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Physiology

Chapter 8: HOW THE BLOOD MOVES. § V.
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A clear elementary primer that presents the fundamentals of human and comparative physiology through straightforward descriptions and illustrations. It begins with external form and internal anatomy, showing body cavities, the skeleton, and the arrangement of organs by means of simple dissections. Subsequent chapters explain major functions—circulation, respiration, digestion, excretion, and nervous coordination—always relating structure to function. The author emphasizes hands-on observation and elementary experiments, encouraging study of specimens and charts. Labeled plates and concise explanations aim to help beginners identify organs and understand how tissues and systems work together to sustain life.




Fig. 4.—Red and White Corpuscles of the Blood magnified.

A. Moderately magnified. The red corpuscles are seen lying in rows like rolls of coins; at a and a are seen two white corpuscles.

B. Red corpuscles much more highly magnified, seen in face; C. ditto, seen in profile; D. ditto, in rows, rather more highly magnified; E. a red corpuscle swollen into a sphere by imbibition of water.

F. A white corpuscle magnified same as B.; G. ditto, throwing out some blunt processes; K. ditto, treated with acetic acid, and showing nucleus, magnified same as D.

H. Red corpuscles puckered or crenate all over.

I. Ditto, at the edge only.

round bodies, the blood discs or blood corpuscles (Fig. 4, A). If you look carefully you will notice that most of them are round, as B; but every now and then you see something like C. That is one of the round ones seen sideways; for they are not round or spherical like a ball, but circular and dimpled in the middle, something like certain kinds of biscuit. When you see one by itself it looks a little yellow in colour, that is all; but when you see them in a lump, the lump is clearly red. Remember how small they are: three thousand of them put flat in a line, edge to edge, like a row of draughts, would just about stretch across one inch. All the redness there is in blood belongs to them. When you see one of them, you see so little of the redness that it seems yellow. If you were to put a drop of blood into a tumbler of water, the water would not be stained red, but only just turned of a yellowish tint, so little redness would be given to it by the drop of blood. In the same way a very very thin slice of currant jelly would look yellowish, not red.

These red corpuscles are not hard solid things, but delicate and soft, very tender, very easily broken to pieces, more like the tiniest lumps of red jelly than anything else, and yet made so as to bear all the squeezing which they get as they are driven round and round the body.

Besides these red corpuscles, you may see if you look attentively other little bodies, just a little bigger than the red corpuscles, not coloured at all, and not circular and flat, but quite round like a ball (Fig. 4, a, F, G). That is to say, these are very often quite round, only they have a curious trick of changing their form. Imagine you were looking at a suet dumpling so small that about two thousand five hundred of them could be placed side by side in the length of one inch—and suppose the round dumpling while you were looking at it gradually changed into the shape of a three-cornered tart, and then into a rounded square, and then into the shape of a pear, and then into a thing that had no shape at all, and then back again into a round ball, and kept doing this apparently all of its own accord while you were looking at it—wouldn’t you think it very curious? Well, one of these little bodies in the blood of which we are speaking, and which are called white corpuscles, may be seen, when a drop of blood is watched under the microscope, to go on in this way, continually changing its shape. But of these white corpuscles of the blood, and of their wonderful movements, you will learn more as you go on in your physiological studies.

23. Besides these red and white corpuscles there is nothing else very important in the blood that you can see with the microscope; but their being in the blood is one reason why blood is thicker than water.

Did you ever see a pig or sheep killed? If so, you would be sure to notice that the blood ran quite fluid from the blood-vessels in the neck, ran and was spilt like so much water—but that very soon the blood caught in the pail or spilt on the stones became quite solid, so that you could pick it up in lumps. Whenever blood is shed from the living body, within a short time it becomes solid. This becoming solid is called the clotting or coagulation of blood.

