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A96634 The remaining medical works of that famous and renowned physician Dr. Thomas Willis ... Viz I. Of fermentation, II. Of feavours, III. Of urines, IV. Of the ascension of the bloud, V. Of musculary motion, VI. Of the anatomy of the brain, VII. Of the description and uses of the nerves, VIII. Of convulsive diseases : the first part, though last published, with large alphabetical tables for the whole, and an index ... : with eighteen copper plates / Englished by S.P. esq. Willis, Thomas, 1621-1675.; Loggan, David, 1635-1700? 1681 (1681) Wing W2855A; ESTC R42846 794,310 545

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the belly and groin yea also let them be often provoked to sneezing it is convenient to give some in the middle of the fit a draught of simple cold water or in which Champhir had been dissolved Preservatory 2. The preservatory Indication comprehends these three Intentions viz. In the first place to take away or to derive to some other place the impurities of the blood apt to be poured forth on the brain and nervous stock Secondly to fortifie the brain and so to strengthen the indwelling spirits that they may either not at all receive or may easily shake off the heterogeneous Copula Thirdly to amend whatsoever is enormous in the womb and contributes to the convulsive disposition 1. The first Intention is performed by purging and phlebotomy and other common ways of purifying and purging the blood and humours If there be opportunity for an emetic I judge it best allways to begin with it especially in Cacochymicks or bodies full of evill humors in the longing disease and Pica and in such whose great load of viscous phlegm stuffed within the folds and coats of the ventricle hinders the virtues of other medicines The next day after the Vomit unless any thing bids the contrary let blood be taken in women of a hotter temper presently from the Arm and afterwards if need be from the foot or from the sedal veins with Leeches but in bodies troubled with obstructions and less hot let blood be taken more sparingly and more rarely and only in places scituate below the womb After these Evacuations if they are to be ordered rightly performed once within six or seven days a purge is to be prescribed according to the following forms Take of pill-fetida major ʒ i ss of the resine of Julap xii grains of Tartar Vitriolat and Castor each ℈ i. of ammoniac dissolved in hysterical water what will suffice to make xii pills for iii. doses Or take of the resine of Jalap gr xviii of Calomelausʒ i. of Castor ℈ i. make a powder let it be divided into iii. parts for iii. doses let it be given in the pap of a roasted apple or in Conserves of Borage so those induced with a more hot temperament a dose of extract or our solutive syrrop may conveniently be administred for the revulsion of the morbific matter from the head Issues made in the calf of the leg or thigh and sometimes vesicatories legatures and painfull rubbings are wont to be administred But not only a purging of the blood and a revulsion of its recrements from the head but an alteration of its Liquor and reduction of it to its due temperament have here a place Wherefore in some hysterical people steel Medicines help in others the use of Spaw-waters or whay in others the baths are wont to be signally profitable The second Intention to wit the rectification of the brain and animal spirits is performed with Cephalic and properly anti-convulsive medicines which indeed ate to be diligently exhibited almost every day when they do not purge or bleed since there are various species of such like Remedies and several manners of administrations we will here add some of the more choice forms Take of the Lees of bryony Assa fetida Castor each ʒ i. of the Salt of Coral Amber Tin each ʒ ss of Galbanum dissolved in hysterical water what will suffice to make a Mass dose half a scruple to ℈ i. morning and evening drinking after it a dose of proper liquors Or Take of the seeds of Wilde-parsnips of nettles each ʒ ii of vitriol of Steelʒ i. of the extract of Gentium featherfew each ʒ i ss with what will suffice of the syrrop of Mugwort make a mass let half a dram be taken after the same manner If the form of a powder pleases better Take of the Roots of Virginian snakeweed and Contrayerva each ʒ i ss of Coral prepared of Pearls of white-Amber each ʒ i. mingle them make a powder Dose ℈ i. to half a dram morning and evening with an appropriat Liquor Opiats are Composed after this manner Take of the Conserves of the flowers of the Lilly Convallis of the male-paeony of betony each ℥ ii of the seeds of Paeony of red Coral prepared each ʒ ii of the powder of Cretic Dittanyʒ i ss of the salt of wormwoodʒ ii with what will suffice of the syrrop of the rinds of Citrons make an Electuary The dose morning and evening the quantity of a nutmeg After the same manner may be given to poor people Conserves of the Tree of Life or of the leaves of Rue twice in a day The Liquors appropriat against the hysterical affections and to be drunk after the aforesaid Medicines are either distilled waters which are to be taken by themselves or with other things in form of a Julap or decoctions or tinctures and Infusions Take of the water of Mugwort and of penny Royal each half a pint of histerical water ℥ iiii of the Tincture of Castor ℥ ss of the Syrrop of Coralls ℥ i ss mix them The dose from ℥ i to ℥ i ss with any of the medicines afore described Take of the leaves of Penneroyall of Fetherfew of either Southernwood of Calaminth of Nep and of either Horehound each i handfull of the Roots of Bryonie ℥ iiii of the seeds of Parsnips ℥ ii cut and brused put them into white-wine or Cider six pints and so distill them according to art Take of the Root of the male Peony Angelica Valerian each ℥ ss of the leaves of mugwort ground Pine Calaminth Peneroyal and Missletow of the Oak each i handfull of the Seeds of either wilde Parsneps eac●ʒ iii of Raifins i. handfull let them be boyled in 4 pints of Spring-water to the half add to it of white-wine lib i ss strain it and keep it in close vessells The dose ℥ iii or 4 twice in a day Take of the wild-Parsnep Seeds brused ℥ ii of Castor ℥ i let them be put into a Glass with i quart of white wine The dose ℥ ii twice in a day 3. As to the third Intention which inhibiting the disorders of the womb doth promote the cure of the passion called hysterical I say first of all what in times past was believed concerning the Cause and scope of curing the disease that the womb did ascend therefore that it ought to be reduced into its right place is altogether fictitious as we have elsewhere shown The falling down of the womb or its coming forth oftentimes happens but rarely or never produces the hysterical Distempers Besides the dislocation of the womb in childbearing Women sometimes happens presently after their bringing forth to wit when the body of the womb being made Capacious and newly emptied doth not sink down or fall within the Tunnel in its right place but upwards inclines now to the right side now to the left and there being drawn together like a purse is folded into a great bulk which kinde of bulk remaining long nigh
