By Thomas H. Huxley
I desire this evening to give
you some account of the life and labours of a very
noble Englishman-William Harvey.
William Harvey was born in the year
1578, and as he lived until the year 1657, he very
nearly attained the age of 80. He was the son
of a small landowner in Kent, who was sufficiently
wealthy to send this, his eldest son, to the University
of Cambridge; while he embarked the others in mercantile
pursuits, in which they all, as time passed on, attained
riches.
William Harvey, after pursuing his
education at Cambridge, and taking his degree there,
thought it was advisable-and justly thought
so, in the then state of University education-to
proceed to Italy, which at that time was one of the
great centres of intellectual activity in Europe,
as all friends of freedom hope it will become again,
sooner or later. In those days the University
of Padua had a great renown; and Harvey went there
and studied under a man who was then very famous-Fabricius
of Aquapendente. On his return to England, Harvey
became a member of the College of Physicians in London,
and entered into practice; and, I suppose, as an indispensable
step thereto, proceeded to marry. He very soon
became one of the most eminent members of the profession
in London; and, about the year 1616, he was elected
by the College of Physicians their Professor of Anatomy.
It was while Harvey held this office that he made
public that great discovery of the circulation of
the blood and the movements of the heart, the nature
of which I shall endeavour by-and-by to explain to
you at length. Shortly afterwards, Charles the
First having succeeded to the throne in 1625, Harvey
became one of the king’s physicians; and it is
much to the credit of the unfortunate monarch-who,
whatever his faults may have been, was one of the
few English monarchs who have shown a taste for art
and science-that Harvey became his attached
and devoted friend as well as servant; and that the
king, on the other hand, did all he could to advance
Harvey’s investigations. But, as you know,
evil times came on; and Harvey, after the fortunes
of his royal master were broken, being then a man
of somewhat advanced years-over 60 years
of age, in fact-retired to the society
of his brothers in and near London, and among them
pursued his studies until the day of his death.
Harvey’s career is a life which offers no salient
points of interest to the biographer. It was
a life devoted to study and investigation; and it
was a life the devotion of which was amply rewarded,
as I shall have occasion to point out to you, by its
results.
Harvey, by the diversity, the variety,
and the thoroughness of his investigations, was enabled
to give an entirely new direction to at least two
branches-and two of the most important branches-of
what now-a-days we call Biological Science. On
the one hand, he founded all our modern physiology
by the discovery of the exact nature of the motions
of the heart, and of the course in which the blood
is propelled through the body; and, on the other,
he laid the foundation of that study of development
which has been so much advanced of late years, and
which constitutes one of the great pillars of the doctrine
of evolution. This doctrine, I need hardly tell
you, is now tending to revolutionise our conceptions
of the origin of living things, exactly in the same
way as Harvey’s discovery of the circulation
in the seventeeth century revolutionised the conceptions
which men had previously entertained with regard to
physiological processes.
It would, I regret, be quite impossible
for me to attempt, in the course of the time I can
presume to hold you here, to unfold the history of
more than one of these great investigations of Harvey.
I call them “great investigations,” as
distinguished from “large publications.”
I have in my hand a little book, which those of you
who are at a great distance may have some difficulty
in seeing, and which I value very much. It is,
I am afraid, sadly thumbed and scratched with annotations
by a very humble successor and follower of Harvey.
This little book is the edition of 1651 of the ‘Exercitationes
de Generatione’; and if you were to add another
little book, printed in the same small type, and about
one-seventh of the thickness, you would have the sum
total of the printed matter which Harvey contributed
to our literature. And yet in that sum total
was contained, I may say, the materials of two revolutions
in as many of the main branches of biological science.
If Harvey’s published labours can be condensed
into so small a compass, you must recollect that it
is not because he did not do a great deal more.
We know very well that he did accumulate a very considerable
number of observations on the most varied topics of
medicine, surgery, and natural history. But,
as I mentioned to you just now, Harvey, for a time,
took the royal side in the domestic quarrel of the
Great Rebellion, as it is called; and the Parliament,
not unnaturally resenting that action of his, sent
soldiers to seize his papers. And while I imagine
they found nothing treasonable among those papers,
yet, in the process of rummaging through them, they
destroyed all the materials which Harvey had spent
a laborious life in accumulating; and hence it is
that the man’s work and labours are represented
by so little in apparent bulk.
