William Harvey and the Discovery of the Circulation of the Blood | Page 5

have just referred, are connected with an apparatus which is placed in the chest, which apparatus, in recently killed animals, is still pulsating. And you know that in yourselves you can feel the pulsation of this organ, the heart, between the fifth and sixth ribs. I take it that this much of anatomy and physiology has been known from the oldest times, not only as a matter of curiosity, but because one of the great objects of men, from their earliest recorded existence, has been to kill one another, and it was a matter of considerable importance to know which was the best place for hitting an enemy. I can refer you to very ancient records for most precise and clear information that one of the best places is to smite him between the fifth and sixth ribs. Now that is a very good piece of regional anatomy, for that is the place where the heart strikes in its pulsations, and the use of smiting there is that you go straight to the heart. Well, all that must have been known from time immemorial--at least for 4,000 or 5,000 years before the commencement of our era--because we know that for as great a period as that the Egyptians, at any rate, whatever may have been the case with other people, were in the enjoyment of a highly developed civilisation. But of what knowledge they may have possessed beyond this we know nothing; and in tracing back the springs of the origin of everything that we call "modern science" (which is not merely knowing, but knowing systematically, and with the intention and endeavour to find out the causal connection of things)--I say that when we trace back the different lines of all the modern sciences we come at length to one epoch and to one country--the epoch being about the fourth and fifth centuries before Christ, and the country being ancient Greece. It is there that we find the commencement and the root of every branch of physical science and of scientific method. If we go back to that time we have in the works attributed to Aristotle, who flourished between 300 and 400 years before Christ, a sort of encyclopaedia of the scientific knowledge of that day--and a very marvellous collection of, in many respects, accurate and precise knowledge it is. But, so far as regards this particular topic, Aristotle, it must be confessed, has not got very far beyond common knowledge. He knows a little about the structure of the heart. I do not think that his knowledge is so inaccurate as many people fancy, but it does not amount to much. A very few years after his time, however, there was a Greek philosopher, Erasistratus, who lived about three hundred years before Christ, and who must have pursued anatomy with much care, for he made the important discovery that there are membranous flaps, which are now called "valves," at the origins of the great vessels; and that there are certain other valves in the interior of the heart itself.
Fig. 1.--The apparatus of the circulation, as at present known. The capillary vessels, which connect the arteries and veins, are omitted, on account of their small size. The shading of the "venous system" is given to all the vessels which contain venous blood; that of the "arterial system" to all the vessels which contain arterial blood.
I have here (Fig. 1) a purposely rough, but, so far as it goes, accurate, diagram of the structure of the heart and the course of the blood. The heart is supposed to be divided into two portions. It would be possible, by very careful dissection, to split the heart down the middle of a partition, or so-called 'septum', which exists in it, and to divide it into the two portions which you see here represented; in which case we should have a left heart and a right heart, quite distinct from one another. You will observe that there is a portion of each heart which is what is called the ventricle. Now the ancients applied the term 'heart' simply and solely to the ventricles. They did not count the rest of the heart--what we now speak of as the 'auricles'--as any part of the heart at all; but when they spoke of the heart they meant the left and the right ventricles; and they described those great vessels, which we now call the 'pulmonary veins' and the 'vena cava', as opening directly into the heart itself.
What Erasistratus made out was that, at the roots of the aorta and the pulmonary artery (Fig. 1) there were valves, which opened in the direction indicated by the arrows; and, on the other hand, that at the junction of what he called the veins with the heart there