(1 Apr 1578 - 3 Jun 1657)
AN ANATOMICAL DISQUISITION ON THE MOTION OF THE HEARTBLOOD IN ANIMALS
from The Ideas that Have Influenced Civilization: in the Original Documents
[p.6] William Harvey was born on the southern coast of England in 1578. He took his degree at Cambridge in 1597, and spent most of the following four years under Fabricus at Pisa. In 1602 he returned to England, and began the practice of his profession. He became physician to St. Bartholomew’s hospital in 1609, and in 1615 developed in his lectures on anatomy his view of the circulation of the blood. His ideas were based upon patient observation, the process of thought by which he arrived at them he describes as follows:
“I frequently and seriously bethought me, and long revolved in my mind, what might be the quantity of blood which was transmitted, in how short a time its passage might be effected and the like; and not finding it possible that this could be supplied by the juices of the ingested aliment without the veins on the one hand being drained, and the arteries on the other hand becoming ruptured through the excessive charge of blood, unless the blood should somehow find its way from the arteries into the veins, and so return to the right side of the heart; I began to think whether there might not be a motion, as it were, in a circle. Now this I afterwards found to be true; and I finally saw that the blood, forced by the action of the left ventricle into the arteries, was distributed to the body at large, and its several parts, in the same manner as it is sent through [p.7] the lungs, impelled by the right ventricle into the pulmonary artery, and that it then passed through the veins and along the vena cava, and so round to the left ventricle in the manner already indicated,— which motion we may be allowed to call circular.”
The new theory accounted for so many facts, such as the presence of the valves in the heart discovered by Fabricus, the effects of binding a vein or artery, etc., that it soon won acceptance. It opened the way for a study of the uses of the blood in nutrition, for its chemical properties, for the study of functions, and in fact for modern physiology.
Harvey first published his Excercitatio in 1628. He became physician to Charles I.; in 1646 retired into private life; and died June 3, 1667.
William Harvey (source)
OF THE MOTION, ACTION, AND OFFICE OF THE HEART1
From all these and other observations of the like kind, I am persuaded it will be found that the motion of the heart is as follows:
First of all, the auricle contracts, and in the course of its contraction throws the blood, (which it contains in ample quantity as the head of the veins, the storehouse and cistern of the blood,) into the ventricle, which being filled, the heart raises itself straightway, makes all its fibres tense, contracts the ventricles, and performs a beat, by which beat it immediately sends the blood supplied to it by the auricle into the arteries; the right ventricle sending its charge into the lungs by the vessel which is called vena arteriosa, but which, in structure and function, and all things else, is an artery; the left ventricle sending its charge into the aorta, and through this by the arteries to the body at large.
These two motions, one of the ventricles, another of the auricles, take place consecutively, but in such a manner that there is a kind of harmony or rhythm preserved between them, the two concurring in suchwise that but one motion is apparent, especially in the warmer blooded animals, in which the movements in question are rapid. Nor is this for any other reason than it is a piece of machinery, in which, though one wheel gives motion to another, yet [p.8] all the wheels seem to move simultaneously; or as in that mechanical contrivance which is adapted to firearms, where the trigger being touched, down comes the flint, strikes against the steel, elicits a spark, which, falling among the powder, it is ignited, upon which the flame extends, enters the barrel, causes the explosion, propels the ball, and the mark is attained—all of which incidents, by reason of the celerity with which they happen, seem to take place in the twinkling of an eye. So also in deglutition: by the elevation of the root of the tongue, the compression of the mouth, the food or drink is pushed into the fauces, the larynx is closed by its own muscles, and the epiglottis, whilst the pharynx, raised and opened by its muscles no otherwise than is a sac that is to be filled, is lifted up, and its mouth dilated; upon which, the mouthful being received, it is forced downwards by the transverse muscles, and then carried by the longitudinal ones. Yet all these motions, though executed by different and distinct organs, are performed harmoniously, and in such order that they seem to constitute but a single motion and act, which we call deglutition.
