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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..6833f05 --- /dev/null +++ b/.gitattributes @@ -0,0 +1,3 @@ +* text=auto +*.txt text +*.md text diff --git a/19053-0.txt b/19053-0.txt new file mode 100644 index 0000000..6231b47 --- /dev/null +++ b/19053-0.txt @@ -0,0 +1,1330 @@ +Project Gutenberg's Theory of Circulation by Respiration, by Emma Willard + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Theory of Circulation by Respiration + Synopsis of its Principles and History + +Author: Emma Willard + +Release Date: August 15, 2006 [EBook #19053] + +Language: English + +Character set encoding: UTF-8 + +*** START OF THIS PROJECT GUTENBERG EBOOK THEORY OF CIRCULATION *** + + + + +Produced by Frank van Drogen, Laura Wisewell and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +book was produced from scanned images of public domain +material from the Google Print project.) + + + + + + + + THEORY + + OF + + CIRCULATION BY RESPIRATION. + + SYNOPSIS OF ITS PRINCIPLES AND HISTORY. + + + WRITTEN, BY REQUEST, + FOR THE "U. S. JOURNAL OF HOMÅ’OPATHY," + BY EMMA WILLARD. + + + NEW-YORK: + FRANCIS HART & CO. PRINTERS AND STATIONERS, 63 CORTLANDT STREET. + 1861. + + + + + THEORY + + OF + + CIRCULATION BY RESPIRATION. + + + + +SECTION I. + +First step in the discovery--Animal Heat the product of Respiration. + Second step--Heat evolved in the lungs by Respiration there produces + Expansion. Third step--Expansion; implied motion, which from the + organism must conduct the blood to the left ventricle of the Heart. + Theory imperfect, until the formation of sufficient vapor or steam + in the lungs is perceived and acknowledged. + +TO DR. MARCY.--In complying with your request to write for your journal +an article embodying my theory of the motive powers which produce the +circulation of the blood, together with some account of its rise and +progress, I obey what I regard as a call of duty; and thus requested, do +it with pleasure. + +But my theory, with its history, cannot thus be written without egotism. +Logicians say, that the way to convince others is to retrace, in order, +the steps by which you yourself became convinced, which is to be +egotistic. But in this case, there is a further reason: the scientific +discoverer must speak of the apparatus by which he experiments, and mine +was often my own physical frame. + +Twenty years ago, while yet my mind, laboring with this great subject, +was condemned + + "to drudge + Without a second and without a judge," + +you, sir, comprehended the hypothesis which has now become a theory, and +you waited not for others to speak, but you fully acknowledged its +truth; and although, in Hartford, as now in New-York, you were thronged +with practice, (then allopathic), you yet found time to furnish me with +added experiments, made in your office, confirmatory of its truth, which +by your permission were afterwards added in your name to my published +work. + +The first step in the theory occurred to my mind in the winter of 1822, +and while I was engaged in founding the Troy Female Seminary. Being in +attendance on a course of lectures on chemistry, and at the same time +teaching to a class Mrs. Marcett's excellent work on that subject, one +cold morning, as I was walking briskly up a hill, I said to myself, Why +do I grow warm? Whence comes this accession of caloric? It cannot be +transmitted to me from any object without, because every thing which +comes in contact with me is cold. Snow is under my feet, and frosty air +surrounds me; and, as to clothing, even the softest furs _impart_ no +warmth--they but keep from escaping that which comes from within. What +other method besides transmission is there of gaining heat? There is the +elimination of caloric, when, in substances chemically combining, weight +is gained and bulk is lost. Is there any such combination going on in +me? Yes; this atmospheric air, when I inspire it, has oxygen combined +with nitrogen; but when I expire, the oxygen has disappeared, and +heavier substances--carbonic acid gas and watery vapor--are returned in +its place. Thus, it must be, animal heat is evolved. It is the product +of respiration; and it is because I breathe faster and deeper, that more +carbon is oxidized or burned, and more heat is set free in my lungs; and +therefore I grow warm as I walk up this hill, though all around me is +cold. + +The mind, excited by new and great thoughts, works with unwonted energy; +and mine at once collected so many proofs, that I became perfectly +convinced of the truth of the hypothesis. In searching books, I found +that Lavoisier had taught the same; but he dying, his doctrine was +discarded by English chemists, Dr. Black leading the way, and therefore +it did not then appear in English systems of chemistry. But from that +time, I cherished it with a mother's devotion, watched changes in my own +physical frame relating to it, taught it to my pupils, and held warm +disputes with the medical faculty, who opposed and contemned it. + +In the summer of 1832, the Asiatic cholera appeared among us, appalling +every heart. This plague, I said, is a disease of coldness and +obstruction; and these doctors, wrong as they are on the subject of +animal heat, can never understand it--though, if Lavoisier were living, +he might. Let me, then, as best I may, consider anew the problem of heat +as produced by respiration, and see whether I cannot find out something +which has a bearing on the fatal coldness of this fearful disease. It is +into the lungs, and no where else, that breathing introduces atmospheric +air; and it is there that the oxidation of carbon or animal combustion +takes place. Thus must caloric be imparted to the blood in the lungs; +and in them is one-fifth of the blood of the system, of which +seven-eighths is water. + +The nature of heat is to expand all fluids. The blood in the lungs must, +therefore, expand; and if it expands, it must move; and if it moves, it +must, from the organism of the parts, move to the left ventricle of the +heart, into which the valvular system opens to give it a free +passage--whereas the valves of the right close against it. "Eureka!" I +mentally exclaimed; "I have found the _primum mobile_ of the circulation +of the blood." I had for years disbelieved that the heart's slight +mechanical impulse was that cause. In teaching Paley's "Natural +Theology," my mind had come in contact with the passage in which he +describes the heart's more than Herculean labors; and I said, "This is +altogether too much--the heart alone cannot perform all this--there must +be some other power," and an abiding desire to know what that power +could be, prepared me for receiving this great idea. But my mind was +agitated by it, as the sea is, when a great rock is thrown into its +waters. + +The cholera was then raging around me; and as I prepared to flee from it +to a mountain air, I confided to a scientific friend, Professor Twiss of +West Point, my hypothesis, which I regarded as probably the incipient +germ of an important discovery. + +But there was first the former theory to be disproved; and then there +were new points to be investigated and established. In the ensuing +winters of 1833, 4, and 5, I gave much attention to the subject, and +employed professors in my school in the departments of chemistry and +natural philosophy, who assisted me,--particularly by their ingenuity in +the construction of such simple pieces of apparatus as were needed. + +Thus we proved that, although the heart's action gives pulsation, it +does not necessarily give circulation. By an endless india-rubber tube, +filled with water, coiled upon a table and struck repeatedly at one +point, a pulsation was produced throughout, but no circulation. By +affixing the tube to a vessel of water, and laying it on an inclined +plane, the water ran through it in an equable current, making +circulation with pulsation. Clasping the hand upon the tube in +successive contractions, the fluid passed on _per saltem_, producing +circulation and pulsation united, but no acceleration of the current. +Now, add valves to the tube on each side of the opening hand, and you +will have the current--which is moving by gravitation, accelerated by +the hand's impulse, as the blood's current, first moved by respiration, +undoubtedly is by the heart's beat. + +The heart we regard as the grand regulator of the blood's flow; and it +is admirably situated for measuring out a regular portion of blood at +every contraction. John Bell, believing in the Harveian theory, said, +"It is awful to think of the unfixed position of the heart;" and +Dr. Arnott declared that "the heart, the heart alone, is the ragged +anomaly in the laws of fitness in mechanics." The heart was now seen to +have a right position; for it should swing loose that its moorings be +not endangered; and, as whatever impugns the Creator's unerring wisdom +must be wrong, so the presumption is, that whatever vindicates it must +be right. + +My hypothesis assumed the principle, that, if an endless hollow tube be +filled with a liquid, the liquid can be made to circulate perpetually, +if it be heated at one point and cooled before its return. A drawing of +the simple apparatus by which this problem was proved, is given in my +published work on "the Motive Powers, &c." The figure which represents +this apparatus gives the learner the most simple idea possible of the +connection of the respiratory and circulatory systems, and of the +combination of the two motive powers; the first, or chemical, coming +from the lungs, and the second, or mechanical, from the heart. + +Suppose the heart divided into right and left hearts by dissection at +the septum: the circulatory system might then be represented by an +endless tube. Let such an one, nine or ten feet in length, and of one +inch bore (to be filled with water) be placed upon a horizontal table. +Let an enlargement of the tube be made by a tin vessel to represent the +lungs, which shall contain about one-fifth part of the water. Let the +tube connected with the right side of the vessel have, at a little +distance from the vessel, a smaller enlargement, composed of +india-rubber, which can be grasped by the hand, to represent the heart's +right ventricle, with a valve on each side opening towards the tin +vessel, the two to represent the tricuspid and semi-lunar valves. Let +the whole be made nearly full of water; then, under the tin vessel +(representing the lungs), let a fire be made. As the water heats, it +will expand; and as the valve closes to the right, it will go off to the +left side of the vessel. But, as no water will come in from the right, +on account of the valves, there will be no current. Now let the hand +grasp the india-rubber, and the fluid between the valves being displaced +by its pressure, all the water will go towards the tin vessel, because, +while the valve representing the tricuspid would close, that +representing the semi-lunar (between the mimic heart and lungs) would +open--and very freely; because the expansion made by the heat under the +tin vessel had created a vacuum, and thus made a suction power to draw +it forward, while there is a driving power behind to force it onward +into the tin vessel. Then relaxing the hand, a vacuum will exist between +the two valves; and the valve in the rear of the current now begun (the +tricuspid) would open, and the water rush in to fill the vacuum in the +india-rubber ventricle, to be again pressed forward by the next grasp of +the hand; and thus--the fire (representing respiration) being kept up, +and the alternate grasping and relaxing of the hand (representing the +heart's regular impulse)--a perpetual circulation might be made to go +on;[1] but not without another condition of the problem. + +And it was in performing this experiment that a truth was discovered, +which, had it been known, many who have ignorantly lost their lives +might have preserved them. When the fluid in the apparatus became +equally, or nearly as much, heated at the extreme parts of the +circulating tube as at the heating vessel, then the motive power of +expansion ceased, and (the hand's impulse being too weak of itself to +carry it on) circulation failed; but it was restored by putting snow or +ice around the extreme parts of the tube. How often have we heard of +ladies who, having gone into warm baths, have been found dead by their +friends, or too nearly so, to be restored.[2] Through ignorance of the +cause, no right means would be taken to restore them, such as dashing +cold water upon the exterior, with simultaneous efforts to produce, in +fresh air and in proper position, such artificial respiration as leads +to the natural. Where no internal lesions have occurred, there is every +reason to believe that such measures might produce restoration. + +My imperfect machines gave me to see how much might be done for this +important part of physiology by a more perfect apparatus. Mine was +merely horizontal--but one might be made to take as many positions as +are natural to the human frame; and how many facts might such an one +elicit concerning the effects of position on the circulation, by which +lives might every day be saved! But skilful mechanicians, not ordinary +mechanics, are needed, who are men of intellectual capacity, and are +furnished with _carte-blanche_ for time and expense.[3] + +The years 1836-'7-'8 witnessed, on my part, several extraordinary and +fruitless efforts to get before the public the theory, of whose truth +and importance I was then fully convinced. In 1839, Dr. C. Smith, then +of Troy, an able medical lecturer, became a convert to the theory; and +showed me, in post mortem dissections, the organs of respiration and +circulation. At the close of that year, having carefully corrected and +made out copies of my manuscript theory, which I had before written, I +sent two to Paris--one to the two brothers, Drs. Edwards, members of the +French Institute, and one to my friend, Madame Belloc. I also sent one +to Edinburgh, to Dr. Abercrombie. Dr. Milne Edwards soon after wrote a +book, in which he made it a point to show that animals could live +several minutes without breathing; and Dr. Frederic Edwards wrote me a +short letter of objections to my theory, and adherence to that of +Harvey. This letter was copied and answered in my work published in +1846. + +About this time, Dr. Aikin, of Baltimore, wrote to me on the subject; +and showed, by calculations, that the mere gradual expansion of the +water of the blood was not sufficient, of itself, to produce a current +as rapid as that of the blood was proved to be, even on the lowest +estimate of its velocity. This did not shake my faith in the great fact +that circulation was created by respiration. It must be so; for in life, +such respiration as produces heat is the invariable antecedent of +circulation, and nothing else is. There was something, then, which +remained to be discovered. Again, I placed before me the conditions of +the great problem, and set myself intently to its study; and I soon +found what I thus sought, and then discerned for the first time that the +blood moves, as does the railroad car, by steam. John Bell, my favorite +author, had shown that the lungs work _in vacuo_. A great proportion of +the blood is water, which, in a vacuum, springs into vapor at 67°, and +the temperature of the blood in the lungs is 101°. Its expansion, then, +was not merely the gradual increase of bulk by transmitted heat, but +also that of instantaneous expansion, by the vaporization of so much of +it as is needed; and what expanded water could not do, steam certainly +could. At once, a throng of proofs came to my mind. The most apparent of +these was the vapor _expired_ breathing. I recollected how, in former +times, the stage horses, driven rapidly into my native village of a +winter morning, had clouds of vapor wreathing upward from their +nostrils, while the icicles of condensation were hanging below. The +nurse, who stands over the dying, holds a mirror before the mouth and +nose, and considers that life is only extinct when vapor ceases to be +formed. Then came to mind the solution of that great mystery of +physiology, why the arteries are empty at death, which so long hindered +the discovery finally made by Harvey. + +In the state in which chemistry was, even as late as the time of John +Bell, the chemical power of the heat produced by respiration at the +lungs could not have been understood. + + +SECTION II. + +Publication of the Theory, in 1846, in "A treatise on the Motive Powers + which produce the Circulation of the Blood." Its Reception: Critique + in the New York "Journal of Medicine," September, 1846. My Reply, in + the same Journal, March, 1847. + +TO DR. MARCY.--In the years immediately succeeding 1840, (in which year, +as you will recollect, I had the honor to receive your countenance and +advice respecting my theory,) I was almost exclusively devoted to the +revision and enlargement of my historical works; but early is 1846, +having determined on making the tour of the United States, I resolved +first to prepare my theory for the press. In the introduction, I +remarked, "The house of clay in which the mind dwells must receive a +portion of its care; and that which I have bestowed on mine has +proceeded on a belief in the truth of the theory herein advocated, as +undoubting as that in the laws of gravitation; and when any new fact, or +any remark of an author, relating to my theory came under my +observation, I noted it down and laid it by with its kindred. About to +set out on a long journey, and aware that my field of vision had thus +enlarged, I felt it my duty to put together the principal of my remarks, +that I might so leave the subject, that, in case anything should prevent +my return, it would be in a form equal to the present slate in which the +theory exists in my own mind." + +The time I had spent in devotion to this theory, the many rebuffs I had +met in seeking to promulgate it--sometimes, unhappily, affecting my +social life--had made painful the duty of publishing it. My historical +works had been received with favor; but I believed that, in publishing +this, it would be charged against me that I chose a subject unsuited to +my sex. I therefore said, in my preface, "This is not so much a subject +which I chose, as one which chooses me; and if the Father of Lights has +been pleased to reveal to me from the book of his physical truth a +sentence before unread, is it for me to suppose that it is for my +individual benefit? or is it for you, my reader, to turn away your ear +from hearing this truth, and charge its great Author with having +ill-chosen his instrument to communicate it?" + +As I passed southward on my journey, I left, March, 1846, my +manuscript in the hands of Wiley & Putnam, in N. York:[4] to be +published at my expense. During the six months in which I was absent +on my travels, my book was published; and the publishers sent copies, +as directed by me, to many of my personal friends, and to several +physicians. They sent other copies, which procured notices, some of +which were favorable, particularly one from the _London Critic_, and +others, the reverse. As few copies of the book sold, I was not +remunerated for the cost of publication. The copies sent to physicians +were mostly unacknowledged--received in cold, if not contemptuous, +silence. But my family physician, the worthy and learned Dr. Robbins, +to whom I dedicated the work, ever upheld me. He answered my questions, +gave me instructions, and showed me post-mortem dissections; and to +those who asked him if he believed in my theory, he wisely replied, +"Mrs. Willard is right as far as she goes." He knew that I made no +pretensions to understand the vast variety of medical subjects not +connected with the circulation, and that I never doubted his skill or +disputed his prescriptions. An honest man, and a skilful physician, he +deserved and had my unfailing confidence. And if, by reason of what I +knew, I had prolonged my life, he had the longer kept a good and +faithful patient. Lady-friends, to whom I had sent my work, had +sometimes referred it to their medical advisers; and thus Dr. Hiester, +an eminent physician of Reading, Pa., became a believer. And in the same +way, the eminent Dr. Cartwright, then of Natchez, and President of the +State Medical Association of Mississippi, came to a knowledge of those +principles, which, as we shall hereafter show, he so remarkably +elucidated. + +In September, 1846, the _New York Journal of Medicine_, then edited by +Dr. Charles A. Lee, contained a review or critique on my work, which, if +the history of the theory shall hereafter become a matter of special +interest, may, with my reply, contained in the March number of 1847, +furnish any examiner with the full state of the question at that period. + +The learned reviewer showed himself acquainted with the subject as it +then stood, and with its history in the past. He held that the heart's +action, "the contractile power of the cardiac walls," is the main spring +or _primum mobile_, from which the circulating force proceeds, +notwithstanding the great discrepancies as to what that force is; and +while he objected to my theory, that it did not show any distinct +measure of force, he said that, while Borelli estimated the contractive +power of the heart at 180,000 pounds, Keill stated it at five ounces, +Sir Charles Bell at 51 pounds, Carpenter at 51½, and Hales at 50. He +abandoned, however, Harvey's idea that the heart was the only organ of +circulation. He believed that it was assisted by the contractile power +of the arteries, by the movement of the ribs and chest in respiration, +by capillary attraction, muscular contraction in exercise, and several +other forces; one of which, the attraction of the venous blood for the +pulmonary cells, had been recently pointed out by Dr. Draper. The author +did not suppose he was bringing forward any new truths; "but," said he, +as an introduction to his account of my theory, "are we not sometimes in +danger of forsaking old truths for new theories?" + +Of my theory, he says: "The mere statement of it must satisfy our +readers that it is wholly untenable. It is well known that heat is +generated in every part of the system as well as the lungs. Whenever +oxygen and carbon unite, there it is developed; but it is imparted to +the _solids_ equally with the fluids; it maintains the temperature of +the whole body by radiations from the points where it is generated." ... +"It is believed that all those functions of the organism which are +necessary for the preservation of life, contribute directly or +indirectly to the production of animal heat; so that it is developed at +every point at which metamorphosis is occurring, and therefore not +merely in the lungs, but in the whole peripheral system." + +The writer then observes, that "the heat of the venous blood as it +reaches the right side of the heart (according to Davy), varies only two +or three degrees from that of the aorta. Granting, then, that the blood +receives three degrees in the lungs, it is very evident that the +expansion produced by it would be too small to be appreciable. The +cause, then, is insufficient to produce the effects." The writer gives +me credit for having ingeniously supported my theory, and then politely +bows me out of the department of physiology into my more appropriate +sphere of educating girls. + +In my reply, this sentence from Cuvier was chosen as a motto: +"Respiration is the function essential to the constitution of an animal +body; it is that which, in a manner, animalizes it; and we shall see +that animals exercise their peculiar functions more completely according +as they enjoy greater powers of respiration."[5] My reasoning was to +this effect: "It is in vain to say that cannot be, which is." When +two events are so conjoined in nature that one is the only invariable +antecedent of the other, then, according to all logic, we are bound to +conclude that the first is the physical cause of the second, even though +we cannot understand how it should be. Of the circulation, such living +respiration as produces heat is the invariable antecedent, and nothing +else is. The heart's action, as stated by our reviewer himself, is not +therefore respiration, and not the heart's action or anything else, is +the cause of the circulation. This argument is upheld by the fact that +circulation, varies not only as respiration, but as its products +digestion, strength, and, according to Cuvier, animal vitality vary. All +begin with respiration, end with it, and are as it is. If respiration +ceases, restore it before the organism is deranged, and they are all +restored. We must conclude, then, that respiration is the cause of +circulation, although we could not see how it should be. Much more, when +we discern a mighty power, that of expansion, and see how the Almighty +has made our frame in reference to its production by caloric--the lungs +allowing of heat within them like wet cloth, and the nerves, bones and +muscles all made and arranged, so that oxygen shall be brought to them +by respiration on the one hand, and carbon by the numerous digestive and +circulatory organs on the other. + +As to any deficiency of power, my reviewer had omitted to notice that +not only the ordinary expansion of the water of the blood by calorie had +been assumed, but also its vaporization, or the change of such a portion +as was needed into steam, the lungs being _in vacuo_; so that nature +here had not failed of her usual abundance. And had not this power been +kept in check by the pressure of the surrounding air hindering the +perfect vacuum of the lungs, there was reason to fear, rather its excess +than its deficiency. As to the reviewer's assertion that heat is +generated in every part of the system, and imparted to the _solids_ +equally with the fluids--that I positively denied, in the name of common +sense. For who does not know that, although there may be some heat +elaborated in the stomach, and some during the processes by which the +fluids change to solids, that the great source of heat to the system, is +in the fluid blood, and not in solid flesh or bone? Our senses of sight +and feeling show us, in the case of blushing, that heat comes and goes +with the blood. No one believes that the solid parts of his leg warm the +blood as much as it warms them. Finally, it discredited the old theory, +that it showed no adequate use for the great primary function of +respiration, and its constant attendant, animal heat. Breathing and +warmth are not ultimate ends. Man breathes to live; he does not live to +breathe. He is warm to live; he does not live merely to be warm. Our +theory shows that it is these primary agencies which sustain his being; +and it sets forth the manner in which they operate for this end. And +thus, while it indicates the wisdom of the Almighty in the formation of +the animal frame, it shows itself to be His true interpreter. + + +SECTION III. + +Uses of the Theory--Proofs.--Publication of a Work, in 1849, entitled + "Respiration and its Effects, more, especially in relation to + Asiatic Cholera and other Sinking Diseases."--Examples. + +TO DR. MARCY.