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en the arteries are in a state of vigour than when debilitated; consequently the intervals between the pulsations will be greater when the arteries are in a state of vigour than when debilitated. Hence it is evident, that a frequency of pulse must generally indicate a diminished action or debility; while a moderate slowness indicates a vigorous or just action. Hence likewise the opinion of increased action, which has been supposed to take place in fevers, because a frequent pulse was observed, must be false, because the frequency arises from a directly opposite state, and indicates a diminished action of the vascular system. In a sound and adult man the frequency of the pulse is about seventy beats in a minute; and in an infant, within the first five or six months, the pulse is seldom less than one hundred and twenty, and diminishes in frequency as the child grows older. But though seventy beats in the minute may be taken as a general standard; yet in persons of irritable constitutions the frequency is greater than this, and many, who are in the prime of life, have the pulse only between fifty and sixty. It is generally observed, that the pulse is slower in the morning, that it increases in frequency till noon, after dinner it again becomes slow, and in the evening its frequency returns, which increases till midnight. These phenomena may be rationally explained on the principles just laid down. When we rise in the morning, the contractibility being abundant, the stimulus of the blood produces a greater effect, the pulse becomes slow, and the contractions strong; it becomes more frequent, however, till dinner time, from a diminished contractibility; after dinner, from the addition of the stimulus of food and chyle, it again decreases in frequency, and becomes slow till the evening, when its frequency returns, because the contractibility becomes exhausted: and this frequency continues till the vital power have been recruited by sleep. By the same principles it is easy to explain the quickness of the pulse in infancy, its gradual decrease till maturity, its slowness and strength during the meridian of life, and the return of its frequency during the decline. Having now described the phenomena of the circulation, it will be proper to examine the changes produced by this function on the blood; and, in the first place, it may be observed, that the blood which returns by the vena cava to the heart, is of a da
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