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CLASS III.

HÆMATICA.

DISEASES OF THE SANGUINEOUS FUNCTION.

ORDER I.

PYRECTICA.

FEVERS.

II.

PHLOGOTICA.

INFLAMMATIONS.

III.

EXANTHEMATICA.

ERUPTIVE FEVERS.

IV.

DYSTHETICA.

CACHEXIES.

CLASS III.

PHYSIOLOGICAL PROEM.

an

On treating of the very important and extensive range of Cl. III. diseases included under the present class, let us first take scope of a brief survey of the sanguineous function which is the inquiry. immediate theatre of their operation, and the means and instruments by which it is maintained. This comprehensive subject may be most conveniently General

division. discussed under the three following divisions :

I. THE MACHINERY OF THE SANGUINEOUS SYSTEM.
II. ITS MOVING POWERS.
III. THE NATURE OF THE FLUID CONVEYED.

I. The importance of the blood to the general health I. Maof the animal system; and its existence in every part of the almost every organ, have been known in every country guineous in which medicine has been studied from the first dawn of its cultivation. It is not necessary to retrace the wild Unsatistac

tory hypoand idle hypotheses that were started in ancient times theses of the to account for the means by which this universal fluid ancients. travels from one part to another, and appears in every quarter. It is enough to observe that, till the great and transcendent doctrine of the circulation of the blood was completely established, the acutest physiologists wandered about in darkness and uncertainty, seldom satisfying themselves, and, still more rarely, the world around them: insomuch that I am not acquainted with a single

system,

SUS

I. Ma conjecture that was ever vented upon the subject that is chinery of the san

in the least degree worthy of repetition. guineous The opinion, indeed, of a circulation of the blood system.

through the system was loosely started by various writers A circula tion loosely even of very early times; but under every modification it

was found to be accompanied with so many difficulties as by the ancients. always to be dropped almost as soon as it was revived, and

rarely, till the middle of the seventeenth century, to show itself to any effective purpose. Hippocrates guessed at it, Aristotle assented to it, Serveto, who was burnt as a heretic in 1553, imperfectly taught it by pointing out the smaller circulation, or that through the lungs; and our own illustrious countryman, Harvey, about a century afterwards, gave a finish to the inquiry, by establishing

the larger circulation, or that over the whole frame. Proofs to The principal proofs of a circulation of the blood peals in the offered by Harvey, and those, indeed, on which we chiefly present day. rely in the present day, are deduced from the disposition

of the valves of the heart; the range of the arteries and the veins, and from what occurs when either the arteries or veins are opened, compressed, tied, or injected. Thus, if we open an artery, the blood that jets from the puncture flows in a direction from the heart; and in a direction to the heart, if we open a vein. A compression or ligature upon an artery, puts a stop to the blood that flows from above the ligature; but the same upon a vein puts a stop to the blood from below it, in which direction the vein immediately becomes distended. In like manner, an acid liquor injected into the veins coagulates the blood in the direction towards the heart, proving that the venous blood is every where travelling in this course. While an examination by the microscope of the half-transparent vessels of frogs and other cold-blooded animals confirms the view laid open by these phænomena, and shows to us a continual Aow of the blood from the heart into the arteries, thence into the veins, and thence to the

heart again; thus completing the circular career. erori. The arteries, therefore, generally speaking, terminate generally terminate in veins; but by no means the whole of them, for many in vains :

Arter

tem.

are exhalant or secretory, and terminate in minute orifi- I. Maces on the surface of membranes and other organs; which the no microscope, however, has yet discovered, but whose guineous existence we have every reason to believe, as we perceive a perpetual oozing of fluids, whose flow we cannot them in exotherwise account for, into all the cavities of the body; balants : which keeps their surfaces moist, and makes motion easy.

others perWhile, according to M. Magendie, whose experiments, haps in * however, seem to want confirmation, other minute arte- lymphatics. ries terminate in lymphatics, which he makes as much a part of the sanguiferous system as the veins; the lymphatics conveying the more attenuate part of the arterial blood, slightly tinged of an opaline or rose-coloured hue, though sometimes of a madder-red; such as the fluid which oozes upon puncturing the lymphatics, or the thoracic duct after a long fast. It is not necessary to examine into the correctness of this hypothesis in the present place, as we shall have occasion to notice it more at large when treating of the excernent system, which will be found to embrace both the absorbent and secretory vessels. It should, however, be remarked, that in M. Magendie's hypothesis the veins, and not the lymphatics, are the absorbents of the body. Omitting then for the present the consideration of the Instruments

of the sanlymphatics, the machinery by which the circulation of guiferous the blood is principally effected consists of the heart it- machinery. self, the arteries, and the veins.

The heart in the more perfect classes of animals, as mammals, birds, and most, though not all, amphibials, is perfect a very compound organ; for in all these the blood, when classes of

animals. received from the veins, is first sent from this central organ to the lungs to be duly aërated, or, according to Mr. Ellis's hypothesis, to be unloaded of its excess of carbone, and is afterwards returned from the lungs to the same organ before its general circulation over the system commences. These classes, therefore, are said to possess a double circulation. And as the heart itself consists of

eart in le more

• Précis Elementaire de Physiologie, Tom. II.

chi

of the heart.

1. Ma- four cavities, a pair, composing what is called an áuricle the san

and a ventricle, belonging to each of the two circulations; guineous and as each of these pairs is divided from the other by system.

a strong membrane, these classes are also said to have Heart double, and not only a double circulation, but a double heart; a pulcirculation monary and corporeal circulation, and a pulmonary and double.

corporeal heart. Seat and The heart is well known to be situated in the chest, appendages

between the lungs, above the diaphragm, and to be in-
fluenced by all the motions of the diaphragm. It is
loosely surrounded by a dense and fibrous membrane,
named, from its situation, pericardium, possessing little
sensibility, closely connected with the substance of the
diaphragm, and reflected over the heart and its large
vessels. Its use is to confine the heart in its proper post;
and to lubricate it, in its state of unceasing activity, with
a peculiar fluid, denominated liquor pericardii, supposed
to be secreted by peculiar glands, but more probably ex-
haled from the capillary arteries of the internal surface.
In a state of health this fluid is small in quantity and of
a reddish hue, some portion of the red parts of the blood
being intermixed with it; but, in a morbid state of the
membrane, it is apt to accumulate, change its properties,

and lay a foundation for various complaints * Restrictive

The power possessed by the pericardium of restrainpower of the pericar. ing the heart to its proper post, is obvious from the foldium.

lowing fact. If, after detaching the sternum and opening the chest, an incision be made into the pericardium of a living animal wide enough for the purpose, the heart will often be found to leap out of its sac through this

aperture, and to fall on the right or the left side of the How far the thorax. And hence the common and colloquial express heart leaps for joy."

sion derived from common feeling, of the leaping of the heart for joy--and it might as well be said for grief or terror-is founded on actual fact. The heart, which is loosely confined by its vessels, often leaps as far as its

* See Bostock's Elementary System of Physiology, Vol. 1. p. 363. 8vo.

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