Even so does it come to pass with the motions and action of the heart, which constitute a kind of deglutition, a transfusion of the blood from the veins to the arteries. And if any one, bearing these things in mind, will carefully watch the motions of the heart in the body of a living animal, he will perceive not only all the particulars I have mentioned, viz., the heart becoming erect, and making one continuous motion with its auricles; but farther, a certain obscure undulation and lateral inclination in the direction of the axis of the right ventricle, [the organ] twisting itself slightly in performing its work. And indeed every one may see, when a horse drinks, that the water is drawn in and transmitted to the stomach at each movement of the throat, the motion being accompanied with a sound, and yielding a pulse both to the ear and touch; in the same way it is with the motion of the heart, when there is the delivery of a quantity of blood from the veins to the arteries, that a pulse takes place, and can be heard within the chest.
The motion of the heart, then, is entirely of this description, and the one action of the heart is the transmission of the blood and its distribution, by means of arteries, to the very extremities of the body; so that the pulse which we feel in the arteries is nothing more than the impulse of the blood derived from the heart.
[p.9] Whether or not the heart, besides propelling the blood, giving it motion locally, and distributing it to the body, adds anything else to it,—heat, spirit, perfection,—must be inquired into by and by, and decided upon other grounds. So much may suffice at this time, when it is shown that by the action of the heart the blood is transfused through the ventricles from the veins to the arteries, and distributed by them to all parts of the body.
So much, indeed, is admitted by all [physiologists] both from the structure of the heart and the arrangement and action of its valves. But still they are like persons purblind or groping about in the dark; and then they give utterance to diverse, contradictory, and incoherent sentiments, delivering many things upon conjecture, as we have already had occasion to remark.
The grand cause of hesitation and error in this subject appears to me to have been the intimate connection between the heart and the lungs. When men saw both the vena arteriosa [or pulmonary artery] and the arteriae [or pulmonary veins] losing themselves in the lungs, of course it became a puzzle to them to know how or by what means the right ventricle should distribute the blood to the body, or the left draw it from the venae cavae. This fact is borne witness to by Galen, whose words, when writing against Erasistratus in regard to the origin and use of the veins and the coction of the blood, are the following: “You will reply,” he says, “that the effect is so; that the blood is prepared in the liver, and is thence transferred to the heart to receive its proper form and last perfection; a statement which does not appear devoid of reason; for no great and perfect work is ever accomplished at a single effort, or receives its final polish from one instrument. But if this be actually so, then show us another vessel which draws the absolutely perfect blood from the heart, and distributes it as the arteries do the spirits over the whole body.” Here then is a reasonable opinion not allowed, because, forsooth, besides not seeing the true means of transit, he could not discover the vessel which should transmit the blood from the heart to the body at large!
But had any one been there in behalf of Erasistratus, and of that opinion which we now espouse, and which Galen himself acknowledges in other respects consonant with reason, to have pointed to the aorta as the vessel which distributes the blood from the heart to the rest of the body, I wonder what would have been the answer of [p.10] that most ingenious and learned man? Had he said that the artery transmits spirits and not blood, he would indeed sufficiently have answered Erasistratus, who imagined that the arteries contained nothing but spirits; but then he would have contradicted himself, and given a foul denial to that for which he had keenly contended in his writings against this very Erasistratus, to-wit, that the blood in substance is contained in the arteries, and not spirits; a fact which he demonstrated not only by many powerful arguments, but by experiments.
But if the divine Galen will here allow, as in other places he does, “that all the arteries of the body arise from the great artery, and that this takes its origin from the heart; that all these vessels naturally contain and carry blood; that the three semi-lunar valves situated at the orifice of the aorta prevent the return of the blood into the heart, and that nature never connected them with this, the most noble viscus of the body, unless for some most important end;” if, I say, this father of physic admits all these things,—and I quote his own words,—I do not see how he can deny that the great artery is the very vessel to carry the blood, when it has attained its highest term of perfection, from the heart for distribution to all parts of the body. Or would he perchance still hesitate, like all who have come after him, even to the present hour, because he did not perceive the route by which the blood was transferred from the veins to the arteries, in consequence, as I have already said, of the intimate connexion between the heart and lungs? And this difficulty puzzled anatomists not a little, when in their dissections they found the pulmonary artery and left ventricle full of thick, black, and clotted blood, plainly appears, when they felt themselves compelled to affirm that the blood made its way from the right to the left ventricle by sweating through the septum of the heart. But this fancy I have already refuted. A new pathway for the blood must therefore be prepared and thrown open, and being once exposed, no further difficulty will, I believe, be experienced by any one in admitting what I have already proposed in regard to the pulse of the heart and arteries, viz., the passage of the blood from the veins to the arteries, and its distribution to the whole of the body by means of these vessels.
