General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
The circulation of the black blood is performed in a manner the reverse
of the preceding. It begins in the general capillary system; it is
in this system, that its blood takes the peculiar character that
distinguishes it from the preceding; it is here that it is formed, by
the subtraction probably of the principles of the air that it acquired
by terminating its course in the lungs. From this general capillary
system, it enters the veins which transmit it to the right cavities
of the heart, which send it by the pulmonary artery, to the capillary
system of the lungs. This system is its real termination, as it is the
commencement of the circulation of the red blood. A general membrane,
every where continued, lines the whole course of the black blood,
and forms for it also a general and continuous canal, in which it is
constantly carried from all parts to the interior of the lungs. At the
exterior of this great canal, nature has placed a loose membrane in the
veins, fleshy fibres in the heart, and a peculiar fibrous texture in
the pulmonary artery; but, like the preceding canal, it remains always
nearly uniform, notwithstanding this difference of organs to which it
is united externally. It is by the folds of this membrane in the veins
that the valves are formed. It contributes to form all those of the
right side of the heart, whose cavities it lines, as the preceding
enters into the composition of the valves of the left side, which
borrows from it the membrane that lines it.
_Difference of the two circulations._
From the general idea that I have given of the two circulations, it
is evident that they are perfectly independent of each other, except
at their origin and termination, where the red and black blood are
alternately transformed into each other, and communicate for this
purpose by the capillary vessels. In their whole course they are
entirely separate. Though the two portions of the heart are united
in one single organ, they may however be considered as uniformly
independent in their action. There are truly two hearts, a right and
a left. Both would be able perhaps to perform their functions as well
if they were separate, as they now do united. When the foramen ovale
remains open after birth, I have proved elsewhere that such is the
arrangement of the two folds between which it is found, that the black
blood cannot communicate with the red, and that the two hearts should
equally be considered independent, at least as it respects the course
of the blood. This entire separation of the two circulations is one of
their most striking characters; it alone proves how much preferable the
point of view in which I have presented the circulation, is to that
which divides it into great and small, which are evidently confounded
and identified.
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