第27章

The branches of the blood-vessels lie above the tubes that extend from the windpipe. And that vessel which extends to the vertebra of the neck and the backbone, stretches back again along the backbone; as Homer represents in the lines:-(Antilochus, as Thoon turned him round), Transpierc'd his back with a dishonest wound;The hollow vein that to the neck extends, Along the chine, the eager javelin rends.

From this vessel there extend small blood-vessels at each rib and each vertebra; and at the vertebra above the kidneys the vessel bifurcates. And in the above way the parts branch off from the great blood-vessel.

But up above all these, from that part which is connected with the heart, the entire vein branches off in two directions. For its branches extend to the sides and to the collarbones, and then pass on, in men through the armpits to the arms, in quadrupeds to the forelegs, in birds to the wings, and in fishes to the upper or pectoral fins.

(See diagram.) The trunks of these veins, where they first branch off, are called the 'jugular' veins; and, where they branch off to the neck the great vein run alongside the windpipe; and, occasionally, if these veins are pressed externally, men, though not actually choked, become insensible, shut their eyes, and fall flat on the ground. Extending in the way described and keeping the windpipe in betwixt them, they pass on until they reach the ears at the junction of the lower jaw with the skull. Hence again they branch off into four veins, of which one bends back and descends through the neck and the shoulder, and meets the previous branching off of the vein at the bend of the arm, while the rest of it terminates at the hand and fingers. (See diagram.)Each vein of the other pair stretches from the region of the ear to the brain, and branches off in a number of fine and delicate veins into the so-called meninx, or membrane, which surrounds the brain. The brain itself in all animals is destitute of blood, and no vein, great or small, holds its course therein. But of the remaining veins that branch off from the last mentioned vein some envelop the head, others close their courses in the organs of sense and at the roots of the teeth in veins exceedingly fine and minute.

4And in like manner the parts of the lesser one of the two chief blood-vessels, designated the aorta, branch off, accompanying the branches from the big vein; only that, in regard to the aorta, the passages are less in size, and the branches very considerably less than are those of the great vein. So much for the veins as observed in the regions above the heart.

The part of the great vein that lies underneath the heart extends, freely suspended, right through the midriff, and is united both to the aorta and the backbone by slack membranous communications.

From it one vein, short and wide, extends through the liver, and from it a number of minute veins branch off into the liver and disappear. From the vein that passes through the liver two branches separate off, of which one terminates in the diaphragm or so-called midriff, and the other runs up again through the armpit into the right arm and unites with the other veins at the inside of the bend of the arm; and it is in consequence of this local connexion that, when the surgeon opens this vein in the forearm, the patient is relieved of certain pains in the liver; and from the left-hand side of it there extends a short but thick vein to the spleen and the little veins branching off it disappear in that organ. Another part branches off from the left-hand side of the great vein, and ascends, by a course similar to the course recently described, into the left arm; only that the ascending vein in the one case is the vein that traverses the liver, while in this case it is distinct from the vein that runs into the spleen. Again, other veins branch off from the big vein;one to the omentum, and another to the pancreas, from which vein run a number of veins through the mesentery. All these veins coalesce in a single large vein, along the entire gut and stomach to the oesophagus;about these parts there is a great ramification of branch veins.

As far as the kidneys, each of the two remaining undivided, the aorta and the big vein extend; and here they get more closely attached to the backbone, and branch off, each of the two, into a A shape, and the big vein gets to the rear of the aorta. But the chief attachment of the aorta to the backbone takes place in the region of the heart; and the attachment is effected by means of minute and sinewy vessels. The aorta, just as it draws off from the heart, is a tube of considerable volume, but, as it advances in its course, it gets narrower and more sinewy. And from the aorta there extend veins to the mesentery just like the veins that extend thither from the big vein, only that the branches in the case of the aorta are considerably less in magnitude; they are, indeed, narrow and fibrillar, and they end in delicate hollow fibre-like veinlets.

There is no vessel that runs from the aorta into the liver or the spleen.

From each of the two great blood-vessels there extend branches to each of the two flanks, and both branches fasten on to the bone.

Vessels also extend to the kidneys from the big vein and the aorta;only that they do not open into the cavity of the organ, but their ramifications penetrate into its substance. From the aorta run two other ducts to the bladder, firm and continuous; and there are other ducts from the hollow of the kidneys, in no way communicating with the big vein. From the centre of each of the two kidneys springs a hollow sinewy vein, running along the backbone right through the loins; by and by each of the two veins first disappears in its own flank, and soon afterwards reappears stretching in the direction of the flank. The extremities of these attach to the bladder, and also in the male to the penis and in the female to the womb. From the big vein no vein extends to the womb, but the organ is connected with the aorta by veins numerous and closely packed.