What I chiefly propose to do to-night
is to lay before you an account of the nature of the
discovery which Harvey made, and which is termed the
Discovery of the Circulation of the Blood. And
I desire also, with some particularity, to draw your
attention to the methods by which that discovery was
achieved; for, in both these respects, I think, there
will be much matter for profitable reflection.
Let me point out to you, in the first
place, with respect to this important matter of the
movements of the heart and the course of the blood
in the body, that there is a certain amount of knowledge
which must have been obtained without men taking the
trouble to seek it-knowledge which must
have been taken in, in the course of time, by everybody
who followed the trade of a butcher, and still more
so by those people who, in ancient times, professed
to divine the course of future events from the entrails
of animals. It is quite obvious to all, from
ordinary accidents, that the bodies of all the higher
animals contain a hot red fluid-the blood.
Everybody can see upon the surface of some part of
the skin, underneath that skin, pulsating tubes, which
we know as the arteries. Everybody can see under
the surface of the skin more delicate and softer looking
tubes, which do not pulsate, which are of a bluish
colour, and are termed the veins. And every person
who has seen a recently killed animal opened knows
that these two kinds of tubes to which I have just
referred, are connected with an apparatus which is
placed in the chest, which apparatus, in recently killed
animals, is still pulsating. And you know that
in yourselves you can feel the pulsation of this organ,
the heart, between the fifth and sixth ribs. I
take it that this much of anatomy and physiology has
been known from the oldest times, not only as a matter
of curiosity, but because one of the great objects
of men, from their earliest recorded existence, has
been to kill one another, and it was a matter of considerable
importance to know which was the best place for hitting
an enemy. I can refer you to very ancient records
for most precise and clear information that one of
the best places is to smite him between the fifth and
sixth ribs. Now that is a very good piece of
regional anatomy, for that is the place where the
heart strikes in its pulsations, and the use of smiting
there is that you go straight to the heart. Well,
all that must have been known from time immemorial-at
least for 4,000 or 5,000 years before the commencement
of our era-because we know that for as great
a period as that the Egyptians, at any rate, whatever
may have been the case with other people, were in
the enjoyment of a highly developed civilisation.
But of what knowledge they may have possessed beyond
this we know nothing; and in tracing back the springs
of the origin of everything that we call “modern
science” (which is not merely knowing, but knowing
systematically, and with the intention and endeavour
to find out the causal connection of things)-I
say that when we trace back the different lines of
all the modern sciences we come at length to one epoch
and to one country-the epoch being about
the fourth and fifth centuries before Christ, and
the country being ancient Greece. It is there
that we find the commencement and the root of every
branch of physical science and of scientific method.
If we go back to that time we have in the works attributed
to Aristotle, who flourished between 300 and 400 years
before Christ, a sort of encyclopaedia of the scientific
knowledge of that day-and a very marvellous
collection of, in many respects, accurate and precise
knowledge it is. But, so far as regards this
particular topic, Aristotle, it must be confessed,
has not got very far beyond common knowledge.
He knows a little about the structure of the heart.
I do not think that his knowledge is so inaccurate
as many people fancy, but it does not amount to much.
A very few years after his time, however, there was
a Greek philosopher, Erasistratus, who lived about
three hundred years before Christ, and who must have
pursued anatomy with much care, for he made the important
discovery that there are membranous flaps, which are
now called “valves,” at the origins of
the great vessels; and that there are certain other
valves in the interior of the heart itself.
I have here a purposely rough,
but, so far as it goes, accurate, diagram of the structure
of the heart and the course of the blood. The
heart is supposed to be divided into two portions.
It would be possible, by very careful dissection,
to split the heart down the middle of a partition,
or so-called ‘septum’, which exists in
it, and to divide it into the two portions which you
see here represented; in which case we should have
a left heart and a right heart, quite distinct from
one another. You will observe that there is a
portion of each heart which is what is called the
ventricle. Now the ancients applied the term
‘heart’ simply and solely to the ventricles.
They did not count the rest of the heart-what
we now speak of as the ’auricles’-as
any part of the heart at all; but when they spoke
of the heart they meant the left and the right ventricles;
and they described those great vessels, which we now
call the ‘pulmonary veins’ and the ‘vena
cava’, as opening directly into the heart
itself.
