It must further be borne in mind that the determination of the true
course taken by the whole mass of the blood is only the most conspicuous
of the discoveries of Harvey; and that his analysis of the mechanism by
which the circulation is brought about is far in advance of anything
which had previously been published. For the first time it is shown that
the walls of the heart are active only during its systole or
contraction, and that the dilatation of the heart, in the diastole, is
purely passive. Whence it follows that the impulse by which the blood is
propelled is a _vis à tergo_, and that the blood is not drawn into the
heart by any such inhalent or suctorial action as not only the
predecessors, but many of the successors, of Harvey imagined it to
possess.
Harvey is no less original in his view of the cause of the arterial
pulse. In contravention of Galen and of all other anatomists up to his
own time, he affirms that the stretching of the arteries which gives
rise to the pulse is not due to the active dilatation of their walls,
but to their passive distention by the blood which is forced into them
at each beat of the heart; reversing Galen's dictum, he says that they
dilate as bags and not as bellows. This point of fundamental, practical
as well as theoretical, importance is most admirably demonstrated, not
only by experiment, but by pathological illustrations.
One of the weightiest arguments in Harvey's demonstration of the
circulation is based upon the comparison of the quantity of blood driven
out of the heart, at each beat, with the total quantity of blood in the
body. This, so far as I know, is the first time that quantitative
considerations are taken into account in the discussion of a
physiological problem. But one of the most striking differences between
ancient and modern physiological science, and one of the chief reasons
of the rapid progress of physiology in the last half-century, lies in
the introduction of exact quantitative determinations into physiological
experimentation and observation. The moderns use means of accurate
measurement which their forefathers neither possessed nor could
conceive, inasmuch as they are products of mechanical skill of the last
hundred years, and of the advance of branches of science which hardly
existed, even in germ, in the seventeenth century.
Public-domain text, read in full here on John Shaqi.
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