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
254. In nourishing the tissues and stimulating the organs, the blood
parts with its nutritive and stimulating constituents, and receives in
return some ingredients which can no longer be usefully employed in the
economy, and others which are positively injurious. An apparatus is
established for its renovation and depuration; this organ is termed the
lung (fig. LIX. 5), and to this organ the blood must in like manner be
conveyed. Thus the blood moves in a double circle, one from the heart
to the body and from the body back to the heart, termed the systemic
circle; the other from the heart to the lung and from the lung back
to the heart, termed the pulmonic circle. Hence in the human body the
heart is double, consisting of two corresponding parts precisely the
same in name, in nature, and in office; the one appropriated to the
greater, or the systemic, and the other to the lesser, or the pulmonic
circulation (fig. CXIV.).
255. There is a complete separation between these two portions of the
heart (fig. CXIV. 6), formed by a strong muscular partition which
prevents any communication between them except through the medium of
vessels.
256. The heart is situated between the two lungs (fig. LIX. 2, 5),
in the lower and fore part of the chest, nearly in the centre, but
inclining a little to the left side. Its position is oblique (fig.
LIX. 2, 5). Its basis is directed upwards, backwards, and towards the
right (fig. LIX. 2); its apex is directed downwards, forwards, and
towards the left, opposite to the interval between the cartilages
of the fifth and sixth ribs (fig. LIX. 2). It is inclosed in a bag
termed the pericardium (fig. CXV.), which consists of serous membrane.
The pericardium is considerably larger than the heart, allowing
abundant space for the action of the organ (fig. CXV.). One part of
the pericardium forms a bag around the heart (fig. CXV.); the other
part is reflected upon the heart so as to form its external covering
(fig. CXV.), and is continued for a considerable distance upon the
great vessels that go to and from the heart in such a manner that this
bag, like all the serous membranes, constitutes a shut sac. Both that
portion of the pericardium which is reflected upon the heart, and that
which forms the internal surface of the bag around it, is moistened
during life by a serous fluid, which, after death, is condensed into a
small quantity of transparent water. That portion of the pericardium
which rests on the diaphragm (fig. LXX. 1) is so firmly attached to it
that it cannot be separated without laceration, and by this attachment,
together with the great vessels at its base, the heart is firmly held
in its situation, although in the varied movements of the body it is
capable of deviating to a slight extent from the exact position here
described.
[Illustration: Fig. CXV.
View of the heart enveloped in its pericardium, the fore part of the
latter being cut open and reflected back.]
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