--The theory of the two chief motive powers which operate +at the centre was, we conceive, completed by the addition of steam +formed in the vacuum of the lungs, as available to give to the blood its +due velocity. We also believe that complete proof _a priori_ had been +adduced of the fallacy of the theory that the _primum mobile_ is in the +heart; and, also, that proof _a priori_ had been given that it begins at +the lungs, and is the product of respiration. It remained to apply this +theory to use, and to find proofs _a posteriori_. + +Although some of my friends regarded my theory as an _ignis fatuus_ +which led me into nothing but evil, yet it has enabled me, by plans of +exercise, to endure for many years, in-door sedentary labor--and yet +enjoy health; and in unusual emergencies, more than once to save my own +life and that of others. + +In the cold winter of 1835, I took, at Troy, the old summer stage, at +midnight, to cross the Green Mountains. I was alone in the large and +ill-closed vehicle; the thermometer was sinking as I proceeded on my +way, until it had reached 25° below zero, a degree of cold to which I +had never before been subjected. When I had traveled alone twenty miles, +I found myself in imminent danger of perishing. Ordinary expedients to +get warmth were no longer availing; numbness and cold at the vitals were +overcoming me; and I knew that to give way to them was to die. I thought +of my theory; but I was fearful that I should commit sin if I tampered +with the sacred "breath of life." But my necessity was urgent, and I +aroused, stood up, and breathed that dense air with violence. It felt +for the moment cold to my lungs, but soon came heat with a rush, and +with it pain, as if the whole surface of the throat and lungs were +blistered; and my first thought was that I should die, justly punished +for my temerity. But soon I was restored to genial warmth; and rejoiced +in having successfully made an important physiological experiment. + +Afterwards, having been instrumental in relieving a woman who was +perishing from having breathed the fumes of charcoal, I was led to +reflect that in such cases there was something to be taken away from the +lungs, as well as warmth to be added. This woman's extreme coldness, and +feeble, fluttering pulse, showed that she was dying for want of right +breathing; and in her case there was no doubt that the cause was the +same as that of death by drowning. The carbonic acid gas which she had +inspired, being heavier than atmospheric air, settled as water in her +lungs, and in the same manner prevented the access of oxygen to their +living tissues. And hence arose the reflection that the ordinary +carbonic acid gas, which is always the residuum of respiration, might, +from weakness, settle in the lungs, and thus become the cause of disease +and death. The presence of carbonic acid in the lower bronchial tubes +and cells, existing in quantities sufficient to prevent the natural +combustion by breathing, was brought to my mind in March, 1847, while +searching for the cause of an agonizing paroxysm of sick headache. The +distressed feelings of obstructed life with which I was tossing and +struggling, together with the agonizing pain in the head and pressure on +the stomach, might well arise from such a cause. Standing (for position +is important) in a full current of air from an open window, I commenced +a species of violent artificial breathing, for the purpose of ejecting +the supposed heavy gas, and filling my lungs with pure air. This was +done by contracting the chest on every side to its smallest possible +dimensions, and at the same time throwing out the air violently and from +the bottom of the thorax, as if under the operation of an emetic; then +alternating by opening the chest to its greatest capacity, and drawing +in, by successive inhalations, all the fresh air possible, and pressing +it down to the lowest depths of the lungs. This process at first gave +such intensity and sharpness to the pain in the head, that it required +much resolution to continue it; nevertheless it was persevered in. After +a few minutes, the pain diminished, and soon entirely ceased. This was +followed by free perspiration, and equalized, warmth and circulation. +Perfect repose and quiet sleep ensued. Friends, who a short time before +had seen a countenance like that of a dying person, and knew how slow +was ordinary cure, were astonished, an hour afterwards, to behold, on my +awaking, the full glow of restored health.[6] + +On the re-appearance of cholera, during the summer of 1849, my mind was +peculiarly affected, from the belief that a false theory of circulation +prevailed, although there was a true theory, which, if generally +believed, might lead to the knowledge of the cause and cure of this +terrific malady; and thus thousands of lives be saved which would +otherwise be lost. This thought almost distracted me; and believing that +my sex stood in the way of my theory's being acknowledged, I sometimes +wished that it might please God to take me out of the world. Then coming +to better thoughts; I cast away despondency as unworthy of me; and +determined to proceed to the further investigation and development of +the great truth, of which I had, as I believed, been made the unworthy +recipient. I studied my theory anew, while I read the most approved +works on cholera; and I came to the belief that imperfect respiration, +caused by the want of due oxygen in the air, was the principal +predisposing cause of the premonitory symptoms; while the death that +supervened was often caused by the settling of carbonic acid gas, the +residuum of animal combustion, in the lower air-cells of the lungs. The +symptoms of the cholera, as treated by the best writers, were full of +new proofs of the truth of my theory, especially of its last step, the +formation of steam or vapor in the lungs. Without that, the collapse of +cholera was a fearful mystery; with it, everything was plain. With a +coldness that would collapse the lungs, the bowels must naturally be +drawn up (and with dreadful pains) to supply their place. The ghastly +change in the face must occur when cold has condensed its arterial +vapor. If respiration could restore heat, before any lesions had taken +place in the organism, the patient might recover. Then I began rewriting +my theory in a work afterwards published, with the title, "Respiration +and its Effects, especially in relation to Asiatic Cholera and other +Sinking Diseases." + +While thus occupied, the debilitating air of the season weighed upon my +health and spirits. I had been affected for about three days with what I +regarded as the ordinary complaints of the season, when one night, after +my family had retired, I found myself suddenly very ill--my symptoms +being coldness, debility, and spasmodic pains. I believed myself to be +attacked with cholera. I efficiently practised the artificial +respiration in fresh air as before described. Gaining strength as I +proceeded, I soon found a death-like coldness giving place to genial +warmth. Violent exercise, with artificial breathing, was kept up some +time, with such rests and full free breathings as nature required; after +which, I slept, perspired profusely, and was well in the morning. + +This was an occurrence which sunk deep into my mind; and the more so, as +I could not speak much of it, for the truth was too improbable to be +believed. But the successful issue of this, my first experiment upon the +dreaded disease, prepared me to act with boldness and efficiency in a +case which occurred in my own house about a week after. + +On the 14th of August, 1849, Jane Phayre, an Irish woman in my service, +of about twenty-five years of age, having been ill for four days with +diarrhÅ“a, was suddenly struck with what the French call cholera +_foudroyant_--from fright. Alarmed by unwonted sounds near her window in +a basement room, she mounted the window-seat to look out at the top +sash, and found her face close to that of a man dying of cholera, who in +his death-cramps was brought from a steamboat on a litter, and thus +rested upon the pavement. The cover was lifted from his face, and the +sight and the smell struck her with faintness and trembling; and with +difficulty she reached her bed. I was called to go to her quickly by +Eliza Fagan, who said that Jane was very bad. She had a clay-cold +death-look, and a frightful blackness around her eyes. Her face, as I +saw it, was livid, pinched in features, and corpse-like, and her pulse +but a feeble flutter; and she seemed only to breathe from the top of her +lungs. She tried, as she afterwards told me, to say, "I am dying," but +her speech was husky and inarticulate. She says her sight and hearing +were gone; and while Eliza and I were dragging her out of doors, she +could not see the window, and did not feel her feet. We placed her in an +upright position, with her back resting against a board-wall, a fresh +breeze blowing full in her face. Her senses were now partially restored. +I told her to breathe violently, for she must get the bad air out of her +lungs and the good air in; and I showed her how she must do it. At first +she said, "I can't, for something rises up in the inside." When I told +her, sternly, that her life depended on it, and she must, she tried to +obey me. At first, it gave her severe headache, but as soon as deep +breathing was fairly begun, while I was watching her face with intense +anxiety, the color changed from the clay-cold death-look to the full +flush of the warm hue of life, and she joyfully exclaimed, "Oh! I feel +well!" + +When the removal of carbonic acid gas had made way for oxygen to be +brought to the yet uninjured lungs, the carbon of the venous blood +ignited, the motive power was furnished, the blood was again moved +forward into the arterial system, and the dammed up venous current, +receiving the suction force, rushed on so violently as at times nearly +to produce suffocation; but the struggle was soon over, and the lungs, +free both from carbonic acid gas and an unnatural quantity of venous +blood, once more received pure air--and to the relieved sufferer +respiration became delightful--the circulation passed freely through an +unbroken system--and THE CHOLERA WAS CURED. + +Was there, in the whole wide world, another person besides myself who +would have taken such a living corpse, dragged it out of doors, and set +it upright, on feet which could not feel, with the expectation that it +might breathe out death, breathe in life, and be restored? The result is +a proof, _a posteriori_; that the theory on which the experiment was +made is true. + +Other cases occurred, where, under different circumstances, cures of +cholera were effected. One, as instantaneous, and in some respects as +remarkable as that of Jane Phayre, was that of my friend and former +pupil, Mrs. Gen. Gould, of Rochester, who sent for me, believing herself +to be dying of cholera. I have her letter, which, by permission, is +published in my work on Respiration; and also a letter from her +physician, Dr. Bloss, of Troy, testifying that her disease was cholera, +and that he had little hope of her restoration. This letter is published +in the appendix of a report on my theory, read in Buffalo, August 8th, +1851, to a convention of the New York State Association of Teachers. + +In my journeying to New York city, to attend their previous convention +in August, 1850, an accident obliged me to walk for some distance, in +the middle of a hot day. The convention sat in Hope Chapel, which was +poorly ventilated; and in the evening, I sat under a large gas-burner. +On entering my room at the New-York Hotel, which was on the ground +floor, situated where the only air was from a confined, central +enclosure, I perceived at the only window a strong smell of fresh paint +from the outer walls, so that I was obliged to close it. Being +excessively fatigued, I slept heavily--till at early dawn I awaked to +find myself in a dying state. Attempting to move my arms, they were like +lead by my side--and my breath was but a feeble gasp. Without the +knowledge of my theory--my bane, as many of my friends have thought--I +should then have had no antidote. But I knew where was the destroying +agent, and what was the only means by which I had a chance of removing +it; and I used the little strength I had left to breathe deeper, and +then to strive for a better position. Long and doubtful was the +struggle. It was ten o'clock when, with tottering steps, I got into a +carriage, and sought the free fresh air, which enabled me to take a +little food. In the evening, I went into the Teacher's Convention, +having first ordered from my publisher a sufficient number of my books +on Respiration to present one to each member; and then, at my request, a +Committee of Investigation was appointed by the convention to report on +my theory. They reported favorably to the succeeding convention at +Buffalo, which adopted the report, and I published and circulated it. +This committee I had been allowed to choose, and it consisted of my +friend, Prof. Twiss--the first believer in the theory--and Mr. Fellows, +that Professor of Natural Philosophy, who formerly assisted in making my +apparatus. + +Mr. Fellows carried the report to Buffalo, and when he read it in the +convention, editors immediately came to him to request copies for the +press. But, by the influence of physicians, they afterwards declined it +when offered. It seemed to be the general plan of the regular faculty +(in the Eastern, not the Western, States) to put the theory into a +condition resembling the algide state of cholera, where it would die of +coldness; but, by the aid of Divine Providence, it will, like its +author, restore itself by its own inherent vitality--the vitality of +immortal truth. + + +SECTION IV. + +Proofs from Dr. Cartwright's Great Experiments on + Alligators--Resuscitation of Dr. Ely's Child--Dr. Bowling, Editor of + the Nashville Medical Journal, endorses Dr. Washington, who, in that + journal, "crushes out" all Opposition to the Theory--Dr. Draper's + Acknowledgment of it in New York--HomÅ“opathists--Conclusion. + +TO DR. MARCY. Thus, for thirty years, had I maintained, not only without +public support, but against discouragements, these great truths, of +which I had been allowed for myself such life-giving evidence. But early +in December, 1851, Dr. Cartwright, then of New Orleans, announced in a +letter to me that he had publicly become my advocate. His name will ever +be connected with the theory, on account of the remarkable experiments +by which he demonstrated its truth. In the presence of eminent +physicians, and other scientific persons, he resuscitated an alligator +which had been killed by tying the trachea. After an hour, when neither +fire nor the dissecting knife produced signs of pain, Dr. Dowler[7] laid +bare the lungs and the heart. Then a hole was cut in the trachea, below +the ligature, and a blow-pipe was introduced, which Professor Forshey[7] +worked with violence. At length, a faint quivering of moving blood was +seen in the diaphanous veins of the lungs. The inflating process being +continued, the blood next began to run in streams from the lungs into +the quiescent heart. The heart began first to quiver, then to pulsate; +and signs of life elsewhere appearing, the animal began to move; and +soon, strong men could not hold him. Again they bound him to the table, +and kept the trachea tied until life was apparently extinct; when, again +inflating his lungs, he so thoroughly revived that he became dangerous, +snapping at everything, and breaking his cords. For the third time, the +trachea was ligatured--the animal expired, and was resuscitated. + +Dr. Cartwright says in his letter to me, published in the Boston Medical +Journal, January 7th, 1852, "By this resuscitation, your theory of the +motive power of the circulation of the blood was established beyond all +doubt or dispute." "This vivisection clearly proved that the _primum +mobile_ of the circulation, and the chief motive powers of the blood, +are in the lungs, and not in the heart." Dr. Cartwright mentioned, in +the same letter, a case in which his faith in my theory had saved the +life of a breathless infant--inducing him to unwonted perseverance in +inflating its lungs. + +Able opposers to the theory, however, arose in New Orleans, some of whom +believed that the resuscitation might have been effected by applications +to the nerves. Dr. Cartwright procured, from Gen. Jackson's battle +ground, another alligator, which was publicly killed and vivisected. The +doctor's opponents first tried their means to bring the animal to life, +and failed. Then he, by artificial respiration, restored the huge +reptile as before;--thus proving that artificial respiration could +restore suspended animation when nothing else could. + +Dr. Ely was one who had opposed and written against the theory. In the +meantime, his infant son had cholera, and expired. His medical friends +had left him, and crape was tied to the handle of the front door. +Standing by the side of his lifeless babe, Dr. Ely said to himself, "If +this theory should be true, I might yet save my child." And profiting by +the example of Dr. Cartwright in restoring the dead alligator, he +restored his child to life. Remitting his efforts too soon--again the +infant ceased to breathe. And again, and yet the third time, the father +restored him--when the resuscitation proved complete; and months after, +the child was living and in perfect health. Dr. Ely then came promptly +forward, and, like a nobly honest man, reported the case as convincing +evidence of a truth which he had formerly opposed.[8] + +Whoever wishes to know the history of theories concerning the motive +powers of the blood as they then stood, may learn them by looking over +files of the Boston Medical and Surgical Journal, edited by Dr. J. V. C. +Smith, for the years 1852-'53, and a part of 1854. Dr. Cartwright wrote +for it during those years; and, encouraged by his protection, I +frequently answered objections, which flowed in from various medical +opponents. The objection derived from the fÅ“tal circulation, I answered +thus, in the Journal, of May, 1852: "The change occurring at birth, so +far from falsifying this theory, affords presumptive proof of its truth. +When first the air enters the trachea of a new born infant, and animal +combustion begins, the inflation of the lungs must open the vessels and +vesicles prepared to receive the venous blood. To fill the new-made +vacuum, the whole of the blood from the right ventricle rushes through +the pulmonary tube, leaving none to go through the _ductus arteriosus_, +thus made useless, and henceforth to be abolished. But what is to move +the blood from the capillaries of the lungs? The heart's force, +insufficient before without aid from the mother's respiration, is now +divided, while its work is doubled. A new power must then be generated +by the meeting of the air with the carbon of the blood, enkindled by the +peculiar functional vitality of the lungs. Without such a power, no +perceptible cause exists sufficient to move the blood onward to the left +ventricle. But it is moved thither, and with a power which presses down +and closes the valve of the _foramen ovale_, thus clearly manifesting +that this current exceeds in force that in the right ventricle. Grant +that the new function of respiration has furnished a new power, and this +astonishing instantaneous metamorphosis from amphibious to mammalian +life becomes perfectly intelligible, and the wisdom of the Creator is +fully vindicated; showing that His work has been truly interpreted." + +In the _Boston Journal_, of April 21st, 1852, is an article from +Dr. Cartwright, entitled "Confirmation of the Willardian, or Important +American Discovery," in which the author endeavors to remove what +doubtless has been one cause of the delay in acknowledging its truth. +"Those members of the profession," he says, "whom science has only +_perfumed_, are the most apt 'to look down with proud disdain' on any +discovery originating 'with individuals not indoctrinated.' They do not +make the proper distinction between selfish quacks who seek publicity +'to line the pocket,' and those 'who, prompted by some mysterious +power,' come forward against their interest, and at the risk of their +reputation. 'Rather than to contemn and ridicule, it were better to +study the manifestations of that mysterious power.' They do not consider +that the truth thus brought to light, while they fail to acknowledge it, +is affording 'to selfish quackery' a capital to trade on." + +To the same effect is the advice given to the profession by Dr. B. F. +Washington, of Hannibal, Mo. He says, in the Nashville _Journal of +Medicine_, July, 1854, "it is time for us to be acting; the honor of the +profession is in danger. The theory of respiration is a truth which will +cut its way; and if we do not take it up and teach it, in a few years we +may see the mortifying spectacle of the community teaching the +profession scientific truths. Quacks have already taken it up, and we +have inhalers and air cures of various kinds."[9] + +The first appearance of Dr. Washington as the advocate of my theory was +in the _Nashville Journal_, March, 1854; and his fertile genius had +there brought a new illustration of its truth. It had, he said, opened +his eyes to the explanation of a fact which had puzzled him from his +boyhood. "In slaughtering animals, if the trachea was cut, scarcely any +hæmorrhage resulted; while, if that was left untouched, full hæmorrhage +occurred. By the Willardian theory, the fact is readily susceptible of +explanation. The blood, filling the trachea, suspended respiration, and +of course the impelling power of the blood was suspended, and the +hæmorrhage ceased. The engine could not work without steam. When the +trachea was not cut, respiration went on, and kept up the circulation, +until the animal was nearly exsanguineous, and the powers of life gave +way." This fact was clearly ascertained by Dr. W. K. Bowling, the +well-known editor of the _Nashville Journal_, and able professor of the +theory and practice of medicine in the university of that place. He sent +me the Journal containing this welcome endorsement of my theory from one +who was, as Dr. Bowling assured me, "an observer of superior tact and +learning," known by his medical compositions as well in Europe as +America. Since that time (March, 1854), that Journal, though not +excluding articles which oppose, has been understood to be in favor of +the theory. Dr. Washington has written repeatedly, answering all +objections;[10] and he has, in the Journal (as I have been assured by +one of the Editors), "crushed out all that would take up his glove, and +is left in undisputed possession of the field--looking in vain for an +opponent." + +In the meantime, in 1856, Dr. J. N. Draper, Professor of Chemistry and +Physiology in the University of New-York, in an elaborate work on "Human +Physiology," has agreed that Harvey's theory of the paramount power of +the heart's action in the circulation must be abandoned; and that to +respiration must be assigned "the great duty of originating the blood's +circulation."[11] + +Dr. Washington has not only defended me in every important position +which I have taken, and added new illustrations--but he has made the +theory available to showing new proofs of the wisdom of God in the +creation of man. Thus--steam is formed in the vacuum of the lungs at the +low temperature of 67°, while, if there were no vacuum, 212° of heat +would be required to produce it,--an impossible quantity, since it would +coagulate the albumen of the blood. But form the vacuum, and the boiling +of the blood with any degree of heat less than 101° could not cause any +such disaster, while the steam going off from the lungs through the +arterial system to the capillaries, gradually condenses, warming the +body by giving off its latent heat; and the latent heat of vapor is the +same however it is formed, and is always 1,114°. What divine wisdom and +economy are thus displayed! + +HomÅ“opathy has, we believe, never found any difficulty in receiving this +theory. We know that, at one of its conventions held in Providence, it +was ably supported; and Dr. Marcy, whom I have the honor to address, +was, as we have seen, one of its earliest defenders. He has never, +whether allopathist or homÅ“opathist, been known to hesitate when his own +mind brought him clear conclusions;--the distinguishing mark, according +to Dugald Stewart, of intrepidity of character. + + With profound respect, + EMMA WILLARD. + + +FOOTNOTES: + +[1] It is here seen what an important work this theory does for the +venous circulation, and why the blood moves into the lungs. We have read +of a theory which maintains that it goes there because there is a mutual +attraction between it and the capillaries of the lungs. But there is +none between the water in our tube and that in the tin vessel where +water is boiling; but it goes into it with a rush notwithstanding. +Because there is a strong suction power produced by expansion, no other +attraction is needed. The apparatus, as here described, goes no farther +than to represent the circulation in single-hearted animals. But in my +work is a drawing which shows the left heart on the opposite of the +mimic lungs from the right; and then how the same tube, by being folded +in the form of a figure eight (8), shows the two hearts united into one, +and both ventricles working by the same contractions to perform their +different tasks. + +[2] Mrs. B. Ogle Taylor, of Washington, formerly Miss Julia Dickinson, +of Troy, was thus found dead; and the late Mrs. Cass thus lost her life. +"She was seized," says a newspaper account, "in a hot bath, which she +had taken soon after eating." She lived an hour, unconscious, and the +physician said she died of congestion of the brain. How easily could +these highly intelligent ladies have kept themselves from danger, or +saved themselves when they felt it approaching, had they known and +understood these principles. For two reasons, in case of the failure of +the motive power from keeping the body too long in hot water, the blood +would be congested in the head. First, the head would not be immersed, +and, second, the last blood which the lungs sent forth would go to it. + +[3] What can the Smithsonian Institute do better to carry out the views +with which the benevolent Smithson gave his fortune, than thus to teach +mankind when life may, by free circulation, be made to confer +enjoyment--how it may be inadvertently destroyed--and how it may be +restored, when, by drowning or otherwise, it is suspended? Sudden deaths +often occur by mal-position. That of the late Secretary Marcy is +doubtless an example. After his blood was heated and his circulation +quickened, he laid himself down on his back, his head not raised. +Attention to the workings of such a piece of apparatus as might be made, +would have shown the fatal effects of such a position at such a time. + +[4] A young physician, whom I paid for correcting the proofs, was not +successful in preventing mistakes, especially in regard to numbers. + +[5] I had just been reading Cuvier, to see whether he believed in the +Harveian theory of the circulation. I found he did not. "The circulation +vortex," says he, "is sometimes simple, sometimes double and even triple +(including that of the vena porta); the rapidity of its movements is +often _aided_ by the contraction of a certain fleshy apparatus +denominated hearts." Thus showing that my theory gave to the heart all +the prominence that was given to it by this great philosopher, who had +not, however, advanced any opinion as to the cause of the circulation. + +[6] One of them, my lamented niece, Jane Porter Lincoln, at my request, +immediately wrote an account of the experiment, which is now in my +possession. + +[7] These physicians gave certificates of their witnessing and assisting +at this memorable experiment, which were published in the _Boston +Medical Journal_, February 1852. + +[8] Dr. Cartwright also reported the case in a letter which was +published in the _Boston Medical Journal_, September, 1852. This +resuscitation was more wonderful than those detailed in my published +work on "Respiration." All cases of life thus restored are proofs _a +posteriori_ of the truth of this theory of the arterial circulation. + +[9] Good systems of exercise have been made in some respectable +institutions for health, openly formed on the principles of this theory. +Such is that by Dr. Hamilton, of Saratoga. + +[10] When the time shall come that, the truth of my discovery being no +longer denied, its originality shall be contested, it will be a +significant fact that, in the _Nashville Journal_, of September, 1854, +is an article against it from a physician signing himself "Justicia," +which he thus heads, "The Willardian Notion." In evil report, it was +indisputably mine. This article also shows, that the Harveian theory is +still maintained by the opposers of mine. + +[11] See Draper's Physiology, p. 142. + + + + + +End of the Project Gutenberg EBook of Theory of Circulation by Respiration, by +Emma Willard + +*** END OF THIS PROJECT GUTENBERG EBOOK THEORY OF CIRCULATION *** + +***** This file should be named 19053-0.txt or 19053-0.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/1/9/0/5/19053/ + +Produced by Frank van Drogen, Laura Wisewell and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +book was produced from scanned images of public domain +material from the Google Print project.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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Thus, we do not necessarily +keep eBooks in compliance with any particular paper edition. + + +Most people start at our Web site which has the main PG search facility: + + http://www.gutenberg.org + +This Web site includes information about Project Gutenberg-tm, +including how to make donations to the Project Gutenberg Literary +Archive Foundation, how to help produce our new eBooks, and how to +subscribe to our email newsletter to hear about new eBooks. diff --git a/19053-0.zip b/19053-0.zip Binary files differnew file mode 100644 index 0000000..eec4fec --- /dev/null +++ b/19053-0.zip diff --git a/19053-8.txt b/19053-8.txt new file mode 100644 index 0000000..87eeec6 --- /dev/null +++ b/19053-8.txt @@ -0,0 +1,1330 @@ +Project Gutenberg's Theory of Circulation by Respiration, by Emma Willard + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Theory of Circulation by Respiration + Synopsis of its Principles and History + +Author: Emma Willard + +Release Date: August 15, 2006 [EBook #19053] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK THEORY OF CIRCULATION *** + + + + +Produced by Frank van Drogen, Laura Wisewell and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +book was produced from scanned images of public domain +material from the Google Print project.) + + + + + + + + THEORY + + OF + + CIRCULATION BY RESPIRATION. + + SYNOPSIS OF ITS PRINCIPLES AND HISTORY. + + + WRITTEN, BY REQUEST, + FOR THE "U. S. JOURNAL OF HOMOEOPATHY," + BY EMMA WILLARD. + + + NEW-YORK: + FRANCIS HART & CO. PRINTERS AND STATIONERS, 63 CORTLANDT STREET. + 1861. + + + + + THEORY + + OF + + CIRCULATION BY RESPIRATION. + + + + +SECTION I. + +First step in the discovery--Animal Heat the product of Respiration. + Second step--Heat evolved in the lungs by Respiration there produces + Expansion. Third step--Expansion; implied motion, which from the + organism must conduct the blood to the left ventricle of the Heart. + Theory imperfect, until the formation of sufficient vapor or steam + in the lungs is perceived and acknowledged. + +TO DR. MARCY.