Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
[82] The observation of Bichat is very just; and I have myself
often observed in cases of apoplexy, that the motions of the heart
continue many hours after the arteries contain only black blood.
[83] At the period Bichat wrote, it was impossible to know whether
the arterial or venous blood contained most hydrogen and carbon.
At the present day even, when the means of analysis are much more
perfect and animal chemistry farther advanced, we are hardly better
informed.
[84] It seems that when Bichat wrote this work, he had not fixed
in his own mind what part the arteries take in the circulation;
at least, in this paragraph, he seems to give them a contractile
power, which, in his other works, he accords only, to their
ultimate ramifications.
[85] It is certain, whatever Bichat may say concerning it, that
numerous angles in the course of a blood-vessel, by increasing
the friction, must retard the course of the fluid which runs
through its cavity. We may in fact believe that it is one of the
causes, which, in the flattening of the lungs, embarrass the
circulation; this cause exerts its action principally upon the last
ramifications of the pulmonary artery which, by their interlacing,
form the bronchial cells; another more powerful cause, which acts
equally on the divisions of the vein and the artery is, as we have
said, the pressure made on the lungs by the flattening of the
thorax, and the elevation of the diaphragm.
[86] See the article on the influence of the lungs on all the
parts. I am compelled here to deduce consequences from principles
which I shall prove hereafter; such is in fact the connexion of
questions which have the circulation for their object, that the
solution of one draws as a necessary consequence that of all the
others. It is a circle in which it is always necessary to suppose
something, leaving it to be proved afterwards.
[87] I cannot see what can have induced Bichat to admit this
erethism of the lungs, the use of which cannot be imagined. It
is quite enough to suppose in the organs the existence of those
concealed properties, when there is need of them to explain their
functions.
[88] As the blood flows in the veins in a continuous motion, the
distension of these vessels does not take place in the direct
motion of the blood, but in its retrograde motion. Every time the
right auricle contracts, a portion of blood, instead of passing
into the ventricle of the same side, is forced back into the
superior and inferior venæ cavæ, and into the principal venous
trunks which open into them. By this reflux of the blood, these
veins are dilated, and have a pulsation which is easily seen in the
jugular in very thin people. This pulsation has received the name
of the _venous pulse_. When it is very evident, it may indicate an
obstacle to the passage of the blood from the auricle to the right
ventricle.
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