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
The blood is then evidently divided in the first months after
conception into two circulations, which cross, if it may be so said,
in the form of the figure 8, as has been remarked by Sabatier; it is
carried in each, from one assemblage of capillaries to another of the
same vessels. Only instead of moving between the pulmonary capillary
system and the general one, as in the adult, it moves between the
superior and inferior part of this last system; we may then say in this
point of view that the inferior and superior parts of the body are in
opposition in the fœtus, as the lungs in the adult are in opposition to
the rest of the body.
This complete opposition on the part of the circulation, between the
upper and lower part of the body, in the first months of the fœtus,
is probably the origin of the difference that takes place afterwards
between these parts.
All physicians have observed this difference in diseases. If the
median line frequently separates the affections of the right side
from those of the left, the diaphragm seems often to be the boundary
of many diseases. Who does not know, that scorbutic affections appear
particularly below, that serous infiltrations are most frequent there,
and that ulcers are infinitely more common in the inferior extremities,
and that on the other hand, most cutaneous eruptions take place in the
superior parts, &c.? Bordeu, who has said much of the division of the
body into superior and inferior parts, considered one pulse as the
precursor of evacuations from above, and another as that of those from
below, he has however without doubt exaggerated this opposition of the
two parts of the body; still it really exists, and I think that it is
very probable, that the manner of the circulation of the fœtus is the
primary source of it.
After the first months, things begin to change. The quantity of blood
passing by the pulmonary artery was at first scarcely any thing,
because the dilatation of the ductus arteriosus was so great, that it
turned almost the whole of it into the descending aorta. This canal
gradually contracting, the pulmonary arteries dilate, and then more
blood goes through the lungs, and is brought by the pulmonary veins to
the left auricle, which transmits it to the left ventricle, which sends
it to the arch of the aorta; then the mechanism of the circulation
described above begins to change, and approximate that of the infant,
as we shall see.
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