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从心主学说向血主学说的“转化理论”再思考——威廉·哈维的观察、逻辑与《心血运动论》的构建

[Reconsideration of the "conversion theory" from the primacy of the heart to the primacy of the blood--William Harvey's observation, logic and the construction of the exercitatio].

作者信息

Tsukisawa M

出版信息

Kagakushi Kenkyu. 1995;34(194):118-28.

Abstract

In De motu cordis, W. Harvey sometimes waxes lyrical on the primacy of the heart. In his another treatise, De generatione, however, he insists on the primacy of the blood. The "conversion theory" explained this discrepancy with Harvey's conversion as caused by his discovery of the antiquity of the blood. But Whitterridge showed that Harvey had already described the antiquity of the blood in his earliest notebook, Prelectiones. As shown in this article, Harvey's observation was not a mere accidental discovery; based on the "classic questions", it was continuously and persistently conducted until he was assured of having seen the blood to exist prior to the pulse and movement to occur in the blood. While this crucial observation was not yet made in Prelectiones and De motu cordis, it was described as crucial evidence of the theory of the primacy of the blood in De generatione, in which this new theory was introduced as an independent topic of the exercitatio. The topic of the order of the generation was a crucial issue in the theoretical medicine of Harvey's days. That is, the Aristotelian primacy of the heart had been seriously challenged by the Galenic tripartite theory which pursued the antiquity of three organs. Harvey's theory, or the primacy of the blood, seems to consists with Aristotle's premise, in that it asserts the existance of the only source of all functions in living animals. Harvey's theory, however, was confronted, on the other hand, with Aristotle's another inconsistency, namely, the issue of two definitions about anima. We must consider the construction and strategy of the exercitatio in Harvey's days to understand the exact meaning of the primacy of the heart in De motu cordis. In De motu cordis, Harvey did not use the primacy of the heart in a central part of the exercitatio, namely, in confirming his unprecedented theory, the circulation of the blood, but he settled this Aristotelian premise in a marginal part, namely, in ratiocinating the final cause of the circulation and supporting his new theory from the sidelines.

摘要

在《心血运动论》中,W. 哈维有时会热情洋溢地阐述心脏的首要地位。然而,在他的另一部论著《论动物的生殖》中,他却坚持血液的首要地位。“转变理论”将哈维的这种转变解释为是由他对血液古老性的发现所导致的。但惠特里奇表明,哈维早在他最早的笔记本《讲稿》中就已经描述了血液的古老性。如本文所示,哈维的观察并非偶然发现;基于“经典问题”,它是持续且执着地进行的,直到他确信看到血液先于脉搏存在且血液中发生运动。虽然在《讲稿》和《心血运动论》中尚未做出这一关键观察,但在《论动物的生殖》中它被描述为血液首要地位理论的关键证据,在这部著作中,这一新理论被作为“练习”的一个独立主题引入。生殖顺序的主题是哈维那个时代理论医学中的一个关键问题。也就是说,亚里士多德的心脏首要地位受到了盖伦三方理论的严重挑战,盖伦三方理论追寻三个器官的古老性。哈维的理论,即血液的首要地位,似乎与亚里士多德的前提一致,因为它断言了活体动物所有功能唯一来源的存在。然而,哈维的理论另一方面又面临着亚里士多德的另一个矛盾,即关于灵魂的两个定义的问题。我们必须考虑哈维那个时代“练习”的结构和策略,以理解《心血运动论》中心脏首要地位的确切含义。在《心血运动论》中,哈维并没有在“练习”的核心部分,即在证实他前所未有的血液循环理论时使用心脏的首要地位,而是在边缘部分解决了这个亚里士多德式的前提,即在对循环的最终原因进行推理并从旁支持他的新理论时。

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