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The Integrative Model of Circulation: A Synthesis

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The Heart and Circulation
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Abstract

In this final chapter, the method of scientific inquiry in biological sciences is examined to elucidate physiology’s failure to identify the phenomenon of autonomous movement of the heart and blood. It is shown that the research method, appropriate in physical sciences, by which an organism is reduced to genes, organelles, cells, and organs and is reconstructed by applying mathematical models, is unable to account for the systems-level causality it purports to explain. Such hypothesis-driven observer approach essentially remains external to the organism and is unable to ascribe causality to qualitative phenomena such as life, feeling, and volition, which constitute an integral part of the organism. This leads to an unbridgeable (Cartesian) split in biological sciences between mind and body, arising from the essential nature of human constitution. To complement this approach, a brief outline of the participatory way of science has been described by which the ontological, self-organizing principle of an organism is identified in the context of the kingdoms of nature. Viewed from this perspective, the cardiovascular system emerges as the pivotal organ of evolutionary development with hierarchical levels of organization identified as the physical, life, soul, and specifically human level. It is proposed that such a human-centered approach sets physiology on a firm epistemological ground, promotes an open-ended inquiry, and assures its continued importance for the future of medicine.

The great tragedy of science—the slaying of a beautiful hypothesis by an ugly fact.

Thomas Huxley (1870)

It is not enough to dwell in nature sentimentally and esthetically, grafting such awareness to a scientific infrastructure which largely denies nature. The need is for a new science of nature, different from science of matter and based on other human faculties besides the analytic mind. A basis for this science is the discovery of authentic wholeness.

Henri Bortoft (1996)

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Notes

  1. 1.

    Ludwig von Bertalanffy (1901–1972) is one of the principal architects of the mathematical science called the General Systems Theory (GST). The aim of the GST was to avoid repeating previous (unsuccessful) attempts of formulating a unified theory by reducing various sciences to physics. Rather, von Bertalanffy tried to unite them by “structural uniformities of different levels of reality.” Just as the theory of probability deals with “chance events,” irrespective of their nature, so would the GST deal with “organized wholes.” It was von Bertalanffy’s vision to apply GST to all systems regardless of their nature, including physics, biology, ecology, psychology, sociology, culture, history, etc. GST is the forerunner of the modern systems biology (cf. Sect. 25.5). According to Bortoft, von Bertalanffy’s “science of structural uniformities of different levels of reality” pursues the same ideal which was first introduced into science by Rene Descartes, envisioning a unified theory of mathematics, the mathesis universalis (cf. Footnote 14.3) [7].

  2. 2.

    Vitalism ascribes the properties of specific structure, function, and life of the organism to supramaterial “life forces” that are inaccessible to empiric inquiry and are therefore deemed unscientific. The question of specific life forces must be solved empirically in the same manner as the question of physical forces [14].

  3. 3.

    According to Immanuel Kant (1724–1804), founder of the modern theory of knowledge, all appearances (phenomena) are merely representations of the things which are unknown to us, as to their essence. Since human consciousness has no direct access to the outer world, but only via the senses, our conscious representations, produced by the brain, have, according to Kant, only subjective value. Similarly, in Kant’s view, concepts without sensory perception are “empty concepts,” mere forms of thought without objective reality [15].

    For many twentieth-century epistemologists from Kant to Popper, human thinking which brings order and lawfulness into the sensory phenomena has no objective significance. This results in the reduction of reality to what can be grasped by the senses and in the final analysis to hypothetical atoms and subatomic particles which are treated as mathematical structures. Such view is in opposition to the empirical ontological idealism introduced by Plato and Aristotle and developed further by German idealistic philosophers G.F. Hegel, J.G. Fichte, I.H. Fichte, F.W. Schelling, and others. It was set on firm epistemological basis by J. W. Goethe, F. Schiller, I. P. Troxler, R. Steiner, A.N. Whitehead, N. Hartmann, W. Heisenberg, and several modernist philosophers of science by whom the scientific process consists of penetrating what is sense perceptible (percept) with lawful ideas brought to light by thinking (concept) [16].

  4. 4.

    In 1872, at the 45th symposium of the Society of German Scientists and Physicians in Leipzig, Emil Du Bous-Reymond delivered a widely publicized lecture on “The Boundaries of Natural Science” in which he submitted that the secrets of matter and force are not accessible to human cognition, “ignoramus et ignorabimus … we do not know and will never know.” He later partially reversed his view to “dubitemus” (we doubt, instead of ignorabimus) and maintained that the origin of movement, sensation in unconscious nerves, and the origin of free will are “transcendent” and therefore incapable of being answered by science.