What Erasistratus made out was that,
at the roots of the aorta and the pulmonary artery
(Fi there were valves, which opened in the direction
indicated by the arrows; and, on the other hand, that
at the junction of what he called the veins with the
heart there were other valves, which also opened again
in the direction indicated by the arrows. This
was a very capital discovery, because it proved that
if the heart was full of fluid, and if there were
any means of causing that fluid in the ventricles
to move, then the fluid could move only in one direction;
for you will observe that, as soon as the fluid is
compressed, the two valves between the ventricles and
the veins will be shut, and the fluid will be obliged
to move into the arteries; and, if it tries to get
back from them into the heart, it is prevented from
doing so by the valves at the origin of the arteries,
which we now call the semilunar valves (half-moon
shaped valves); so that it is impossible, if the fluid
move at all, that it should move in any other way
than from the great veins into the arteries. Now
that was a very remarkable and striking discovery.
But it is not given to any man to
be altogether right (that is a reflection which it
is very desirable for every man who has had the good
luck to be nearly right once, always to bear in mind);
and Erasistratus, while he made this capital and important
discovery, made a very capital and important error
in another direction, although it was a very natural
error. If, in any animal which is recently killed,
you open one of those pulsating trunks which I referred
to a short time ago, you will find, as a general rule,
that it either contains no blood at all or next to
none; but that, on the contrary, it is full of air.
Very naturally, therefore, Erasistratus came to the
conclusion that this was the normal and natural state
of the arteries, and that they contained air.
We are apt to think this a very gross blunder; but,
to anybody who is acquainted with the facts of the
case, it is, at first sight, an exceedingly natural
conclusion. Not only so, but Erasistratus might
have very justly imagined that he had seen his way
to the meaning of the connection of the left side
of the heart with the lungs; for we find that what
we now call the pulmonary vein is connected with the
lungs, and branches out in them (Fi. Finding
that the greater part of this system of vessels was
filled with air after death, this ancient thinker very
shrewdly concluded that its real business was to receive
air from the lungs, and to distribute that air all
through the body, so as to get rid of the grosser
humours and purify the blood. That was a very
natural and very obvious suggestion, and a highly
ingenious one, though it happened to be a great error.
You will observe that the only way of correcting it
was to experiment upon living animals, for there is
no other way in which this point could be settled.
And hence we are indebted for the
correction of the error of Erasistratus to one of
the greatest experimenters of ancient or modern times
Claudius Galenus who lived in the second century after
Christ. I say it was to this man more than any
one else because he knew that the only way of solving
physiological problems was to examine into the facts
in the living animal. And because Galen was a
skilful anatomist and a skilful experimenter he
was able to show in what particulars Erasistratus
had erred and to build up a system of thought upon
this subject which was not improved upon for fully
1300 years. I have endeavoured in Fi to
make clear to you exactly what it was he tried to
establish. You will observe that this diagram
is practically the same as that given in Fi only
simplified. The same facts may be looked upon
by different people from different points of view.
Galen looked upon these facts from a very different
point of view from that which we ourselves occupy;
but so far as the facts are concerned they were
the same for him as for us. Well then the first
thing that Galen did was to make out experimentally
that during life the arteries are not full of air
but that they are full of blood. And he describes
a great variety of experiments which he made upon
living animals with the view of proving this point
which he did prove effectually and for all time; and
that you will observe was the only way of settling
the matter. Furthermore he demonstrated that
the cavities of the left side of the heart-what
we now call the left auricle and the left ventricle-are
like the arteries full of blood during life and that
that blood was of the scarlet kind-arterialised
or as he called it “pneumatised” blood.
It was known before that the pulmonary artery the
right ventricle and the veins contain the darker
kind of blood which was thence called venous.
Having proved that the whole of the left side of the
heart during life is full of scarlet arterial blood
Galen’s next point was to inquire into the mode
of communication between the arteries and veins.
It was known before his time that both arteries and
veins branched out. Galen maintained though
he could not prove the fact that the ultimate branches
of the arteries and veins communicated together somehow
or other by what he called ‘anastomoses’
and that these ‘anastomoses’ existed not
only in the body in general but also in the lungs.
In the next place Galen maintained that all the veins
of the body arise from the liver; that they draw the
blood thence and distribute it over the body.
People laugh at that notion now-a-days; but if anybody
will look at the facts he will see that it is a very
probable supposition. There is a great vein (hepatic
vein-Fi) which rises out of the liver
and that vein goes straight into the ‘vena
cava’ (Fi) which passes to the heart
being there joined by the other veins of the body.