What makes it clot? Suppose while the blood was running from the pig’s neck into the butcher’s pail, and while it was still quite fluid, you were to take a bunch of twigs and keep slowly stirring the blood round and round in the pail. You would naturally expect that the blood would soon begin to clot, would get thicker and thicker and more and more difficult to stir. But it does not; and if you keep on stirring long enough you will find that it never clots at all. By continually stirring it you will prevent its clotting. Now take out your bundle of twigs: you will find it covered all over with a thick reddish mass of some soft sticky substance; and if you pump on the red mass you will be able to wash away all its red colour, and will have nothing left but a quantity of white, soft, sticky, stringy material, all entangled and matted together among the twigs of your bundle. This stringy material is in reality made up of a number of fine, delicate, soft, elastic threads or fibres, and is called fibrin.

You see, by stirring, or, as it is frequently called, whipping the blood with the bundle of twigs, you have taken the fibrin out of the blood, and so prevented its clotting.

If you were to take one of the clotted lumps of blood that were spilt on the ground or a bit of the clot from a pail in which the blood had not been whipped, and wash it long enough, you would find at last that all the colour went away from the lump, and you had nothing left but a small quantity of white stringy substance. This white stringy substance is fibrin—exactly the same thing you got on your bundle of twigs.

If the blood is carefully caught in a pail, and afterwards not disturbed at all, it clots into a solid mass. The whole of the blood seems to have changed into a complete jelly; and if you turn it out of the pail, as you may do, it keeps its shape, and gives you quite a mould of the pail, a great trembling red jelly just the shape of the inside of the pail.

But if you were to leave the blood in the pail for a few hours or for a day, you would find, instead of the large jelly quite filling the pail, a smaller but firmer jelly covered by or floating in a colourless or very pale yellow liquid. This smaller, firmer jelly, which in the course of a day or so would get still firmer and smaller, would in fact go on shrinking in size, you may still call the clot; the clear fluid in which it is floating is called serum.

What has taken place is as follows. Soon after blood is shed there is formed in it a something which was not present in it before. This something, which we call fibrin, starts as a multitude of fine tender threads which run in all directions through the mass of blood, forming a close network everywhere. So the blood is shut up in an immense number of little chambers formed by the meshes of the fibrin; and it is this which makes it seem a jelly. But each thread of fibrin as soon as it is formed begins to shrink, and the blood in each of these little chambers is squeezed by the shrinking of its walls of fibrin, and tries to make its way out. The corpuscles get caught in the meshes, but all the rest of the blood passes between the threads and comes out on the top and sides of the pail. And this goes on until you have left in the clot very little besides corpuscles entangled in a network of fibrin, and all the rest of the blood has been squeezed outside the clot, and is then called serum. Serum, then, is blood out of which the corpuscles have been strained by the process of clotting.

Now I dare say you are ready to ask the question, If blood clots so readily when it is shed, why does it not clot inside the body? Why is our blood ever fluid? This is rather a difficult question to answer. When blood is shed from the warm body it soon gets cool. But it does not clot and become solid because it gets cool, as ordinary jelly does. If you keep it from getting cool it clots all the same, in fact quicker, and if kept cold enough will not clot at all. Nor does it clot when shed, because it has become still, and is no longer rushing round through the blood-vessels. Nor is it because it is exposed to the air. Perhaps we don’t know exactly why it is, and you will have much to learn hereafter about the coagulation of blood. All I will say at present is that as long as the blood is in the body there is something at work to keep it from clotting. It does clot sometimes in the body, and blood-vessels get plugged with the clots; but that constitutes a very dangerous disease.

24. Well, blood is thicker than water because it contains solid corpuscles and fibrin. But even the serum, i.e. blood out of which both fibrin and corpuscles have been taken, is thicker than water.

You know that if you were to take a basinful of pure water and boil it, it would boil away to nothing. It would all go off in steam. But if you were to try to boil a basinful of serum, you would find several curious things happen.

