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
I would remark upon this subject that the anastomoses furnish the
first proof of a truth which we shall soon demonstrate more in detail,
viz. that in the great trunks, the blood is especially influenced
by the heart, and that in the capillaries, it is exclusively by the
vascular parietes. In fact it is because the vitality of the arteries
is every thing for the motion of the last subdivisions, that the
least alterations that they experience give rise to many engorgements
that inevitably require anastomoses, which are extremely numerous at
the end of the arterial tree. On the other hand, the vitality of the
trunks having scarcely any influence upon the blood, it experiences
but few obstacles in passing through them; there is less need then of
anastomoses, which are in fact more rare there.
If the least cause, the least irritation produced spasm of the trunks,
as they produce that of their last divisions, it would be necessary
that they should communicate as frequently together. A fleshy texture
in the great arteries, and vital properties analogous to the
involuntary muscles, would have required inevitably these numerous
anastomoses, because a variety of causes influencing these kinds of
muscles, they can at any moment increase unnaturally their contraction,
diminish their caliber and embarrass the progress of the fluids that
traverse them.
_Forms of the Arteries in their course._
Many physicians of the present age have described each artery as
forming a cone, the base of which is towards the heart, and the apex
towards the extremities. If we examine a portion of it between the
origin of two branches, whether after having injected it, or by cutting
it perpendicularly when it is empty, or by measuring it when it is full
of blood, we find it always cylindrical. Undoubtedly considered in its
whole extent, it takes a conical form, the effect of its successive
diminution by the branches it furnishes; but in this sense it is less a
cone, than a series of cylinders successively joined to each other and
always decreasing.
Considered in its general arrangement, the arterial system represents
on the contrary, as I have said, a cone absolutely inverted, that is
to say, having its base at all the parts and its apex at the heart;
so that the aorta has a diameter less considerable in proportion,
than that of the sum of all the branches. We have a proof of this by
comparing a trunk with two branches that succeed it; these surpass
it in diameter, and the relation being always the same in all the
subdivisions, we conceive that the capacity of the arterial system goes
uniformly increasing.
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