"There are also channels from the heart which lead into the lung and divide in the same way as the windpipe, and they accompany the channels from the windpipe throughout the entire lung. The channels from the heart lie uppermost; but no common channel exists, for it is by contact[29] that they receive the breath and transmit it to the heart."[30]
The collection of ancient Greek commonly called the "Works of Hippocrates" is judged to be of the fifth and fourth centuries B.C. There is included in this collection a brief treatise on the heart; and in this occurs the earliest known account of the structure and use of the semilunar valves, which together with the rest of the cardiac valves were unknown to Aristotle. In the same Hippocratic treatise the doctrine is adhered to of the entrance of air into the heart for cooling purposes, both the right and the left ventricle being specified as receiving it. The author says:—
"The vessel which leads out of the right ventricle ... closes toward the heart, but closes imperfectly, in order that air may enter, though not very much."[31]
This piece of incorrect physiology may well have received support from the fact that the pulmonary semilunar valve is commonly found to be not quite competent when the dead and dissected pulmonary artery of the bullock is distended with water—an observation which the ancient author intimates that he has made,[32] though he does not specify the creature dissected.
Nearly five hundred years after the death of Aristotle, the analogy between life and flame was discussed, formally and at some length, by Galen. He knew his Aristotle well, and agreed with him as to the importance of respiratory cooling for protracting the indispensable heat of animals.[33] But we find Galen dealing with the uses of respiration in a less simple way than Aristotle. In a polemical treatise Galen debates the question whether "the breath drawn in in respiration" actually enters the heart, or whether it cools it without entering it. He says:—
"It is possible that the whole is breathed out again, as was believed by most physicians and philosophers, and those the keenest, who say that the heart, while it craves to be cooled, is in need not of the substance, but of the quality[34] of the breath, and that the use of respiration is indicated by the part.... I have shown in my treatise on the use of respiration that either an absolutely minute quantity, or none at all, of the substance of the air, is taken into the heart."[35]
It is clear, however, that Galen, when delivering himself of the foregoing, was a trifle carried away by the ardor of contention; for in the very treatise to which he refers us, as well as elsewhere, he not only dilates upon the cooling effects of breathing, but admits the entrance of air into the heart for a definite physiological purpose. This purpose, however, which we shall study later, is not cooling and is counted of secondary importance by Galen. Nevertheless, he goes so far as to say this:—
"That some portion of the air is drawn into the heart in its diastole and fills the vacuum which is produced, is sufficiently shown by the very magnitude of the dilation."[36]
In his treatise "On the Use of the Parts of the Human Body" Galen takes a more judicial tone in the following brief, calm summary:—