The liver itself is fed by a very large vein (portal
vein-Fi) which comes from the alimentary
canal. The way the ancients looked at this matter
was that the food after being received into the
alimentary canal was then taken up by the branches
of this great vein which are called the ‘vena
portae’ just as the roots of a plant suck
up nourishment from the soil in which it lives; that
then it was carried to the liver there to be what
was called “concocted” which was their
phrase for its conversion into substances more fitted
for nutrition than previously existed in it.
They then supposed that the next thing to be done
was to distribute this fluid through the body; and
Galen like his predecessors imagined that the “concocted”
blood having entered the great ‘vena cava’
was distributed by its ramifications all over the
body. So that in his view (Fi) the course
of the blood was from the intestine to the liver
and from the liver into the great ‘vena
cava’ including what we now call the right
auricle of the heart whence it was distributed by
the branches of the veins. But the whole of the
blood was not thus disposed of. Part of the blood
it was supposed went through what we now call the
pulmonary arteries (Fi) and branching out there
gave exit to certain “fuliginous” products
and at the same time took in from the air a something
which Galen calls the ‘pneuma’. He
does not know anything about what we call oxygen; but
it is astonishing how very easy it would be to turn
his language into the equivalent of modern chemical
theory. The old philosopher had so just a suspicion
of the real state of affairs that you could make use
of his language in many cases if you substituted
the word “oxygen” which we now-a-days
use for the word ‘pneuma’. Then he
imagined that the blood further concocted or altered
by contact with the ‘pneuma’ passed to
a certain extent to the left side of the heart.
So that Galen believed that there was such a thing
as what is now called the pulmonary circulation.
He believed as much as we do that the blood passed
through the right side of the heart through the artery
which goes to the lungs through the lungs themselves
and back by what we call the pulmonary veins to the
left side of the heart. But he thought it was
only a very small portion of the blood which passes
to the right side of the heart in this way; the rest
of the blood he thought passed through the partition
which separates the two ventricles of the heart.
He describes a number of small pits which really
exist there as holes and he supposed that the greater
part of the blood passed through these holes from
the right to the left ventricle
It is of great importance you should
clearly understand these teachings of Galen, because,
as I said just now, they sum up all that anybody knew
until the revival of learning; and they come to this-that
the blood having passed from the stomach and intestines
through the liver, and having entered the great veins,
was by them distributed to every part of the body;
that part of the blood, thus distributed, entered the
arterial system by the ‘anastomoses’,
as Galen called them, in the lungs; that a very small
portion of it entered the arteries by the ‘anastomoses’
in the body generally; but that the greater part of
it passed through the septum of the heart, and so
entered the left side and mingled with the pneumatised
blood, which had been subjected to the air in the lungs,
and was then distributed by the arteries, and eventually
mixed with the currents of blood, coming the other
way, through the veins.
Yet one other point about the views
of Galen. He thought that both the contractions
and dilatations of the heart-what we
call the ‘systole’ or contraction of the
heart, and the ‘diastole’ or dilatation-Galen
thought that these were both active movements; that
the heart actively dilated, so that it had a sort
of sucking power upon the fluids which had access
to it. And again, with respect to the movements
of the pulse, which anybody can feel at the wrist
and elsewhere, Galen was of opinion that the walls
of the arteries partook of that which he supposed to
be the nature of the walls of the heart, and that
they had the power of alternately actively contracting
and actively dilating, so that he is careful to say
that the nature of the pulse is comparable, not to
the movement of a bag, which we fill by blowing into
it, and which we empty by drawing the air out of it,
but to the action of a bellows, which is actively
dilated and actively compressed.
After Galen’s time came the
collapse of the Roman Empire, the extinction of physical
knowledge, and the repression of every kind of scientific
inquiry, by its powerful and consistent enemy, the
Church; and that state of things lasted until the
latter part of the Middle Ages saw the revival of
learning. That revival of learning, so far as
anatomy and physiology are concerned, is due to the
renewed influence of the philosophers of ancient Greece,
and indeed, of Galen. Arabic commentators had
translated Galen, and portions of his works had got
into the language of the learned in the Middle Ages,
in that way; but, by the study of the classical languages,
the original text became accessible to the men who
were then endeavouring to learn for themselves something
about the facts of nature. It was a century or
more before these men, finding themselves in the presence
of a master-finding that all their lives
were occupied in attempting to ascertain for themselves
that which was familiar to him-I say it
took the best part of a hundred years before they
could fairly see that their business was not to follow
him, but to follow his example-namely, to
look into the facts of nature for themselves, and
to carry on, in his spirit, the work he had begun.