OF THE COURSE BY WHICH THE BLOOD IS CARRIED FROM THE VENA CAVA INTO THE ARTERIES, OR FROM THE RIGHT INTO THE LEFT VENTRICLE OF THE HEART2
[p.11] Since the intimate connexion of the heart with the lungs, which is apparent in the human subject, has been the probable cause of the errors that have been committed on this point, they plainly do amiss who, pretending to speak of the parts of the animals generally, as anatomists for the most part do, confine their researches to the human body alone, and that when it is dead. They obviously act no otherwise than he who, having studied the forms of a single commonwealth, should set about the composition of a general system of polity; or, who, having taken cognizance of the nature of a single field, should imagine that he had mastered the science of agriculture; or who, upon the ground of one particular proposition, should proceed to draw general conclusions.
Had anatomists only been as conversant with the dissection of the lower animals as they are with that of the human body, the matters that have hitherto kept them in perplexity of doubt would, in my opinion, have met them freed from every kind of difficulty.
And, first, in fishes, in which the heart consists of but a single ventricle, they having no lungs, the thing is sufficiently manifest. Here the sac, which is situated at the base of the heart, and is the part analogous to the auricle in man, plainly throws the blood into the heart, and the heart, in its turn, conspicuously transmits it by a pipe or artery, or vessel analogous to an artery; these are the facts which are confirmed by simple ocular inspection, as well as by a division of the vessel, when the blood is seen to be projected by each pulsation of the heart.
The same thing is also not difficult of demonstration in those animals that have either no septum, or, as it were, no more than a single ventricle to the heart, such as toads, frogs, serpents, and lizards, which, although they have lungs in a certain sense, as they have a voice, (and I have many observations by me on the admirable structure of the lungs of these animals, and matters appertaining, which, however, I cannot introduce in this place,) still their anatomy plainly shows that the blood is transferred in them from the veins to the arteries in the same manner as in the higher animals, viz., by the action of the heart; the way, in fact, is patent, open, manifest; there is no difficulty, no room for hesitating about it; for in [p.12] them the matter stands precisely as it would in man, were the septum of his heart perforated or removed, or one ventricle made out of two; and this being the case, I imagine that no one will doubt as to the way by which the blood may pass from the veins into the arteries.
But as there are actually more animals which have no lungs than there are which be furnished with them, and in like manner a greater number which have only one ventricle than there are which have two, it is open to us to conclude, judging from the mass or multitude of living creatures, that for the major part, and generally, there is an open way by which the blood is transmitted from the veins through the sinuses or cavities of the heart into the arteries.
I have, however, cogitating with myself, seen further, that the same thing obtained more obviously in the embryos of those animals that have lungs; for in the foetus the four vessels belonging to the heart, viz., the vena cava, the vena arteriosa or pulmonary artery, the arteria venalisror pulmonary vein, and the arteria magna or aorta, are all connected otherwise than in the adult; a fact sufficiently known to every anatomist. The first contact and union of the vena cava with the arteria venosa or pulmonary veins, which occurs before the cava opens properly into the right ventricle of the heart, or gives off the coronary vein, a little above its escape from the liver, is by a lateral anastomosis; this is an ample foramen, of an oval form, communicating between the cava and the arteria venosa, or pulmonary vein, so that the blood is free to flow in the greatest abundance by that foramen from the vena cava into the arteria venosa, or pulmonary vein, and left auricle, and from thence into the left ventricle; and farther, in this foramen ovale, from that part which regards the arteria venosa, or pulmonary vein, there is a thin tough membrane, larger than the opening, extended like an operculum or cover; this membrane in the adult blocking up the foramen, and adhering on all sides, finally closes it up, and almost obliterates every trace of it. This membrane, however, is so contrived in the foetus, that falling loosely upon itself, it permits a ready access to the lungs and heart, yielding a passage to the blood which is streaming from the cava, and hindering the tide at the same time from flowing back into that vein. All things, in short, permit us to believe that in the embryo the blood must constantly pass by this foramen from the vena cava into the arteria venosa, or pulmonary [p.13] vein, and from thence into the left auricle of the heart; and having once entered there, it can never regurgitate.
