Thus, by studying the structure of the animals who are nearer to and further from ourselves in their modes of life and in the construction of their bodies, we can prepare ourselves to understand the nature of the pulmonary circulation in ourselves, and of the systemic circulation also.
II.—Systemic Circulation
What remains to be said is of so novel and unheard of a character that I not only fear injury to myself from the envy of a few, but I tremble lest I have mankind at large for my enemies, so much do wont and custom that become as another nature, and doctrine once sown that hath struck deep root, and respect for antiquity, influence all men.
And, sooth to say, when I surveyed my mass of evidence, whether derived from vivisections and my previous reflections on them, or from the ventricles of the heart and the vessels that enter into and issue from them, the symmetry and size of these conduits—for Nature, doing nothing in vain, would never have given them so large a relative size without a purpose; or from the arrangement and intimate structure of the valves in particular and of the many other parts of the heart in general, with many things besides; and frequently and seriously bethought me and long revolved in my mind what might be the quantity of blood which was transmitted, in how short a time its passage might be effected and the like; and not finding it possible that this could be supplied by the juices of the ingested aliment without the veins on the one hand becoming drained, and the arteries on the other getting ruptured through the excessive charge of blood, unless the blood should somehow find its way from the arteries into the veins, and so return to the right side of the heart; when I say, I surveyed all this evidence, I began to think whether there might not be a motion as it were in a circle.
Now this I afterwards found to be true; and I finally saw that the blood, forced by the action of the left ventricle into the arteries, was distributed to the body at large, and its several parts, in the same manner as it is sent through the lungs, impelled by the right ventricle into the pulmonary artery; and that it then passed through the veins and along the vena cava, and so round to the left ventricle in the manner already indicated; which motion we may be allowed to call circular, in the same way as Aristotle says that the air and the rain emulate the circular motion of the superior bodies. For the moist earth, warmed by the sun, evaporates; the vapours drawn upwards are condensed, and descending in the form of rain moisten the earth again. And by this arrangement are generations of living things produced; and in like manner, too, are tempests and meteors engendered by the circular motion of the sun.
And so in all likelihood does it come to pass in the body through the motion of the blood. The various parts are nourished, cherished, quickened by the warmer, more perfect, vaporous, spirituous, and, as I may say, alimentive blood; which, on the contrary, in contact with these parts becomes cooled, coagulated, and, so to speak, effete; whence it returns to its sovereign, the heart, as if to its source, or to the inmost home of the body, there to recover its state of excellence or perfection. Here it resumes its due fluidity, and receives an infusion of natural heat—powerful, fervid, a kind of treasury of life—and is impregnated with spirits and, it might be said, with balsam; and thence it is again dispersed. And all this depends upon the motion and action of the heart.
Confirmations of the Theory
Three points present themselves for confirmation, which, being established, I conceive that the truth I contend for will follow necessarily and appear as a thing obvious to all.
The first point is this. The blood is incessantly transmitted by the action of the heart from the vena cava to the arteries in such quantity that it cannot be supplied from the ingesta, and in such wise that the whole mass must very quickly pass through the organ.
Let us assume the quantity of blood which the left ventricle of the heart will contain when distended to be, say, two ounces (in the dead body I have found it to contain upwards of two ounces); and let us suppose, as approaching the truth, that the fourth part of its charge is thrown into the artery at each contraction. Now, in the course of half an hour the heart will have made more than one thousand beats. Multiplying the number of drachms propelled by the number of pulses, we shall have one thousand half-ounces sent from this organ into the artery; a larger quantity than is contained in the whole body. This truth, indeed, presents itself obviously before us when we consider what happens in the dissection of living animals. The great artery need not be divided, but a very small branch only (as Galen even proves in regard to man), to have the whole of the blood in the body, as well that of the veins as of the arteries, drained away in the course of no long time—some half hour or less.