FOOTNOTES:
[79] It is not because the vessels of the lungs have become tortuous that the blood flows through them with difficulty, but because they are compressed. It was needless for Goodwyn to seek for reasons to prove, that the flattening of the lungs does not offer a mechanical obstacle to the course of the blood. If he had observed with attention the phenomena of respiration, he would have seen that this contraction, if it does not completely interrupt the circulation of the blood in the lungs, at least modifies it in a very remarkable manner. When the lungs contract, not only the bronchial cells are flattened, but the pulmonary vessels are compressed, and tend to expel the blood contained in their cavity. This fluid flows back then on one part towards the right ventricle by the pulmonary artery, and on the other it accumulates in the pulmonary veins before entering the left auricle. Hence we see that the jet by the carotid artery must increase rather than lessen in the last moments. But if the compression continues, as the capacity of the ramifications of the pulmonary artery is diminished as well as that of the veins of the same name, the quantity of blood which passes through the lungs is less, and the jet by the carotid necessarily decreases. The experiment related by Bichat is then entirely opposed to the opinion which he advances.
It is not only by influencing the course of the blood in the system of pulmonary vessels that the alternate motion of the thorax modifies the circulation. If we lay bare the jugular vein of a dog, we perceive that the blood does not move in its cavity from the sole influence of the right auricle, but in an evident manner from the influence of the motions of respiration also.
At each time that the thorax is dilated in inspiration, the vein is quickly emptied, flattened and its parietes are sometimes brought exactly against each other; it swells on the contrary and fills with blood when the thorax contracts. A similar phenomenon takes place in the venæ cavæ. In order to render it evident it is sufficient to introduce by the jugular vein into the venæ cavæ a sound of gum elastic; we then see that the blood flows through the extremity of the sound only during the time of expiration. A similar effect is observed if we introduce a sound into the crural vein and direct it towards the abdomen.
Haller and Lorry have paid much attention to this phenomenon, and have proposed an explanation of it which seems very satisfactory at first view, though it is really imperfect. When the thorax is dilated, say they, it draws the blood from the venæ cavæ, and, by degrees, that of the veins which are near it. The mechanism of this inspiration is very similar to that by which the air is drawn into the trachea. When the thorax contracts, on the contrary, the blood is crowded back in the venæ cavæ by the pressure which is made on all the pectoral organs, vessels, heart and lungs, by the expiratory powers, and by degrees arrives at the veins which terminate in them. Hence the alternation of vacuity and fulness which the jugular veins exhibit.
If we open an artery, and examine with attention the jet of blood, we see that it increases in expiration, and this is especially evident when the animal expires strongly or makes an effort; but as we cannot always produce these efforts at will, or a great inspiration, we can in some measure imitate the phenomenon and produce the contraction of the lungs by compressing with the hands the sides of the thorax; we see then the jet of arterial blood increase or diminish, in proportion to the pressure that is made. If respiration produces this effect on the course of the blood in the arteries, it is natural to think that it can influence the course of the venous blood, not only by means of the veins, as Haller and Lorry thought, but also by means of the arteries. For the purpose of satisfying myself, I made the following experiment, I tied the jugular vein of a dog; the vessel became empty below the ligature, and swelled much above, as uniformly happens. I punctured slightly with a lancet the distended portion, so as to make a very small opening. I obtained in this way a jet of blood, which the ordinary motions of respiration did not modify evidently, but which trebled or quadrupled in size if the animal made any considerable effort.
It might be objected, that the effect of respiration was not transmitted by the arteries to the open vein, but by the veins which were free, and which would have transmitted the blood of the venæ cavæ, towards the tied vein, by means of anastomoses. It is easy to remove this difficulty; in fact, in the dog the internal jugular vein is, as it were, but the appearance of a vein, and the circulation of the head and neck is performed almost entirely by the external jugular veins, which are very large. By tying at the same time these two veins I was sure of preventing, in a very great measure, the reflux which has just been spoken of; but so far from the double ligature diminishing the phenomenon before stated, the jet becomes on the contrary more strictly in relation with the motions of respiration, for it was evidently modified, even by common respiration; which, as we have seen, does not happen in the case of a single ligature. In order to render the thing more evident, I tried it on the crural vein; this vein and all its branches being furnished with valves, which oppose a reflux, if this phenomenon of the increase of the jet appears during expiration, we might be sure that the impulse came from the arteries. This is what I have observed in fact in many experiments. The crural vein being tied and punctured below the ligature, the jet which is formed increases evidently in powerful expirations, in the efforts and the mechanical compressions of the parietes of the thorax with the hands.