In the first place you would not be able to boil it at all. Before you got it as hot as boiling water, your serum, which before seemed quite as liquid as water, only feeling a little sticky if you put your finger in it, would all become quite solid. You know the difference between a raw and a boiled egg. The white of the raw egg, though very sticky and ropy, or viscid as it is called, is still liquid; you will find it hard work if you try to cut it with a knife. The white of the hard boiled egg, on the other hand, is quite solid, and you can cut it into ever so thin slices. It has been “set” by boiling. Well, the serum of blood is in this respect very like white of egg. In fact they both contain the same substance, called albumin, which has this property of “setting” or becoming solid when heated nearly to boiling-point. Both the serum of blood and white of egg even when “set” are wet, i.e. contain a great deal of water. You may dry them in the proper manner into a transparent horny substance. When quite dry they will readily burn. They are therefore things which can be oxidized. When burnt they give off carbonic acid, water, and ammonia; the latter you might easily recognize by its effect on your nose if you were to burn a piece of dried blood in a flame. Now, when I say that albumin in burning gives off carbonic acid, water, and ammonia, you know from your Chemistry that it must contain carbon to form the carbonic acid, hydrogen to form water, and nitrogen to form ammonia. It need not contain oxygen, for as you know it could get all the oxygen it wanted from the air; still it does contain some oxygen. Albumin, then, is an oxidizable or combustible body made up of nitrogen, carbon, hydrogen, and oxygen. It is important you should remember this; but I will not bother you with how much of each—it is a very complex substance, built up in a wonderful way, far more complex than any of the things you had to learn about in your Chemistry Primer. And this albumin, dissolved in a great deal of water, forms the serum of blood.

I did not say anything about what fibrin was made of; but it, like albumin, is made up of nitrogen, carbon, hydrogen, and oxygen. It is not quite the same thing as albumin, but first cousin to it. There is another first cousin to both of them, also containing nitrogen, carbon, hydrogen, and oxygen, which together with a great deal of water forms muscle; another forms a great part of the red corpuscles; and scattered all over the body in various places, there are first cousins to albumin, all containing nitrogen, carbon, hydrogen, and oxygen, all combustible, and all when burnt giving off carbonic acid, water, and ammonia. All these first cousins go under one name; they are all called proteids.

25. Well, then, blood is thicker than water by reason of the proteids in the corpuscles, in the fibrin, and in the serum, but there is something else besides. I will not trouble you with the crowd of things of which there are perhaps just a few grains in a gallon of blood, like the little pinches of things a cook puts into a savoury dish; though, as you go on in your studies, you will find that these, like many other little things in the world, are of great importance.

But I will ask you to remember this. If you take some dried blood and burn it, though you may burn all the proteids (and some other of the trifles I spoke of just now) away, you will not be able to burn the whole blood away. Burn as long as you like, you will always have left a quantity of what you have learnt from your Chemistry to call ash, and if you were to examine this ash you would find it contained ever so many elements; sulphur, phosphorus, chlorine, potassium, sodium, calcium, and iron, being the most abundant and most important.

Blood, then, is a very wonderful fluid: wonderful for being made up of coloured corpuscles and colourless fluid, wonderful for its fibrin and power of clotting, wonderful for the many substances, for the proteids, for the ashes or minerals, for the rest of the things which are locked up in the corpuscles and in the serum.

But you will not wonder at it when you come to see that the blood is the great circulating market of the body, in which all the things that are wanted by all parts, by the muscles, by the brain, by the skin, by the lungs, liver, and kidney, are bought and sold. What the muscle wants, it, as we have seen, buys from the blood; what it has done with it sells back to the blood; and so with every other organ and part. As long as life lasts this buying and selling is for ever going on, and this is why the blood is for ever on the move, sweeping restlessly from place to place, bringing to each part the things it wants, and carrying away those with which it has done. When the blood ceases to move, the market is blocked, the buying and selling cease, and all the organs die, starved for the lack of the things which they want, choked by the abundance of things for which they have no longer any need.

We have now to learn how the blood is thus kept continually on the move.

HOW THE BLOOD MOVES. § V.

