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296 DESIGN IN NATURE<br />
Expiratory Muscles^ Engaged in Ordinary Calm Breathing<br />
Attachments.<br />
(/) The recti abdominis muscles. The rectus abdominis arises by two tendons from the crest of the os<br />
pubis and the ligiiment covering the symphysis pubis. It is inserted<br />
by three portions into the fifth, sixth, and seventh ribs anteriorly.<br />
((/) The external, internal, and transversalis The external oblique nuiscle is attached to the external surfaces and<br />
abdominis muscles (especially the two<br />
former).<br />
(/() The triangularis sterni.<br />
(i) The serrati muscles.<br />
(j) The sacro-lumbalis muscle.<br />
loMer borders of the eiglit inferior ribs—crest of the iliiini, linea alba,<br />
and Poupart's ligament. The internal oblique muscle is attached to<br />
Poupart's ligament, anterior portion of the crest of the ilium and<br />
lumbar fascia— the cartilages of the four inferior ribi=, the linea alba,<br />
the upper crest of the pubis and the pectineal line. The transversalis<br />
abdominis is attached to Poupart's ligament, anterior portion of the<br />
crest of the ilium, the lumbar vertebrae, the inner surfaces of the<br />
cartilages of the six lower ribs—the crest of the pubis, pectineal line,<br />
aiid linea alba.<br />
The triangulai'is sterni is attached to tlie ensiform cartilage, lower<br />
border of sternum, and the lower four costal cartilages—the cartilages<br />
of the second, third, fourth, and fifth ribs.<br />
The serratus muscle (divided into superior, middle, and inferior portions)<br />
arises by eight fleshy digitations from the external borders and<br />
upper surfaces of the eight uppei' ribs and the aponeurosis covering<br />
the upper intercostal spaces. It is inserted into the whole length of<br />
the inner margin (if the posterior border of the scapula.<br />
The sacro-lumbalis is attached to the sternum—the angles of the six<br />
lower ribs.<br />
(/c) The diaphragm. This muscle takes part in The diaphragm. For attachments of this muscle, see description given<br />
expiration and inspiration. under (e).<br />
While the above table illustrates very satisfactorily the nuniber and nature of the muscles engaged in calm<br />
normal breathing, it is well to bear in mind that a comparatively large number of extraordinary or auxiliary muscles<br />
are brought into action in deep or forced breathing. The movements of the auxiliary muscles are by no means well<br />
determined ; a circumstance due to the auxiliary muscles, in many cases, acting singly or in small groups, and<br />
to their being, in not a few instances, removed to considerable distances from the thorax and abdomen. After all,<br />
it is with the ordinary muscles of inspiration and expiration we have to do. It will suffice simply to enumerate the<br />
extraordinary or auxiliary muscles of respiration. They are briefly stated as under by Professors Landois and<br />
Stirling :<br />
'^<br />
Muscles engaged in Forced Inspiration in the Trunk.—The scaleni, the sterno-cleido-mastoidei, the trapezii, the<br />
pectorales minor, the serrati, the rhomboidei, and the extensors of the vertebral colunm.<br />
Muscles en-gaged in Forced Expiration in the Trunk.—The abdominal muscles, the intercostal nmscles, the triangularis<br />
sterni, the serratus posticus inferior, and the quadratus lumborum.<br />
It should be noted that in addition to the respiratory muscles enumerated above, others occur on the nostrils,<br />
and on the pharjnax and larynx ; the latter regulating, within limits, the movements of the vocal chords in the<br />
production of voice, and the ingress and egress of air into the lungs.<br />
It only remains to say a few words regarding the causes which produce the muscular rhythmic movements of<br />
respiration. Are they due to inherent irritability and stimulation and elastic recoil acting on the tissues involved ;<br />
or are they the outcome of original endowment stamped on the animal from the beginning and pre-determined to act<br />
spontaneously and as apart from elasticity, irritabiUty, and stimulation, and also as apart from nerves, which are<br />
rather to be regarded as the regulators than the originators of the movements ?<br />
For reasons already stated I am strongly of opinion that the muscular, respiratory, rhythmic movements are spon-<br />
taneous and independent movements, and that they are conferred on animals as part of their original equipment,<br />
without which the business of hfe could neither be inaugurated nor continued. One has only to recollect that so<br />
long as life endures the demand for breath is incessant day and night, and that the movements of the muscles of<br />
respiration are specially adapted to the performance of one great function, namely, the supplying of the lungs with<br />
pure air. If the supply of pure air be not forthcoming speedy collapse inevitably follows. To keep the air in the<br />
lungs pure there must be no hitch or impediment in the due performance of the breathing process. There must<br />
be no waiting for elastic recoil at any stage of the respiratory act.<br />
^ These nmscles, as already explained, also take part in inspiration.<br />
^ "A Text-Book on Human Physiology, including Histology and Microscopical Anatomy,'' by Dr. L. Landois, Professor of Physiology,<br />
University of Greifswald, and William Stirling, M.D., Sc.D., Professor of Physiology, Owens College, University of Manchester.