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them the matter stands precisely as it would in man, were the septum of his heart perforated or removed, or one ventricle made out of two; and this being the case, I imagine that no one will doubt as to the way by which the blood may pass from the veins into the arteries.

But as there are actually more animals which have no lungs than there are which be furnished with them, and in like manner a greater number which have only one ventricle than there are which have two, it is open to us to conclude, judging from the mass or multitude of living creatures, that for the major part, and generally, there is an open way by which the blood is transmitted from the veins through the sinuses or cavities of the heart into the arteries.

I have, however, cogitating with myself, seen further, that the same thing obtained more obviously in the embryos of those animals that have lungs; for in the foetus the four vessels belonging to the heart, viz., the vena cava, the vena arteriosa or pulmonary artery, the arteria venalis, or pulmonary vein, and the arteria magna or aorta, are all connected otherwise than in the adult; a fact sufficiently known to every anatomist. The first contact and union of the vena cava with the arteria venosa or pulmonary veins, which occurs before the cava opens properly into the right ventricle of the heart, or gives off the coronary vein, a little above its escape from the liver, is by a lateral anastomosis; this is an ample foramen, of an oval form, communicating between the cava and the arteria venosa, or pulmonary vein, so that the blood is free to flow in the greatest abundance by that foramen from the vena cava into the arteria venosa, or pulmonary vein, and left auricle, and from thence. into the left ventricle; and farther, in this foramen ovale, from that part which regards the arteria venosa, or pulmonary vein, there is a thin tough membrane, larger than the opening, extended like an operculum or cover; this membrane in the adult blocking up the foramen, and adhering on all sides, finally closes it up, and almost obliterates every trace of it. This membrane, however, is so contrived in the foetus, that falling loosely upon itself, it permits a ready access to the lungs and heart, yielding a passage to the blood which is streaming from the cava, and hindering the tide at the same time from flowing back into that vein. All things, in short, permit us to believe that in the embryo the blood must constantly pass by this foramen from the vena cava into the arteria venosa, or pulmonary

vein, and from thence into the left auricle of the heart; and having once entered there, it can never regurgitate.

Another union is that by the vena arteriosa, or pulmonary artery, and is effected when the vessel divides into two branches after its escape from the right ventricle of the heart. It is as if to the two trunks already mentioned a third were superadded, a kind of arterial canal, carried obliquely from the vena arteriosa, or pulmonary artery, to perforate and terminate in the arteria magna or aorta. In the embryo, consequently, there are, as it were, two aortas, or two roots of the arteria magna, springing from the heart. This canalis arteriosus shrinks gradually after birth, and is at length and finally almost entirely withered, and removed like the umbilical vessels.

The canalis arteriosus contains no membrane or valve to direct or impede the flow of the blood in this or that direction; for at the root of the vena arteriosa, or pulmonary artery, of which the canalis arteriosus is the continuation in the foetus, there are three sigmoid or semilunar valves, which open from within outwards, and oppose no obstacle to the blood flowing in this direction or from the right ventricle into the pulmonary artery or aorta; but they prevent all regurgitation from the aorta or pulmonic vessels back upon the right ventricle; closing with perfect accuracy, they oppose an effectual obstacle to everything of the kind in the embryo. So that there is also reason to believe that when the heart contracts, the blood is regularly propelled by the canal or passage indicated from the right ventricle into the aorta.

What is commonly said in regard to these two great communications, to wit, that they exist for the nutrition of the lungs, is both improbable and inconsistent; seeing that in the adult they are closed up, abolished, and consolidated, although the lungs, by reason of their heat and motion, must then be presumed to require a larger supply of nourishment. The same may be said in regard to the assertion that the heart in the embryo does not pulsate, that it neither acts nor moves, so that nature was forced to make these communications for the nutrition of the lungs. This is plainly false; for simple inspection of the incubated egg, and of the embryo just taken out of the uterus, shows that the heart moves precisely in them as in adults, and that nature feels no such necessity. I have myself repeatedly seen these motions, and Aristotle is likewise wit

ness of their reality. "The pulse," he observes, "inheres in the very constitution of the heart, and appears in the beginning, as is learned both from the dissection of living animals, and the formation of the chick in the egg." But we further observe, that the passages in question are not only pervious up to the period of birth in man as well as in other animals, as anatomists in general have described them, but for several months subsequently, in some indeed for several years, not to say for the whole course of life; as, for example, in the goose, snipe, and various birds, and many of the smaller animals. And this circumstance it was, perhaps, that imposed upon Botallus, who thought he had discovered a new passage for the blood from the vena cava into the left ventricle of the heart; and I own that when I met with the same arrangement in one of the larger members of the mouse family, in the adult state, I was myself led to something of a like conclusion.

