Chapter XI
, of the Motion of the Heart, &c.
Lest it should seem difficult for the blood to make its way through the pores of the various structures of the body, I shall add one illustration: The same thing happens in the bodies of those that are hanged or strangled, as in the arm that is bound with a fillet: all the parts beyond the noose,--the face, lips, tongue, eyes, and every part of the head appear gorged with blood, swollen, and of a deep red or livid colour; but if the noose be relaxed, in whatever position you have the body, before many hours have passed you will perceive the whole of the blood to have quitted the head and face, and gravitated through the pores of the skin, flesh, and other structures, from the superior parts towards those that are inferior and dependent, until they become tumid and of a dark colour. But if this happens in the dead body, with the blood dead and coagulated, the frame stiffened with the chill of death, the passages all compressed or blocked up, it is easy to perceive how much more apt it will be to occur in the living subject, when the blood is alive and replete with spirits, when the pores are all open, the fluid ready to penetrate, and the passage in every way made easy.
When the ingenious and acute Descartes, (whose honourable mention of my name demands my acknowledgments,) and others, having taken out the heart of a fish, and put it on a plate before them, see it continuing to pulsate (in contracting), and when it raises or erects itself and becomes firm to the touch, they think it enlarges, expands, and that its ventricles thence become more capacious. But, in my opinion, they do not observe correctly; for, at the time the heart gathers itself up, and becomes erect, it is certain that it is rather lessened in every one of its dimensions; that it is in its systole, in short, not in its diastole. Neither, on the contrary, when it collapses and sinks down, is it then properly in its state of diastole and distension, by which the ventricles become more capacious. But as we do not say that the heart is in the state of diastole in the dead body, as having sunk relaxed after the systole, but is then collapsed, and without all motion--in short is in a state of rest, and not distended. It is only truly distended, and in the proper state of diastole, when it is filled by the charge of blood projected into it by the contraction of the auricles; a fact which sufficiently appears in the course of vivisections. Descartes therefore does not perceive how much the relaxation and subsidence of the heart and arteries differ from their distension or diastole; and that the cause of the distension, relaxation, and constriction, is not one and the same; as contrary effects so must they rather acknowledge contrary causes; as different movements they must have different motors; just as all anatomists know that the flexion and extension of an extremity are accomplished by opposite antagonist muscles, and contrary or diverse motions are necessarily performed by contrary and diverse organs instituted by nature for the purpose. Neither do I find the efficient cause of the pulse aptly explained by this philosopher, when with Aristotle he assumes the cause of the systole to be the same as that of the diastole, viz. an effervescence of the blood due to a kind of ebullition. For the pulse is a succession of sudden strokes and quick percussions; but we know of no kind of fermentation or ebullition in which the matter rises and falls in the twinkling of an eye; the heaving is always gradual where the subsidence is notable. Besides, in the body of a living animal laid open, we can with our eyes perceive the ventricles of the heart both charged and distended by the contraction of the auricles, and more or less increased in size according to the charge; and farther, we can see that the distension of the heart is rather a violent motion, the effect of an impulsion, and not performed by any kind of attraction.
Some are of opinion that, as no kind of impulse of the nutritive juices is required in vegetables, but that these are attracted by the parts which require them, and flow in to take the place of what has been lost; so neither is there any necessity for an impulse in animals, the vegetative faculty in both working alike. But there is a difference between plants and animals. In animals, a constant supply of warmth is required to cherish the members, to maintain them in life by the vivifying heat, and to restore parts injured from without. It is not merely nutrition that has to be provided for.
So much for the circulation; any impediment, or perversion, or excessive excitement of which, is followed by a host of dangerous diseases and remarkable symptoms: in connexion with the veins--varices, abcesses, pains, hemorrhoids, hemorrhages; in connexion with the arteries--enlargements, phlegmons, severe and lancinating pains, aneurisms, sarcoses, fluxions, sudden attacks of suffocation, asthmas, stupors, apoplexies, and innumerable other affections. But this is not the place to enter on the consideration of these; neither may I say under what circumstances and how speedily some of these diseases, that are even reputed incurable, are remedied and dispelled, as if by enchantment. I shall have much to put forth in my Medical Observations and Pathology, which, so far as I know, has as yet been observed by no one.
That I may afford you still more ample satisfaction, most learned Riolanus, as you do not think there is a circulation in the vessels of the mesentery, I shall conclude by proposing the following experiment: throw a ligature round the porta close to the liver, in a living animal, which is easily done. You will forthwith perceive the veins below the ligature swelling in the same way as those of the arm when the bleeding fillet is bound above the elbow; a circumstance which will proclaim the course of the blood there. And as you still seem to think that the blood can regurgitate from the veins into the arteries by open anastomoses, let the vena cava be tied in a living animal near the divarication of the crural veins, and immediately afterwards let an artery be opened to give issue to the blood: you will soon observe the whole of the blood discharged from all the veins, that of the ascending cava among the number, with the single exception of the crural veins, which will continue full; and this certainly could not happen were there any retrograde passage for the blood from the veins to the arteries by open anastomoses.
LETTERS
LETTERS
LETTER I
_To Caspar Hofmann, M.D. Published at Nurenberg, in the “Spicilegium Illustrium Epistolarum ad Casp. Hofmannum.”_
Your opinion of me, my most learned Hofmann, so candidly given, and of the motion and circulation of the blood, is extremely gratifying to me; and I rejoice that I have been permitted to see and to converse with a man so learned as yourself, whose friendship I as readily embrace as I cordially return it. But I find that you have been pleased first elaborately to inculpate me, and then to make me pay the penalty, as having seemed to you “to have impeached and condemned Nature of folly and error; and to have imputed to her the character of a most clumsy and inefficient artificer, in suffering the blood to become recrudescent, and making it return again and again to the heart in order to be reconcocted, to grow effete as often in the general system; thus uselessly spoiling the perfectly-made blood, merely to find her in something to do.” But where or when anything of the kind was ever said, or even imagined by me--by me, who, on the contrary, have never lost an opportunity of expressing my admiration of the wisdom and aptness and industry of Nature,--as you do not say, I am not a little disturbed to find such things charged upon me by a man of sober judgment like yourself. In my printed book, I do, indeed, assert that the blood is incessantly moving out from the heart by the arteries to the general system, and returning from this by the veins back to the heart, and with such an ebb and flow, in such mass and quantity that it must necessarily move in some way in a circuit. But if you will be kind enough to refer to my eighth and ninth chapters you will find it stated in so many words that I have purposely omitted to speak of the concoction of the blood, and of the causes of this motion and circulation, especially of the final cause. So much I have been anxious to say, that I might purge myself in the eyes of a learned and much respected man,--that I might feel absolved of the infamy of meriting such censure. And I beg you to observe, my learned, my impartial friend, if you would see with your own eyes the things I affirm in respect of the circulation,--and this is the course which most beseems an anatomist,--that I engage to comply with your wishes, whenever a fit opportunity is afforded; but if you either decline this, or care not by dissection to investigate the subject for yourself, let me beseech you, I say, not to vilipend the industry of others, nor charge it to them as a crime; do not derogate from the faith of an honest man, not altogether foolish nor insane, who has had experience in such matters for a long series of years.
Farewell, and beware! and act by me, as I have done by you; for what you have written I receive as uttered in all candour and kindness. Be sure, in writing to me in return, that you are animated by the same sentiments.
Nürnberg, May 20th, 1636.
LETTER II
_To Paul Marquard Slegel, of Hamburg_
I congratulate you much, most learned sir, on your excellent commentary, in which you have replied in a very admirable manner to Riolanus, the distinguished anatomist, and, as you say, formerly your teacher: invincible truth has, indeed, taught the scholar to vanquish the master. I was myself preparing a sponge for his most recent arguments; but intent upon my work “On the Generation of Animals” (which, but just come forth, I send to you), I have not had leisure to produce it. And now I rather rejoice in the silence, as from your supplement I perceive that it has led you to come forward with your excellent reflections, to the common advantage of the world of letters. For I see that in your most ornate book (I speak without flattery), you have skilfully and nervously confuted all his machinations against the circulation, and successfully thrown down the scaffolding of his more recent opinions. I am, therefore, but little solicitous about labouring at any ulterior answer. Many things might, indeed, be adduced in confirmation of the truth, and several calculated to shed clearer light on the art of medicine; but of these we shall perhaps see further by and by.
Meantime, as Riolanus uses his utmost efforts to oppose the passage of the blood into the left ventricle through the lungs, and brings it all hither through the septum, and so vaunts himself upon having upset the very foundations of the Harveian circulation (although I have nowhere assumed such a basis for my doctrine; for there is a circulation in many red-blooded animals that have no lungs), it may be well here to relate an experiment which I lately tried in the presence of several of my colleagues, and from the cogency of which there is no means of escape for him. Having tied the pulmonary artery, the pulmonary veins, and the aorta, in the body of a man who had been hanged, and then opened the left ventricle of the heart, we passed a tube through the vena cava into the right ventricle of the heart, and having, at the same time, attached an ox’s bladder to the tube, in the same way as a clyster-bag is usually made, we filled it nearly full of warm water, and forcibly injected the fluid into the heart, so that the greater part of a pound of water was thrown into the right auricle and ventricle. The result was, that the right ventricle and auricle were enormously distended, but not a drop of water or of blood made its escape through the orifice in the left ventricle. The ligatures having been undone, the same tube was passed into the pulmonary artery, and a tight ligature having been put round it to prevent any reflux into the right ventricle, the water in the bladder was now pushed towards the lungs, upon which a torrent of the fluid, mixed with a quantity of blood, immediately gushed forth from the perforation in the left ventricle; so that a quantity of water, equal to that which was pressed from the bladder into the lungs at each effort, instantly escaped by the perforation mentioned. You may try this experiment as often as you please; the result you will still find to be as I have stated it.
