Page:EB1911 - Volume 01.djvu/975

From Wikisource
Jump to navigation Jump to search
This page has been validated.
922
ANATOMY
[HISTORY

is verboseness, prolixity and a great tendency to speculative opinions. For these reasons, as well as for others derived from internal evidence, while the Aphorisms, the Epidemics and the works above mentioned, bear distinct marks of being the genuine remains of Hippocrates, it is impossible to regard the book Περὶ φύσιος ἀνθρώπου as entirely the composition of that physician; and it appears more reasonable to view it as the work of some one of the numerous disciples to whom the author had communicated the results of his observation, which they unwisely attempted to combine with the philosophy of the Platonic school and their own mysterious opinions.

Among those who aimed at this distinction, the most fortunate in the preservation of his name is Polybus, the son-in-law of the physician of Cos. This person, who must not be confounded with the monarch of Corinth, immortalized by Sophocles in the tragic story of Oedipus, is represented as a recluse, severed from the world and its enjoyments, and devoting Polybus.himself to the study of anatomy and physiology, and to the composition of works on these subjects. To him has been ascribed the whole of the book on the Nature of the Child and most of that On Man; both physiological treatises interspersed with anatomical sketches. His anatomical information, with which we are specially concerned, appears to have been rude and inaccurate, like that of his preceptor. He represents the large vessels of the body as consisting of four pairs; the first proceeding from the head by the back of the neck and spinal cord to the hips, lower extremities and outer ankle; the second, consisting of the jugular vessels (αἱ σφαγίτιδες), proceeding to the loins, thighs, hams and inner ankle; the third proceeding from the temples by the neck to the scapula and lungs, and thence by mutual intercrossings to the spleen and left kidney, and the liver and right kidney, and finally to the rectum; and the fourth from the fore-part of the neck to the upper extremities, the fore-part of the trunk, and the organs of generation.

This specimen of the anatomical knowledge of one of the most illustrious of the Hippocratic disciples differs not essentially from that of Syennesis, the physician of Cyprus, and Diogenes, the philosopher of Apollonia, two authors for the preservation of whose opinions we are indebted to Aristotle. They may be admitted as representing the state of anatomical knowledge among the most enlightened men at that time, and they only show how rude and erroneous were their ideas on the structure of the animal body. It may indeed, without injustice, be said that the anatomy of the Hippocratic school is not only erroneous, but fanciful and imaginary in often substituting mere supposition and assertion for what ought to be matter of fact. From this censure it is impossible to exempt even the name of Plato himself, for whom some notices in the Timaeus on the structure of the animal body, as taught by Hippocrates and Polybus, have procured a place in the history of the science.

Amidst the general obscurity in which the early history of anatomy is involved, only two leading facts may be admitted with certainty. The first is, that previous to the time of Aristotle there was no accurate knowledge of anatomy; and the second, that all that was known was derived Aristotle.from the dissection of the lower animals only. By the appearance of Aristotle this species of knowledge, which was hitherto acquired in a desultory and irregular manner, began to be cultivated systematically and with a definite object; and among the services which the philosopher of Stagira rendered to mankind, one of the greatest and most substantial is, that he was the founder of Comparative Anatomy, and was the first to apply its facts to the elucidation of zoology. The works of this ardent and original naturalist show that his zootomical knowledge was extensive and often accurate; and from several of his descriptions it is impossible to doubt that they were derived from frequent personal dissection. Aristotle, who was born 384 years before the Christian era, or in the first year of the 99th Olympiad, was at the age of thirty-nine requested by Philip to undertake the education of his son Alexander. During this period it is said he composed several works on anatomy, which, however, are now lost. The military expedition of his royal pupil into Asia, by laying open the animal stores of that vast and little-known continent, furnished Aristotle with the means of extending his knowledge, not only of the animal tribes, but of their structure, and of communicating more accurate and distinct notions than were yet accessible to the world. A sum of 800 talents, and the concurrent aid of numerous intelligent assistants in Greece and Asia, were intended to facilitate his researches in composing a system of zoological knowledge; but it has been observed that the number of instances in which he was thus compelled to trust to the testimony of other observers led him to commit errors in description which personal observation might have enabled him to avoid.

The first three books of the History of Animals, a treatise consisting of ten books, and the four books on the Parts of Animals, constitute the great monument of the Aristotelian Anatomy. From these we find that Aristotle was the first who corrected the erroneous statements of Polybus, Syennesis and Diogenes regarding the blood-vessels, which they made, as we have seen, to arise from the head and brain. These he represents to be two in number, placed before the spinal column, the larger on the right, the smaller on the left, which, he also remarks, is by some called aorta (ἀορτή), the first time we observe that this epithet occurs in the history. Both he represents to arise from the heart, the larger from the largest upper cavity, the smaller or aorta from the middle cavity, but in a different manner and forming a narrower canal. He also distinguishes the thick, firm and more tendinous structure of the aorta from the thin and membranous structure of vein. In describing the distribution of the latter, however, he confounds the vena cava and pulmonary artery, and, as might be expected, he confounds the ramifications of the former with those of the arterial tubes in general. While he represents the lung to be liberally supplied with blood, he describes the brain as an organ almost destitute of this fluid. His account of the distribution of the aorta is wonderfully correct. Though he does not notice the coeliac, and remarks that the aorta sends no direct branches to the liver and spleen, he had observed the mesenteric, the renal and the common iliac arteries. It is nevertheless singular that though he remarks particularly that the renal branches of the aorta go to the substance and not the pelvis (κοιλία) of the kidney, he appears to mistake the ureters for branches of the aorta. Of the nerves (νευρά) he appears to have the most confused notions. Making them arise from the heart, which he says has nerves (tendons) in its largest cavity, he represents the aorta to be a nervous or tendinous vein (νευρώδης φλέψ). By and by, afterwards saying that all the articulated bones are connected by nerves, he makes them the same as ligaments.

He distinguishes the windpipe or air-holder (ἀρτηρία) from the oesophagus, because it is placed before the latter, because food or drink passing into it causes distressing cough and suffocation, and because there is no passage from the lung to the stomach. He knew the situation and use of the epiglottis, seems to have had some indistinct notions of the larynx, represents the windpipe to be necessary to convey air to and from the lungs, and appears to have a tolerable understanding of the structure of the lungs. He repeatedly represents the heart, the shape and site of which he describes accurately, to be the origin of the blood-vessels, in opposition to those who made them descend from the head; yet, though he represents it as full of blood and the source and fountain of that fluid, and even speaks of the blood flowing from the heart to the veins, and thence to every part of the body, he says nothing of the circular motion of the blood. The diaphragm he distinguishes by the name διάζωμα, and ὑπόζωμα. With the liver and spleen, and the whole alimentary canal, he seems well acquainted. The several parts of the quadruple stomach of the ruminating animals are distinguished and named; and he even traces the relations between the teeth and the several forms of stomach, and the length or brevity, the simplicity or complication of the intestinal tube. Upon the same principle he distinguishes the jejunum (ἡ νῆστις), or the empty portion of the small intestines in animals (τὸ ἔντερóν λεπτόν), the caecum (τυφλόν τι καὶ ὄγκωδες), the colon (τὸ κῶλον), and the sigmoid flexure