of all the
learned in assigning the causes of disease, be overthrown. He has been
playing the part of the advocate, therefore, rather than of the
practised anatomist. But, as Aristotle tells us, it is not less absurd
to expect demonstrative arguments from the advocate, than it is to look
for persuasive arguments from the demonstrator or teacher. For the sake
of the old friendship subsisting between us, moreover, and the high
praise which he has lavished on the doctrine of the circulation, I
cannot find it in my heart to say anything severe of Riolanus.
I therefore return to you, most learned Siegel, and say, that I wish
greatly I had been so full and explicit in what I have said on the
subject of anastomosis in my disquisition to Riolanus, as would have
left you with no doubts or scruples on the matter. I could wish, also,
that you had taken into account not only what I have there denied, but
likewise what I have asserted on the transference of the blood from the
arteries into the veins; especially as I there seem to have pointed out
some cause both for my inquiry and for my negation, to hint at a certain
cause. I confess, I say, nay, I even pointedly assert, that I have never
found any visible anastomoses. But this was particularly said against
Riolanus, who limited the circulation of the blood to the larger vessels
only, with which, therefore, these anastomoses, if any such there were,
must have been made conformable, viz. of ample size, and distinctly
visible. Although it be true, therefore, that I totally deny all
anastomoses of this description--anastomoses in the way the word is
commonly understood, and as the meaning has come down to us from Galen,
viz. a direct conjunction between the orifices of the [visible] arteries
and veins--I still admit, in the same disquisition, that I have found
what is equivalent to this in three places, namely, in the plexus of the
brain, in the spermatic or preparing arteries and veins, and in the
umbilical arteries and veins. I shall now, therefore, for your sake, my
learned friend, enter somewhat more at large into my reasons for
rejecting the vulgar notion of the anastomoses, and explain my own
conjectures concerning the mode of transition of the blood from the
minute arteries into the finest veins.
All reasonable medical men, both of ancient and modern times, have
believed in a mutual transfusion, or accession and recession of the
blood between the arteries and the veins; and for the sake of permitting
this, they have imagined certain inconspicuous openings, or obscure
foramina, through which the blood flowed hither and thither, moving out
of one vessel and returning to it again. Wherefore it is not wonderful
that Riolanus should in various places find that in the ancients which
is in harmony with the doctrine of a circulation. For a circulation in
such sort teaches nothing more than that the blood flows incessantly
from the veins into the arteries, and from the arteries back again into
the veins. But as the ancients thought that this movement took place
indeterminately, by a kind of accident, in one and the same place, and
through the same channels, I imagine that they therefore found
themselves compelled to adopt a system of anastomoses, or fine mouths
mutually conjoined, and serving both systems of vessels indifferently.
But the circulation which I discovered teaches clearly that there is a
necessary outward and backward flow of the blood, and this at different
times and places, and through other and yet other channels and passages;
that this flow is determinate also, and for the sake of a certain end,
and is accomplished in virtue of parts contrived for the purpose with
consummate forecast and most admirable art. So that the doctrine of the
motion of the blood from the veins into the arteries, which antiquity
only understood in the way of conjecture, and which it also spoke of in
confused and indefinite terms, was laid down by me with its assured and
necessary causes, and presents itself to the understanding as a thing
extremely clear, perfectly well arranged, and of approved verity. And
then, when I perceived that the blood was transferred from the veins
into the arteries through the medium of the heart with singular art, and
with the aid of an admirable apparatus of valves, I imagined that the
transference from the extremities of the arteries into those of the
veins could not be effected without some other admirable artifice, at
least wherever there was no transudation through the pores of the flesh.
I therefore held the anastomoses of the ancients as fairly open to
suspicion, both as they nowhere presented themselves to our eyes, and as
no sufficient reason was alleged for anything of the kind.
