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
It is then possible to conceive, 1st. how the heart may fail; of this
we have many examples, in which the two great circulating systems
resemble in a certain degree, the abdominal; 2d. how the blood can
oscillate from one capillary system to the other, during a considerable
time, though the heart, weak, enfeebled, and even in part disorganized,
can hardly any longer accelerate the course of this fluid; 3d. how,
this organ having entirely suspended its pulsation in syncope,
asphyxia, &c. there is still an oscillation, a real progression of the
blood from one capillary system to the other, so that if an artery or
vein is then opened, it flows a little at the opening. Certainly this
oscillation is very weak; it cannot last a long time; but we cannot
deny that it exists without the influence of the heart, since the black
blood is carried without the agent of impulse, from the intestines to
the liver; hence it follows that the cessation of the pulsation of
the heart is not a proof of the want of motion in the blood, as some
authors have thought. 4th. We know that in many animals of the lower
classes, there is no heart, though there are distinct vessels and
circulating fluids.
The importance of the part that the heart enjoys in the animal economy
is only in relation to the general impulse that it communicates to
all the organs and the constant excitement in which it keeps them by
this impulse. It does not send to them the materials of secretion, of
exhalation and of nutrition; it only in this respect transmits what it
receives from the lungs.
II. _Reflections upon the general uses of the circulation._
This leads us to some reflections upon the general differences of the
uses of the two circulations; differences which prove the necessity
of presenting the single function that results from them in the view
in which I have placed it, and not in that in use in the treatises on
physiology. The following are the differences.
_General uses of the circulation of the red blood._
It is the circulation of the red blood that alone furnishes the matter
of secretions, except that of the bile, a fluid which however deserves
a further examination. It is from this circulation that the serous,
cellular, cutaneous, medullary exhalants, &c. draw the fluids that
they transmit upon their respective surfaces. All the vessels that
carry the matter of nutrition of the organs are also continuous with
the arteries and consequently their fluids come from the red blood.
In the organs even in which the black blood goes, as in the lungs and
the liver, there are vessels with red blood evidently for the purposes
of nutrition. It is the red blood that communicates to the organs of
the whole body that general agitation which is necessary to their
functions, an agitation so evident in the brain. The circulation of red
blood is then the most important; it is that, whence are derived the
great phenomena of the economy.
_General uses of the circulation of black blood._
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