[90] The state of the spleen in the dead body may become in some measure an index of the state of the circulation during the last moments of life. The swelling of it shows almost always the embarrassment of the circulation; and not only in an insulated system, such as that of the vena portæ, as Bichat considers it, but in the whole pulmonary system.
When any cause impedes the circulation in the capillaries of the lungs, it necessarily produces a stagnation of the blood in the divisions of the pulmonary artery, and by degrees the disturbance is felt even in the two venæ cavæ, but especially in the inferior in which the blood rises against its gravity. The blood accumulates in the principal branches; the veins of the liver and kidneys swell more or less; as to these organs themselves, the firmness of their texture hardly allows them to be distended, so they do not increase sensibly in size, or if this increase takes place, it is slow. It is not the same with the spleen; the looseness of its texture will admit a great quantity of liquid, and its size can thus be doubled or trebled in a very short time. It becomes then a kind of reservoir, in which is accumulated the blood which cannot pass through the lungs.
It may be objected to what we have just said, that oftentimes in phthisis the greatest portion of the lungs has become incapable of allowing the blood to pass, and that yet after death, the spleen is found in a natural state. But it should be recollected, that phthisical patients have, during the latter part of their lives, but very little blood, so that each portion sent by the right ventricle always finds a sufficient channel for it in the lungs.
OF THE INFLUENCE OF THE DEATH OF THE LUNGS OVER THAT OF THE BRAIN.
We have just seen, that in asphyxia, the movements of the heart are paralyzed, because its fleshy fibres are penetrated with venous blood. This fact should indicate the same to be the case with reference to the action of the brain. It is indubitably proved by experiment.
Whatever be the manner in which the pulmonary functions are interrupted, it is always the interruption of the chemical changes, which troubles the functions of the brain.[91] What I have said upon this point with respect to the heart, is exactly applicable to the cerebral mass: I shall not repeat it. It remains to shew by experiment, and the observation of diseases, that when the chemical functions of the lungs are put a stop to, it is the black blood which interrupts the action of the brain and that of the nervous system. In the first place let us examine our experiments.