Since, then, I find a transit from the arteries into the veins in the
three places which I have above mentioned, equivalent to the anastomoses
of the ancients, and even affording the farther security against any
regurgitation into the arteries of the blood once delivered to the
veins, and as a mechanism of such a kind is more elaborate and better
suited to the circulation of the blood, I have therefore thought that
the anastomoses imagined by the ancients were to be rejected. But you
will ask, what is this artifice? what these ducts? viz. the small
arteries, which are always much smaller--twice, even three times
smaller--than the veins which they accompany, which they approach
continually more and more, and within the tunics of which they are
finally lost. I have been therefore led to conceive that the blood
brought thus between the coats of the veins advanced for a certain way
along them, and that the same thing took place here which we observe in
the conjunction between the ureters and the bladder, and of the biliary
duct with the duodenum. The ureters insinuate themselves obliquely and
tortuously between the coats of the bladder, without anything in the
nature of an anastomosis, yet in such a manner as occasionally affords a
passage to blood, to pus, and to calculi; it is easy, moreover, to fill
the bladder through them with air or water; but by no effort can you
force anything from the bladder into them. I care not, however, to make
any question here of the etymology of words; for I am not of opinion
that it is the province of philosophy to infer aught as to the works of
nature from the signification of words, or to cite anatomical
disquisitions before the grammatical tribunal. Our business is not so
much to inquire what a word properly signifies, as how it is commonly
understood; for use and wont, as in so many other matters, are greatly
to be considered in the interpretation of words. It seems to me,
therefore, that we are to take especial care not to employ any unusual
words, or any common ones already familiarly used, in a sense which is
not in accordance with the meaning we purpose to attach to them. You
indeed counsel well when you say, “only make sure of the thing, call it
what you will.” But when we discover that a thing has hitherto been
indifferently or incorrectly explained (as the sequel will show it to
have been in the present case), I do not think that the old appellation
can ever be well applied to the new fact; by using the old term you are
apt to mislead where you desire to instruct. I acknowledge, then, a
transit of the blood from the arteries, into the veins, and that
occasionally immediate, without any intervention of soft parts; but it
does not take place in the manner hitherto believed, and as you yourself
would have it, where you say that anastomoses, correctly speaking,
rather than an anastomosis, were required, namely, that the vessels may
be open on either hand, and give free passage to the blood hither and
thither. And hence it comes that you fail in the right solution of the
question, when you ask how it happens that with the arteries as patent
or pervious as the veins, the blood nevertheless flows only from the
former into the latter, never from the latter into the former? For what
you say of the impulse of the blood through the arteries does not fully
solve the difficulty in the present instance. For if the aorta be tied
near the left ventricle of the heart in a living animal, and all the
blood removed from the arteries, the veins are still seen full of blood;
so that it neither moves back spontaneously into the arteries, nor can
it be repelled into these by any force, whilst even in a dead animal it
nevertheless falls of its own accord through the finest pores of the
flesh and skin from superior into inferior parts. The passage of the
blood into the veins is, indeed, effected by the impulse in question,
and not by any dilatation of these in the manner of bellows, by which
the blood is drawn towards them; but there are no anastomoses of the
vessels by conjunction (per copulam), in the way you mention, none where
two vessels meeting are conjoined by equal mouths. There is only an
opening of the artery into the vein, exactly in the same manner as the
ureter opens into the bladder (and the biliary duct opens into the
jejunum), by which, whilst the flow of urine is perfectly free towards
the bladder, all reflux into the smaller conduits is effectually
prevented; the fuller the bladder is, indeed, the more are the sides of
the ureters compressed, and the more effectual is all ascent of urine in
them prevented. Now, on this hypothesis, it is easy to render a reason
for the experiment which I have already mentioned. I add further, that I
can in nowise admit such anastomoses as are commonly imagined, inasmuch
as the arteries being always much smaller than the veins, it is
impossible that their sides can mutually conjoin in such a way as will
allow of their forming a common meatus; it seems matter of necessity
that things which join in this way should be of equal size. Lastly,
these vessels having made a certain circuit, must, at their
terminations, encounter one another; they would not, as it happens,
proceed straight to the extremities of the body. And the veins, on their
part, if they were conjoined with the arteries by mutual inosculations,
would necessarily, and by reason of the continuity of parts, pulsate
like the arteries.
And now, that I may make an end of my writing, I say, that whilst I
think the industry of every one deserving of commendation, I do not
remember that I have anywhere bepraised mine own. You, however, most
excellent sir, I conceive have deserved high commendation, both for the
care you have bestowed on your disquisition on the liver of the ox, and
for the judgment you display in your observations. Go on, therefore, as
you are doing, and grace the republic of letters with the fruits of your
genius, for thus will you render a grateful service to all the learned,
and especially to
Your loving
WILLIAM HARVEY.
