veins, contain the darker kind of blood, which was thence called venous. Having proved that the whole of the left side of the heart, during life, is full of scarlet arterial blood, Galen's next point was to inquire into the mode of communication between the arteries and veins. It was known before his time that both arteries and veins branched out. Galen maintained, though he could not prove the fact, that the ultimate branches of the arteries and veins communicated together somehow or other, by what he called 'anastomoses', and that these 'anastomoses' existed not only in the body in general but also in the lungs. In the next place, Galen maintained that all the veins of the body arise from the liver; that they draw the blood thence and distribute it over the body. People laugh at that notion now-a-days; but if anybody will look at the facts he will see that it is a very probable supposition. There is a great vein (hepatic vein—Fig. 1) which rises out of the liver, and that vein goes straight into the 'vena cava' (Fig. 1) which passes to the heart, being there joined by the other veins of the body. The liver itself is fed by a very large vein (portal vein—Fig. 1), which comes from the alimentary canal. The way the ancients looked at this matter was, that the food, after being received into the alimentary canal, was then taken up by the branches of this great vein, which are called the 'vena portae', just as the roots of a plant suck up nourishment from the soil in which it lives; that then it was carried to the liver, there to be what was called "concocted," which was their phrase for its conversion into substances more fitted for nutrition than previously existed in it. They then supposed that the next thing to be done was to distribute this fluid through the body; and Galen like his predecessors, imagined that the "concocted" blood, having entered the great 'vena cava', was distributed by its ramifications all over the body. So that, in his view (Fig. 2), the course of the blood was from the intestine to the liver, and from the liver into the great 'vena cava', including what we now call the right auricle of the heart, whence it was distributed by the branches of the veins. But the whole of the blood was not thus disposed of. Part of the blood, it was supposed, went through what we now call the pulmonary arteries (Fig. 1), and, branching out there, gave exit to certain "fuliginous" products, and at the same time took in from the air a something which Galen calls the 'pneuma'. He does not know anything about what we call oxygen; but it is astonishing how very easy it would be to turn his language into the equivalent of modern chemical theory. The old philosopher had so just a suspicion of the real state of affairs that you could make use of his language in many cases, if you substituted the word "oxygen," which we now-a-days use, for the word 'pneuma'. Then he imagined that the blood, further concocted or altered by contact with the 'pneuma', passed to a certain extent to the left side of the heart. So that Galen believed that there was such a thing as what is now called the pulmonary circulation. He believed, as much as we do, that the blood passed through the right side of the heart, through the artery which goes to the lungs, through the lungs themselves, and back by what we call the pulmonary veins to the left side of the heart. But he thought it was only a very small portion of the blood which passes to the right side of the heart in this way; the rest of the blood, he thought, passed through the partition which separates the two ventricles of the heart. He describes a number of small pits, which really exist there, as holes, and he supposed that the greater part of the blood passed through these holes from the right to the left ventricle (Fig 2).

It is of great importance you should clearly understand these teachings of Galen, because, as I said just now, they sum up all that anybody knew until the revival of learning; and they come to this—that the blood having passed from the stomach and intestines through the liver, and having entered the great veins, was by them distributed to every part of the body; that part of the blood, thus distributed, entered the arterial system by the 'anastomoses', as Galen called them, in the lungs; that a very small portion of it entered the arteries by the 'anastomoses' in the body generally; but that the greater part of it passed through the septum of the heart, and so entered the left side and mingled with the pneumatised blood, which had been subjected to the air in the lungs, and was then distributed by the arteries, and eventually mixed with the currents of blood, coming the other way, through the veins.

Yet one other point about the views of Galen. He thought that both the contractions and dilatations of the heart—what we call the 'systole' or contraction of the heart, and the 'diastole' or dilatation—Galen thought that these were both active movements; that the heart actively dilated, so that it had a sort of sucking power upon the fluids which had access to it. And again, with respect to the movements of the pulse, which anybody can feel at the wrist and elsewhere, Galen was of opinion that the walls of the arteries partook of that which he supposed to be the nature of the walls of the heart, and that they had the power of alternately actively contracting and actively dilating, so that he is careful to say that the nature of the pulse is comparable, not to the movement of a bag, which we fill by blowing into it, and which we empty by drawing the air out of it, but to the action of a bellows, which is actively dilated and actively compressed.

Fig 3.—The course of the blood from the right to the left side of the heart (Realdus Columbus, 1559).

After Galen's time came the collapse of the Roman Empire, the extinction of physical knowledge, and the repression of every kind of scientific inquiry, by its powerful and consistent enemy, the Church; and that state of things lasted until the latter part of the Middle Ages saw the revival of learning. That revival of learning, so far as anatomy and physiology are concerned, is due to the renewed influence of the philosophers of ancient Greece, and indeed, of Galen. Arabic commentators had translated Galen, and portions of his works had got into the language of the learned in the Middle Ages, in that way; but, by the study of the classical languages, the original text became accessible to the men who were then endeavouring to learn for themselves something about the facts of nature. It was a century or more before these men, finding themselves in the presence of a master—finding that all their lives were occupied in attempting to ascertain for themselves that which was familiar to him—I say it took the best part of a hundred years before they could fairly see that their business was not to follow him, but to follow his example—namely, to look into the facts of nature for themselves, and to carry on, in his spirit, the work he had begun. That was first done by Vesalius, one of the greatest anatomists who ever lived; but his work does not specially bear upon the question we are now concerned with. So far as regards the motions of the heart and the course of the blood, the first man in the Middle Ages, and indeed the only man who did anything which was of real importance, was one Realdus Columbus, who was professor at Padua in the year 1559, and published a great anatomical treatise. What Realdus Columbus did was this; once more resorting to the method of Galen, turning to the living animal, experimenting, he came upon new facts, and one of these new facts was that there was not merely a subordinate communication between the blood of the right side of the heart and that of the left side of the heart, through the lungs, but that there was a constant steady current of blood, setting through the pulmonary artery on the right side, through the lungs, and back by the pulmonary veins to the left side of the heart (Fig.3). Such was the capital discovery and demonstration of Realdus Columbus. He is the man who