The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of man — John Shaqi
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
[Illustration: _Views of the Diaphragm in the different states of
Respiration._
Fig. CXLIV.
Fig. CXLV.
Fig. 144.—1. Diaphragm in its state of greatest descent in
inspiration. 2. Muscles of the abdomen, showing the extent of their
protrusion in the action of inspiration. Fig. 145.—1. Diaphragm in the
state of its greatest ascent in expiration. 2. Muscles of the abdomen
in action forcing the viscera and diaphragm upwards.]
387. By the action of the intercostal muscles, then, the capacity of
the thorax is enlarged at the sides and from behind forward, or in its
short diameter; by the action of the diaphragm, the capacity of the
thorax is enlarged from above downwards, or in its long diameter; by
the combined action of both, the capacity of the thorax is enlarged in
every direction, and thus the motion of inspiration is completed.
388. Expiration, the respiratory motion which alternates with that of
inspiration, consists of the diminution of the capacity of the thorax,
which is effected by the converse motions of the same organs; that is,
by the descent of the ribs and the ascent of the diaphragm.
389. By the descent of the ribs, the capacity of the thorax is
diminished in its short diameter, because by this motion, the oblique
arches of the ribs are approximated to each other and to the spinal
column, and the sternum is also approximated to the spinal column.
The descent of the ribs is effected first by the elasticity of their
cartilages (fig. CXLI. 2). When the intercostal muscles relax, the
force which raised the ribs ceases to be applied, and that moment the
elasticity of the cartilages comes into play, and carries the ribs down
wards. Secondly, by the contraction of the abdominal muscles (figs.
CXLV. 2, and CXLVI. 6, 7, 8), the direct effect of which is to pull the
ribs downwards (fig. CXLVI. 6, 7, 8).
390. By the ascent of the diaphragm the capacity of the thorax is
diminished in its long diameter (fig. CXLV. 1). When the diaphragm
ascends, it changes from the figure of an oblique plane (fig. CXLIV.
1), re-assumes its arched form (fig. CXLV. 1), and reaches as high as
the fourth rib (fig. CXLV. 1). At the same time the abdominal muscles
contract (fig. CXLV. 2), and are carried inwards towards the spinal
column (fig. CXLV. 2). The result of these movements is, that the
capacity of the thorax is diminished by all the space that intervenes
between the lowest point of the oblique plane formed by the diaphragm
and the fourth rib (fig. CXLV. 1), and by all the abdominal space lost
by the contraction of the muscles of the abdomen (fig. CXLV. 2).
[Illustration: Fig. CXLVI.—_View of the principal external Muscles of
Respiration._
1. The muscle called the Scalenus. 2. The muscles called the
Intercostals. 3. Subclavius. 4. The bone called the Clavicle. 5. The
muscle called the Serratus Magnus Anticus. 6. Obliquius Externus. 7.
Rectus. 8. Obliquius Internus.]
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