From this it will be understood that in the human embryo, and in the embryo of animals in which the communications are not closed, the same thing happens, namely, that the heart by its motion propels the blood by obvious and open passages from the vena cava into the aorta through the cavities of both the ventricles; the right one receiving the blood from the auricle, and propelling it by the vena arteriosa, or pulmonary artery, and its continuation, named the ductus arteriosus, into the aorta; the left, in like manner, charged by the contraction of its auricle, which has received its supply through the foramen ovale from the vena cava, contracting, and projecting the blood through the root of the aorta into the trunk of that vessel.

In embryos, consequently, whilst the lungs are yet in a state of inaction, performing no function, subject to no motion any more than if they had not been present, nature uses the two ventricles of the heart as if they formed but one, for the transmission of the blood. The condition of the embryos of those animals which have lungs, whilst these organs are yet in abeyance and not employed, is the same as that of those animals which have no lungs.

So clearly, therefore, does it appear in the case of the foetus, viz., that the heart by its action transfers the blood from the vena cava into the aorta, and that by a route as obvious and open, as if in the adult the two ventricles were made to communicate by the removal of their septum. Since, then we find that in the greater

number of animals, in all, indeed, at a certain period of their existence, the channels for the transmission of the blood through the heart are so conspicuous, we have still to inquire wherefore in some creatures-those, namely, that have warm blood, and that have attained to the adult age, man among the number-we should not conclude that the same thing is accomplished through the substance of the lungs, which in the embryo, and at a time when the function of these organs is in abeyance, nature effects by the direct passages described, and which, indeed, she seems compelled to adopt through want of a passage by the lungs; or wherefore it should be better (for nature always does that which is best) that she should close up the various open routes, which she formerly made use of in the embryo and foetus, and still uses in all other animals; not only opening up no new apparent channels for the passage of the blood, therefore, but even entirely shutting up those which formerly existed.

And now the discussion is brought to this point, that they who inquire into the ways by which the blood reaches the left ventricle of the heart and pulmonary veins from the vena cava, will pursue the wisest course if they seek by dissection to discover the causes why in the larger and more perfect animals of mature age, nature has rather chosen to make the blood percolate the parenchyma of the lungs, than as in other instances chosen a direct and obvious course for I assume that no other path or mode of transit can be entertained. It must be either because the larger and more perfect animals are warmer, and when their adult heat greater-ignited, as I might say, and requiring to be damped or mitigated; therefore it may be that the blood is sent through the lungs, that it may be tempered by the air that is inspired, and prevented from boiling up, and so becoming extinguished, or something of the sort. But to determine these matters and explain them satisfactorily, were to enter on a speculation in regard to the office of the lungs and the ends for which they exist; and upon such a subject, as well as what pertains to eventilation, to the necessity and use of the air, etc., as also to the variety and diversity of organs that exist in the bodies of animals in connexion with these matters, although I have made a vast number of observations, still, lest I should be held as wandering too wide of my present purpose, which is the use and motion of the heart, and be charged of speaking of things beside the question, and rather complicating and quitting than illustrating it, I shall leave

such topics till I can more conveniently set them forth in a treatise apart. And, now, returning to my immediate subject, I go on with what yet remains for demonstration, viz., that in the more perfect and warmer adult animals, and man, the blood passes from the right ventricle of the heart by the vena arteriosa, or pulmonary artery, into the lungs, and thence by the arteriae venosae, or pulmonary veins, into the left auricle, and thence into the left ventricle of the heart. And, first, I shall show that this may be so, and then I shall show that it is so in fact.

THE BLOOD PERCOLATES THE SUBSTANCE OF THE LUNGS FROM THE RIGHT VENTRICLE OF THE HEART INTO THE PULMONARY

VEINS AND LEFT VENTRICLE

That this is possible, and that there is nothing to prevent it from being so, appears when we reflect on the way in which water percolating the earth produces springs or rivulets, or when we speculate on the means by which the sweat passes through the skin, or the urine through the parenchyma of the kidneys. It is well known that persons who use the Spa waters, or those of La Madonna, in the territories of Padua, or others of an acidulous or vitriolated nature, or who simply swallow drinks by the gallon, pass all off again within an hour or two by urine. Such a quantity of liquid must take some short time in the concoction; it must pass through the liver; (it is allowed by all that the juices of the food we consume pass twice through this organ in the course of the day;) it must flow through the veins, through the parenchyma of the kidneys, and through the ureters into the bladder.

To those, therefore, whom I hear denying that the blood, aye, the whole mass of the blood may pass through the substance of the lungs, even as the nutritive juices percolate the liver, asserting that such a proposition to be impossible, and by no means to be entertained as credible, I reply, with the poet, that they are of that race of men who, when they will, assent full readily, and when they will not, by no manner of means; who, when their assent is wanted, fear, and when it is not, fear not to give it.

The parenchyma of the liver is extremely dense, so is that of the kidney; the lungs, again, are of a much looser texture, and if compared with the kidneys are absolutely spongy. In the liver there is no forcing, no impelling power; in the lungs the blood is forced

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