With this one experiment you may easily put an end to all Riolanus’s altercations on the matter, to which he, nevertheless, so entirely trusts, that, without adducing so much as a single experiment in support of his views, he has been led to invent a new circulation, and even so far to commit himself as to say that, unless the old doctrine of the circulation[56] be overturned, his own is inadmissible. We may pardon this distinguished individual for not having sooner discovered a hidden truth; but that he, so well skilled in anatomy as he is, should obstinately contend against a truth illustrated by the clearest light of reason, this surely is argument of his envy--let me not call it by any worse name. But, perhaps, we are still to find an excuse for Riolanus, and to say, that what he has written is not so much of his own motion, as in discharge of the duties of his office, and with a view to stand well with his colleagues. As Dean of the College of Paris, he was bound to see the physic of Galen kept in good repair, and to admit no novelty into the school, without the most careful winnowing, lest, as he says, the precepts and dogmata of physic should be disturbed, and the pathology which has for so many years obtained the sanction of all the learned in assigning the causes of disease, be overthrown. He has been playing the part of the advocate, therefore, rather than of the practised anatomist. But, as Aristotle tells us, it is not less absurd to expect demonstrative arguments from the advocate, than it is to look for persuasive arguments from the demonstrator or teacher. For the sake of the old friendship subsisting between us, moreover, and the high praise which he has lavished on the doctrine of the circulation, I cannot find it in my heart to say anything severe of Riolanus.
[56] i.e. Harvey’s Doctrine.
I therefore return to you, most learned Slegel, and say, that I wish greatly I had been so full and explicit in what I have said on the subject of anastomosis in my disquisition to Riolanus, as would have left you with no doubts or scruples on the matter. I could wish, also, that you had taken into account not only what I have there denied, but likewise what I have asserted on the transference of the blood from the arteries into the veins; especially as I there seem to have pointed out some cause both for my inquiry and for my negation, to hint at a certain cause. I confess, I say, nay, I even pointedly assert, that I have never found any visible anastomoses. But this was particularly said against Riolanus, who limited the circulation of the blood to the larger vessels only, with which, therefore, these anastomoses, if any such there were, must have been made conformable, viz. of ample size, and distinctly visible. Although it be true, therefore, that I totally deny all anastomoses of this description--anastomoses in the way the word is commonly understood, and as the meaning has come down to us from Galen, viz. a direct conjunction between the orifices of the [visible] arteries and veins--I still admit, in the same disquisition, that I have found what is equivalent to this in three places, namely, in the plexus of the brain, in the spermatic or preparing arteries and veins, and in the umbilical arteries and veins. I shall now, therefore, for your sake, my learned friend, enter somewhat more at large into my reasons for rejecting the vulgar notion of the anastomoses, and explain my own conjectures concerning the mode of transition of the blood from the minute arteries into the finest veins.
All reasonable medical men, both of ancient and modern times, have believed in a mutual transfusion, or accession and recession of the blood between the arteries and the veins; and for the sake of permitting this, they have imagined certain inconspicuous openings, or obscure foramina, through which the blood flowed hither and thither, moving out of one vessel and returning to it again. Wherefore it is not wonderful that Riolanus should in various places find that in the ancients which is in harmony with the doctrine of a circulation. For a circulation in such sort teaches nothing more than that the blood flows incessantly from the veins into the arteries, and from the arteries back again into the veins. But as the ancients thought that this movement took place indeterminately, by a kind of accident, in one and the same place, and through the same channels, I imagine that they therefore found themselves compelled to adopt a system of anastomoses, or fine mouths mutually conjoined, and serving both systems of vessels indifferently. But the circulation which I discovered teaches clearly that there is a necessary outward and backward flow of the blood, and this at different times and places, and through other and yet other channels and passages; that this flow is determinate also, and for the sake of a certain end, and is accomplished in virtue of parts contrived for the purpose with consummate forecast and most admirable art. So that the doctrine of the motion of the blood from the veins into the arteries, which antiquity only understood in the way of conjecture, and which it also spoke of in confused and indefinite terms, was laid down by me with its assured and necessary causes, and presents itself to the understanding as a thing extremely clear, perfectly well arranged, and of approved verity. And then, when I perceived that the blood was transferred from the veins into the arteries through the medium of the heart with singular art, and with the aid of an admirable apparatus of valves, I imagined that the transference from the extremities of the arteries into those of the veins could not be effected without some other admirable artifice, at least wherever there was no transudation through the pores of the flesh. I therefore held the anastomoses of the ancients as fairly open to suspicion, both as they nowhere presented themselves to our eyes, and as no sufficient reason was alleged for anything of the kind.
Since, then, I find a transit from the arteries into the veins in the three places which I have above mentioned, equivalent to the anastomoses of the ancients, and even affording the farther security against any regurgitation into the arteries of the blood once delivered to the veins, and as a mechanism of such a kind is more elaborate and better suited to the circulation of the blood, I have therefore thought that the anastomoses imagined by the ancients were to be rejected. But you will ask, what is this artifice? what these ducts? viz. the small arteries, which are always much smaller--twice, even three times smaller--than the veins which they accompany, which they approach continually more and more, and within the tunics of which they are finally lost. I have been therefore led to conceive that the blood brought thus between the coats of the veins advanced for a certain way along them, and that the same thing took place here which we observe in the conjunction between the ureters and the bladder, and of the biliary duct with the duodenum. The ureters insinuate themselves obliquely and tortuously between the coats of the bladder, without anything in the nature of an anastomosis, yet in such a manner as occasionally affords a passage to blood, to pus, and to calculi; it is easy, moreover, to fill the bladder through them with air or water; but by no effort can you force anything from the bladder into them. I care not, however, to make any question here of the etymology of words; for I am not of opinion that it is the province of philosophy to infer aught as to the works of nature from the signification of words, or to cite anatomical disquisitions before the grammatical tribunal. Our business is not so much to inquire what a word properly signifies, as how it is commonly understood; for use and wont, as in so many other matters, are greatly to be considered in the interpretation of words. It seems to me, therefore, that we are to take especial care not to employ any unusual words, or any common ones already familiarly used, in a sense which is not in accordance with the meaning we purpose to attach to them. You indeed counsel well when you say, “only make sure of the thing, call it what you will.” But when we discover that a thing has hitherto been indifferently or incorrectly explained (as the sequel will show it to have been in the present case), I do not think that the old appellation can ever be well applied to the new fact; by using the old term you are apt to mislead where you desire to instruct. I acknowledge, then, a transit of the blood from the arteries into the veins, and that occasionally immediate, without any intervention of soft parts; but it does not take place in the manner hitherto believed, and as you yourself would have it, where you say that anastomoses, correctly speaking, rather than an anastomosis, were required, namely, that the vessels may be open on either hand, and give free passage to the blood hither and thither. And hence it comes that you fail in the right solution of the question, when you ask how it happens that with the arteries as patent or pervious as the veins, the blood nevertheless flows only from the former into the latter, never from the latter into the former? For what you say of the impulse of the blood through the arteries does not fully solve the difficulty in the present instance. For if the aorta be tied near the left ventricle of the heart in a living animal, and all the blood removed from the arteries, the veins are still seen full of blood; so that it neither moves back spontaneously into the arteries, nor can it be repelled into these by any force, whilst even in a dead animal it nevertheless falls of its own accord through the finest pores of the flesh and skin from superior into inferior parts. The passage of the blood into the veins is, indeed, effected by the impulse in question, and not by any dilatation of these in the manner of bellows, by which the blood is drawn towards them; but there are no anastomoses of the vessels by conjunction (per copulam), in the way you mention, none where two vessels meeting are conjoined by equal mouths. There is only an opening of the artery into the vein, exactly in the same manner as the ureter opens into the bladder (and the biliary duct opens into the jejunum), by which, whilst the flow of urine is perfectly free towards the bladder, all reflux into the smaller conduits is effectually prevented; the fuller the bladder is, indeed, the more are the sides of the ureters compressed, and the more effectual is all ascent of urine in them prevented. Now, on this hypothesis, it is easy to render a reason for the experiment which I have already mentioned. I add further, that I can in nowise admit such anastomoses as are commonly imagined, inasmuch as the arteries being always much smaller than the veins, it is impossible that their sides can mutually conjoin in such a way as will allow of their forming a common meatus; it seems matter of necessity that things which join in this way should be of equal size. Lastly, these vessels having made a certain circuit, must, at their terminations, encounter one another; they would not, as it happens, proceed straight to the extremities of the body. And the veins, on their part, if they were conjoined with the arteries by mutual inosculations, would necessarily, and by reason of the continuity of parts, pulsate like the arteries.
And now, that I may make an end of my writing, I say, that whilst I think the industry of every one deserving of commendation, I do not remember that I have anywhere bepraised mine own. You, however, most excellent sir, I conceive have deserved high commendation, both for the care you have bestowed on your disquisition on the liver of the ox, and for the judgment you display in your observations. Go on, therefore, as you are doing, and grace the republic of letters with the fruits of your genius, for thus will you render a grateful service to all the learned, and especially to
Your loving WILLIAM HARVEY.
Written in London, this 26th of March, 1651.
LETTER III
_To the very excellent John Nardi, of Florence_
I should have sent letters to you sooner, but our public troubles in part, and in part the labour of putting to press my work “On the Generation of Animals,” have hindered me from writing. And indeed I, who receive your works--on the signal success of which I congratulate you from my heart--and along with them most kind letters, do but very little to one so distinguished as yourself in replying by a very short epistle. I only write at this time that I may tell you how constantly I think of you, and how truly I store up in my memory the grateful remembrance of all your kindnesses and good offices to myself and to my nephew, when we were each of us severally in Florence. I would wish, illustrious sir, to have your news as soon as convenient:--what you are about yourself, and what you think of this work of mine; for I make no case of the opinions and criticisms of our pretenders to scholarship, who have nothing but levity in their judgments, and indeed are wont to praise none but their own productions. As soon as I know that you are well, however, and that you live not unmindful of us here, I propose to myself frequently to enjoy this intercourse by letter, and I shall take care to transmit other books to you. I pray for many and prosperous years to your Duke; and for yourself a long εὐημερία. Farewell, most learned sir, and love in return.
Yours, most truly, WILLIAM HARVEY.
The 15th of July, 1651.
LETTER IV
_In reply to R. Morison, M.D., of Paris_
ILLUSTRIOUS SIR,--The reason why your most kind letter has remained up to this time unanswered is simply this, that the book of M. Pecquet, upon which you ask my opinion, did not come into my hands until towards the end of the past month. It stuck by the way, I imagine, with some one, who, either through negligence, or desiring himself to see what was newest, has for so long a time hindered me of the pleasure I have had in the perusal. That you may, therefore, at once and clearly know my opinion of this work, I say that I greatly commend the author for his assiduity in dissection, for his dexterity in contriving new experiments, and for the shrewdness which he still evinces in his remarks upon them. With what labour do we attain to the hidden things of truth when we take the averments of our senses as the guide which God has given us for attaining to a knowledge of his works; avoiding that specious path on which the eyesight is dazzled with the brilliancy of mere reasoning, and so many are led to wrong conclusions, to probabilities only, and too frequently to sophistical conjectures on things!
