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
110. The air-vessel of the lungs, termed the bronchus, together with
the blood-vessels and nerves, enter the organ at its flattened side,
not exactly in the middle, but rather towards the upper and back part.
This portion is termed the root of the lung.
111. The lungs are attached to the neck by the trachea (fig. LX. 4),
the continuation of which forms the bronchus; to the spinal column by
the pleura, and to the heart by the pulmonary vessels (fig. LX. 3,
_d_): their remaining portion is free and unattached.
112. In the living body, the lungs on each side completely fill the
cavity of the chest, following passively the movements of its walls,
and accurately adapting themselves to its size, whether its capacity
enlarge in inspiration, or diminish in expiration, so that the external
surface of the lung (the pulmonary pleura) is always in immediate
contact with the lining membrane of the walls of the cavity (the costal
pleura); consequently, during life, there is no cavity, the chest being
always completely full.
[Illustration: Fig. LX.
_a._ The cut edges of the ribs, forming the lateral boundaries of the
cavity of the thorax.
_b._ The diaphragm, forming the inferior boundary of the thorax, and
the division between the thorax and the abdomen.
_c._ The cut edges of the abdominal muscles, turned aside, exposing the
general cavity of the abdomen.
1. The cut edge of the pericardium turned aside.
2. The heart.
3. The great vessels in immediate connexion with the heart.
4. The trachea, or wind-pipe.
5. The lungs.
6. The liver.
7. The stomach.
8. The large intestine.
9. The small intestines.
10. The urinary bladder.]
113. The anterior surface of the pericardium, the bag which envelopes
the heart, lies immediately behind the sternum, and the cartilages of
the second, third, fourth, and fifth ribs, covered at its sides by the
pleura, and firmly attached below to the diaphragm (fig. LX. 1).
114. Surrounded by its pericardium, within the mediastinum, the heart
is placed nearly in the centre of the chest, but its direction is
somewhat oblique, its apex being directly opposite to the interval
between the fifth and sixth ribs on the left side (fig. LX. 2); while
its basis is directed upwards, backwards, and towards the right (fig.
LX. 2). That portion of its surface which is presented to view on
opening the pericardium is convex (fig. LX. 2); but its opposite
surface, namely, that which rests upon the part of the pericardium
which is attached to the diaphragm, is flattened (fig. LX. 1). It is
fixed in its situation partly by the pericardium and partly by the
great vessels that go to and from it. But under the different states
of expiration and inspiration, it accompanies, in some degree, the
movements of the diaphragm; and in the varied postures of the body,
the heart deviates to a certain extent from the exact position here
described.
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