  5. 5.

    The concept introduced by John Locke (1632–1704) on the basis that primary qualities are objective characteristics of outer things, whereas the secondary qualities such as color, sound, taste, heat, or cold are only subjective experiences mediated by the senses, derived from the primary qualities, and not quantifiable and therefore not part of “objective” nature [21].

  6. 6.

    Aristotle distinguished four types of causes (or principles) by which things are known: (a) the material cause, e.g., the metal of the wheel; (b) the formal cause, e.g., the idea of the wheel (its essence or the concept); (c) the efficient cause, e.g., the active cause by which the craftsman makes the wheel; (d) the final cause, i.e., the purpose for which the wheel was made. In the case of linear (mechanical) causality referred to by Du Bois-Raymond, for example, when one billiard ball (material cause) strikes another, causing its movement (efficient cause), only the working of the material and efficient causes are recognized by science. This makes the individual components of the mechanical system amenable to calculation and the “whole” can (justifiably) be derived from its parts. Characteristically, the formal and final causes are missing in a mechanical system, making such a law an abstraction when applied to a living system [20].

  7. 7.

    The concept of “sublated” state was originally developed by Hegel and pertains to a border condition (also of substance) between “being” and “non-being,” or the “emergence” and its polar state, “submergence” [20].

  8. 8.

    An analogy from the physical properties of water near critical temperature illustrates the dynamics of such a state. Under normal conditions, water is nearly incompressible, has a low thermal expansion coefficient, and is an excellent solvent with a high dielectric constant, i.e., it rapidly neutralizes electric charge. Near critical point (at 374 °C and 22.064 MPa) where liquid and vapor phases coexist, these properties are reversed into exact opposites: water becomes compressible, a poor solvent, and shows preference for mixing with nonpolar molecules [39].

  9. 9.

    The concept of causative agency is equivalent to Goethe’s and Steiner’s “formative force” (“bildende Kraft”) [14]. The concept of “active information” introduced by David Bohm and David Peat [40] has an equivalent meaning in physics. In terms of Aristotelian levels of causality, “active information” can be equated to formal cause (cf. Footnote 5).

  10. 10.

    The spatial dimensions in the human body range from 10−12 m for atoms to 10−1 m for organs, and the time scales involved a span from 10−6 s (rate of chemical reactions) to over 109 s (average human life, cf. Fig. 23.9). It is estimated that simulation of the chemical process involved in the folding of a single protein molecule (a tertiary protein structure) would require several months of computing time on a most powerful super computer, the IBM Blue Gene [65].

  11. 11.

    Molecular structure of DNA was deduced on the basis of X-ray crystallography [68].

  12. 12.

    The theory of biological relativity fully supports a “downward” causation and goal-directedness of organisms, but in doing so it professes its adherence to Kantian epistemology [64, 70].

  13. 13.

    According to Polanyi, “The theory of boundary conditions recognizes the higher levels of life as forming a hierarchy, each level of which relies for its workings on the principles of the levels below it, even while it itself is irreducible to these lower principles” [37].

  14. 14.

    The “body” here refers to the sum of formative forces. The force of gravity, magnetism, electricity, chemical, and nuclear forces act pointwise, from the center to the periphery. Conceptually, the etheric forces act in the opposite direction, i.e., centripetally. The concept of the ether or life body is not to be confused with the nineteenth-century idea of ether in physics as a hypothetical medium between matter and forces (cf. Footnote 2).

  15. 15.

    Transmembrane proteins, aquaporins, facilitate transport of water and small solutes in virtually all animal/human cell tissues (cf. Sect. 15.2).

  16. 16.

    Nerve cell membrane and action potentials are catabolic, energy-consuming processes. Similarly, neuropeptides are the breakdown products of larger precursor molecules produced in the cell bodies. They are transported along the axons to nerve terminals to be stored, released, and recycled in synaptic vesicles—all of which require significant amount of metabolic energy.

  17. 17.

    Consciousness as well as self-consciousness (in humans) are aspects of brain function that is extinguished during sleep; hence, the term “I” organization is used as the principle which transforms the physical, etheric, and soul organizations into the human physical form.

  18. 18.

    The level of tissue specificity in humans is generally more expressed than in higher mammals where allografts, e.g., organs transplanted within the same species (with immunosuppression), and even xenografts, organs between different species, are known to survive.

