William Harvey

“ What I have here written of the motions of the heart I am the more emboldened to present to your Majesty, according to the custom of the present age, because almost all things human are done after human examples, and many things in a King are after the pattern of the heart. The knowledge of his heart, therefore, will not be useless to a Prince, as embracing a kind of Divine example of his functions,—and it has still been usual with men to compare small things with great. ”

“ When I first gave my mind to vivisections, as a means of discovering the motions and uses of the heart, and sought to discover these from actual inspection, and not from the writings of others, I found the task so truly arduous, so full of difficulties, that I was almost tempted to think, with Fracastorius, that the motion of the heart was only to be comprehended by God. ”

“ The heart, ready furnished with its proper organs of motion, like a kind of internal creature, is of a date anterior to the body: first formed, nature willed that it should afterwards fashion, nourish, preserve, complete the entire animal, as its work and dwelling place: the heart, like the prince in a kingdom, in whose hands lie the chief and highest authority, rules over all; it is the original and foundation from which all power is derived, on which all power depends in the animal body. ”

“ To those, therefore, whom I hear denying that the blood, aye the whole mass of the blood may pass through the substance of the lungs, even as the nutritive juices percolate the liver, asserting such a proposition to be impossible, and by no means to be entertained as credible, I reply, with the poet, that they are of that race of men who, when they will, assent full readily, and when they will not, by no manner of means; who, when their assent is wanted, fear, and when it is not, fear not to give it. ”

“ Here it resumes its due fluidity and receives an infusion of natural heat—powerful, fervid, a kind of treasury of life, and is impregnated with spirits, and it might be said with balsam; and thence it is again dispersed; and all this depends on the motion and action of the heart.
The heart, consequently, is the beginning of life; the sun of the microcosm, even as the sun in his turn might well be designated the heart of the world; for it is the heart by whose virtue and pulse the blood is moved, perfected, made apt to nourish, and is preserved from corruption and coagulation ”

“ He had no conception of a circle of the blood beginning and ending in the heart. On the contrary, he regarded the liver as the fountain-head of the blood; and if he has any reference to a moving power in connexion with the heart, it is nothing more than the diastole or dilatation of the organ that is named—a passive state therefore considered as an active and efficient cause, which is absurd.
The first modern anatomist of high repute, who treats particularly of the motion of the blood, may be said to be Realdus Columbus ”

“ For every affection of the mind that is attended with either pain or pleasure, hope or fear, is the cause of an agitation whose influence extends to the heart, and there induces change from the natural constitution, in the temperature, the pulse and the rest, which impairing all nutrition in its source and abating the powers at large, it is no wonder that various forms of incurable disease in the extremities and in the trunk are the consequence, inasmuch as in such circumstances the whole body labours under the effects of vitiated nutrition and a want of native heat. ”

“ To our apprehension Harvey was as far above his fellows as the eye of poetic intelligence, that exultingly absorbs the beauties of the starry sky and the green earth, is above the mere physical sense that distinguishes light from dark. ”

“ For I was most intimately persuaded, that if I could make good my proposition before you and our College, illustrious by its numerous body of learned individuals, I had less to fear from others; I even ventured to hope that I should have the comfort of finding all that you had granted me in your sheer love of truth, conceded by others who were philosophers like yourselves. For true philosophers, who are only eager for truth and knowledge, never regard themselves as already so thoroughly informed, but that they welcome further information from whomsoever and from whencesoever it may come ”

“ It is rather curious, moreover, to find Harvey, in his work on Generation, not entirely escaping the pitfall of which he was so well aware, and which he shunned so successfully in his earlier production. In the work on the Heart, he sets out with the certainty that the whole of the notions of the ancients on the heart and blood are untenable; and then, taking Nature for his guide, his fine intellect never once suffers him to stray from the right path. ”

“ OF THE COURSE BY WHICH THE BLOOD IS CARRIED FROM THE VENA CAVA INTO THE ARTERIES, OR FROM THE RIGHT INTO THE LEFT VENTRICLE OF THE HEART. Since the intimate connexion of the heart with the lungs, which is apparent in the human subject, has been the probable cause of the errors that have been committed on this point, they plainly do amiss who, pretending to speak of the parts of animals generally, as anatomists for the most part do, confine their researches to the human body alone, and that when it is dead. ”

“ I would not charge with wilful falsehood any one who was sincerely anxious for truth, nor lay it to any one's door as a crime that he had fallen into error. I avow myself the partisan of truth alone; and I can indeed say that I have used all my endeavours, bestowed all my pains on an attempt to produce something that should be agreeable to the good, profitable to the learned, and useful to letters. ”

