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
It is not the wave of blood going from the ventricle, that is driven at
each contraction into the capillary system; it is the portion of this
fluid which is found nearest this system, as in the syringe, it is the
portion that is in the tube that the piston forces out and not that
with which it is in contact; whence it follows, that it is only at the
end of some time that the blood arrives from the heart, at the general
capillary system, that it remains during a number of contractions in
the arteries, and that it is only successively expelled; which favours
the mixture of the different principles that compose it.
From this manner of considering the arterial motion, which is the only
real and admissible one, it is evidently impossible that the curves can
injure this motion, besides this is proved by many facts.
I consider also as destitute of every kind of foundation all that has
been said in the books of physiology, upon the causes of the delay
occasioned in the course of the blood, 1st, by its passage from a
narrower to a broader place, and by the conical form of the general
arterial system; 2d, by friction; 3d, by the angles; 4th, by the
anastomoses which give an opposite shock, &c. &c. All this would be
true if the arteries were empty at the time of contraction, because the
blood would then have in them, truly a progressive motion. But in the
general and instantaneous impulse that the whole mass spread in the
arterial system experiences, all these causes are evidently nothing. I
return now to the trifling but very accurate comparison of the syringe.
Suppose that a tube twisted in a thousand ways, with numerous angles,
inequalities, internal projections, &c. was fixed to it; if the tube
and the body of the syringe are full at the instant we push the piston,
the water will escape suddenly from the extremity of this tube with
as much force as if it was straight and short. It is so true that all
the causes of delay, which would have some effect, if the arteries
were empty at the instant the blood is driven into them, have none in
their ordinary state, that many judicious observers, who even admitted
the delay, have seen in their experiments that the motion was every
where the same, in the smaller branches as in the trunks. Why did not
this undeceive them? We know that the pulse is the same in all parts
of the arterial system; how could it be if there was this delay? What
has greatly retarded the progress of the physiology of the circulation,
is the idea that is attached to the velocity of the course of the red
blood. This velocity cannot be rightly estimated, because the motion
is not successive, because, to speak correctly, the blood does not
flow; it is suddenly driven by a general impulse, in which we cannot
calculate any thing.
Public-domain text, read in full here on John Shaqi.
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