There is a great vein (hepatic vein—Fig. 1) which rises out of the
liver, and that vein goes straight into the 'vena cava' (Fig. 1) which
passes to the heart, being there joined by the other veins of the body.
The liver itself is fed by a very large vein (portal vein—Fig. 1),
which comes from the alimentary canal. The way the ancients looked at this
matter was, that the food, after being received into the alimentary canal,
was then taken up by the branches of this great vein, which are called the
'vena portae', just as the roots of a plant suck up nourishment from the
soil in which it lives; that then it was carried to the liver, there to be
what was called "concocted," which was their phrase for its conversion
into substances more fitted for nutrition than previously existed in it.
They then supposed that the next thing to be done was to distribute this
fluid through the body; and Galen like his predecessors, imagined that the
"concocted" blood, having entered the great 'vena cava', was distributed
by its ramifications all over the body. So that, in his view (Fig. 2), the
course of the blood was from the intestine to the liver, and from the
liver into the great 'vena cava', including what we now call the right
auricle of the heart, whence it was distributed by the branches of the
veins. But the whole of the blood was not thus disposed of. Part of the
blood, it was supposed, went through what we now call the pulmonary
arteries (Fig. 1), and, branching out there, gave exit to certain
"fuliginous" products, and at the same time took in from the air a
something which Galen calls the 'pneuma'. He does not know anything about
what we call oxygen; but it is astonishing how very easy it would be to
turn his language into the equivalent of modern chemical theory. The old
philosopher had so just a suspicion of the real state of affairs that you
could make use of his language in many cases, if you substituted the word
"oxygen," which we now-a-days use, for the word 'pneuma'. Then he imagined
that the blood, further concocted or altered by contact with the 'pneuma',
passed to a certain extent to the left side of the heart. So that Galen
believed that there was such a thing as what is now called the pulmonary
circulation. He believed, as much as we do, that the blood passed through
the right side of the heart, through the artery which goes to the lungs,
through the lungs themselves, and back by what we call the pulmonary veins
to the left side of the heart. But he thought it was only a very small
portion of the blood which passes to the right side of the heart in this
way; the rest of the blood, he thought, passed through the partition which
separates the two ventricles of the heart. He describes a number of small
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