--In complying with your request to write for your journal +an article embodying my theory of the motive powers which produce the +circulation of the blood, together with some account of its rise and +progress, I obey what I regard as a call of duty; and thus requested, do +it with pleasure. + +But my theory, with its history, cannot thus be written without egotism. +Logicians say, that the way to convince others is to retrace, in order, +the steps by which you yourself became convinced, which is to be +egotistic. But in this case, there is a further reason: the scientific +discoverer must speak of the apparatus by which he experiments, and mine +was often my own physical frame. + +Twenty years ago, while yet my mind, laboring with this great subject, +was condemned + + "to drudge + Without a second and without a judge," + +you, sir, comprehended the hypothesis which has now become a theory, and +you waited not for others to speak, but you fully acknowledged its +truth; and although, in Hartford, as now in New-York, you were thronged +with practice, (then allopathic), you yet found time to furnish me with +added experiments, made in your office, confirmatory of its truth, which +by your permission were afterwards added in your name to my published +work. + +The first step in the theory occurred to my mind in the winter of 1822, +and while I was engaged in founding the Troy Female Seminary. Being in +attendance on a course of lectures on chemistry, and at the same time +teaching to a class Mrs. Marcett's excellent work on that subject, one +cold morning, as I was walking briskly up a hill, I said to myself, Why +do I grow warm? Whence comes this accession of caloric? It cannot be +transmitted to me from any object without, because every thing which +comes in contact with me is cold. Snow is under my feet, and frosty air +surrounds me; and, as to clothing, even the softest furs _impart_ no +warmth--they but keep from escaping that which comes from within. What +other method besides transmission is there of gaining heat? There is the +elimination of caloric, when, in substances chemically combining, weight +is gained and bulk is lost. Is there any such combination going on in +me? Yes; this atmospheric air, when I inspire it, has oxygen combined +with nitrogen; but when I expire, the oxygen has disappeared, and +heavier substances--carbonic acid gas and watery vapor--are returned in +its place. Thus, it must be, animal heat is evolved. It is the product +of respiration; and it is because I breathe faster and deeper, that more +carbon is oxidized or burned, and more heat is set free in my lungs; and +therefore I grow warm as I walk up this hill, though all around me is +cold. + +The mind, excited by new and great thoughts, works with unwonted energy; +and mine at once collected so many proofs, that I became perfectly +convinced of the truth of the hypothesis. In searching books, I found +that Lavoisier had taught the same; but he dying, his doctrine was +discarded by English chemists, Dr. Black leading the way, and therefore +it did not then appear in English systems of chemistry. But from that +time, I cherished it with a mother's devotion, watched changes in my own +physical frame relating to it, taught it to my pupils, and held warm +disputes with the medical faculty, who opposed and contemned it. + +In the summer of 1832, the Asiatic cholera appeared among us, appalling +every heart. This plague, I said, is a disease of coldness and +obstruction; and these doctors, wrong as they are on the subject of +animal heat, can never understand it--though, if Lavoisier were living, +he might. Let me, then, as best I may, consider anew the problem of heat +as produced by respiration, and see whether I cannot find out something +which has a bearing on the fatal coldness of this fearful disease. It is +into the lungs, and no where else, that breathing introduces atmospheric +air; and it is there that the oxidation of carbon or animal combustion +takes place. Thus must caloric be imparted to the blood in the lungs; +and in them is one-fifth of the blood of the system, of which +seven-eighths is water. + +The nature of heat is to expand all fluids. The blood in the lungs must, +therefore, expand; and if it expands, it must move; and if it moves, it +must, from the organism of the parts, move to the left ventricle of the +heart, into which the valvular system opens to give it a free +passage--whereas the valves of the right close against it. "Eureka!" I +mentally exclaimed; "I have found the _primum mobile_ of the circulation +of the blood." I had for years disbelieved that the heart's slight +mechanical impulse was that cause. In teaching Paley's "Natural +Theology," my mind had come in contact with the passage in which he +describes the heart's more than Herculean labors; and I said, "This is +altogether too much--the heart alone cannot perform all this--there must +be some other power," and an abiding desire to know what that power +could be, prepared me for receiving this great idea. But my mind was +agitated by it, as the sea is, when a great rock is thrown into its +waters. + +The cholera was then raging around me; and as I prepared to flee from it +to a mountain air, I confided to a scientific friend, Professor Twiss of +West Point, my hypothesis, which I regarded as probably the incipient +germ of an important discovery. + +But there was first the former theory to be disproved; and then there +were new points to be investigated and established. In the ensuing +winters of 1833, 4, and 5, I gave much attention to the subject, and +employed professors in my school in the departments of chemistry and +natural philosophy, who assisted me,--particularly by their ingenuity in +the construction of such simple pieces of apparatus as were needed. + +Thus we proved that, although the heart's action gives pulsation, it +does not necessarily give circulation. By an endless india-rubber tube, +filled with water, coiled upon a table and struck repeatedly at one +point, a pulsation was produced throughout, but no circulation. By +affixing the tube to a vessel of water, and laying it on an inclined +plane, the water ran through it in an equable current, making +circulation with pulsation. Clasping the hand upon the tube in +successive contractions, the fluid passed on _per saltem_, producing +circulation and pulsation united, but no acceleration of the current. +Now, add valves to the tube on each side of the opening hand, and you +will have the current--which is moving by gravitation, accelerated by +the hand's impulse, as the blood's current, first moved by respiration, +undoubtedly is by the heart's beat. + +The heart we regard as the grand regulator of the blood's flow; and it +is admirably situated for measuring out a regular portion of blood at +every contraction. John Bell, believing in the Harveian theory, said, +"It is awful to think of the unfixed position of the heart;" and +Dr. Arnott declared that "the heart, the heart alone, is the ragged +anomaly in the laws of fitness in mechanics." The heart was now seen to +have a right position; for it should swing loose that its moorings be +not endangered; and, as whatever impugns the Creator's unerring wisdom +must be wrong, so the presumption is, that whatever vindicates it must +be right. + +My hypothesis assumed the principle, that, if an endless hollow tube be +filled with a liquid, the liquid can be made to circulate perpetually, +if it be heated at one point and cooled before its return. A drawing of +the simple apparatus by which this problem was proved, is given in my +published work on "the Motive Powers, &c." The figure which represents +this apparatus gives the learner the most simple idea possible of the +connection of the respiratory and circulatory systems, and of the +combination of the two motive powers; the first, or chemical, coming +from the lungs, and the second, or mechanical, from the heart. + +Suppose the heart divided into right and left hearts by dissection at +the septum: the circulatory system might then be represented by an +endless tube. Let such an one, nine or ten feet in length, and of one +inch bore (to be filled with water) be placed upon a horizontal table. +Let an enlargement of the tube be made by a tin vessel to represent the +lungs, which shall contain about one-fifth part of the water. Let the +tube connected with the right side of the vessel have, at a little +distance from the vessel, a smaller enlargement, composed of +india-rubber, which can be grasped by the hand, to represent the heart's +right ventricle, with a valve on each side opening towards the tin +vessel, the two to represent the tricuspid and semi-lunar valves. Let +the whole be made nearly full of water; then, under the tin vessel +(representing the lungs), let a fire be made. As the water heats, it +will expand; and as the valve closes to the right, it will go off to the +left side of the vessel. But, as no water will come in from the right, +on account of the valves, there will be no current. Now let the hand +grasp the india-rubber, and the fluid between the valves being displaced +by its pressure, all the water will go towards the tin vessel, because, +while the valve representing the tricuspid would close, that +representing the semi-lunar (between the mimic heart and lungs) would +open--and very freely; because the expansion made by the heat under the +tin vessel had created a vacuum, and thus made a suction power to draw +it forward, while there is a driving power behind to force it onward +into the tin vessel. Then relaxing the hand, a vacuum will exist between +the two valves; and the valve in the rear of the current now begun (the +tricuspid) would open, and the water rush in to fill the vacuum in the +india-rubber ventricle, to be again pressed forward by the next grasp of +the hand; and thus--the fire (representing respiration) being kept up, +and the alternate grasping and relaxing of the hand (representing the +heart's regular impulse)--a perpetual circulation might be made to go +on;[1] but not without another condition of the problem. + +And it was in performing this experiment that a truth was discovered, +which, had it been known, many who have ignorantly lost their lives +might have preserved them. When the fluid in the apparatus became +equally, or nearly as much, heated at the extreme parts of the +circulating tube as at the heating vessel, then the motive power of +expansion ceased, and (the hand's impulse being too weak of itself to +carry it on) circulation failed; but it was restored by putting snow or +ice around the extreme parts of the tube. How often have we heard of +ladies who, having gone into warm baths, have been found dead by their +friends, or too nearly so, to be restored.[2] Through ignorance of the +cause, no right means would be taken to restore them, such as dashing +cold water upon the exterior, with simultaneous efforts to produce, in +fresh air and in proper position, such artificial respiration as leads +to the natural. Where no internal lesions have occurred, there is every +reason to believe that such measures might produce restoration. + +My imperfect machines gave me to see how much might be done for this +important part of physiology by a more perfect apparatus. Mine was +merely horizontal--but one might be made to take as many positions as +are natural to the human frame; and how many facts might such an one +elicit concerning the effects of position on the circulation, by which +lives might every day be saved! But skilful mechanicians, not ordinary +mechanics, are needed, who are men of intellectual capacity, and are +furnished with _carte-blanche_ for time and expense.[3] + +The years 1836-'7-'8 witnessed, on my part, several extraordinary and +fruitless efforts to get before the public the theory, of whose truth +and importance I was then fully convinced. In 1839, Dr. C. Smith, then +of Troy, an able medical lecturer, became a convert to the theory; and +showed me, in post mortem dissections, the organs of respiration and +circulation. At the close of that year, having carefully corrected and +made out copies of my manuscript theory, which I had before written, I +sent two to Paris--one to the two brothers, Drs. Edwards, members of the +French Institute, and one to my friend, Madame Belloc. I also sent one +to Edinburgh, to Dr. Abercrombie. Dr. Milne Edwards soon after wrote a +book, in which he made it a point to show that animals could live +several minutes without breathing; and Dr. Frederic Edwards wrote me a +short letter of objections to my theory, and adherence to that of +Harvey. This letter was copied and answered in my work published in +1846. + +About this time, Dr. Aikin, of Baltimore, wrote to me on the subject; +and showed, by calculations, that the mere gradual expansion of the +water of the blood was not sufficient, of itself, to produce a current +as rapid as that of the blood was proved to be, even on the lowest +estimate of its velocity. This did not shake my faith in the great fact +that circulation was created by respiration. It must be so; for in life, +such respiration as produces heat is the invariable antecedent of +circulation, and nothing else is. There was something, then, which +remained to be discovered. Again, I placed before me the conditions of +the great problem, and set myself intently to its study; and I soon +found what I thus sought, and then discerned for the first time that the +blood moves, as does the railroad car, by steam. John Bell, my favorite +author, had shown that the lungs work _in vacuo_. A great proportion of +the blood is water, which, in a vacuum, springs into vapor at 67°, and +the temperature of the blood in the lungs is 101°. Its expansion, then, +was not merely the gradual increase of bulk by transmitted heat, but +also that of instantaneous expansion, by the vaporization of so much of +it as is needed; and what expanded water could not do, steam certainly +could. At once, a throng of proofs came to my mind. The most apparent of +these was the vapor _expired_ breathing. I recollected how, in former +times, the stage horses, driven rapidly into my native village of a +winter morning, had clouds of vapor wreathing upward from their +nostrils, while the icicles of condensation were hanging below. The +nurse, who stands over the dying, holds a mirror before the mouth and +nose, and considers that life is only extinct when vapor ceases to be +formed. Then came to mind the solution of that great mystery of +physiology, why the arteries are empty at death, which so long hindered +the discovery finally made by Harvey. + +In the state in which chemistry was, even as late as the time of John +Bell, the chemical power of the heat produced by respiration at the +lungs could not have been understood. + + +SECTION II. + +Publication of the Theory, in 1846, in "A treatise on the Motive Powers + which produce the Circulation of the Blood." Its Reception: Critique + in the New York "Journal of Medicine," September, 1846. My Reply, in + the same Journal, March, 1847. + +TO DR. MARCY.--In the years immediately succeeding 1840, (in which year, +as you will recollect, I had the honor to receive your countenance and +advice respecting my theory,) I was almost exclusively devoted to the +revision and enlargement of my historical works; but early is 1846, +having determined on making the tour of the United States, I resolved +first to prepare my theory for the press. In the introduction, I +remarked, "The house of clay in which the mind dwells must receive a +portion of its care; and that which I have bestowed on mine has +proceeded on a belief in the truth of the theory herein advocated, as +undoubting as that in the laws of gravitation; and when any new fact, or +any remark of an author, relating to my theory came under my +observation, I noted it down and laid it by with its kindred. About to +set out on a long journey, and aware that my field of vision had thus +enlarged, I felt it my duty to put together the principal of my remarks, +that I might so leave the subject, that, in case anything should prevent +my return, it would be in a form equal to the present slate in which the +theory exists in my own mind." + +The time I had spent in devotion to this theory, the many rebuffs I had +met in seeking to promulgate it--sometimes, unhappily, affecting my +social life--had made painful the duty of publishing it. My historical +works had been received with favor; but I believed that, in publishing +this, it would be charged against me that I chose a subject unsuited to +my sex. I therefore said, in my preface, "This is not so much a subject +which I chose, as one which chooses me; and if the Father of Lights has +been pleased to reveal to me from the book of his physical truth a +sentence before unread, is it for me to suppose that it is for my +individual benefit? or is it for you, my reader, to turn away your ear +from hearing this truth, and charge its great Author with having +ill-chosen his instrument to communicate it?" + +As I passed southward on my journey, I left, March, 1846, my +manuscript in the hands of Wiley & Putnam, in N. York:[4] to be +published at my expense. During the six months in which I was absent +on my travels, my book was published; and the publishers sent copies, +as directed by me, to many of my personal friends, and to several +physicians. They sent other copies, which procured notices, some of +which were favorable, particularly one from the _London Critic_, and +others, the reverse. As few copies of the book sold, I was not +remunerated for the cost of publication. The copies sent to physicians +were mostly unacknowledged--received in cold, if not contemptuous, +silence. But my family physician, the worthy and learned Dr. Robbins, +to whom I dedicated the work, ever upheld me. He answered my questions, +gave me instructions, and showed me post-mortem dissections; and to +those who asked him if he believed in my theory, he wisely replied, +"Mrs. Willard is right as far as she goes." He knew that I made no +pretensions to understand the vast variety of medical subjects not +connected with the circulation, and that I never doubted his skill or +disputed his prescriptions. An honest man, and a skilful physician, he +deserved and had my unfailing confidence. And if, by reason of what I +knew, I had prolonged my life, he had the longer kept a good and +faithful patient. Lady-friends, to whom I had sent my work, had +sometimes referred it to their medical advisers; and thus Dr. Hiester, +an eminent physician of Reading, Pa., became a believer. And in the same +way, the eminent Dr. Cartwright, then of Natchez, and President of the +State Medical Association of Mississippi, came to a knowledge of those +principles, which, as we shall hereafter show, he so remarkably +elucidated. + +In September, 1846, the _New York Journal of Medicine_, then edited by +Dr. Charles A. Lee, contained a review or critique on my work, which, if +the history of the theory shall hereafter become a matter of special +interest, may, with my reply, contained in the March number of 1847, +furnish any examiner with the full state of the question at that period. + +The learned reviewer showed himself acquainted with the subject as it +then stood, and with its history in the past. He held that the heart's +action, "the contractile power of the cardiac walls," is the main spring +or _primum mobile_, from which the circulating force proceeds, +notwithstanding the great discrepancies as to what that force is; and +while he objected to my theory, that it did not show any distinct +measure of force, he said that, while Borelli estimated the contractive +power of the heart at 180,000 pounds, Keill stated it at five ounces, +Sir Charles Bell at 51 pounds, Carpenter at 51½, and Hales at 50. He +abandoned, however, Harvey's idea that the heart was the only organ of +circulation. He believed that it was assisted by the contractile power +of the arteries, by the movement of the ribs and chest in respiration, +by capillary attraction, muscular contraction in exercise, and several +other forces; one of which, the attraction of the venous blood for the +pulmonary cells, had been recently pointed out by Dr. Draper. The author +did not suppose he was bringing forward any new truths; "but," said he, +as an introduction to his account of my theory, "are we not sometimes in +danger of forsaking old truths for new theories?" + +Of my theory, he says: "The mere statement of it must satisfy our +readers that it is wholly untenable. It is well known that heat is +generated in every part of the system as well as the lungs. Whenever +oxygen and carbon unite, there it is developed; but it is imparted to +the _solids_ equally with the fluids; it maintains the temperature of +the whole body by radiations from the points where it is generated." ... +"It is believed that all those functions of the organism which are +necessary for the preservation of life, contribute directly or +indirectly to the production of animal heat; so that it is developed at +every point at which metamorphosis is occurring, and therefore not +merely in the lungs, but in the whole peripheral system." + +The writer then observes, that "the heat of the venous blood as it +reaches the right side of the heart (according to Davy), varies only two +or three degrees from that of the aorta. Granting, then, that the blood +receives three degrees in the lungs, it is very evident that the +expansion produced by it would be too small to be appreciable. The +cause, then, is insufficient to produce the effects." The writer gives +me credit for having ingeniously supported my theory, and then politely +bows me out of the department of physiology into my more appropriate +sphere of educating girls. + +In my reply, this sentence from Cuvier was chosen as a motto: +"Respiration is the function essential to the constitution of an animal +body; it is that which, in a manner, animalizes it; and we shall see +that animals exercise their peculiar functions more completely according +as they enjoy greater powers of respiration."[5] My reasoning was to +this effect: "It is in vain to say that cannot be, which is." When +two events are so conjoined in nature that one is the only invariable +antecedent of the other, then, according to all logic, we are bound to +conclude that the first is the physical cause of the second, even though +we cannot understand how it should be. Of the circulation, such living +respiration as produces heat is the invariable antecedent, and nothing +else is. The heart's action, as stated by our reviewer himself, is not +therefore respiration, and not the heart's action or anything else, is +the cause of the circulation. This argument is upheld by the fact that +circulation, varies not only as respiration, but as its products +digestion, strength, and, according to Cuvier, animal vitality vary. All +begin with respiration, end with it, and are as it is. If respiration +ceases, restore it before the organism is deranged, and they are all +restored. We must conclude, then, that respiration is the cause of +circulation, although we could not see how it should be. Much more, when +we discern a mighty power, that of expansion, and see how the Almighty +has made our frame in reference to its production by caloric--the lungs +allowing of heat within them like wet cloth, and the nerves, bones and +muscles all made and arranged, so that oxygen shall be brought to them +by respiration on the one hand, and carbon by the numerous digestive and +circulatory organs on the other. + +As to any deficiency of power, my reviewer had omitted to notice that +not only the ordinary expansion of the water of the blood by calorie had +been assumed, but also its vaporization, or the change of such a portion +as was needed into steam, the lungs being _in vacuo_; so that nature +here had not failed of her usual abundance. And had not this power been +kept in check by the pressure of the surrounding air hindering the +perfect vacuum of the lungs, there was reason to fear, rather its excess +than its deficiency. As to the reviewer's assertion that heat is +generated in every part of the system, and imparted to the _solids_ +equally with the fluids--that I positively denied, in the name of common +sense. For who does not know that, although there may be some heat +elaborated in the stomach, and some during the processes by which the +fluids change to solids, that the great source of heat to the system, is +in the fluid blood, and not in solid flesh or bone? Our senses of sight +and feeling show us, in the case of blushing, that heat comes and goes +with the blood. No one believes that the solid parts of his leg warm the +blood as much as it warms them. Finally, it discredited the old theory, +that it showed no adequate use for the great primary function of +respiration, and its constant attendant, animal heat. Breathing and +warmth are not ultimate ends. Man breathes to live; he does not live to +breathe. He is warm to live; he does not live merely to be warm. Our +theory shows that it is these primary agencies which sustain his being; +and it sets forth the manner in which they operate for this end. And +thus, while it indicates the wisdom of the Almighty in the formation of +the animal frame, it shows itself to be His true interpreter. + + +SECTION III. + +Uses of the Theory--Proofs.--Publication of a Work, in 1849, entitled + "Respiration and its Effects, more, especially in relation to + Asiatic Cholera and other Sinking Diseases."--Examples. + +TO DR. MARCY.--The theory of the two chief motive powers which operate +at the centre was, we conceive, completed by the addition of steam +formed in the vacuum of the lungs, as available to give to the blood its +due velocity. We also believe that complete proof _a priori_ had been +adduced of the fallacy of the theory that the _primum mobile_ is in the +heart; and, also, that proof _a priori_ had been given that it begins at +the lungs, and is the product of respiration. It remained to apply this +theory to use, and to find proofs _a posteriori_. + +Although some of my friends regarded my theory as an _ignis fatuus_ +which led me into nothing but evil, yet it has enabled me, by plans of +exercise, to endure for many years, in-door sedentary labor--and yet +enjoy health; and in unusual emergencies, more than once to save my own +life and that of others. + +In the cold winter of 1835, I took, at Troy, the old summer stage, at +midnight, to cross the Green Mountains. I was alone in the large and +ill-closed vehicle; the thermometer was sinking as I proceeded on my +way, until it had reached 25° below zero, a degree of cold to which I +had never before been subjected. When I had traveled alone twenty miles, +I found myself in imminent danger of perishing. Ordinary expedients to +get warmth were no longer availing; numbness and cold at the vitals were +overcoming me; and I knew that to give way to them was to die. I thought +of my theory; but I was fearful that I should commit sin if I tampered +with the sacred "breath of life." But my necessity was urgent, and I +aroused, stood up, and breathed that dense air with violence. It felt +for the moment cold to my lungs, but soon came heat with a rush, and +with it pain, as if the whole surface of the throat and lungs were +blistered; and my first thought was that I should die, justly punished +for my temerity. But soon I was restored to genial warmth; and rejoiced +in having successfully made an important physiological experiment. + +Afterwards, having been instrumental in relieving a woman who was +perishing from having breathed the fumes of charcoal, I was led to +reflect that in such cases there was something to be taken away from the +lungs, as well as warmth to be added. This woman's extreme coldness, and +feeble, fluttering pulse, showed that she was dying for want of right +breathing; and in her case there was no doubt that the cause was the +same as that of death by drowning. The carbonic acid gas which she had +inspired, being heavier than atmospheric air, settled as water in her +lungs, and in the same manner prevented the access of oxygen to their +living tissues. And hence arose the reflection that the ordinary +carbonic acid gas, which is always the residuum of respiration, might, +from weakness, settle in the lungs, and thus become the cause of disease +and death. The presence of carbonic acid in the lower bronchial tubes +and cells, existing in quantities sufficient to prevent the natural +combustion by breathing, was brought to my mind in March, 1847, while +searching for the cause of an agonizing paroxysm of sick headache. The +distressed feelings of obstructed life with which I was tossing and +struggling, together with the agonizing pain in the head and pressure on +the stomach, might well arise from such a cause. Standing (for position +is important) in a full current of air from an open window, I commenced +a species of violent artificial breathing, for the purpose of ejecting +the supposed heavy gas, and filling my lungs with pure air. This was +done by contracting the chest on every side to its smallest possible +dimensions, and at the same time throwing out the air violently and from +the bottom of the thorax, as if under the operation of an emetic; then +alternating by opening the chest to its greatest capacity, and drawing +in, by successive inhalations, all the fresh air possible, and pressing +it down to the lowest depths of the lungs. This process at first gave +such intensity and sharpness to the pain in the head, that it required +much resolution to continue it; nevertheless it was persevered in. After +a few minutes, the pain diminished, and soon entirely ceased. This was +followed by free perspiration, and equalized, warmth and circulation. +Perfect repose and quiet sleep ensued. Friends, who a short time before +had seen a countenance like that of a dying person, and knew how slow +was ordinary cure, were astonished, an hour afterwards, to behold, on my +awaking, the full glow of restored health.