Another union is that by the vena arteriosa, or pulmonary artery, and is effected when the vessel divides into two branches after its escape from the right ventricle of the heart. It is as if to the two trunks already mentioned a third were superadded, a kind of arterial canal, carried obliquely from the vena arteriosa, or pulmonary artery, to perforate and terminate in the arteria magna or aorta. In the embryo, consequently, there are, as it were, two aortas, or two roots of the arteria magna, springing from the heart. This canalis arteriosus shrinks gradually after birth, and is at length and finally almost entirely withered, and removed like the umbilical vessels.
The canalis arteriosus contains no membrane or valve to direct or impede the flow of the blood in this or that direction; for at the root of the vena arteriosa, or pulmonary artery, of which the canalis arteriosus is the continuation in the foetus, there are three sigmoid or semilunar valves, which open from within outwards, and oppose no obstacle to the blood flowing in this direction or from the right ventricle into the pulmonary artery or aorta; but they prevent all regurgitation from the aorta or pulmonic vessels back upon the right ventricle; closing with perfect accuracy, they oppose an effectual obstacle to everything of the kind in the embryo. So that there is also reason to believe that when the heart contracts, the blood is regularly propelled by the canal or passage indicated from the right ventricle into the aorta.
What is commonly said in regard to these two great communications, to wit, that they exist for the nutrition of the lungs, is both improbable and inconsistent; seeing that in the adult they are closed up, abolished, and consolidated, although the lungs, by reason of their heat and motion, must then be presumed to require a larger supply of nourishment. The same may be said in regard to the assertion that the heart in the embryo does not pulsate, that it neither acts nor moves, so that nature was forced to make these communications for the nutrition of the lungs. This is plainly false; for simple inspection of the incubated egg, and of the embryo just taken out of the uterus, shows that the heart moves precisely in them as in adults, and that nature feels no such necessity. I have myself repeatedly seen these motions, and Aristotle is likewise [p.14] witness of their reality. “The pulse,” he observes, “inheres in the very constitution of the heart, and appears in the beginning, as is learned both from the dissection of living animals, and the formation of the chick in the egg.” But we further observe, that the passages in question are not only pervious up to the period of birth in man as well as in other animals, as anatomists in general have described them, but for several months subsequently, in some indeed for several years, not to say for the whole course of life; as, for example, in the goose, snipe, and various birds, and many of the smaller animals. And this circumstance it was, perhaps, that imposed upon Botallus, who thought he had discovered a new passage for the blood from the vena cava into the left ventricle of the heart; and I own that when I met with the same arrangement in one of the larger members of the mouse family, in the adult state, I was myself led to something of a like conclusion.
From this it will be understood that in the human embryo, and in the embryo of animals in which the communications are not closed, the same thing happens, namely, that the heart by its motion propels the blood by obvious and open passages from the vena cava into the aorta through the cavities of both the ventricles; the right one receiving the blood from the auricle, and propelling it by the vena arteriosa, or pulmonary artery, and its continuation, named the ductus arteriosus, into the aorta; the left, in like manner, charged by the contraction of its auricle, which has received its supply through the foramen ovale from the vena cava, contracting, and projecting the blood through the root of the aorta into the trunk of that vessel.
In embryos, consequently, whilst the lungs are yet in a state of inaction, performing no function, subject to no motion any more than if they had not been present, nature uses the two ventricles of the heart as if they formed but one, for the transmission of the blood. The condition of the embryos of those animals which have lungs, whilst these organs are yet in abeyance and not employed, is the same as that of those animals which have no lungs.
So clearly, therefore, does it appear in the case of the foetus, viz., that the heart by its action transfers the blood from the vena cava into the aorta, and that by a route as obvious and open, as if in the adult the two ventricles were made to communicate by the removal of their septum. Since, then we find that in the greater [p.15] number of animals, in all, indeed, at a certain period of their existence, the channels for the transmission of the blood through the heart are so conspicuous, we have still to inquire wherefore in some creatures—those, namely, that have warm blood, and that have attained to the adult age, man among the number—we should not conclude that the same thing is accomplished through the substance of the lungs, which in the embryo, and at a time when the function of these organs is in abeyance, nature effects by the direct passages described, and which, indeed, she seems compelled to adopt through want of a passage by the lungs; or wherefore it should be better (for nature always does that which is best) that she should close up the various open routes, which she formerly made use of in the embryo and foetus, and still uses in all other animals; not only opening up no new apparent channels for the passage of the blood, therefore, but even entirely shutting up those which formerly existed.