I further congratulate myself on his confirmation of my views of the circulation of the blood by such lucid experiments and clear reasons. I only wish he had observed that the heart has three kinds of motion, namely, the systole, in which the organ contracts and expels the blood contained in its cavities, and next, a movement, the opposite of the former one, in which the fibres of the heart appropriated to motion are relaxed. Now these two motions inhere in the substance of the heart itself, just as they do in all other muscles. The remaining motion is the diastole, in which the heart is distended by the blood impelled from the auricles into the ventricles; and the ventricles, thus replete and distended, are stimulated to contraction, and this motion always precedes the systole, which follows immediately afterwards.
With regard to the lacteal veins discovered by Aselli, and by the further diligence of Pecquet, who discovered the receptacle or reservoir of the chyle, and traced the canals thence to the subclavian veins, I shall tell you freely, since you ask me what I think of them. I had already, in the course of my dissections, I venture to say even before Aselli had published his book,[57] observed these white canals, and plenty of milk in various parts of the body, especially in the glands of younger animals, as in the mesentery, where glands abound; and thence I thought came the pleasant taste of the thymus in the calf and lamb, which, as you know, is called the sweetbread in our vernacular tongue. But for various reasons, and led by several experiments, I could never be brought to believe that that milky fluid was chyle conducted hither from the intestines, and distributed to all parts of the body for their nourishment; but that it was rather met with occasionally and by accident, and proceeded from too ample a supply of nourishment and a peculiar vigour of concoction; in virtue of the same law of nature, in short, as that by which fat, marrow, semen, hair, &c., are produced; even as in the due digestion of ulcers pus is formed, which the nearer it approaches to the consistency of milk, viz. as it is whiter, smoother, and more homogeneous, is held more laudable, so that some of the ancients thought pus and milk were of the same nature, or nearly allied. Wherefore, although there can be no question of the existence of the vessels themselves, still I can by no means agree with Aselli in considering them as chyliferous vessels, and this especially for the reasons about to be given, which lead me to a different conclusion. For the fluid contained in the lacteal veins appears to me to be pure milk, such as is found in the lacteal veins [the milk ducts] of the mammæ. Now it does not seem to me very probable (any more than it does to Auzotius in his letter to Pecquet) that the milk is chyle, and thus that the whole body is nourished by means of milk. The reasons which lead to a contrary conclusion, viz. that it is chyle, are not of such force as to compel my assent. I should first desire to have it demonstrated to me by the clearest reasonings, and the guarantee of experiments, that the fluid contained in these vessels was chyle, which, brought hither from the intestines, supplies nourishment to the whole body. For unless we are agreed upon the first point, any ulterior, any more operose, discussion of their nature, is in vain. But how can these vessels serve as conduits for the whole of the chyle, or the nourishment of the body, when we see that they are different in different animals? In some they proceed to the liver, in others to the porta only, and in others still to neither of these. In some creatures they are seen to be extremely numerous in the pancreas; in others the thymus is crowded with them; in a third class, again, nothing can be seen of them in either of these organs. In some animals, indeed, such chyliferous canals are nowhere to be discovered (vide Liceti Epist. xiii, tit. ii, p. 83, et Sennerti Praxeos, lib. v, tit. 2, par. 3, cap. 1); neither do they exist in any at all times. But the vessels which serve for nutrition must necessarily both exist in all animals, and present themselves at all times; inasmuch as the waste incurred by the ceaseless efflux of the spirits, and the wear and tear of the parts of the body, can only be supplied by as ceaseless a restoration or nutrition. And then, their very slender calibre seems to render them not less inadequate to this duty than their structure seems to unfit them for its performance: the smaller channels ought plainly to end in larger ones, these in their turn in channels larger still, and the whole to concentrate in one great trunk, which should correspond in its dimensions to the aggregate capacity of all the branches; just such an arrangement as may be seen to exist in the vena portæ and its tributaries, and farther in the trunk of the tree, which is equal to its roots. Wherefore, if the efferent canals of a fluid must be equal in dimensions to the afferent canals of the same fluid, the chyliferous ducts which Pecquet discovers in the thorax ought at least to equal the two ureters in dimensions; otherwise they who drink a gallon or more of one of the acidulous waters could not pass off all this fluid in so short a space of time by these vessels into the bladder. And truly, when we see the matter of the urine passing thus copiously through the appropriate channels, I do not see how these veins could preserve their milky colour, and the urine all the while remain without a tinge of whiteness.
[57] Published at Milan in 1622.
I add, too, that the chyle is neither in all animals, nor at all times, of the consistency and colour of milk; and therefore did these vessels carry chyle, they could not always (which nevertheless they do) contain a white fluid in their interior, but would sometimes be coloured yellow, green, or of some other hue (in the same way as the urine is affected, and acquires different colours from eating rhubarb, asparagus, figs, &c.); or otherwise, when large quantities of mineral water were drunk, they would be deprived of almost all colour. Besides, did that white matter pass from the intestines into those canals, or were it attracted from the intestines, the same fluid ought certainly to be discovered somewhere within the intestines themselves, or in their spongy tunics; for it does not seem probable that any fluid by bare and rapid percolation of the intestines could assume a new nature, and be changed into milk. Moreover, were the chyle only filtered through the tunics of the intestines, it ought surely to retain some traces of its original nature, and resemble in colour and smell the fluid contained in the intestines; it ought to smell offensively at least; for whatever is contained in the intestines is tinged with bile, and smells unpleasantly. Some have consequently thought that the body was nourished by means of chyle raised into attenuated vapour, because vapours exhaling in the alembic, even from fœtid matters, often do not smell amiss.
The learned Pecquet ascribes the motion of this milky fluid to respiration. For my own part, though strongly tempted to do otherwise, I shall say nothing upon this topic until we are agreed as to what the fluid is. But were we to concede the point (which Pecquet takes for granted without any sufficient reason in the shape of argument), that chyle was continually transported by the canals in question from the intestines to the subclavian veins, in which the vessels he has lately discovered terminate, we should have to say that the chyle before reaching the heart was mixed with the blood which is about to enter the right side of the organ, and that it there obtains a further concoction. But what, some one might with as good reason ask, should hinder it from passing into the porta, then into the liver, and thence into the cava, in conformity with the arrangement which Aselli and others are said to have found? Why, indeed, should we not as well believe that the chyle enters the mouths of the mesenteric veins, and in this way becomes immediately mingled with the blood, where it might receive digestion and perfection from the heat, and serve for the nutrition of all the parts? For the heart itself can be accounted of higher importance than other parts, can be termed the source of heat and of life, upon no other grounds than as it contains a larger quantity of blood in its cavities, where, as Aristotle says, the blood is not contained in veins as it is in other parts, but in an ample sinus and cistern, as it were. And that the thing is so in fact, I find an argument in the distribution of innumerable arteries and veins to the intestines, more than to any other part of the body, in the same way as the uterus abounds with blood-vessels during the period of pregnancy. For nature never acts inconsiderately. In all the red-blooded animals, consequently, which require [abundant] nourishment, we find a copious distribution of mesenteric vessels; but lacteal veins we discover in but a few, and even in these not constantly. Wherefore, if we are to judge of the uses of parts as we meet with them in general and in the greater number of animals, beyond all doubt those filaments of a white colour, and very like the fibres of a spider’s web, are not instituted for the purpose of transporting nourishment, neither is the fluid they contain to be designated by the name of chyle; the mesenteric vessels are rather destined to the duty in question. Because, of that whence an animal is constituted, by that must it necessarily grow, and by that consequently be nourished; for the nutritive and augmentative faculties, or nutrition and growth, are essentially the same. An animal, therefore, naturally grows in the same manner as it receives immediate nutriment from the first. Now it is a most certain fact (as I have shown elsewhere) that the embryos of all red-blooded animals are nourished by means of the umbilical vessels from the mother, and this in virtue of the circulation of the blood. They are not nourished, however, immediately by the blood, as many have imagined, but after the manner of the chick in ovo, which is first nourished by the albumen, and then by the vitellus, which is finally drawn into and included within the abdomen of the chick. All the umbilical vessels, however, are inserted into the liver, or at all events pass through it, even in those animals whose umbilical vessels enter the vena portæ, as in the chick, in which the vessels proceeding from the yelk always so terminate. In the selfsame way, therefore, as the chick is nourished from a nutriment, (viz. the albumen and vitellus,) previously prepared, even so does it continue to be nourished through the whole course of its independent existence. And the same thing, as I have elsewhere shown, is common to all embryos whatsoever: the nourishment, mingled with the blood, is transmitted through their veins to the heart, whence moving on by the arteries, it is carried to every part of the body. The fœtus when born, when thrown upon its own resources, and no longer immediately nourished by the mother, makes use of its stomach and intestines just as the chick makes use of the contents of the egg, and vegetables make use of the ground whence they derive concocted nutriment. For even as the chick at the commencement obtained its nourishment from the egg, by means of the umbilical vessels (arteries and veins) and the circulation of the blood, so does it subsequently, and when it has escaped from the shell, receive nourishment by the mesenteric veins; so that in either way the chyle passes through the same channels, and takes its route by the same path through the liver. Nor do I see any reason why the route by which the chyle is carried in one animal should not be that by which it is carried in all animals whatsoever; nor indeed, if a circulation of the blood be necessary in this matter, as it really is, that there is any need for inventing another way.
I must say that I greatly prize the industry of the learned Pecquet, and make much of the receptacle which he has discovered; still it does not present itself to me as of such importance as to force me from the opinion I have already given; for I have myself found several receptacles of milk in young animals; and in the human embryo I have found the thymus so distended with milk, that suspicions of an imposthume were at first sight excited, and I was disposed to believe that the lungs were in a state of suppuration, for the mass of the thymus looked actually larger than the lungs themselves. Frequently, too, I have found a quantity of milk in the nipples of new-born infants, as also in the breasts of young men who were very lusty. I have also met with a receptacle full of milk in the body of a fat and large deer, in the situation where Pecquet indicates his receptacle, of such a size that it might readily have been compared to the abomasus, or read of the animal.
