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
524. If, as a comparison of all the phenomena of respiration exhibited
throughout the entire range of the animal kingdom, shows the production
of animal heat to be in the direct ratio of the quantities of air and
blood which are brought into contact, and which re-act on each other,
every phenomenon of respiration must be in harmony with this law, and,
accordingly, when really understood, it is found to be so.
525. Inspiration, by the dilatation of the thorax, and consequently of
the lungs incident to that action, is favorable to the flow of blood to
the lungs. But it is only a certain degree of dilatation of the lungs
that is favorable to the flow of blood through them (407 _et seq._).
If the dilatation be carried beyond a certain point, the quantity of
blood transmitted through the pulmonary tissue is diminished (406);
if the dilatation be carried farther, the transmission of the blood
may be wholly stopped (417). The quantity of the blood which flows to
the lungs, and the quantity which circulates through them, are not
then identical. So large a quantity may flow to them as to impede or
retard or wholly stop the pulmonary circulation. In proportion to the
accumulation of blood in the lung must necessarily be the distension of
the pulmonary tissue; in that proportion the lung must be approximated
to its condition in the experiment in which it was distended with water
(417), when it did not transmit a single particle of blood. Further,
in proportion to the preternatural distension of the pulmonary tissue
with blood must be the exclusion of air from the air vesicles for the
lungs can contain only a certain quantity of blood and air (418.3), so
that the blood can preponderate only by the exclusion of the air.
526. In those states of the system, then, in which the preponderance
of the inspirations induces a preternatural accumulation of blood in
the lungs, the production of animal heat is diminished for a two-fold
reason; first, because the distension of the pulmonary tissue with
blood retards the pulmonary circulation, and proportionally lessens
the quantity of blood which is brought into contact with the air;
and, secondly, because the distended blood-vessels compress the air
vesicles, and so diminish the quantity of air which is brought into
contact with the blood.
527. It follows that the diminution of temperature which takes place in
this condition of the system is not because the production of animal
heat is in the inverse ratio of the quantity of blood which is exposed
to oxygen; but because from a two-fold operation there is a diminution
of the quantity of blood and of oxygen which are brought into contact.
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