And now the discussion is brought to this point, that they who inquire into the ways by which the blood reaches the left ventricle of the heart and pulmonary veins from the vena cava, will pursue the wisest course if they seek by dissection to discover the causes why in the larger and more perfect animals of mature age, nature has rather chosen to make the blood percolate the parenchyma of the lungs, than as in other instances chosen a direct and obvious course—for I assume that no other path or mode of transit can be entertained. It must be either because the larger and more perfect animals are warmer, and when their adult heat greater—ignited, as I might say, and requiring to be damped or mitigated; therefore it may be that the blood is sent through the lungs, that it may be tempered by the air that is inspired, and prevented from boiling up, and so becoming extinguished, or something of the sort. But to determine these matters and explain them satisfactorily, were to enter on a speculation in regard to the office of the lungs and the ends for which they exist; and upon such a subject, as well as what pertains to eventilation, to the necessity and use of the air, etc., as also to the variety and diversity of organs that exist in the bodies of animals in connexion with these matters, although I have made a vast number of observations, still, lest I should be held as wandering too wide of my present purpose, which is the use and motion of the heart, and be charged of speaking of things beside the question, and rather complicating and quitting than illustrating it, I shall leave [p.16] such topics till I can more conveniently set them forth in a treatise apart. And, now, returning to my immediate subject, I go on with what yet remains for demonstration, viz., that in the more perfect and warmer adult animals, and man, the blood passes from the right ventricle of the heart by the vena arteriosa, or pulmonary artery, into the lungs, and thence by the arteriae venosae, or pulmonary veins, into the left auricle, and thence into the left ventricle of the heart. And, first, I shall show that this may be so, and then I shall show that it is so in fact.
THE BLOOD PERCOLATES THE SUBSTANCE OF THE LUNGS FROM THE RIGHT VENTRICLE OF THE HEART INTO THE PULMONARY VEINS AND LEFT VENTRICLE3
That this is possible, and that there is nothing to prevent it from being so, appears when we reflect on the way in which water percolating the earth produces springs or rivulets, or when we speculate on the means by which the sweat passes through the skin, or the urine through the parenchyma of the kidneys. It is well known that persons who use the Spa waters, or those of La Madonna, in the territories of Padua, or others of an acidulous or vitriolated nature, or who simply swallow drinks by the gallon, pass all off again within an hour or two by urine. Such a quantity of liquid must take some short time in the concoction; it must pass through the liver; (it is allowed by all that the juices of the food we consume pass twice through this organ in the course of the day;) it must flow through the veins, through the parenchyma of the kidneys, and through the ureters into the bladder.
To those, therefore, whom I hear denying that the blood, aye, the whole mass of the blood may pass through the substance of the lungs, even as the nutritive juices percolate the liver, asserting that such a proposition to be impossible, and by no means to be entertained as credible, I reply, with the poet, that they are of that race of men who, when they will, assent full readily, and when they will not, by no manner of means; who, when their assent is wanted, fear, and when it is not, fear not to give it.
The parenchyma of the liver is extremely dense, so is that of the kidney; the lungs, again, are of a much looser texture, and if compared with the kidneys are absolutely spongy. In the liver there is no forcing, no impelling power; in the lungs the blood is forced [p.17] on by the pulse of the right ventricle, the necessary effect of whose impulse is the distension of the vessels and pores of the lungs. And then the lungs, in respiration, are perpetually rising and falling; motions, the effect of which must needs be to open and shut the pores and vessels, precisely as in the case of a sponge, and of parts having a spongy structure, when they are alternately compressed and again suffered to expand. The liver, on the contrary, remains at rest, and is never seen to be dilated and constricted. Lastly, if no one denies the possibility of the whole of the ingested juices passing through the liver, in man, oxen, and the larger animals generally, in order to reach the vena cava, and for this reason, that if nourishment is to go on, these juices must needs get into the veins, and there is no other way but the one indicated, why should not the same arguments be held of avail for the passage of the blood in adults through the lungs? Why not, with Columbus, that skillful and learned anatomist, maintain and believe the like, from the capacity and structure of the pulmonary vessels; from the fact of the pulmonary veins and ventricle corresponding with them, being always found to contain blood, which must needs have come from the veins, and by no other passage save through the lungs? Columbus, and we also, from what precedes, from dissections, and other arguments, conceive the thing to be clear. But as there are some who admit nothing unless upon authority, let them learn that the truth I am contending for can be confirmed from Galen’s own words, namely, that not only may the blood be transmitted from the pulmonary artery into the pulmonary veins, then into the left ventricle of the heart, and from thence into the arteries of the body, but that this is effected by the ceaseless pulsation of the heart and the motion of the lungs in breathing.