These observations, learned sir, have I made at this time in answer to your letter, that I might show my readiness to comply with your wishes.
Pray present my most kind wishes to Dr. Pecquet and to Dr. Gayant. Farewell, and believe me to be, very affectionately and respectfully,
Yours, WILLIAM HARVEY.
London, the 28th April, 1652.
LETTER V
_To the most excellent and learned John Nardi, of Florence_
DISTINGUISHED AND ACCOMPLISHED SIR,--The arrival of your letter lately gave me the liveliest pleasure, and the receipt at the same time of your learned comments upon Lucretius satisfied me that you are not only living and well, but that you are at work among the sacred things of Apollo. I do indeed rejoice to see truly learned men everywhere illustrating the republic of letters, even in the present age, in which the crowd of foolish scribblers is scarcely less than the swarms of flies in the height of summer, and threatens with their crude and flimsy productions to stifle us as with smoke. Among other things that delighted me greatly in your book was that part where I see you ascribe plague almost to the same efficient cause as I do animal generation. Still it must be confessed that it is difficult to explain how the idea, or form, or vital principle should be transfused from the genitor to the genetrix, and from her transmitted to the conception or ovum, and thence to the fœtus, and in this produce not only an image of the genitor, or an external species, but also various peculiarities or accidents, such as disposition, vices, hereditary diseases, nævi or mother-marks, &c. All of these accidents must inhere in the geniture and semen, and accompany that specific thing, by whatever name you call it, from which an animal is not only produced, but by which it is afterwards governed, and to the end of its life preserved. As all this, I say, is not readily accounted for, so do I hold it scarcely less difficult to conceive how pestilence or leprosy should be communicated to a distance by contagion, by a zymotic element contained in woollen or linen things, household furniture, even the walls of a house, cement, rubbish, &c., as we find it stated in the fourteenth chapter of Leviticus. How, I ask, can contagion, long lurking in such things, leave them in fine, and after a long lapse of time produce its like in another body? Nor in one or two only, but in many, without respect of strength, sex, age, temperament, or mode of life, and with such violence that the evil can by no art be stayed or mitigated. Truly it does not seem less likely that form, or soul, or idea, whether this be held substantive or accidental, should be transferred to something else, whence an animal at length emerges, all as if it had been produced on purpose, and to a certain end, with foresight, intelligence, and divine art.
These are among the number of more abstruse matters, and demand your ingenuity, most learned Nardi. Nor need you plead in excuse your advanced life; I myself, although verging on my eightieth year, and sorely failed in bodily strength, nevertheless feel my mind still vigorous, so that I continue to give myself up with the greatest pleasure to studies of this kind. I send you along with these, three books upon the subject you name.[58] If you will mention my name to his Serene Highness the Duke of Tuscany, with thankfulness for the distinguished honour he did me when I was formerly in Florence, and add my wishes for his safety and prosperity, you will do a very kind thing to
[58] [Nardi had written to Harvey requesting him to select a few of the publications which should give a faithful narrative of the distractions that had but lately agitated England.]
Your devoted and very attached friend, WILLIAM HARVEY.
30th Nov. 1653.
LETTER VI
_To John Daniel Horst, principal Physician of Hesse-Darmstadt_
EXCELLENT SIR,--I am much pleased to find, that in spite of the long time that has passed, and the distance that separates us, you have not yet lost me from your memory, and I could wish that it lay in my power to answer all your inquiries. But, indeed, my age does not permit me to have this pleasure, for I am not only far stricken in years, but am afflicted with more and more indifferent health. With regard to the opinions of Riolanus, and his decision as to the circulation of the blood, it is very obvious that he makes vast throes in the production of vast trifles; nor do I see that he has as yet satisfied a single individual with his figments. Slegel wrote well and modestly, and, had the fates allowed, would undoubtedly have answered his arguments and reproaches also. But Slegel as I learn, and grieve to learn, died some months ago. As to what you ask of me, in reference to the so-called lacteal veins and thoracic ducts, I reply, that it requires good eyes, and a mind free from other anxieties, to come to any definite conclusion in regard to these extremely minute vessels; to me, however, as I have just said, neither of these requisites is given. About two years ago, when asked my opinion on the same subject, I replied at length, and to the effect that it was not sufficiently determined whether it was chyle or one of the thicker constituents of milk, destined speedily to pass into fat, which flowed in these white vessels; and further that the vessels themselves are wanting in several animals, namely, birds and fishes, though it seems most probable that these creatures are nourished upon the same principles as quadrupeds; nor can any sufficient reason be rendered why in the embryo all nutriment, carried by the umbilical vein, should pass through the liver, but that this should not happen when the fœtus is freed from the prison of the womb, and made independent. Besides, the thoracic duct itself, and the orifice by which it communicates with the subclavian vein, appear too small and narrow to suffice for the transmission of all the supplies required by the body. And I have asked myself farther, why such numbers of blood-vessels, arteries, and veins should be sent to the intestines if there were nothing to be brought back from thence? especially as these are mere membraneous parts, and on this account require a smaller supply of blood.
These and other observations of the same tenor I have already made,--not as being obstinately wedded to my own opinion, but that I might find out what could reasonably be urged to the contrary by the advocates of the new views. I am ready to award the highest praise to Pecquet and others for their singular industry in searching out the truth; nor do I doubt but that many things still lie hidden in Democritus’s well that are destined to be drawn up into the light by the indefatigable diligence of coming ages. So much do I say at this time, which, I trust, with your known kindness, you will take in good part. Farewell, learned friend; live happily, and hold me always
Yours, most affectionately, WILLIAM HARVEY.
London, 1st February, 1654-5.
LETTER VII
_To the distinguished and learned John Dan. Horst, principal Physician at the Court of Hesse-Darmstadt_
MOST EXCELLENT SIR,--Advanced age, which unfits us for the investigation of novel subtleties, and the mind which inclines to repose after the fatigues of lengthened labours, prevent me from mixing myself up with the investigation of these new and difficult questions: so far am I from courting the office of umpire in this dispute! I was anxious to do you a pleasure lately, when, in reply to your request, I sent you the substance of what I had formerly written to a Parisian physician as my ideas on the lacteal veins and thoracic ducts.[59] Not, indeed, that I was certain of the opinion then delivered, but that I might place these objections such as they were before those who fancy that when they have made a certain progress in discovery all is revealed by them.
[59] [Pecquet described the duct as dividing into two branches, one for each subclavian vein.]
With reference to your letters in reply, however, and in so far as the collection of milky fluid in the vessels of Aselli is concerned, I have not ascribed it to accident, and as if there were not certain assignable causes for its existence; but I have denied that it was found at all times in all animals, as the constant tenor of nutrition would seem to require. Nor is it requisite that a matter, already thin and much diluted, and which is to become fat after the ulterior concoction, should concrete in the dead animal. The instance of pus, I have adduced only incidentally and collaterally. The hinge upon which our whole discussion turns is the assumption that the fluid contained in the lacteal vessels of Aselli is chyle. This position I certainly do not think you demonstrate satisfactorily, when you say that chyle must be educed from the intestines, and that it can by no means be carried off by the arteries, veins, or nerves; and thence conclude that this function must be performed by the lacteals. I, however, can see no reason wherefore the innumerable veins which traverse the intestines at every point, and return to the heart the blood which they have received from the arteries, should not, at the same time, also suck up the chyle which penetrates the parts, and so transmit it to the heart; and this the rather, as it seems probable that some chyle passes immediately from the stomach before its contents have escaped into the intestines, (or how account for the rapid recovery of the spirits and strength in cases of fainting?) although no lacteals are distributed to the stomach.
With regard to the letter which you inform me you have addressed to Bartholin, I do not doubt of his replying to you as you desire; nor is there any occasion wherefore I should trouble you farther on that topic. I only say (keeping silence as to any other channels), that the nutritive juice might be as readily transported by the uterine arteries, and distilled into the uterus, as watery fluid is carried by the emulgent arteries to the kidneys. Nor can this juice be spoken of as preternatural; neither ought it to be compared to the vagitus uterinus, seeing that in pregnant women the fluid is always present, the vagitus an incident of very rare occurrence. What you say of the excrements of new-born infants differing from those of the child that has once tasted milk I do not admit; for except in the particular of colour, I scarcely perceive any difference between them, and conceive that the black hue may fairly be ascribed to the long stay of the fæces in the bowels.
Your proposal that I should attempt a solution of the true use of these newly-discovered ducts, is an undertaking of greater difficulty than comports with the old man far advanced in years, and occupied with other cares: nor can such a task be well entrusted to several hands, were even such assistance as you indicate at my command[60]; but it is not; Highmore does not live in our neighbourhood, and I have not seen him for a period of some seven years. So much I write at present, most learned sir, trusting it will be taken in good part as coming from yours,
[60] [Horst, in the letter to which the above is an answer, had said, “Nobilissime Harveie, &c. Most noble Harvey, I only wish you could snatch the leisure to explain to the world the true use of these lymphatic and thoracic ducts. You have many illustrious scholars,
## particularly Highmore, with whose assistance it were easy to solve
all doubts.”]
Very sincerely and respectfully, WILLIAM HARVEY.
London, 13th July, 1655 (old style).
LETTER VIII
_To the very learned John Nardi, of Florence, a man distinguished alike for his virtues, life, and erudition_
MOST EXCELLENT SIR,--I lately received your most agreeable letter, from which I am equally delighted to learn that you are well, that you go on prosperously, and labour strenuously in our chosen studies. But I am not informed whether my letter in reply to yours, along with a few books forwarded at the same time, have come to hand or not. I should be happy to have news on this head at your earliest convenience, and also to be made acquainted with the progress you make in your “Noctes Geniales,” and other contemplated works. For I am used to solace my declining years, and to refresh my understanding, jaded with the trifles of every-day life, by reading the best works of this description. I have again to return you my best thanks for your friendly offices to my nephew when at Florence in former years; and on the arrival in Italy of another of my nephews (who is the bearer of this letter), I entreat you very earnestly that you will be pleased most kindly to favour him with any assistance or advice of which he may stand in need. For thus will you indeed do that which will be very gratifying to me. Farewell, most accomplished sir, and deign to cherish the memory of our friendship, as does most truly the admirer of all your virtues,
WILLIAM HARVEY.
