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A11176 The expert midwife, or An excellent and most necessary treatise of the generation and birth of man Wherein is contained many very notable and necessary particulars requisite to be knovvne and practised: with diuers apt and usefull figures appropriated to this worke. Also the causes, signes, and various cures, of the most principall maladies and infirmities incident to women. Six bookes compiled in Latine by the industry of Iames Rueff, a learned and expert chirurgion: and now translated into English for the generall good and benefit of this nation.; De conceptu et generatione hominis. English Rüff, Jakob, 1500-1558. 1637 (1637) STC 21442; ESTC S101598 115,647 315

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judgement that it sendeth and committeth to Memory to be reserved as it were in a treasury or store-house and to be directed concerning his acts and effects 2. The Sensitive faculty The second vertue is the Sensitive faculty the which although we know that it is variable and diverse in respect of the senses yet we may understand that it is caused and effected in this manner The Animal spirit whose place of late we said to be in the braine proceeding from the interiour and inward little caves and ventricles of the braine The Animal Spirit doth forme and frame the senses by the mediation and assistance of certaine subtile and slender sinewes doth forme and frame the Senses and by his vertue through the ministry and furtherance of the sinewes directeth and transposeth sight to the eyes smelling to the nostrills hearing to the eares and tasting to the palate of the mouth which senses wee see onely to be numbred and nominated of the senses of the head The third is the Moving vertue 3. The Moving faculty ingendred and bred in the braine to whom it is said to be proper to move and give motion For as the Animal spirit disposeth and directeth the orders and properties of the senses The Animal spirit directs the motions as is before declared so by the benefit of the same facultie the motions also are directed by which the vertues and faculties of the Spirit are dilated opened and enlarged and are likewise conveyed and sent abroad to the other members But for the perfection and complement of all these vertues and faculties Spirit is necessarily required Spirit necessary for the perfection of the former faculties by whose benefit and continuall motion as well the senses as the faculties are instigated and provoked to performe and finish their faculties and actions And they say that the Spirit is a certaine airy substance which continually exciteth and stirreth up the powers and faculties of the body to fulfill and accomplish their actions And indeed this Spirit is a certaine subtile body What spirit is ingendred by the force of heat because of blood flowing and streaming in the Liver attracted and drawne by breathing and the Arteries and afterward diffused by the veines to all the members quickning the bodies serving to promote and further motion by the meanes and aide of the nerves and Muscles But first this is directed and conduced to the Liver in this manner Heate remaining in the blood How naturall spirit is ingendred there is caused a certaine boyling in the Liver from whence a certaine fume or vapour issueth and proceedeth forth which eft-soones being purified by the veines of the Liver is changed and transmuted into a certaine airie substance and is called Naturall Spirit which purifieth and clarifieth the blood and afterward is sent and distributed to the particular and severall members Afterward the same Spirit is transferred and carried from the Liver by certaine veines to the Heart How vitall spirit is ingendred where by the motion of the parts of the Heart and a mutuall coagitation it is made more pure and is converted into a more subtile and finer Nature and beginneth to be Vitall and truely Spirit because is diffuseth and spreadeth it selfe from the Heart by Arteries to the members of the whole body and doth augment and further the vertue of Naturall Spirit And againe How Animal spirit is ingendred the same Spirit mounting and penetrating upward from the Heart through Arteries to the little caves and ventricles of the braine is there more exactly laboured and refined and is transmuted and altered into the essence and substance of the Animal Spirit Animal Spirit most pure which is most pure of all from whence streight-way it is sent and conducted againe by the organs and instruments of the senses to corroborate and strengthen those senses in some measure Although therefore it be the selfe-same one Spirit yet because of his divers offices and functions in divers parts Why the Spirit is called Naturall Vital Animal it is diversly taken and understood as in the Liver it is named Naturall in the Heart Vitall and in the braine Animal But we must not beleeve that this Spirit is the immortall soule infused into man of God Whether the Spirit be the Soule but it is onely the instrument and as it were the Charriot of the same The Spirit but the instrument or Charriot of the Soule For by the meanes alone of this Spirit the soule is conjoyned and united to