These are the types of movement which the arterial wall can perform by its elasticity in consequence of the shock of the arriving pulse wave. The mechanical nature of the components on which depends the form of the sphygmographic curve is, therefore, known. The constructions in Fig. 5 show how the resulting movement can be found. [Illustration: Fig. 5] These curves are constructed in this way. The lines _AB_ represent the time of the interval of one heart-beat. The straight line _EB_ represents the decreasing volume of the artery and the curves on _AB_ represent the elastic movement of the arterial wall. Both are synchronous movements, and a line perpendicular to _AB_ gives the corresponding points. The points of the resulting movement are found by arithmetical addition of the two ordinates. The results of these constructions prove that the curves show the dicrotic elevation only if the elastic force is great enough to make a vibratory movement possible. Aperiodic movements do not produce this elevation. The friction is always great for the movement of the walls of an artery, and there are only the two possibilities, of a vibratory movement which dies out quickly, and of an aperiodic movement. This accounts for the fact that the dicrotic elevation may be missing sometimes, and that in other cases several secondary elevations may be seen, the number of which, however, is always limited, and their relative height rapidly diminishing. It may be remarked that the length of the lines _AB_ seems essential to the form of the resulting curve. Curves I and III differ very much in the length of the lines _AB_, while the lines _AE_ are equal and the vibratory movements are only slightly different. The resultants, nevertheless, seem to differ very much. It is easy to see that a different speed of the recording drum will have an effect on the tracings which is similar to that of a change in the length of the lines _AB_ in the constructions. This is one more reason why mere inspection of the curves cannot give a satisfactory result. These constructions show that the sphygmographic curves must show great variations, since the amount of blood pumped into the system, the elasticity of the arteries and friction of the surrounding tissues are subjected very likely not only to individual but also to local and temporal variations. But under given conditions only a certain form of the pulse wave is possible, and this form does not change so long as these conditions do not change. The sphygmograms in Fig. 6 show some of the typical forms of the pulse curve. [Illustration: Fig. 6]