We see by this and the preceding experiments, that we cannot adopt without modification the expression of Haller and Lorry relative to the swelling of the veins. This swelling takes place, not only, as they say, by the flowing back of the blood of the venæ cavæ into the branches which open into them mediately or immediately, but also by the entrance into the vein of a greater quantity of blood coming from the arteries.
[80] As in dead bodies the air within and the air without are of the same temperature, the lungs, when they are full of it, do not flatten when the thoracic cavity is opened. There is usually then a space between the parietes and the contained organs; this is not because we die in expiration; for as the lungs empty themselves, the ribs and intercostal muscles rest upon them; it is because the pulmonary air, in cooling occupies less space, and the cells contracting gradually as the cooling takes place, diminish the whole size of the organ. A vacuum is then made between the pectoral and pulmonary portions of the pleura.
It is thus that, under some circumstances, the brain flattening and lessening after death, whilst the cavity of the cranium remains the same, a vacuum is formed between these two parts, which then exhibit an arrangement different from that of the living organs. If the sacs without an opening, as the peritoneum, tunica vaginalis, &c. never resemble, in this respect, the pleura and arachnoides; if their different surfaces are always contiguous after death, it is because the abdominal parietes or the skin of the scrotum, unable to resist the external air, flatten by pressure, and are brought against the internal organs, as the diminution of these tends to form a vacuum.
It is to this vacuum existing in the pleura of dead bodies, that must be referred the following phenomenon, which is always observed when the abdomen is opened and the diaphragm dissected. In fact, as long as no opening is made in this muscle, it remains distended and concave, notwithstanding the weight of pectoral viscera which rest upon it in a perpendicular situation, because the external air, which presses the concavity of it, forces it then into the vacuum in the thorax, which never exists during life. But the instant the air is admitted by a cut of the scalpel, this muscular partition flattens, because the equilibrium is established. If all the air is drawn from the lungs by a syringe, the diaphragmatic arch is still more evident.
There is then this difference between the opening of a dead body and that of a living one, that in the first the lungs are already flattened, and in the second they flatten at the instant of opening. The contraction of the cells, from the condensation of the air by cooling, is an effect of the contractility of texture or from want of extension, which as we have said, continues in a degree with the organs after death.
Besides, if the lungs flattened in the dead body the instant the thorax was opened, it would be owing to the pressure of the external air, a pressure which would expel through the trachea what was contained in these organs. Now if, to prevent the escape of air, you close hermetically the canal by fixing a tube to it the stopper of which is tight, and the thorax is afterwards opened, the lungs still flatten; the air had already gone out of them. Make, on the contrary, the same experiment on a living animal, you will always prevent the flattening of these organs, by preventing the expulsion of the air.
In this point of view Goodwyn has gone on a wrong principle in measuring in a dead body, the quantity of air remaining in the lungs after each expiration. Besides, if you open bodies ever so little, you will hardly find two in which there is the same arrangement in the lungs. The infinitely various manner in which life terminates, by accumulating more or less blood in these organs, by retaining more or less air in them, &c. gives them so variable a size, that no general data can be established respecting them. On the other hand, can we hope to be more successful on the living body? No; for who does not know that digestion, exercise, rest, the passions, tranquillity of mind, sleep, watchfulness, temperament, sex, &c. make an infinite variety in the forces of the lungs, the rapidity with which the blood circulates through them, and the quantity of air that penetrates them? All the calculations on the quantity of this fluid which enters or goes out according to the inspiration or the expiration, appear to me to be physiological errours, inasmuch as they assimilate the nature of vital forces with that of physical forces. They are as useless to science as those which had formerly for their object the muscular force, the velocity of the blood, &c. Besides, observe if their authors agree better among themselves then they used to do on this much agitated point.
[81] It is inconceivable how Bichat could think of confirming his opinion by the example of hydrothorax. Who does not know that when an effusion takes place in the cavity of one of the pleuras, that that portion of the lungs only which is above the level of the water serves the purposes of respiration; that when the effusion has arrived to the summit of the cavity, the lungs of that side, which can no longer dilate, are of no use in respiration; and those of the other, being compelled alone to make the necessary modifications in the blood, must be traversed by the greatest part of this fluid? It is known, finally, that in this case the patient cannot lie down an instant on the sound side, because this position prevents the dilatation of the lungs of that side which alone serve for respiration, and the danger of suffocation is therefore imminent.
