XXX.
A brief examination of
the construction of our bodies from a medical point of view.
1741
1.
Now
the exact structure of our body each man teaches himself by his
experiences of sight and light and perception, having his own nature to
instruct him; any one too may learn everything accurately who takes up
the researches which those skilled in such matters have worked out in
books. And of these writers some learnt by dissection the position of
our individual organs; others also considered and expounded the reason
for the existence of all the parts of the body; so that the knowledge
of the human frame which hence results is sufficient for students. But
if any one further seeks that the Church should be his teacher on all
these points, so that he may not need for anything the voice of those
without (for this is the wont of the spiritual sheep, as the Lord says,
that they hear not a strange voice
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), we shall
briefly take in hand the account of these matters also.
2. We note concerning our bodily
nature three things, for the sake of which our particular parts were
formed. Life is the cause of some, good life of others, others again
are adapted with a view to the succession of descendants. All things in
us which are of such a kind that without them it is not possible that
human life should exist, we consider as being in three parts; in the
brain, the heart, and the liver. Again, all that are a sort of
additional blessings, nature’s liberality, whereby she bestows on
man the gift of living well, are the organs of sense; for such things
do not constitute our life, since even where some of them are wanting
man is often none the less in a condition of life; but without these
forms of activity it is impossible to enjoy participation in the
pleasures of life. The third aim regards the future, and the succession
of life. There are also certain other organs besides these, which help,
in common with all the others, to subserve the continuance of life,
importing by their own means the proper supplies, as the stomach and
the lungs, the latter fanning by respiration the fire at the heart, the
former introducing the nourishment for the internal organs.
3. Our structure, then, being
thus divided, we have carefully to mark that our faculty for life is
not supported in any one way by some single organ, but nature, while
distributing the means for our existence among several parts, makes the
contribution of each individual necessary for the whole; just as the
things which nature contrives for the security and beauty of life are
also numerous, and differ much among themselves.
4. We ought, however, I think, first to discuss briefly the first
beginnings of the things which contribute to the constitution of our
life. As for the material of the whole body which serves as a common
substratum for the particular members, it may for the present be left
without remark; for a discussion as to natural substance in general
will not be of any assistance to our purpose with regard to the
consideration of the parts.
5. As it is then acknowledged by
all that there is in us a share of all that we behold as elements in
the universe—of heat and cold, and of the other pair of qualities
of moisture and dryness—we must discuss them
severally.
6. We see then that the powers
which control life are three, of which the first by its heat produces
general warmth, the second by its moisture keeps damp that which is
warmed, so that the living being is kept in an intermediate condition
by the equal balance of the forces exerted by the quality of each of
the opposing natures (the moist element not being dried up by excess of
heat, nor the hot element quenched by the prevalence of moisture); and
the third power by its own agency holds together the separate members
in a certain agreement and harmony, connecting them by the ties which
it itself furnishes, and sending into them all that self-moving and
determining force, on the failure of which the member becomes relaxed
and deadened, being left destitute of the determining
spirit.
7. Or rather, before dealing
with these, it is right that we should mark the skilled workmanship of
nature in the actual construction of the body. For as that which is
hard and resistent does not admit the action of the senses (as we may
see in the instance of our own bones, and in that of plants in the
ground, where we remark indeed a certain form of life in that they grow
and receive nourishment, yet the resistent character of their substance
does not allow them sensation), for this reason it was necessary that
some wax-like formation, so to say, should be supplied for the action
of the senses, with the faculty of being impressed with the stamp of
things capable of striking them, neither becoming confused by excess of
moisture (for the impress would not remain in moist substance), nor
resisting by extraordinary solidity (for that which is unyielding would
not receive any mark from the impressions), but being in a state
between softness and hardness, in order that the living being might not
be destitute of the fairest of all the operations of nature—I
mean the motion of sense.
8. Now as a soft and yielding
substance, if it had no assistance from the hard parts, would certainly
have, like molluscs, neither motion nor articulation, nature
accordingly mingles in the body the hardness of the bones, and uniting
these by close connection one to another, and knitting their joints
together by means of the sinews, thus plants around them the flesh
which receives sensations, furnished with a somewhat harder and more
highly-strung surface than it would otherwise have had.
