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
384. Such is the part of the action, in inspiration, performed by the
motion of the ribs. The remaining part of that action, by far the most
important, consists of the enlargement of the capacity of the thorax
from above downwards, or in its long diameter. This is effected by the
descent of the diaphragm (fig. CXLIII.).
385. The diaphragm is a circular muscle, forming a complete but
moveable partition between the thorax and the abdomen (figs. CXXXIV.
10, and CXLIII. 3). When not in action its upper surface forms an
arch (figs. CXLIII. 4, and CXLV. 1), the convexity of which is towards
the thorax (figs. CXLIII. 4, and CXLV. 1), and reaches as high as
the fourth rib (fig. CXLV. 1); its under surface, or that towards
the abdomen, is concave (figs. CXXXIV. 10, and CXLV. 1). Its central
portion is tendinous (fig. CXLIII. 4). This central tendinous portion
of the diaphragm, which is in apposition with the heart (fig. CXXXIV.
8), and firmly attached to the pericardium (fig. CXXXIV. 7), is nearly
if not quite immoveable: it is only the lateral or muscular portions
(fig. CXLIII. 4) that are capable of motion. Its central portion is
constructed of dense and firm tendon, and is immoveable, primarily, in
order to afford one of the two fixed points (the ribs affording the
other fixed point), essential to the action of the muscular fibres that
constitute its lateral or moveable portions; and secondarily, in order
to afford a support to the heart, which rests upon this central tendon.
Thus, in consequence of this tendon being rendered absolutely fixed,
the motions of the diaphragm are completely prevented from incommoding
the motions of the heart; the function of respiration from interfering
with the function of the circulation.
[Illustration: Fig. CXLIII.—_View of the Diaphragm._
1. Cavities of the thorax. 2. Portion of cavity of the abdomen. 3.
Lateral or muscular and moveable portions of the diaphragm. 4. Central
or tendinous and fixed portion of the diaphragm.]
386. During the action of inspiration the muscular or lateral portions
of the diaphragm contract (fig. CXLIII. 3); its muscular fibres
shorten themselves, and are approximated towards the central tendon
(fig. CXLIII. 2); the consequence is that the whole muscle descends
(fig. CXLIV. 1); passes from the fourth to below the seventh rib
(fig. CXLIV.), loses its arched form and presents the appearance of
an oblique plane (fig. CXLIV.). At the same time the muscles of the
abdomen are protruded forwards (fig. CXLIV. 2), and the viscera
contained in its cavity are pushed downwards. The result of these
movements is, that the capacity of the thorax is enlarged by all the
space that intervenes between the fourth rib (fig. CXLV. 1), and the
lowest point of the oblique plane formed by the diaphragm (fig. CXLIV.
1), together with all that gained by the protrusion of the walls of the
abdomen and the descent of its viscera (fig. CXLIV. 2).
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