General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
If we examine but little the number of the absorbents distributed
in all the parts, it will be easily understood, how enormous the
disproportion of their capacity is with that of these two trunks. How
is it that all the serum contained upon the serous surfaces and in the
cellular texture, that all the residuum of nutrition, that all the fat,
the medullary fluid, and synovia, that all the drinks, all the product
of the solid aliments that constantly enter the circulation, can pass,
in order to get there, through vessels so small? This observation has
struck all authors; and it is, I confess, very difficult to explain.
In fact, 1st. When there is a disproportion in the capacity of the
blood vessels, it is compensated for by an increase of velocity where
the caliber is less; thus, though the capacity of the veins exceeds
that of the pulmonary artery, still all the blood of the first passes
through the second. Now if we examine in a dog the thoracic duct during
digestion, which can easily be done by opening quickly the thorax on
the right side, raising the lungs of that side, and by cutting the
pleura along the aorta, which allows you to see immediately this canal
then very white on account of the chyle that is passing through it, if,
I say, we examine the thoracic duct in action, we shall see that the
circulation goes on there nearly as in the veins. By opening it then,
a more powerful throw of fluid does not indicate a greater velocity
than that of the venous blood. 2d. It might perhaps be said that during
life the thoracic duct is sufficiently dilated to correspond to all the
absorbents; but observation proves precisely the contrary. The thoracic
duct, full of chyle, is undoubtedly a little more dilated than in the
dead body; but I have satisfied myself repeatedly that the difference
is not very great. 3d. By supposing that a great quantity of fluids
passes through the thoracic duct, notwithstanding its size, the vena
cava superior ought to be proportionably dilated between it and the
heart; yet it continues nearly of the same size after having received
this canal. 4th. Hewson, by taking the fluid of the lymphatics, has
proved that it was analogous to that of the serous surfaces; its
transparency, when examined in the vessels of a living animal, makes me
also believe it, though this would not be a conclusive reason. How can
a fluid of the same kind, result from the combination of such different
elements, viz. of those which compose the mucous, cutaneous, nutritive,
fatty absorptions, &c.
I confess that the different substances that enter the black blood by
the thoracic duct and the one corresponding to it, may enter it at
different times; that the lymph, the fat, the chyle can each have their
time of passing. But first this explanation is not supported by any
fact, and the disproportion would also then be very great.
Public-domain text, read in full here on John Shaqi.
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