There are, as every one knows, three sigmoid or semilunar valves situated at the orifice of the pulmonary artery, which effectually prevent the blood sent into the vessel from returning into the cavity of the heart. Now Galen, explaining the uses of these valves, and the necessity for them, employs the following language: “There is everywhere a mutual anastomosis and inosculation of the arteries with the veins, and they severally transmit both blood and spirit, by certain invisible and undoubtedly very narrow passages. Now if the mouth of the vena arteriosa, or pulmonary artery, had stood in like manner continually open, and nature had found no contrivance [p.18] for closing it when requisite, and opening it again, it would have been impossible that the blood could ever have passed by the invisible and delicate mouths, during the contractions of the thorax, into the arteries; for all things are not alike readily attracted or repelled; but that which is light is more readily drawn in, the instrument being dilated, and forced out again when it is contracted, than that which is heavy; and in like manner is anything drawn more rapidly along an ample conduit, and again driven forth, than it is through a narrow tube. But when the thorax is contracted, the pulmonary veins, which are in the lungs, being driven inwardly, and powerfully compressed on every side, immediately force out some of the spirit they contain, and at the same time assume a certain portion of blood by these subtile mouths; a thing that could never come to pass were the blood at liberty to flow back into the heart through the great orifice of the pulmonary artery. But its return through the great opening being prevented, when it is compressed on every side, a certain portion of it distils into the pulmonary veins by the minute orifices mentioned.” And shortly afterwards, in the very next chapter, he says: “The more the thorax contracts, the more it strives to force out the blood, the more exactly do these membranes (viz., the sigmoid valves) close up the mouth of the vessel, and suffer nothing to regurgitate.” The same fact he has also alluded to in a preceding part of the tenth chapter: “Were there no valves, a three-fold inconvenience would result, so that the blood would then perform this lengthened course in vain; it would flow inwards during the diastoles of the lungs, and fill all their arteries; but in the systoles, in the manner of the tide, it would ever and anon, like the Euripus, flow backwards and forwards by the same way, with a reciprocating motion, which would nowise suit the blood. This, however, may seem a matter of little moment; but if it meantime appear that the function of respiration suffer, then I think it would be looked upon as no trifle,” etc. And again, and shortly afterwards: “And then a third inconvenience, by no means to be thought lightly of, would follow, were the blood moved backwards durings the expiration, had not our Maker instituted those supplementary membranes [the sigmoid valves].” Whence, in the eleventh chapter he concludes: “That they have all a common use, (to wit, the valves), and that it is to prevent regurgitation or backward motion; each, however, having a proper function, the one set drawing matters from the heart, [p.19] and preventing their return, the other drawing matters into the heart, and preventing their escape from it. For nature never intended to distress the heart with needless labour, neither to bring aught into the organ which it had been better to have kept away, nor to take from it again aught which it was requisite should be brought. Since, then, there are four great orifices in all, two in either ventricle, one of these induces, the other educes.” And again he says: “Farther, since there is one vessel, consisting of a simple tunic, implanted in the heart, and another having a double tunic, extending from it, (Galen is here speaking of the right side of the heart, but I extend his observations to the left side also,) a kind of reservoir had to be provided, to which both belonging, the blood should be drawn in by one, and sent out by the other.”