[82] The observation of Bichat is very just; and I have myself often observed in cases of apoplexy, that the motions of the heart continue many hours after the arteries contain only black blood.
[83] At the period Bichat wrote, it was impossible to know whether the arterial or venous blood contained most hydrogen and carbon. At the present day even, when the means of analysis are much more perfect and animal chemistry farther advanced, we are hardly better informed.
[84] It seems that when Bichat wrote this work, he had not fixed in his own mind what part the arteries take in the circulation; at least, in this paragraph, he seems to give them a contractile power, which, in his other works, he accords only, to their ultimate ramifications.
[85] It is certain, whatever Bichat may say concerning it, that numerous angles in the course of a blood-vessel, by increasing the friction, must retard the course of the fluid which runs through its cavity. We may in fact believe that it is one of the causes, which, in the flattening of the lungs, embarrass the circulation; this cause exerts its action principally upon the last ramifications of the pulmonary artery which, by their interlacing, form the bronchial cells; another more powerful cause, which acts equally on the divisions of the vein and the artery is, as we have said, the pressure made on the lungs by the flattening of the thorax, and the elevation of the diaphragm.
[86] See the article on the influence of the lungs on all the parts. I am compelled here to deduce consequences from principles which I shall prove hereafter; such is in fact the connexion of questions which have the circulation for their object, that the solution of one draws as a necessary consequence that of all the others. It is a circle in which it is always necessary to suppose something, leaving it to be proved afterwards.
[87] I cannot see what can have induced Bichat to admit this erethism of the lungs, the use of which cannot be imagined. It is quite enough to suppose in the organs the existence of those concealed properties, when there is need of them to explain their functions.
[88] As the blood flows in the veins in a continuous motion, the distension of these vessels does not take place in the direct motion of the blood, but in its retrograde motion. Every time the right auricle contracts, a portion of blood, instead of passing into the ventricle of the same side, is forced back into the superior and inferior venæ cavæ, and into the principal venous trunks which open into them. By this reflux of the blood, these veins are dilated, and have a pulsation which is easily seen in the jugular in very thin people. This pulsation has received the name of the venous pulse. When it is very evident, it may indicate an obstacle to the passage of the blood from the auricle to the right ventricle.
Another reflux of the blood in the veins corresponds with the moment of expiration, and is perceptible even longer. We shall soon have to speak of it, in speaking of the movements of the brain.
[89] The natural force of the arteries is not dependent on life, and consequently cannot be enfeebled by the entrance of black blood. This force is nothing but elasticity, which indeed ceases to be in action as soon as death takes place, but which does not cease to exist till the texture itself is destroyed and disorganized. As this property is very conspicuous in the arteries, it is sufficient to drive the blood from their cavity at the instant of death, whilst it is too feeble in the veins to expel this fluid entirely. Thus it is, that we find blood in the veins only, after death.
[90] The state of the spleen in the dead body may become in some measure an index of the state of the circulation during the last moments of life. The swelling of it shows almost always the embarrassment of the circulation; and not only in an insulated system, such as that of the vena portæ, as Bichat considers it, but in the whole pulmonary system.
When any cause impedes the circulation in the capillaries of the lungs, it necessarily produces a stagnation of the blood in the divisions of the pulmonary artery, and by degrees the disturbance is felt even in the two venæ cavæ, but especially in the inferior in which the blood rises against its gravity. The blood accumulates in the principal branches; the veins of the liver and kidneys swell more or less; as to these organs themselves, the firmness of their texture hardly allows them to be distended, so they do not increase sensibly in size, or if this increase takes place, it is slow. It is not the same with the spleen; the looseness of its texture will admit a great quantity of liquid, and its size can thus be doubled or trebled in a very short time. It becomes then a kind of reservoir, in which is accumulated the blood which cannot pass through the lungs.
It may be objected to what we have just said, that oftentimes in phthisis the greatest portion of the lungs has become incapable of allowing the blood to pass, and that yet after death, the spleen is found in a natural state. But it should be recollected, that phthisical patients have, during the latter part of their lives, but very little blood, so that each portion sent by the right ventricle always finds a sufficient channel for it in the lungs.
[CHAPTER VII.]
OF THE INFLUENCE OF THE DEATH OF THE LUNGS OVER THAT OF THE BRAIN.
We have just seen, that in asphyxia, the movements of the heart are paralyzed, because its fleshy fibres are penetrated with venous blood. This fact should indicate the same to be the case with reference to the action of the brain. It is indubitably proved by experiment.