References

  1. Ludwig C. Contributions to the knowledge of the influence of the respiratory movements upon the blood flow in the arterial system (1847). In: Ruskin A, editor. Classics in Arterial Hypertension. Springfield, IL: Charles C Thomas; 1956.

    Google Scholar 

  2. Heusser P. Emergenz und Kausalität. In: Peter H, Johannes W, editors. Medizin und die Frage nach dem Menschen. Wuerzburg: Koenigshausen & Neumann; 2013. p. 35–50.

    Google Scholar 

  3. Horton R. Offline: the urgent need to rehumanise science. Lancet. 2016;388(10041):223.

    Article  Google Scholar 

  4. Heusser P. Anthroposophy and science: an introduction. Frankfurt, Bern, New York: Peter Lang; 2016.

    Book  Google Scholar 

  5. Bortoft H. The wholeness of nature: Goethe’s way toward a science of conscious participation in nature. Hudson, NY: Lindisfarne Press; 1996.

    Google Scholar 

  6. Cranefield PF. The organic physics of 1847 and the biophysics of today. J Hist Med Allied Sci. 1957;12(4):407–23.

    Article  CAS  PubMed  Google Scholar 

  7. Bortoft H. Into the dynamic way of thinking. In: Taking appearance seriously: the dynamic way of seeing in Goethe and European thought. Edinburgh, Scotland: Floris Books; 2012. p. 10–27.

    Google Scholar 

  8. Zhang X. Precision medicine, personalized medicine, omics and big data: concepts and relationships. J Pharmacogenomics Pharmacoproteomics. 2015;6:e144.

    Google Scholar 

  9. Bischof M. Holism and field theories in biology. In: Chang JJ, Fisch J, Popp FA, editors. Biophotons. Dordrecht: Springer; 1998. p. 375–94.

    Chapter  Google Scholar 

  10. Duchesneau F. “Essential force” and “formative force”: models for epigenesis in the 18th century. In: Feltz B, Crommelinck M, Goujon P, editors. Self-organization and emergence in life sciences. Dordrecht: Springer; 2006. p. 171–86.

    Chapter  Google Scholar 

  11. Goethe JW. Scientific studies. In: Lange V, Blackall E, Hamlin C, editors. Goethe, vol. 12. New York, NY: Shurkamp; 1988. p. 344.

    Google Scholar 

  12. Steiner R. A theory of knowledge implicit in Goethe’s world conception. 2nd ed. Spring Valley, NY: Anthroposophic Press; 1978.

    Google Scholar 

  13. Zimmer HG. Modifications of the isolated frog heart preparation in Carl Ludwig’s Leipzig Physiological Institute: relevance for cardiovascular research. Can J Cardiol. 2000;16(1):61.

    CAS  PubMed  Google Scholar 

  14. Heusser P. Ontological idealism in biology. In: Anthroposophy and science. Frankfurt am Main: Peter Lang; 2016. p. 99–161.

    Chapter  Google Scholar 

  15. Kant I. Critique of pure reason. New York, NY: Cambridge University Press; 1998. p. 255.

    Book  Google Scholar 

  16. Heusser P. Epistemology: knowledge and truth. In: Anthroposophy and science. Frankfurt am Main: Peter Lang; 2016. p. 25–60.

    Chapter  Google Scholar 

  17. Galaty DH. The philosophical basis of mid-nineteenth century German reductionism. J Hist Med Allied Sci. 1974;29(3):295.

    Article  CAS  PubMed  Google Scholar 

  18. Steiner R. Correction of an erroneous conception of experience as a totality. In: A theory of knowledge implicit in Goethe’s world conception. Spring Valley, NY: Anthroposophic Press; 1978. p. 23–6.

    Google Scholar 

  19. Steiner R. The age of Kant and Goethe. In: The riddles of philosophy. Great Barrington, MA: SteinerBooks; 2009. p. 91–150.

    Google Scholar 

  20. Heusser P. Science and ontological idealism in physics and chemistry. In: Anthroposophy and science. Frankfurt am Main: Peter Lang; 2016. p. 61–97.

    Chapter  Google Scholar 

  21. Bortoft H. Authentic and counterfeit wholes. In: The wholeness of nature: Goethe’s way toward a science of conscious participation in nature. Hudson, NY: Lindisfarne Press; 1996. p. 3–26.

    Google Scholar 

  22. Steiner R. The nature and significance of Goethe’s writings on organic development. In: Goethean science: introduction to Goethe’s natural-scientific writings. Great Barrington, MA: SteinerBooks; 2017. p. 76–127.