That was first done by Vesalius, one of the greatest
anatomists who ever lived; but his work does not specially
bear upon the question we are now concerned with.
So far as regards the motions of the heart and the
course of the blood, the first man in the Middle Ages,
and indeed the only man who did anything which was
of real importance, was one Realdus Columbus, who
was professor at Padua in the year 1559, and published
a great anatomical treatise. What Realdus Columbus
did was this; once more resorting to the method of
Galen, turning to the living animal, experimenting,
he came upon new facts, and one of these new facts
was that there was not merely a subordinate communication
between the blood of the right side of the heart and
that of the left side of the heart, through the lungs,
but that there was a constant steady current of blood,
setting through the pulmonary artery on the right side,
through the lungs, and back by the pulmonary veins
to the left side of the heart (Fi. Such was
the capital discovery and demonstration of Realdus
Columbus. He is the man who discovered what is
loosely called the ‘pulmonary circulation’;
and it really is quite absurd, in the face of the
fact, that twenty years afterwards we find Ambrose
Pare, the great French surgeon, ascribing this discovery
to him as a matter of common notoriety, to find that
attempts are made to give the credit of it to other
people. So far as I know, this discovery of the
course of the blood through the lungs, which is called
the pulmonary circulation, is the one step in real
advance that was made between the time of Galen and
the time of Harvey. And I would beg you to note
that the word “circulation” is improperly
employed when it is applied to the course of the blood
through the lungs. The blood from the right side
of the heart, in getting to the left side of the heart,
only performs a half-circle-it does not
perform a whole circle-it does not return
to the place from whence it started; and hence the
discovery of the so-called “pulmonary circulation”
has nothing whatever to do with that greater discovery
which I shall point out to you by-and-by was made
by Harvey, and which is alone really entitled to the
name of the circulation of the blood.
If anybody wants to understand what
Harvey’s great desert really was, I would suggest
to him that he devote himself to a course of reading,
which I cannot promise shall be very entertaining,
but which, in this respect at any rate, will be highly
instructive-namely, the works of the anatomists
of the latter part of the 16th century and the beginning
of the 17th century. If anybody will take the
trouble to do that which I have thought it my business
to do, he will find that the doctrines respecting
the action of the heart and the motion of the blood
which were taught in every university in Europe, whether
in Padua or in Paris, were essentially those put forward
by Galen, ‘plus’ the discovery of the
pulmonary course of the blood which had been made by
Realdus Columbus. In every chair of anatomy and
physiology (which studies were not then separated)
in Europe, it was taught that the blood brought to
the liver by the portal vein, and carried out of the
liver to the ‘vena cava’ by
the hepatic vein, is distributed from the right side
of the heart, through the other veins, to all parts
of the body; that the blood of the arteries takes
a like course from the heart towards the periphery;
and that it is there, by means of the ‘anastomoses’,
more or less mixed up with the venous blood.
It so happens, by a curious chance, that up to the
year 1625 there was at Padua, which was Harvey’s
own university, a very distinguished professor, Spigelius,
whose work is extant, and who teaches exactly what
I am now telling you. It is perfectly true that,
some time before, Harvey’s master, Fabricius,
had not only re-discovered, but had drawn much attention
to certain pouch-like structures, which are called
the valves of the veins, found in the muscular parts
of the body, all of which are directed towards the
heart, and consequently impede the flow of the blood
in the opposite direction. And you will find
it stated by people who have not thought much about
the matter, that it was this discovery of the valves
of the veins which led Harvey to imagine the course
of the circulation of the blood. Now it did not
lead Harvey to imagine anything of the kind. He
had heard all about it from his master, Fabricius,
who made a great point of these valves in the veins,
and he had heard the theories which Fabricius entertained
upon the subject, whose impression as to the use of
the valves was simply this-that they tended
to take off any excess of pressure of the blood in
passing from the heart to the extremities; for Fabricius
believed, with the rest of the world, that the blood
in the veins flowed from the heart towards the extremities.