London, Oct. 25th, in the year of the Christian era, 1655.
LETTER IX
_To the distinguished and accomplished John Vlackveld, Physician at Harlem_
LEARNED SIR,--Your much esteemed letter reached me safely, in which you not only exhibit your kind consideration of me, but display a singular zeal in the cultivation of our art.
It is even so. Nature is nowhere accustomed more openly to display her secret mysteries than in cases where she shows traces of her workings apart from the beaten path; nor is there any better way to advance the proper practice of medicine than to give our minds to the discovery of the usual law of nature, by the careful investigation of cases of rarer forms of disease. For it has been found in almost all things, that what they contain of useful or of applicable, is hardly perceived unless we are deprived of them, or they become deranged in some way. The case of the plasterer[61] to which you refer is indeed a curious one, and might supply a text for a lengthened commentary by way of illustration. But it is in vain that you apply the spur to urge me, at my present age, not mature merely but declining, to gird myself for any new investigation. For I now consider myself entitled to my discharge from duty. It will, however, always be a pleasant sight for me to see distinguished men like yourself engaged in this honorable arena. Farewell, most learned sir, and whatever you do, still love
[61] [Vlackveld had sent to Harvey the particulars of a case of diseased bladder, in which that viscus was found after death not larger than “a walnut with the husk,” its walls as thick as the thickness of the little finger, and its inner surface ulcerated.]
Yours, most respectfully, WILLIAM HARVEY.
London, 24th April, 1657.
APPENDIX
THE ANATOMICAL EXAMINATION OF THE BODY OF THOMAS PARR WHO DIED AT THE AGE OF ONE HUNDRED AND FIFTY-TWO YEARS
MADE BY WILLIAM HARVEY
OTHERS OF THE KING’S PHYSICIANS BEING PRESENT
ON THE 16TH OF NOVEMBER, THE ANNIVERSARY OF THE BIRTHDAY OF HER SERENE HIGHNESS HENRIETTA MARIA, QUEEN OF GREAT BRITAIN, FRANCE AND IRELAND
[This account first appeared in the work of Dr. Betts, entitled: “De Ortu et Natura Sanguinis,” 8vo, London, 1669, the MS. having been presented to Betts by Mr. Michael Harvey, nephew of the author, with whom Betts was on terms of intimacy.]
ANATOMICAL EXAMINATION OF THE BODY OF THOMAS PARR
Thomas Parr, a poor countryman, born near Winnington, in the county of Salop, died on the 14th of November, in the year of grace 1635, after having lived one hundred and fifty-two years and nine months, and survived nine princes. This poor man, having been visited by the illustrious Earl of Arundel when he chanced to have business in these parts, (his lordship being moved to the visit by the fame of a thing so incredible,) was brought by him from the country to London; and, having been most kindly treated by the earl both on the journey and during a residence in his own house, was presented as a remarkable sight to his Majesty the King.
Having made an examination of the body of this aged individual, by command of his Majesty, several of whose principal physicians were present, the following particulars were noted:
The body was muscular, the chest hairy, and the hair on the fore-arms still black; the legs, however, were without hair, and smooth.
The organs of generation were healthy, the penis neither retracted nor extenuated, nor the scrotum filled with any serous infiltration, as happens so commonly among the decrepid; the testes, too, were sound and large; so that it seemed not improbable that the common report was true, viz. that he did public penance under a conviction for incontinence, after he had passed his hundredth year; and his wife, whom he had married as a widow in his hundred-and-twentieth year, did not deny that he had intercourse with her after the manner of other husbands with their wives, nor until about twelve years back had he ceased to embrace her frequently.
The chest was broad and ample; the lungs, nowise fungous, adhered, especially on the right side, by fibrous bands to the ribs. They were much loaded with blood, as we find them in cases of peripneumony, so that until the blood was squeezed out they looked rather blackish. Shortly before his death I had observed that the face was livid, and he suffered from difficult breathing and orthopnœa. This was the reason why the axillæ and chest continued to retain their heat long after his death: this and other signs that present themselves in cases of death from suffocation were observed in the body.
We judged, indeed, that he had died suffocated, through inability to breathe, and this view was confirmed by all the physicians present, and reported to the King. When the blood was expressed, and the lungs were wiped, their substance was beheld of a white and almost milky hue.
The heart was large, and thick, and fibrous, and contained a considerable quantity of adhering fat, both in its circumference and over its septum. The blood in the heart, of a black colour, was dilute, and scarcely coagulated; in the right ventricle alone some small clots were discovered.
In raising the sternum, the cartilages of the ribs were not found harder or converted into bone in any greater degree than they are in ordinary men; on the contrary, they were soft and flexible.
The intestines were perfectly sound, fleshy, and strong, and so was the stomach: the small intestines presented several constrictions, like rings, and were muscular. Whence it came that, by day or night, observing no rules or regular times for eating, he was ready to discuss any kind of eatable that was at hand; his ordinary diet consisting of sub-rancid cheese, and milk in every form, coarse and hard bread, and small drink, generally sour whey. On this sorry fare, but living in his home, free from care, did this poor man attain to such length of days. He even ate something about midnight shortly before his death.
The kidneys were bedded in fat, and in themselves sufficiently healthy; on their anterior aspects, however, they contained several small watery abscesses or serous collections, one of which, the size of a hen’s egg, containing a yellow fluid in a proper cyst, had made a rounded depression in the substance of the kidney. To this some were disposed to ascribe the suppression of urine under which the old man had laboured shortly before his death; whilst others, and with greater show of likelihood, ascribed it to the great regurgitation of serum upon the lungs.
There was no appearance of stone either in the kidneys or bladder.
The mesentery was loaded with fat, and the colon, with the omentum, which was likewise fat, was attached to the liver, near the fundus of the gall-bladder; in like manner the colon was adherent from this point posteriorly with the peritoneum.
The viscera were healthy; they only looked somewhat white externally, as they would have done had they been parboiled; internally they were (like the blood) of the colour of dark gore.
The spleen was very small, scarcely equalling one of the kidneys in size.
All the internal parts, in a word, appeared so healthy, that had nothing happened to interfere with the old man’s habits of life, he might perhaps have escaped paying the debt due to nature for some little time longer.
The cause of death seemed fairly referrible to a sudden change in the non-naturals, the chief mischief being connected with the change of air, which through the whole course of life had been inhaled of perfect purity,--light, cool, and mobile, whereby the præcordia and lungs were more freely ventilated and cooled; but in this great advantage, in this grand cherisher of life this city is especially destitute; a city whose grand characteristic is an immense concourse of men and animals, and where ditches abound, and filth and offal lie scattered about, to say nothing of the smoke engendered by the general use of sulphureous coal as fuel, whereby the air is at all times rendered heavy, but much more so in the autumn than at any other season. Such an atmosphere could not have been found otherwise than insalubrious to one coming from the open, sunny, and healthy region of Salop; it must have been especially so to one already aged and infirm.
And then for one hitherto used to live on food unvaried in kind, and very simple in its nature, to be set at a table loaded with variety of viands, and tempted not only to eat more than wont, but to partake of strong drink, it must needs fall out that the functions of all the natural organs would become deranged. Whence the stomach at length failing, and the excretions long retained, the work of concoction proceeding languidly, the liver getting loaded, the blood stagnating in the veins, the spirits frozen, the heart, the source of life, oppressed, the lungs infarcted, and made impervious to the ambient air, the general habit rendered more compact, so that it could no longer exhale or perspire--no wonder that the soul, little content with such a prison, took its flight.
The brain was healthy, very firm and hard to the touch; hence, shortly before his death, although he had been blind for twenty years, he heard extremely well, understood all that was said to him, answered immediately to questions, and had perfect apprehension of any matter in hand; he was also accustomed to walk about, slightly supported between two persons. His memory, however, was greatly impaired, so that he scarcely recollected anything of what had happened to him when he was a young man, nothing of public incidents, or of the kings or nobles who had made a figure, or of the wars or troubles of his earlier life, or of the manners of society, or of the prices of things--in a word, of any of the ordinary incidents which men are wont to retain in their memories. He only recollected the events of the last few years. Nevertheless, he was accustomed, even in his hundred and thirtieth year, to engage lustily in every kind of agricultural labour, whereby he earned his bread, and he had even then the strength required to thrash the corn.
THE LAST WILL AND TESTAMENT OF WILLIAM HARVEY, M.D.
