Harvey's Views on the Use of the Circulation of the Blood

by John Green Curtis

Transcript of the preceding page.

Our most immediate interest in the foregoing passage lies in this: that on the very same page, with the few clear simple words which tell for the first time of Harvey's facts and proofs, he has briefly written down conjectures as to the meaning of the circulation. These are as strikingly put as certain jottings are obscure which deal on a neighboring page with some possible meanings of the heart-beat.[109] In neither group of conjectures do the functions of the lungs play a part; but the discoverer asks himself whether it be not to revisit the heat of the heart that the whole mass of the blood circles back to the chest in its Harveian course! More than thirty-two years after the date of Harvey's note-book Harvey wrote to Riolanus:—

"There are some who consider that as no impulsion of nutriment is required for the nutrition of plants, their particles attracting little by little whatever they need to replace what they have lost, so in animals there is no need of any impulsion, the vegetative faculty in both working alike. But there is a difference. In animals a perpetual flow of warmth is required to cherish the members, to keep them alive by the aid of vivifying heat, and to restore parts injured from without. It is not merely nutrition that needs to be provided for."[110]

In the first Exercise to Riolanus Harvey had touched also upon the use of the circulation, interweaving this doctrine of heat with the doctrine of respiration as he then held it, in a passage the last part of which I have quoted already. Quoted more fully he says:—

"And this, indeed, is the principal use and end of the circulation, for which the blood revolves with perpetual influence in its ceaseless course and is driven along its circuit: namely, that all the parts in dependence upon the blood may be kept alive by the primary innate heat and in their state of vital and vegetative being, and may perform all their functions; whilst, to use the language of physiologists, they are sustained and actuated by the inflowing heat and vital spirits. Thus by the aid of two extremes, viz.: cold and heat, is the temperature of the animal body retained at its mean. For as the air inspired tempers the too great heat of the blood in the lungs and center of the body and effects the expulsion of suffocating fumes, so in its turn does the hot blood, thrown through the arteries into the entire body, cherish and nourish and keep alive all the extremities, preventing extinction due to the power of external cold."[111]

"The innate fire is not in the right ventricle," a Hippocratic author had written, who had written also that the wall of the left ventricle is dense, to guard the strength of the heat.[112] Aristotle, too, had placed in the heart the "origin" of the "natural innate heat";[113] had likened the heart to "the hearth on which shall lie the natural kindling, well protected also, as being the acropolis of the body."[114] At a later day Galen had affirmed the same doctrine.[115]

Let us turn now to the famous treatise of 1628, published twelve years after the note-book had been written. In the chapter in which Harvey says "I tremble lest I have mankind at large for my enemies" and then publishes and names the circulation,—in this chapter, before passing to his proofs, he published the following words which resound in a way very different from the simplicity of the note-book:—

"So probably it may come to pass in the body through the movement of the blood that all the parts are nourished, cherished, quickened, by the hotter, perfected, vaporous, spirituous, and, so to speak, alimentive blood; that the blood, on the other hand, is cooled, coagulated, and rendered, as it were, effete in the parts; whence it returns to its origin, namely, the heart, as to its fountain, or the hearth of the body, to regain perfection. There by the potent and fervid natural heat, a treasury of life, as it were, the blood is liquefied anew and becomes pregnant with spirits and, so to speak, with balsam. Thence the blood is distributed again; and all this depends upon the motion and pulsation of the heart.

"The heart, therefore, is the origin of life and the sun of the microcosm, even as the sun in his turn might well be called the heart of the world; by the vigor and pulsation of the heart the blood is moved, perfected, quickened, and delivered from corruption and thickening; and the function of nourishing, cherishing, quickening the entire body is performed by that intimate hearth, the heart, the foundation of life, the author of all. But of these matters more conveniently when I shall speculate as to the final cause of motion such as this."[116]

Upon this florid passage follow the classic six chapters which bring forward with such power and calm the proofs of the circulation. These are succeeded in their turn by words which echo their sobriety, as follows:—

"It will not be beside the question to show also from certain familiar reasonings, that the circulation is both convenient and necessary. In the first place, since death is corruption from deficiency of heat[117] and since all living things are warm, all dying things cold, the heat requires a seat and origin, a home and hearth, as it were, in which the tinder of nature, the first beginning of the innate fire, may be contained and preserved; a place from which, as from their origin, heat and life may flow out into all the parts, whence nutriment may come and upon which concoction and nutrition and all quickening may depend. That this place is the heart, that this is the origin of life as aforesaid, I should hope that none would doubt.

"Hence the blood has need of motion, of motion such that it may return to the heart; for, if sent to the outer parts of the body, far from its source,[118] and left unmoved, it would become coagulated. Heat and spirits are seen to be generated and preserved in all by motion, to vanish if quiet supervene. Therefore, the blood, thickened or stiffened by the cold of the extremities and of the ambient [air] and destitute of spirits, as in the dead, must needs return to its source and origin in order to keep itself whole, to seek thence and repair again its heat and spirits."...[119]

"Moreover," Harvey says, a page farther on, "since all animals live by nutriment concocted in their interior, it is necessary that the concoction and distribution thereof be perfect; and, further, that a place and receptacle exist where the nutriment may be perfected and whence it may be led off to the several members. Now this place is the heart, for it alone of all the parts contains blood for the public use in its cavities, the auricles and ventricles, as in cisterns and storehouse; not merely blood for its private use in the coronary vein and artery."[120]