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
almost as clearly and certainly as it would be visible to the eye,
were the walls of the chest and the tissues of its organs transparent.
Besides the entrance of the air into the lung in inspiration, and its
exit in expiration, even the motion of the blood in the heart, and in
the great blood-vessels, are rendered by this instrument distinctly
manifest to sense; and as the ear which has once become familiar with
the natural sounds produced by these operations in the state of health,
can detect the slightest deviation occasioned by disease, the practical
application of this discovery has already effected for the pathology
of the chest, what the discovery of the circulation of the blood has
accomplished for the physiology of the body.
399. At the instant that the expanding lung admits the current of air,
it receives a stream of blood. The air rushes through the trachea to
the air vesicles impelled by its own weight; the blood flows through
the trunks of the pulmonary artery to its capillary branches, spread
out on the walls of the air vesicles, driven by the contraction of
the right ventricle of the heart. A current of air and a stream of
blood are thus brought into so close an approximation that nothing
intervenes between the two fluids, but the fine membranes of which
the air vesicles and the capillary branches of the pulmonary artery
are composed, and these membranes being pervious to the air, the air
comes into direct contact with the blood; the two fluids re-act on each
other, and in this manner is accomplished the ultimate object of the
action of inspiration.
400. On the other hand, by the action of expiration, the bulk of the
lung is diminished; the air vesicles are compressed, and a portion of
the air they contained, forced out of them by the collapse of the lung,
is received by the bronchi, transmitted to the trachea, and ultimately
conveyed out of the system by the nostrils and mouth.
401. At the same instant that a portion of air is thus expelled from
the lung and carried out of the system, a stream of blood, namely,
blood which has been acted upon by the air, arterial blood, is
propelled from the lung and is borne by the pulmonary veins to the
left side of the heart, to be transmitted to the system (fig. CXL. 10,
11, 4). In this manner, by the simultaneous expulsion from the lung of
a current of air and a stream of blood is accomplished the ultimate
object of the action of expiration.
402. That blood flows to the lung during the action of inspiration, and
is expelled from it during the action of expiration, is established by
direct experiment.
403. If the great vessel which returns the blood from the head to the
heart, called the jugular vein, be exposed to view in a living animal,
it is seen to be alternately filled and emptied according to the
different states of inspiration and expiration.
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