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
472. It is now established that more oxygen disappears than is
accounted for by the amount of carbonic acid that is generated. The
experiments of Dr. Edwards had already shown this in so decisive
a manner that physiologists almost universally admitted it as an
ascertained fact. The calculations of Mr. Finlaison, to whom the
opinions of physiologists on this point were unknown, have now
determined the precise amount of oxygen (444 _et seq._), and the
probable amount of azote (459) absorbed. By many physiologists it is
supposed that the oxygen retained by the lungs, as long as it remains
in this organ, enters only into a state of loose combination with the
blood; that in this state of loose combination, it is carried from
the lungs into the general system; and that it is only in the system
that the union becomes intimate and complete. According to this view,
the lungs are merely the portal by which the substances employed in
respiration are received and discharged, the essential changes induced
taking place in the system. That it is through the lungs that the
oxygen required by the system is received, is an opinion founded on
experiments no less exact than decisive; it is in accordance with the
most probable theory of the production and distribution of animal heat
(chap. ix.); and the preponderance of evidence in its favour is so
great that, in the present state of our knowledge, it may be considered
as established; but it will appear hereafter that the lungs are by no
means passive in the process, and that, physiologically considered,
they as truly constitute a gland secreting carbonic acid gas as the
liver is a gland secreting bile.
473. Such are the main facts which have been ascertained relative to
respiration, as far as this function is performed by the lungs. But
the liver is a respiratory organ as well as the lungs. It decarbonizes
the blood. It carries on this process to such an extent, that some
physiologists are of opinion that the liver is the chief organ by
which the decarbonization of the blood is effected. The following
considerations show that whatever be the relative amount of its action,
the liver powerfully co-operates with the lungs in the performance of a
respiratory function.
1. The liver, like the lungs, is a receptacle of venous blood; blood
loaded with carbon. The great venous trunk which ramifies through the
lungs is the pulmonary artery, containing all the blood which has
finished its circuit through the system. The great venous trunk which
ramifies through the liver is the vena portæ, containing all the blood
which has finished its circuit through the apparatus of digestion. The
liver is a secreting organ, distinguished from every other secreting
organ by elaborating its peculiar secretion from venous blood. Carbon
is abstracted from the venous blood that flows through the lungs in the
form of carbonic acid; carbon is abstracted from the venous blood that
flows through the liver in the form of bile.
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