[6] + +On the re-appearance of cholera, during the summer of 1849, my mind was +peculiarly affected, from the belief that a false theory of circulation +prevailed, although there was a true theory, which, if generally +believed, might lead to the knowledge of the cause and cure of this +terrific malady; and thus thousands of lives be saved which would +otherwise be lost. This thought almost distracted me; and believing that +my sex stood in the way of my theory's being acknowledged, I sometimes +wished that it might please God to take me out of the world. Then coming +to better thoughts; I cast away despondency as unworthy of me; and +determined to proceed to the further investigation and development of +the great truth, of which I had, as I believed, been made the unworthy +recipient. I studied my theory anew, while I read the most approved +works on cholera; and I came to the belief that imperfect respiration, +caused by the want of due oxygen in the air, was the principal +predisposing cause of the premonitory symptoms; while the death that +supervened was often caused by the settling of carbonic acid gas, the +residuum of animal combustion, in the lower air-cells of the lungs. The +symptoms of the cholera, as treated by the best writers, were full of +new proofs of the truth of my theory, especially of its last step, the +formation of steam or vapor in the lungs. Without that, the collapse of +cholera was a fearful mystery; with it, everything was plain. With a +coldness that would collapse the lungs, the bowels must naturally be +drawn up (and with dreadful pains) to supply their place. The ghastly +change in the face must occur when cold has condensed its arterial +vapor. If respiration could restore heat, before any lesions had taken +place in the organism, the patient might recover. Then I began rewriting +my theory in a work afterwards published, with the title, "Respiration +and its Effects, especially in relation to Asiatic Cholera and other +Sinking Diseases." + +While thus occupied, the debilitating air of the season weighed upon my +health and spirits. I had been affected for about three days with what I +regarded as the ordinary complaints of the season, when one night, after +my family had retired, I found myself suddenly very ill--my symptoms +being coldness, debility, and spasmodic pains. I believed myself to be +attacked with cholera. I efficiently practised the artificial +respiration in fresh air as before described. Gaining strength as I +proceeded, I soon found a death-like coldness giving place to genial +warmth. Violent exercise, with artificial breathing, was kept up some +time, with such rests and full free breathings as nature required; after +which, I slept, perspired profusely, and was well in the morning. + +This was an occurrence which sunk deep into my mind; and the more so, as +I could not speak much of it, for the truth was too improbable to be +believed. But the successful issue of this, my first experiment upon the +dreaded disease, prepared me to act with boldness and efficiency in a +case which occurred in my own house about a week after. + +On the 14th of August, 1849, Jane Phayre, an Irish woman in my service, +of about twenty-five years of age, having been ill for four days with +diarrhoea, was suddenly struck with what the French call cholera +_foudroyant_--from fright. Alarmed by unwonted sounds near her window in +a basement room, she mounted the window-seat to look out at the top +sash, and found her face close to that of a man dying of cholera, who in +his death-cramps was brought from a steamboat on a litter, and thus +rested upon the pavement. The cover was lifted from his face, and the +sight and the smell struck her with faintness and trembling; and with +difficulty she reached her bed. I was called to go to her quickly by +Eliza Fagan, who said that Jane was very bad. She had a clay-cold +death-look, and a frightful blackness around her eyes. Her face, as I +saw it, was livid, pinched in features, and corpse-like, and her pulse +but a feeble flutter; and she seemed only to breathe from the top of her +lungs. She tried, as she afterwards told me, to say, "I am dying," but +her speech was husky and inarticulate. She says her sight and hearing +were gone; and while Eliza and I were dragging her out of doors, she +could not see the window, and did not feel her feet. We placed her in an +upright position, with her back resting against a board-wall, a fresh +breeze blowing full in her face. Her senses were now partially restored. +I told her to breathe violently, for she must get the bad air out of her +lungs and the good air in; and I showed her how she must do it. At first +she said, "I can't, for something rises up in the inside." When I told +her, sternly, that her life depended on it, and she must, she tried to +obey me. At first, it gave her severe headache, but as soon as deep +breathing was fairly begun, while I was watching her face with intense +anxiety, the color changed from the clay-cold death-look to the full +flush of the warm hue of life, and she joyfully exclaimed, "Oh! I feel +well!" + +When the removal of carbonic acid gas had made way for oxygen to be +brought to the yet uninjured lungs, the carbon of the venous blood +ignited, the motive power was furnished, the blood was again moved +forward into the arterial system, and the dammed up venous current, +receiving the suction force, rushed on so violently as at times nearly +to produce suffocation; but the struggle was soon over, and the lungs, +free both from carbonic acid gas and an unnatural quantity of venous +blood, once more received pure air--and to the relieved sufferer +respiration became delightful--the circulation passed freely through an +unbroken system--and THE CHOLERA WAS CURED. + +Was there, in the whole wide world, another person besides myself who +would have taken such a living corpse, dragged it out of doors, and set +it upright, on feet which could not feel, with the expectation that it +might breathe out death, breathe in life, and be restored? The result is +a proof, _a posteriori_; that the theory on which the experiment was +made is true. + +Other cases occurred, where, under different circumstances, cures of +cholera were effected. One, as instantaneous, and in some respects as +remarkable as that of Jane Phayre, was that of my friend and former +pupil, Mrs. Gen. Gould, of Rochester, who sent for me, believing herself +to be dying of cholera. I have her letter, which, by permission, is +published in my work on Respiration; and also a letter from her +physician, Dr. Bloss, of Troy, testifying that her disease was cholera, +and that he had little hope of her restoration. This letter is published +in the appendix of a report on my theory, read in Buffalo, August 8th, +1851, to a convention of the New York State Association of Teachers. + +In my journeying to New York city, to attend their previous convention +in August, 1850, an accident obliged me to walk for some distance, in +the middle of a hot day. The convention sat in Hope Chapel, which was +poorly ventilated; and in the evening, I sat under a large gas-burner. +On entering my room at the New-York Hotel, which was on the ground +floor, situated where the only air was from a confined, central +enclosure, I perceived at the only window a strong smell of fresh paint +from the outer walls, so that I was obliged to close it. Being +excessively fatigued, I slept heavily--till at early dawn I awaked to +find myself in a dying state. Attempting to move my arms, they were like +lead by my side--and my breath was but a feeble gasp. Without the +knowledge of my theory--my bane, as many of my friends have thought--I +should then have had no antidote. But I knew where was the destroying +agent, and what was the only means by which I had a chance of removing +it; and I used the little strength I had left to breathe deeper, and +then to strive for a better position. Long and doubtful was the +struggle. It was ten o'clock when, with tottering steps, I got into a +carriage, and sought the free fresh air, which enabled me to take a +little food. In the evening, I went into the Teacher's Convention, +having first ordered from my publisher a sufficient number of my books +on Respiration to present one to each member; and then, at my request, a +Committee of Investigation was appointed by the convention to report on +my theory. They reported favorably to the succeeding convention at +Buffalo, which adopted the report, and I published and circulated it. +This committee I had been allowed to choose, and it consisted of my +friend, Prof. Twiss--the first believer in the theory--and Mr. Fellows, +that Professor of Natural Philosophy, who formerly assisted in making my +apparatus. + +Mr. Fellows carried the report to Buffalo, and when he read it in the +convention, editors immediately came to him to request copies for the +press. But, by the influence of physicians, they afterwards declined it +when offered. It seemed to be the general plan of the regular faculty +(in the Eastern, not the Western, States) to put the theory into a +condition resembling the algide state of cholera, where it would die of +coldness; but, by the aid of Divine Providence, it will, like its +author, restore itself by its own inherent vitality--the vitality of +immortal truth. + + +SECTION IV. + +Proofs from Dr. Cartwright's Great Experiments on + Alligators--Resuscitation of Dr. Ely's Child--Dr. Bowling, Editor of + the Nashville Medical Journal, endorses Dr. Washington, who, in that + journal, "crushes out" all Opposition to the Theory--Dr. Draper's + Acknowledgment of it in New York--Homoeopathists--Conclusion. + +TO DR. MARCY. Thus, for thirty years, had I maintained, not only without +public support, but against discouragements, these great truths, of +which I had been allowed for myself such life-giving evidence. But early +in December, 1851, Dr. Cartwright, then of New Orleans, announced in a +letter to me that he had publicly become my advocate. His name will ever +be connected with the theory, on account of the remarkable experiments +by which he demonstrated its truth. In the presence of eminent +physicians, and other scientific persons, he resuscitated an alligator +which had been killed by tying the trachea. After an hour, when neither +fire nor the dissecting knife produced signs of pain, Dr. Dowler[7] laid +bare the lungs and the heart. Then a hole was cut in the trachea, below +the ligature, and a blow-pipe was introduced, which Professor Forshey[7] +worked with violence. At length, a faint quivering of moving blood was +seen in the diaphanous veins of the lungs. The inflating process being +continued, the blood next began to run in streams from the lungs into +the quiescent heart. The heart began first to quiver, then to pulsate; +and signs of life elsewhere appearing, the animal began to move; and +soon, strong men could not hold him. Again they bound him to the table, +and kept the trachea tied until life was apparently extinct; when, again +inflating his lungs, he so thoroughly revived that he became dangerous, +snapping at everything, and breaking his cords. For the third time, the +trachea was ligatured--the animal expired, and was resuscitated. + +Dr. Cartwright says in his letter to me, published in the Boston Medical +Journal, January 7th, 1852, "By this resuscitation, your theory of the +motive power of the circulation of the blood was established beyond all +doubt or dispute." "This vivisection clearly proved that the _primum +mobile_ of the circulation, and the chief motive powers of the blood, +are in the lungs, and not in the heart." Dr. Cartwright mentioned, in +the same letter, a case in which his faith in my theory had saved the +life of a breathless infant--inducing him to unwonted perseverance in +inflating its lungs. + +Able opposers to the theory, however, arose in New Orleans, some of whom +believed that the resuscitation might have been effected by applications +to the nerves. Dr. Cartwright procured, from Gen. Jackson's battle +ground, another alligator, which was publicly killed and vivisected. The +doctor's opponents first tried their means to bring the animal to life, +and failed. Then he, by artificial respiration, restored the huge +reptile as before;--thus proving that artificial respiration could +restore suspended animation when nothing else could. + +Dr. Ely was one who had opposed and written against the theory. In the +meantime, his infant son had cholera, and expired. His medical friends +had left him, and crape was tied to the handle of the front door. +Standing by the side of his lifeless babe, Dr. Ely said to himself, "If +this theory should be true, I might yet save my child." And profiting by +the example of Dr. Cartwright in restoring the dead alligator, he +restored his child to life. Remitting his efforts too soon--again the +infant ceased to breathe. And again, and yet the third time, the father +restored him--when the resuscitation proved complete; and months after, +the child was living and in perfect health. Dr. Ely then came promptly +forward, and, like a nobly honest man, reported the case as convincing +evidence of a truth which he had formerly opposed.[8] + +Whoever wishes to know the history of theories concerning the motive +powers of the blood as they then stood, may learn them by looking over +files of the Boston Medical and Surgical Journal, edited by Dr. J. V. C. +Smith, for the years 1852-'53, and a part of 1854. Dr. Cartwright wrote +for it during those years; and, encouraged by his protection, I +frequently answered objections, which flowed in from various medical +opponents. The objection derived from the foetal circulation, I answered +thus, in the Journal, of May, 1852: "The change occurring at birth, so +far from falsifying this theory, affords presumptive proof of its truth. +When first the air enters the trachea of a new born infant, and animal +combustion begins, the inflation of the lungs must open the vessels and +vesicles prepared to receive the venous blood. To fill the new-made +vacuum, the whole of the blood from the right ventricle rushes through +the pulmonary tube, leaving none to go through the _ductus arteriosus_, +thus made useless, and henceforth to be abolished. But what is to move +the blood from the capillaries of the lungs? The heart's force, +insufficient before without aid from the mother's respiration, is now +divided, while its work is doubled. A new power must then be generated +by the meeting of the air with the carbon of the blood, enkindled by the +peculiar functional vitality of the lungs. Without such a power, no +perceptible cause exists sufficient to move the blood onward to the left +ventricle. But it is moved thither, and with a power which presses down +and closes the valve of the _foramen ovale_, thus clearly manifesting +that this current exceeds in force that in the right ventricle. Grant +that the new function of respiration has furnished a new power, and this +astonishing instantaneous metamorphosis from amphibious to mammalian +life becomes perfectly intelligible, and the wisdom of the Creator is +fully vindicated; showing that His work has been truly interpreted." + +In the _Boston Journal_, of April 21st, 1852, is an article from +Dr. Cartwright, entitled "Confirmation of the Willardian, or Important +American Discovery," in which the author endeavors to remove what +doubtless has been one cause of the delay in acknowledging its truth. +"Those members of the profession," he says, "whom science has only +_perfumed_, are the most apt 'to look down with proud disdain' on any +discovery originating 'with individuals not indoctrinated.' They do not +make the proper distinction between selfish quacks who seek publicity +'to line the pocket,' and those 'who, prompted by some mysterious +power,' come forward against their interest, and at the risk of their +reputation. 'Rather than to contemn and ridicule, it were better to +study the manifestations of that mysterious power.' They do not consider +that the truth thus brought to light, while they fail to acknowledge it, +is affording 'to selfish quackery' a capital to trade on." + +To the same effect is the advice given to the profession by Dr. B. F. +Washington, of Hannibal, Mo. He says, in the Nashville _Journal of +Medicine_, July, 1854, "it is time for us to be acting; the honor of the +profession is in danger. The theory of respiration is a truth which will +cut its way; and if we do not take it up and teach it, in a few years we +may see the mortifying spectacle of the community teaching the +profession scientific truths. Quacks have already taken it up, and we +have inhalers and air cures of various kinds."[9] + +The first appearance of Dr. Washington as the advocate of my theory was +in the _Nashville Journal_, March, 1854; and his fertile genius had +there brought a new illustration of its truth. It had, he said, opened +his eyes to the explanation of a fact which had puzzled him from his +boyhood. "In slaughtering animals, if the trachea was cut, scarcely any +hæmorrhage resulted; while, if that was left untouched, full hæmorrhage +occurred. By the Willardian theory, the fact is readily susceptible of +explanation. The blood, filling the trachea, suspended respiration, and +of course the impelling power of the blood was suspended, and the +hæmorrhage ceased. The engine could not work without steam. When the +trachea was not cut, respiration went on, and kept up the circulation, +until the animal was nearly exsanguineous, and the powers of life gave +way." This fact was clearly ascertained by Dr. W. K. Bowling, the +well-known editor of the _Nashville Journal_, and able professor of the +theory and practice of medicine in the university of that place. He sent +me the Journal containing this welcome endorsement of my theory from one +who was, as Dr. Bowling assured me, "an observer of superior tact and +learning," known by his medical compositions as well in Europe as +America. Since that time (March, 1854), that Journal, though not +excluding articles which oppose, has been understood to be in favor of +the theory. Dr. Washington has written repeatedly, answering all +objections;[10] and he has, in the Journal (as I have been assured by +one of the Editors), "crushed out all that would take up his glove, and +is left in undisputed possession of the field--looking in vain for an +opponent." + +In the meantime, in 1856, Dr. J. N. Draper, Professor of Chemistry and +Physiology in the University of New-York, in an elaborate work on "Human +Physiology," has agreed that Harvey's theory of the paramount power of +the heart's action in the circulation must be abandoned; and that to +respiration must be assigned "the great duty of originating the blood's +circulation."[11] + +Dr. Washington has not only defended me in every important position +which I have taken, and added new illustrations--but he has made the +theory available to showing new proofs of the wisdom of God in the +creation of man. Thus--steam is formed in the vacuum of the lungs at the +low temperature of 67°, while, if there were no vacuum, 212° of heat +would be required to produce it,--an impossible quantity, since it would +coagulate the albumen of the blood. But form the vacuum, and the boiling +of the blood with any degree of heat less than 101° could not cause any +such disaster, while the steam going off from the lungs through the +arterial system to the capillaries, gradually condenses, warming the +body by giving off its latent heat; and the latent heat of vapor is the +same however it is formed, and is always 1,114°. What divine wisdom and +economy are thus displayed! + +Homoeopathy has, we believe, never found any difficulty in receiving this +theory. We know that, at one of its conventions held in Providence, it +was ably supported; and Dr. Marcy, whom I have the honor to address, +was, as we have seen, one of its earliest defenders. He has never, +whether allopathist or homoeopathist, been known to hesitate when his own +mind brought him clear conclusions;--the distinguishing mark, according +to Dugald Stewart, of intrepidity of character. + + With profound respect, + EMMA WILLARD. + + +FOOTNOTES: + +[1] It is here seen what an important work this theory does for the +venous circulation, and why the blood moves into the lungs. We have read +of a theory which maintains that it goes there because there is a mutual +attraction between it and the capillaries of the lungs. But there is +none between the water in our tube and that in the tin vessel where +water is boiling; but it goes into it with a rush notwithstanding. +Because there is a strong suction power produced by expansion, no other +attraction is needed. The apparatus, as here described, goes no farther +than to represent the circulation in single-hearted animals. But in my +work is a drawing which shows the left heart on the opposite of the +mimic lungs from the right; and then how the same tube, by being folded +in the form of a figure eight (8), shows the two hearts united into one, +and both ventricles working by the same contractions to perform their +different tasks. + +[2] Mrs. B. Ogle Taylor, of Washington, formerly Miss Julia Dickinson, +of Troy, was thus found dead; and the late Mrs. Cass thus lost her life. +"She was seized," says a newspaper account, "in a hot bath, which she +had taken soon after eating." She lived an hour, unconscious, and the +physician said she died of congestion of the brain. How easily could +these highly intelligent ladies have kept themselves from danger, or +saved themselves when they felt it approaching, had they known and +understood these principles. For two reasons, in case of the failure of +the motive power from keeping the body too long in hot water, the blood +would be congested in the head. First, the head would not be immersed, +and, second, the last blood which the lungs sent forth would go to it. + +[3] What can the Smithsonian Institute do better to carry out the views +with which the benevolent Smithson gave his fortune, than thus to teach +mankind when life may, by free circulation, be made to confer +enjoyment--how it may be inadvertently destroyed--and how it may be +restored, when, by drowning or otherwise, it is suspended? Sudden deaths +often occur by mal-position. That of the late Secretary Marcy is +doubtless an example. After his blood was heated and his circulation +quickened, he laid himself down on his back, his head not raised. +Attention to the workings of such a piece of apparatus as might be made, +would have shown the fatal effects of such a position at such a time. + +[4] A young physician, whom I paid for correcting the proofs, was not +successful in preventing mistakes, especially in regard to numbers. + +[5] I had just been reading Cuvier, to see whether he believed in the +Harveian theory of the circulation. I found he did not. "The circulation +vortex," says he, "is sometimes simple, sometimes double and even triple +(including that of the vena porta); the rapidity of its movements is +often _aided_ by the contraction of a certain fleshy apparatus +denominated hearts." Thus showing that my theory gave to the heart all +the prominence that was given to it by this great philosopher, who had +not, however, advanced any opinion as to the cause of the circulation. + +[6] One of them, my lamented niece, Jane Porter Lincoln, at my request, +immediately wrote an account of the experiment, which is now in my +possession. + +[7] These physicians gave certificates of their witnessing and assisting +at this memorable experiment, which were published in the _Boston +Medical Journal_, February 1852. + +[8] Dr. Cartwright also reported the case in a letter which was +published in the _Boston Medical Journal_, September, 1852. This +resuscitation was more wonderful than those detailed in my published +work on "Respiration." All cases of life thus restored are proofs _a +posteriori_ of the truth of this theory of the arterial circulation. + +[9] Good systems of exercise have been made in some respectable +institutions for health, openly formed on the principles of this theory. +Such is that by Dr. Hamilton, of Saratoga. + +[10] When the time shall come that, the truth of my discovery being no +longer denied, its originality shall be contested, it will be a +significant fact that, in the _Nashville Journal_, of September, 1854, +is an article against it from a physician signing himself "Justicia," +which he thus heads, "The Willardian Notion." In evil report, it was +indisputably mine. This article also shows, that the Harveian theory is +still maintained by the opposers of mine. + +[11] See Draper's Physiology, p. 142. + + + + + +End of the Project Gutenberg EBook of Theory of Circulation by Respiration, by +Emma Willard + +*** END OF THIS PROJECT GUTENBERG EBOOK THEORY OF CIRCULATION *** + +***** This file should be named 19053-8.txt or 19053-8.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/1/9/0/5/19053/ + +Produced by Frank van Drogen, Laura Wisewell and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +book was produced from scanned images of public domain +material from the Google Print project.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Theory of Circulation by Respiration + Synopsis of its Principles and History + +Author: Emma Willard + +Release Date: August 15, 2006 [EBook #19053] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK THEORY OF CIRCULATION *** + + + + +Produced by Frank van Drogen, Laura Wisewell and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +book was produced from scanned images of public domain +material from the Google Print project.) + + + + + + +</pre> + + + +<h1>THEORY<br /> +<small>OF</small><br /> +<b style="letter-spacing:normal; font-size:larger;">Circulation by Respiration.</b><br /><!--This line was in a blackletter font--> +<small><br />SYNOPSIS OF ITS PRINCIPLES AND HISTORY.</small></h1> + +<p class="title">WRITTEN, BY REQUEST,<br /> +<span class="smcap">For the “U. S. JOURNAL OF HOMŒOPATHY,”</span><br /> +BY EMMA WILLARD.</p> + +<p class="title"><b>New-York:</b><br /><!--This line was in a blackletter font--> +FRANCIS HART & CO. PRINTERS AND STATIONERS, 63 CORTLANDT STREET.<br /> +1861.</p> + + + +<hr class="major" /> +<h1><span class="pagenum" title="Page 3"> </span><a name="Page_3" id="Page_3"></a> +THEORY<br /> +OF<br /> +CIRCULATION BY RESPIRATION. +</h1> +<hr class="major" /> + +<h2>SECTION I.</h2> + +<blockquote><p><i>First step in the discovery—Animal Heat the product of Respiration. +Second step—Heat evolved in the lungs by Respiration there produces +Expansion. Third step—Expansion; implied motion, which from the +organism must conduct the blood to the left ventricle of the Heart. +Theory imperfect, until the formation of sufficient vapor or steam +in the lungs is perceived and acknowledged.</i></p></blockquote> + +<p><span class="smcap">To Dr. Marcy.</span>—In complying with your request to write for your journal +an article embodying my theory of the motive powers which produce the +circulation of the blood, together with some account of its rise and +progress, I obey what I regard as a call of duty; and thus requested, do +it with pleasure.