26. You have already learnt to recognize the blood-vessels of the rabbit, and to distinguish two kinds of blood-vessels—the arteries, which in a dead animal generally contain little or no blood, and have rather firm stout walls; and the veins, which are generally full of blood, and have thinner and flabby walls. The arteries when you cut them generally gape and remain open; the veins fall together and collapse. The larger the arteries, the stouter and firmer they are, and the greater the difference between them and the veins.

You have also studied the capillaries in the frog’s foot; you have seen that they are minute channels, with the thinnest and tenderest walls, forming a close network in which the smallest arteries end, and from which the smallest veins begin.

You have moreover been told that all over your own body, in every part, there are, though you cannot see them, networks of capillaries like those in the frog’s foot which you can see; that all the arteries of your body end in capillaries, and all the veins begin in capillaries. Let me repeat that, one or two structures excepted, there is no part of your body in which, could you put it under a microscope, you would not see a small artery branching out and losing itself in a network of capillaries, out of which, as out of so many roots, a small vein gathers itself together again.

In some places the network is very close, the capillaries lying closer together than even in the frog’s foot; in others the network is more open, and the capillaries wider apart; but everywhere, with a few exceptions which you will learn by and by, there are capillaries, arteries, and veins.

Suppose you were a little lone red corpuscle, all by yourself in the quite empty blood-vessels of a dead body, squeezed in the narrow pathway of a capillary, say of the biceps muscle of the arm, able to walk about, and anxious to explore the country in which you found yourself. There would be two ways in which you might go. Let us first imagine that you set out in the way which we will call backwards. Squeezing your way along the narrow passage of the capillary in which you had hardly room to move, you would at every few steps pass, on your right hand and on your left, the openings into other capillary channels as small as the one in which you were. Passing by these you would presently find the passage widening, you would have more room to move, and the more openings you passed, the wider and higher would grow the tunnel in which you were groping your way. The walls of the tunnel would grow thicker at every step, and their thickness and stoutness would tell you that you were already in an artery, but the inside would be delightfully smooth. As you went on you would keep passing the openings into similar tunnels, but the further you went on, the fewer they would be. Sometimes the tunnels into which these openings led would be smaller, sometimes bigger, sometimes of the same size as the one in which you were. Sometimes one would be so much bigger, that it would seem absurd to say that it opened into your tunnel. On the contrary, it would appear to you that you were passing out of a narrow side passage into a great wide thoroughfare. I dare say you would notice that every time one passage opened into another the way suddenly grew wider, and then kept about the same size until it joined the next. Travelling onwards in this way, you would after a while find yourself in a great wide tunnel, so big that you, poor little corpuscle, would seem quite lost in it. Had you anyone to ask, they would tell you it was the main artery of the arm. Toiling onwards through this, and passing a few but for the most part large openings, you would suddenly tumble into a space so vast that at first you would hardly be able to realize that it was the tunnel of an artery like those in which you had been journeying. This you would learn to be the aorta, the great artery of all; and a little further on you would be in the heart.

Suppose now you retraced your steps, suppose you returned from the aorta to the main artery of the arm, and thus back through narrower and narrower tunnels till you came again to the spot from which you started, and then tried the other end of the capillary. You would find that that led you also, in a very similar way, into wider and wider passages. Only you could not help noticing that though the inside of all the passages was as smooth as before, the walls were not nearly so thick and stout. You would learn from this that you were in the veins, and not in the arteries. You would meet too with something, the like of which you did not see in the arteries (except perhaps just close to the heart). Every now and then you would come upon what for all the world looked like one of those watch-pockets that sometimes are hung at the head of a bedstead, a watch-pocket with its opening turned the way you were going. This you would find was called a valve, and was made of thin but strong membrane or skin. Sometimes in the smaller veins you would meet with one watch-pocket by itself, sometimes with two or even three abreast, and I dare say you would notice that very frequently, directly you had passed one of these valves, you came to a spot where one vein joined another.

