CHAPTER X

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

VEINS TO THE ARTERIES. AND THAT THERE IS A CIRCUIT OF THE BLOOD,

FREED FROM OBJECTIONS, AND FARTHER CONFIRMED BY EXPERIMENT

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

referred to calculation or to experiment and dissection, viz.,

that the blood is incessantly poured into the arteries in larger

quantities than it can be supplied by the food; so that the whole

passing over in a short space of time, it is matter of necessity

that the blood perform a circuit, that it return to whence it set

out.

But if anyone shall here object that a large quantity may pass

through and yet no necessity be found for a circulation, that all

may come from the meat and drink consumed, and quote as an

illustration the abundant supply of milk in the mammae--for a cow

will give three, four, and even seven gallons and more in a day,

and a woman two or three pints whilst nursing a child or twins,

which must manifestly be derived from the food consumed; it may

be answered that the heart by computation does as much and more

in the course of an hour or two.

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

artery is divided, a preternatural route is, as it were, opened,

and that so the blood escapes in torrents, but that the same

thing does not happen in the healthy and uninjured body when no

outlet is made; and that in arteries filled, or in their natural

state, so large a quantity of blood cannot pass in so short a

space of time as to make any return necessary--to all this it may

be answered that, from the calculation already made, and the

reasons assigned, it appears that by so much as the heart in its

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

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

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

being entire and naturally constituted.

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

below the heart you will perceive a space between the ligature

and the heart speedily to become empty; so that, unless you would

deny the evidence of your senses, you must needs admit the return

of the blood to the heart. The same thing will also plainly

appear when we come to discuss our second position.

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

has been said, and from which everyone may obtain conviction

through the testimony of his own eyes.

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

quietly, distinctly, for more than an hour, moving like a worm,

contracting in its longitudinal dimensions, (for it is of an

oblong shape), and propelling its contents. It becomes of a paler

colour in the systole, of a deeper tint in the diastole; and

almost all things else are seen by which I have already said that

the truth I contend for is established, only that here everything

takes place more slowly, and is more distinct. This point in

particular may be observed more clearly than the noonday sun: the

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

at the superior part; the vein being now seized either with

forceps or between the finger and the thumb, and the course of

the blood for some space below the heart interrupted, you will

perceive the part that intervenes between the fingers and the

heart almost immediately to become empty, the blood being

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

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

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

from wanting blood: and then it begins to beat more slowly, so

that it seems at length as if it were about to die. But the

impediment to the flow of blood being removed, instantly the

colour and the size of the heart are restored.

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

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

heart, and the heart itself, to become inordinately distended, to

assume a deep purple or even livid colour, and at length to be so

much oppressed with blood that you will believe it about to be

choked; but the obstacle removed, all things immediately return

to their natural state and colour, size, and impulse.

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

deficiency, and suffocation from excess. Examples of both have

now been set before you, and you have had opportunity of viewing

the truth contended for with your own eyes in the heart.

The Harvard Classics Volume 38 Scientific Papers (Physiology, Medicine, Surgery, Geology) · 第 10 / 22 章