# The Galenic Heart in the Gothic Cathedral and the Adjournment in Discovery of Circulation

**Authors:** Laszlo Kiraly, Balazs Gulyas

PMC · DOI: 10.31083/j.rcm2306217 · Reviews in Cardiovascular Medicine · 2022-06-16

## TL;DR

This paper explores how medieval ideas about the human heart and body mirror the structure of Gothic cathedrals, revealing a shared symbolic framework.

## Contribution

It identifies a consistent tripartite symbolic structure linking Galenic anatomy to Gothic architecture, showing how this delayed discovery of circulation.

## Key findings

- Galenic heart domains align with cathedral parts like nave, choir, and sanctuary.
- The tripartite structure delayed recognition of the heart's role in circulation.
- Aristotelian/Galenic philosophy and Gothic architecture share a symbolic foundation.

## Abstract

Aristotle’s tripartite concept of man—body, soul and 
spirit—formed the basis of the Galenic system that distinguished nurturing, 
vitalizing and animating tributary domains, governed by the liver, heart and 
brain, respectively. The Gothic cathedral structures into similar tripartite 
arrangements of nave, choir and sanctuary. We studied whether consistent 
parallels can be found between the Galenic concept of man, the Galenic heart 
itself and the structuring of the Gothic cathedral.

Galenic 
literature along with scholastic texts were reviewed. Examples of Gothic 
cathedrals were visited and studied in locations. We used medieval analytical 
tools to compare characteristics of cathedral architecture and contemporary 
concepts on man and the heart.

Consistent parallels were found 
between the Galenic system and the structural parts of the Gothic cathedral. The 
principle of homology, intrinsic to both the Galenic system and Gothic 
architecture, identified the same tripartite organization in the Galenic heart 
itself and the segments could be projected onto the cathedral structure. Thus, 
the physical/nurturing domain was identified with the right ventricle inlet and 
the nave; the psychological/vitalizing domain corresponded with the right 
ventricle outlet/interventricular septum and the cathedral’s choir; the 
animating/spiritual domain paralleled with the left ventricle/aortic valve and 
the sanctuary in the cathedral.

The Aristotelian/Galenic 
tripartite concept appears consistent with Gothic architecture and both provided 
a comprehensive view of the world; their relationship stems in a common 
philosophical and symbolic foundation. The tripartite interpretation was so 
coherent that it effectively delayed recognition of circulation and the heart’s 
role in it.

## Full-text entities

- **Diseases:** ventricular septal defects (MESH:D006345), Galenic (MESH:D054080), ventricular systole (MESH:D018487), Man (MESH:D016750), systole (MESH:D000092244)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11273666/full.md

## References

70 references — full list in the complete paper: https://tomesphere.com/paper/PMC11273666/full.md

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Source: https://tomesphere.com/paper/PMC11273666