    Google Scholar 

  23. Riegner MF. Ancestor of the new archetypal biology: Goethe’s dynamic typology as a model for contemporary evolutionary developmental biology. Stud Hist Philos Sci C. 2013;44(4):735–44.

    Article  Google Scholar 

  24. Steiner R. Organic nature. In: A theory of knowledge implicit in Goethe’s world conception. Spring Valley, NY: Anthroposophic Press; 1978. p. 82–99.

    Google Scholar 

  25. Bortoft H. Goethe’s organic vision. In: The wholeness of nature: Goethe’s way toward a science of conscious participation in nature. Hudson, NY: Lindisfarne Press; 1996. p. 77–107.

    Google Scholar 

  26. Steiner R. Goethe against atomism. In: Goethean science: introduction to Goethe’s natural-scientific writings. Great Barrington, MA: SteinerBooks; 2017. p. 335–65.

    Google Scholar 

  27. Bortoft H. Understanding the science of color. In: The wholeness of nature: Goethe’s way toward a science of conscious participation in nature. Hdson, NY: Lindisfarne Press; 1996. p. 191–247.

    Google Scholar 

  28. Bortoft H. Taking appearance seriously: the dynamic way of seeing in Goethe and European thought. Edinburgh, Scotland: Floris Books; 2012.

    Google Scholar 

  29. Seamon D, Zajonc A. Goethe’s way of science: a phenomenology of nature. Albany, NY: State University of New York Press; 1998.

    Google Scholar 

  30. Holdrege C. Thinking like a plant: a living science for life. Great Barrington, MA: Lindisfarne Books; 2013. p. 209.

    Google Scholar 

  31. Whitelegg M. Goethean science: an alternative approach. J Altern Complement Med. 2003;9(2):311–20.

    Article  PubMed  Google Scholar 

  32. Primas H. Umdenken in der Naturwissenschaft. GAIA Ecol Perspect Sci Soc. 1992;1(1):5–15.

    Google Scholar 

  33. Von Bertalanffy L, Woodger JH. Modern theories of development: an introduction to theoretical biology. London: Oxford University Press; 1933.

    Google Scholar 

  34. Von Bertalanffy L. The theory of open systems in physics and biology. Science. 1950;111(2872):23–9.

    Article  Google Scholar 

  35. Rosslenbroich B. Outline of a concept for organismic systems biology. Semin Cancer Biol. 2011;21(3):156–64.

    Article  PubMed  Google Scholar 

  36. Anderson PW. More is different. Science. 1972;177(4047):393–6.

    Article  CAS  PubMed  Google Scholar 

  37. Polanyi M. Life’s irreducible structure: live mechanisms and information in DNA are boundary conditions with a sequence of boundaries above them. Science. 1968;160(3834):1308–12.

    Article  CAS  PubMed  Google Scholar 

  38. Kiefer B. The principle of emergence (in German): Horizons, Publication of Swiss National Science Foundation; 2007.

    Google Scholar 

  39. Anisimov MA, Sengers JV, Sengers JML. Near-critical behavior of aqueous systems. In: Aqueous systems at elevated temperatures and pressures: Elsevier; 2004. p. 29–71.

    Chapter  Google Scholar 

  40. Peat FD. Active information, meaning and form. Frontier Perspectives. 1999;8:49–53.

    Google Scholar 

  41. Bischof M. Introduction to integrative biophysics. In: Popp F-A, Beloussov L, editors. Integrative biophysics. Dordrecht: Kluver Academic Publishers; 2003. p. 1–115.

    Google Scholar 

  42. Monod J, Jacob F. General conclusions: teleonomic mechanisms in cellular metabolism, growth, and differentiation. In: Cold Spring Harbor symposia on quantitative biology: Cold Spring Harbor Laboratory Press; 1961.

    Google Scholar 

  43. Noble D. Genes and causation. Philos Trans R Soc A Math Phys Eng Sci. 2008;366(1878):3001–15.

    Article  CAS  Google Scholar 

  44. Collins FS. Cystic fibrosis: molecular biology and therapeutic implications. Science. 1992;256(5058):774–9.

    Article  CAS  PubMed  Google Scholar 

  45. Manolio TA, et al. Finding the missing heritability of complex diseases. Nature. 2009;461(7265):747.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Gatenby RA. A change of strategy in the war on cancer. Nature. 2009;459(7246):508.

