Popular Lectures on Zoonomia: Or The Laws of Animal Life, in Health and DiseaseGarnett, Thomas
Science
Popular Lectures on Zoonomia: Or The Laws of Animal Life, in Health and Disease
Garnett, Thomas
Physiology
That we may better understand the phenomena of the pulse, I shall lay
down the following postulata. 1st. It is now generally believed, that
every part of the arterial system is endowed with irritability, or a
power of contracting on the application of a stimulus, and that the
blood acting on this contractibility, if the term may be allowed,
causes contraction; and that the alternate relaxation and contraction
gives the phenomenon pulsation. 2d. The greater the action of the
stimulus of the blood, the greater will be the contraction, that is,
the nearer will the sides of the artery approach towards the axis.
3d. That the velocity with which a muscular fibre, in a state of
debility, contracts, is at least equal to that with which a fibre in
a state of strength contracts, is a fact generally allowed by
physiologists.
We shall afterwards see, that a deficient action of stimulus on the
vessels may arise, either directly from diminishing the quantity of
blood contained in them, or indirectly, from the application of too
great a stimulant power, which has diminished the capability of
contracting inherent in the vessels.
From these postulata, it will be evident, that the greater the action
of the arteries, that is, the more powerful their contraction, the
longer will be the intervals between the pulsations.
For the velocity being at least equal in debility and in strength,
the times between the pulsations will be proportioned to the approach
of the sides of the artery towards its axis: but the approach of the
sides towards the axis is greater when the arteries are in a state of
vigour than when debilitated; consequently the intervals between the
pulsations will be greater when the arteries are in a state of vigour
than when debilitated.
Hence it is evident, that a frequency of pulse must generally
indicate a diminished action or debility; while a moderate slowness
indicates a vigorous or just action.
Hence likewise the opinion of increased action, which has been
supposed to take place in fevers, because a frequent pulse was
observed, must be false, because the frequency arises from a directly
opposite state, and indicates a diminished action of the vascular
system.
In a sound and adult man the frequency of the pulse is about seventy
beats in a minute; and in an infant, within the first five or six
months, the pulse is seldom less than one hundred and twenty, and
diminishes in frequency as the child grows older. But though seventy
beats in the minute may be taken as a general standard; yet in
persons of irritable constitutions the frequency is greater than
this, and many, who are in the prime of life, have the pulse only
between fifty and sixty.
It is generally observed, that the pulse is slower in the morning,
that it increases in frequency till noon, after dinner it again
becomes slow, and in the evening its frequency returns, which
increases till midnight.
Public-domain text, read in full here on John Shaqi.
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