Respiratory Exercises in the Treatment of Disease : Notably of the Heart, Lungs, Nervous And Digestive Systems

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The widening of the bed in this region must operate very decidedly in the direction of diminishing the rate of flow, and it should be noticed that an actual diminution in the rate of flow here is compatible witli an increased pulmonary output.
TNFLUKNCK OX TUB CIRCL-LATIOX OF THE BLOOD 87 very rapid and deep inspiration after a forced expiration with closed glottis, when the sudden change in the calibre of the pulmonary vessels from the minimum to the maximum diminishes the pulmonary output to
...such an extent as to cause the individual to grow pale and faint, and even destroy all trace of the radial pulse. This is especially the case in those with low tension. The exact converse of this occurs during effort, as in coughing or lifting a heavy weight. A deep inspiration is first taken, and then a powerful expira- tion with partly or completely closed glottis. In this way the calibre of the pulmonary vessels is suddenly changed from a minimum to a maximum, and as a result the pul- monary blood tends to be driven in both directions, i.e., backwards towards the right heart, and forwards into the left heart.

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