Whatever be the manner in which the pulmonary functions are interrupted, it is always the interruption of the chemical changes, which troubles the functions of the brain.[91] What I have said upon this point with respect to the heart, is exactly applicable to the cerebral mass: I shall not repeat it. It remains to shew by experiment, and the observation of diseases, that when the chemical functions of the lungs are put a stop to, it is the black blood which interrupts the action of the brain and that of the nervous system. In the first place let us examine our experiments.
I first began by transfusing into the brain of an animal, the arterial blood of another, that this essay might serve as a point of comparison for others. Open one of the carotids of a dog; tie the extremity towards the brain, and fasten a tube to that which is next the heart; then open the carotid of another dog, tie the extremity of the vessel next the heart, and fix the other end of the tube into that which is next the brain; then let the assistant, who meanwhile should have had his fingers upon the artery of the first dog underneath the tube, remove his compression, and the carotid of the second dog will be seen beating under the impulse of the blood injected from the heart of the first. This operation fatigues but little the animal which receives the blood, particularly if one of the veins be previously opened, to prevent too great a fulness of the vessels. It will live very well afterwards. This experiment has been often repeated, and always with the same results.
After this experiment, I opened the carotid, and the jugular vein of another dog, and after tying the extremity of the carotid next the heart, received the blood of the jugular into a warm syringe, and injected it into the brain. The creature appeared immediately to be agitated, breathed quickly, and seemed to be in a state of suffocation, similar to that of asphyxia. Its animal life became entirely extinct; the heart, however, continued to beat, and the circulation to go on for half an hour afterwards; at the end of which time the organic life was terminated also.
This dog was of a middle size, and about six ounces of blood were injected with a gentle impulse, for fear of that being attributed to the shock, which ought to have been the result of the nature and composition of the fluid. I repeated this experiment upon three dogs the same day, and afterwards at different times upon others; the result was invariable, not only as to the asphyxia of the animal, but even as to the concomitant appearances.
It might be thought that out of its vessels, and exposed to the contact of the air, the blood might imbibe a pernicious principle, or be deprived of that which is requisite for the maintenance of life. It might be imagined, that to this cause was owing the sudden death of the dog, on the injection of the brain with venous blood. To shew that this was not the case, I made a small opening in the jugular of a dog, to which I adapted a moderately warm syringe, and pumped the blood immediately from the vein.—It was afterwards thrown into the carotid: the symptoms were the same as the preceding, but less marked, and the death of the creature induced more slowly.—It is probable, then, that the air when in contact with the living blood without its vessels may alter it a little, but the essential cause of death is still the same.
Hence it appears that the black blood either is not an excitant capable of keeping up the cerebral action, or that it acts in a deleterious manner, upon the brain. The injection by the carotid of various other substances will produce analogous effects.
I have killed animals in this way with ink, oil, wine, and water coloured with indigo. The greater number of the excrementitious fluids, such as urine, bile, the mucus of catarrhs, occasion death also by their simple presence on the brain. The serosity of the blood is fatal, but not as quickly so. Now it is certainly upon the substance of the brain, and not upon the internal surface of the arteries, that these different substances exert their influence. I have injected them all into the crural artery. In this way they are none of them mortal, but occasion always a torpor, amounting even to paralysis at times.[92]
The black blood is doubtless fatal to the brain, the brain becoming at once a tonic from its presence. In what way does it act? I do not pretend to determine the manner; for this were only to begin a series of conjectures.
By this time we are authorised to conclude, that in asphyxiæ, the circulation which continues for some time after the interruption of the chemical functions of the lungs, interrupts the cerebral functions, from its being composed of black blood only. The fact is proved in another manner, for the movements of the brain continue to be made as usual.
If the cerebral mass be exposed, and the creature asphyxiated, the animal life will be extinguished, but the motion of the brain will be apparent still. Since then the latter cause of life subsists, the cause of death must be in the nature of the fluid, by which the organ is penetrated.
Nevertheless, if any affection of the brain coincide with asphyxia, the death which is occasioned by the latter, will be quicker than is usually the case. Strike a dog a violent blow upon the head, and then if he be deprived of air, he will die on the instant. In asphyxiating another animal already in a state of stupor, from compression of the brain, I observed that the vital functions were interrupted somewhat sooner, than when the brain is untouched during that operation; but the consequences hitherto deduced, may be supported by other experiments.