Written in London, this 26th of March, 1651.
LETTER III.
_To the very excellent John Nardi, of Florence._
I should have sent letters to you sooner, but our public troubles in
part, and in part the labour of putting to press my work ‘On the
Generation of Animals,’ have hindered me from writing. And indeed I, who
receive your works--on the signal success of which I congratulate you
from my heart--and along with them most kind letters, do but very little
to one so distinguished as yourself in replying by a very short epistle.
I only write at this time that I may tell you how constantly I think of
you, and how truly I store up in my memory the grateful remembrance of
all your kindnesses and good offices to myself and to my nephew, when we
were each of us severally in Florence. I would wish, illustrious sir, to
have your news as soon as convenient:--what you are about yourself, and
what you think of this work of mine; for I make no case of the opinions
and criticisms of our pretenders to scholarship, who have nothing but
levity in their judgments, and indeed are wont to praise none but their
own productions. As soon as I know that you are well, however, and that
you live not unmindful of us here, I propose to myself frequently to
enjoy this intercourse by letter, and I shall take care to transmit
other books to you. I pray for many and prosperous years to your Duke;
and for yourself a long εὐημερία. Farewell, most learned sir, and love
in return.
Yours, most truly,
WILLIAM HARVEY.
The 15th of July, 1651.
LETTER IV.
_In reply to R. Morison, M.D., of Paris._
ILLUSTRIOUS SIR,--The reason why your most kind letter has remained up
to this time unanswered is simply this, that the book of M. Pecquet,
upon which you ask my opinion, did not come into my hands until towards
the end of the past month. It stuck by the way, I imagine, with some
one, who, either through negligence, or desiring himself to see what was
newest, has for so long a time hindered me of the pleasure I have had in
the perusal. That you may, therefore, at once and clearly know my
opinion of this work, I say that I greatly commend the author for his
assiduity in dissection, for his dexterity in contriving new
experiments, and for the shrewdness which he still evinces in his
remarks upon them. With what labour do we attain to the hidden things of
truth when we take the averments of our senses as the guide which God
has given us for attaining to a knowledge of his works; avoiding that
specious path on which the eyesight is dazzled with the brilliancy of
mere reasoning, and so many are led to wrong conclusions, to
probabilities only, and too frequently to sophistical conjectures on
things!
I further congratulate myself on his confirmation of my views of the
circulation of the blood by such lucid experiments and clear reasons. I
only wish he had observed that the heart has three kinds of motion,
namely, the systole, in which the organ contracts and expels the blood
contained in its cavities, and next, a movement, the opposite of the
former one, in which the fibres of the heart appropriated to motion are
relaxed. Now these two motions inhere in the substance of the heart
itself, just as they do in all other muscles. The remaining motion is
the diastole, in which the heart is distended by the blood impelled from
the auricles into the ventricles; and the ventricles, thus replete and
distended, are stimulated to contraction, and this motion always
precedes the systole, which follows immediately afterwards.
With regard to the lacteal veins discovered by Aselli, and by the
further diligence of Pecquet, who discovered the receptacle or reservoir
of the chyle, and traced the canals thence to the subclavian veins, I
shall tell you freely, since you ask me what I think of them. I had
already, in the course of my dissections, I venture to say even before
Aselli had published his book,[405] observed these white canals, and
plenty of milk in various parts of the body, especially in the glands of
younger animals, as in the mesentery, where glands abound; and thence I
thought came the pleasant taste of the thymus in the calf and lamb,
which, as you know, is called the sweetbread in our vernacular tongue.