_Extracted from the Registry of the Prerogative Court of Canterbury_
In the name of the Almighty and Eternal God Amen I WILLIAM HARVEY of London Doctor of Physicke doe by these presents make and ordaine this my last Will and testament in manner and forme following Revoking hereby all former and other wills and testaments whatsoever Imprimis I doe most humbly render my soule to Him that gave it and to my blessed Lord and Saviour Christ Jesus and my bodie to the Earth to be buried at the discretion of my executor herein after named The personall estate which at the time of my decease I shalbe in any way possessed of either in Law or equitie be it in goods householdstuffe readie moneys debts duties arrearages of rents or any other wayes whatsoever and whereof I shall not by this present will or by some Codicill to be hereunto annexed make a particular gift and disposition I doe after my debts Funeralls and Legacies paid and discharged give and bequeath the same vnto my loving brother Mr. Eliab Harvey merchant of London whome I make Executor of this my last will and testament And whereas I have lately purchased certaine lands in Northamptonshire or thereabouts commonly knowne by the name of Oxon grounds and formerly belonging vnto to the Earl of Manchester and certaine other grounds in Leicestershire commonly called or knowne by the name of Baron Parke and sometime heretofore belonging vnto Sir Henry Hastings Knight both which purchases were made in the name of several persons nominated and trusted by me and by two severall deeds of declaracon vnder the handes and seales of all persons any waye parties or privies to the said trusts are declared to be first vpon trust and to the intent that I should be permitted to enioye all the rents and profits and the benefit of the collaterall securitie during my life and from and after my decease Then upon trust and for the benefit of such person and persons and of and for such estate and estates and Interests And for raysing and payment of such summe and summes of Money Rents Charges Annuities and yearly payments to and for such purposes as from time to time by any writing or writings to be by me signed and sealed in the presence of Two or more credible witnesses or by my last will and testament in writing should declare limit direct or appoint And further in trust that the said Mannors and lands and everie part thereof together with the Collaterall securitie should be assigned conveyed and assured vnto such persons and for suche Estates as the same should by me be limited and directed charged and chargeable nevertheles with all Annuities rents and summes of money by me limited and appointed if any such shalbe And in default of such appointment then to Eliab Harvey his heires executors and Assignes or to such as he or they shall nominate as by the said two deeds of declaracon both of them bearing date the tenth day of July in the year of our Lord God one Thousand sixe hundred Fiftie and one more at large it doth appeare I doe now hereby declare limit direct and appoint that with all convenient speed after my decease there shalbe raised satisfied and paid these severall summes of money Rents Charges and Annuities herein after expressed and likewise all such other summes of Money Rents Charges or Annuities which at any time hereafter in any Codicill to be hereunto annexed shall happen to be limited or expressed And first I appoint so much money to be raised and laid out vpon that building which I have already begun to erect within the Colledge of Physicians in London as will serve to finish the same according to the designe already made Item I give and bequeath vnto my lo sister in Law Mrs Eliab Harvey one hundred pounds to buy something to keepe in remembrance of me Item I give to my Niece Mary Pratt all that Linnen householdstuffe and furniture which I have at Coome neere Croydon for the vse of Will Foulkes and to whom his keeping shalbe assigned after her death or before me at any time Item I give vnto my Niece Mary West and her daughter Amy West halfe the Linnen I shall leave at London in my chests and Chambers together with all my plate excepting my Coffey pot Item I give to my lo sister Eliab all the other halfe of my Linnen which I shall leave behind me Item I give to my lo sister Daniell at Lambeth and to everie one of her children severally the summe of fiftie pounds Item I give to my lo Coosin Mr Heneage Finch for his paines counsell and advice about the contriving of this my will one hundred pounds Item I give to all my little Godchildren Nieces and Nephews severally to everie one Fiftie pounds Item I give and bequeath to the towne of Foulkestone where I was borne two hundred pounds to be bestowed by the advice of the Mayor thereof and my Executor for the best vse of the poore Item I give to the poore of Christ hospitall in Smithfield thirtie pounds Item I give to Will Harvey my godsonne the sonne of my brother Mich Harvey deceased one hundred pounds and to his brother Michaell Fiftie pounds Item I give to my Nephew Tho Cullen and his children one hundred pounds and to his brother my godsonne Will Cullen one hundred pounds Item I give to my Nephew Jhon Harvey the sonne of my lo brother Tho Harvey deceased two hundred pounds Item I give to my Servant John Raby for his diligence in my service and sicknesse twentie pounds And to Alice Garth my Servant Tenne pounds over and above what I am already owing unto her by my bill which was her mistresses legacie Item I give among the poor children of Amy Rigdon daughter of my lo vncle Mr Tho Halke twentie pounds Item among other my poorest kindred one hundred pounds to be distributed at the appointment of my Executor Item I give among the servants of my sister Dan at my Funeralls Five pounds And likewise among the servants of my Nephew Dan Harvey at Coome as much Item I give to my Cousin Mary Tomes Fifty pounds Item I give to my lo Friend Mr Prestwood one hundred pounds Item I give to everie one of my lo brother Eliab his sonnes and daughters severally Fiftie pounds apiece All which legacies and gifts aforesaid are chiefly to buy something to keepe in remembrance of me Item I give among the servants of my brother Eliab which shalbe dwelling with him at the time of my decease tenne pounds Furthermore I give and bequeath vnto my Sister Eliabs Sister Mrs Coventrey a widowe during her natural life the yearly rent or summe of twentie pounds Item I give to my Niece Mary West during her naturall life the yearly rent or summe of Fortie pounds Item I give for the vse and behoofe and better ordering of Will Foulkes for and during the term of his life vnto my Niece Mary Pratt the yearly rent of tenne pounds which summe if it happen my said Niece shall dye before him I desire may be paid to them to whome his keeping shalbe appointed Item I will that the twentie pounds which I yearly allowe him my brother Galen Browne may be continued as a legacie from his sister during his naturall life Item I will that the payments to Mr Samuel Fentons children out of the profits of Buckholt Lease be orderly performed as my deere deceased lo wife gave order so long as that lease shall stand good Item I give vnto Alice Garth during her naturall life the yearly rent or summe of twentie pounds Item To John Raby during his naturall life sixteene pounds yearly rent All which yearly rents or summes to be paid halfe yearly at the two most vsuall feasts in the yeare viz Michaelmas and our Lady day without any deduction for or by reason of any manner of taxes to be any way hereafter imposed The first payment of all the said rents or Annuities respectively to beginne at such of those feasts which shall first happen next after my decease Thus I give the remainder of my lands vnto my lo brother Eliab and his heires All my legacies and gifts &c. being performed and discharged Touching my bookes and householdstuffe Pictures and apparell of which I have not already disposed I give to the Colledge of Physicians all my bookes and papers and my best Persia long Carpet and my blue sattin imbroyedyed Cushion one paire of brasse Andirons with fireshovell and tongues of brasse for the ornament of the meeting roome I have erected for that purpose Item I give my velvet gowne to my lo friend Mr Doctor Scarbrough desiring him and my lo friend Mr Doctor Ent to looke over those scattered remnant of my poore Librarie and what bookes papers or rare collections they shall thinke fit to present to the Colledge and the rest to be Sold and with the money buy better And for their paines I give to Mr Doctor Ent all the presses and shelves he please to make use of and five pounds to buy him a ring to keepe or weare in remembrance of me And to Dr Scarbrough All my little silver instruments of surgerie Item I give all my Chamber furniture tables bed bedding hangings which I have at Lambeth to my Sister Dan and her daughter Sarah And all that at London to my lo Sister Eliab and her daughter or my godsonne Eliab as she shall appoint Lastly I desire my executor to assigne over the custode of Will Fowkes after the death of my Niece Mary Pratt if she happen to dye before him vnto the Sister of the said William my Niece Mary West Thus I have finished my last Will in three pages two of them written with own hand and my name subscribed to everie one with my hand and seal to the last
WILL HARVEY.
* * * * *
Signed sealed and published as the last will and testament of me William Harvey In the presence of us Edward Dering Henneage Finch Richard Flud Francis Finche Item I have since written a Codicill with my owne hand in a sheet of paper to be added hereto with my name thereto subscribed and my seale.
ITEM I will that the sumes and charges here specified be added and annexed vnto my last will and testament published heretofore in the presence of Sir Edward Dering and Mr. Henneage Finch and others and as a Codicill by my Executor in like manner to be performed whereby I will and bequeath to John Denn sonne of Vincent Denne the summe of thirtie pounds Item to my good friend Mr Tho Hobbs to buy something to keepe in remembrance of me tenne pounds and to Mr Kennersley in like manner twentie pounds Item what moneys shalbe due to me from Mr. Hen Thompson his fees being discharged I give to my friend Mr Prestwood Item what money is of mine viz one hundred pounds in the hands of my Cosin Rigdon I give halfe thereof to him towards the marriage of his niece and the other halfe to be given to Mrs Coventrey for her sonne Walter when he shall come of yeares and for vse my Cosin Rigdon giving securitie I would he should pay none Item what money shalbe due to me and Alice Garth my servant on a pawne now in the hands of Mr Prestwood I will after my decease shall all be given my said servant for her diligence about me in my siknesse and service both interest and principall Item if in case it so fall out that my good friend Mrs Coventrey during her widowhood shall not dyet on freecost with my brother or Sister Eliab Harvey Then I will and bequeath to her one hundred marke yearly during her widowhood Item I will and bequeath to my loving Cosin Mr Henneage Finch (more than heretofore) to be for my godsonne Will Finche one hundred pounds Item I will and bequeath yearly during her life a rent of thirtie pounds vnto Mrs Jane Nevison Widdowe in case she shall not preferre her selfe in marriage to be paid quarterly by even porcons the first to beginn at Christmas Michaelmas or Lady day or Midsummer which first happens after my decease Item I give to my Goddaughter Mrs Eliz Glover daughter of my Cosin Toomes the yearly rent of tenne pounds from my decease vnto the end of five years. Item to her brother Mr Rich Toomes thirty pounds as a legacie Item I give to John Cullen sonne of Tho Cullen deceased all what I have formerly given his father and more one hundred pounds Item I will that what I have bequeathed to my Niece Mary West be given to her husband my Cosin Rob West for his daughter Amy West Item what should have bene to my Sister Dan deceased I will be given my lo Niece her daughter in Law Item I give my Cosin Mrs Mary Ranton fortie pounds to buy something to keep in remembrance of me Item to my nephews Michaell and Will the sonnes of my brother Mich one hundred pounds to either of them Item all the furniture of my chamber and all the hangings I give to my godsonne Mr Eliab Harvey at his marriage and all my red damaske furniture and plate to my Cosin Mary Harvey Item I give my best velvet gowne to Doctor Scarbrowe.
WILL HARVEY.
Memorandum that upon Sunday the twentie eighth day of December in the yeare of our Lord one thousand sixe hundred fiftie sixe I did againe peruse my last will which formerly conteined three pages and hath now this fourth page added to it. And I doe now this present Sunday December 28 1656 publish and declare these foure pages whereof the three last are written with my owne hand to be my last will In the presence of Henneage Finch John Raby.
This will with the Codicill annexed was proved at London on the second day of May In the yeare of our Lord God one Thousand six hundred fiftie nine before the Judge for probate of wills and granting Adcons lawfully authorised By the oath of Eliab Harvey the Brother and sole executor therein named To whom Administracon of all and singular the goods Chattells and debts of the said deceased was granted and committed He being first sworne truely to administer.[62]
CHAS. DYNELEY } _Deputy_ JOHN IGGULDEN } _Registers._ W. F. GOSTLING }
[62] [The will of Harvey is without date. But was almost certainly made some time in the course of 1652. He speaks of certain deeds of declaration bearing date the 10th of July, 1651; and he provides money for the completion of the buildings which he has “already begun to erect within the Colledge of Physicians.” Now these structures were finished in the early part of 1653. The will was, therefore, written between July 1651, and February 1653. The codicil is also undated: but we may presume that it was added shortly before Sunday the 28th of December 1656, the day on which Harvey reads over the whole document and formally declares and publishes it as his last will and testament in the presence of his friend Henneage Finch, and his faithful servant John Raby.]