9. While resting, then, the
whole weight of the body on this substance of the bones, as on some
columns that carry a mass of building, she did not implant the bone
undivided through the whole structure: for in that case man would have
remained without motion or activity, if he had been so constructed,
just like a tree that stands on one spot without either the alternate
motion of legs to advance its motion or the service of hands to
minister to the conveniences of life: but now we see that she contrived
that the instrument should be rendered capable of walking and working
by this device, after she had implanted in the body, by the determining
spirit which extends through the nerves, the impulse and power for
motion. And hence is produced the service of the hands, so varied and
multiform, and answering to every thought. Hence are produced, as
though by some mechanical contrivance, the turnings of the neck, and
the bending and raising of the head, and the action of the chin, and
the separation of the eyelids, that takes place with a thought, and the
movements of the other joints, by the tightening or relaxation of
certain nerves. And the power that extends through these exhibits a
sort of independent impulse, working with the spirit of its will by a
sort of natural management, in each particular part; but the root of
all, and the principle of the motions of the nerves, is found in the
nervous tissue that surrounds the brain.
10. We consider, then, that we
need not spend more time in inquiring in which of the vital members
such a thing resides, when the energy of motion is shown to be here.
But that the brain contributes to life in a special degree is shown
clearly by the result of the opposite conditions: for if the tissue
surrounding it receives any wound or lesion, death immediately follows
the injury, nature being unable to endure the hurt even for a moment;
just as, when a foundation is withdrawn, the whole building collapses
with the part; and that member, from an injury to which the destruction
of the whole living being clearly follows, may properly be acknowledged
to contain the cause of life.
11. But as furthermore in those
who have ceased to live, when the heat that is implanted in our nature
is quenched, that which has become dead grows cold, we hence recognize
the
vital
cause also in heat: for we must of necessity acknowledge that the
living being subsists by the presence of that, which failing, the
condition of death supervenes. And of such a force we understand the
heart to be as it were the fountain-head and principle, as from it
pipe-like passages, growing one from another in many ramifications,
diffuse in the whole body the warm and fiery spirit.
12. And since some nourishment
must needs also be provided by nature for the element of heat—for
it is not possible that the fire should last by itself, without being
nourished by its proper food—therefore the channels of the blood,
issuing from the liver as from a fountainhead, accompany the warm
spirit everywhere in its way throughout the body, that the one may not
by isolation from the other become a disease and destroy the
constitution. Let this instruct those who go beyond the bounds of
fairness, as they learn from nature that covetousness is a disease that
breeds destruction.
13. But since the Divinity alone
is free from needs, while human poverty requires external aid for its
own subsistence, nature therefore, in addition to those three powers by
which we said that the whole body is regulated, brings in imported
matter from without, introducing by different entrances that which is
suitable to those powers.
14. For to the fount of the
blood, which is the liver, she furnishes its supply by food: for that
which from time to time is imported in this way prepares the springs of
blood to issue from the liver, as the snow on the mountain by its own
moisture increases the springs in the low ground, forcing its own fluid
deep down to the veins below.
15. The breath in the heart is
supplied by means of the neighbouring organ, which is called the lungs,
and is a receptacle for air, drawing the breath from without through
the windpipe inserted in it, which extends to the mouth. The heart
being placed in the midst of this organ (and itself also moving
incessantly in imitation of the action of the ever-moving fire), draws
to itself, somewhat as the bellows do in the forges, a supply from the
adjacent air, filling its recesses by dilatation, and while it fans its
own fiery element, breathes upon the adjoining tubes; and this it does
not cease to do, drawing the external air into its own recesses by
dilatation, and by compression infusing the air from itself into the
tubes.
16. And this seems to me to be
the cause of this spontaneous respiration of ours; for often the mind
is occupied in discourse with others, or is entirely quiescent when the
body is relaxed in sleep, but the respiration of air does not cease,
though the will gives no co-operation to this end. Now I suppose, since
the heart is surrounded by the lungs, and in the back part of its own
structure is attached to them, moving that organ by its own dilatations
and compressions, that the inhaling and exhaling
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of the air is brought about by the lungs:
for as they are a lightly built and porous body, and have all their
recesses opening at the base of the windpipe, when they contract and
are compressed they necessarily force out by pressure the air that is
left in their cavities; and, when they expand and open, draw the air,
by their distention, into the void by suction.
