Biology and Its Makers / With Portraits and Other Illustrations

by William A. Locy

Fig. 11.—Scheme of the Portal Circulation According to Vesalius, 1543.

Vesalius, in the first edition of his work (1543) expressed doubts upon the existence of pores in the partition-wall of the heart through which blood could pass; and in the second edition (1555) of the Fabrica he became more skeptical. In taking this position he attacked a fundamental part of the belief of Galen. The careful structural studies of Vesalius must have led him very near to an understanding of the connection between arteries and veins. Fig. 11 shows one of his sketches of the arrangement of arteries and veins. He saw that the minute terminals of arteries and veins came very close together in the tissues of the body, but he did not grasp the meaning of the observation, because his physiology was still that of Galen; Vesalius continued to believe that the arteries contained blood mixed with spirits, and the veins crude blood, and his idea of the movement was that of an ebb and flow. In reference to the anatomy of the blood-vessels, he goes so far as to say of the portal vein and the vena cava in the liver that "the extreme ramifications of these veins inosculate with each other, and in many places appear to unite and be continuous." All who followed him had the advantage of his drawings showing the parallel arrangement of arteries and veins, and their close approach to each other in their minute terminal twigs, but no one before Harvey fully grasped the idea of the movement of the blood in a complete circuit.

Servetus, in his work on the Restoration of Christianity (Restitutio Christianismi, 1553), the work for which Calvin accomplished his burning at the stake, expressed more clearly than Galen had done the idea of a circuit of blood through the lungs. According to his view, some of the blood took this course, while he still admits that a part may exude through the wall of the ventricle from the right to the left side. This, however, was embodied in a theological treatise, and had little direct influence in bringing about an altered view of the circulation. Nevertheless, there is some reason to think that it may have been the original source of the ideas of the anatomist Columbus, as the studies into the character of that observer by Michael Foster seem to indicate.

Realdus Columbus, professor of anatomy at Rome, expressed a conception almost identical with that of Servetus, and as this was in an important work on anatomy, published in 1559, and well known to the medical men of the period, it lay in the direct line of anatomical thought and had greater influence. Foster suggests that the devious methods of Columbus, and his unblushing theft of intellectual property from other sources, give ground for the suspicion that he had appropriated this idea from Servetus without acknowledgment. Although Calvin supposed that the complete edition of a thousand copies of the work of Servetus had been burned with its author in 1553, a few copies escaped, and possibly one of these had been examined by Columbus. This assumption is strengthened by the circumstance that Columbus gives no record of observations, but almost exactly repeats the words of Servetus.

Cæsalpinus, the botanist and medical man, expressed in 1571 and 1593 similar ideas of the movement of the blood (probably as a matter of argument, since there is no record of either observations or experiments by him). He also laid hold of a still more important conception, viz., that some of the blood passes from the left side of the heart through the arteries of the body, and returns to the right side of the heart by the veins. But a fair consideration of the claims of these men as forerunners of Harvey requires quotations from their works and a critical examination of the evidence thus adduced. This has been excellently done by Michael Foster in his Lectures on the History of Physiology. Further considerations of this aspect of the question would lie beyond the purposes of this book.

At most, before Harvey, the circuit through the lungs had been vaguely defined by Galen, Servetus, Columbus, and Cæsalpinus, and the latter had supposed some blood to pass from the heart by the arteries and to return to it by the veins; but no one had arrived at an idea of a complete circulation of all the blood through the system, and no one had grasped the consequences involved in such a conception. Harvey's idea of the movement of the heart (De Motu Cordis) was new; his notion of the circulation (et Sanguinis) was new; and his method of demonstrating these was new.

Harvey's Argument.—The gist of Harvey's arguments is indicated in the following propositions quoted with slight modifications from Hall's Physiology: (I) The heart passively dilates and actively contracts; (II) the auricles contract before the ventricles do; (III) the contraction of the auricles forces the blood into the ventricles; (IV) the arteries have no "pulsific power," i.e., they dilate passively, since the pulsation of the arteries is nothing else than the impulse of the blood within them; (V) the heart is the organ of propulsion of the blood; (VI) in passing from the right ventricle to the left auricle the blood transudes through the parenchyma of the lungs; (VII) the quantity and rate of passage of the blood peripherally from the heart makes it a physical necessity that most of the blood return to the heart; (VIII) the blood does return to the heart by way of the veins. It will be noticed that the proposition VII is the important one; in it is involved the idea of applying measurement to a physiological process.

Harvey's Influence.—Harvey was a versatile student. He was a comparative anatomist as well as a physiologist and embryologist; he had investigated the anatomy of about sixty animals and the embryology of insects as well as of vertebrates, and his general influence in promoting biological work was extensive.

His work on the movement of the blood was more than a record of a series of careful investigations; it was a landmark in progress. When we reflect on the part played in the body by the blood, we readily see that a correct idea of how it carries nourishment to the tissues, and how it brings away from them the products of disintegrated protoplasm is of prime importance in physiology. It is the point from which spring all other ideas of the action of tissues, and until this was known the fine analysis of vital processes could not be made. The true idea of respiration, of the secretion by glands, the chemical changes in the tissues, in fact, of all the general activities of the body, hinge upon this conception. It was these consequences of his demonstration, rather than the fact that the blood moves in a circuit, which made it so important. This discovery created modern physiology, and as that branch of inquiry is one of the parts of general biology, the bearing of Harvey's discovery upon biological thought can be readily surmised.