This argument Galen adduces for the transit of the blood by the right ventricle from the vena cava into the lungs; but we can use it with still greater propriety, merely changing the terms, for the passage of the blood from the veins through the heart into the arteries. From Galen, however, that great man, that father of physicians, it clearly appears that the blood passes through the lungs from the pulmonary artery into the minute branches of the pulmonary veins, urged to this both by the pulses of the heart and by the motions of the lungs and thorax; that the heart, moreover, is incessantly receiving and expelling the blood by and from its ventricles, as from a magazine, or cistern, and for this end is furnished with four sets of valves, two serving for the induction and two for the eduction of the blood, lest, like the Euripus, it should be incommodiously sent hither and thither, or flow back into the cavity which it should have quitted, or quit the part where its presence was required, and so the heart be oppressed with labour in vain, and the office of the lungs be interfered with. Finally, our position that the blood is continually passing from the right to the left ventricle, from the vena cava into the aorta, through the porous structure of the lungs, plainly appears from this, that since the blood is incessantly sent from the right ventricle into the lungs by the pulmonary artery, and in like manner is incessantly drawn from the lungs into the left ventricle, as appears from what precedes and the position of the valves, it cannot do otherwise than pass through continuously. And then, as the blood is incessantly flowing into the right ventricle of the heart, and is continually passed out from the left, as appears in like manner, [p.20] and as is obvious both to sense and reason, it is impossible that the blood can do otherwise than pass continually from the vena cava into the aorta.
Dissection consequently shows distinctly what takes place [in regard to the transit of the blood] in the greater number of animals, and indeed in all, up to the period of their [foetal] maturity; and that the same thing occurs in adults is equally certain, both from Galen’s words, and what has already been said on the subject, only that in the former the transit is effected by open and obvious passages, in the latter by obscure porosities of the lungs and the minute inosculations of vessels. Whence it appears that, although one ventricle of the heart, the left to wit, would suffice for the distribution of the blood over the body, and its eduction from the vena cava, as indeed is done in those creatures that have no lungs, nature, nevertheless, when she ordained that the same blood should also percolate the lungs, saw herself obliged to add another ventricle, the right, the pulse of which should force the blood from the vena cava through the lungs into the cavity of the left ventricle. In this way, therefore, it may be said that the right ventricle is made for the sake of the lungs, and for the transmission of the blood through them, not for their nutrition; seeing it were unreasonable to suppose that the lungs required any so much more copious supply of nutriment, and that of so much purer and more spiritous a kind, as coming immediately from the ventricle of the heart, than either the brain with its peculiarly pure substance, or the eyes with their lustrous and truly admirable structure, or the flesh of the heart itself, which is more commodiously nourished by the coronary artery.
OF THE QUANTITY OF BLOOD PASSING THROUGH THE HEART FROM THE VEINS TO THE ARTERIES: AND OF THE CIRCULAR MOTION OF THE BLOOD4
Thus far I have spoken of the passages of the blood from the veins into the arteries, and of the manner in which it is transmitted and distributed by the action of the heart; points to which some, moved either by the authority of Galen or Columbus, or the reasonings of others, will give in their adhesion. But what remains to be said upon the quantity and source of the blood which thus passes, is of so novel and unheard-of character, that I not only fear injury to myself from the envy of the few, but I tremble lest I have mankind [p.21] at large for my enemies, so much doth wont and custom, that become as another nature, and doctrine once sown and that hath struck deep root, and respect for antiquity influence all men: Still the die is cast, and my trust is in my love of truth, and the candour that inheres in cultivated minds. And sooth to say, when I surveyed my mass of evidence, whether derived from vivisections, and my various reflections on them, or from the ventricles of the heart and the vessels that enter into and issue from them, the symmetry and size of these conduits,—for nature doing nothing in vain, would never have given them so large a relative size without a purpose,—or from the arrangement and intimate structure of the valves in particular, and of the other parts of the heart in general, with many other things besides, I frequently and seriously bethought me, and long revolved in my mind, what might be the quantity of blood that was transmitted, in how short a time its passage might be effected, and the like; and not finding it possible that this could be supplied by the juices of the ingested aliment without the veins on the one hand becoming drained, and the arteries on the other getting ruptured, through the excessive charge of blood, unless the blood should somehow find its way from the arteries into the veins, and so return to the right side of the heart; I began to think whether there might not be A MOTION, AS IT WERE, IN A CIRCLE. Now this I afterward found to be true; and I finally saw that the blood, forced by the action of the left ventricle into the arteries, was distributed to the body at large, and its several parts, in the same manner as it is sent through the lungs, impelled by the right ventricle into the pulmonary artery, and that it then passes through the veins and along the vena cava, and so round to the left ventricle in the manner already indicated. Which motion may be allowed to call circular, in the same way as Aristotle says that the air and rain emulate the circular motion of the superior bodies; for the moist earth, warmed by the sun, evaporates; the vapours drawn upwards are condensed, and descending in the form of rain, moisten the earth again; and by this arrangement are generations of living things produced; and in like manner too are tempests and meteors engendered by the circular motion, and by the approach and recession of the sun.
