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
405. It is then the venous system that is immediately related to
inspiration, and the arterial to expiration. Each respiratory action
exerts a specific influence over its own sanguiferous system, and
the influence of the one action is the reverse of that of the
other, as the two currents they work flow in opposite directions.
The lungs, in inspiration, expand and receive the venous stream; in
expiration, collapse and expel the arterial stream. The expansion of
the lungs in inspiration is thus simultaneous with the dilatation of
the heart: during the inspiratory action both organs receive their
blood. The collapse of the lungs in expiration is simultaneous with
the contraction of the heart: during the expiratory action both organs
expel their blood.
406. We are thus enabled to form a clear and exact conception of the
mechanism and action of both parts of this complicated function. Almost
all the points connected with the systemic circulation were established
upwards of three hundred years ago (279), but many points connected
with the pulmonic circulation have been established only recently. Our
knowledge of the phenomena of both, and of their mutual relation and
dependence, has been slowly increasing, and is at length tolerably
complete; and now that we understand the exact office and working of
each, we see that the action of the one is not only in harmony with
that of the other, but co-operates with it, and renders it perfect.
407. But although the main points relative to the influence of
inspiration and expiration over the pulmonary circulation may be said
to be universally admitted, still physiologists are not agreed as to
the relative quantities of blood which are transmitted through the
lungs during these different respiratory states. All are agreed that
the state of inspiration is favourable to the passage of the blood
through the lungs: some maintain that this expansion of the lungs in
inspiration is essential to the pulmonary circulation. There is the
like general consent that the state of expiration retards the flow of
blood through the lungs; by many it is conceived that it completely
stops the current. By these physiologists it is supposed that, during
the action of expiration, the lungs are in a state of collapse; that
they contain a comparatively small portion of air; that in this state
the air vesicles are so compressed, and the pulmonary blood-vessels so
coiled up, that the lungs are absolutely impermeable, and consequently,
that when the blood arrives at the right chambers of the heart, it is
incapable of making its way to the left. This, according to a prevalent
theory, is the immediate cause of death in asphyxia, the state of the
system induced by suspended respiration, as in drowning, hanging, and
suffocation. Death takes place in this condition of the system, it is
argued, because the circulation of the blood is arrested at the right
side of the heart, cannot permeate the lungs, and consequently cannot
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