Then let the ligature be brought to that state of middling tightness
which is used in bleeding, and it will be seen that the hand and arm
will instantly become deeply suffused and extended, and the veins show
themselves tumid and knotted. Which is as much as to say that when the
arteries pulsate the blood is flowing through them, but where they do
not pulsate they cease from transmitting anything. The veins again being
compressed, nothing can flow through them; the certain indication of
which is that below the ligature they are much more tumid than above it.
Whence is this blood? It must needs arrive by the arteries. For that it
cannot flow in by the veins appears from the fact that the blood cannot
be forced towards the heart unless the ligature be removed. Further,
when we see the veins below the ligature instantly swell up and become
gorged when from extreme tightness it is somewhat relaxed, the arteries
meanwhile continuing unaffected, this is an obvious indication that the
blood passes from the arteries into the veins, and not from the veins
into the arteries, and that there is either an anastomosis of the two
orders of vessels, or pores in the flesh and solid parts generally that
are permeable to the blood.
And now we understand wherefore in phlebotomy we apply our fillet above
the part that is punctured, not below it. Did the flow come from above,
not from below, the bandage in this case would not only be of no
service, but would prove a positive hindrance. And further, if we
calculate how many ounces flow through one arm or how many pass in
twenty or thirty pulsations under the medium ligature, we shall perceive
that a circulation is absolutely necessary, seeing that the quantity
cannot be supplied immediately from the ingesta, and is vastly more than
can be requisite for the mere nutrition of the parts.
And the third point to be confirmed is this. That the veins return this
blood to the heart incessantly from all parts and members of the body.
This position will be made sufficiently clear from the valves which are
found in the cavities of the veins themselves, from the uses of these,
and from experiments cognisable by the senses. The celebrated Hieronymus
Fabricius, of Aquapendente, first gave representations of the valves in
the veins, which consist of raised or loose portions of the inner
membranes of these vessels of extreme delicacy and a sigmoid, or
semi-lunar shape. Their office is by no means explained when we are told
that it is to hinder the blood, by its weight, from flowing into
inferior parts; for the edges of the valves in the jugular veins hang
downwards, and are so contrived that they prevent the blood from rising
upwards.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account