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
4. In all animals the quantity of venous blood which is sent to the
liver increases, as that transmitted to the lung diminishes. In the
higher animal the great venous trunk which ramifies through the liver
(the vena portæ) is formed by the veins of the stomach, intestines,
spleen, and pancreas, which are the only organs that transmit their
blood to the liver. In the reptile, besides all these organs, the hind
legs, the pelvis, the tail, the intercostal veins forming the vena
azygos and in some orders of this class, even the kidneys also send
their blood to the liver; but in the fish, in addition to all the
preceding organs, the apparatus of reproduction likewise transmits its
blood to the liver. The very formation of the venous system in the
different classes of animals seems thus to point to the liver as a
compensating and supplementary organ to the lung.
5. The permanent organs in the lower animal are a type of the
transitory forms through which the organs of the higher animal pass
in the progress of their growth. Thus the liver of the human fœtus is
of such a disproportionate size, as to approximate it closely to that
of the fish or of the reptile. After the birth of the human embryo,
respiration is effected in part by the lung; but before birth the lung
is inactive, no air reaches it; it contributes nothing to respiration;
the decarbonizing action of the blood is accomplished, not by the lung,
but by the liver; hence the prodigious bulk of the fœtal liver and its
activity in the secretion of bile, and especially towards the latter
months of pregnancy, when all the organs are greatly advanced in size
and completeness.
6. Pathology confirms the evidence derived from comparative anatomy and
physiology. When the function of the lung is interrupted by disease,
the activity of the liver is increased. In inflammation of the lung
(pneumonia); in the deposition of adventitious matter in the lung
(tubercles), by which the air vesicles are compressed and obliterated,
the lung loses the power of decarbonizing the blood in proportion to
the extent and severity of the disease with which it is affected. In
this case the secretion of bile is increased. In diseases of the heart
the liver is enlarged. In the morbus cæruleus (516) the liver retains
through life its fœtal state of disproportion.
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