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CHAPTER I
OF THE CIRCULATION OF THE BLOOD, AND THE FALLOPIAN
TUBES
1.
THE medical art affords striking instances of the injustice done
to the ancients, in endeavouring to deprive them of the glory
of having made the most important discoveries in it. I shall-
produce two or three manifest proofs of this, dud doubt
not but the reader will perceive not only probable hints, but
demonstrate evidence, that the ancients clearly taught what we
now dispute their having had any knowledge of.
2. It is remarkable
with regard to medicine, that none of the sçiences sooner arrived
at perfection; for in the space of two thousand years, elapsed
since the time of hippocrates, there has scarcely been added a
new aphorism to those of that great man, notwithstanding all the
application of so many ingenious men, as have since studied that
science.
3. I omit taking
notice of some modern authors, who have endeavoured to prove,
that the circulation of the blood was known to Solomon, that
I may pass tc the more evident proofs of his discovery, which
Hippocrates furnishes us with. After examining those passages,
no one will deny but this able physician knew, what he expresses
so clearly.
4. In truth, it
is hard to conceive that he knew nothing of the circulation of
the blood, when we hear him say, That all the veins communicate
one with the other, and run into one another: that the veins which
spread themselves over the whole body, filling it with spirit,
juice and motion, are all of them but branches of one original
vein. I protest, I know not, says he, where it begins, or where
it ends, for in a circle there is neither beginning nor ending.
A little further he says, that the heart is the source of
the arteries, which carry blood into all parts of the body, communicating
to them life and beat; he adds, that they ire the rivulets
which cherish the human body, and convey life to every part of
man. in another part, he says, that the heart and
veins are always in motion. He comrn pares the course of
rivers, which return to their sources in an unaccountable and
extraordinary manner, to the circulation of the blood. in apoplexies
and such like disorders, which he ascribes to obstructions in
the veins, he prescribes bleeding, in order to procure a free
motion to the blood and spirits. He says also, that when
the bile enters into the blood, it breaks its consistence, and
disorders its regular course. He compares its admirable mechanism to clews of thread, whose
filaments overlap each other; and says, that in a body it performs
just such a circuit, always terminating where it began."
5. The next to Hippocrates is Plato,
who speaks with clearness of the circulation of the blood; (or
from the heart, he says, spring the veins and blood, which with
rapidity carries itself into all parts : adding, that when the
blood thickens, it flows with more difficulty through the veins.
Aristotle too, regards the heart as the origin and fountain of
the veins and blood. He says, that from the heart there arise
two veins, one on the right, and the other on the left side; and
he was the first who called this aorta. He held that the arteries
had a communication with the veins, and that they were intimately
connected together.
6. Julius
Pollox, in his Onomasticon, describing all the parts
of the body, and their uses, among other things, says, in speaking
of the arteries, that they are the passages and canals of
the spirits, as the veins are of the blood ; and in speaking
of the heart, he says, that it: hath two cavities,
the one of which communicates with the arteries the other with
the veins. Apulelus, in explaining the doctrine -of-Plato,
speaks likewise of the circulation of the blood, and in a few
words describes it as clearly as any of the moderns. It is true,
he does not expressly mention, that the blood flows from the heart
through- the arteries : but on its leaving the heart, he supposes
its course along the lungs, to spread itself afterward into all
parts of the body.
7. Nemesius,
bishop of Emissa, who may be accounted among the ancients, having
lived in the fourth century, has a very clear passage to this
purpose, wherein he says, that the motion of the pulse owes:
its origin to the heart, and particularly to the left ventricle of that
viscus. The cardiac artery expands and contracts itself with very
much force, but always with great regularity and harmony of motion.
In its expansion it draws in the most subtle parts of the blood
from the adjoining veins, and of that blood forms the aliment
of the vital spirits : and in its contraction exhales all the
fumes brought into it by secret passages from all parts of the
body.
8. It
appears from what we have said, that the circulation of the blood
was known to the ancients ; though they did not expatiate upon
it: and what reduces to a very small degree the honour that Hervey
can claim, in making that discovery, is that Servetus had treated
of it very distinctly before him, in the fifth part of his book
De Christianismi Restitutione ; a work so very scarce,
that there are but few who can boast of having seen it in print.
Mr. Wotton, in his reflections upon the ancients and moderns,
cites this passage of Servetus in which he distinguishes three
sorts of spirits of the human body, and says, that blood. which
he calls a vital spirit is dispersed through the body by the anastomosis,
or mutual insertion of two vessels, at their extremities, into
one another. Where it deserves observation, that Servetus
is the first who employed that term to express the communication
between the veins and arteries. He makes the expanded-
air in the lungs contribute to the formation of blood, which comes
to them from the right ventricle of the heart, by the canal of
the pulmonary artery. He says, that the blood is there refined
and perfected, by the action of the air, which subtilizes it,
and blends itself with that vital spirit, which the expanded heart
then receives as a fluid pro. per to carry life every where. He
maintains, that this conveyance and manner of preparing the blood
in the lungs, is evident from the conjunction of the veins with
the arteries in this viscus. And be concludes with saying, that
the heart having received the blood thus prepare(l by the lungs,
sends it forth again by the artery of its left yen. tricle, called
the aorta, which distributes it into all parts of the body.
And reas Cesalpinus, who lived likewise in the sixteenth century,
hath two passages which completely contain all that we know about
the circulation of the blood. He explains at length how
the blood gushing from the right ventricle of the heart through
the pulmonary artery, to pass into the lungs, enters by an anastomosis
into the pulmonary veins to be conveyed to the left ventricle
of the heart, and afterward distributed by the aorta into all
parts of the body.
9. Johannes
Leonicenus, says, that the famous Paul Sarpi, otherwise named
Father Paul, was he who discovered the circulation of the blood,
and first discerned the valves of the veins, which like the suckers
of a pump, open to let the blood pass, but shut to prevent its
return; and that he communicated this secret to Fabricius ab Aquapendente,
professor of medicine, at Padoua, in the sixteenth century, and
successor to Fallopius who discovered it to Hervey, at that time
studying physic under him in the university of Padoua.
10. There
is another important discovery in anatomy, attributed to Fallopius,
which had a more ancient origin; I mean the two ducts which insert
themselves into the sides of the womb, and serve to convey the
seed or female sperm from the ovaries into the womb, and are called
the Fallopian tubes, being shaped almost like a trumpet, and thought
to have been discovered by Fallopius of Modena, who died in year
1562. We find them described as follows, by Rufus of Ephesus,
Herophilus, says he, imagined that females had
no seminal ves sels; but in examining the womb of a beast, I found
-arising from the ovaries certain ducts, which entwisted into
each other, were entirely varicious, and at their farther extremity,
entered into the cavity of the womb. Upon compressing them, there
issued from them a glutinous humour, and I am firmly persuaded
they are seminal vessels of the very same structure with
those in males called the vericous arastata.
Chapter 2
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