DISEASES OF HEART, BLOOD VESSELS, AND LYMPHATICS. 249 



The uction of the heart is g^overned aiul mainlainod hy the pneumo- 

 gastric nerve (tenth pair of cranial nerves) ; it is the inhibitory 

 nerve of the heart, and reguhites, slows, and governs its action. \\'hen 

 the nerve is cut, the heartbeats increase rapidly, and, in fact, the 

 organ works ■without control. When the nerve is unduly irritated the 

 hoKlback, or inhibitory force, is increased, and the heart slows up in 

 the same measure. The left cavities of the heart, the pulmonary 

 veins, ami the aorta, or systemic artery, contain red or florid blood, 

 fit to circulate through the body. The right cavities of the heart, 

 with the vena3 cava?, or systemic veins, the pulmonary artery, contain 

 dark blood, which must be transmitted through the hmgs for reno- 

 vation. 



The arteries, commencing in two great trunks, the aorta and the 

 pulmonary artery, undergo division, as in the branching of a tree. 

 Their branches mostly come off at acute angles, and are commonly of 

 imiform diameter in each case, but successively diminish after and in 

 consequence of division, and in this manner gradually merge into the 

 capillary system of blood vessels. As a general rule, the combined 

 area of the branches is greater than that of the vessels from which 

 they emanate, and hence the collective capacity of the arterial system 

 is greatest at the capillary vessels. The same rule applies to the 

 veins. The effect of the division of the arteries is to make the blooil 

 move more slowly along their branches to the capillary vessels, and 

 the effect of the union of the branches of the veins is to accelerate the 

 speed of the blood as it returns from the capillary vessels to the 

 venous trunks. 



In the smaller vessels a frequent running together, or anastomosis, 

 occurs. This admits of a free communication between the currents of 

 blood, and must tend to promote equability of distribution and of 

 pressure, and to obviate the effects of local interruption. The arteries 

 are highly elastic, being extensile and retractile both in length and 

 breadth. During life they are also contractile, being provided with 

 muscular tissue. Whpn cut across they present, although empty, an 

 open oiifice; the veins, on the other hand, collai)se. 



In most parts of the body the arteries are inclosed in a sheath 

 formed of connective tissue, but are connected so loosely that, wlu-ii 

 the vessel is cut across, its ends readily retract some distance within 

 the sheath. Independently of this sheath, arteries are usually de- 

 scribed as being formed of three coats, named, from the relative 

 positions, external, middle, and internal. This ai)plies to their struc- 

 ture so far as it is discernible by the naked eye. The internal, serous, 

 or tunica intima, is the thinnest, and is continuous with the lining 

 membrane of the heart. It is made up of two layers — an inner, con- 

 sisting of a layer of epithelial scales, and an outer, transparent, 

 whitish, highly clastic, and perforated. The middle coat, tunica 



