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
From all that has been said, it follows, I think, very evidently, that
in the pulsation of the arteries, the heart is almost the only power
that puts the fluid in motion; that the vessels are then passive,
that they obey the motion that is communicated to them, but that
they have none of themselves dependant at least on their vitality.
Thus nature has chosen for the arterial texture one of those of
the economy, in which life is the least evident; as the heart is
remarkable for its vital properties, the arteries are remarkable for
the absence of them. They must be ranked with the cartilaginous,
fibrous, fibro-cartilaginous textures, &c. It is that they may not
disturb the unity of impulse by their motions, that nature has thus
formed the arteries. Suppose that they had the same vital forces as the
intestines; what would become of life? Any convulsive contraction a
little too strong in the aorta or in the great trunks, by contracting
their caliber too much, would arrest the circulation, and produce the
most serious effects by agitating it in an opposite direction to the
heart. In the intestinal canal, this phenomenon only produces vomiting.
It would produce death suddenly in the arterial system. The more
attentively we examine, the more we shall be convinced of the necessity
of having but one agent of impulse for the arterial system, and of
having this system inert, so that it cannot be able to arrest the
course of the blood.
I do not say that the arteries can never contract from the vital
influence; the skin which is not irritable, wrinkles by cold. But the
cases are very rare, in which the arteries contract. When they exist
they cause an inequality of the pulse on the two sides; an inequality
rarely noticed in diseases.
_Of the limits of the action of the Heart._
The heart is then the essential cause of the pulse; it is this which
puts every thing in action in the arterial motion. Many authors have
overrated its influence; they have thought that its impulse was
sufficient to produce, not only the arterial motion, but also that of
the general capillary system, and even that of the veins; so that the
contraction of the left ventricle alone is the cause, according to
them, of the long course the blood runs from it to the right ventricle.
But it is incontestably proved, as we shall see, that when this fluid
has arrived in the general capillary system, it is absolutely beyond
the influence of the heart, and that it moves only by that of the tonic
forces of the small vessels, and therefore for a stronger reason, the
left ventricle has no influence in the venous system. It is in this
respect that the authors, of whom I have spoken, have erred, and not
under that of the impulse that they have admitted in the arterial
system on the part of the heart.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account