If in asphyxia the black blood suspend the action of the cerebral mass, it is evident that the black blood taken from the arteries of an animal dying of asphyxia, and injected into the brain of another, will be the cause of death.
The experiment will be found to succeed—cut the trachea, of a dog, and tie it up hermetically; then in the course of two or three minutes, open the carotid and receive into a syringe the blood, which flows from the vessels; inject it into the brain of another animal, and it will die.
The following experiment is very similar, but offers a somewhat different result. 1st. Adapt a tube with a stop-cock to the trachea of a dog, and a tube of silver to the carotid, next the head, after dividing this vessel, and tie up the extremity towards the heart. 2dly. Fix the other end of the tube to the divided carotid of another dog next the heart, and tie the extremity of the vessel towards the head. 3dly. Shut the cock of the tube in the trachea, and the black blood of the one dog in a short time, will be injected into the brain of the other.
The appearances above described will shortly afterwards succeed, but not so soon as in the former experiment, and if the transfusion be stopped, the animal which has been asphyxiated in this way, may recover and live. In the preceding experiment he will always die. It appears then that some extraneous pernicious principle is imbibed by the venous blood, when in contact with the air. Observe that for the latter experiment the dog from which the brain of the other is to be injected, must be stronger and more vigorous than the other. The reasons are evident.
I was desirous of trying whether the venous blood would not be capable of keeping up the cerebral action, if reddened artificially. For this purpose I opened the jugular and the carotid of a dog, and received the blood of the vein in a vessel filled with oxygen; it immediately became of a vivid purple, but on its injection into the brain, the animal was very suddenly killed. I was much surprised at this result, but ceased to be so on remarking, that a great quantity of air was mixed with the fluid, and that it arrived upon the brain, in a state of foam: now we know that a very small number of bubbles are sufficient to kill an animal, whether they be introduced on the side of the brain, or on that of the heart.
From this reflection, I was induced to repeat my experiments upon the injection of black blood, suspecting as I did that some small quantity of air might in these cases have been contained in the extremity of my syringe. I soon however recollected that if this cause were real, it should produce the same effect in every instance whatever were the fluid employed, now when water is injected there is nothing of the kind observable.
We may be thus assured that the black blood is either incapable of keeping up the action of the brain, or that it acts in a deleterious manner upon that organ, from the very nature of the principles, which it contains. From such datum it should appear that the life of the asphyxiated person might be restored, by pushing on into the brain a sufficient quantity of arterial blood, but here we must make a distinction of two periods in asphyxia: 1st. That in which the cerebral functions are only suspended: 2dly. That in which the circulation and the movements of the breast are stopped (for this disease is ever characterised by the sudden loss of all animal life, and consecutively by that of the organic life.) Now, as long as the first period of asphyxia continues, I have observed that, by the transfusion of red blood into the brain, from the heart of another animal, the movement of the creature which is dying will be restored by degrees, and the cerebral functions resume in part their activity; but this is only a temporary thing, and the animal will fall again into its previous dying state, if the asphyxiating cause be continued.
On the other hand, if during the first period, to which we have alluded, the air be readmitted, into the trachea, the lungs will be reanimated, the blood be coloured, and the creature be revived without the assistance of any transfusion; and such transfusion again is of no avail, after the second period of asphyxia, so that this experiment offers only a proof of what we already know; with respect to the difference of the influence of arterial and venous blood upon the brain, and not a remedy in case of asphyxia.
Again, whenever I have injected venous blood into the brain, by the help of a syringe, I have universally found that such proceeding is fatal. Though the cause of asphyxia be removed, and arterial blood injected, either with the syringe, or immediately from the heart of another animal, it is of little effect, and frequently of none whatever. And in general asphyxia when produced by blood, which has been taken from the venous system itself and pushed into the brain is much more certain and more decided, than that which is occasioned by ligature of the trachea, or the introduction of different gases into the lungs.
After having established by different experiments, how fatal the influence of the black blood is upon the brain, which receives it from the arteries whenever the chemical functions of the lungs are suspended, it will not be amiss or out of place to shew, that the phenomena of the asphyxia, which are observed in the human subject, accord with the experiments of which I have given the detail.
1st. It is generally known that every kind of asphyxia affects the brain in the first instance; that the functions of this organ are the first to be annihilated; that the animal life, and particularly the sensations cease; that all our relations with exterior objects are instantly suspended, and that the organic functions are only consecutively interrupted. Whatever be the mode of asphyxia, by submersion, strangulation, gases, or a vacuum, the same phenomena occur at all times.
