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
Arising thus from the left ventricle, the aorta divides almost
immediately into two branches, one ascending goes to the neck, head
and superior extremities; the other descending to the chest, abdomen
and lower extremities. The first being very soon subdivided into four
principal trunks, differs in this respect from the second, which forms
for a long time one trunk only. The latter having to go over a much
greater distance than the other, preserves with more certainty by this
arrangement the whole of the motion that is given to the blood by the
heart; this does not prevent, however, owing to the less distance, the
impulse from being more sensibly felt by the superior than the inferior
organs, as I have said above. At the superior part of the pelvis, the
aorta divides into two secondary trunks. Soon after, subdivisions begin
under the name of branches, which are afterwards multiplied under that
of ramifications, &c.
Mathematical anatomists have exaggerated the number of the arterial
sub-divisions. Many have thought there were a hundred to one artery;
Haller reduced the number to twenty, and even less. To ascertain
what is really the case, it is necessary to take the arteries at
their origin, and follow their course under a serous membrane, the
peritoneum for example, where they are every where very apparent; it
will be seen in this way, that the sub-divisions are not more numerous
than is stated by Haller; I have frequently satisfied myself of this.
Besides, the inspection of a living animal whose abdomen is opened, is
almost the only means that can be employed without danger of mistake.
Injections when too coarse do not fill all the branches; when too
fine, they pass into the exhalant vessels, and communicate to the
whole serous surface a colour that is not natural to it. It is almost
impossible to ascertain by injections, the precise point of the natural
circulation. To be convinced of this, inject a dog and open the abdomen
of another of the same size; you will see uniformly in one more or
less vessels injected, than are seen in the other filled with blood.
I frequently performed this experiment, at the time I was engaged in
demonstrating the insufficiency of injections, either fine or coarse,
to show the quantity of blood in any part.
When they divide, the arteries form among themselves very different
angles. Sometimes right angles, as at the middle intercostals;
sometimes obtuse, which is more rare, as at the superior intercostals;
most commonly they are acute, particularly in the extremities. The
origin of the spermatic artery is an instance of the extreme of this
last kind of origin.
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