    Article  CAS  PubMed  Google Scholar 

  47. Frey N, Olson E. Cardiac hypertrophy: the good, the bad, and the ugly. Annu Rev Physiol. 2003;65(1):45–79.

    Article  CAS  PubMed  Google Scholar 

  48. Kuster DW, et al. ‘Integrative Physiology 2.0’: integration of systems biology into physiology and its application to cardiovascular homeostasis. J Physiol. 2011;589(5):1037–45.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Dawkins R. The selfish gene. 2nd ed. New York: Oxford University Press; 2006.

    Google Scholar 

  50. Venter JC, et al. The sequence of the human genome. Science. 2001;291(5507):1304–51.

    Article  CAS  PubMed  Google Scholar 

  51. Ezkurdia I, et al. Multiple evidence strands suggest that there may be as few as 19 000 human protein-coding genes. Hum Mol Genet. 2014;23(22):5866–78.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Woese CR. A new biology for a new century. Microbiol Mol Biol Rev. 2004;68(2):173–86.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Noble D. Central dogma or central debate? Bethesda, MD: American Physiological Society; 2018.

    Book  Google Scholar 

  54. Goldberg AD, Allis CD, Bernstein E. Epigenetics: a landscape takes shape. Cell. 2007;128(4):635–8.

    Article  CAS  PubMed  Google Scholar 

  55. Waddington CH. The epigenotype. Int J Epidemiol. 2011;41(1):10–3.

    Article  PubMed  Google Scholar 

  56. Deichmann U. Epigenetics: the origins and evolution of a fashionable topic. Dev Biol. 2016;416(1):249–54.

    Article  CAS  PubMed  Google Scholar 

  57. Katsnelson A. Momentum grows to make ‘personalized’ medicine more ‘precise’: Nature Publishing Group; 2013.

    Google Scholar 

  58. Huang S. The practical problems of post-genomic biology. Nat Biotechnol. 2000;18(5):471.

    Article  CAS  PubMed  Google Scholar 

  59. Joyner MJ, Pedersen BK. Ten questions about systems biology. J Physiol. 2011;589(5):1017–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Joyner MJ. Giant sucking sound: can physiology fill the intellectual void left by the reductionists? J Appl Physiol. 2011;111(2):335–42.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Calvert J, Fujimura JH. Calculating life? Duelling discourses in interdisciplinary systems biology. Stud Hist Philos Sci C. 2011;42(2):155–63.

    Google Scholar 

  62. Kell DB, Oliver SG. Here is the evidence, now what is the hypothesis? The complementary roles of inductive and hypothesis-driven science in the post-genomic era. BioEssays. 2004;26(1):99–105.

    Article  PubMed  Google Scholar 

  63. Noble D. Evolution beyond neo-Darwinism: a new conceptual framework. J Exp Biol. 2015;218(1):7–13.

    Article  PubMed  Google Scholar 

  64. Noble D. A theory of biological relativity: no privileged level of causation. Interface Focus. 2012;2(1):55–64.

    Article  PubMed  Google Scholar 

  65. Noble D. The orchestra: organs and systems of the body. In: The music of life. New York: Oxfor University Press; 2006. p. 74–87.

    Google Scholar 

  66. Gehlenborg N, et al. Visualization of omics data for systems biology. Nat Methods. 2010;7(3s):S56.

    Article  CAS  PubMed  Google Scholar 

  67. Boogerd F, et al. Towards philosophical foundations of systems biology, introduction. In: Boogerd F, et al., editors. Systems biology: philosophical foundations. Amsterdam: Elsevier; 2007. p. 3–19.

    Chapter  Google Scholar 

  68. Watson JD, Crick FH. Molecular structure of nucleic acids. Nature. 1953;171(4356):737–8.

    Article  CAS  PubMed  Google Scholar 

  69. Noble D. From the Hodgkin–Huxley axon to the virtual heart. J Physiol. 2007;580(1):15–22.

    Article  CAS  PubMed  Google Scholar 

  70. Noble D. The relativity of epistemology: the meaning of it all. In: Dance to the tune of life: biological relativity. Cambridge, UK: Cambridge University Press; 2016. p. 247–67.

    Google Scholar 

  71. Piciche M. Dawn and evolution of cardiac procedures, research avenues in cardiac surgery and interventional cardiology. Milan: Springer; 2013.

    Book  Google Scholar 

  72. Steiner R. Lecture of March 22, 1920. In: Introducing anthroposophical medicine. Hudson, NY: Anthroposophic Press; 1999. p. 19–33.

