Popular Lectures on Zoonomia. Garnett Thomas
angles which the ramifications of the arteries make, are greater or more obtuse nearer the heart, and more acute as the distance increases; by which means the velocity of the blood is rendered more equal in different parts.
The anastomosing or union of different branches of arteries, likewise retards the velocity of the blood, the particles of which, from different vessels, impinging, disturb each other's motion, and produce a compound force, in which there is always a loss of velocity: and it is evident, from the composition of forces, that this loss must be proportioned to the obliquity of the angle at which the vessels unite.
The adhesion of the blood to the sides of the vessels, likewise causes a loss of velocity in the minuter branches, which may be owing to a chemical affinity: the viscidity or imperfect fluidity of the blood is another retarding cause. All these causes united, would render it impossible for the heart to propel the blood with the velocity with which it moves in the very minute branches of the arteries, if these arteries were not endowed with a living muscular power like the heart, by which they contract and propel their contents.
In the veins, the motion of the blood is occasioned partly by the vis a tergo, and partly by the contraction of the neighbouring muscles, which press upon the veins; and these veins being furnished with valves, the return of the blood towards the arteries is prevented; it must therefore move towards the heart.
That the contraction of the muscles of the body tends very much to promote the circulation of the blood, is evident, from the increase of the circulation from exercise, and likewise from the languid motion of the blood in sedentary persons, and those given to indolence. Hence we may account for the different diseases to which such persons are subject, and know how to apply the proper remedies. Hence likewise, we see the reason why rest is so absolutely necessary in acute and inflammatory diseases, where the momentum of the blood is already too great.
It has been doubted by anatomists, whether the veins were possessed with muscular power; but this seems now to be confirmed. Haller found the vena cava near the heart to contract on the application of stimulants, though he could see no muscular fibres; these, however, have been discovered by succeeding anatomists.
The magnitude of the veins is always greater than that of the corresponding arteries; hence the velocity of the blood must be less in the veins; and hence likewise we may account for their want of pulsation; for the action of the heart upon the arteries is at first very great; but as we recede from the heart, this effect becomes less perceptible; the arterial tube increases both in size and muscularity, in proportion to its distance from the source of circulation. The powers of the heart are spent in overcoming the different resistances which I have noticed, before the blood enters the veins; hence the blood will flow uniformly in these last.
The blood is subject in the veins to retarding causes, similar to those which operate in the arteries, but perhaps not in an equal degree; for the flexures are less frequent in the veins than in the arteries. As the capacity of the arterial tube increases with its distance from the heart, the velocity, from this cause, as has already been observed, is continually diminished; but a contrary effect takes place in the veins; for the different branches uniting, form trunks, whose capacities are smaller than the sums of the capacities of the branches, hence the velocity of the blood in the veins will increase as it approaches the heart.
Another retarding cause may be mentioned, namely, gravity, which acts more on the venous than the arterial system. The effects of gravity on the veins may be exemplified, by a ring being pulled off the finger with ease when the hand is elevated; also by the swellings of the feet that occur in relaxed habits, which swellings increase towards night, and subside in the morning, after the body has been in a horizontal posture for some hours.
In weak persons, the frequency of the pulse is increased by an erect posture, which may probably depend on gravity; as we know, from the observations of Macdonald and others, that an erect posture will make a difference of 15 or 20 beats in a minute. The experiments alluded to, were made by gently raising a person fastened to a board, where there being no muscular exertion, respiration would not be increased; so that the whole effect was probably owing to gravity accelerating the column of arterial blood.
The inverted posture produces a still more remarkable effect in accelerating the pulse, than the erect, for it sometimes causes it to beat 10 or 12 times more in the former case than in the latter.
While we are on this subject, it may not be improper to take notice of the effects of swinging on the circulation, which have been found by Dr. Carmichael Smyth, and others, to diminish the strength and velocity to such a degree, as to bring on fainting. These effects have never been satisfactorily accounted for; but they would seem to admit of an easy explanation on mechanical principles: they are undoubtedly owing, at least in a great measure, to the centrifugal force acquired by the blood.
By a centrifugal force, I mean, the tendency which revolving bodies have to fly off from the centre, which arises from their tendency to move in a straight line, agreeably to the laws of motion. Hence a tumbler of water may be whirled in a circle vertically without spilling it; the centrifugal force pushing the water against the bottom of the tumbler. In the same manner when the human body is made to revolve vertically in the arch of a circle, this centrifugal force will propel the blood from the head and heart towards he extremities; hence the circulation of the blood will be weakened, and the energy of the brain diminished. The contrary, however, will take place on a horizontal swing, as I have frequently observed, both on myself and others; for the centrifugal force in this case will propel the blood from the extremities towards the head.
It has been already observed, that the pulsations of the artery which we feel at the wrist, are occasioned by its alternate dilatations and contractions, which vary according to the strength and regularity of the circulation, which is liable to be affected by the smallest changes in the state of health. Hence physicians make use of the pulse as a criterion whereby to judge of the health of the body. And we may observe that there are few more certain characteristics of the state of the body than the pulse; yet the conclusions that have been drawn from it have often been erroneous; and this has arisen from trusting to observation without the aid of reason.
That we may better understand the phenomena of the pulse, I shall lay down the following postulata. 1st. It is now generally believed, that every part of the arterial system is endowed with irritability, or a power of contracting on the application of a stimulus, and that the blood acting on this contractibility, if the term may be allowed, causes contraction; and that the alternate relaxation and contraction gives the phenomenon pulsation. 2d. The greater the action of the stimulus of the blood, the greater will be the contraction, that is, the nearer will the sides of the artery approach towards the axis. 3d. That the velocity with which a muscular fibre, in a state of debility, contracts, is at least equal to that with which a fibre in a state of strength contracts, is a fact generally allowed by physiologists.
We shall afterwards see, that a deficient action of stimulus on the vessels may arise, either directly from diminishing the quantity of blood contained in them, or indirectly, from the application of too great a stimulant power, which has diminished the capability of contracting inherent in the vessels.
From these postulata, it will be evident, that the greater the action of the arteries, that is, the more powerful their contraction, the longer will be the intervals between the pulsations.
For the velocity being at least equal in debility and in strength, the times between the pulsations will be proportioned to the approach of the sides of the artery towards its axis: but the approach of the sides towards the axis is greater when the arteries are in a state of vigour than when debilitated; consequently the intervals between the pulsations will be greater when the arteries are in a state of vigour than when debilitated.
Hence it is evident, that a frequency of pulse must generally indicate a diminished action or debility; while a moderate slowness indicates a vigorous or just action.
Hence likewise the opinion of increased action, which has been supposed to take place in fevers, because a frequent pulse was observed, must be false, because the frequency arises from a directly opposite state, and indicates a diminished action of the vascular system.
In a sound and adult man the frequency of the pulse is about seventy beats in a minute; and