And this I have frequently experienced in my dissections of the
veins: if I attempted to pass a probe from the trunk of the veins
into one of the smaller branches, whatever care I took I found it
impossible to introduce it far any way, by reason of the valves;
whilst, on the contrary, it was most easy to push it along in the
opposite direction, from without inwards, or from the branches
towards the trunks and roots. In many places two valves are so
placed and fitted, that when raised they come exactly together in
the middle of the vein, and are there united by the contact of
their margins; and so accurate is the adaptation, that neither by
the eye nor by any other means of examination, can the slightest
chink along the line of contact be perceived. But if the probe be
now introduced from the extreme towards the more central parts,
the valves, like the floodgates of a river, give way, and are
most readily pushed aside. The effect of this arrangement plainly
is to prevent all motion of the blood from the heart and vena
cava, whether it be upwards towards the head, or downwards
towards the feet, or to either side towards the arms, not a drop
can pass; all motion of the blood, beginning; in the larger and
tending towards the smaller veins, is opposed and resisted by
them; whilst the motion that proceeds from the lesser to end in
the larger branches is favoured, or, at all events, a free and
open passage is left for it.
But that this truth may be made the more apparent, let an arm be
tied up above the elbow as if for phlebotomy (A, A, fig. 1). At
intervals in the course of the veins, especially in labouring
people and those whose veins are large, certain knots or
elevations (B, C, D, E, F) will be perceived, and this not only
at the places where a branch is received (E, F), but also where
none enters (C, D): these knots or risings are all formed by
valves, which thus show themselves externally. And now if you
press the blood from the space above one of the valves, from H to
O, (fig. 2,) and keep the point of a finger upon the vein
inferiorly, you will see no influx of blood from above; the
portion of the vein between the point of the finger and the valve
O will be obliterated; yet will the vessel continue sufficiently
distended above the valve (O, G). The blood being thus pressed
out and the vein emptied, if you now apply a finger of the other
hand upon the distended part of the vein above the valve O, (fig.
3,) and press downwards, you will find that you cannot force the
blood through or beyond the valve; but the greater effort you
use, you will only see the portion of vein that is between the
finger and the valve become more distended, that portion of the
vein which is below the valve remaining all the while empty (H,
O, fig. 3).
Public-domain text, read in full here on John Shaqi.
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