But for various reasons, and led by several experiments, I could never
be brought to believe that that milky fluid was chyle conducted hither
from the intestines, and distributed to all parts of the body for their
nourishment; but that it was rather met with occasionally and by
accident, and proceeded from too ample a supply of nourishment and a
peculiar vigour of concoction; in virtue of the same law of nature, in
short, as that by which fat, marrow, semen, hair, &c., are produced;
even as in the due digestion of ulcers pus is formed, which the nearer
it approaches to the consistency of milk, viz. as it is whiter,
smoother, and more homogeneous, is held more laudable, so that some of
the ancients thought pus and milk were of the same nature, or nearly
allied. Wherefore, although there can be no question of the existence of
the vessels themselves, still I can by no means agree with Aselli in
considering them as chyliferous vessels, and this especially for the
reasons about to be given, which lead me to a different conclusion. For
the fluid contained in the lacteal veins appears to me to be pure milk,
such as is found in the lacteal veins [the milk ducts] of the mammæ. Now
it does not seem to me very probable (any more than it does to Auzotius
in his letter to Pecquet) that the milk is chyle, and thus that the
whole body is nourished by means of milk. The reasons which lead to a
contrary conclusion, viz. that it is chyle, are not of such force as to
compel my assent. I should first desire to have it demonstrated to me by
the clearest reasonings, and the guarantee of experiments, that the
fluid contained in these vessels was chyle, which, brought hither from
the intestines, supplies nourishment to the whole body. For unless we
are agreed upon the first point, any ulterior, any more operose,
discussion of their nature, is in vain. But how can these vessels serve
as conduits for the whole of the chyle, or the nourishment of the body,
when we see that they are different in different animals? In some they
proceed to the liver, in others to the porta only, and in others still
to neither of these. In some creatures they are seen to be extremely
numerous in the pancreas; in others the thymus is crowded with them; in
a third class, again, nothing can be seen of them in either of these
organs. In some animals, indeed, such chyliferous canals are nowhere to
be discovered (vide Liceti Epist. xiii, tit. ii, p. 83, et Sennerti
Praxeos, lib. v, tit. 2, par. 3, cap. 1); neither do they exist in any
at all times. But the vessels which serve for nutrition must necessarily
both exist in all animals, and present themselves at all times; inasmuch
as the waste incurred by the ceaseless efflux of the spirits, and the
wear and tear of the parts of the body, can only be supplied by as
ceaseless a restoration or nutrition. And then, their very slender
calibre seems to render them not less inadequate to this duty than their
structure seems to unfit them for its performance: the smaller channels
ought plainly to end in larger ones, these in their turn in channels
larger still, and the whole to concentrate in one great trunk, which
should correspond in its dimensions to the aggregate capacity of all the
branches; just such an arrangement as may be seen to exist in the vena
portæ and its tributaries, and farther in the trunk of the tree, which
is equal to its roots. Wherefore, if the efferent canals of a fluid must
be equal in dimensions to the afferent canals of the same fluid, the
chyliferous ducts which Pecquet discovers in the thorax, ought at least
to equal the two ureters in dimensions; otherwise they who drink a
gallon or more of one of the acidulous waters could not pass off all
this fluid in so short a space of time by these vessels into the
bladder. And truly, when we see the matter of the urine passing thus
copiously through the appropriate channels, I do not see how these veins
could preserve their milky colour, and the urine all the while remain
without a tinge of whiteness.
I add, too, that the chyle is neither in all animals, nor at all times,
of the consistency and colour of milk; and therefore did these vessels
carry chyle, they could not always (which nevertheless they do) contain
a white fluid in their interior, but would sometimes be coloured yellow,
green, or of some other hue (in the same way as the urine is affected,
and acquires different colours from eating rhubarb, asparagus, figs,
&c.); or otherwise, when large quantities of mineral water were drunk,
they would be deprived of almost all colour. Besides, did that white
matter pass from the intestines into those canals, or were it attracted
from the intestines, the same fluid ought certainly to be discovered
somewhere within the intestines themselves, or in their spongy tunics;
for it does not seem probable that any fluid by bare and rapid
percolation of the intestines could assume a new nature, and be changed
into milk. Moreover, were the chyle only filtered through the tunics of
the intestines, it ought surely to retain some traces of its original
nature, and resemble in colour and smell the fluid contained in the
intestines; it ought to smell offensively at least; for whatever is
contained in the intestines is tinged with bile, and smells
unpleasantly. Some have consequently thought that the body was nourished
by means of chyle raised into attenuated vapour, because vapours
exhaling in the alembic, even from fœtid matters, often do not smell
amiss.