the body neither yet also is there any perfect exercise of the soule without the ministry and service of this spirit which thing might easily be proved but that already this discourse concerning the faculties and Spirit hath beene overlong CHAP. V. Of the true Generation of the parts and the increase of the Feature according to the daies and moneths A little while after also a veine directed by the Navell A two-forked veine ingendred attracteth the grosser blood confused in the seed fit and convenient for nourishment whereby a two-forked veine is ingendred according to the forme of this Figure And these veines doe attract sucke and draw unto them the hottest the most subtile and purest blood of which the heart is ingendred in the membrane or skinne of the heart involving and lapping the same round about named in Latin Pericardium and the heart is fleshie What the Heart is and of a grosse substance by nature as is necessary for such a hot member But the notable and great veine Vena cava spreading out himselfe and penetrating into inward concavitie vault or privie-chamber of the right side of the heart deriveth and carrieth blood thither for the nourishment of the heart The unmoveable and still veine Also from the same branch of that veine in the same part of the heart a certaine other veine doth spring up named of some the unmoving or still veine in Latine Vena immota vel tranquilia so named because it doth not beat and move as other pulsive moving veines of the heart doe named in Latine Venae pulsatiles but lieth hidden being calme and still ordained and destinated to this office namely The office of the unmoveable and still veine that it should conduct and convey blood digested in the Heart unto the Lungs and Lights which veine is environed and lapped about for which cause it is named Vena arteriosa an arteried veine with two coats like unto the Arteries But in the concavity hollow of the left part in the heart a most great and notable pulsive or beating veine Aorta called Aorta doth spring up diffusing and sending abroad vitall and lively spirit by the blood of the heart into all the pulsive and moving veines of the body For as Vena cava is the originall fountain and spring of all the veines by which the body attracteth and draweth to it the whole nutriment of blood Even so
from this great veine Aorta are derived all the pulsive moving and beating-veines on every side dispersing pouring forth vital spirit thorowout the whole body The heart the fountaine of lively heat For the heart is the source and fountaine of vitall and lively heat without which no living creature no member can be cherrished Vnder the great veine Aorta even now spoken of The Veyned Arterie in the left cavity and vault of the heart another veine as yet springeth forth called in Latine Arteria venosa the veined Artery Although that truely be a pulsive and moving veine and convey vitall spirit yet it hath only one coat as those veines have which convey blood and that is framed and ordained that it may drive and transport cold aire from the Lungs to the Heart to refrigerate coole and refresh it and to temper and allay the immoderate heat But because veines doe breake forth from both the concavities and hollow cells of the Heart The generation of the lungs and are implanted and inserted to the Lungs the Lungs also formed and framed by them For a veine proceeding from the right cavity and hollow of the heart proceedeth and bringeth forth most subtile and pure blood which the Fibraes threds or haires being from thence afterward dispersed is altered changed and transmuted into the flesh of the Lungs And from the great veines of the Heart and Liver that is to say Vena cava and Aorta The brest legs and armes ingendred the whole brest is ingendred and also the legges with the armes successively and in their due order And the braine is so formed that it may be able to conceive retaine and alter the natures and qualities of all the vitall and lively spirits From the braine also the beginnings both of Reason The Originall of Reason and the Senses and all the senses doe proceed and have their originall For as the veines derive their progeny from the Liver and the Arteries from the Heart The Originall of the Nerves and Sinewes So also the Nerves and Sinewes being of a softer and milder nature doe spring and grow from the braine not being hollow after the manner of veines but solid and massie For indeede they are the first and principall instruments of all the senses by which all the motions of the senses are duely caused and procured through vitall and lively spirit After the Nerves and Sinewes the Marrow of the backe-bone The Marrow of the backe-bone in Latine Spina dorsi is ingendred from the braine not unlike to the nature of the braine so that it may scant be called and termed Marrow Not unlike to the nature of the braine both because it hath no similitude nor likenesse unto Marrow and also because it doth not resemble the same in substance What Marrow is For Marrow is a certaine superfluity of the nutriment of the members proceeding from blood ordained and destinated to moisten and cherrish the bones of the body but the braine and Marrow of the backe-bone or