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
We can, I think, establish nearly the limits of the influence of the
heart upon the blood, by fixing them where this fluid is transformed
from red to black in the general capillary system. As it advances in
the small vessels, the impulse received is undoubtedly weakened, and
the small vessels supply it by their insensible organic contractility;
but I believe that the motion received from the heart, is not entirely
lost until at the place of the change into black blood; so that we
can establish for a general principle, 1st, that in the great trunks,
in the branches and even in the smaller branches, the heart is almost
every thing for the motion of the blood; 2d, that in the ramifications,
it is in part this organ and in part the vital action of the arteries,
which contributes to this motion; 3d, that finally it is this vascular
vital action alone in the general capillary system.
The pulse exists in its fulness, only in the trunks, the branches, and
the smaller branches. It is evidently weakened in the ramifications;
it becomes nothing in the capillary system. The arterial texture
of the great trunks is provided, as we have seen, with insensible
contractility. But the impulse received by the heart is on the one
part so strong, and the column of blood so great, that the influence
of this kind of contractility is really nothing. Irritability alone
could have influence; but this does not exist in the arteries. On the
contrary, in the small vessels, the shock on the one hand impressed by
the heart is insensibly weakened; on the other, the streams of blood
being so fine, they have no occasion for any thing to produce their
motion, except a kind of oscillation, an insensible vibration of the
vascular parietes. It is this that essentially distinguishes the two
kinds of organic contractility. The one is exerted only upon the fluids
in mass, as upon the blood, the aliments, the urine, &c. The other
causes the motion of the fluids when divided into small streams; it
presides over the capillary circulation, exhalation and secretion. The
influence of the first is very considerable wherever there is a great
cavity, as the stomach, the bladder, the intestines; that of the other
takes place only in the small vessels. As long as the blood is in a
considerable mass, the heart must inevitably be the agent of impulse,
the arteries cannot be, from their want of irritability. When it is in
very small streams, then it moves by the insensible contractility of
the vessels. This then is the part which this property performs in the
system with red blood; 1st, it exists in the trunks, the branches and
the smaller branches; but its effect is nothing where that of the heart
is evident. 2d. That of the heart being weakened in the ramifications,
its own contractility begins to have an influence. 3d. Finally, the
heart ceasing to agitate the blood in the general capillary system, the
insensible organic contractility or tone, is the sole cause of motion.
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