The Works of William Harvey M.D. William Harvey

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The Works of William Harvey M.D - William  Harvey

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are no chordæ tendineæ, nor bundles of fibres, neither are there any tricuspid valves in the ventricles.

      Some animals have the right ventricle smooth internally, but the left provided with fibrous bands, such as the goose, swan, and larger birds; and the reason here is still the same as elsewhere: as the lungs are spongy, and loose, and soft, no great amount of force is required to force the blood through them; hence the right ventricle is either without the bundles in question, or they are fewer and weaker, not so fleshy or like muscles; those of the left ventricle, however, are both stronger and more numerous, more fleshy and muscular, because the left ventricle requires to be stronger, inasmuch as the blood which it propels has to be driven through the whole body. And this, too, is the reason why the left ventricle occupies the middle of the heart, and has parietes three times thicker and stronger than those of the right. Hence all animals—and among men it is not otherwise—that are endowed with particularly strong frames, and that have large and fleshy limbs at a great distance from the heart, have this central organ of greater thickness, strength, and muscularity. And this is both obvious and necessary. Those, on the contrary, that are of softer and more slender make have the heart more flaccid, softer, and internally either sparely or not at all fibrous. Consider farther the use of the several valves, which are all so arranged, that the blood once received into the ventricles of the heart shall never regurgitate, once forced into the pulmonary artery and aorta shall not flow back upon the ventricles. When the valves are raised and brought together they form a three cornered line, such as is left by the bite of a leech; and the more they are forced, the more firmly do they oppose the passage of the blood. The tricuspid valves are placed, like gate-keepers, at the entrance into the ventricles from the venæ cavæ and pulmonary veins, lest the blood when most forcibly impelled should flow back; and it is for this reason that they are not found in all animals; neither do they appear to have been constructed with equal care in all the animals in which they are found; in some they are more accurately fitted, in others more remissly or carelessly contrived, and always with a view to their being closed under a greater or a slighter force of the ventricle. In the left ventricle, therefore, and in order that the occlusion may be the more perfect against the greater impulse, there are only two valves, like a mitre, and produced into an elongated cone, so that they come together and touch to their middle; a circumstance which perhaps led Aristotle into the error of supposing this ventricle to be double, the division taking place transversely. For the same reason, indeed, and that the blood may not regurgitate upon the pulmonary veins, and thus the force of the ventricle in propelling the blood through the system at large come to be neutralized, it is that these mitral valves excel those of the right ventricle in size and strength, and exactness of closing. Hence, too, it is essential that there can be no heart without a ventricle, since this must be the source and storehouse of the blood. The same law does not hold good in reference to the brain. For almost no genus of birds has a ventricle in the brain, as is obvious in the goose and swan, the brains of which nearly equal that of a rabbit in size; now rabbits have ventricles in the brain, whilst the goose has none. In like manner, wherever the heart has a single ventricle, there is an auricle appended, flaccid, membranous, hollow, filled with blood; and where there are two ventricles, there are likewise two auricles. On the other hand, however, some animals have an auricle without any ventricle; or at all events they have a sac analogous to an auricle; or the vein itself, dilated at a particular part, performs pulsations, as is seen in hornets, bees, and other insects, which certain experiments of my own enable me to demonstrate have not only a pulse, but a respiration in that part which is called the tail, whence it is that this part is elongated and contracted now more rarely, now more frequently, as the creature appears to be blown and to require a larger quantity of air. But of these things, more in our Treatise on Respiration.

      It is in like manner evident that the auricles pulsate, contract, as I have said before, and throw the blood into the ventricles; so that wherever there is a ventricle an auricle is necessary, not merely that it may serve, according to the general belief, as a source and magazine for the blood: for what were the use of its pulsations had it nothing to do save to contain? No; the auricles are prime movers of the blood, especially the right auricle, which is “the first to live, the last to die;” as already said; whence they are subservient to sending the blood into the ventricle, which, contracting incontinently, more readily and forcibly expels the blood already in motion; just as the ball-player can strike the ball more forcibly and further if he takes it on the rebound than if he simply threw it. Moreover, and contrary to the general opinion, since neither the heart nor anything else can dilate or distend itself so as to draw aught into its cavity during the diastole, unless, like a sponge, it has been first compressed, and as it is returning to its primary condition; but in animals all local motion proceeds from, and has its original in the contraction of some part: it is consequently by the contraction of the auricles that the blood is thrown into the ventricles, as I have already shown, and from thence, by the contraction of the ventricles, it is propelled and distributed. Which truth concerning local motions, and how the immediate moving organ in every motion of an animal primarily endowed with a motive spirit (as Aristotle has it,[98]) is contractile; and in what way the word νεῡρον is derived from νεύω, nuto, contraho; and how Aristotle was acquainted with the muscles, and did not unadvisedly refer all motion in animals to the nerves, or to the contractile element, and therefore called those little bands in the heart nerves—all this, if I am permitted to proceed in my purpose of making a particular demonstration of the organs of motion in animals from observations in my possession, I trust I shall be able to make sufficiently plain.

      But that we may go on with the subject we have in hand, viz., the use of the auricles in filling the ventricles: we should expect that the more dense and compact the heart, the thicker its parietes, the stronger and more muscular must be the auricle to force and fill it, and vice versa. Now this is actually so: in some the auricle presents itself as a sanguinolent vesicle, as a thin membrane containing blood, as in fishes, in which the sac that stands in lieu of the auricle, is of such delicacy and ample capacity, that it seems to be suspended or to float above the heart; in those fishes in which the sac is somewhat more fleshy, as in the carp, barbel, tench, and others, it bears a wonderful and strong resemblance to the lungs.

      In some men of sturdier frame and stouter make, the right auricle is so strong, and so curiously constructed within of bands and variously interlacing fibres, that it seems to equal the ventricle of the heart in other subjects; and I must say that I am astonished to find such diversity in this particular in different individuals. It is to be observed, however, that in the fœtus the auricles are out of all proportion large, which is because they are present before the heart [the ventricular portion] makes its appearance or suffices for its office even when it has appeared, and they therefore have, as it were, the duty of the whole heart committed to them, as has already been demonstrated. But what I have observed in the formation of the fœtus as before remarked (and Aristotle had already confirmed all in studying the incubated egg,) throws the greatest light and likelihood upon the point. Whilst the fœtus is yet in the guise of a soft worm, or, as is commonly said, in the milk, there is a mere bloody point or pulsating vesicle, a portion apparently of the umbilical vein, dilated at its commencement or base; by and by, when the outline of the fœtus is distinctly indicated, and it begins to have greater bodily consistence, the vesicle in question having become more fleshy and stronger, and changed its position, passes into the auricles, over or upon which the body of the heart begins to sprout, though as yet it apparently performs no duty; but when the fœtus is farther advanced, when the bones can be distinguished from the soft parts, and movements take place, then it has also a heart internately which pulsates, and, as I have said, throws blood by either ventricle from the vena cava into the arteries.

      Thus nature, ever perfect and divine, doing nothing in vain, has neither given a heart where it was not required, nor produced it before its office had become necessary; but by the same stages in the development of every animal, passing through the constitutions of all, as I may say (ovum, worm, fœtus), it acquires perfection in each. These points will be found elsewhere confirmed by numerous observations on the formation of the fœtus.

      Finally, it was not without good grounds that Hippocrates, in his

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