Galen: On the Natural Faculties by Galen
BOOK II
628 words | Chapter 50
I
In the previous book we demonstrated that not only Erasistratus, but
also all others who would say anything to the purpose about urinary
secretion, must acknowledge that the kidneys possess some faculty
which attracts to them this particular quality existing in the
urine.[167] Besides this we drew attention to the fact that the urine
is not carried through the kidneys into the bladder by one method, the
blood into parts of the animal by another, and the yellow bile
separated out on yet another principle. For when once there has been
demonstrated in any one organ, the drawing, or so-called
_epispastic_[168] faculty, there is then no difficulty in transferring
it to the rest. Certainly Nature did not give a power such as this to
the kidneys without giving it also to the vessels which abstract the
biliary fluid,[169] nor did she give it to the latter without also
giving it to each of the other parts. And, assuredly, if this is true,
we must marvel that Erasistratus should make statements concerning the
delivery of nutriment from the food-canal[170] which are so false as
to be detected even by Asclepiades. Now, Erasistratus considers it
absolutely certain that, if anything flows from the veins, one of two
things must happen: either a completely empty space will result, or
the contiguous quantum of fluid will run in and take the place of that
which has been evacuated. Asclepiades, however, holds that not one of
two, but one of three things must be said to result in the emptied
vessels: either there will be an entirely empty space, or the
contiguous portion will flow in, or the vessel will contract. For
whereas, in the case of reeds and tubes it is true to say that, if
these be submerged in water, and are emptied of the air which they
contain in their lumens, then either a completely empty space will be
left, or the contiguous portion will move onwards; in the case of
veins this no longer holds, since their coats can collapse and so fall
in upon the interior cavity. It may be seen, then, how false this
hypothesis--by Zeus, I cannot call it a demonstration!--of
Erasistratus is.
And, from another point of view, even if it were true, it is
superfluous, if the stomach[171] has the power of compressing the
veins, as he himself supposed, and the veins again of contracting upon
their contents and propelling them forwards.[172] For, apart from
other considerations, no _plethora_[173] would ever take place in the
body, if delivery of nutriment resulted merely from the tendency of a
vacuum to become refilled. Now, if the compression of the stomach
becomes weaker the further it goes, and cannot reach to an indefinite
distance, and if, therefore, there is need of some other mechanism to
explain why the blood is conveyed in all directions, then the
principle of the refilling of a vacuum may be looked on as a necessary
addition;[174] there will not, however, be a plethora in any of the
parts coming after the liver,[175] or, if there be, it will be in the
region of the heart and lungs; for the heart alone of the parts which
come after the liver draws the nutriment into its right ventricle,
thereafter sending it through the _arterioid vein_[176] to the lungs
(for Erasistratus himself will have it that, owing to the membranous
excrescences,[177] no other parts save the lungs receive nourishment
from the heart). If, however, in order to explain how plethora comes
about, we suppose the force of compression by the stomach to persist
indefinitely, we have no further need of the principle of the
refilling of a vacuum, especially if we assume contraction of the
veins in addition--as is, again, agreeable to Erasistratus himself.
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