The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Philosophy
The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
103. Such are the boundaries of the cavity of the thorax as far as
its walls are solid. The interspaces between these solid portions at
the sides are filled up by muscles, principally by those termed the
intercostal (fig. LIX.); below, the boundary is formed by the diaphragm
(fig. LXI. 2); while above, as has been already stated (69), the cavity
is so contracted as only to leave an opening for the passage of certain
parts to and from the chest.
[Illustration: Fig. LIX.
A view of the muscles called _Intercostals_, filling up the spaces
between the ribs.]
104. The inner surface of the walls of the thorax, in its whole
extent, is lined by a serous membrane, exceedingly thin and delicate,
but still firm, called the pleura. The same membrane is reflected over
the organs of respiration contained in the cavity, so as to give them
an external coat. The membrane itself is every where continuous, and
every where the same, whether it line the containing or the contained
parts; but it receives a different name as it covers the one or the
other: that portion of it which lines the walls of the cavity being
called the costal pleura (fig. LXI. _a_), while that which covers the
organs contained in the cavity is termed the pulmonary pleura (fig. LX.
5, 1).
105. A fold of each pleura passes directly across the central part
of the cavity of the thorax; extending from the spinal column to the
sternum, and dividing the general cavity into two. This portion of the
pleura is called the mediastinum, from its situation in the centre
of the thorax, and it so completely divides the thoracic cavity into
two, that the organs on one side of the chest have no communication
with those of the other; so that there may be extensive disease in one
cavity (for example, a large accumulation of water,) while the other
may be perfectly sound.
106. The main organs contained in the cavity of the thorax are the
lungs with their air tube; the heart with its great vessels; and the
tube passing from the mouth to the stomach (fig. LX.).
107. The two lungs occupy the sides of the chest (fig. LX. 5). They
are completely separated from each other by the membranous partition
just described, the mediastinum. Between the two folds of the
mediastinum, namely, in the middle of the chest, but inclining somewhat
to the left side, is placed the heart, enveloped in another serous
membrane, the pericardium (fig. LX. 2, 1).
108. The lungs are moulded to the cavities they fill; whence their
figure is conical, the base of the cone being downwards, resting on the
diaphragm (fig. LX. 5, _b_); and the apex upwards, towards the neck
(fig. LX. 5).
109. That surface of each lung which corresponds to the walls of the
chest is convex in its whole extent (fig. LX. 5); on the contrary, that
surface which corresponds to the mediastinum is flattened (fig. LX.
5). The basis of the lung is concave, adapted to the convexity of the
diaphragm on which it rests (fig. LX. 5).
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