Well, but for these differences, your journey along the veins would be very like your journey along the arteries, and at last you would find yourself in a great vein, whose name you would learn to be the vena cava, or hollow vein (and because, though there is but one aorta, there are two great “hollow veins,” the superior vena cava or upper hollow vein), and from thence your next step would be into the heart again. So you see, starting from the capillary (you started from a capillary in the arm, but you might have started from any capillary anywhere), whether you go along the arteries or whether you go along the veins, you at last come to the heart.

Before we go on any further we must learn something about the heart.

27. Go and ask the butcher for a sheep’s pluck. There will most probably be one hanging up in his shop. Look at it before he takes it down. The hook on which it is hanging has been thrust through the windpipe. You will see that the sheep’s windpipe is, like the rabbit’s, all banded with rings of cartilage, only very much larger and coarser. Below the windpipe come the spongy lungs, and between them lies the heart, which perhaps is covered up with a skin and so not easily seen. Hanging to the heart and lungs is the great mass of the liver. When you have got the pluck home, cut away the liver, cut away the skin (pericardium, it is called) which is covering the heart, if it has not been cut away already, and lay the lungs out on a table with the heart between them. You will then have something very much like what



Fig. 5.—Heart of Sheep, as seen after Removal from the Body, lying upon the Two Lungs. The Pericardium has been cut away, but no other Dissection made.

R.A. Auricular appendage of right auricle; L.A. auricular appendage of left auricle; R.V. right ventricle; L.V. left ventricle; S.V.C. superior vena cava; I.V.C. inferior vena cava; P.A. pulmonary artery; Ao, aorta; Áó, innominate branch from aorta dividing into subclavian and carotid arteries; L. lung; Tr. trachea. 1, solid cord often present, the remnant of a once open communication between the pulmonary artery and aorta. 2, masses of fat at the bases of the ventricle hiding from view the greater part of the auricles. 3, line of fat marking the division between the two ventricles. 4, mass of fat covering the trachea.

is represented in Fig. 5. If you could look through the front of your own chest, and see your own heart and lungs in place, you would see something not so very very different.

If now you handle the heart—and if you want to learn physiology you must handle things—you will have no great difficulty in finding the great yellowish tubes marked Ao and Áó in the figure. Your butcher perhaps may not have cut them across exactly where mine has done, but that will not prevent your recognizing them. You will notice what thick stout walls they have, and how they gape where they are cut. Ao is the aorta, and Áó is a great branch of the aorta, going to the head and neck of one side, perhaps the branch along which we imagined just now that you, a poor little red blood-corpuscle, were travelling. If you were to put a wire through Áó you would be able to bring it out through Ao, or vice versâ. But what is P.A. which looks so much like the aorta, though you will find that it has no connection with it? You cannot pass a wire from the aorta into it. It also is an artery, the pulmonary[2] artery. We shall have more to say about it directly.

Now try and find what are marked in the figure as S.V.C. and I.V.C. You will perhaps have a little difficulty in this; and when you have found them you will understand why. They are the great veins of the body. S.V.C. is the superior vena cava, to form which all the veins from the head and neck and arms join, the vein in which you were journeying a little while ago. I.V.C. is the inferior vena cava, made out of all the veins from the trunk and the legs. Being veins, they have thin flabby walls; and their sides fall flat together, so that they seem nothing more than little folds of skin, and it becomes very hard to find the passage inside them. But when you have found the opening into them, you will see that you can stretch them out into quite wide tubes, and that their walls, though very much thinner than those of the aorta, so thin indeed that they are almost transparent, are still after a fashion strong. If you put a penholder or thin rod through either you will find that they both seem to lead right into the middle of the heart. With a little care you can pass a rod up I.V.C. and bring the end of it out at the top of S.V.C. Of course you will understand that both of these veins have been cut off short.

