407. But although the main points relative to the influence of inspiration and expiration over the pulmonary circulation may be said to be universally admitted, still physiologists are not agreed as to the relative quantities of blood which are transmitted through the lungs during these different respiratory states. All are agreed that the state of inspiration is favourable to the passage of the blood through the lungs: some maintain that this expansion of the lungs in inspiration is essential to the pulmonary circulation. There is the like general consent that the state of expiration retards the flow of blood through the lungs; by many it is conceived that it completely stops the current. By these physiologists it is supposed that, during the action of expiration, the lungs are in a state of collapse; that they contain a comparatively small portion of air; that in this state the air vesicles are so compressed, and the pulmonary blood-vessels so coiled up, that the lungs are absolutely impermeable, and consequently, that when the blood arrives at the right chambers of the heart, it is incapable of making its way to the left. This, according to a prevalent theory, is the immediate cause of death in asphyxia, the state of the system induced by suspended respiration, as in drowning, hanging, and suffocation. Death takes place in this condition of the system, it is argued, because the circulation of the blood is arrested at the right side of the heart, cannot permeate the lungs, and consequently cannot reach the left ventricle, to be sent out to supply the organs of the body.

408. This opinion, which appears at first view to be favoured by numerous observations and experiments, has been shown to be fallacious by a series of decisive experiments, performed by Dr. Dill and myself, undertaken, as has been stated (404), with the object of ascertaining, in a more exact manner than had hitherto been done, the relation between the circulation and respiration. The previously ascertained fact that the heart continues to beat and the blood to flow several minutes after the complete suspension of the respiration, or after apparent death, afforded us the means of pursuing our research. The details of these experiments are given elsewhere: it is sufficient to state in this place the main results.

The Philosophy of Health; Vol 2 — Part 34