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淋巴管解剖学研究的历史——从古代到欧洲文艺复兴末期。

The history of anatomical research of lymphatics - From the ancient times to the end of the European Renaissance.

机构信息

Division of Clinical and Functional Anatomy, Medical University of Innsbruck, Austria.

Division of Clinical and Functional Anatomy, Medical University of Innsbruck, Austria.

出版信息

Ann Anat. 2019 May;223:49-69. doi: 10.1016/j.aanat.2019.01.010. Epub 2019 Feb 4.

Abstract

Very often, descriptions of the scientific discovery of the lymphatic system start with Gaspare Aselli, probably because of his so captivating account. Nevertheless, there was prior and even very old evidence of the lymphatic vessels, which was of course known to Aselli himself, as he cited most of these antique references. In fact, the first insights were contributed by the Hippocratic School. The Alexandrian School added quite a lot but unfortunately most of that knowledge is not extant and can only be appreciated by translations or citations by other authors such as Galen. The 'dark' middle ages did not add to the anatomical knowledge of the lymphatics, and only the rise of the Renaissance brought new insights. Even at that time, Aselli was not the first to identify at least some components of the lymphatic system, but he was actually the first to present a proper account in a book dedicated to the "lacteal veins". Afterwards the interest rose enormously and cumulated in one of the first priority - or plagiarism - disputes, the Rudbeck-Bartholin feud. Surprisingly, William Harvey, the discoverer of the systemic blood circulation, ignored, at least in part, the progress of the discoveries in lymphatic circulation. This narrative review tries to summarize the major contributions to the anatomical knowledge of the lymphatic system from the ancient times up to the end of the European Renaissance.

摘要

通常,淋巴系统的科学发现描述都是从加斯帕雷·阿塞利开始的,可能是因为他的描述非常吸引人。然而,淋巴血管的更早甚至非常古老的证据是存在的,这当然是阿塞利本人所知道的,因为他引用了这些古老的参考文献中的大部分。事实上,最初的见解来自希波克拉底学派。亚历山大里亚学派增加了很多,但不幸的是,这些知识中的大部分已经失传,只能通过其他作者的翻译或引用,如盖伦,才能欣赏到。“黑暗”的中世纪并没有增加对淋巴管解剖学的认识,只有文艺复兴的兴起才带来了新的见解。即使在那个时候,阿塞利也不是第一个发现至少是一些淋巴系统成分的人,但他实际上是第一个在一本专门论述“乳糜静脉”的书中提出恰当描述的人。此后,人们的兴趣大大增加,并在第一个优先事项之一——鲁德贝克-巴托林之争——中达到了高潮。令人惊讶的是,发现体循环的威廉·哈维(William Harvey)至少部分忽略了淋巴循环发现的进展。本叙述性综述试图总结从古代到欧洲文艺复兴末期对淋巴管解剖学知识的主要贡献。

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