28. Before we go on any further with the sheep’s heart, let me tell you something about it, by help of the diagram in Fig. 6, which is meant to represent the whole circulation. You must remember that this figure is a diagram, and not a picture; it does not represent the way the blood-vessels are really arranged in your own body. If you had no arms and no legs, and if you only had a few capillaries at the top of your head and at the bottom of your body, it might be more like than it is.

In the centre of the figure is the heart. This you will see is completely divided by an upright partition into two halves, a right half and a left half. Each half is further marked off, but not completely divided, into




Fig. 6.—Diagram of the Heart and Vessels, with the Course of the Circulation, viewed from behind so that the proper left of the Observer corresponds with the left side of the Heart in the Diagram.

L.A. left auricle; L.V. left ventricle; Ao. aorta; A1. arteries to the upper part of the body; A2. arteries to the lower part of the body; H.A. hepatic artery, which supplies the liver with part of its blood; V2. veins of the upper part of the body; V2. veins of the lower part of the body; V.P. vena portæ; H.V. hepatic vein; V.C.I. inferior vena cava; V.C.S. superior vena cava; R.A. right auricle; R.V. right ventricle; P.A. pulmonary artery; Lg. lung; P.V. pulmonary vein; Lct. lacteals; Ly. lymphatics; Th.D. thoracic duct; Al. alimentary canal; Lr. liver. The arrows indicate the course of the blood, lymph, and chyle. The vessels which contain arterial blood have dark contours, while those which carry venous blood have light contours.

two chambers, an upper chamber and a lower chamber; so that altogether we have four chambers,—two upper chambers, one on each side, marked R.A. and L.A., these are called the right and left auricles; and two lower chambers, one on each side, marked R.V. and L.V., these are called the right and left ventricles. The right auricle, R.A., opens in the direction of the arrow into the right ventricle, R.V., the opening being guarded, as we shall see, by a valve. The left auricle, L.A., opens into the left ventricle, L.V., the opening being likewise guarded by a valve; but you have to go quite a roundabout way to get from either the right auricle or ventricle to the left auricle or ventricle. Let us see how we can get round the figure. Suppose we begin with the two tubes marked V.C.S. and V.C.I., the walls of which are drawn with thin lines. These both open into the right auricle. They are the vena cava superior and inferior, which you have just made out in the sheep’s heart. From the right auricle you pass easily into the right ventricle; thence, following the arrow, the way is straight into the tube marked P.A. This is the pulmonary artery, the outside of which you saw in the sheep’s heart (Fig. 5, P.A.) Travelling along this pulmonary artery, you come to the lungs, and after passing through branches not represented in the figure, picking your way through arteries which continually get smaller and smaller, you find yourself at last in the capillaries of the lungs. Squeezing your way through these, you come out into veins, and gradually advancing through larger and larger veins, you, still following the arrow, find yourself in one of four large veins (only one of them is represented in the diagram) which land you in the left auricle. From the left auricle it is but a jump into the left ventricle. From the left ventricle the way is open, as indicated by the arrow, into the tube marked Ao. This is intended to represent the aorta, which you have already seen in the sheep’s heart (Fig. 5, Ao). It is here drawn for simplicity’s sake as dividing into two branches, but you have already been told, and must bear in mind, that it does not in reality divide in this way, but gives off a good many branches of various sizes. However, taking the figure as it stands, suppose we travel along A2. Following the arrow, and shooting through arteries which continually get smaller and smaller, we come at last to capillaries somewhere, in the skin or in some muscle, or in a bone, or in the brain, or almost anywhere, in fact, in the upper part of the body. Out of the capillaries we pass into veins, which, joining together and so forming larger and larger trunks, bring us at last to the point from which we started, the superior vena cava, V.C.S. If we had taken the other road, A2, we should have passed through capillaries somewhere in the lower part of the body instead of the upper, and come back by the vena cava inferior, V.C.I., instead of the vena cava superior. Starting from the right auricle, whichever way we took we should always come back to the right auricle again, and in our journey should always pass through the following things in the following order: right auricle, right ventricle, pulmonary artery, arteries, capillaries, and veins of the lungs, pulmonary vein, left auricle, left ventricle, aorta, arteries, capillaries, and veins somewhere in the body, and either superior or inferior vena cava. That is the course of the circulation. But there is something still to be added. Among the many large branches, not drawn in the diagram, given off by the aorta to the lower part of the body, there are two branches which are drawn and which deserve special notice.

