The Works of William Harvey M.D.: Translated from the Latin with a life of the authorHarvey, William
Science
The Works of William Harvey M.D.: Translated from the Latin with a life of the author
Harvey, William
Blood -- Circulation -- Early works to 1800; Embryology -- Early works to 1800; Physiology -- Early works to 1800
That this may the more clearly appear to every one, I have here to cite
certain experiments, from which it seems obvious that the blood enters a
limb by the arteries, and returns from it by the veins; that the
arteries are the vessels carrying the blood from the heart, and the
veins the returning channels of the blood to the heart; that in the
limbs and extreme parts of the body the blood passes either immediately
by anastomosis from the arteries into the veins, or mediately by the
pores of the flesh, or in both ways, as has already been said in
speaking of the passage of the blood through the lungs; whence it
appears manifest that in the circuit the blood moves from thence hither,
and from hence thither; from the centre to the extremities, to wit; and
from the extreme parts back again to the centre. Finally, upon grounds
of calculation, with the same elements as before, it will be obvious
that the quantity can neither be accounted for by the ingesta, nor yet
be held necessary to nutrition.
The same thing will also appear in regard to ligatures, and wherefore
they are said to _draw_; though this is neither from the heat, nor the
pain, nor the vacuum they occasion, nor indeed from any other cause yet
thought of; it will also explain the uses and advantages to be derived
from ligatures in medicine, the principle upon which they either
suppress or occasion hemorrhage; how they induce sloughing and more
extensive mortification in extremities; and how they act in the
castration of animals and the removal of warts and fleshy tumours. But
it has come to pass, from no one having duly weighed and understood the
causes and rationale of these various effects, that though almost all,
upon the faith of the old writers, recommend ligatures in the treatment
of disease, yet very few comprehend their proper employment, or derive
any real assistance from them in effecting cures.
Ligatures are either very tight or of middling tightness. A ligature I
designate as tight or perfect when it is drawn so close about an
extremity that no vessel can be felt pulsating beyond it. Such a
ligature we use in amputations to control the flow of blood; and such
also are employed in the castration of animals and the removal of
tumours. In the latter instances, all afflux of nutriment and heat being
prevented by the ligature, we see the testes and large fleshy tumours
dwindle, and die, and finally fall off.
Ligatures of middling tightness I regard as those which compress a limb
firmly all around, but short of pain, and in such a way as still suffers
a certain degree of pulsation to be felt in the artery beyond them. Such
a ligature is in use in bloodletting, an operation in which the fillet
applied above the elbow is not drawn so tight but that the arteries at
the wrist may still be felt beating under the finger.
Public-domain text, read in full here on John Shaqi.
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