The growth of medicine from the earliest times to about 1800Buck, Albert H. (Albert Henry)
History
The growth of medicine from the earliest times to about 1800
Buck, Albert H. (Albert Henry)
Medicine -- History
As regards the work done by Erasistratus in the departments of anatomy
and physiology, the following statement may be made: He threw a great
deal of additional light upon the structure of the lacteals, the valves
of the heart, the brain, the nerves, and several other portions of the
body; and he assigned to the pneuma, or breath,--of which he assumed
that two kinds exist,--the most important rôle in the mechanism of
life. According to the description given by Galen and reported by Le
Clerc, the phenomena to which Erasistratus refers take place somewhat
as follows: “When the thorax or chest expands, the lungs also undergo
dilatation and fill themselves with air. This air, entering first by
way of the trachea, ultimately reaches the anastomosing terminals of
the bronchial tubes, from which locality the heart, by the act of
dilatation, draws it into itself, and then, immediately afterward
contracting, sends it, by way of the great artery (the Aorta), to every
part of the body.” When it is considered that at this remote period
of time nothing was known about oxygen and carbon dioxide, nor about
the power of these elements to pass freely through a thin membrane
(exosmosis and endosmosis), no surprise will be felt that Erasistratus
carried the physiology of respiration no farther than he did. On the
contrary, it is remarkable that he was able to describe so correctly
this complicated process. In fact, none of his successors, up to the
time when Harvey’s great discovery was announced, was able to furnish
a better description. The physiology of gastric digestion was another
of the problems concerning which Erasistratus held views that were
different from those commonly accepted by the physicians of that time.
The stomach, he maintained, first retracts when portions of food are
introduced and then contracts in such a manner as to break them up into
smaller and smaller fragments; this process taking the place of that
of “coction,” as taught by Hippocrates. The resulting chyle passes
from the stomach into the liver and is deposited in those spots where
the finer branches of the vena cava and the terminal twigs of the
channels which lead into the gall-bladder come together. Here the chyle
breaks up into two portions, one of which--viz., that which contains
biliary elements--gains an entrance into the channels that lead to the
gall-bladder, while the other, which is composed of elements suitable
for making pure blood, finds its way into the ramifications of the
vena cava. While holding these views about the mode of transformation
of gastric chyle into the bile and pure blood, Erasistratus did not
hesitate to confess that he was unable to say whether bile was produced
within the body or whether it already existed in the food that was
taken into the stomach.
Public-domain text, read in full here on John Shaqi.
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