It is necessary for the heart, as for all muscles, to be fed. For it,
indeed, this need is more imperative, as it may not stand still in
order to rest when it is tired. The continuous work to which it is
condemned explains to us how every alteration in the composition and
amount of blood is immediately manifested by changing its nutrition
and consequently its strength. Knowing that the heart is in constant
contact with the blood, that is, with the nutriment distributed by it
to all parts of the body, one might think that it could in this way
take the best part for itself, as it helps itself at first hand; at
the least, that it would take a more abundant portion than the other
organs, or that nature allowed it to satisfy its appetite unreservedly.
But this is not the case. In our body the rations of all organs are
calculated and distributed according to the need of each. There is also
a very strict economy of nutrition observed, because when any part of
the body works more than usual, its increased needs are supplied by
diminishing the rations of the other organs. The vaso-motor nerves are
charged with this distribution of victuals, if I may so express myself.
The heart, like all other muscles, takes as much blood as it needs for
its maintenance out of its cavity by means of the coronary arteries
branching off from the aorta. There is a control exercised over the
heart also, and the vaso-motor nerves could, if it were absolutely
necessary, diminish its rations and leave it barely sufficient strength
to distribute the food to all the other parts of the body.
Physiologists have endeavoured in vain during the last centuries to
find in the greater or lesser nutrition of the cardiac muscle the cause
of its more or less accelerated movements. One of the most daring
theories was propounded by Giovanni Lancisi, the celebrated Roman
court-physician, one of the most illustrious physiologists Italy has
ever possessed.
In his book 'De motu cordis,’ printed in the year 1728 by the Roman
University Press, he develops a theory so manifestly materialistic of
the origin of the pulsation of the heart during emotion and mental
suffering, that it seems almost impossible the book should have been
dedicated to the memory of Clement XI. and printed with the pontifical
types, by permission of the Sacred College. The Roman curia did not
foresee that those first steps would lead physiology so far away from
their dogmas, and did not suspect that such simple notions about the
functions of the human machine were pregnant with the innovative germs
of modern philosophy, since it allowed its great physician to speak
freely, and since it furnished him with the means for his physiological
investigations, heaped honours upon him, and handed down splendid
editions of his immortal books to posterity.
Public-domain text, read in full here on John Shaqi.
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