One is a large branch carrying blood to the tube A.L., which is meant in the diagram to stand for the stomach, intestines, and some other organs. This branch, like all other branches of the aorta, divides into small arteries, and these into capillaries, which again are gathered up into veins, forming at last a large vein marked in the diagram V.P. and called the vena portæ or portal vein. Now the remarkable thing is that this vein does not, like all the other veins, go straight to join the vena cava, but makes for the liver, where it divides into smaller and smaller veins, until at last it breaks completely up in the liver into a set of capillaries again. These capillaries gather once more into veins, forming at last the large trunk, called the hepatic[3] vein, H.V., which does what the portal vein ought to have done but did not; it opens straight into the vena cava.

The other branch of the aorta of which we are speaking goes straight to the liver, and is called the hepatic artery, H.A.: there it breaks up in the liver into small arteries, and then into capillaries, which mingle with the capillaries of the portal vein, and form one system, out of which the hepatic veins spring. So you see it makes a great difference to a red corpuscle which is travelling along the lower part of the aorta A2, whether it takes a turn into the branch going to the alimentary canal, or whether it goes straight on into, for instance, a branch going to some part of the leg. In the latter case, having got through a set of capillaries, it is soon back into the vena cava and on its road to the heart. But if it takes the turn to the alimentary canal, it finds after it has passed through the capillaries and got into the portal vein, that it has still to go through another set of capillaries in the liver before it can pass through the hepatic vein into the vena cava.

This then is the course of the circulation. Right side of the heart, pulmonary artery, capillaries of the lungs, pulmonary vein, left side of the heart, aorta, capillaries somewhere, sometimes two sets, sometimes one, vena cava, right side of the heart again. A little corpuscle cannot get from the right to the left side of the heart without going through the capillaries of the lungs. It cannot get from the left side of the heart to the right without going through some capillaries somewhere in the body, and if it should happen to take the turn to the stomach, it has to go through two sets of capillaries instead of one.

You see, you really have two circulations, and you have two hearts joined together into one. If you were very skilful you might split the heart in half and pull the two sides asunder, and then you would have one heart receiving all the veins from the body and sending its arteries (branches of the pulmonary artery) all to the lungs, and another heart receiving all the veins from the lungs and sending its arteries (branches of the aorta) all over the body. And you would have two circulations, one through the lungs, and another through the rest of the body, both joining each other. Very often two circulations are spoken of, and because the lungs are so much smaller than the rest of the body, the circulation through the lungs is called the lesser circulation, that through the rest of the body the greater circulation.

29. I have described the circulation as if the blood always went in one direction from the right side of the heart to the left, from arteries to veins, the way the arrows point in the diagram. And so it does. It cannot go the other way round. Why does it go that way? Why cannot it go the other way round?

The reasons are to be found partly in the heart, partly in the veins.

In the veins the blood will only pass from the capillaries to the heart. Why not from the heart to the capillaries? You remember the little watch-pocket-like valves, here and there, sometimes singly, sometimes two or three abreast. You remember that the mouths of the watch-pockets were always turned towards the heart. Now suppose a crowd of little corpuscles hurrying along a vein towards the heart. When they came to one of these watch-pocket valves they would simply trample it down flat, and so pass over it without hardly knowing it was there, and go on their way as if nothing had happened. But suppose they were journeying the other way, from the heart to the capillaries. When they came to the open mouth of a watch-pocket valve, some of them would be sure to run into the pocket, and then the pocket would bulge out, and the more it bulged out the more blood would run into it, until at last it would be so full of blood that it would press close against the top of the vein, as is shown in Fig. 7 (or, if there were two or three, they would all meet together), and so quite block the vein up. If you doubt this, make a watch-pocket out of a piece of silk or cotton, fasten it on to a piece of brown paper, and roll the paper up into a tube, so that the valve is nicely inside the tube. If you pour some peas down the tube with the mouth of the valve looking away from you, they will run through at once; but if you try to pour them the other way, your tube will soon be choked, and if you carefully unroll the tube you will find the watch-pocket crammed full of peas.