This, under the circumstances, was as good a theory
as any other, because the action of the valves depends
altogether upon the form and nature of the walls of
the structures in which they are attached; and without
accurate experiment, it was impossible to say whether
the theory of Fabricius was right or wrong. But
we not only have the evidence of the facts themselves
that these could tell Harvey nothing about the circulation,
but we have his own distinct declaration as to the
considerations which led him to the true theory of
the circulation of the blood, and amongst these the
valves of the veins are not mentioned.
Now then we may come to Harvey himself.
When you read Harvey’s treatise, which is one
of the most remarkable scientific monographs with which
I am acquainted-it occupies between 50
and 60 pages of a small quarto in Latin, and is as
terse and concise as it possibly can be-when
you come to look at Harvey’s work, you will
find that he had long struggled with the difficulties
of the accepted doctrine of the circulation. He
had received from Fabricius, and from all the great
authorities of the day, the current view of the circulation
of the blood. But he was a man with that rarest
of all qualities-intellectual honesty; and
by dint of cultivating that great faculty, which is
more moral than intellectual, it had become impossible
for him to say he believed anything which he did not
clearly believe. This is a most uncomfortable
peculiarity-for it gets you into all sorts
of difficulties with all sorts of people-but,
for scientific purposes, it is absolutely invaluable.
Harvey possessed this peculiarity in the highest degree,
and so it was impossible for him to accept what all
the authorities told him, and he looked into the matter
for himself. But he was not hasty. He worked
at his new views, and he lectured about them at the
College of Physicians for nine years; he did not print
them until he was a man of fifty years of age; and
when he did print them he accompanied them with a
demonstration which has never been shaken, and which
will stand till the end of time. What Harvey
proved, in short, was this (see Fi-that
everybody had made a mistake, for want of sufficiently
accurate experimentation as to the actual existence
of the fact which everybody assumed. To anybody
who looks at the blood-vessels with an unprejudiced
eye it seems so natural that the blood should all come
out of the liver, and be distributed by the veins
to the different parts of the body, that nothing can
seem simpler or more plain; and consequently no one
could make up his mind to dispute this apparently
obvious assumption. But Harvey did dispute it;
and when he came to investigate the matter he discovered
that it was a profound mistake, and that, all this
time, the blood had been moving in just the opposite
direction, namely, from the small ramifications of
the veins towards the right side of the heart.
Harvey further found that, in the arteries, the blood,
as had previously been known, was travelling from
the greater trunks towards the ramifications.
Moreover, referring to the ideas of Columbus and of
Galen (for he was a great student of literature, and
did justice to all his predecessors), Harvey accepts
and strengthens their view of the course of the blood
through the lungs, and he shows how it fitted into
his general scheme. If you will follow the course
of the arrows in Fi you will see at once that-in
accordance with the views of Columbus-the
blood passes from the right side of the heart, through
the lungs, to the left side. Then, adds Harvey,
with abundant proof, it passes through the arteries
to all parts of the body; and then, at the extremities
of their branches in the different parts of the body,
it passes (in what way he could not tell, for his
means of investigation did not allow him to say) into
the roots of the vents-then from the roots
of the veins it goes into the trunk and veins-then
to the right side of the heart-and then
to the lungs, and so on.
That, you will observe, makes a complete
circuit; and it was precisely here that the originality
of Harvey lay. There never yet has been produced,
and I do not believe there can be produced, a tittle
of evidence to show that, before his time, any one
had the slightest suspicion that a single drop of
blood, starting in the left ventricle of the heart,
passes through the whole arterial system, comes back
through the venous system, goes through the lungs,
and comes back to the place whence it started.
But that is the circulation of the blood, and it was
exactly this which Harvey was the first man to suspect,
to discover, and to demonstrate.
But this was by no means the only
thing Harvey did. He was the first who discovered
and who demonstrated the true mechanism of the heart’s
action. No one, before his time, conceived that
the movement of the blood was entirely due to the
mechanical action of the heart as a pump. There
were all sorts of speculations about the matter, but
nobody had formed this conception, and nobody understood
that the so-called systole of the heart is a state
of active contraction, and the so-called diastole
is a mere passive dilatation. Even within our
own age that matter had been discussed. Harvey
is as clear as possible about it. He says the
movement of the blood is entirely due to the contractions
of the walls of the heart-that it is the
propelling apparatus-and all recent investigation
tends to show that he was perfectly right. And
from this followed the true theory of the pulse.
