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
Philosophers have calculated the motion of fluids, where their
particles are successively displaced, as in the course of a river; but
they have paid less attention to that brisk motion of the whole or of
the mass, if I may so say, that takes place in canals in which they are
enclosed on all sides, and are acted upon at one extremity.
_Remarks upon the Pulse._
Two things are already evidently proved, viz. 1st, that the heart
is the peculiar agent of the arterial motion, and that the arteries
are almost passive in this motion; 2d, that it consists in a general
impulse suddenly experienced by the whole mass of red blood, felt
at the same time at the extremities and in the trunks, and not in a
successive progression of a wave or undulation that goes from the left
ventricle. It remains for me to examine how the heart produces the
pulse by this brisk and instantaneous motion. There is still much to be
elucidated upon this point; but we cannot deny that the locomotion of
the arterial system does much in this phenomenon. At the instant the
mass of blood is driven thus from the heart towards the extremities,
by a motion of the whole, if we may so say, it tends inevitably to
straighten the arteries, especially when they are tortuous. This
straightening necessarily produces a locomotion, which causes the
pulsation of the artery.
As to the dilatation, it is hardly any thing in an ordinary state;
however if you press a little upon an artery, the blood makes an effort
to dilate it and this effort increases the sensation of the pulse;
Jadelot thought that it alone constituted it. On the other hand, if
much blood enters the arterial system at the instant of the contraction
of the heart; if a resistance exists in the general capillary system,
the arteries can be also dilated, but it is not their return upon
themselves or contraction that drives the blood into the capillaries;
this return is subsequent. In fact, at the instant of contraction,
the blood enters on the one part into the arteries in going from the
ventricle, and goes on the other to enter the capillary system; these
two phenomena take place at the same time, since they arise from the
same impulse. Then when there is a contraction in the artery, a motion
which is only the contractility of texture put into action, this
contraction does not drive the blood; but it takes place, because the
blood has been driven into the capillary system at the instant of the
contraction; it is because the artery ceases to be distended, that
it returns upon itself or contracts, and not because it is actually
distended. Hence how the arterial contraction can alternate with
that of the left ventricle; but it is not in the sense that authors
have understood it. There are then two periods in the motion of the
red blood; 1st, contraction of the ventricle; slight dilatation of
the arterial system by the blood that enters it; general locomotion;
passage into the capillary system of a portion of this red blood; all
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