And so, in all likelihood, does it come to pass in the body, through the motion of the blood; the various parts are nourished, cherished, quickened by the warmer, more perfect, vaporous, [p.22] spiritous, and, as I may say, alimentive blood; which, on the contrary, in contact with these parts becomes cooled, coagulated, and, so to speak, effete; whence it returns to its sovereign the heart, as if to its source, or to the inmost home of the body, there to recover its state of excellence, or perfection.
Here it resumes its due fluidity and receives an infusion of natural heat—powerful, fervid, a kind of treasury of life, and is impregnated with spirits, and it might be said with balsam; and thence it is again dispersed; and all this depends on the motion and action of the heart.
The heart, consequently, is the beginning of life; the sun of the microcosm, even as the sun in his turn might well be designated the heart of the world; for it is the heart by whose virtue and pulse the blood is moved, perfected, made apt to nourish, and is preserved from corruption and coagulation; it is the household divinity which, discharging its function, nourishes, cherishes, quickens the whole body, and is indeed the foundation of life, the source of all action. But of these things we shall speak more opportunely when we come to speculate upon the final cause of the motion of the heart.
Hence, since the veins are the conduits and vessels that transport the blood, they are of two kinds, the cava and the aorta; and this is not by reason of there being two sides of the body, as Aristotle has it, but because of the differences of office; nor yet, as is commonly said, in consequence of any diversity of structure, for in many animals, as I have said, the vein does not differ from the artery in the thickness of its tunics, but solely in virtue of their several destinies and uses. A vein and an artery, both styled vein by the ancients, and that not undeservedly, as Galen has remarked, because the one, the artery to-wit, is the vessel which carries the blood from the heart to the body at large, the other or vein of the present day bringing it back from the general system to the heart; the former is the conduit from, the latter the channel to, the heart; the latter contains the cruder, effete blood, rendered unfit for nutrition; the former transmits the digested, perfect, peculiarly nutritive fluid.
1 From original chapter V of Harvey’s book.
2 From chapter VI.
3 From chapter VII
4 From chapter VIII.
Marjorie O’Rourke Boyle describes: “the graphic design for Harvey’s title-page is a cartouche inset with an engraving that allows broad interpretation of the book it introduces, from divine inspiration to a breath of fresh air. A heraldic angel, winged and robed but barefoot on tiptoes as if just landed, is almost central. It stands fashionably in counterposition, head facing left but body twisting right, against a clouded sky and a hilly or mountainous landscape. With its left hand the angel presents a blazoned shield, while its right hand rests on a classical column. The column is Doric, the plainest of the classical orders and by ancient tradition faulty. But it is truncated—minus its proper capital and pedestal—or, by the comparison of architecture and the body, its head and feet … set on uneven, rocky soil, among sparse vegetation. … But angel, from the Greek angelos, means ‘messenger, the broken column upon which the angel rests its hand delivers message enough: the classical order of medicine is ruined. This column is wrapped with a banderole inscribed aeterno deo commenda, ‘commit to eternal God,’ then, below, the Benedictine motto, Ora et labora, ‘Pray and work.’ The angel is not in a prayerful pose, however. The sleeves of its robe are rolled up above both elbows, bareing the lower arms as if ready to work, like an anatomist scrubbed for demonstrations.”
Harvey had particular reason to display piety by choosing these inscriptions for the title page. introducing his work. As Boyle explains: “Harvey reports that he was provoked to publish this book by the slander of some fellows in the College of Physicians, London, who enviously accused him of a breach of faith with the universal medical tradition.”
Quoted from Marjorie O’Rourke Boyle, 'William Harvey’s Anatomy Book and Literary Culture', Medical History (1 Jan 2008), 52, No. 1, 74. (source)]
- Science Quotes by William Harvey.
- 1 Apr - short biography, births, deaths and events on date of Harvey's birth.
- William Harvey - context of quote “To learn … from the fabric of Nature” - Medium image (500 x 250 px)
- William Harvey - context of quote “To learn … from the fabric of Nature” - Large image (800 x 400 px)
- On the Motion of the Heart and Blood in Animals, by William Harvey, Robert Willis (Translator). - book suggestion.
- Booklist for William Harvey.