17. This then is the cause of
this involuntary respiration—the impossibility that the fiery
element should remain at rest: for as the operation of motion is proper
to heat, and we understand that the principle of heat is to be found in
the heart, the continual motion going on in this organ produces the
incessant inspiration and exhalation of the air through the lungs:
wherefore also when the fiery element is unnaturally augmented, the
breathing of those fevered subjects becomes more rapid, as though the
heart were endeavouring to quench the flame implanted in it by more
violent
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breathing.
18. But since our nature is poor
and in need of supplies for its own maintenance from all quarters, it
not only lacks air of its own, and the breath which excites heat, which
it imports from without for the preservation of the living being, but
the nourishment it finds to fill out the proportions of the body is an
importation. Accordingly, it supplies the deficiency by food and drink,
implanting in the body a certain faculty for appropriating that which
it requires, and rejecting that which is superfluous, and for this
purpose too the fire of the heart gives nature no small
assistance.
19. For since, according to the
account we have given, the heart which kindles by its warm breath the
individual parts, is the most important of the vital organs, our Maker
caused it to be operative with its efficacious power at all points,
that no part of it might be left ineffectual or unprofitable for the
regulation of the whole organism. Behind, therefore, it enters the
lungs, and, by its continuous motion, drawing that organ to itself, it
expands the passages to inhale the air, and compressing them again it
brings about the exspiration of the imprisoned air; while in front,
attached to the space at the upper extremity of the stomach, it warms
it and makes it respond by motion to its own activity, rousing it, not
to inhale air, but to receive its appropriate food: for the entrances
for breath
and food are near one another, extending lengthwise one alongside
the other, and are terminated in their upper extremity by the same
boundary, so that their mouths are contiguous and the passages come to
an end together in one mouth, from which the entrance of food is
effected through the one, and that of the breath through the
other.
20. Internally, however, the
closeness of the connection of the passages is not maintained
throughout; for the heart intervening between the base of the two,
infuses in the one the powers for respiration, and in the other for
nutriment. Now the fiery element is naturally inclined to seek for the
material which serves as fuel, and this necessarily happens with regard
to the receptacle of nourishment; for the more it becomes penetrated by
fire through the neighbouring warmth, the more it draws to itself what
nourishes the heat. And this sort of impulse we call
appetite.
21. But if the organ which
contains the food should obtain sufficient material, not even so does
the activity of the fire become quiescent: but it produces a sort of
melting of the material just as in a foundry, and, dissolving the
solids, pours them out and transfers them, as it were from a funnel, to
the neighbouring passages: then separating the coarser from the pure
substance, it passes the fine part through certain channels to the
entrance of the liver, and expels the sedimentary matter of the food to
the wider passages of the bowels, and by turning it over in their
manifold windings retains the food for a time in the intestines, lest
if it were easily got rid of by a straight passage it might at once
excite the animal again to appetite, and man, like the race of
irrational animals, might never cease from this sort of
occupation.
22. As we saw, however, that the
liver has especial need of the co-operation of heat for the conversion
of the fluids into blood, while this organ is in position distant from
the heart (for it would, I imagine, have been impossible that, being
one principle or root of the vital power, it should not be hampered by
vicinity with another such principle), in order that the system may
suffer no injury by the distance at which the heat-giving substance is
placed, a muscular passage (and this, by those skilled in such matters,
is called the artery) receives the heated air from the heart and
conveys it to the liver, making its opening there somewhere beside the
point at which the fluids enter, and, as it warms the moist substance
by its heat, blends with the liquid something akin to fire, and makes
the blood appear red with the fiery tint it produces.
23. Issuing thence again,
certain twin channels, each enclosing its own current like a pipe,
disperse air and blood (that the liquid substance may have free course
when accompanied and lightened by the motion of the heated substance)
in divers directions over the whole body, breaking at every part into
countless branching channels; while as the two principles of the vital
powers mingle together (that alike which disperses heat, and that which
supplies moisture to all parts of the body), they make, as it were, a
sort of compulsory contribution from the substance with which they deal
to the supreme force in the vital economy.
