An Anatomical Disquisition on the Motion of the Heart & Blood in Animals

by William Harvey

From the words of our learned writer quoted above, consequently, his opinion may be gathered both of the general circulation, and then of the circulation through the lungs and the several parts of the body; for he who admits the first, manifestly cannot refuse to acknowledge the others. How indeed could he who has repeatedly asserted a circulation through the general system and the greater vessels, deny a circulation in the branches continuous with these vessels, or in the several parts of the second and third regions? as if all the veins, and those he calls greater circulatory vessels, were not enumerated by every anatomist, and by himself, as being within the second region of the body. Is it possible that there can be a circulation which is universal, and which yet does not extend through every part? Where he denies it, then, he does so hesitatingly, and vacillates between negations, giving us mere words. Where he asserts the circulation, on the contrary, he speaks out heartily, and gives sufficient reasons, as becomes a philosopher; and then, when he relies on this opinion in a particular instance, he delivers himself like an experienced physician and honest man, and, in opposition to Galen and his favourite Fernelius, advises blood-letting as the chief remedy in dangerous diseases of the lungs.

No learned man and Christian, having doubts in such a cause, would have recommended his experience to posterity, to the imminent risk, and even loss of human life; neither would he, without very sufficient reasons, have repudiated the authority of Galen and Fernelius, which has usually such weight with him. Whatever he has denied in the circulation of the blood, therefore, whether with reference to the mesentery or any other part, and with an eye to the lacteal veins or the ancient system of physic, or any other consideration, must be ascribed to his courtesy and modesty, and is to be excused.

Thus far, I think, it appears plain enough, from the very words and arguments of our author, that there is a circulation everywhere; that the blood, wherever it is, changes its place, and by the veins returns to the heart; so that our learned author seems to be of the same opinion as myself. It would therefore be labour in vain, did I here quote at greater length the various reasons which I have consigned in my work on the Motion of the Blood, in confirmation of my opinions, and which are derived from the structure of the vessels, the position of the valves, and other matters of experience and observation; and this the more, as I have not yet seen the treatise on the Circulation of the Blood of the learned writer; nor, indeed, have I yet met with a single argument of his, or more than his simple negation, which would lead me to see wherefore he should reject a circulation which he admits as universal, in certain parts, regions, and vessels.

It is true that by way of subterfuge he has recourse to an anastomosis of the vessels on the authority of Galen, and the evidence of daily experience. But so distinguished a personage, an anatomist so expert, so inquisitive, and careful, should first have shown anastomoses between the larger arteries and larger veins, and these, both obvious and ample, having mouths in relation with such a torrent as is constituted by the whole mass of the blood, and larger than the capacity of the continuous branches, (from which he takes away all circulation,) before he had rejected those that are familiarly known, that are more likely and more open; he ought to have clearly shown us where these anastomoses are, and how they are fashioned, whether they be adapted only to permit the access of the blood into the veins, and not to allow of its regurgitation, in the same way as we see the ureters connected with the urinary bladder, or in what other manner things are contrived. But—and here I speak over boldly perhaps—neither our learned author himself, nor Galen, nor any experience, has ever succeeded in making such anastomoses as he imagines, sensible to the eye.

I have myself pursued this subject of the anastomosis with all the diligence I could command, and have given not a little both of time and labour to the inquiry; but I have never succeeded in tracing any connexion between arteries and veins by a direct anastomosis of their orifices. I would gladly learn of those who give so much to Galen, how they dare swear to what he says. Neither in the liver, spleen, lungs, kidneys, nor any other viscus, is such a thing as an anastomosis to be seen; and by boiling, I have rendered the whole parenchyma of these organs so friable that it could be shaken like dust from the fibres, or picked away with a needle, until I could trace the fibres of every subdivision, and see every capillary filament distinctly. I can therefore boldly affirm, that there is neither any anastomosis of the vena portæ with the cava, of the arteries with the veins, or of the capillary ramifications of the biliary ducts, which can be traced through the entire liver, with the veins. This alone may be observed in the recent liver: all the branches of the vena cava ramifying through the convexity of the liver, have their tunics pierced with an infinity of minute holes as is a sieve, and are fashioned to receive the blood in its descent. The branches of the porta are not so constituted, but simply spread out in subdivisions; and the distribution of these two vessels is such, that whilst the one runs upon the convexity, the other proceeds along the concavity of the liver to its outer margin, and all the while without anastomosing.

In three places only do I find anything that can be held equivalent to an anastomosis. From the carotids, as they are creeping over the base of the brain, numerous interlaced fibres arise, which afterwards form the choroid plexus, and passing through the lateral ventricles, finally unite and terminate in the third sinus, which performs the office of a vein. In the spermatic vessels, commonly called vasa præparantia, certain minute arteries proceeding from the great artery adhere to the venæ præparantes, which they accompany, and are at length taken in and included within their coats, in such a way that they seem to have a common ending, so that where they terminate on the upper portion of the testis, on that cone-shaped process called the corpus varicosum et pampiniforme, it is altogether uncertain whether we are to regard their terminations as veins, or as arteries, or as both. In the same way are the ultimate ramifications of the arteries which run to the umbilical vein, lost in the tunics of this vessel.

What doubt can there be, if by such channels the great arteries, distended by the stream of blood sent into them, are relieved of so great and obvious a torrent, but that nature would not have denied distinct and visible passages, vortices, and estuaries, had she intended to divert the whole current of the blood, and had wished in this way to deprive the lesser branches and the solid parts of all the benefit of the influx of that fluid?

Finally, I shall quote this single experiment, which appears to me sufficient to clear up all doubts about the anastomoses, and their uses, if any exist, and to set at rest the question of a passage of the blood from the veins to the arteries, by any special channels, or by regurgitation.

Having laid open the thorax of an animal, and tied the vena cava near the heart, so that nothing shall pass from that vessel into its cavities, and immediately afterwards, having divided the carotid arteries on both sides, the jugular veins being left untouched; if the arteries be now perceived to become empty but not the veins, I think it will be manifest that the blood does nowhere pass from the veins into the arteries except through the ventricles of the heart. Were it not so, as observed by Galen, we should see the veins as well as the arteries emptied in a very short time, by the efflux from their corresponding arteries.

For what further remains, oh Riolanus! I congratulate both myself and you: myself, for the opinion with which you have graced my Circulation; and you, for your learned, polished, and terse production, than which nothing more elegant can be imagined. For the favour you have done me in sending me this work, I feel most grateful, and I would gladly, as in duty bound, proclaim my sense of its merits, but I confess myself unequal to the task; for I know that the Enchiridion bearing the name of Riolanus inscribed upon it, has thereby more of honour conferred upon it than it can derive from any praise of mine, which nevertheless I would yield without reserve. The famous book will live for ever; and when marble shall have mouldered, will proclaim to posterity the glory that belongs to your name. You have most happily conjoined anatomy with pathology, and have greatly enriched the subject with a new and most useful osteology. Proceed in your worthy career, most illustrious Riolanus, and love him who wishes that you may enjoy both happiness and length of days, and that all your admirable works may conduce to your eternal fame.