INDEX
INDEX
A
_Anastomosis_, 63, 127, 172 how far observed by Harvey, 128 Harvey states his views on, 179, 180
_Aneurism_ pulsation of an, 15 axillary, its bearing on the pulse, 30 its effect on the pulse, 135
_Animals_ importance of dissecting the lower, 42
_Aorta_ why its walls thicker than those of the pulmonary artery, 107 case in which portion of, ossified, 137
_Argent, Dr._ dedication of treatise on Heart and Blood to, 5
_Aristotle_ referred to, vii, 27 on the pulse, 30 on the chick, 34 quoted in support of pulsation of heart of embryo, 46 circular motion of rain suggested by, compared to that of the blood, 56 on the heart, 93, 97, 105, 166 his error regarding the mitral valve, 101 on the study of the lower animals, 137 on trusting to the senses, 160
_Arteriotomy_ experiments of, 14, 28, 29, 129, 163 outflow of blood in, 29
_Arteries_ ancient views regarding the, ix contain blood only, 12 contain same blood as the veins, 12 Galen’s experiment on, 12 filled like bladders, not like bellows, 13 dilation of, due to impulse of blood, 14 diastole of, corresponds to systole of heart, 29 called veins, by Galen, 30, and the ancients, 57 why empty after death, 62, 140 coronary, supply the heart itself, 88 reason for greater thickness of coats of, 106 nearer to heart, more they differ from veins, 106 contained only aërial spirits, according to Erasistratus, 140
_Artery_ ligature of an, of a snake, 66 experiment of dividing an, 129, 146 experiment on an exposed uncut, 136 case of ossification of portion of an, 137
_Arundel, Earl of_ Harvey accompanied the, on an embassy to the Emperor, xxii
_Aselli_ discovered the lacteals, 117, 186 lacteal vessels of, referred to by Harvey, 197
B
_Baer, Von_ Harvey, a precursor of, xxi
_Bandages_ on the arm to show flow of blood in the veins, 81 _et seq._
_Bauhin, Caspar_ his observations on the heart, 31
_Bibliography_ of Harvey’s works, xxiv
_Bird_ observations on the beat of the heart of a, 33 observations on the heart of the chick, 34, 36
_Blood_ its course from veins to arteries, 42 in the lower animals, 43 in the fœtus, 44 its passage through the lungs, 48 quantity of, passing through the heart, 55 circular motion of the, 56 demonstrated from impossibility of whole amount of, being derived from the ingesta, 58 amount ejected from ventricle at each beat, 59 enters a limb by arteries, leaves it by veins, 67 circulation of, proved by experiments with ligatures, 67, 68 quantity of, passing through bloodvessels supports circulation, 76 circulation of, supported by valves in the veins, 78 manner of escape of, in surgical operations, 107 the whole of the, circulates, 114 is cooled in passing through the lungs, 122 force with which it flows from an artery, 136 is of same nature in arteries and veins, 138, 143 reasons why a different view has been held, 139, 140 velocity of, varies in different parts, and at different times, 156 gives heat to the heart, 167 passage of, from arteries to veins, xvi, 168
C
_Cæsalpinus, Andreas_ claimed in Italy as the discoverer of the Circulation, xi this claim criticised, xii
_Calidum innatum_, 145 not distinct from the blood, 146
_Canalis arteriosus_ of fœtus, shrinks gradually after birth, 45
_Capillaries_ too minute for Harvey to see, xvi first observed by Malpighi, xvi
_Carotid artery_ experiment on the, 129 force with which blood flows from the, 136
_Charles I._ his interest in Harvey’s discovery, xviii Harvey appointed physician to, xxii remained such by request of the Parliament, xviii dedication to, of treatise on Motion of Heart and Blood, 3 present at a demonstration by Harvey, 153
_Chick_ first sign of the heart in the, 34 Aristotle on, 34 observations of, on the fourth and fifth days of incubation, 36
_Chordæ tendineæ_, 99, 100
_Chyle_ absorbed by the blood, 92 vessels containing, 186
_Circulation of the Blood_ circulation as distinct from motion, xii first suggested to Harvey’s mind, 56 compared to circular movement of rain as suggested by Aristotle, 56 confirmed by three propositions, 58 varies in rapidity, 61 explains the results of ligatures, 67 _et seq._ explains phlebotomy, 73 summary account of, 85, 168 confirmed by probable reasons, 86 proved by certain consequences, 90 confirmed from structure of the heart in many different kinds of animals, 96 doctrine of the, the opposite to that vulgarly entertained, 108 first reply to Riolan on the, 111 applies to the whole of the blood, 114 in the mesentery, 119 coronary, or a third and very short, 125 through every part of the body, 126 second reply to Riolan on the, 133 reply to those who cry _cui bono?_, 149 reasons given by opponents for not accepting the, 149, 150 velocity of, varies with age, sex, temperament, etc., 156 influenced by the emotions, 158 recapitulation of work on Motion of Heart and Blood, 161 interference with, followed by dangerous results, 171 further illustrations of, 176 _et seq._
_Columbus, Realdus_ claimed as discoverer of the Circulation, xi referred to in relation to the Pulmonary Circulation, 12, 16, 50
_Columnæ carneæ_ of the heart, 99
_Contagion_ of disease spread, explained by circulation, 90 nature of, referred to by Harvey, 193
_Contraction_ the source of all animal motion, 102 of the fibres of the heart, 105 of muscles as aid to movement of blood in the veins, 116
_Conviction_ means of acquiring, of physical truths discussed, 158
_Coronary_ vessels supply the heart with blood, 88 circulation, a third, very short, 125 vein usually has a valve at its orifice, 125
D
_Darcy, Sir Robert_ case of, illustrating obstruction of the circulation through the heart, 155
_Descartes_ supports Harvey’s discovery, xvii Harvey makes his acknowledgments to, 169 his observations of the heart of a fish, 169 his explanation of the pulse not accepted by Harvey, 170
_Diastole and Systole_ of arteries as of the heart, 138 constituting the pulse, 163
_Dissection_ uses of, 112 failed to reveal any of the “spirits” of the schoolmen, 141
_Diuretic_ drinks, their quick action in illustration of the large quantity of blood circulating, 49
_Ductus arteriosus_ shrinks gradually after birth, 45 its function in the fœtus, 98
E
_Eel_ observations on the heart of the, 33
_Embryology_ Harvey a pioneer in the science of, xx
_Ent, Dr. George_ persuaded Harvey to publish his treatise on Generation, xx directed in Harvey’s will to present his books and collections to the College of Physicians, 216 Harvey left him his presses and shelves, 216
_Epigenesis_ Harvey’s doctrine of, xxi
_Erasistratus_ thought the arteries contained only spirits or air, 40, 140
_Euripus_ the tides of, the motion of the heart as perplexing as, 22 Galen refers to, in speaking of the use of the semilunar valves, 53 Riolan applies, to the movement of the blood in the mesenteric vessels, 115
_Experience_ importance of, for scientific observation, 160
_Experiment_ the direct appeal to, viii Galen’s, to show arteries contain only blood, 12 Galen’s, to show arteries filled like bellows, controverted by Harvey, 14 of arteriotomy, 14, 28, 29 Galen’s, of dividing the trachea, 18 to observe the beating heart, 24 of dividing the gill vessels of fishes, 28 on the hearts of an eel, a fish, and a pigeon, 33 to show the capacity of the left ventricle, 59 on the heart of a snake, 65 of tying the veins below the heart in serpents and fishes, 65 on a man’s arm with a bandage, 68 on the veins of the arm by ligatures, 82, 84 of tying the vena cava near the heart and dividing carotid artery, 129 Galen’s, on an artery, 134 performed and disproved by Harvey, 135 on an exposed undivided artery, 136 to show the blood of arteries and veins the same, 138 to show the different character of outflow of blood from artery and vein, 147 to show blood cannot pass from heart by the veins, 147 with the dried intestine of a dog filled with water to illustrate the pulse, 152 on the jugular vein of a fallow deer, 153 by appeal to, endeavour to demonstrate circulation, 163 of dividing exposed artery to observe effect on pulse, 163 of tying the pulmonary veins, 165 of bandaging arm and plunging it into cold water, 168 of tying the vena portae, 171 of tying the vena cava near the crural veins, 172 on the body of a man recently hanged, to show course of blood through lungs, 177
F
_Fabricius, Hieronymus_, of Aquapendente Harvey’s teacher of anatomy at Padua, xiv his views on the heart and lungs, 9 pulmonary veins, 18 his anatomical work, 23 discovered the valves of the veins, 78
_Finch, Heneage_ Harvey’s cousin, advised him as to his will, 214 witness to codicil of Harvey’s will, 217
_Fish_ experiment on gill vessels of, 28 observations on the heart of, 33 the heart of, has only one ventricle, 42 auricles of the heart of, 103
_Florence_ Harvey refers to his visits to, 185, 194 and three of his nephews, 199
_Flourens_ on Harvey’s work, viii
_Foramen ovale_ of heart of fœtus, 20, 44 its significance in fœtal life, 47, 98
_Frankfort-on-Main_ Harvey’s treatise on the Heart and Blood first published there, xv
_Fuliginous vapours_ views of the ancients on, ix, 10, 11, 17
G
_Galen_ high regard in which he was held by mediævalists, vii on the object of the pulse, 9 his experiment to show arteries contain only blood, 12 his experiment to prove arteries expand like bellows, and controverted by Harvey, 14 his experiment of dividing the trachea of a dog, 18 on the beat of the auricles, 32 quotations from, on movement of the blood, 40, 41 aware of the use of the semilunar valves, 51, 52 believed blood passed from right ventricle into the lungs, 53 on the structure of the heart, 105 his experiment on an artery, 134 performed and disproved by Harvey, 135
_Galileo_ at Padua with Harvey, vii, xiv as a pioneer in scientific discovery, viii
_Generation of Animals_ Harvey’s treatise on, its publication, xx interesting points in, xxi Harvey refers to his work on the, 177 Quotation from, on the Acquisition of Knowledge, xix
H
_Haller_ on Harvey’s discovery, xiii