Galen said, as I pointed out just now, that the arteries
dilate as bellows, which have an active power of dilatation
and contraction, and not as bags which are blown out
and collapse. Harvey said it was exactly the contrary-the
arteries dilate as bags simply because the stroke
of the heart propels the blood into them; and, when
they relax again, they relax as bags which are no
longer stretched, simply because the force of the blow
of the heart is spent. Harvey has been demonstrated
to be absolutely right in this statement of his; and
yet, so slow is the progress of truth, that, within
my time, the question of the active dilatation of the
arteries has been discussed.
Thus Harvey’s contributions
to physiology may be summed up as follows: In
the first place, he was the first person who ever imagined,
and still more who demonstrated, the true course of
the circulation of the blood in the body; in the second
place, he was the first person who ever understood
the mechanism of the heart, and comprehended that its
contraction was the cause of the motion of the blood;
and thirdly, he was the first person who took a just
view of the nature of the pulse. These are the
three great contributions which he made to the science
of physiology; and I shall not err in saying-I
speak in the presence of distinguished physiologists,
but I am perfectly certain that they will endorse
what I say-that upon that foundation the
whole of our knowledge of the human body, with the
exception of the motor apparatus and the sense organs,
has been gradually built up, and that upon that foundation
the whole rests. And not only does scientific
physiology rest upon it, but everything like scientific
medicine also rests upon it. As you know-I
hope it is now a matter of popular knowledge-it
is the foundation of all rational speculation about
morbid processes; it is the only key to the rational
interpretation of that commonest of all indications
of disease, the state of the pulse; so that, both
theoretically and practically, this discovery, this
demonstration of Harvey’s, has had an effect
which is absolutely incalculable, and the consequences
of which will accumulate from age to age until they
result in a complete body of physiological science.
I regret that I am unable to pursue
this subject much further; but there is one point
I should mention. In Harvey’s time, the
microscope was hardly invented. It is quite true
that in some of his embryological researches he speaks
of having made use of a hand glass; but that was the
most that he seems to have known anything about, or
that was accessible to him at that day. And so
it came about, that, although he examined the course
of the blood in many of the lower animals-watched
the pulsation of the heart in shrimps, and animals
of that kind-he never could put the final
coping-stone on his edifice. He did not know
to the day of his death, although quite clear about
the fact that the arteries and the veins do communicate,
how it is that they communicate-how it
was that the blood of the arteries passed into the
veins. One is grieved to think that the grand
old man should have gone down to his tomb without
the vast satisfaction it would have given to him to
see what the Italian naturalist Malpighi showed only
seven years later, in 1664, when he demonstrated,
in a living frog, the actual passage of the blood
from the ultimate ramifications of the arteries into
the veins. But that absolute ocular demonstration
of the truth of the views he had maintained throughout
his life it was not granted to Harvey to see.
What he did experience was this: that on the publication
of his doctrines, they were met with the greatest possible
opposition; and I have no doubt savage things were
uttered in those old controversies, and that a great
many people said that these new-fangled doctrines,
reducing living processes to mere mechanism, would
sap the foundations of religion and morality.
I do not know for certain that they did, but they
said things very like it. The first point was
to show that Harvey’s views were absolutely
untrue; and not being able to succeed in that, opponents
said they were not new; and not being able to succeed
in that, that they didn’t matter. That is
the usual course with all new discoveries. But
Harvey troubled himself very little about these things.
He remained perfectly quiet; for although reputed a
hot-tempered man, he never would have anything to
do with controversy if he could help it; and he only
replied to one of his antagonists after twenty years’
interval, and then in the most charming spirit of candour
and moderation. But he had the great satisfaction
of living to see his doctrine accepted upon all sides.
At the time of his death, there was not an anatomical
school in Europe in which the doctrine of the circulation
of the blood was not taught in the way in which Harvey
had laid it down. In that respect he had a happiness
which is granted to very few men.
I have said that the other great investigation
of Harvey is not one which can be dealt with to a
general audience. It is very complex, and therefore
I must ask you to take my word for it that, although
not so fortunate an investigation, not so entirely
accordant with later results as the doctrine of the
circulation; yet that still, this little treatise
of Harvey’s has in many directions exerted an
influence hardly less remarkable than that exerted
by the Essay upon the Circulation of the Blood.