</p> + +<p>But my theory, with its history, cannot thus be written without egotism. +Logicians say, that the way to convince others is to retrace, in order, +the steps by which you yourself became convinced, which is to be +egotistic. But in this case, there is a further reason: the scientific +discoverer must speak of the apparatus by which he experiments, and mine +was often my own physical frame.</p> + +<p>Twenty years ago, while yet my mind, laboring with this great subject, +was condemned</p> + +<p class="center" style="text-indent:12em;"> +“to drudge<br /> +Without a second and without a judge,” +</p> + +<p style="text-indent:0;">you, sir, comprehended the hypothesis which has now become a theory, and +you waited not for others to speak, but you fully acknowledged its +truth; and although, in Hartford, as now in New-York, you were thronged +with practice, (then allopathic), you yet found time to furnish me with +added experiments, made in your office, confirmatory of its truth, which +by your permission were afterwards added in your name to my published +work.</p> + +<p>The first step in the theory occurred to my mind in the winter of 1822, +and while I was engaged in founding the Troy Female Seminary. Being in +attendance on a course of lectures on chemistry, and at the same time +teaching to a class Mrs. Marcett’s excellent work on that subject, one +cold morning, as I was walking briskly up a hill, I said to myself, Why +do I grow warm? Whence comes this accession of caloric? It cannot be +transmitted to me from any object without, because every thing which +comes in contact with<span class="pagenum" title="Page 4"> </span><a name="Page_4" id="Page_4"></a> me is cold. Snow is under my feet, and frosty air +surrounds me; and, as to clothing, even the softest furs <i>impart</i> no +warmth—they but keep from escaping that which comes from within. What +other method besides transmission is there of gaining heat? There is the +elimination of caloric, when, in substances chemically combining, weight +is gained and bulk is lost. Is there any such combination going on in +me? Yes; this atmospheric air, when I inspire it, has oxygen combined +with nitrogen; but when I expire, the oxygen has disappeared, and +heavier substances—carbonic acid gas and watery vapor—are returned in +its place. Thus, it must be, animal heat is evolved. It is the product +of respiration; and it is because I breathe faster and deeper, that more +carbon is oxidized or burned, and more heat is set free in my lungs; and +therefore I grow warm as I walk up this hill, though all around me is +cold.</p> + +<p>The mind, excited by new and great thoughts, works with unwonted energy; +and mine at once collected so many proofs, that I became perfectly +convinced of the truth of the hypothesis. In searching books, I found +that Lavoisier had taught the same; but he dying, his doctrine was +discarded by English chemists, Dr. Black leading the way, and therefore +it did not then appear in English systems of chemistry. But from that +time, I cherished it with a mother’s devotion, watched changes in my own +physical frame relating to it, taught it to my pupils, and held warm +disputes with the medical faculty, who opposed and contemned it.</p> + +<p>In the summer of 1832, the Asiatic cholera appeared among us, appalling +every heart. This plague, I said, is a disease of coldness and +obstruction; and these doctors, wrong as they are on the subject of +animal heat, can never understand it—though, if Lavoisier were living, +he might. Let me, then, as best I may, consider anew the problem of heat +as produced by respiration, and see whether I cannot find out something +which has a bearing on the fatal coldness of this fearful disease. It is +into the lungs, and no where else, that breathing introduces atmospheric +air; and it is there that the oxidation of carbon or animal combustion +takes place. Thus must caloric be imparted to the blood in the lungs; +and in them is one-fifth of the blood of the system, of which +seven-eighths is water.</p> + +<p>The nature of heat is to expand all fluids. The blood in the lungs must, +therefore, expand; and if it expands, it must move; and if it moves, it +must, from the organism of the parts, move to the left ventricle of the +heart, into which the valvular system opens to give it a free +passage—whereas the valves of the right close against it. “Eureka!” I +mentally exclaimed; “I have found the <i>primum mobile</i> of the circulation +of the blood.” I had for years disbelieved that the heart’s slight +mechanical impulse was that cause. In teaching Paley’s “Natural +Theology,” my mind had come in contact with the passage in which he +describes the heart’s more than Herculean labors; and I said, “This is +altogether too much—the heart alone cannot perform all this—there must +be some other power,” and an abiding desire to know what<span class="pagenum" title="Page 5"> </span><a name="Page_5" id="Page_5"></a> that power +could be, prepared me for receiving this great idea. But my mind was +agitated by it, as the sea is, when a great rock is thrown into its +waters.</p> + +<p>The cholera was then raging around me; and as I prepared to flee from it +to a mountain air, I confided to a scientific friend, Professor Twiss of +West Point, my hypothesis, which I regarded as probably the incipient +germ of an important discovery.</p> + +<p>But there was first the former theory to be disproved; and then there +were new points to be investigated and established. In the ensuing +winters of 1833, 4, and 5, I gave much attention to the subject, and +employed professors in my school in the departments of chemistry and +natural philosophy, who assisted me,—particularly by their ingenuity in +the construction of such simple pieces of apparatus as were needed.</p> + +<p>Thus we proved that, although the heart’s action gives pulsation, it +does not necessarily give circulation. By an endless india-rubber tube, +filled with water, coiled upon a table and struck repeatedly at one +point, a pulsation was produced throughout, but no circulation. By +affixing the tube to a vessel of water, and laying it on an inclined +plane, the water ran through it in an equable current, making +circulation with pulsation. Clasping the hand upon the tube in +successive contractions, the fluid passed on <i>per saltem</i>, producing +circulation and pulsation united, but no acceleration of the current. +Now, add valves to the tube on each side of the opening hand, and you +will have the current—which is moving by gravitation, accelerated by +the hand’s impulse, as the blood’s current, first moved by respiration, +undoubtedly is by the heart’s beat.</p> + +<p>The heart we regard as the grand regulator of the blood’s flow; and it +is admirably situated for measuring out a regular portion of blood at +every contraction. John Bell, believing in the Harveian theory, said, +“It is awful to think of the unfixed position of the heart;” and +Dr. Arnott declared that “the heart, the heart alone, is the ragged +anomaly in the laws of fitness in mechanics.” The heart was now seen to +have a right position; for it should swing loose that its moorings be +not endangered; and, as whatever impugns the Creator’s unerring wisdom +must be wrong, so the presumption is, that whatever vindicates it must +be right.</p> + +<p>My hypothesis assumed the principle, that, if an endless hollow tube be +filled with a liquid, the liquid can be made to circulate perpetually, +if it be heated at one point and cooled before its return. A drawing of +the simple apparatus by which this problem was proved, is given in my +published work on “the Motive Powers, &c.” The figure which represents +this apparatus gives the learner the most simple idea possible of the +connection of the respiratory and circulatory systems, and of the +combination of the two motive powers; the first, or chemical, coming +from the lungs, and the second, or mechanical, from the heart.</p> + +<p>Suppose the heart divided into right and left hearts by dissection at +the<span class="pagenum" title="Page 6"> </span><a name="Page_6" id="Page_6"></a> septum: the circulatory system might then be represented by an +endless tube. Let such an one, nine or ten feet in length, and of one +inch bore (to be filled with water) be placed upon a horizontal table. +Let an enlargement of the tube be made by a tin vessel to represent the +lungs, which shall contain about one-fifth part of the water. Let the +tube connected with the right side of the vessel have, at a little +distance from the vessel, a smaller enlargement, composed of +india-rubber, which can be grasped by the hand, to represent the heart’s +right ventricle, with a valve on each side opening towards the tin +vessel, the two to represent the tricuspid and semi-lunar valves. Let +the whole be made nearly full of water; then, under the tin vessel +(representing the lungs), let a fire be made. As the water heats, it +will expand; and as the valve closes to the right, it will go off to the +left side of the vessel. But, as no water will come in from the right, +on account of the valves, there will be no current. Now let the hand +grasp the india-rubber, and the fluid between the valves being displaced +by its pressure, all the water will go towards the tin vessel, because, +while the valve representing the tricuspid would close, that +representing the semi-lunar (between the mimic heart and lungs) would +open—and very freely; because the expansion made by the heat under the +tin vessel had created a vacuum, and thus made a suction power to draw +it forward, while there is a driving power behind to force it onward +into the tin vessel. Then relaxing the hand, a vacuum will exist between +the two valves; and the valve in the rear of the current now begun (the +tricuspid) would open, and the water rush in to fill the vacuum in the +india-rubber ventricle, to be again pressed forward by the next grasp of +the hand; and thus—the fire (representing respiration) being kept up, +and the alternate grasping and relaxing of the hand (representing the +heart’s regular impulse)—a perpetual circulation might be made to go +on;<a name="FNanchor_1_1" id="FNanchor_1_1"></a><a href="#Footnote_1_1" class="fnanchor">[1]</a> but not without another condition of the problem.</p> + +<p>And it was in performing this experiment that a truth was discovered, +which, had it been known, many who have ignorantly lost their lives +might have preserved them. When the fluid in the apparatus became +equally, or nearly as much, heated at the extreme parts of the +circulating tube as at the heating vessel, then the motive power of +expansion ceased, and (the hand’s impulse being too weak of itself to +carry it on) circulation failed; but it was<span class="pagenum" title="Page 7"> </span><a name="Page_7" id="Page_7"></a> restored by putting snow or +ice around the extreme parts of the tube. How often have we heard of +ladies who, having gone into warm baths, have been found dead by their +friends, or too nearly so, to be restored.<a name="FNanchor_2_2" id="FNanchor_2_2"></a><a href="#Footnote_2_2" class="fnanchor">[2]</a> Through ignorance of the +cause, no right means would be taken to restore them, such as dashing +cold water upon the exterior, with simultaneous efforts to produce, in +fresh air and in proper position, such artificial respiration as leads +to the natural. Where no internal lesions have occurred, there is every +reason to believe that such measures might produce restoration.</p> + +<p>My imperfect machines gave me to see how much might be done for this +important part of physiology by a more perfect apparatus. Mine was +merely horizontal—but one might be made to take as many positions as +are natural to the human frame; and how many facts might such an one +elicit concerning the effects of position on the circulation, by which +lives might every day be saved! But skilful mechanicians, not ordinary +mechanics, are needed, who are men of intellectual capacity, and are +furnished with <i>carte-blanche</i> for time and expense.<a name="FNanchor_3_3" id="FNanchor_3_3"></a><a href="#Footnote_3_3" class="fnanchor">[3]</a></p> + +<p>The years 1836-’7-’8 witnessed, on my part, several extraordinary and +fruitless efforts to get before the public the theory, of whose truth +and importance I was then fully convinced. In 1839, Dr. C. Smith, then +of Troy, an able medical lecturer, became a convert to the theory; and +showed me, in post mortem dissections, the organs of respiration and +circulation. At the close of that year, having carefully corrected and +made out copies of my manuscript theory, which I had before written, I +sent two to Paris—one to the two brothers, Drs. Edwards, members of the +French Institute, and one to my friend, Madame Belloc. I also sent one +to Edinburgh, to Dr. Abercrombie. Dr. Milne Edwards soon after wrote a +book, in which he made it a point to show that animals could live +several minutes without breathing; and Dr.<span class="pagenum" title="Page 8"> </span><a name="Page_8" id="Page_8"></a> Frederic Edwards wrote me a +short letter of objections to my theory, and adherence to that of +Harvey. This letter was copied and answered in my work published in +1846.</p> + +<p>About this time, Dr. Aikin, of Baltimore, wrote to me on the subject; +and showed, by calculations, that the mere gradual expansion of the +water of the blood was not sufficient, of itself, to produce a current +as rapid as that of the blood was proved to be, even on the lowest +estimate of its velocity. This did not shake my faith in the great fact +that circulation was created by respiration. It must be so; for in life, +such respiration as produces heat is the invariable antecedent of +circulation, and nothing else is. There was something, then, which +remained to be discovered. Again, I placed before me the conditions of +the great problem, and set myself intently to its study; and I soon +found what I thus sought, and then discerned for the first time that the +blood moves, as does the railroad car, by steam. John Bell, my favorite +author, had shown that the lungs work <i>in vacuo</i>. A great proportion of +the blood is water, which, in a vacuum, springs into vapor at 67°, and +the temperature of the blood in the lungs is 101°. Its expansion, then, +was not merely the gradual increase of bulk by transmitted heat, but +also that of instantaneous expansion, by the vaporization of so much of +it as is needed; and what expanded water could not do, steam certainly +could. At once, a throng of proofs came to my mind. The most apparent of +these was the vapor <i>expired</i> breathing. I recollected how, in former +times, the stage horses, driven rapidly into my native village of a +winter morning, had clouds of vapor wreathing upward from their +nostrils, while the icicles of condensation were hanging below. The +nurse, who stands over the dying, holds a mirror before the mouth and +nose, and considers that life is only extinct when vapor ceases to be +formed. Then came to mind the solution of that great mystery of +physiology, why the arteries are empty at death, which so long hindered +the discovery finally made by Harvey.</p> + +<p>In the state in which chemistry was, even as late as the time of John +Bell, the chemical power of the heat produced by respiration at the +lungs could not have been understood.</p> + +<hr /> + +<h2>SECTION II.</h2> + +<blockquote><p><i>Publication of the Theory, in 1846, in “A treatise on the Motive Powers +which produce the Circulation of the Blood.” Its Reception: Critique +in the New York “Journal of Medicine,” September, 1846. My Reply, in +the same Journal, March, 1847.</i></p></blockquote> + +<p><span class="smcap">To Dr. Marcy.</span>—In the years immediately succeeding 1840, (in which year, +as you will recollect, I had the honor to receive your countenance and +advice respecting my theory,) I was almost exclusively devoted to the +revision and enlargement of my historical works; but early is 1846, +having deter<span class="pagenum" title="Page 9"> </span><a name="Page_9" id="Page_9"></a>mined on making the tour of the United States, I resolved +first to prepare my theory for the press. In the introduction, I +remarked, “The house of clay in which the mind dwells must receive a +portion of its care; and that which I have bestowed on mine has +proceeded on a belief in the truth of the theory herein advocated, as +undoubting as that in the laws of gravitation; and when any new fact, or +any remark of an author, relating to my theory came under my +observation, I noted it down and laid it by with its kindred. About to +set out on a long journey, and aware that my field of vision had thus +enlarged, I felt it my duty to put together the principal of my remarks, +that I might so leave the subject, that, in case anything should prevent +my return, it would be in a form equal to the present slate in which the +theory exists in my own mind.”</p> + +<p>The time I had spent in devotion to this theory, the many rebuffs I had +met in seeking to promulgate it—sometimes, unhappily, affecting my +social life—had made painful the duty of publishing it. My historical +works had been received with favor; but I believed that, in publishing +this, it would be charged against me that I chose a subject unsuited to +my sex. I therefore said, in my preface, “This is not so much a subject +which I chose, as one which chooses me; and if the Father of Lights has +been pleased to reveal to me from the book of his physical truth a +sentence before unread, is it for me to suppose that it is for my +individual benefit? or is it for you, my reader, to turn away your ear +from hearing this truth, and charge its great Author with having +ill-chosen his instrument to communicate it?”</p> + +<p>As I passed southward on my journey, I left, March, 1846, my manuscript +in the hands of Wiley & Putnam, in N. York:<a name="FNanchor_4_4" id="FNanchor_4_4"></a><a href="#Footnote_4_4" class="fnanchor">[4]</a> to be published at my +expense. During the six months in which I was absent on my travels, my +book was published; and the publishers sent copies, as directed by me, +to many of my personal friends, and to several physicians. They sent +other copies, which procured notices, some of which were favorable, +particularly one from the <i>London Critic</i>, and others, the reverse. As +few copies of the book sold, I was not remunerated for the cost of +publication. The copies sent to physicians were mostly +unacknowledged—received in cold, if not contemptuous, silence. But my +family physician, the worthy and learned Dr. Robbins, to whom I +dedicated the work, ever upheld me. He answered my questions, gave me +instructions, and showed me post-mortem dissections; and to those who +asked him if he believed in my theory, he wisely replied, “Mrs. Willard +is right as far as she goes.” He knew that I made no pretensions to +understand the vast variety of medical subjects not connected with the +circulation, and that I never doubted his skill or disputed his +prescriptions. An honest man, and a skilful physician, he deserved and +had my unfailing confidence. And if, by reason of what I knew, I had +prolonged my life, he had the longer kept a good and faithful<span class="pagenum" title="Page 10"> </span><a name="Page_10" id="Page_10"></a> patient. +Lady-friends, to whom I had sent my work, had sometimes referred it to +their medical advisers; and thus Dr. Hiester, an eminent physician of +Reading, Pa., became a believer. And in the same way, the eminent +Dr. Cartwright, then of Natchez, and President of the State Medical +Association of Mississippi, came to a knowledge of those principles, +which, as we shall hereafter show, he so remarkably elucidated.</p> + +<p>In September, 1846, the <i>New York Journal of Medicine</i>, then edited by +Dr. Charles A. Lee, contained a review or critique on my work, which, if +the history of the theory shall hereafter become a matter of special +interest, may, with my reply, contained in the March number of 1847, +furnish any examiner with the full state of the question at that period.</p> + +<p>The learned reviewer showed himself acquainted with the subject as it +then stood, and with its history in the past. He held that the heart’s +action, “the contractile power of the cardiac walls,” is the main spring +or <i>primum mobile</i>, from which the circulating force proceeds, +notwithstanding the great discrepancies as to what that force is; and +while he objected to my theory, that it did not show any distinct +measure of force, he said that, while Borelli estimated the contractive +power of the heart at 180,000 pounds, Keill stated it at five ounces, +Sir Charles Bell at 51 pounds, Carpenter at 51½, and Hales at 50. He +abandoned, however, Harvey’s idea that the heart was the only organ of +circulation. He believed that it was assisted by the contractile power +of the arteries, by the movement of the ribs and chest in respiration, +by capillary attraction, muscular contraction in exercise, and several +other forces; one of which, the attraction of the venous blood for the +pulmonary cells, had been recently pointed out by Dr. Draper. The author +did not suppose he was bringing forward any new truths; “but,” said he, +as an introduction to his account of my theory, “are we not sometimes in +danger of forsaking old truths for new theories?”</p> + +<p>Of my theory, he says: “The mere statement of it must satisfy our +readers that it is wholly untenable. It is well known that heat is +generated in every part of the system as well as the lungs. Whenever +oxygen and carbon unite, there it is developed; but it is imparted to +the <i>solids</i> equally with the fluids; it maintains the temperature of +the whole body by radiations from the points where it is generated.” ... +“It is believed that all those functions of the organism which are +necessary for the preservation of life, contribute directly or +indirectly to the production of animal heat; so that it is developed at +every point at which metamorphosis is occurring, and therefore not +merely in the lungs, but in the whole peripheral system.”</p> + +<p>The writer then observes, that “the heat of the venous blood as it +reaches the right side of the heart (according to Davy), varies only two +or three degrees from that of the aorta. Granting, then, that the blood +receives three degrees in the lungs, it is very evident that the +expansion produced by it would be too small to be appreciable. The +cause, then, is insufficient to produce the effects.” The writer gives +me credit for having ingeniously supported<span class="pagenum" title="Page 11"> </span><a name="Page_11" id="Page_11"></a> my theory, and then politely +bows me out of the department of physiology into my more appropriate +sphere of educating girls.</p> + +<p>In my reply, this sentence from Cuvier was chosen as a motto: +“Respiration is the function essential to the constitution of an animal +body; it is that which, in a manner, animalizes it; and we shall see +that animals exercise their peculiar functions more completely according +as they enjoy greater powers of respiration.”<a name="FNanchor_5_5" id="FNanchor_5_5"></a><a href="#Footnote_5_5" class="fnanchor">[5]</a> My reasoning was to +this effect: <ins class="correction" title="Transcriber’s note: The original had no closing quotation mark; it is unclear where the quote was intended to end.">“It is in vain to say that cannot be, which is.”</ins> When +two events are so conjoined in nature that one is the only invariable +antecedent of the other, then, according to all logic, we are bound to +conclude that the first is the physical cause of the second, even though +we cannot understand how it should be. Of the circulation, such living +respiration as produces heat is the invariable antecedent, and nothing +else is. The heart’s action, as stated by our reviewer himself, is not +therefore respiration, and not the heart’s action or anything else, is +the cause of the circulation. This argument is upheld by the fact that +circulation, varies not only as respiration, but as its products +digestion, strength, and, according to Cuvier, animal vitality vary. All +begin with respiration, end with it, and are as it is. If respiration +ceases, restore it before the organism is deranged, and they are all +restored. We must conclude, then, that respiration is the cause of +circulation, although we could not see how it should be. Much more, when +we discern a mighty power, that of expansion, and see how the Almighty +has made our frame in reference to its production by caloric—the lungs +allowing of heat within them like wet cloth, and the nerves, bones and +muscles all made and arranged, so that oxygen shall be brought to them +by respiration on the one hand, and carbon by the numerous digestive and +circulatory organs on the other.</p> + +<p>As to any deficiency of power, my reviewer had omitted to notice that +not only the ordinary expansion of the water of the blood by calorie had +been assumed, but also its vaporization, or the change of such a portion +as was needed into steam, the lungs being <i>in vacuo</i>; so that nature +here had not failed of her usual abundance. And had not this power been +kept in check by the pressure of the surrounding air hindering the +perfect vacuum of the lungs, there was reason to fear, rather its excess +than its deficiency. As to the reviewer’s assertion that heat is +generated in every part of the system, and imparted to the <i>solids</i> +equally with the fluids—that I positively denied, in the name of common +sense. For who does not know that, although there may be some heat +elaborated in the stomach, and some during the processes by which<span class="pagenum" title="Page 12"> </span><a name="Page_12" id="Page_12"></a> the +fluids change to solids, that the great source of heat to the system, is +in the fluid blood, and not in solid flesh or bone? Our senses of sight +and feeling show us, in the case of blushing, that heat comes and goes +with the blood. No one believes that the solid parts of his leg warm the +blood as much as it warms them. Finally, it discredited the old theory, +that it showed no adequate use for the great primary function of +respiration, and its constant attendant, animal heat. Breathing and +warmth are not ultimate ends. Man breathes to live; he does not live to +breathe. He is warm to live; he does not live merely to be warm. Our +theory shows that it is these primary agencies which sustain his being; +and it sets forth the manner in which they operate for this end. And +thus, while it indicates the wisdom of the Almighty in the formation of +the animal frame, it shows itself to be His true interpreter.</p> + +<hr /> + +<h2>SECTION III.</h2> + +<blockquote><p><i>Uses of the Theory—Proofs.—Publication of a Work, in 1849, entitled +“Respiration and its Effects, more, especially in relation to +Asiatic Cholera and other Sinking Diseases.”—Examples.</i></p></blockquote> + +<p><span class="smcap">To Dr. Marcy.</span>—The theory of the two chief motive powers which operate +at the centre was, we conceive, completed by the addition of steam +formed in the vacuum of the lungs, as available to give to the blood its +due velocity. We also believe that complete proof <i>a priori</i> had been +adduced of the fallacy of the theory that the <i>primum mobile</i> is in the +heart; and, also, that proof <i>a priori</i> had been given that it begins at +the lungs, and is the product of respiration. It remained to apply this +theory to use, and to find proofs <i>a posteriori</i>.</p> + +<p>Although some of my friends regarded my theory as an <i>ignis fatuus</i> +which led me into nothing but evil, yet it has enabled me, by plans of +exercise, to endure for many years, in-door sedentary labor—and yet +enjoy health; and in unusual emergencies, more than once to save my own +life and that of others.</p> + +<p>In the cold winter of 1835, I took, at Troy, the old summer stage, at +midnight, to cross the Green Mountains. I was alone in the large and +ill-closed vehicle; the thermometer was sinking as I proceeded on my +way, until it had reached 25° below zero, a degree of cold to which I +had never before been subjected. When I had traveled alone twenty miles, +I found myself in imminent danger of perishing. Ordinary expedients to +get warmth were no longer availing; numbness and cold at the vitals were +overcoming me; and I knew that to give way to them was to die. I thought +of my theory; but I was fearful that I should commit sin if I tampered +with the sacred “breath of life.” But my necessity was urgent, and I +aroused, stood up, and breathed that dense air with violence. It felt +for the moment cold to my lungs, but soon came heat<span class="pagenum" title="Page 13"> </span><a name="Page_13" id="Page_13"></a> with a rush, and +with it pain, as if the whole surface of the throat and lungs were +blistered; and my first thought was that I should die, justly punished +for my temerity. But soon I was restored to genial warmth; and rejoiced +in having successfully made an important physiological experiment.