2dly. It is known that the greater number of those who have escaped suffocation, have been sensible only of a general stupor, the seat of which has been evidently in the brain. It is known also, that death is almost always certain in these cases, while the pulse and the heart have ceased to be felt.
3dly. It is affirmed by almost all such persons as have survived this accident, especially when caused by the vapour of charcoal, that the first thing of which they were sensible, was more or less pain, in the head, an effect in all probability occasioned by the first influx of the black blood into the brain. This fact has been noted by the greater number of authors, who have written on asphyxia.
4thly. The vulgar expression that “charcoal flies to the head” is surely a proof that the brain, and not the heart, is the first affected in the asphyxia occasioned by this deleterious substance. The unprejudiced vulgar, oftentimes observe more correctly than we do, who frequently see only what we wish to see.[93]
5thly. There are many examples of persons, who after escaping the pernicious effects of the vapour of charcoal, have been subject afterwards to paralytic affections, and loss of memory. Such changes have evidently their seat in the brain. Convulsion also is frequently the effect of the impression of mephitic vapour: head-ache is a common symptom, and for the most part remains after the others have disappeared. In every book of cases may be seen examples of these affections.
In cold-blooded animals, and in reptiles especially, this influence of the black blood on the brain, though real, is much less apparent. Make an incision into both sides of the breast of a frog, then tie the lungs at their root, and the animal will live notwithstanding for a considerable time. Cut away the lungs entirely, and the same phenomenon will be remarked. In fish, the relation between the lungs and the brain, is somewhat more direct, for by the organization of the branchiæ, they differ essentially from reptiles. I have taken away the cartilaginous plate which covers the gills of the carp, the motion of the gills however continued to be made as before, and the animal lived without any apparent injury done to its functions. I afterwards put a ligature about the cartilaginous rings which sustain the branchiæ, so as to hinder all motion in the pulmonary apparatus. The effect was, that the animal languished, his fins dropt, his muscular movements soon grew weak, then ceased entirely, and the creature in the course of a quarter of an hour was dead. The same phenomena with some little variety, were observable in a carp from which I cut away the branchiæ.
After all however, the particular nature of those relations, which unite the heart, the lungs, and the brain, both in the red and cold-blooded animals, is well worthy the farther investigation of physiologists. The latter sort of animals, can neither be subject to syncope or apoplexy, or at least the character of these diseases must be very much modified in them. They are with much more difficulty asphyxiated. We shall now return to those species which bear a nearer resemblance to man.
From the influence of the black blood over the heart, the brain, and the rest of the organs, it was my opinion, that persons affected with varicose aneurisms, would perish less quickly from asphyxia then others; because the red blood passes into the veins, and traverses the lungs without requiring alteration. Accordingly, it should be capable of keeping up the cerebral action.
To be assured if this suspicion were well founded, I made a communication between the carotid artery and jugular vein of a dog, by means of a curved tube. The pulsation of the artery was thus communicated to the vein. I afterwards asphyxiated the animal by stopping the trachea, but the phenomena of death were little different from those of common asphyxia.
We may conclude with certainty, from the various considerations and experiments presented in the present chapter.
1st. That when the chemical phenomena of the lungs are interrupted, the black blood acts upon the brain, as it does upon the heart, by penetrating the tissue of that organ, and depriving it of the excitement, which is necessary to its action.
2dly. That its influence is much more rapid upon the first, than on the second of these organs.
3dly. That it is the inequality of such influence, which occasions the difference in the cessation of the two lives in the case of asphyxia. The animal life is always annihilated before the organic life.
We may conceive from what has been said in this and the preceding chapter, how unfounded are the suspicions of those who have supposed that the brain, after the separation of the head from the body by the guillotine, might live awhile and have sensation. The action of this organ is immediately connected with its double excitements.—1st, By motion; 2dly, By the nature of the blood which it receives. Now, when the interruption of such excitement is sudden, the interruption of every kind of feeling must also be sudden.
When the chemical functions of the lungs are suspended, the disturbance induced in the functions of the brain, has indeed a very considerable influence on the death of the other organs; nevertheless, such disturbance is the beginning of death only in the animal life, and even then is connected with other causes. The organic life ceases from the sole presence of the black blood among the different organs. The death of the brain is only an isolated and partial phenomenon of asphyxia, which does not take place in any particular organ, but in all alike. We shall explain this assertion in the following chapter.