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4o8 DESIGN IN NATURE<br />
The circulation of mixed blood through the body of the fcetus resembles that of the reptile, where there are<br />
two auricles and only one ventricle ; the right auricle containing venous blood and the left one arterial blood. As<br />
the right and left auricles in the reptile communicate directly with the ventricle, the venous and arterial blood<br />
are mixed in the ventricle and a mixed circulation produced. The foetal circulation resembles that of the fish to<br />
the extent that the blood of the foetus is aerated not by coming in contact with air, but with the oxygen in solution<br />
in the blood of the mother contained in the maternal portion of the placenta. The fish and foetus aerate their<br />
blood by means of a fluid medium. In the fish the heart consists of a single auricle and ventricle, with two<br />
accessory structures, the ductus venosus and the bulbus arteriosus, and the circulation is mixed because a perfect<br />
circulation is impossible as apart from a heart with four separate compartments ; the two right compartments being<br />
devoted to the venous circulation, and the two left compartments to the arterial circulation. All this does not make<br />
the man successively a fish, a reptile, or a bird. It only shows that he is formed upon a common plan, and that<br />
he forms one of several types. His distinguishing feature is his completeness.<br />
The mixed circulation of the foetus is converted into a double or perfect circulation soon after birth ; the<br />
Eustachian valve closing and the ductus arteriosus becoming imperforate. These structural changes are not due<br />
to irritability, extraneous stimulation, or environment. The effect of them is to form a heart consisting of<br />
four distinct and separate chambers ; a right and left auricle, and a right and left ventricle. The right auricle<br />
and ventricle receive venous or impure blood from all parts of the system and force it into the lungs, and are, from<br />
this circumstance, designated the pulmonic or right heart ; the left auricle and ventricle receive arterial or pure blood<br />
from the lungs and force it through the entire system, and are termed the systemic or left heart. The left heart,<br />
because of the excess of work to be performed by it after birth, becomes the more powerful and typical one.<br />
In the foetus before birth the placenta equalises the amount of work performed by the right and left ventricles<br />
respectively. The history of the formation of the heart affords a pregnant illustration of design.<br />
At first it appears as a simple tube slightly expanded in the middle and with two vessels at either end. After<br />
a time it throws itself into a spiral loop which overruns and is free at either end ; the free ends being continuous<br />
with the blood-vessels which ultimately form the cavse and pulmonary artery and aorta. Subsequently the original,<br />
looped, spiral tube is divided by duphcations or partitions into four compartments ;<br />
ventricles ;<br />
namely, two auricles and two<br />
the auricles opening into each other by the Eustachian valve, and the pulmonary artery and aorta also<br />
opening into each other by the ductus arteriosus (Plate xcv.. Pigs. 1, 3, 6, and 7, page 407). While these changes<br />
are going on, a most intricate arrangement of the muscular fibres forming the auricles and ventricles, especially the<br />
latter, is taking place. The arrangement of the muscular fibres in the left ventricle is exceedingly involved and<br />
complex—so much so, that for over 200 years it formed the Gordian knot in anatomy. The muscular fibres are<br />
arranged in four distinct spiral sets, namely, two external and two internal ; these being continuous with each other<br />
and with other fibres at the apex and base of the ventricle. The two external sets wind spirally from the base to<br />
the apex and form right-handed spirals. Conversely the two internal sets wind spirally from the apex to the base<br />
and form left-handed spirals (Plate xvii.. Fig. 4, page 32). The two sets of spiral external fibres involute or turn<br />
in at the apex, and the two sets of spiral internal fibres evolute or turn out at the base in such a way that the<br />
external and internal fibres become continuous with each other both at the apex and the base of the ventricle.<br />
Other deeper and more obhque spiral external and internal fibres, continuous with those already mentioned, occur.<br />
It follows, that the several sets of external and internal spiral fibres cross each other at ever-increasing<br />
angles until the centre of the muscular wall is reached. As a consequence of this arrangement, and as<br />
I explained in 1858,i the spiral muscular fibres of the left ventricle may be separated into seven well-marked<br />
layers ; the layers increasing in thickness from without inwards. Thus if the ventricle be dissected from the<br />
outside, the two sets of spiral fibres forming the fijst layer are found to wind from left to right and from base to<br />
apex of the ventricle in a nearly vertical direction ; the two sets of fibres forming the second layer winding in a<br />
similar direction slightly more obliquely ; those of the third layer winding still more obliquely until the fourth or<br />
central layer, where the fibres pursue a nearly transverse direction, is reached. When the fourth layer is exposed<br />
everything is reversed ; the two sets of spiral fibres forming the fifth layer running from right to left and from apex<br />
to base very obliquely, the two sets of spiral fibres forming the sixth layer pursuing a similar but less oblique direction ;<br />
the spiral fibres forming the seventh or most internal layer also proceeding from right to left in a nearly vertical<br />
direction. In virtue of this arrangement, the fibres of the first and seventh layers cross each other spirally at very<br />
acute angles, those of the second and sixth layers crossing spirally at more obtuse angles, and those of the third<br />
and fifth layers crossing spirally at still more obtuse angles. The fibres of the central layer, as explained, pursue<br />
1 In this year my disseelious of the heart, over 100 in number, obtained the Senior Anatomy gold medal of the University of Edinburgh<br />
awarded by tlie famous Professor John (ioodsir, i\i& facile 'priiuxps of anatomists. Tliey formed the subject of the Croonian Lecture of the Royal<br />
Society of London m 1860 ; an abstract of the lecture being published in the Proceedings of the Society in the same year. Later, the lecture in<br />
an extended form, and very fully illustrated, was assigned a place in the Philosophical Transactions (1864, Part iii.).