Fig. 7.—Diagrammatic Sections of Veins with Valves.

In the upper, the blood is supposed to be flowing in the direction of the arrow, towards the heart; in the lower, the reverse way. C, capillary side; H, heart side.

The valves in the veins, then, let the blood pass easily from the capillaries to the heart, but won’t let it go the other way. If you bare your arm you may see some of the veins in the skin, in which the blood is running up from the hand towards the shoulder. If with your finger you press one of these veins back towards the hand it will swell up, and if you look carefully you may see little knots here and there caused by the bulging out of the watch-pocket valves. If you press it the other way, towards the elbow, you will empty it easily, and if with another finger you prevent the blood getting into it from behind, that is from the hand, the vein will remain empty a very long time.

The presence of valves in the veins, then, is one reason why the blood moves in one direction, but other reasons, and these the chief ones, are to be found in the heart.

Let us now go back to the sheep’s heart.

30. You know from the diagram that the two great veins, the superior and inferior vena cava, open into the right auricle. If you slit up these two veins in the sheep’s heart, you will find that they end by separate openings in a small cavity, the inside of which is for the most part smooth, and the walls of which, made, as you will at once see, of muscle, are not very thick. This small cavity is the right auricle, shown in Fig. 8, R.A., where the great veins have not been slit up, but the front of the auricle has been cut away. In this auricle, beside the openings into the two great veins and another one which belongs to a vein coming from the heart itself (Fig. 8, b) there is quite a large one, leading straight downwards, into which you




Fig. 8.—Right Side of the Heart of a Sheep.

R.A. cavity of right auricle; S.V.C. superior vena cava; I.V.C. inferior vena cava; (a piece of whalebone has been passed through each of these;) a, a piece of whalebone passed from the auricle to the ventricle through the auriculo-ventricular orifice; b, a piece of whalebone passed into the coronary vein.

R.V. cavity of right ventricle; tv, tv, two flaps of the tricuspid valve: the third is dimly seen behind them, the a, piece of whalebone, passing between the three. Between the two flaps, and attached to them by chordæ tendineæ, is seen a papillary muscle, PP, cut away from its attachment to that portion of the wall of the ventricle which has been removed. Above, the ventricle terminates somewhat like a funnel in the pulmonary artery, P.A. One of the pockets of the semilunar valve, sv, is seen in its entirety, another partially.

1, the wall of the ventricle cut across; 2, the position of the auriculo-ventricular ring; 3, the wall of the auricle; 4, masses of fat lodged between the auricle and pulmonary artery.

can put your three fingers. This is the opening into the right ventricle; and you will have no difficulty in putting your fingers from the auricle into the ventricle and bringing them out again.



Fig. 9.—The Orifices of the Heart seen from above, the Auricles and Great Vessels being cut away.

P.A. pulmonary artery, with its semilunar valves; Ao. aorta, do.

R.A.V. right auriculo-ventricular orifice with the three flaps (lv. 1, 2, 3) of tricuspid valve.

L.A.V. left auriculo-ventricular orifice, with m.v. 1 and 2, flaps of mitral valve; b, piece of whalebone passed into coronary vein. On the left part of L.A.V. the section of the auricle is carried through the auricular appendage; hence the toothed appearance due to the portions in relief cut across.

But hold the heart in one hand with the auricle upwards, and try to pour some water into the ventricle. The first few spoonfuls will go in all right, and then you will see some thin white skin or membrane come floating up into the opening and quite block up the entrance from the auricle into the ventricle; the