</p> + +<p>Afterwards, having been instrumental in relieving a woman who was +perishing from having breathed the fumes of charcoal, I was led to +reflect that in such cases there was something to be taken away from the +lungs, as well as warmth to be added. This woman’s extreme coldness, and +feeble, fluttering pulse, showed that she was dying for want of right +breathing; and in her case there was no doubt that the cause was the +same as that of death by drowning. The carbonic acid gas which she had +inspired, being heavier than atmospheric air, settled as water in her +lungs, and in the same manner prevented the access of oxygen to their +living tissues. And hence arose the reflection that the ordinary +carbonic acid gas, which is always the residuum of respiration, might, +from weakness, settle in the lungs, and thus become the cause of disease +and death. The presence of carbonic acid in the lower bronchial tubes +and cells, existing in quantities sufficient to prevent the natural +combustion by breathing, was brought to my mind in March, 1847, while +searching for the cause of an agonizing paroxysm of sick headache. The +distressed feelings of obstructed life with which I was tossing and +struggling, together with the agonizing pain in the head and pressure on +the stomach, might well arise from such a cause. Standing (for position +is important) in a full current of air from an open window, I commenced +a species of violent artificial breathing, for the purpose of ejecting +the supposed heavy gas, and filling my lungs with pure air. This was +done by contracting the chest on every side to its smallest possible +dimensions, and at the same time throwing out the air violently and from +the bottom of the thorax, as if under the operation of an emetic; then +alternating by opening the chest to its greatest capacity, and drawing +in, by successive inhalations, all the fresh air possible, and pressing +it down to the lowest depths of the lungs. This process at first gave +such intensity and sharpness to the pain in the head, that it required +much resolution to continue it; nevertheless it was persevered in. After +a few minutes, the pain diminished, and soon entirely ceased. This was +followed by free perspiration, and equalized, warmth and circulation. +Perfect repose and quiet sleep ensued. Friends, who a short time before +had seen a countenance like that of a dying person, and knew how slow +was ordinary cure, were astonished, an hour afterwards, to behold, on my +awaking, the full glow of restored health.<a name="FNanchor_6_6" id="FNanchor_6_6"></a><a href="#Footnote_6_6" class="fnanchor">[6]</a></p> + +<p>On the re-appearance of cholera, during the summer of 1849, my mind was +peculiarly affected, from the belief that a false theory of circulation +prevailed, although there was a true theory, which, if generally +believed, might lead to the knowledge of the cause and cure of this +terrific malady; and thus thousands<span class="pagenum" title="Page 14"> </span><a name="Page_14" id="Page_14"></a> of lives be saved which would +otherwise be lost. This thought almost distracted me; and believing that +my sex stood in the way of my theory’s being acknowledged, I sometimes +wished that it might please God to take me out of the world. Then coming +to better thoughts; I cast away despondency as unworthy of me; and +determined to proceed to the further investigation and development of +the great truth, of which I had, as I believed, been made the unworthy +recipient. I studied my theory anew, while I read the most approved +works on cholera; and I came to the belief that imperfect respiration, +caused by the want of due oxygen in the air, was the principal +predisposing cause of the premonitory symptoms; while the death that +supervened was often caused by the settling of carbonic acid gas, the +residuum of animal combustion, in the lower air-cells of the lungs. The +symptoms of the cholera, as treated by the best writers, were full of +new proofs of the truth of my theory, especially of its last step, the +formation of steam or vapor in the lungs. Without that, the collapse of +cholera was a fearful mystery; with it, everything was plain. With a +coldness that would collapse the lungs, the bowels must naturally be +drawn up (and with dreadful pains) to supply their place. The ghastly +change in the face must occur when cold has condensed its arterial +vapor. If respiration could restore heat, before any lesions had taken +place in the organism, the patient might recover. Then I began rewriting +my theory in a work afterwards published, with the title, “Respiration +and its Effects, especially in relation to Asiatic Cholera and other +Sinking Diseases.”</p> + +<p>While thus occupied, the debilitating air of the season weighed upon my +health and spirits. I had been affected for about three days with what I +regarded as the ordinary complaints of the season, when one night, after +my family had retired, I found myself suddenly very ill—my symptoms +being coldness, debility, and spasmodic pains. I believed myself to be +attacked with cholera. I efficiently practised the artificial +respiration in fresh air as before described. Gaining strength as I +proceeded, I soon found a death-like coldness giving place to genial +warmth. Violent exercise, with artificial breathing, was kept up some +time, with such rests and full free breathings as nature required; after +which, I slept, perspired profusely, and was well in the morning.</p> + +<p>This was an occurrence which sunk deep into my mind; and the more so, as +I could not speak much of it, for the truth was too improbable to be +believed. But the successful issue of this, my first experiment upon the +dreaded disease, prepared me to act with boldness and efficiency in a +case which occurred in my own house about a week after.</p> + +<p>On the 14th of August, 1849, Jane Phayre, an Irish woman in my service, +of about twenty-five years of age, having been ill for four days with +diarrhœa, was suddenly struck with what the French call cholera +<i>foudroyant</i>—from fright. Alarmed by unwonted sounds near her window in +a basement room, she mounted the window-seat to look out at the top +sash, and found her face close to that of a man dying of cholera, who in +his death-cramps was brought from a steamboat on a litter, and thus +rested upon the pavement.<span class="pagenum" title="Page 15"> </span><a name="Page_15" id="Page_15"></a> The cover was lifted from his face, and the +sight and the smell struck her with faintness and trembling; and with +difficulty she reached her bed. I was called to go to her quickly by +Eliza Fagan, who said that Jane was very bad. She had a clay-cold +death-look, and a frightful blackness around her eyes. Her face, as I +saw it, was livid, pinched in features, and corpse-like, and her pulse +but a feeble flutter; and she seemed only to breathe from the top of her +lungs. She tried, as she afterwards told me, to say, “I am dying,” but +her speech was husky and inarticulate. She says her sight and hearing +were gone; and while Eliza and I were dragging her out of doors, she +could not see the window, and did not feel her feet. We placed her in an +upright position, with her back resting against a board-wall, a fresh +breeze blowing full in her face. Her senses were now partially restored. +I told her to breathe violently, for she must get the bad air out of her +lungs and the good air in; and I showed her how she must do it. At first +she said, “I can’t, for something rises up in the inside.” When I told +her, sternly, that her life depended on it, and she must, she tried to +obey me. At first, it gave her severe headache, but as soon as deep +breathing was fairly begun, while I was watching her face with intense +anxiety, the color changed from the clay-cold death-look to the full +flush of the warm hue of life, and she joyfully exclaimed, “Oh! I feel +well!”</p> + +<p>When the removal of carbonic acid gas had made way for oxygen to be +brought to the yet uninjured lungs, the carbon of the venous blood +ignited, the motive power was furnished, the blood was again moved +forward into the arterial system, and the dammed up venous current, +receiving the suction force, rushed on so violently as at times nearly +to produce suffocation; but the struggle was soon over, and the lungs, +free both from carbonic acid gas and an unnatural quantity of venous +blood, once more received pure air—and to the relieved sufferer +respiration became delightful—the circulation passed freely through an +unbroken system—and <span class="allsc">THE CHOLERA WAS CURED</span>.</p> + +<p>Was there, in the whole wide world, another person besides myself who +would have taken such a living corpse, dragged it out of doors, and set +it upright, on feet which could not feel, with the expectation that it +might breathe out death, breathe in life, and be restored? The result is +a proof, <i>a posteriori</i>; that the theory on which the experiment was +made is true.</p> + +<p>Other cases occurred, where, under different circumstances, cures of +cholera were effected. One, as instantaneous, and in some respects as +remarkable as that of Jane Phayre, was that of my friend and former +pupil, Mrs. Gen. Gould, of Rochester, who sent for me, believing herself +to be dying of cholera. I have her letter, which, by permission, is +published in my work on Respiration; and also a letter from her +physician, Dr. Bloss, of Troy, testifying that her disease was cholera, +and that he had little hope of her restoration. This letter is published +in the appendix of a report on my theory, read in Buffalo, August 8th, +1851, to a convention of the New York State Association of Teachers.</p> + +<p><span class="pagenum" title="Page 16"> </span><a name="Page_16" id="Page_16"></a>In my journeying to New York city, to attend their previous convention +in August, 1850, an accident obliged me to walk for some distance, in +the middle of a hot day. The convention sat in Hope Chapel, which was +poorly ventilated; and in the evening, I sat under a large gas-burner. +On entering my room at the New-York Hotel, which was on the ground +floor, situated where the only air was from a confined, central +enclosure, I perceived at the only window a strong smell of fresh paint +from the outer walls, so that I was obliged to close it. Being +excessively fatigued, I slept heavily—till at early dawn I awaked to +find myself in a dying state. Attempting to move my arms, they were like +lead by my side—and my breath was but a feeble gasp. Without the +knowledge of my theory—my bane, as many of my friends have thought—I +should then have had no antidote. But I knew where was the destroying +agent, and what was the only means by which I had a chance of removing +it; and I used the little strength I had left to breathe deeper, and +then to strive for a better position. Long and doubtful was the +struggle. It was ten o’clock when, with tottering steps, I got into a +carriage, and sought the free fresh air, which enabled me to take a +little food. In the evening, I went into the Teacher’s Convention, +having first ordered from my publisher a sufficient number of my books +on Respiration to present one to each member; and then, at my request, a +Committee of Investigation was appointed by the convention to report on +my theory. They reported favorably to the succeeding convention at +Buffalo, which adopted the report, and I published and circulated it. +This committee I had been allowed to choose, and it consisted of my +friend, Prof. Twiss—the first believer in the theory—and Mr. Fellows, +that Professor of Natural Philosophy, who formerly assisted in making my +apparatus.</p> + +<p>Mr. Fellows carried the report to Buffalo, and when he read it in the +convention, editors immediately came to him to request copies for the +press. But, by the influence of physicians, they afterwards declined it +when offered. It seemed to be the general plan of the regular faculty +(in the Eastern, not the Western, States) to put the theory into a +condition resembling the algide state of cholera, where it would die of +coldness; but, by the aid of Divine Providence, it will, like its +author, restore itself by its own inherent vitality—the vitality of +immortal truth.</p> + +<hr /> + +<h2><span class="pagenum" title="Page 17"> </span><a name="Page_17" id="Page_17"></a>SECTION IV.</h2> + +<blockquote><p><i>Proofs from Dr. Cartwright’s Great Experiments on +Alligators—Resuscitation of Dr. Ely’s Child—Dr. Bowling, Editor of +the Nashville Medical Journal, endorses Dr. Washington, who, in that +journal, “crushes out” all Opposition to the Theory—Dr. Draper’s +Acknowledgment of it in New York—Homœopathists—Conclusion.</i></p></blockquote> + +<p><span class="smcap">To Dr. Marcy.</span> Thus, for thirty years, had I maintained, not only without +public support, but against discouragements, these great truths, of +which I had been allowed for myself such life-giving evidence. But early +in December, 1851, Dr. Cartwright, then of New Orleans, announced in a +letter to me that he had publicly become my advocate. His name will ever +be connected with the theory, on account of the remarkable experiments +by which he demonstrated its truth. In the presence of eminent +physicians, and other scientific persons, he resuscitated an alligator +which had been killed by tying the trachea. After an hour, when neither +fire nor the dissecting knife produced signs of pain, Dr. Dowler<a name="FNanchor_7_7" id="FNanchor_7_7"></a><a href="#Footnote_7_7" class="fnanchor">[7]</a> laid +bare the lungs and the heart. Then a hole was cut in the trachea, below +the ligature, and a blow-pipe was introduced, which Professor Forshey<a href="#Footnote_7_7" class="fnanchor">[7]</a> +worked with violence. At length, a faint quivering of moving blood was +seen in the diaphanous veins of the lungs. The inflating process being +continued, the blood next began to run in streams from the lungs into +the quiescent heart. The heart began first to quiver, then to pulsate; +and signs of life elsewhere appearing, the animal began to move; and +soon, strong men could not hold him. Again they bound him to the table, +and kept the trachea tied until life was apparently extinct; when, again +inflating his lungs, he so thoroughly revived that he became dangerous, +snapping at everything, and breaking his cords. For the third time, the +trachea was ligatured—the animal expired, and was resuscitated.</p> + +<p>Dr. Cartwright says in his letter to me, published in the Boston Medical +Journal, January 7th, 1852, “By this resuscitation, your theory of the +motive power of the circulation of the blood was established beyond all +doubt or dispute.” “This vivisection clearly proved that the <i>primum +mobile</i> of the circulation, and the chief motive powers of the blood, +are in the lungs, and not in the heart.” Dr. Cartwright mentioned, in +the same letter, a case in which his faith in my theory had saved the +life of a breathless infant—inducing him to unwonted perseverance in +inflating its lungs.</p> + +<p>Able opposers to the theory, however, arose in New Orleans, some of whom +believed that the resuscitation might have been effected by applications +to the nerves. Dr. Cartwright procured, from Gen. Jackson’s battle +ground, another alligator, which was publicly killed and vivisected. The +doctor’s opponents first tried their means to bring the animal to life, +and failed. Then he, by<span class="pagenum" title="Page 18"> </span><a name="Page_18" id="Page_18"></a> artificial respiration, restored the huge +reptile as before;—thus proving that artificial respiration could +restore suspended animation when nothing else could.</p> + +<p>Dr. Ely was one who had opposed and written against the theory. In the +meantime, his infant son had cholera, and expired. His medical friends +had left him, and crape was tied to the handle of the front door. +Standing by the side of his lifeless babe, Dr. Ely said to himself, “If +this theory should be true, I might yet save my child.” And profiting by +the example of Dr. Cartwright in restoring the dead alligator, he +restored his child to life. Remitting his efforts too soon—again the +infant ceased to breathe. And again, and yet the third time, the father +restored him—when the resuscitation proved complete; and months after, +the child was living and in perfect health. Dr. Ely then came promptly +forward, and, like a nobly honest man, reported the case as convincing +evidence of a truth which he had formerly opposed.<a name="FNanchor_8_8" id="FNanchor_8_8"></a><a href="#Footnote_8_8" class="fnanchor">[8]</a></p> + +<p>Whoever wishes to know the history of theories concerning the motive +powers of the blood as they then stood, may learn them by looking over +files of the Boston Medical and Surgical Journal, edited by Dr. J. V. C. +Smith, for the years 1852-’53, and a part of 1854. Dr. Cartwright wrote +for it during those years; and, encouraged by his protection, I +frequently answered objections, which flowed in from various medical +opponents. The objection derived from the fœtal circulation, I answered +thus, in the Journal, of May, 1852: “The change occurring at birth, so +far from falsifying this theory, affords presumptive proof of its truth. +When first the air enters the trachea of a new born infant, and animal +combustion begins, the inflation of the lungs must open the vessels and +vesicles prepared to receive the venous blood. To fill the new-made +vacuum, the whole of the blood from the right ventricle rushes through +the pulmonary tube, leaving none to go through the <i>ductus arteriosus</i>, +thus made useless, and henceforth to be abolished. But what is to move +the blood from the capillaries of the lungs? The heart’s force, +insufficient before without aid from the mother’s respiration, is now +divided, while its work is doubled. A new power must then be generated +by the meeting of the air with the carbon of the blood, enkindled by the +peculiar functional vitality of the lungs. Without such a power, no +perceptible cause exists sufficient to move the blood onward to the left +ventricle. But it is moved thither, and with a power which presses down +and closes the valve of the <i>foramen ovale</i>, thus clearly manifesting +that this current exceeds in force that in the right ventricle. Grant +that the new function of respiration has furnished a new power, and this +astonishing instantaneous metamorphosis from amphibious to mammalian +life becomes perfectly intelligible, and the<span class="pagenum" title="Page 19"> </span><a name="Page_19" id="Page_19"></a> wisdom of the Creator is +fully vindicated; showing that His work has been truly interpreted.”</p> + +<p>In the <i>Boston Journal</i>, of April 21st, 1852, is an article from +Dr. Cartwright, entitled “Confirmation of the Willardian, or Important +American Discovery,” in which the author endeavors to remove what +doubtless has been one cause of the delay in acknowledging its truth. +“Those members of the profession,” he says, “whom science has only +<i>perfumed</i>, are the most apt ‘to look down with proud disdain’ on any +discovery originating ‘with individuals not indoctrinated.’ They do not +make the proper distinction between selfish quacks who seek publicity +‘to line the pocket,’ and those ‘who, prompted by some mysterious +power,’ come forward against their interest, and at the risk of their +reputation. ‘Rather than to contemn and ridicule, it were better to +study the manifestations of that mysterious power.’ They do not consider +that the truth thus brought to light, while they fail to acknowledge it, +is affording ‘to selfish quackery’ a capital to trade on.”</p> + +<p>To the same effect is the advice given to the profession by Dr. B. F. +Washington, of Hannibal, Mo. He says, in the Nashville <i>Journal of +Medicine</i>, July, 1854, “it is time for us to be acting; the honor of the +profession is in danger. The theory of respiration is a truth which will +cut its way; and if we do not take it up and teach it, in a few years we +may see the mortifying spectacle of the community teaching the +profession scientific truths. Quacks have already taken it up, and we +have inhalers and air cures of various kinds.”<a name="FNanchor_9_9" id="FNanchor_9_9"></a><a href="#Footnote_9_9" class="fnanchor">[9]</a></p> + +<p>The first appearance of Dr. Washington as the advocate of my theory was +in the <i>Nashville Journal</i>, March, 1854; and his fertile genius had +there brought a new illustration of its truth. It had, he said, opened +his eyes to the explanation of a fact which had puzzled him from his +boyhood. “In slaughtering animals, if the trachea was cut, scarcely any +hæmorrhage resulted; while, if that was left untouched, full hæmorrhage +occurred. By the Willardian theory, the fact is readily susceptible of +explanation. The blood, filling the trachea, suspended respiration, and +of course the impelling power of the blood was suspended, and the +hæmorrhage ceased. The engine could not work without steam. When the +trachea was not cut, respiration went on, and kept up the circulation, +until the animal was nearly exsanguineous, and the powers of life gave +way.” This fact was clearly ascertained by Dr. W. K. Bowling, the +well-known editor of the <i>Nashville Journal</i>, and able professor of the +theory and practice of medicine in the university of that place. He sent +me the Journal containing this welcome endorsement of my theory from one +who was, as Dr. Bowling assured me, “an observer of superior tact and +learning,” known by his medical compositions as well in<span class="pagenum" title="Page 20"> </span><a name="Page_20" id="Page_20"></a> Europe as +America. Since that time (March, 1854), that Journal, though not +excluding articles which oppose, has been understood to be in favor of +the theory. Dr. Washington has written repeatedly, answering all +objections;<a name="FNanchor_10_10" id="FNanchor_10_10"></a><a href="#Footnote_10_10" class="fnanchor">[10]</a> and he has, in the Journal (as I have been assured by +one of the Editors), “crushed out all that would take up his glove, and +is left in undisputed possession of the field—looking in vain for an +opponent.”</p> + +<p>In the meantime, in 1856, Dr. J. N. Draper, Professor of Chemistry and +Physiology in the University of New-York, in an elaborate work on “Human +Physiology,” has agreed that Harvey’s theory of the paramount power of +the heart’s action in the circulation must be abandoned; and that to +respiration must be assigned “the great duty of originating the blood’s +circulation.”<a name="FNanchor_11_11" id="FNanchor_11_11"></a><a href="#Footnote_11_11" class="fnanchor">[11]</a></p> + +<p>Dr. Washington has not only defended me in every important position +which I have taken, and added new illustrations—but he has made the +theory available to showing new proofs of the wisdom of God in the +creation of man. Thus—steam is formed in the vacuum of the lungs at the +low temperature of 67°, while, if there were no vacuum, 212° of heat +would be required to produce it,—an impossible quantity, since it would +coagulate the albumen of the blood. But form the vacuum, and the boiling +of the blood with any degree of heat less than 101° could not cause any +such disaster, while the steam going off from the lungs through the +arterial system to the capillaries, gradually condenses, warming the +body by giving off its latent heat; and the latent heat of vapor is the +same however it is formed, and is always 1,114°. What divine wisdom and +economy are thus displayed!</p> + +<p>Homœopathy has, we believe, never found any difficulty in receiving this +theory. We know that, at one of its conventions held in Providence, it +was ably supported; and Dr. Marcy, whom I have the honor to address, +was, as we have seen, one of its earliest defenders. He has never, +whether allopathist or homœopathist, been known to hesitate when his own +mind brought him clear conclusions;—the distinguishing mark, according +to Dugald Stewart, of intrepidity of character.</p> + +<p class="quotsig"> +With profound respect,<br /> +<span class="smcap">Emma Willard.</span> +</p> + +<div class="footnotes"><h3>FOOTNOTES:</h3> + +<div class="footnote"><p><a name="Footnote_1_1" id="Footnote_1_1"></a><span class="label"><a href="#FNanchor_1_1">[1]</a></span> It is here seen what an important work this theory does for +the venous circulation, and why the blood moves into the lungs. We have +read of a theory which maintains that it goes there because there is a +mutual attraction between it and the capillaries of the lungs. But there +is none between the water in our tube and that in the tin vessel where +water is boiling; but it goes into it with a rush notwithstanding. +Because there is a strong suction power produced by expansion, no other +attraction is needed. The apparatus, as here described, goes no farther +than to represent the circulation in single-hearted animals. But in my +work is a drawing which shows the left heart on the opposite of the +mimic lungs from the right; and then how the same tube, by being folded +in the form of a figure eight (8), shows the two hearts united into one, +and both ventricles working by the same contractions to perform their +different tasks.</p></div> + +<div class="footnote"><p><a name="Footnote_2_2" id="Footnote_2_2"></a><span class="label"><a href="#FNanchor_2_2">[2]</a></span> Mrs. B. Ogle Taylor, of Washington, formerly Miss Julia +Dickinson, of Troy, was thus found dead; and the late Mrs. Cass thus +lost her life. “She was seized,” says a newspaper account, “in a hot +bath, which she had taken soon after eating.” She lived an hour, +unconscious, and the physician said she died of congestion of the brain. +How easily could these highly intelligent ladies have kept themselves +from danger, or saved themselves when they felt it approaching, had they +known and understood these principles. For two reasons, in case of the +failure of the motive power from keeping the body too long in hot water, +the blood would be congested in the head. First, the head would not be +immersed, and, second, the last blood which the lungs sent forth would +go to it.</p></div> + +<div class="footnote"><p><a name="Footnote_3_3" id="Footnote_3_3"></a><span class="label"><a href="#FNanchor_3_3">[3]</a></span> What can the Smithsonian Institute do better to carry out +the views with which the benevolent Smithson gave his fortune, than thus +to teach mankind when life may, by free circulation, be made to confer +enjoyment—how it may be inadvertently destroyed—and how it may be +restored, when, by drowning or otherwise, it is suspended? Sudden deaths +often occur by mal-position. That of the late Secretary Marcy is +doubtless an example. After his blood was heated and his circulation +quickened, he laid himself down on his back, his head not raised. +Attention to the workings of such a piece of apparatus as might be made, +would have shown the fatal effects of such a position at such a time.</p></div> + +<div class="footnote"><p><a name="Footnote_4_4" id="Footnote_4_4"></a><span class="label"><a href="#FNanchor_4_4">[4]</a></span> A young physician, whom I paid for correcting the proofs, +was not successful in preventing mistakes, especially in regard to +numbers.</p></div> + +<div class="footnote"><p><a name="Footnote_5_5" id="Footnote_5_5"></a><span class="label"><a href="#FNanchor_5_5">[5]</a></span> I had just been reading Cuvier, to see whether he believed +in the Harveian theory of the circulation. I found he did not. “The +circulation vortex,” says he, “is sometimes simple, sometimes double and +even triple (including that of the vena porta); the rapidity of its +movements is often <i>aided</i> by the contraction of a certain fleshy +apparatus denominated hearts.” Thus showing that my theory gave to the +heart all the prominence that was given to it by this great philosopher, +who had not, however, advanced any opinion as to the cause of the +circulation.</p></div> + +<div class="footnote"><p><a name="Footnote_6_6" id="Footnote_6_6"></a><span class="label"><a href="#FNanchor_6_6">[6]</a></span> One of them, my lamented niece, Jane Porter Lincoln, at my +request, immediately wrote an account of the experiment, which is now in +my possession.</p></div> + +<div class="footnote"><p><a name="Footnote_7_7" id="Footnote_7_7"></a><span class="label"><a href="#FNanchor_7_7">[7]</a></span> These physicians gave certificates of their witnessing and +assisting at this memorable experiment, which were published in the +<i>Boston Medical Journal</i>, February 1852.</p></div> + +<div class="footnote"><p><a name="Footnote_8_8" id="Footnote_8_8"></a><span class="label"><a href="#FNanchor_8_8">[8]</a></span> Dr. Cartwright also reported the case in a letter which was +published in the <i>Boston Medical Journal</i>, September, 1852. This +resuscitation was more wonderful than those detailed in my published +work on “Respiration.” All cases of life thus restored are proofs <i>a +posteriori</i> of the truth of this theory of the arterial circulation.