The learned Pecquet ascribes the motion of this milky fluid to
respiration. For my own part, though strongly tempted to do otherwise, I
shall say nothing upon this topic until we are agreed as to what the
fluid is. But were we to concede the point (which Pecquet takes for
granted without any sufficient reason in the shape of argument), that
chyle was continually transported by the canals in question from the
intestines to the subclavian veins, in which the vessels he has lately
discovered terminate, we should have to say that the chyle before
reaching the heart was mixed with the blood which is about to enter the
right side of the organ, and that it there obtains a further concoction.
But what, some one might with as good reason ask, should hinder it from
passing into the porta, then into the liver, and thence into the cava,
in conformity with the arrangement which Aselli and others are said to
have found? Why, indeed, should we not as well believe that the chyle
enters the mouths of the mesenteric veins, and in this way becomes
immediately mingled with the blood, where it might receive digestion and
perfection from the heat, and serve for the nutrition of all the parts?
For the heart itself can be accounted of higher importance than other
parts; can be termed the source of heat and of life, upon no other
grounds than as it contains a larger quantity of blood in its cavities,
where, as Aristotle says, the blood is not contained in veins as it is
in other parts, but in an ample sinus and cistern, as it were. And that
the thing is so in fact, I find an argument in the distribution of
innumerable arteries and veins to the intestines, more than to any other
part of the body, in the same way as the uterus abounds with
blood-vessels during the period of pregnancy. For nature never acts
inconsiderately. In all the red-blooded animals, consequently, which
require [abundant] nourishment, we find a copious distribution of
mesenteric vessels; but lacteal veins we discover in but a few, and even
in these not constantly. Wherefore, if we are to judge of the uses of
parts as we meet with them in general and in the greater number of
animals, beyond all doubt those filaments of a white colour, and very
like the fibres of a spider’s web, are not instituted for the purpose of
transporting nourishment, neither is the fluid they contain to be
designated by the name of chyle; the mesenteric vessels are rather
destined to the duty in question. Because, of that whence an animal is
constituted, by that must it necessarily grow, and by that consequently
be nourished; for the nutritive and augmentative faculties, or nutrition
and growth, are essentially the same. An animal, therefore, naturally
grows in the same manner as it receives immediate nutriment from the
first. Now it is a most certain fact (as I have shown elsewhere) that
the embryos of all red-blooded animals are nourished by means of the
umbilical vessels from the mother, and this in virtue of the circulation
of the blood. They are not nourished, however, immediately by the blood,
as many have imagined, but after the manner of the chick in ovo, which
is first nourished by the albumen, and then by the vitellus, which is
finally drawn into and included within the abdomen of the chick. All the
umbilical vessels, however, are inserted into the liver, or at all
events pass through it, even in those animals whose umbilical vessels
enter the vena portæ, as in the chick, in which the vessels proceeding
from the yelk always so terminate. In the selfsame way, therefore, as
the chick is nourished from a nutriment, (viz. the albumen and
vitellus,) previously prepared, even so does it continue to be nourished
through the whole course of its independent existence. And the same
thing, as I have elsewhere shown, is common to all embryos whatsoever:
the nourishment mingled with the blood, is transmitted through their
veins to the heart, whence moving on by the arteries, it is carried to
every part of the body. The fœtus when born, when thrown upon its own
resources, and no longer immediately nourished by the mother, makes use
of its stomach and intestines just as the chick makes use of the
contents of the egg, and vegetables make use of the ground whence they
derive concocted nutriment. For even as the chick at the commencement
obtained its nourishment from the egg, by means of the umbilical vessels
(arteries and veins) and the circulation of the blood, so does it
subsequently, and when it has escaped from the shell, receive
nourishment by the mesenteric veins; so that in either way the chyle
passes through the same channels, and takes its route by the same path
through the liver. Nor do I see any reason why the route by which the
chyle is carried in one animal should not be that by which it is carried
in all animals whatsoever; nor indeed, if a circulation of the blood be
necessary in this matter, as it really is, that there is any need for
inventing another way.