“ Harvey was a man of the most liberal education, and lived in an age when every man of liberal education wrote and conversed in Latin with ease at least, if not always with elegance. Harvey's Latin is generally easy, often elegant, and not unfrequently copious and imaginative; he never seems to feel in the least fettered by the language he is using.
Harvey, if eager in the acquirement of knowledge, was also ready at all times to communicate what he knew, "and," as Aubrey has it, "to instruct any that were modest and respectful to him. ”

“ Because the pulse of the arteries is derived from the impulse of the blood. Why does an artery differ so much from a vein in the thickness and strength of its coats? Because it sustains the shock of the impelling heart and streaming blood. Hence, as perfect nature does nothing in vain, and suffices under all circumstances, we find that the nearer the arteries are to the heart, the more do they differ from the veins in structure ”

“ If men's minds were once in danger of being led astray, it was only for an instant, and not so much through the opposition of enemies, as by an erroneous generalization, which a short interval of time sufficed to correct. Cæcilius Folius, a Venetian physician, having met with one of those anomalous instances of pervious foramen ovale in an adult, immediately and without looking farther, jumped to the conclusion that this structure or arrangement was normal, and that the blood passed in all cases by the route he had discovered, from the right to the left side of the heart. ”

“ Having thus accompanied Harvey over so much of the way in his mortal career, let us, before proceeding further, briefly advert to his Writings, to the influence they had in the republic of letters during his life-time, to the fruits they have since produced, and to the impression still made on the mind that holds communion through their means with the mind that dictated them so many years ago.—The intellectual endowment of a man necessarily appears in his writings; it is not always from them that so true a conception of his moral character can be formed. ”

“ But if in this experiment you say that a violence is done to nature, I do not doubt but that, if you proceed in the same way, only taking as great a length of vein as possible, and merely remark with what rapidity the blood flows upwards, and fills the vessel from below, you will come to the same conclusion. ”

“ Physiological science generally was not sufficiently advanced in Harvey's time to admit of a truly great and enduring work being produced on a subject so abstruse, and involving so many particulars as that of Generation. On the doctrine of the circulation the dawn had long been visible; Harvey came and the sun arose. On the subject of animal reproduction, all was night and darkness two centuries ago; and though the light has still been waxing in strength since Harvey wrote, it is only in these times that we have seen it brightening into something like the day. ”

“ Every animal that has lungs has therefore two ventricles to its heart, one right, another left; and wherever there is a right, there also is there a left ventricle; but the contrary of this does not hold good: where there is a left there is not always a right ventricle. The left ventricle I call that which is distinct in office, not in place from the other, that one namely which distributes the blood to the body at large, not to the lungs only. Hence the left ventricle seems to form the principal part of the heart ”

“ A drop of blood makes its appearance which palpitates, as Aristotle had already observed; from this, when the growth is further advanced and the chick is fashioned, the auricles of the heart are formed, which pulsating henceforth give constant signs of life. When at length, and after the lapse of a few days, the outline of the body begins to be distinguished, then is the ventricular part of the heart also produced; but it continues for a time white and apparently bloodless, like the rest of the animal; neither does it pulsate or give signs of motion. ”

“ I know not what has happened in the world unseen; but if I may judge from the records of history and the annals of fame, the spirit of Bacon, the spirits of Columbus, Copernicus and Newton have not been ashamed to welcome and associate with the congenial spirit of Harvey." To this fine passage there is little to be added: Harvey's discovery was of the rational and inductive and therefore higher class, according to our estimate; it was made in virtue of the intellectual powers which peculiarly distinguish man, possessed in a state of the highest perfection. ”

“ These have no heart, as not requiring any impeller of nourishment into the extreme parts; for they have bodies which are connate and homogeneous, and without limbs; so that by the contraction and relaxation of the whole body they assume and expel, move and remove the aliment. Oysters, mussels, sponges, and the whole genus of zoophytes or plant-animals have no heart; for the whole body is used as a heart, or the whole animal is a heart. In a great number of animals, almost the whole tribe of insects, we cannot see distinctly by reason of the smallness of the body ”

“ Whether or not the heart, besides propelling the blood, giving it motion locally, and distributing it to the body, adds anything else to it,—heat, spirit, perfection,—must be inquired into by and by, and decided upon other grounds. So much may suffice at this time, when it is shown that by the action of the heart the blood is transfused through the ventricles from the veins to the arteries, and distributed by them to all parts of the body. ”

