In relation to the lower part of the vena cava[154] there would still
remain, solitary and abandoned, the specious theory concerning the
filling of a vacuum. This, however, is deprived of plausibility by the
fact that people die of retention of urine, and also, no less, by the
situation of the kidneys. For, if the whole of the blood were carried
to the kidneys, one might properly maintain that it all undergoes
purification there. But, as a matter of fact, the whole of it does not
go to them, but only so much as can be contained in the veins going to
the kidneys;[155] this portion only, therefore, will be purified.
Further, the thin serous part of this will pass through the kidneys as
if through a sieve, while the thick sanguineous portion remaining in
the veins will obstruct the blood flowing in from behind; this will
first, therefore, have to run back to the vena cava, and so to empty
the veins going to the kidneys; these veins will no longer be able to
conduct a second quantity of unpurified blood to the kidneys--occupied
as they are by the blood which had preceded, there is no passage left.
What power have we, then, which will draw back the purified blood from
the kidneys? And what power, in the next place, will bid this blood
retire to the lower part of the vena cava, and will enjoin on another
quantity coming from above not to proceed downwards before turning off
into the kidneys?
Now Erasistratus realized that all these ideas were open to many
objections, and he could only find one idea which held good in all
respects--namely, that of _attraction_. Since, therefore, he did not
wish either to get into difficulties or to mention the view of
Hippocrates, he deemed it better to say nothing at all as to the
manner in which secretion occurs.
Public-domain text, read in full here on John Shaqi.
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