I must say that I greatly prize the industry of the learned Pecquet, and
make much of the receptacle which he has discovered; still it does not
present itself to me as of such importance as to force me from the
opinion I have already given; for I have myself found several
receptacles of milk in young animals; and in the human embryo I have
found the thymus so distended with milk, that suspicions of an
imposthume were at first sight excited, and I was disposed to believe
that the lungs were in a state of suppuration, for the mass of the
thymus looked actually larger than the lungs themselves. Frequently,
too, I have found a quantity of milk in the nipples of new-born infants,
as also in the breasts of young men who were very lusty. I have also met
with a receptacle full of milk in the body of a fat and large deer, in
the situation where Pecquet indicates his receptacle, of such a size
that it might readily have been compared to the abomasus, or read of the
animal.
These observations, learned sir, have I made at this time in answer to
your letter, that I might show my readiness to comply with your wishes.
Pray present my most kind wishes to Dr. Pecquet and to Dr. Gayant.
Farewell, and believe me to be, very affectionately and respectfully,
Yours,
WILLIAM HARVEY.
London, the 28th April, 1652.
LETTER V.
_To the most excellent and learned John Nardi, of Florence._
DISTINGUISHED AND ACCOMPLISHED SIR,--The arrival of your letter lately
gave me the liveliest pleasure, and the receipt at the same time of your
learned comments upon Lucretius satisfied me that you are not only
living and well, but that you are at work among the sacred things of
Apollo. I do indeed rejoice to see truly learned men everywhere
illustrating the republic of letters, even in the present age, in which
the crowd of foolish scribblers is scarcely less than the swarms of
flies in the height of summer, and threatens with their crude and flimsy
productions to stifle us as with smoke. Among other things that
delighted me greatly in your book was that part where I see you ascribe
plague almost to the same efficient cause as I do animal generation.
Still it must be confessed that it is difficult to explain how the idea,
or form, or vital principle should be transfused from the genitor to the
genetrix, and from her transmitted to the conception or ovum, and thence
to the fœtus, and in this produce not only an image of the genitor, or
an external species, but also various peculiarities or accidents, such
as disposition, vices, hereditary diseases, nævi or mother-marks, &c.
All of these accidents must inhere in the geniture and semen, and
accompany that specific thing, by whatever name you call it, from which
an animal is not only produced, but by which it is afterwards governed,
and to the end of its life preserved. As all this, I say, is not readily
accounted for, so do I hold it scarcely less difficult to conceive how
pestilence or leprosy should be communicated to a distance by contagion,
by a zymotic element contained in woollen or linen things, household
furniture, even the walls of a house, cement, rubbish, &c., as we find
it stated in the fourteenth chapter of Leviticus. How, I ask, can
contagion, long lurking in such things, leave them in fine, and after a
long lapse of time produce its like in another body? Nor in one or two
only, but in many, without respect of strength, sex, age, temperament,
or mode of life, and with such violence that the evil can by no art be
stayed or mitigated. Truly it does not seem less likely that form, or
soul, or idea, whether this be held substantive or accidental, should be
transferred to something else, whence an animal at length emerges, all
as if it had been produced on purpose, and to a certain end, with
foresight, intelligence, and divine art.
These are among the number of more abstruse matters, and demand your
ingenuity, most learned Nardi. Nor need you plead in excuse your
advanced life; I myself, although verging on my eightieth year, and
sorely failed in bodily strength, nevertheless feel my mind still
vigorous, so that I continue to give myself up with the greatest
pleasure to studies of this kind. I send you along with these, three
books upon the subject you name.[406] If you will mention my name to his
Serene Highness the Duke of Tuscany, with thankfulness for the
distinguished honour he did me when I was formerly in Florence, and add
my wishes for his safety and prosperity, you will do a very kind thing
to
Your devoted and very attached friend,
WILLIAM HARVEY.
30th Nov. 1653.
LETTER VI.
