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
Now let any one make an experiment upon the arm of a man, either using
such a fillet as is employed in bloodletting, or grasping the limb
lightly with his hand, the best subject for it being one who is lean,
and who has large veins, and the best time after exercise, when the body
is warm, the pulse is full, and the blood carried in larger quantity to
the extremities, for all then is more conspicuous; under such
circumstances let a ligature be thrown about the extremity, and drawn as
tightly as can be borne, it will first be perceived that beyond the
ligature, neither in the wrist nor anywhere else, do the arteries
pulsate, at the same time that immediately above the ligature the artery
begins to rise higher at each diastole, to throb more violently, and to
swell in its vicinity with a kind of tide, as if it strove to break
through and overcome the obstacle to its current; the artery here, in
short, appears as if it were preternaturally full. The hand under such
circumstances retains its natural colour and appearance; in the course
of time it begins to fall somewhat in temperature, indeed, but nothing
is _drawn_ into it.
After the bandage has been kept on for some short time in this way, let
it be slackened a little, brought to that state or term of middling
tightness which is used in bleeding, and it will be seen that the whole
hand and arm will instantly become deeply suffused and distended, and
the veins show themselves tumid and knotted; after ten or fifteen pulses
of the artery, the hand will be perceived excessively distended,
injected, gorged with blood, _drawn_, as it is said, by this middling
ligature, without pain, or heat, or any horror of a vacuum, or any other
cause yet indicated.
If the finger be applied over the artery as it is pulsating by the edge
of the fillet, at the moment of slackening it, the blood will be felt to
glide through, as it were, underneath the finger; and he, too, upon
whose arm the experiment is made, when the ligature is slackened, is
distinctly conscious of a sensation of warmth, and of something, viz., a
stream of blood suddenly making its way along the course of the vessels
and diffusing itself through the hand, which at the same time begins to
feel hot, and becomes distended.
As we had noted, in connexion with the tight ligature, that the artery
above the bandage was distended and pulsated, not below it, so, in the
case of the moderately tight bandage, on the contrary, do we find that
the veins below, never above, the fillet, swell, and become dilated,
whilst the arteries shrink; and such is the degree of distension of the
veins here, that it is only very strong pressure that will force the
blood beyond the fillet, and cause any of the veins in the upper part of
the arm to rise.
Public-domain text, read in full here on John Shaqi.
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