24. Now this force is that which
is considered as residing in the cerebral membranes and the brain, from
which it comes that every movement of a joint, every contraction of the
muscles, every spontaneous influence that is exerted upon the
individual members, renders our earthen statue active and mobile as
though by some mechanism. For the most pure form of heat and the most
subtle form of liquid, being united by their respective forces through
a process of mixture and combination, nourish and sustain by their
moisture the brain, and hence in turn, being rarefied to the most pure
condition, the exhalation that proceeds from that organ anoints the
membrane which encloses the brain, which, reaching from above downwards
like a pipe, extending through the successive vertebræ, is (itself
and the marrow which is contained in it) conterminous with the base of
the spine, itself giving like a charioteer the impulse and power to all
the meeting-points of bones and joints, and to the branches of the
muscles, for the motion or rest of the particular parts.
25. For this cause too it seems
to me that it has been granted a more secure defence, being
distinguished, in the head, by a double shelter of bones round about,
and in the vertebræ of the neck by the bulwarks formed by the
projections of the spine as well as by the diversified interlacings of
the very form of those vertebræ, by which it is kept in freedom
from all harm, enjoying safety by the defence that surrounds
it.
26. So too one might suppose of
the heart, that it is itself like some safe house fitted with the most
solid defences, fortified by the enclosing walls of the bones round
about; for in rear there is the spine, strengthened on either side by
the shoulder-blades, and on each flank the enfolding position of the
ribs makes that which is in the midst between them difficult to injure;
while in front the breast-bone and the juncture of the collar-bone
serve as a defence, that its safety may be guarded at all points from
external causes of danger.
27. As we see in husbandry, when
the rain fall from the clouds or the overflow from the river channels
causes the land beneath it to be saturated with moisture (let us
suppose for
our argument a garden, nourishing within its own compass countless
varieties of trees, and all the forms of plants that grow from the
ground, and whereof we contemplate the figure, quality, and
individuality in great variety of detail); then, as these are nourished
by the liquid element while they are in one spot, the power which
supplies moisture to each individual among them is one in nature; but
the individuality of the plants so nourished changes the liquid element
into different qualities; for the same substance becomes bitter in
wormwood, and is changed into a deadly juice in hemlock, and becomes
different in different other plants, in saffron, in balsam, in the
poppy: for in one it becomes hot, in another cold, in another it
obtains the middle quality: and in laurel and mastick it is scented,
and in the fig and the pear it is sweetened, and by passing through the
vine it is turned into the grape and into wine; while the juice of the
apple, the redness of the rose, the radiance of the lily, the blue of
the violet, the purple of the hyacinthine dye, and all that we behold
in the earth, arise from one and the same moisture, and are separated
into so many varieties in respect of figure and aspect and quality; the
same sort of wonder is wrought in the animated soil of our being by
Nature, or rather by Nature’s Lord. Bones, cartilages, veins,
arteries, nerves, ligatures, flesh, skin, fat, hair, glands, nails,
eyes, nostrils, ears,—all such things as these, and countless
others in addition, while separated from one another by various
peculiarities, are nourished by the one form of nourishment in ways
proper to their own nature, in the sense that the nourishment, when it
is brought into close relation with any of the subjects, is also
changed according to that to which it approaches, and becomes adapted
and allied to the special nature of the part. For if it should be in
the neighbourhood of the eye, it blends with the visual part and is
appropriately distributed by the difference of the coats round the eye,
among the single parts; or, if it flow to the auditory parts, it is
mingled with the auscultatory nature, or if it is in the lip, it
becomes lip; and it grows solid in bone, and grows soft in marrow, and
is made tense with the sinew, and extended with the surface, and passes
into the nails, and is fined down for the growth of the hair, by
correspondent exhalations, producing hair that is somewhat curly or
wavy if it makes its way through winding passages, while, if the course
of the exhalations that go to form the hair lies straight, it renders
the hair stiff and straight.