“ If the finger be applied over the artery as it is pulsating by the edge of the fillet, at the moment of slackening it, the blood will be felt to glide through, as it were, underneath the finger; and he, too, upon whose arm the experiment is made, when the ligature is slackened, is distinctly conscious of a sensation of warmth, and of something, viz., a stream of blood suddenly making its way along the course of the vessels and diffusing itself through the hand, which at the same time begins to feel hot, and becomes distended. ”

“ THE MOTION AND CIRCULATION OF THE BLOOD ARE CONFIRMED FROM THE PARTICULARS APPARENT IN THE STRUCTURE OF THE HEART, AND FROM THOSE THINGS WHICH DISSECTION UNFOLDS. I do not find the heart as a distinct and separate part in all animals; some, indeed, such as the zoophytes, have no heart ”

“ So in the mesenteric veins of an animal we do not find either chyme or chyle and blood, blended together or distinct, but only blood, the same in colour, consistency, and other sensible properties, as it appears in the veins generally. Still as there is a certain though small and inappreciable proportion of chyle or unconcocted matter mingled with this blood, nature has interposed the liver, in whose meandering channels it suffers delay and undergoes additional change, lest arriving prematurely and crude at the heart, it should oppress the vital principle. ”

“ It becomes erect, hard, and of diminished size during its action; the motion is plainly of the same nature as that of the muscles when they contract in the line of their sinews and fibres; for the muscles, when in action, acquire vigour and tenseness, and from soft become hard, prominent and thickened: in the same manner the heart.
We are therefore authorized to conclude that the heart, at the moment of its action, is at once constricted on all sides, rendered thicker in its parietes and smaller in its ventricles, and so made apt to project or expel its charge of blood. ”

“ Thus nature, ever perfect and divine, doing nothing in vain, has neither given a heart where it was not required, nor produced it before its office had become necessary; but by the same stages in the development of every animal, passing through the constitutions of all, as I may say (ovum, worm, fœtus) , it acquires perfection in each. ”

“ The interpretation which successive generations of men give to a passage in a writer, some century or two old, is very apt to be in consonance with the state of knowledge at the time, in harmony with the prevailing ideas of the day, and, doubtless, often differs signally from the meaning that was in the mind of the man who composed it. The world saw nothing of the circulation of the blood in Servetus, Columbus, Cæsalpinus, or—Shakespeare, until after William Harvey had taught and written. ”

“ Nay, has not the blood itself or spirit an obscure palpitation inherent in it, which it has even appeared to me to retain after death? and it seems very questionable whether or not we are to say that life begins with the palpitation or beating of the heart. ”

“ The liver, on the contrary, remains at rest, and is never seen to be dilated and constricted. Lastly, if no one denies the possibility of the whole of the ingested juices passing through the liver, in man, oxen, and the larger animals generally, in order to reach the vena cava, and for this reason, that if nourishment is to go on, these juices must needs get into the veins, and there is no other way but the one indicated, why should not the same arguments be held of avail for the passage of the blood in adults through the lungs? ”

“ And then no one denies that the blood as such, even the portion of it which flows in the veins, is imbued with spirits. But if that portion which is contained in the arteries be richer in spirits, it is still to be believed that these spirits are inseparable from the blood, like those in the veins; that the blood and spirits constitute one body (like whey and butter in milk, or heat [and water] in hot water) , with which the arteries are charged, and for the distribution of which from the heart they are provided, and that this body is nothing else than blood. ”

“ In embryos, consequently, whilst the lungs are yet in a state of inaction, performing no function, subject to no motion any more than if they had not been present, nature uses the two ventricles of the heart as if they formed but one, for the transmission of the blood. ”

“ But as there are actually more animals which have no lungs than there are which be furnished with them, and in like manner a greater number which have only one ventricle than there are which have two, it is open to us to conclude, judging from the mass or multitude of living creatures, that for the major part, and generally, there is an open way by which the blood is transmitted from the veins through the sinuses or cavities of the heart into the arteries. ”

“ Neither is it true, as vulgarly believed, that the heart by any dilatation or motion of its own, has the power of drawing the blood into the ventricles; for when it acts and becomes tense, the blood is expelled; when it relaxes and sinks together it receives the blood in the manner and wise which will by and by be explained. ”

“ The Wills of great men have always been looked on as calculated to throw light on the character of their authors; and I have, therefore, great pleasure in presenting to the medical world, for the first time, the Will of William Harvey. ”