第25章

2In sanguineous animals the homogeneous or uniform part most universally found is the blood, and its habitat the vein; next in degree of universality, their analogues, lymph and fibre, and, that which chiefly constitutes the frame of animals, flesh and whatsoever in the several parts is analogous to flesh; then bone, and parts that are analogous to bone, as fish-bone and gristle; and then, again, skin, membrane, sinew, hair, nails, and whatever corresponds to these;and, furthermore, fat, suet, and the excretions: and the excretions are dung, phlegm, yellow bile, and black bile.

Now, as the nature of blood and the nature of the veins have all the appearance of being primitive, we must discuss their properties first of all, and all the more as some previous writers have treated them very unsatisfactorily. And the cause of the ignorance thus manifested is the extreme difficulty experienced in the way of observation. For in the dead bodies of animals the nature of the chief veins is undiscoverable, owing to the fact that they collapse at once when the blood leaves them; for the blood pours out of them in a stream, like liquid out of a vessel, since there is no blood separately situated by itself, except a little in the heart, but it is all lodged in the veins. In living animals it is impossible to inspect these parts, for of their very nature they are situated inside the body and out of sight. For this reason anatomists who have carried on their investigations on dead bodies in the dissecting room have failed to discover the chief roots of the veins, while those who have narrowly inspected bodies of living men reduced to extreme attenuation have arrived at conclusions regarding the origin of the veins from the manifestations visible externally. Of these investigators, Syennesis, the physician of Cyprus, writes as follows:-'The big veins run thus:-from the navel across the loins, along the back, past the lung, in under the breasts; one from right to left, and the other from left to right; that from the left, through the liver to the kidney and the testicle, that from the right, to the spleen and kidney and testicle, and from thence to the penis.'

Diogenes of Apollonia writes thus:-

'The veins in man are as follows:-There are two veins pre-eminent in magnitude. These extend through the belly along the backbone, one to right, one to left; either one to the leg on its own side, and upwards to the head, past the collar bones, through the throat. From these, veins extend all over the body, from that on the right hand to the right side and from that on the left hand to the left side; the most important ones, two in number, to the heart in the region of the backbone; other two a little higher up through the chest in underneath the armpit, each to the hand on its side: of these two, one being termed the vein splenitis, and the other the vein hepatitis. Each of the pair splits at its extremity; the one branches in the direction of the thumb and the other in the direction of the palm; and from these run off a number of minute veins branching off to the fingers and to all parts of the hand. Other veins, more minute, extend from the main veins; from that on the right towards the liver, from that on the left towards the spleen and the kidneys. The veins that run to the legs split at the juncture of the legs with the trunk and extend right down the thigh. The largest of these goes down the thigh at the back of it, and can be discerned and traced as a big one; the second one runs inside the thigh, not quite as big as the one just mentioned. After this they pass on along the knee to the shin and the foot (as the upper veins were described as passing towards the hands), and arrive at the sole of the foot, and from thence continue to the toes. Moreover, many delicate veins separate off from the great veins towards the stomach and towards the ribs.

'The veins that run through the throat to the head can be discerned and traced in the neck as large ones; and from each one of the two, where it terminates, there branch off a number of veins to the head; some from the right side towards the left, and some from the left side towards the right; and the two veins terminate near to each of the two ears. There is another pair of veins in the neck running along the big vein on either side, slightly less in size than the pair just spoken of, and with these the greater part of the veins in the head are connected. This other pair runs through the throat inside; and from either one of the two there extend veins in underneath the shoulder blade and towards the hands; and these appear alongside the veins splenitis and hepatitis as another pair of veins smaller in size. When there is a pain near the surface of the body, the physician lances these two latter veins; but when the pain is within and in the region of the stomach he lances the veins splenitis and hepatitis. And from these, other veins depart to run below the breasts.

'There is also another pair running on each side through the spinal marrow to the testicles, thin and delicate. There is, further, a pair running a little underneath the cuticle through the flesh to the kidneys, and these with men terminate at the testicle, and with women at the womb. These veins are termed the spermatic veins. The veins that leave the stomach are comparatively broad just as they leave; but they become gradually thinner, until they change over from right to left and from left to right.

'Blood is thickest when it is imbibed by the fleshy parts; when it is transmitted to the organs above-mentioned, it becomes thin, warm, and frothy.'