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
Authors have commonly considered the arteries and veins as forming,
each by their assemblage, a cone, the base of which is at all the
parts, and the apex at the heart. This manner of describing them arises
from this, that the sum of the branches is greater in diameter, than
that of the trunks from which they arise; now in adopting this idea,
it is evident that each half of the heart is at the summit of two
cones, which would be united without it. The pulmonary veins represent
one, and the aorta the other for the red blood; for the black blood,
there is on one part the venæ cavæ and coronary veins, on the other,
the pulmonary artery, which form the two cones. In each circulation,
one of these cones is remarkable for its small size; it is that of the
lungs; the other for its great extent; it is that of all the parts.
Placed between these two cones, each part of the heart should be
considered as an agent of impulse which hastens the course of the
blood, on one hand towards all the parts, on the other towards the
lungs. In fact, if in each circulation these two cones communicate by
their apex, it is evident that the parietes of the vessels that compose
them would be insufficient to maintain the motion, from the base of one
to the base of the other; that is to say from the general capillary
system to that of the lungs, and reciprocally from that of the lungs
to the general one. The course is manifestly too long, and the vital
forces of the vascular parietes not sufficient to admit of this; hence
the necessity of the heart.
This consequence leads to another, which is this. As the red blood has
a greater extent to go over from the heart to the general capillary
system, than the black blood has from the heart to the pulmonary
capillary system, it is necessary that the portion of this organ
belonging to the first kind of blood, should be endowed with a greater
force than that destined to support the motion of the latter. Nature
has effected this object by composing the ventricle with red blood
of fibres much stronger than those of that of black blood. As to
the auricles, as they only receive the blood and transmit it to the
ventricles, their thickness is nearly uniform.
From this we see, 1st. that the part the heart performs in the two
circulations, is absolutely relative to the mechanical phenomena of
the course of the blood, and that, if it has any influence upon the
composition, it can only be by the internal motion it communicates to
it; 2d. that if the course of the two circulations, of black blood and
red, was of less extent, they might do without this intermediate agent
of impulse. This is precisely what happens in the system of abdominal
black blood, the two trees of which distributing their branches, one to
the gastric viscera, the other to the liver, unite by their trunk in
what is called the sinus of the vena porta, which occupies exactly the
place of the heart in the great system of black blood and in that of
red.
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