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
294. The heart projects the blood with a given force into the arterial
tubes. The arteries in the living body are always filled to distension,
and somewhat beyond it, by the quantity of blood that is in them. It
has been shown that the elasticity of their coats is such as to give
to them, even after death, the form of open hollow cylinders (274).
During life they are kept in a state of distension by the quantity of
blood they contain. By virtue of their elasticity they react upon
their contents with a force exactly proportioned to the degree of their
distension, that is, with a force at least adequate to keep them always
open and rigid.
295. These open and rigid tubes, already filled to distension, and
somewhat beyond it, receive at every contraction of the heart a
forcible injection of a new wave of blood. The first effect of the
injection of this new wave into a tube previously full to distension,
is to cause the current to proceed by jerks or jets, each jerk or
jet corresponding to the contraction of the heart. And, accordingly,
by this jet-like motion, the flow of the blood in the artery is
distinguished from that in the vein, in which latter vessel the current
is an equal and tranquil stream.
296. The second effect of this new wave is to occasion some further
distension of the already distended artery, and accordingly, when
the vessel is exposed in a living animal, and its action carefully
observed, a slight augmentation of its diameter is distinguishable at
every contraction of the heart. This new wave while it distends must at
the same time slightly elongate the vessel; cause its straight portions
to bend a little, and its curved portions to bend still more; and,
consequently, in some situations, to lift it a little from its place,
giving it a slight degree of locomotion;—and these two causes combined
produce the pulse. When the finger is pressed gently on an artery, at
the instant of the contraction of the heart, the vessel is felt to
bound against the finger with a certain degree of force: this, as just
stated, is owing to a slight distension of the vessel by the new wave
of blood, together with a slight elongation of it, and a gentle rising
from its situation.
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