    Google Scholar 

  73. Alexander W. Branko Furst’s radical alternative: is the heart moved by the blood, rather than vice versa? Pharm Ther. 2017;42(1):33–9.

    Google Scholar 

  74. Kuemmell HC. Das Menschliche Herz im Spiegel der Viergliederung. In: Bavastro P, Kuemmell HC, editors. Das Herz des Menschen. Stuttgart: Verlag Freies Geistesleben; 1999. p. 39–58.

    Google Scholar 

  75. Rosslenbroich B. The concept of biological autonomy. In: On the origin of autonomy: a new look at the major transitions in evolution: Springer Science & Business Media; 2014. p. 19–40.

    Google Scholar 

  76. Bockemuehl J, et al. Towards a phenomenology of the etheric world. Spring Valley, NY: Anthroposophic Press; 1985. p. 242.

    Google Scholar 

  77. Steiner R, Wegman I. The phenomena of life. In: Fundamentals of therapy. Spring Valley, NY: Mercury Press; 1999. p. 22–30.

    Google Scholar 

  78. Shewmon DA. The brain and somatic integration: insights into the standard biological rationale for equating “brain death” with death. J Med Philos. 2001;26(5):457–78.

    Article  CAS  PubMed  Google Scholar 

  79. Schwenk T. Streaming wisdom. In: Sensitive chaos: the creation of flowing forms in water and air. London, UK: Rudolf Steiner Press; 1965. p. 94–7.

    Google Scholar 

  80. Goldstein RE, van de Meent J-W. A physical perspective on cytoplasmic streaming. Interface Focus. 2015;5(4):20150030.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Bockemuehl J. The formative movements of plants. In: Bockemuehl J, editor. Towards a phenomenology of the etheric world. Spring Valley, NY: Anthroposophic Press; 1985. p. 131–61.

    Google Scholar 

  82. Beecher H. Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain-death. 1968. A definition of irreversible coma. Special communication: report of the ad hoc committee of the Harvard Medical School to Examine the Definition of Brain Death. J Am Med Assoc. 205(6):337–40.

    Google Scholar 

  83. Machado C, et al. The Declaration of Sydney on human death. J Med Ethics. 2007;33(12):699–703.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Shewmon DA. Chronic “brain death”: meta-analysis and conceptual consequences. Neurology. 1998;51(6):1538–45.

    Article  CAS  PubMed  Google Scholar 

  85. Weger UW, Edelhauser F. The role of the brain during conscious experience: in search of a new metaphor. J Conscious Stud. 2014;21(11–12):111–29.

    Google Scholar 

  86. Rohen JW. General principles of form. In: Functional morphology: the dynamic wholeness of the human organism. Hillsdale, NY: Adonis Press; 2007. p. 3–84.

    Google Scholar 

  87. Shapiro AP, Baum A. Behavioral aspects of cardiovascular disease. Perspective in behavioral medicine, vol. 5. Hillsdale, NJ: Lawrence Erlbaum; 1991. p. 338.

    Google Scholar 

  88. Grubb BR. Allometric relations of cardiovascular function in birds. Am J Phys Heart Circ Phys. 1983;245(4):H567–72.

    CAS  Google Scholar 

  89. Ritchie M. Neuroanatomy and physiology of the avian hypothalamic/pituitary axis: clinical aspects. Vet Clin North Am Exot Anim Pract. 2014;17(1):13–22.

    Article  PubMed  Google Scholar 

  90. Girke M. The concept of the human being. In: Internal medicine, foundations and therapeutic concepts of anthroposophic medicine. Berlin: Salumed Verlag; 2016. p. 7–41.

    Google Scholar 

  91. Rosslenbroich B. The evolution of man. In: On the origin of autonomy: a new look at the major transitions in evolution. New York: Springer Science & Business Media; 2014. p. 209–24.

    Chapter  Google Scholar 

  92. Steiner R. Lecture, 12.24, 1919. In: The light course. Great Barrington, MA: Rudolf Steiner Press; 2001. p. 33–50.

    Google Scholar 

  93. Girke M. Cardiology. In: Internal medicine. Berlin: Salumed Verlag; 2016. p. 197–258.

    Google Scholar 

  94. Bos A, van der Bie G. The anthroposophical view of the human being. In: Foundations of anthroposophical medicine, G. van der Bie. Edinburgh: Floris Books; 2005. p. 211–38.

    Google Scholar 

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Furst, B. (2020). The Integrative Model of Circulation: A Synthesis. In: The Heart and Circulation. Springer, Cham. https://doi.org/10.1007/978-3-030-25062-1_25

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