_Harvey_ as a pioneer in scientific discovery, viii greatness of his discovery, viii, ix his life, xiii _et seq._ his views on controversy, xviii, 133 on the manner of acquiring knowledge, xix his treatise on Generation, xxi, 177 his statue, xxii oration in his memory, xxii his brother Eliab, xxiii, 212, 219 his various works, xxiv on the pursuit of truth, 7 describes how his discovery was received, 23 his letters, 175 _et seq._ on the use of terms, 182 his will, 212
_Heart_ ideas about the, before the time of Harvey, ix object of its beat connected with Respiration by old anatomists, 9 movements of the, 24 contracts and becomes paler at its beat, 24, 25 does not suck in the blood, 27 the auricles and ventricles of the, their movements, 31 the auricles of the, the primum vivens, ultimum moriens, 34 observations on the heart of the chick, 34, 36 always has auricles or something analogous, 35 of a shrimp, its movements studied, 36 movements of, summarised, 37 intimate connection of lungs and, a grand cause of error to the old observers, 39 of fish, has only one ventricle, 42 great vessels of the, in the embryo, 44 foramen ovale of the, in the fœtus, 44, 98, 165 of embryo, pulsation, etc., known to Aristotle, 45 compared figuratively to the sun, 57 amount of blood ejected at each beat of the, 59 of a live snake, observations on, 65 influenced by emotions, 87 curious case of distended heart under emotion, 156 coronary vessels of, 88 only organ containing blood for general use, 88 structure of the, in different classes of animals confirms the circulation, 97 papillary muscles and chordæ tendineæ of, 99 arrangement and use of the valves of the, 100 the heart a muscle and acts as such, so called by Hippocrates, 104 development of the, in the fœtus, 104 arrangement of the fibres of, 105 the first part which exists, 105 high importance of the, in the bodily economy, 105 distension of, after hanging, 154 Sir Robert Darcy’s case of ruptured, 155 receives heat from the blood, 167 innate heat of, suggested as cause of the pulse, 168 of the fish, observations of motions of the, 169
_Hippocrates_ entitled the heart a muscle, 104 his doctrine as to the constitution of the body, 142
_Hobbes_ on the reception of Harvey’s discovery, xvii
_Hofmann, Caspar_ letter of Harvey to, 175
_Horst, J. D._ letters of Harvey to, 195, 197
_Huxley, Prof. T. H._ on Harvey’s treatise on Generation, xxi
J
_Jugular vein_ Experiment of dividing the, in the fallow deer, to show course of the contained blood, 153
K
_King, The._ See _Charles I._
L
_Lacteals_ discovered by Aselli, 117, 186 Harvey refers to the researches of Aselli and Pecquet on the, 186 Harvey discusses the, in a letter to R. Morison, 187, 188
_Lamentius, Andreas_ quoted by Harvey, 20, 22
_Lennox, Duke of_ Harvey accompanied him abroad, xxii
_Letters_ of Harvey, 173 _et seq._
_Ligature_ of veins near the heart, 65 assuming circulation, action and use of ligatures readily understood, 67, 68 of vena cava, 129, 172 of pulmonary veins, 165 of vena portæ, 171
_Liver_ absorbed food passes through the, 49 absorbed chyle passes through the, 92 in the fœtus, 92 nature of blood brought to, 94 chyle transferred to, by mesenteric vessels, 118
_Lungs_ speculation on changes in the blood passing through the, 48 blood cooled on passing through the, 122, 145 course of blood through the, shown by an experiment on the body of a man recently hanged, 177
M
_Malpighi_ the first to observe the capillaries, xvi
_Medical Observations_ Harvey refers to his, 157, 158, 171
_Medicines_ externally applied confirm the circulation, 91
_Mesentery_ bloodvessels of, 94, 115 Harvey combats Riolan’s denial of circulation in vessels of the, 115 Harvey suggests an experiment to convince him, 171 valves in the mesenteric veins, 116 veins of, transfer chyle to the liver, 118
_Metamorphosis_ doctrine of, contrasted with that of Epigenesis, xxi
_Mitral Valve_ references to, 17, 101 Aristotle’s error regarding the, 101
_Morison, R._ letter of Harvey to, 185
_Movement_ of the heart, 24, 36 of the auricles and ventricles, 31 of the heart summarised, 37 of the blood from veins to arteries, 42 of the blood in the fœtus, 44 lower animals, 43 is circular, 58 of the blood in the veins aided by the circumjacent muscles, 116
_Muscle_ the heart a, and so called by Hippocrates, 104
N
_Nardi, John_, of Florence letters of Harvey to, 184, 193, 199
_Nutrition_ of the Tissues connection of the, with the circulation, 119
O
_Oration, Harveian_ founded by Harvey, delivered annually at the College of Physicians, xxii
P
_Padua_ Harvey and Galileo there together, vii, xiv famous for its university, xiv Harvey studies medicine at, xiv
_Parr, Thomas_ anatomical examination of the body of, 207
_Pathology_ how best advanced, 112
_Pecquet_ Harvey refers to his discovery of the Receptaculum Chyli, 186 Harvey praises his industry, 196 See also _Lacteals_
_Phlebotomy_ explained by the circulation, 73 shows nature of flow of blood in the veins, 154 influenced by temperature and mental state, 157
_Physicians, College of_ Harvey elected a Fellow of the, xv Harvey built a Convocation Hall for, and gave books to, xvii his treatise dedicated to President and Fellows of, 5
_Physiology_ importance of its study, 112
_Poisons_
## action of, confirmatory of the circulation, 90
_Pulmonary Artery_ formerly supposed to carry nourishment to lungs, 17 why coats of, thinner than those of aorta, 107 transmits far more blood than required for nutrition, 108
_Pulmonary Circulation_ speculation as to its use, 48 follows from continual passage of blood from right ventricle to lungs, and from lungs to left ventricle, 54 course of, shown in body of a man recently hanged, 177
_Pulmonary Veins_ ancient views regarding their function, 17
_Pulse_ caused by contraction of the ventricle, 29 due to the impulse or shock of the blood, 30 Aristotle on the, 30 found in all parts of the body, 121 not inherent in walls of arteries, 135 in an artery beyond an aneurism, 135 in an artery beyond an ossified portion, 137 illustrated by experiment with dried intestine of a dog, 152 cause of, in arteries near the heart, 163
R
_Rabies_ how confirmatory of the circulation, 90
_Riolan, John, Jun._ controversy with Harvey, xix quoted on the movements of the heart, 31 Harvey’s First Disquisition addressed to, 109 presented a copy of his work to Harvey, 111 his views on the circulation, 113 denies the mesenteric circulation, 115 favoured view that septum of heart is permeable, 123 Harvey’s Second Disquisition to, 131
S
_Scarborough, Dr._ a friend to whom Harvey left his surgical instruments, 216 and his velvet gown, 218 directed by Harvey’s will to present to College of Physicians his books and collections, 216
_Science_ dependent on pre-existing knowledge of more obvious things, 160
_Semilunar Valves_ references to, 16, 45 Galen aware of their use, 51 function to prevent regurgitation, 116, 153
_Senses_ facts cognisable by, wait on no opinion, 150 importance of appealing to the, 158, 159 Aristotle on trusting to the, 160
_Septum of the Heart_ Cæsalpinus thought it permeable, xii Harvey on the view that it is porous, 19, 20 Riolan believed it porous, 123
_Servetus, Michael_ gave a description of the pulmonary circulation, x curious history of his work containing it, xi
_Shrimp_ movements of the heart of a, 36
_Sigmoid Valves_ See _Semilunar_
_Silvius, Jacobus_ discovered the valves of the veins according to Riolan, 78
_Simon, Sir John_ on Harvey’s discovery, ix
_Slegel, P. M._ letter of Harvey to, 176
_Snake_ observations of heart and bloodvessels of a live, 65
_Spirits_ views of the ancients regarding, ix arteries supposed to contain, by Erasistratus, 140 the common subterfuge of ignorance, 141 three kinds of, admitted by the medical schools, 141 not distinct from the blood, 143, 146
_Spleen_ bloodvessels connected with the, 94 vein of, has a valve, 116
_Systole and Diastole_ of arteries as of heart, 138 constitute the pulse, 163 observations on, 170
T
_Transmission of Disease_ discussed, 193
_Tricuspid Valve_ referred to, 16, 101, 153
U
_Umbilical Vein_ function of, 118
V
_Valves_ semilunar, 16, 45, 116, 153 tricuspid, 16, 101, 153 mitral, 17 Galen on valve of pulmonary artery, 51 of the veins discovered by Fabricius or Silvius, 78 of veins, their structure, arrangement, and use of, 78, 80 Fabricius did not understand use of valves of veins, 79 of veins compared with sigmoid valves, 82 experiments on the arm to show action of the, and how the blood moves in the veins, 82, 84 not found in all veins, 116 of the mesenteric veins, 116 coronary vein has a valve at its orifice, 125
_Veins_ pulmonary, ancient views regarding their position, 17 near the heart, experiment of ligaturing the, 65 of the arm, experiment on with bandages, 82, 84 coronary, 88 of the mesentery, the function of the, 118 umbilical, function of, 118 coronary vein has a valve at its orifice, 125 experiment on, by cooling the arm, 168 valves of the. See _Valves_
_Vena cava_ of snake, experiment upon the, 65 experiment of tying, near the heart, 129
_Vena portæ_ blood passes from the, through the liver, 118 its branches, 128 Harvey suggests the experiment of ligaturing it, 171
_Ventricle_ no right ventricle if no lung, 15, 54 the left, the principal part of the heart, 98 the left, three times thicker than the right, 100 case of rupture of the, 155
_Ventricles_ structure of both, almost identical, 15 both contract simultaneously, 19 movements and use of the, 37 in the fœtal heart, 98 valves of the, 100
_Vesalius_ the “Father of Anatomy”, x Professor of Anatomy at Padua, xiv did not properly understand the heart’s motion, 26 refers to Galen’s experiment on an artery, 135 wrong in his interpretation of Galen’s experiment, 138
_Vlackveld, John_ letter of Harvey to, 200
W
_Warmth_ felt in the hand on loosening bandage on the arm, 69 restored to parts chilled by the influx of blood, 121, 146
_Will_ of Harvey drawn up by Heneage Finch, 212, 214 proved by Eliab Harvey, 219 legacies by, to Drs. Scarborough and Ent, 216
_Wolff, Caspar_ Harvey as forerunner of, xxi