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
Let us conclude from these experiments, that the influence of the
direction of the arteries upon the course of the blood, is much less
than is commonly thought, and that all the calculations of mathematical
physicians upon the delay of the blood from this cause, rest upon
unsubstantial foundations. There is no doubt that when the fore arm is
strongly bent, the pulse is weakened, stops even, and it is essential
when we feel the pulse that the arm should be extended; but this
phenomenon does not depend upon the angle the artery forms; it arises
from this, that the muscles that press it, contract its caliber and
even obliterate it. This is so true, that the different curves of the
internal carotid are much more evident than the single curve that the
brachial then forms, and yet the circulation is performed there very
well. Besides, open an intercostal artery which has but few curves,
the force with which the blood will be thrown out is not stronger
than it would be from the radial, &c. If the whole arterial system
was empty and the blood going from the heart filled it successively,
as this fluid would strike against the arterial curvatures, it would
undoubtedly experience some delay. It is on this account that in our
injections a tortuous artery is slower in filling; as the spermatic for
example often remains empty. But in a number of tubes full of fluid, it
is wholly different; the impulse received at the beginning of them is
suddenly propagated into all the cavities that form them, and not by a
successive progression, as I shall say hereafter.
The arterial curvatures are adapted to the different states in which
the organs may be found. We see them very evident in those which are
subject to an alternate dilatation and contraction, for example in
the intestines, the lips, and the whole face. In the fœtus, when the
testicle is in the abdomen, the artery is very tortuous. When this
gland descends, the artery untwists and takes the straight course it
has in the adult. In the motions of the womb, the bladder, the pharynx,
the tongue, &c. these curvatures perform an important part in the
preservation of these organs. In the fractures of the lower jaw, they
prevent the rupture of the artery that traverses this bone, a rupture
which the displacing of the bone would produce without them. By them
the arterial system is preserved unhurt in the violent and oftentimes
forced motions that the limbs perform.
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