superficies as it is beheld in its proper site and position and as to its interior cavity to wit as the Brain appears opened its concave superficies being expanded and turned upside down We have already taken care to delineate its true form or Type in either manner by what hath been before said to wit after what manner it is both within and without There now remains after its fabrick and conformation being rightly weighed for us design its offices and to shew the uses of it and of every one of its parts Concerning which we ought to unfold in general first what the office of the whole Brain is then secondly when we shall descend to particulars there will come under consideration 1. The division of the Brain to wit its double Hemisphere also the two Lobes or partitions of either 2. The narrow crankling turnings and windings or the gyrations and convolutions or rolling together of the Brain 3. It s double substance viz. Cortical and Medullary 4. The common Basis of all viz. the callous body 5. It s subtension or Fornix 6. The appension or circuit of the Brain over or above the oblong marrow 7. And what results from thence the void space or Ventricles made by its infolding together Concerning these we shall take notice of what things occur worth noting concerning the smelling Nerves and their processes we shall inquire afterwards when we shall speak particularly of the Nerves 1. The Brain is accounted the chief seat of the Rational Soul in a man and of the sensitive in brute beasts and indeed as the chief mover in the animal Machine it is the origine and fountain of all motions and conceptions But some Functions do chiefly and more immediately belong to the substance of this and others depend as it were mediately and less necessarily upon it Among these which of the former sort are accounted the chief are the Imagination Memory and Appetite For it seems that the Imagination is a certain undulation or wavering of the animal Spirits begun more inwardly in the middle of the Brain and expanded or stretched out from thence on every side towards its circumference on the contrary the act of the Memory consists in the regurgitation or flowing back of the Spirits from the exterior compass of the Brain towards its middle The Appetite is stirred up for that the animal Spirits being some-how moved about the middle of the Brain tend from thence outwardly towards the nervous System The rest of the Faculties of this Soul as Sense and Motion also the Passions and Instincts merely natural though they depend in some measure upon the Brain yet they are properly performed in the oblong Marrow and Cerebel or proceed from them 2. In some Animals the substance of the Brain is divided into two parts as it were Hemispheres distinct one from another almost through its whole thickness even to the callous body which is instead of a bottom and in like manner also in all the Sensories and in most of the other Organs of the necessary Functions the Brain is as it were twofold that there might be a provision made against the defect of one side by the supplement of the other Further in man who hath a brain more large and capacious than other Creatures either Hemisphere is again subdivided into two Lobes to wit the Anterior and the Posterior between which a branch of the Carotidick Artery being drawn like a bounding River to both distinguishes them as it were into two Provinces Certainly this second partition of the humane Brain also seems to be designed for its greater safety that if perchance any evil should happen to one or both the foremost Lobes yet the latter for that they are separated may avoid the contagion of the neighbouring and farther spreading evil So the Brain like a Castle divided into many Towers or places of Defence is thereby made the stronger and harder to be taken 3. Also the universal frame of the Brain appears yet more divided and variegated within all its aforesaid partitions for all its whole exterior superficies is made uneven and broken with turnings and windings and rollings about almost like those of the Intestines Those Gyrations or Turnings going from the fore-part of the Brain towards the latter with a creeping compass and as it were a spiral circuit encompasses both its Hemispheres that they might mutually furnish all the convolutions with a continued passage in a more moist Brain or long kept the Pia Mater clothing every one and collecting them together is easily pulled away and then the turnings or folds being opened and separated one from another the substance of the brain is seen to be plowed or laid as it were with furrows out of which arise banks or ridges of broken crevices not in a direct series but cross-wise so that in the bottom of every furrow a convolution arising from the right side is carried to the left then others following next being sent from the left side is drawn to the right and so by turns the inequalities of the whole brain are variegated in this order If it be inquired into what benefit its Turnings and Convolutions afford to the brain or for what end its whole anfractuous or broken crankling frame is we say that the brain is so framed both for the more plentiful reception of the spirituous aliment and also for the more commodious dispensation of the animal Spirits for some uses As to the aliment to be bestowed on the brain because it is required to be subtil and extremely wrought or elaborated therefore it ought to be admitted not by a more open passage but only by very small pores and passages Wherefore that there might be sufficient plenty of spirituous liquor supplied it is not only drunk in every where in the plain superficies of the brain from its Cortical substance but that superficies of the brain or Cortical substance is uneven and rough with folds and turnings about that the spaces for the receiving the Juyce might be enlarged as much as may be For the anfractuous or crankling brain like a plot of ground planted every where with nooks and corners and dauks and mole-hills hath a far more ample extension than if its superficies were plain and even Further those cranklings of the brain do more fitly hide the sanguiferous Vessels for that they are very small and slender and more safely keep them being variously interwoven into one anothers infoldings than if they should be openly distributed for so being carelesly laid they would be liable to too frequent hurt But a reason and necessity of the turnings about in the brain and not of lesser moment than the other is fetched from the dispensation of the animal Spirits For as the animal Spirits for the various acts of Imagination and Memory ought to be moved within certain and distinct limited or bounded places and those motions to be often iterated or repeated through the same tracts or paths for that reason