And now let me ask your attention
to two or three closing remarks.
If you look back upon that period
of about 100 years which commences with Harvey’s
birth-I mean from the year 1578 to 1680
or thereabouts-I think you will agree with
me, that it constitutes one of the most remarkable
epochs in the whole of that thousand years which we
may roughly reckon as constituting the history of Britain.
In the commencement of that period, we may see, if
not the setting, at any rate the declension of that
system of personal rule which had existed under previous
sovereigns, and which, after a brief and spasmodic
revival in the time of George the Third, has now sunk,
let us hope, into the limbo of forgotten things.
The latter part of that 100 years saw the dawn of
that system of free government which has grown and
flourished, and which, if the men of the present day
be the worthy descendants of Eliott and Pym, and Hampden
and Milton, will go on growing as long as this realm
lasts. Within that time, one of the strangest
phenomena which I think I may say any nation has ever
manifested arose to its height and fell-I
mean that strange and altogether marvellous phenomenon,
English Puritanism. Within that time, England
had to show statesmen like Burleigh, Strafford, and
Cromwell-I mean men who were real statesmen,
and not intriguers, seeking to make a reputation at
the expense of the nation. In the course of that
time, the nation had begun to throw off those swarms
of hardy colonists which, to the benefit of the world-and
as I fancy, in the long run, to the benefit of England
herself-have now become the United States
of America; and, during the same epoch, the first
foundations were laid of that Indian Empire which,
it may be, future generations will not look upon as
so happy a product of English enterprise and ingenuity.
In that time we had poets such as Spenser, Shakespere,
and Milton; we had a great philosopher, in Hobbes;
and we had a clever talker about philosophy, in Bacon.
In the beginning of the period, Harvey revolutionized
the biological sciences, and at the end of it, Newton
was preparing the revolution of the physical sciences.
I know not any period of our history-I
doubt if there be any period of the history of any
nation-which has precisely such a record
as this to show for a hundred years. But I do
not recall these facts to your recollection for a
mere vainglorious purpose. I myself am of opinion
that the memory of the great men of a nation is one
of its most precious possessions-not because
we have any right to plume ourselves upon their having
existed as a matter of national vanity, but because
we have a just and rational ground of expectation
that the race which has brought forth such products
as these may, in good time and under fortunate circumstances,
produce the like again. I am one of those people
who do not believe in the natural decay of nations.
I believe, to speak frankly, though perhaps not quite
so politely as I could wish-but I am getting
near the end of my lecture-that the whole
theory is a speculation invented by cowards to excuse
knaves. My belief is, that so far as this old
English stock is concerned it has in it as much sap
and vitality and power as it had two centuries ago;
and that, with due pruning of rotten branches, and
due hoeing up of weeds, which will grow about the
roots, the like products will be yielded again.
The “weeds” to which I refer are mainly
three: the first of them is dishonesty, the second
is sentimentality, and the third is luxury. If
William Harvey had been a dishonest man-I
mean in the high sense of the word-a man
who failed in the ideal of honesty-he would
have believed what it was easiest to believe-that
which he received on the authority of his predecessors.
He would not have felt that his highest duty was to
know of his own knowledge that that which he said
he believed was true, and we should never have had
those investigations, pursued through good report
and evil report, which ended in discoveries so fraught
with magnificent results for science and for man.
If Harvey had been a sentimentalist-by
which I mean a person of false pity, a person who
has not imagination enough to see that great, distant
evils may be much worse than those which we can picture
to ourselves, because they happen to be immediate
and near (for that, I take it, is the essence of sentimentalism)-if
Harvey had been a person of that kind, he, being one
of the kindest men living, would never have pursued
those researches which, as he tells us over and over
again, he was obliged to pursue in order to the ascertainment
of those facts which have turned out to be of such
inestimable value to the human race; and I say, if
on such grounds he had failed to do so, he would have
failed in his duty to the human race. The third
point is that Harvey was devoid of care either for
wealth, or for riches, or for ambition. The man
found a higher ideal than any of these things in the
pursuit of truth and the benefit of his fellow-men.
If we all go and do likewise, I think there is no fear
for the decadence of England. I think that our
children and our successors will find themselves in
a commonwealth, different it may be from that for
which Eliott, and Pym, and Hampden struggled, but one
which will be identical in the substance of its aims-great,
worthy, and well to live in.