</p></div> + +<div class="footnote"><p><a name="Footnote_9_9" id="Footnote_9_9"></a><span class="label"><a href="#FNanchor_9_9">[9]</a></span> Good systems of exercise have been made in some respectable +institutions for health, openly formed on the principles of this theory. +Such is that by Dr. Hamilton, of Saratoga.</p></div> + +<div class="footnote"><p><a name="Footnote_10_10" id="Footnote_10_10"></a><span class="label"><a href="#FNanchor_10_10">[10]</a></span> When the time shall come that, the truth of my discovery +being no longer denied, its originality shall be contested, it will be a +significant fact that, in the <i>Nashville Journal</i>, of September, 1854, +is an article against it from a physician signing himself “Justicia,” +which he thus heads, “The Willardian Notion.” In evil report, it was +indisputably mine. This article also shows, that the Harveian theory is +still maintained by the opposers of mine.</p></div> + +<div class="footnote"><p><a name="Footnote_11_11" id="Footnote_11_11"></a><span class="label"><a href="#FNanchor_11_11">[11]</a></span> See Draper’s Physiology, p. 142.</p></div> + +</div> + + + + + + + +<pre> + + + + + +End of the Project Gutenberg EBook of Theory of Circulation by Respiration, by +Emma Willard + +*** END OF THIS PROJECT GUTENBERG EBOOK THEORY OF CIRCULATION *** + +***** This file should be named 19053-h.htm or 19053-h.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/1/9/0/5/19053/ + +Produced by Frank van Drogen, Laura Wisewell and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +book was produced from scanned images of public domain +material from the Google Print project.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Theory of Circulation by Respiration + Synopsis of its Principles and History + +Author: Emma Willard + +Release Date: August 15, 2006 [EBook #19053] + +Language: English + +Character set encoding: ASCII + +*** START OF THIS PROJECT GUTENBERG EBOOK THEORY OF CIRCULATION *** + + + + +Produced by Frank van Drogen, Laura Wisewell and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +book was produced from scanned images of public domain +material from the Google Print project.) + + + + + + + + THEORY + + OF + + CIRCULATION BY RESPIRATION. + + SYNOPSIS OF ITS PRINCIPLES AND HISTORY. + + + WRITTEN, BY REQUEST, + FOR THE "U. S. JOURNAL OF HOMOEOPATHY," + BY EMMA WILLARD. + + + NEW-YORK: + FRANCIS HART & CO. PRINTERS AND STATIONERS, 63 CORTLANDT STREET. + 1861. + + + + + THEORY + + OF + + CIRCULATION BY RESPIRATION. + + + + +SECTION I. + +First step in the discovery--Animal Heat the product of Respiration. + Second step--Heat evolved in the lungs by Respiration there produces + Expansion. Third step--Expansion; implied motion, which from the + organism must conduct the blood to the left ventricle of the Heart. + Theory imperfect, until the formation of sufficient vapor or steam + in the lungs is perceived and acknowledged. + +TO DR. MARCY.--In complying with your request to write for your journal +an article embodying my theory of the motive powers which produce the +circulation of the blood, together with some account of its rise and +progress, I obey what I regard as a call of duty; and thus requested, do +it with pleasure. + +But my theory, with its history, cannot thus be written without egotism. +Logicians say, that the way to convince others is to retrace, in order, +the steps by which you yourself became convinced, which is to be +egotistic. But in this case, there is a further reason: the scientific +discoverer must speak of the apparatus by which he experiments, and mine +was often my own physical frame. + +Twenty years ago, while yet my mind, laboring with this great subject, +was condemned + + "to drudge + Without a second and without a judge," + +you, sir, comprehended the hypothesis which has now become a theory, and +you waited not for others to speak, but you fully acknowledged its +truth; and although, in Hartford, as now in New-York, you were thronged +with practice, (then allopathic), you yet found time to furnish me with +added experiments, made in your office, confirmatory of its truth, which +by your permission were afterwards added in your name to my published +work. + +The first step in the theory occurred to my mind in the winter of 1822, +and while I was engaged in founding the Troy Female Seminary. Being in +attendance on a course of lectures on chemistry, and at the same time +teaching to a class Mrs. Marcett's excellent work on that subject, one +cold morning, as I was walking briskly up a hill, I said to myself, Why +do I grow warm? Whence comes this accession of caloric? It cannot be +transmitted to me from any object without, because every thing which +comes in contact with me is cold. Snow is under my feet, and frosty air +surrounds me; and, as to clothing, even the softest furs _impart_ no +warmth--they but keep from escaping that which comes from within. What +other method besides transmission is there of gaining heat? There is the +elimination of caloric, when, in substances chemically combining, weight +is gained and bulk is lost. Is there any such combination going on in +me? Yes; this atmospheric air, when I inspire it, has oxygen combined +with nitrogen; but when I expire, the oxygen has disappeared, and +heavier substances--carbonic acid gas and watery vapor--are returned in +its place. Thus, it must be, animal heat is evolved. It is the product +of respiration; and it is because I breathe faster and deeper, that more +carbon is oxidized or burned, and more heat is set free in my lungs; and +therefore I grow warm as I walk up this hill, though all around me is +cold. + +The mind, excited by new and great thoughts, works with unwonted energy; +and mine at once collected so many proofs, that I became perfectly +convinced of the truth of the hypothesis. In searching books, I found +that Lavoisier had taught the same; but he dying, his doctrine was +discarded by English chemists, Dr. Black leading the way, and therefore +it did not then appear in English systems of chemistry. But from that +time, I cherished it with a mother's devotion, watched changes in my own +physical frame relating to it, taught it to my pupils, and held warm +disputes with the medical faculty, who opposed and contemned it. + +In the summer of 1832, the Asiatic cholera appeared among us, appalling +every heart. This plague, I said, is a disease of coldness and +obstruction; and these doctors, wrong as they are on the subject of +animal heat, can never understand it--though, if Lavoisier were living, +he might. Let me, then, as best I may, consider anew the problem of heat +as produced by respiration, and see whether I cannot find out something +which has a bearing on the fatal coldness of this fearful disease. It is +into the lungs, and no where else, that breathing introduces atmospheric +air; and it is there that the oxidation of carbon or animal combustion +takes place. Thus must caloric be imparted to the blood in the lungs; +and in them is one-fifth of the blood of the system, of which +seven-eighths is water. + +The nature of heat is to expand all fluids. The blood in the lungs must, +therefore, expand; and if it expands, it must move; and if it moves, it +must, from the organism of the parts, move to the left ventricle of the +heart, into which the valvular system opens to give it a free +passage--whereas the valves of the right close against it. "Eureka!" I +mentally exclaimed; "I have found the _primum mobile_ of the circulation +of the blood." I had for years disbelieved that the heart's slight +mechanical impulse was that cause. In teaching Paley's "Natural +Theology," my mind had come in contact with the passage in which he +describes the heart's more than Herculean labors; and I said, "This is +altogether too much--the heart alone cannot perform all this--there must +be some other power," and an abiding desire to know what that power +could be, prepared me for receiving this great idea. But my mind was +agitated by it, as the sea is, when a great rock is thrown into its +waters. + +The cholera was then raging around me; and as I prepared to flee from it +to a mountain air, I confided to a scientific friend, Professor Twiss of +West Point, my hypothesis, which I regarded as probably the incipient +germ of an important discovery. + +But there was first the former theory to be disproved; and then there +were new points to be investigated and established. In the ensuing +winters of 1833, 4, and 5, I gave much attention to the subject, and +employed professors in my school in the departments of chemistry and +natural philosophy, who assisted me,--particularly by their ingenuity in +the construction of such simple pieces of apparatus as were needed. + +Thus we proved that, although the heart's action gives pulsation, it +does not necessarily give circulation. By an endless india-rubber tube, +filled with water, coiled upon a table and struck repeatedly at one +point, a pulsation was produced throughout, but no circulation. By +affixing the tube to a vessel of water, and laying it on an inclined +plane, the water ran through it in an equable current, making +circulation with pulsation. Clasping the hand upon the tube in +successive contractions, the fluid passed on _per saltem_, producing +circulation and pulsation united, but no acceleration of the current. +Now, add valves to the tube on each side of the opening hand, and you +will have the current--which is moving by gravitation, accelerated by +the hand's impulse, as the blood's current, first moved by respiration, +undoubtedly is by the heart's beat. + +The heart we regard as the grand regulator of the blood's flow; and it +is admirably situated for measuring out a regular portion of blood at +every contraction. John Bell, believing in the Harveian theory, said, +"It is awful to think of the unfixed position of the heart;" and +Dr. Arnott declared that "the heart, the heart alone, is the ragged +anomaly in the laws of fitness in mechanics." The heart was now seen to +have a right position; for it should swing loose that its moorings be +not endangered; and, as whatever impugns the Creator's unerring wisdom +must be wrong, so the presumption is, that whatever vindicates it must +be right. + +My hypothesis assumed the principle, that, if an endless hollow tube be +filled with a liquid, the liquid can be made to circulate perpetually, +if it be heated at one point and cooled before its return. A drawing of +the simple apparatus by which this problem was proved, is given in my +published work on "the Motive Powers, &c." The figure which represents +this apparatus gives the learner the most simple idea possible of the +connection of the respiratory and circulatory systems, and of the +combination of the two motive powers; the first, or chemical, coming +from the lungs, and the second, or mechanical, from the heart. + +Suppose the heart divided into right and left hearts by dissection at +the septum: the circulatory system might then be represented by an +endless tube. Let such an one, nine or ten feet in length, and of one +inch bore (to be filled with water) be placed upon a horizontal table. +Let an enlargement of the tube be made by a tin vessel to represent the +lungs, which shall contain about one-fifth part of the water. Let the +tube connected with the right side of the vessel have, at a little +distance from the vessel, a smaller enlargement, composed of +india-rubber, which can be grasped by the hand, to represent the heart's +right ventricle, with a valve on each side opening towards the tin +vessel, the two to represent the tricuspid and semi-lunar valves. Let +the whole be made nearly full of water; then, under the tin vessel +(representing the lungs), let a fire be made. As the water heats, it +will expand; and as the valve closes to the right, it will go off to the +left side of the vessel. But, as no water will come in from the right, +on account of the valves, there will be no current. Now let the hand +grasp the india-rubber, and the fluid between the valves being displaced +by its pressure, all the water will go towards the tin vessel, because, +while the valve representing the tricuspid would close, that +representing the semi-lunar (between the mimic heart and lungs) would +open--and very freely; because the expansion made by the heat under the +tin vessel had created a vacuum, and thus made a suction power to draw +it forward, while there is a driving power behind to force it onward +into the tin vessel. Then relaxing the hand, a vacuum will exist between +the two valves; and the valve in the rear of the current now begun (the +tricuspid) would open, and the water rush in to fill the vacuum in the +india-rubber ventricle, to be again pressed forward by the next grasp of +the hand; and thus--the fire (representing respiration) being kept up, +and the alternate grasping and relaxing of the hand (representing the +heart's regular impulse)--a perpetual circulation might be made to go +on;[1] but not without another condition of the problem. + +And it was in performing this experiment that a truth was discovered, +which, had it been known, many who have ignorantly lost their lives +might have preserved them. When the fluid in the apparatus became +equally, or nearly as much, heated at the extreme parts of the +circulating tube as at the heating vessel, then the motive power of +expansion ceased, and (the hand's impulse being too weak of itself to +carry it on) circulation failed; but it was restored by putting snow or +ice around the extreme parts of the tube. How often have we heard of +ladies who, having gone into warm baths, have been found dead by their +friends, or too nearly so, to be restored.[2] Through ignorance of the +cause, no right means would be taken to restore them, such as dashing +cold water upon the exterior, with simultaneous efforts to produce, in +fresh air and in proper position, such artificial respiration as leads +to the natural. Where no internal lesions have occurred, there is every +reason to believe that such measures might produce restoration. + +My imperfect machines gave me to see how much might be done for this +important part of physiology by a more perfect apparatus. Mine was +merely horizontal--but one might be made to take as many positions as +are natural to the human frame; and how many facts might such an one +elicit concerning the effects of position on the circulation, by which +lives might every day be saved! But skilful mechanicians, not ordinary +mechanics, are needed, who are men of intellectual capacity, and are +furnished with _carte-blanche_ for time and expense.[3] + +The years 1836-'7-'8 witnessed, on my part, several extraordinary and +fruitless efforts to get before the public the theory, of whose truth +and importance I was then fully convinced. In 1839, Dr. C. Smith, then +of Troy, an able medical lecturer, became a convert to the theory; and +showed me, in post mortem dissections, the organs of respiration and +circulation. At the close of that year, having carefully corrected and +made out copies of my manuscript theory, which I had before written, I +sent two to Paris--one to the two brothers, Drs. Edwards, members of the +French Institute, and one to my friend, Madame Belloc. I also sent one +to Edinburgh, to Dr. Abercrombie. Dr. Milne Edwards soon after wrote a +book, in which he made it a point to show that animals could live +several minutes without breathing; and Dr. Frederic Edwards wrote me a +short letter of objections to my theory, and adherence to that of +Harvey. This letter was copied and answered in my work published in +1846. + +About this time, Dr. Aikin, of Baltimore, wrote to me on the subject; +and showed, by calculations, that the mere gradual expansion of the +water of the blood was not sufficient, of itself, to produce a current +as rapid as that of the blood was proved to be, even on the lowest +estimate of its velocity. This did not shake my faith in the great fact +that circulation was created by respiration. It must be so; for in life, +such respiration as produces heat is the invariable antecedent of +circulation, and nothing else is. There was something, then, which +remained to be discovered. Again, I placed before me the conditions of +the great problem, and set myself intently to its study; and I soon +found what I thus sought, and then discerned for the first time that the +blood moves, as does the railroad car, by steam. John Bell, my favorite +author, had shown that the lungs work _in vacuo_. A great proportion of +the blood is water, which, in a vacuum, springs into vapor at 67 deg., and +the temperature of the blood in the lungs is 101 deg.. Its expansion, then, +was not merely the gradual increase of bulk by transmitted heat, but +also that of instantaneous expansion, by the vaporization of so much of +it as is needed; and what expanded water could not do, steam certainly +could. At once, a throng of proofs came to my mind. The most apparent of +these was the vapor _expired_ breathing. I recollected how, in former +times, the stage horses, driven rapidly into my native village of a +winter morning, had clouds of vapor wreathing upward from their +nostrils, while the icicles of condensation were hanging below. The +nurse, who stands over the dying, holds a mirror before the mouth and +nose, and considers that life is only extinct when vapor ceases to be +formed. Then came to mind the solution of that great mystery of +physiology, why the arteries are empty at death, which so long hindered +the discovery finally made by Harvey. + +In the state in which chemistry was, even as late as the time of John +Bell, the chemical power of the heat produced by respiration at the +lungs could not have been understood. + + +SECTION II. + +Publication of the Theory, in 1846, in "A treatise on the Motive Powers + which produce the Circulation of the Blood." Its Reception: Critique + in the New York "Journal of Medicine," September, 1846. My Reply, in + the same Journal, March, 1847. + +TO DR. MARCY.--In the years immediately succeeding 1840, (in which year, +as you will recollect, I had the honor to receive your countenance and +advice respecting my theory,) I was almost exclusively devoted to the +revision and enlargement of my historical works; but early is 1846, +having determined on making the tour of the United States, I resolved +first to prepare my theory for the press. In the introduction, I +remarked, "The house of clay in which the mind dwells must receive a +portion of its care; and that which I have bestowed on mine has +proceeded on a belief in the truth of the theory herein advocated, as +undoubting as that in the laws of gravitation; and when any new fact, or +any remark of an author, relating to my theory came under my +observation, I noted it down and laid it by with its kindred. About to +set out on a long journey, and aware that my field of vision had thus +enlarged, I felt it my duty to put together the principal of my remarks, +that I might so leave the subject, that, in case anything should prevent +my return, it would be in a form equal to the present slate in which the +theory exists in my own mind." + +The time I had spent in devotion to this theory, the many rebuffs I had +met in seeking to promulgate it--sometimes, unhappily, affecting my +social life--had made painful the duty of publishing it. My historical +works had been received with favor; but I believed that, in publishing +this, it would be charged against me that I chose a subject unsuited to +my sex. I therefore said, in my preface, "This is not so much a subject +which I chose, as one which chooses me; and if the Father of Lights has +been pleased to reveal to me from the book of his physical truth a +sentence before unread, is it for me to suppose that it is for my +individual benefit? or is it for you, my reader, to turn away your ear +from hearing this truth, and charge its great Author with having +ill-chosen his instrument to communicate it?" + +As I passed southward on my journey, I left, March, 1846, my +manuscript in the hands of Wiley & Putnam, in N. York:[4] to be +published at my expense. During the six months in which I was absent +on my travels, my book was published; and the publishers sent copies, +as directed by me, to many of my personal friends, and to several +physicians. They sent other copies, which procured notices, some of +which were favorable, particularly one from the _London Critic_, and +others, the reverse. As few copies of the book sold, I was not +remunerated for the cost of publication. The copies sent to physicians +were mostly unacknowledged--received in cold, if not contemptuous, +silence. But my family physician, the worthy and learned Dr. Robbins, +to whom I dedicated the work, ever upheld me. He answered my questions, +gave me instructions, and showed me post-mortem dissections; and to +those who asked him if he believed in my theory, he wisely replied, +"Mrs. Willard is right as far as she goes." He knew that I made no +pretensions to understand the vast variety of medical subjects not +connected with the circulation, and that I never doubted his skill or +disputed his prescriptions. An honest man, and a skilful physician, he +deserved and had my unfailing confidence. And if, by reason of what I +knew, I had prolonged my life, he had the longer kept a good and +faithful patient. Lady-friends, to whom I had sent my work, had +sometimes referred it to their medical advisers; and thus Dr. Hiester, +an eminent physician of Reading, Pa., became a believer. And in the same +way, the eminent Dr. Cartwright, then of Natchez, and President of the +State Medical Association of Mississippi, came to a knowledge of those +principles, which, as we shall hereafter show, he so remarkably +elucidated. + +In September, 1846, the _New York Journal of Medicine_, then edited by +Dr. Charles A. Lee, contained a review or critique on my work, which, if +the history of the theory shall hereafter become a matter of special +interest, may, with my reply, contained in the March number of 1847, +furnish any examiner with the full state of the question at that period. + +The learned reviewer showed himself acquainted with the subject as it +then stood, and with its history in the past. He held that the heart's +action, "the contractile power of the cardiac walls," is the main spring +or _primum mobile_, from which the circulating force proceeds, +notwithstanding the great discrepancies as to what that force is; and +while he objected to my theory, that it did not show any distinct +measure of force, he said that, while Borelli estimated the contractive +power of the heart at 180,000 pounds, Keill stated it at five ounces, +Sir Charles Bell at 51 pounds, Carpenter at 511/2, and Hales at 50. He +abandoned, however, Harvey's idea that the heart was the only organ of +circulation. He believed that it was assisted by the contractile power +of the arteries, by the movement of the ribs and chest in respiration, +by capillary attraction, muscular contraction in exercise, and several +other forces; one of which, the attraction of the venous blood for the +pulmonary cells, had been recently pointed out by Dr. Draper. The author +did not suppose he was bringing forward any new truths; "but," said he, +as an introduction to his account of my theory, "are we not sometimes in +danger of forsaking old truths for new theories?" + +Of my theory, he says: "The mere statement of it must satisfy our +readers that it is wholly untenable. It is well known that heat is +generated in every part of the system as well as the lungs. Whenever +oxygen and carbon unite, there it is developed; but it is imparted to +the _solids_ equally with the fluids; it maintains the temperature of +the whole body by radiations from the points where it is generated." ... +"It is believed that all those functions of the organism which are +necessary for the preservation of life, contribute directly or +indirectly to the production of animal heat; so that it is developed at +every point at which metamorphosis is occurring, and therefore not +merely in the lungs, but in the whole peripheral system." + +The writer then observes, that "the heat of the venous blood as it +reaches the right side of the heart (according to Davy), varies only two +or three degrees from that of the aorta. Granting, then, that the blood +receives three degrees in the lungs, it is very evident that the +expansion produced by it would be too small to be appreciable. The +cause, then, is insufficient to produce the effects." The writer gives +me credit for having ingeniously supported my theory, and then politely +bows me out of the department of physiology into my more appropriate +sphere of educating girls. + +In my reply, this sentence from Cuvier was chosen as a motto: +"Respiration is the function essential to the constitution of an animal +body; it is that which, in a manner, animalizes it; and we shall see +that animals exercise their peculiar functions more completely according +as they enjoy greater powers of respiration."[5] My reasoning was to +this effect: "It is in vain to say that cannot be, which is." When +two events are so conjoined in nature that one is the only invariable +antecedent of the other, then, according to all logic, we are bound to +conclude that the first is the physical cause of the second, even though +we cannot understand how it should be. Of the circulation, such living +respiration as produces heat is the invariable antecedent, and nothing +else is. The heart's action, as stated by our reviewer himself, is not +therefore respiration, and not the heart's action or anything else, is +the cause of the circulation. This argument is upheld by the fact that +circulation, varies not only as respiration, but as its products +digestion, strength, and, according to Cuvier, animal vitality vary. All +begin with respiration, end with it, and are as it is. If respiration +ceases, restore it before the organism is deranged, and they are all +restored. We must conclude, then, that respiration is the cause of +circulation, although we could not see how it should be. Much more, when +we discern a mighty power, that of expansion, and see how the Almighty +has made our frame in reference to its production by caloric--the lungs +allowing of heat within them like wet cloth, and the nerves, bones and +muscles all made and arranged, so that oxygen shall be brought to them +by respiration on the one hand, and carbon by the numerous digestive and +circulatory organs on the other. + +As to any deficiency of power, my reviewer had omitted to notice that +not only the ordinary expansion of the water of the blood by calorie had +been assumed, but also its vaporization, or the change of such a portion +as was needed into steam, the lungs being _in vacuo_; so that nature +here had not failed of her usual abundance. And had not this power been +kept in check by the pressure of the surrounding air hindering the +perfect vacuum of the lungs, there was reason to fear, rather its excess +than its deficiency. As to the reviewer's assertion that heat is +generated in every part of the system, and imparted to the _solids_ +equally with the fluids--that I positively denied, in the name of common +sense. For who does not know that, although there may be some heat +elaborated in the stomach, and some during the processes by which the +fluids change to solids, that the great source of heat to the system, is +in the fluid blood, and not in solid flesh or bone? Our senses of sight +and feeling show us, in the case of blushing, that heat comes and goes +with the blood. No one believes that the solid parts of his leg warm the +blood as much as it warms them. Finally, it discredited the old theory, +that it showed no adequate use for the great primary function of +respiration, and its constant attendant, animal heat. Breathing and +warmth are not ultimate ends. Man breathes to live; he does not live to +breathe. He is warm to live; he does not live merely to be warm. Our +theory shows that it is these primary agencies which sustain his being; +and it sets forth the manner in which they operate for this end. And +thus, while it indicates the wisdom of the Almighty in the formation of +the animal frame, it shows itself to be His true interpreter. + + +SECTION III. + +Uses of the Theory--Proofs.--Publication of a Work, in 1849, entitled + "Respiration and its Effects, more, especially in relation to + Asiatic Cholera and other Sinking Diseases."--Examples. + +TO DR. MARCY.