The History of a Mouthful of Bread / And its effect on the organization of men and animals

by Jean Macé

When you were very little—very little indeed, my dear child—your heart beat from 130 to 140 times in a minute. Afterwards the beats sank to 100 per minute; then to fewer still. At present I cannot tell you the precise number: perhaps, about ninety. When you are a grown-up young lady, it will beat about eighty times in the minute; when you are a mother, about seventy-three times; when a grandmother (if such a blessing be granted you), only from fifty to sixty times, perhaps even fewer. People tell of an old man of eighty-four whose heart beat only twenty-nine times in the sixty seconds.

Observe that in all my calculations I have taken special care to prefix the word about to the numbers mentioned. And this because, in point of fact, the heart is a capricious creature, which has no exact rules to go by. It changes its pace on every occasion—fear, joy, every emotion which agitates the soul, quickens or retards its movements; and derangements of health may be detected by its pulsations, which are infinitely varied in character. In fever, for instance, which is nothing but a race of the blood at full speed, the hearts of grown-up people beat as quickly as those of little children; sometimes, indeed, more quickly still. In certain maladies it goes with great sudden leaps, like a galloping horse; in others it trots in little jerks; while in some cases it moves slowly and wearily, and its throbs are so weak that one can scarcely feel them.

These pulsations, then, afford important revelations to the doctor. The heart is for him a gossiping confidant, who lets out the secrets of illnesses, however closely they may fancy themselves hidden in the remote depths of the body. When the doctor lays his finger on the patient's pulse, it is precisely the same thing to him as if he had laid it on his heart, only with this difference, that the one is much less difficult to do, and much sooner done than the other.

The artery of the wrist is in fact a small heart, not only because it follows all the movements of the large one, but because it carries forward the work which the other begins, and assists also in propelling the blood to the furthest extremities of the limbs, driving it on in its turn at each of its own contractions. Imagine a fire-engine, whose pipes should take up and drive forwards along their whole length the water which is thrown upon the fire, and you will have some idea of the marvellous machine which is at work in our behalf within us. Nor are you to suppose that the wrist-artery is a specially privileged one, because it has been chosen to hold intercourse with physicians. All the others are equally serviceable; and if they cannot all be used for "feeling the pulse," it is because they are generally more deeply buried in the flesh, where it is not easy to reach them.

Observe your mother when she is packing a trunk, and you will see that whatever she is most afraid maybe spoiled, she is most careful to put in the middle, so that it may be least exposed to accidents. And this is what a kind Providence has done with the arteries, which have the utmost cause to dread accidents; whilst the veins, which are much better able to bear rough usage, are allowed to wander about freely just under the skin. But when the bones happen to take up a great deal of room, and come near the skin themselves, as is the case in the wrist, the artery is forced, whether he likes it or not, to venture to the surface, and then we are able to put our fingers upon him.

And there are others in the same sort of situation; the artery of the foot for instance. But only just think how far from agreeable it would be to have to take off your shoe and present your foot to the doctor!

The artery which passes to the temple, just by the ear, is another affair. That would answer the purpose very well in fact, and I even advise you to make use of it when you want to feel your own pulse. It is more easily found than the other even, and its pulsations are still more easily perceptible. Nevertheless, when all is said and done, it is better for the doctor to take his patient by the hand than by the head. Merely as a matter of good manners.

I will now make you acquainted with the principal arteries, and the manner in which they distribute the blood through the body.

The whole of the blood driven out by the left ventricle at each of its contractions, passes into one large canal called the aorta. The aorta as it goes away at first ascends; then bends back in a curve; and from this curve, which is called the arch of the aorta (from its shape) diverge right and left, certain branch-pipes which carry the blood into the two arms and on each side of the head; and which are, in fact, the beginning, or upper end, of those whose pulsations we feel with our fingers in the two wrists and at the temples.

The supply to the upper part of the body being secured, the aorta begins to descend. But now imagine of what importance it must be, that this head-artery—the foster-father of the whole body—should be sheltered from every accident. The aorta once divided, death is inevitable; you might as well have your head cut off at once; and thus it has been fixed in the best—that is to say, the safest—place. Of course you know what is meant by the backbone or spine, called also the vertebral column, in consequence of its being made like a sort of column composed of a series of small bones fastened together, which are named vertebræ. Touch it and feel how solid it is, and how few dangers there can be for anything placed behind it. Well, that is the rampart which has been given to the Aorta. As this descends, it slips behind the heart and takes up its place in front of the vertebral column which it follows all the way down the back, just to the top of the loins. There it is, so to speak, almost unassailable; in fact hardly any cases are known of the Aorta being wounded; to get at it, it would be necessary to bestow one of those blows which used to be given in the time of the Crusades, which cut the body in two. There was an end of the Aorta, as of every thing else then; it was unfortunately not worth talking about any longer!