_To John Daniel Horst, principal Physician of Hesse-Darmstadt._
EXCELLENT SIR,--I am much pleased to find, that in spite of the long
time that has passed, and the distance that separates us, you have not
yet lost me from your memory, and I could wish that it lay in my power
to answer all your inquiries. But, indeed, my age does not permit me to
have this pleasure, for I am not only far stricken in years, but am
afflicted with more and more indifferent health. With regard to the
opinions of Riolanus, and his decision as to the circulation of the
blood, it is very obvious that he makes vast throes in the production of
vast trifles; nor do I see that he has as yet satisfied a single
individual with his figments. Siegel wrote well and modestly, and, had
the fates allowed, would undoubtedly have answered his arguments and
reproaches also. But Siegel as I learn, and grieve to learn, died some
months ago. As to what you ask of me, in reference to the so-called
lacteal veins and thoracic ducts, I reply, that it requires good eyes,
and a mind free from other anxieties, to come to any definite conclusion
in regard to these extremely minute vessels; to me, however, as I have
just said, neither of these requisites is given. About two years ago,
when asked my opinion on the same subject, I replied at length, and to
the effect that it was not sufficiently determined whether it was chyle
or one of the thicker constituents of milk, destined speedily to pass
into fat, which flowed in these white vessels; and further that the
vessels themselves are wanting in several animals, namely, birds and
fishes, though it seems most probable that these creatures are nourished
upon the same principles as quadrupeds; nor can any sufficient reason be
rendered why in the embryo all nutriment, carried by the umbilical vein,
should pass through the liver, but that this should not happen when the
fœtus is freed from the prison of the womb, and made independent.
Besides, the thoracic duct itself, and the orifice by which it
communicates with the subclavian vein, appear too small and narrow to
suffice for the transmission of all the supplies required by the body.
And I have asked myself farther, why such numbers of blood-vessels,
arteries, and veins should be sent to the intestines if there were
nothing to be brought back from thence? especially as these are mere
membraneous parts, and on this account require a smaller supply of
blood.
These and other observations of the same tenor I have already made,--not
as being obstinately wedded to my own opinion, but that I might find out
what could reasonably be urged to the contrary by the advocates of the
new views. I am ready to award the highest praise to Pecquet and others
for their singular industry in searching out the truth; nor do I doubt
but that many things still lie hidden in Democritus’s well that are
destined to be drawn up into the light by the indefatigable diligence of
coming ages. So much do I say at this time, which, I trust, with your
known kindness, you will take in good part. Farewell, learned friend;
live happily, and hold me always
Yours, most affectionately,
WILLIAM HARVEY.
London, 1st February, 1654-5.
LETTER VII.
_To the distinguished and learned John Dan. Horst, principal Physician
at the Court of Hesse-Darmstadt._
MOST EXCELLENT SIR,--Advanced age, which unfits us for the investigation
of novel subtleties, and the mind which inclines to repose after the
fatigues of lengthened labours, prevent me from mixing myself up with
the investigation of these new and difficult questions: so far am I from
courting the office of umpire in this dispute! I was anxious to do you a
pleasure lately, when, in reply to your request, I sent you the
substance of what I had formerly written to a Parisian physician as my
ideas on the lacteal veins and thoracic ducts.[407] Not, indeed, that I
was certain of the opinion then delivered, but that I might place these
objections such as they were before those who fancy that when they have
made a certain progress in discovery all is revealed by them.
With reference to your letters in reply, however, and in so far as the
collection of milky fluid in the vessels of Aselli is concerned, I have
not ascribed it to accident, and as if there were not certain assignable
causes for its existence; but I have denied that it was found at all
times in all animals, as the constant tenor of nutrition would seem to
require. Nor is it requisite that a matter, already thin and much
diluted, and which is to become fat after the ulterior concoction,
should concrete in the dead animal. The instance of pus, I have adduced
only incidentally and collaterally. The hinge upon which our whole
discussion turns is the assumption that the fluid contained in the
lacteal vessels of Aselli is chyle. This position I certainly do not
think you demonstrate satisfactorily, when you say that chyle must be
educed from the intestines, and that it can by no means be carried off
by the arteries, veins, or nerves; and thence conclude that this
function must be performed by the lacteals. I, however, can see no
reason wherefore the innumerable veins which traverse the intestines at
every point, and return to the heart the blood which they have received
from the arteries, should not, at the same time, also suck up the chyle
which penetrates the parts, and so transmit it to the heart; and this
the rather, as it seems probable that some chyle passes immediately from
the stomach before its contents have escaped into the intestines, (or
how account for the rapid recovery of the spirits and strength in cases
of fainting?) although no lacteals are distributed to the stomach.