The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Science
The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
375. These organs, which invariably act in concert, are so constructed
and disposed, that when in action they give to the chest two alternate
motions, one that by which its capacity is enlarged; and the other that
by which it is diminished. These alternate movements are called the
motions of respiration. The motion by which the capacity of the chest
is enlarged is termed the action of inspiration, and that by which it
is diminished the action of expiration.
376. The action of inspiration, or that by which the capacity of the
chest is enlarged, is effected by the combined movements of the thorax
and diaphragm; by the ascent of the thorax and by the descent of the
diaphragm.
377. The osseous portion of the thorax, which has been fully described
(69 _et seq._), consists of the spinal column (fig. CXLI. 1), the
ribs with their cartilages (fig. CXLI. 2, 3), and the sternum (fig.
CXLI. 4). The soft portion of the thorax consists of muscles and
membrane (figs. CXLII., CXLVI., and CXLVII.), together with the common
integuments of the body. The chief boundaries of the cavity of the
thorax before, behind, and at the sides, are osseous, being formed
before by the sternum and the cartilages of the ribs (fig. CXLI. 4,
3); behind by the spinal column and the necks of the ribs (fig. CXLI.
1,2); and at the sides by the bodies of the ribs. Below the boundary is
muscular, being formed by the diaphragm (fig. CXLIII. 3).
378. Externally the thorax is convex and enveloped by muscle and skin;
internally it is concave (fig. CXLIII. 1), and lined by a continuation
of the same membrane which envelops the lungs, the pleura (104). But
that portion of the pleura which lines the internal wall of the thorax
is called the costal pleura (pleura costalis), in contradistinction to
that which envelops the lungs, which is termed the pulmonary pleura,
or pleura pulmonalis (104). By the costal pleura, a thin but firm and
strong membrane, smooth, polished, and like all the membranes of its
class (serous membrane 30, _et seq._), kept in a state of perpetual
moisture and suppleness, by a fluid secreted at its surface, the
movements of the thorax are facilitated, at the same time that they are
prevented from injuring the delicate organs contained in it.
379. The moveable parts of the osseous portion of the thorax are the
ribs and sternum. The ribs, though by one extremity tied with exceeding
firmness to the spinal column by ligaments specially constructed, and
admirably adapted for that purpose (figs. LVI. 1, and LVII. 1), and
though attached at their other extremity by their cartilages to the
sternum (fig. LVIII.), are capable of three motions, an upward, an
outward, and a downward motion.
[Illustration: Fig. CXLI.—_View of the osseous portion of the Thorax._
1. Spinal column. 2. Ribs. 3. Cartilages of ribs. 4. Sternum.]
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