--The theory of the two chief motive powers which operate +at the centre was, we conceive, completed by the addition of steam +formed in the vacuum of the lungs, as available to give to the blood its +due velocity. We also believe that complete proof _a priori_ had been +adduced of the fallacy of the theory that the _primum mobile_ is in the +heart; and, also, that proof _a priori_ had been given that it begins at +the lungs, and is the product of respiration. It remained to apply this +theory to use, and to find proofs _a posteriori_. + +Although some of my friends regarded my theory as an _ignis fatuus_ +which led me into nothing but evil, yet it has enabled me, by plans of +exercise, to endure for many years, in-door sedentary labor--and yet +enjoy health; and in unusual emergencies, more than once to save my own +life and that of others. + +In the cold winter of 1835, I took, at Troy, the old summer stage, at +midnight, to cross the Green Mountains. I was alone in the large and +ill-closed vehicle; the thermometer was sinking as I proceeded on my +way, until it had reached 25 deg. below zero, a degree of cold to which I +had never before been subjected. When I had traveled alone twenty miles, +I found myself in imminent danger of perishing. Ordinary expedients to +get warmth were no longer availing; numbness and cold at the vitals were +overcoming me; and I knew that to give way to them was to die. I thought +of my theory; but I was fearful that I should commit sin if I tampered +with the sacred "breath of life." But my necessity was urgent, and I +aroused, stood up, and breathed that dense air with violence. It felt +for the moment cold to my lungs, but soon came heat with a rush, and +with it pain, as if the whole surface of the throat and lungs were +blistered; and my first thought was that I should die, justly punished +for my temerity. But soon I was restored to genial warmth; and rejoiced +in having successfully made an important physiological experiment. + +Afterwards, having been instrumental in relieving a woman who was +perishing from having breathed the fumes of charcoal, I was led to +reflect that in such cases there was something to be taken away from the +lungs, as well as warmth to be added. This woman's extreme coldness, and +feeble, fluttering pulse, showed that she was dying for want of right +breathing; and in her case there was no doubt that the cause was the +same as that of death by drowning. The carbonic acid gas which she had +inspired, being heavier than atmospheric air, settled as water in her +lungs, and in the same manner prevented the access of oxygen to their +living tissues. And hence arose the reflection that the ordinary +carbonic acid gas, which is always the residuum of respiration, might, +from weakness, settle in the lungs, and thus become the cause of disease +and death. The presence of carbonic acid in the lower bronchial tubes +and cells, existing in quantities sufficient to prevent the natural +combustion by breathing, was brought to my mind in March, 1847, while +searching for the cause of an agonizing paroxysm of sick headache. The +distressed feelings of obstructed life with which I was tossing and +struggling, together with the agonizing pain in the head and pressure on +the stomach, might well arise from such a cause. Standing (for position +is important) in a full current of air from an open window, I commenced +a species of violent artificial breathing, for the purpose of ejecting +the supposed heavy gas, and filling my lungs with pure air. This was +done by contracting the chest on every side to its smallest possible +dimensions, and at the same time throwing out the air violently and from +the bottom of the thorax, as if under the operation of an emetic; then +alternating by opening the chest to its greatest capacity, and drawing +in, by successive inhalations, all the fresh air possible, and pressing +it down to the lowest depths of the lungs. This process at first gave +such intensity and sharpness to the pain in the head, that it required +much resolution to continue it; nevertheless it was persevered in. After +a few minutes, the pain diminished, and soon entirely ceased. This was +followed by free perspiration, and equalized, warmth and circulation. +Perfect repose and quiet sleep ensued. Friends, who a short time before +had seen a countenance like that of a dying person, and knew how slow +was ordinary cure, were astonished, an hour afterwards, to behold, on my +awaking, the full glow of restored health.[6] + +On the re-appearance of cholera, during the summer of 1849, my mind was +peculiarly affected, from the belief that a false theory of circulation +prevailed, although there was a true theory, which, if generally +believed, might lead to the knowledge of the cause and cure of this +terrific malady; and thus thousands of lives be saved which would +otherwise be lost. This thought almost distracted me; and believing that +my sex stood in the way of my theory's being acknowledged, I sometimes +wished that it might please God to take me out of the world. Then coming +to better thoughts; I cast away despondency as unworthy of me; and +determined to proceed to the further investigation and development of +the great truth, of which I had, as I believed, been made the unworthy +recipient. I studied my theory anew, while I read the most approved +works on cholera; and I came to the belief that imperfect respiration, +caused by the want of due oxygen in the air, was the principal +predisposing cause of the premonitory symptoms; while the death that +supervened was often caused by the settling of carbonic acid gas, the +residuum of animal combustion, in the lower air-cells of the lungs. The +symptoms of the cholera, as treated by the best writers, were full of +new proofs of the truth of my theory, especially of its last step, the +formation of steam or vapor in the lungs. Without that, the collapse of +cholera was a fearful mystery; with it, everything was plain. With a +coldness that would collapse the lungs, the bowels must naturally be +drawn up (and with dreadful pains) to supply their place. The ghastly +change in the face must occur when cold has condensed its arterial +vapor. If respiration could restore heat, before any lesions had taken +place in the organism, the patient might recover. Then I began rewriting +my theory in a work afterwards published, with the title, "Respiration +and its Effects, especially in relation to Asiatic Cholera and other +Sinking Diseases." + +While thus occupied, the debilitating air of the season weighed upon my +health and spirits. I had been affected for about three days with what I +regarded as the ordinary complaints of the season, when one night, after +my family had retired, I found myself suddenly very ill--my symptoms +being coldness, debility, and spasmodic pains. I believed myself to be +attacked with cholera. I efficiently practised the artificial +respiration in fresh air as before described. Gaining strength as I +proceeded, I soon found a death-like coldness giving place to genial +warmth. Violent exercise, with artificial breathing, was kept up some +time, with such rests and full free breathings as nature required; after +which, I slept, perspired profusely, and was well in the morning. + +This was an occurrence which sunk deep into my mind; and the more so, as +I could not speak much of it, for the truth was too improbable to be +believed. But the successful issue of this, my first experiment upon the +dreaded disease, prepared me to act with boldness and efficiency in a +case which occurred in my own house about a week after. + +On the 14th of August, 1849, Jane Phayre, an Irish woman in my service, +of about twenty-five years of age, having been ill for four days with +diarrhoea, was suddenly struck with what the French call cholera +_foudroyant_--from fright. Alarmed by unwonted sounds near her window in +a basement room, she mounted the window-seat to look out at the top +sash, and found her face close to that of a man dying of cholera, who in +his death-cramps was brought from a steamboat on a litter, and thus +rested upon the pavement. The cover was lifted from his face, and the +sight and the smell struck her with faintness and trembling; and with +difficulty she reached her bed. I was called to go to her quickly by +Eliza Fagan, who said that Jane was very bad. She had a clay-cold +death-look, and a frightful blackness around her eyes. Her face, as I +saw it, was livid, pinched in features, and corpse-like, and her pulse +but a feeble flutter; and she seemed only to breathe from the top of her +lungs. She tried, as she afterwards told me, to say, "I am dying," but +her speech was husky and inarticulate. She says her sight and hearing +were gone; and while Eliza and I were dragging her out of doors, she +could not see the window, and did not feel her feet. We placed her in an +upright position, with her back resting against a board-wall, a fresh +breeze blowing full in her face. Her senses were now partially restored. +I told her to breathe violently, for she must get the bad air out of her +lungs and the good air in; and I showed her how she must do it. At first +she said, "I can't, for something rises up in the inside." When I told +her, sternly, that her life depended on it, and she must, she tried to +obey me. At first, it gave her severe headache, but as soon as deep +breathing was fairly begun, while I was watching her face with intense +anxiety, the color changed from the clay-cold death-look to the full +flush of the warm hue of life, and she joyfully exclaimed, "Oh! I feel +well!" + +When the removal of carbonic acid gas had made way for oxygen to be +brought to the yet uninjured lungs, the carbon of the venous blood +ignited, the motive power was furnished, the blood was again moved +forward into the arterial system, and the dammed up venous current, +receiving the suction force, rushed on so violently as at times nearly +to produce suffocation; but the struggle was soon over, and the lungs, +free both from carbonic acid gas and an unnatural quantity of venous +blood, once more received pure air--and to the relieved sufferer +respiration became delightful--the circulation passed freely through an +unbroken system--and THE CHOLERA WAS CURED. + +Was there, in the whole wide world, another person besides myself who +would have taken such a living corpse, dragged it out of doors, and set +it upright, on feet which could not feel, with the expectation that it +might breathe out death, breathe in life, and be restored? The result is +a proof, _a posteriori_; that the theory on which the experiment was +made is true. + +Other cases occurred, where, under different circumstances, cures of +cholera were effected. One, as instantaneous, and in some respects as +remarkable as that of Jane Phayre, was that of my friend and former +pupil, Mrs. Gen. Gould, of Rochester, who sent for me, believing herself +to be dying of cholera. I have her letter, which, by permission, is +published in my work on Respiration; and also a letter from her +physician, Dr. Bloss, of Troy, testifying that her disease was cholera, +and that he had little hope of her restoration. This letter is published +in the appendix of a report on my theory, read in Buffalo, August 8th, +1851, to a convention of the New York State Association of Teachers. + +In my journeying to New York city, to attend their previous convention +in August, 1850, an accident obliged me to walk for some distance, in +the middle of a hot day. The convention sat in Hope Chapel, which was +poorly ventilated; and in the evening, I sat under a large gas-burner. +On entering my room at the New-York Hotel, which was on the ground +floor, situated where the only air was from a confined, central +enclosure, I perceived at the only window a strong smell of fresh paint +from the outer walls, so that I was obliged to close it. Being +excessively fatigued, I slept heavily--till at early dawn I awaked to +find myself in a dying state. Attempting to move my arms, they were like +lead by my side--and my breath was but a feeble gasp. Without the +knowledge of my theory--my bane, as many of my friends have thought--I +should then have had no antidote. But I knew where was the destroying +agent, and what was the only means by which I had a chance of removing +it; and I used the little strength I had left to breathe deeper, and +then to strive for a better position. Long and doubtful was the +struggle. It was ten o'clock when, with tottering steps, I got into a +carriage, and sought the free fresh air, which enabled me to take a +little food. In the evening, I went into the Teacher's Convention, +having first ordered from my publisher a sufficient number of my books +on Respiration to present one to each member; and then, at my request, a +Committee of Investigation was appointed by the convention to report on +my theory. They reported favorably to the succeeding convention at +Buffalo, which adopted the report, and I published and circulated it. +This committee I had been allowed to choose, and it consisted of my +friend, Prof. Twiss--the first believer in the theory--and Mr. Fellows, +that Professor of Natural Philosophy, who formerly assisted in making my +apparatus. + +Mr. Fellows carried the report to Buffalo, and when he read it in the +convention, editors immediately came to him to request copies for the +press. But, by the influence of physicians, they afterwards declined it +when offered. It seemed to be the general plan of the regular faculty +(in the Eastern, not the Western, States) to put the theory into a +condition resembling the algide state of cholera, where it would die of +coldness; but, by the aid of Divine Providence, it will, like its +author, restore itself by its own inherent vitality--the vitality of +immortal truth. + + +SECTION IV. + +Proofs from Dr. Cartwright's Great Experiments on + Alligators--Resuscitation of Dr. Ely's Child--Dr. Bowling, Editor of + the Nashville Medical Journal, endorses Dr. Washington, who, in that + journal, "crushes out" all Opposition to the Theory--Dr. Draper's + Acknowledgment of it in New York--Homoeopathists--Conclusion. + +TO DR. MARCY. Thus, for thirty years, had I maintained, not only without +public support, but against discouragements, these great truths, of +which I had been allowed for myself such life-giving evidence. But early +in December, 1851, Dr. Cartwright, then of New Orleans, announced in a +letter to me that he had publicly become my advocate. His name will ever +be connected with the theory, on account of the remarkable experiments +by which he demonstrated its truth. In the presence of eminent +physicians, and other scientific persons, he resuscitated an alligator +which had been killed by tying the trachea. After an hour, when neither +fire nor the dissecting knife produced signs of pain, Dr. Dowler[7] laid +bare the lungs and the heart. Then a hole was cut in the trachea, below +the ligature, and a blow-pipe was introduced, which Professor Forshey[7] +worked with violence. At length, a faint quivering of moving blood was +seen in the diaphanous veins of the lungs. The inflating process being +continued, the blood next began to run in streams from the lungs into +the quiescent heart. The heart began first to quiver, then to pulsate; +and signs of life elsewhere appearing, the animal began to move; and +soon, strong men could not hold him. Again they bound him to the table, +and kept the trachea tied until life was apparently extinct; when, again +inflating his lungs, he so thoroughly revived that he became dangerous, +snapping at everything, and breaking his cords. For the third time, the +trachea was ligatured--the animal expired, and was resuscitated. + +Dr. Cartwright says in his letter to me, published in the Boston Medical +Journal, January 7th, 1852, "By this resuscitation, your theory of the +motive power of the circulation of the blood was established beyond all +doubt or dispute." "This vivisection clearly proved that the _primum +mobile_ of the circulation, and the chief motive powers of the blood, +are in the lungs, and not in the heart." Dr. Cartwright mentioned, in +the same letter, a case in which his faith in my theory had saved the +life of a breathless infant--inducing him to unwonted perseverance in +inflating its lungs. + +Able opposers to the theory, however, arose in New Orleans, some of whom +believed that the resuscitation might have been effected by applications +to the nerves. Dr. Cartwright procured, from Gen. Jackson's battle +ground, another alligator, which was publicly killed and vivisected. The +doctor's opponents first tried their means to bring the animal to life, +and failed. Then he, by artificial respiration, restored the huge +reptile as before;--thus proving that artificial respiration could +restore suspended animation when nothing else could. + +Dr. Ely was one who had opposed and written against the theory. In the +meantime, his infant son had cholera, and expired. His medical friends +had left him, and crape was tied to the handle of the front door. +Standing by the side of his lifeless babe, Dr. Ely said to himself, "If +this theory should be true, I might yet save my child." And profiting by +the example of Dr. Cartwright in restoring the dead alligator, he +restored his child to life. Remitting his efforts too soon--again the +infant ceased to breathe. And again, and yet the third time, the father +restored him--when the resuscitation proved complete; and months after, +the child was living and in perfect health. Dr. Ely then came promptly +forward, and, like a nobly honest man, reported the case as convincing +evidence of a truth which he had formerly opposed.[8] + +Whoever wishes to know the history of theories concerning the motive +powers of the blood as they then stood, may learn them by looking over +files of the Boston Medical and Surgical Journal, edited by Dr. J. V. C. +Smith, for the years 1852-'53, and a part of 1854. Dr. Cartwright wrote +for it during those years; and, encouraged by his protection, I +frequently answered objections, which flowed in from various medical +opponents. The objection derived from the foetal circulation, I answered +thus, in the Journal, of May, 1852: "The change occurring at birth, so +far from falsifying this theory, affords presumptive proof of its truth. +When first the air enters the trachea of a new born infant, and animal +combustion begins, the inflation of the lungs must open the vessels and +vesicles prepared to receive the venous blood. To fill the new-made +vacuum, the whole of the blood from the right ventricle rushes through +the pulmonary tube, leaving none to go through the _ductus arteriosus_, +thus made useless, and henceforth to be abolished. But what is to move +the blood from the capillaries of the lungs? The heart's force, +insufficient before without aid from the mother's respiration, is now +divided, while its work is doubled. A new power must then be generated +by the meeting of the air with the carbon of the blood, enkindled by the +peculiar functional vitality of the lungs. Without such a power, no +perceptible cause exists sufficient to move the blood onward to the left +ventricle. But it is moved thither, and with a power which presses down +and closes the valve of the _foramen ovale_, thus clearly manifesting +that this current exceeds in force that in the right ventricle. Grant +that the new function of respiration has furnished a new power, and this +astonishing instantaneous metamorphosis from amphibious to mammalian +life becomes perfectly intelligible, and the wisdom of the Creator is +fully vindicated; showing that His work has been truly interpreted." + +In the _Boston Journal_, of April 21st, 1852, is an article from +Dr. Cartwright, entitled "Confirmation of the Willardian, or Important +American Discovery," in which the author endeavors to remove what +doubtless has been one cause of the delay in acknowledging its truth. +"Those members of the profession," he says, "whom science has only +_perfumed_, are the most apt 'to look down with proud disdain' on any +discovery originating 'with individuals not indoctrinated.' They do not +make the proper distinction between selfish quacks who seek publicity +'to line the pocket,' and those 'who, prompted by some mysterious +power,' come forward against their interest, and at the risk of their +reputation. 'Rather than to contemn and ridicule, it were better to +study the manifestations of that mysterious power.' They do not consider +that the truth thus brought to light, while they fail to acknowledge it, +is affording 'to selfish quackery' a capital to trade on." + +To the same effect is the advice given to the profession by Dr. B. F. +Washington, of Hannibal, Mo. He says, in the Nashville _Journal of +Medicine_, July, 1854, "it is time for us to be acting; the honor of the +profession is in danger. The theory of respiration is a truth which will +cut its way; and if we do not take it up and teach it, in a few years we +may see the mortifying spectacle of the community teaching the +profession scientific truths. Quacks have already taken it up, and we +have inhalers and air cures of various kinds."[9] + +The first appearance of Dr. Washington as the advocate of my theory was +in the _Nashville Journal_, March, 1854; and his fertile genius had +there brought a new illustration of its truth. It had, he said, opened +his eyes to the explanation of a fact which had puzzled him from his +boyhood. "In slaughtering animals, if the trachea was cut, scarcely any +haemorrhage resulted; while, if that was left untouched, full haemorrhage +occurred. By the Willardian theory, the fact is readily susceptible of +explanation. The blood, filling the trachea, suspended respiration, and +of course the impelling power of the blood was suspended, and the +haemorrhage ceased. The engine could not work without steam. When the +trachea was not cut, respiration went on, and kept up the circulation, +until the animal was nearly exsanguineous, and the powers of life gave +way." This fact was clearly ascertained by Dr. W. K. Bowling, the +well-known editor of the _Nashville Journal_, and able professor of the +theory and practice of medicine in the university of that place. He sent +me the Journal containing this welcome endorsement of my theory from one +who was, as Dr. Bowling assured me, "an observer of superior tact and +learning," known by his medical compositions as well in Europe as +America. Since that time (March, 1854), that Journal, though not +excluding articles which oppose, has been understood to be in favor of +the theory. Dr. Washington has written repeatedly, answering all +objections;[10] and he has, in the Journal (as I have been assured by +one of the Editors), "crushed out all that would take up his glove, and +is left in undisputed possession of the field--looking in vain for an +opponent." + +In the meantime, in 1856, Dr. J. N. Draper, Professor of Chemistry and +Physiology in the University of New-York, in an elaborate work on "Human +Physiology," has agreed that Harvey's theory of the paramount power of +the heart's action in the circulation must be abandoned; and that to +respiration must be assigned "the great duty of originating the blood's +circulation."[11] + +Dr. Washington has not only defended me in every important position +which I have taken, and added new illustrations--but he has made the +theory available to showing new proofs of the wisdom of God in the +creation of man. Thus--steam is formed in the vacuum of the lungs at the +low temperature of 67 deg., while, if there were no vacuum, 212 deg. of heat +would be required to produce it,--an impossible quantity, since it would +coagulate the albumen of the blood. But form the vacuum, and the boiling +of the blood with any degree of heat less than 101 deg. could not cause any +such disaster, while the steam going off from the lungs through the +arterial system to the capillaries, gradually condenses, warming the +body by giving off its latent heat; and the latent heat of vapor is the +same however it is formed, and is always 1,114 deg.. What divine wisdom and +economy are thus displayed! + +Homoeopathy has, we believe, never found any difficulty in receiving this +theory. We know that, at one of its conventions held in Providence, it +was ably supported; and Dr. Marcy, whom I have the honor to address, +was, as we have seen, one of its earliest defenders. He has never, +whether allopathist or homoeopathist, been known to hesitate when his own +mind brought him clear conclusions;--the distinguishing mark, according +to Dugald Stewart, of intrepidity of character. + + With profound respect, + EMMA WILLARD. + + +FOOTNOTES: + +[1] It is here seen what an important work this theory does for the +venous circulation, and why the blood moves into the lungs. We have read +of a theory which maintains that it goes there because there is a mutual +attraction between it and the capillaries of the lungs. But there is +none between the water in our tube and that in the tin vessel where +water is boiling; but it goes into it with a rush notwithstanding. +Because there is a strong suction power produced by expansion, no other +attraction is needed. The apparatus, as here described, goes no farther +than to represent the circulation in single-hearted animals. But in my +work is a drawing which shows the left heart on the opposite of the +mimic lungs from the right; and then how the same tube, by being folded +in the form of a figure eight (8), shows the two hearts united into one, +and both ventricles working by the same contractions to perform their +different tasks. + +[2] Mrs. B. Ogle Taylor, of Washington, formerly Miss Julia Dickinson, +of Troy, was thus found dead; and the late Mrs. Cass thus lost her life. +"She was seized," says a newspaper account, "in a hot bath, which she +had taken soon after eating." She lived an hour, unconscious, and the +physician said she died of congestion of the brain. How easily could +these highly intelligent ladies have kept themselves from danger, or +saved themselves when they felt it approaching, had they known and +understood these principles. For two reasons, in case of the failure of +the motive power from keeping the body too long in hot water, the blood +would be congested in the head. First, the head would not be immersed, +and, second, the last blood which the lungs sent forth would go to it. + +[3] What can the Smithsonian Institute do better to carry out the views +with which the benevolent Smithson gave his fortune, than thus to teach +mankind when life may, by free circulation, be made to confer +enjoyment--how it may be inadvertently destroyed--and how it may be +restored, when, by drowning or otherwise, it is suspended? Sudden deaths +often occur by mal-position. That of the late Secretary Marcy is +doubtless an example. After his blood was heated and his circulation +quickened, he laid himself down on his back, his head not raised. +Attention to the workings of such a piece of apparatus as might be made, +would have shown the fatal effects of such a position at such a time. + +[4] A young physician, whom I paid for correcting the proofs, was not +successful in preventing mistakes, especially in regard to numbers. + +[5] I had just been reading Cuvier, to see whether he believed in the +Harveian theory of the circulation. I found he did not. "The circulation +vortex," says he, "is sometimes simple, sometimes double and even triple +(including that of the vena porta); the rapidity of its movements is +often _aided_ by the contraction of a certain fleshy apparatus +denominated hearts." Thus showing that my theory gave to the heart all +the prominence that was given to it by this great philosopher, who had +not, however, advanced any opinion as to the cause of the circulation. + +[6] One of them, my lamented niece, Jane Porter Lincoln, at my request, +immediately wrote an account of the experiment, which is now in my +possession. + +[7] These physicians gave certificates of their witnessing and assisting +at this memorable experiment, which were published in the _Boston +Medical Journal_, February 1852. + +[8] Dr. Cartwright also reported the case in a letter which was +published in the _Boston Medical Journal_, September, 1852. This +resuscitation was more wonderful than those detailed in my published +work on "Respiration." All cases of life thus restored are proofs _a +posteriori_ of the truth of this theory of the arterial circulation. + +[9] Good systems of exercise have been made in some respectable +institutions for health, openly formed on the principles of this theory. +Such is that by Dr. Hamilton, of Saratoga. + +[10] When the time shall come that, the truth of my discovery being no +longer denied, its originality shall be contested, it will be a +significant fact that, in the _Nashville Journal_, of September, 1854, +is an article against it from a physician signing himself "Justicia," +which he thus heads, "The Willardian Notion." In evil report, it was +indisputably mine. This article also shows, that the Harveian theory is +still maintained by the opposers of mine. + +[11] See Draper's Physiology, p. 142. + + + + + +End of the Project Gutenberg EBook of Theory of Circulation by Respiration, by +Emma Willard + +*** END OF THIS PROJECT GUTENBERG EBOOK THEORY OF CIRCULATION *** + +***** This file should be named 19053.txt or 19053.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/1/9/0/5/19053/ + +Produced by Frank van Drogen, Laura Wisewell and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +book was produced from scanned images of public domain +material from the Google Print project.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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