28. Our argument, however, has
wandered far from its purpose, going deep into the works of nature, and
endeavouring to describe how and from what materials our particular
organs are formed, those, I mean, intended for life and for good life,
and any other class which we included with these in our first
division.
29. For our purpose was to show
that the seminal cause of our constitution is neither a soul without
body, nor a body without soul, but that, from animated and living
bodies, it is generated at the first as a living and animate being, and
that our humanity takes it and cherishes it like a nursling with the
resources she herself possesses, and it thus grows on both sides and
makes its growth manifest correspondingly in either part:—for it
at once displays, by this artificial and scientific process of
formation, the power of soul that is interwoven in it, appearing at
first somewhat obscurely, but afterwards increasing in radiance
concurrently with the perfecting of the work.
30. And as we may see with
stone-carvers—for the artist’s purpose is to produce in
stone the figure of some animal; and with this in his mind, he first
severs the stone from its kindred matter, and then, by chipping away
the superfluous parts of it, advances somehow by the intermediate step
of his first outline to the imitation which he has in his purpose, so
that even an unskilled observer may, by what he sees, conjecture the
aim of his art; again, by working at it, he brings it more nearly to
the semblance of the object he has in view; lastly, producing in the
material the perfect and finished figure, he brings his art to its
conclusion, and that which a little before was a shapeless stone is a
lion, or a man, or whatsoever it may be that the artist has made, not
by the change of the material into the figure, but by the figure being
wrought upon the material. If one supposes the like in the case of the
soul he is not far from probability; for we say that Nature, the
all-contriving, takes from its kindred matter the part that comes from
the man, and moulds her statue within herself. And as the form follows
upon the gradual working of the stone, at first somewhat indistinct,
but more perfect after the completion of the work, so too in the
moulding of its instrument the form of the soul is expressed in the
substratum, incompletely in that which is still incomplete, perfect in
that which is perfect; indeed it would have been perfect from the
beginning had our nature not been maimed by evil. Thus our community in
that generation which is subject to passion and of animal nature,
brings it about that the Divine image does not at once shine forth at
our formation, but brings man to perfection by a certain method and
sequence, through those attributes of the soul which are material, and
belong rather to the animal creation.
31. Some such doctrine as this
the great apostle also teaches us in his Epistle to the
Corinthians, when he
says, “When I was a child, I spake as a child, I understood as a
child, I thought as a child; but when I became a man I put away
childish things
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”; not that
the soul which arises in the man is different from that which we know
to be in the boy, and the childish intellect fails while the manly
intellect takes its being in us; but that the same soul displays its
imperfect condition in the one, its perfect state in the
other.
32. For we say that those things
are alive which spring up and grow, and no one would deny that all
things that participate in life and natural motion are animate, yet at
the same time one cannot say that such life partakes of a perfect
soul,—for though a certain animate operation exists in plants, it
does not attain to the motions of sense; and on the other hand, though
a certain further animate power exists in the brutes, neither does this
attain perfection, since it does not contain in itself the grace of
reason and intelligence.
33. And even so we say that the
true and perfect soul is the human soul, recognized by every operation;
and anything else that shares in life we call animate by a sort of
customary misuse of language, because in these cases the soul does not
exist in a perfect condition, but only certain parts of the operation
of the soul, which in man also (according to Moses’ mystical
account of man’s origin) we learn to have accrued when he made
himself like this sensuous world. Thus Paul, advising those who were
able to hear him to lay hold on perfection, indicates also the mode in
which they may attain that object, telling them that they must
“put off the old man,” and put on the man “which is
renewed after the image of Him that created him
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.”
34. Now may we all return to
that Divine grace in which God at the first created man, when He said,
“Let us make man in our image and likeness”; to Whom be
glory and might for ever and ever. Amen.
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Otherwise Chap. xxxi. The Bodleian
ms.
of
the Latin version gives the title:—“Of the threefold nature
of the body.”
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Cf.
S.
John x. 5
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Reading (with Forbes’ marginal suggestion)
ἐκπνοήν
.
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Or
perhaps “fresher,” the heart seeking as it were for fresher
and cooler air, and the breath being thus accelerated in the effort to
obtain it.
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1 Cor. xiii.
11
.
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Col. iii. 9,
10
.