Spina dorsi The Marrow of the backe-bone derived from the seed doe draw and derive their originall and primacie from the seede not deputed or allotted to nourish other members and to make them prosper in good plight but that they should by themselves ordaine and constitute private and particular parts of the body for the motion emolument and use of the senses that from thence all other nerves and sinewes may take their roots and beginnings Many nerves do spring from the Marrow of the back bone For many nerves doe spring from the Marrow of the back-bone or Spina dorsi from which the bodie may have sense and motion as it is evident by the Vital and Animal faculty and vertue by good defence as hath beene declared in the former Chapters Further wee must here note and consider that of the seede are ingendred Cartilages or gristles Of the seede a e Cartilages or gristles bones c ingendred bones the coats of the veines of the Liver and of the Arteries of the heart the braine with the nerves and sinewes againe the coats and also both the other pannicles or caules and wrappers and coverings of the Feature But of the proper and convenient blood of the Feature Of the blood of the Feature the flesh is ingendred also the Heart Liver and lungs the flesh is ingendred and those things which are fleshie as the Heart Liver and Lungs And afterwards all these things doe flourish prosper and are nourished with menstruall blood a tracted and drawne by the little veines of the Navell which veines are observed to attaine to the Matrix from the orifices or mouths of the veines All which things are distinctly and orderly caused and brought to passe from the conception even unto the eighteenth day of the first Moneth at which time it is called seed but afterward it beginneth both to be called and to be a Feature Feature which thing also some ancient Writers have comprehended in these Latine verses Sex in lacte dies ter sunt in sang vine trini Bis seni carnem ter seni membra figurant Et aliter Injectum semen sex primis certe diebus Est quasi lac reliquisque no vem fit sanguis at inde Consolidat duodena dies bis nona deinceps Effigiat tempusque sequens producit ad ortum Talis enim praedicto tempore figura confit Which verses for the benefit of the unskilfull in the Latine tongue may thus be Englished Sixe daies to milke by proofe thrice three to blood convert the seed Twice sixe soft flesh doe forme thrice sixe doe massive members breed Or otherwise The first sixe daies like milke the fruitfull seed Injected in the wombe remaineth still Then other nine of milke red blood do breed Twelve daies turne blood to flesh by Natures skill Twice nine firme parts the rest ripe birth doe make And so foregoing time doth forme such shape CHAP. VI. Of the food of the Feature in the wombe with what nourishments it is nourished and when it groweth to be an Infant SO long as the Feature remaineth in the wombe it is nourished and cherrished with blood attracted and drawne to it by the Navell The Feature in the wombe nourished 〈◊〉 with blood attracted to it by the Navell whereby it commeth to passe that the Termes of women are stayed and cease to issue forth after the conception For then the Feature beginneth to covet and to attract unto it much blood Three differences of menstruous blood after conception But the blood is discerned to have a three-fold difference after the time of conception The first and most pure part of it the Feature attracteth for his nourishment The second and not so pure and thin the Matrix forceth and driveth upward to the brests by certaine veines The breeding of milke where it is converted and changed into milke and for that cause it is that certaine
living Creatures it maketh and workes the haires in Plants or Herbs the leaves also by cold and drinesse in living Creatures it worketh and maketh sinewes and bones and in Plants or Herbs the rinds barkes and wood Afterward the forming or fashioning faculty 2. The forming or fashioning faculty or vertue which others call the Informative faculty is that which formeth and fashioneth the matter which is changed to the similitude and likenesse of that from whence it drew his originall and beginning the parts like unto their first originall being severally disposed and ordered By this vertue and faculty the parts which ought and should be hollow as the guts veines arteries and such like are made hollow and those parts which ought to be massie and solid are in like manner formed so And in few words it formeth all things yea the smallest of them particularly and perfecteth the superfice or uttermost face of every little particle or diminitive portion so that nothing remaineth idle nothing also superfluous The helping or minstring faculties But to these principall faculties belonging to naturall force in perfecting the living Creature other helping or rather ministring faculties are added beside The begetting I say or generative faculty dilating and extending the thing ingendred into length breadth and profundity The augmenting vertue also which doth augment and increase the same by nutrition and nourishment and doth compleate and accomplish it even to his just augmentation and increase So also there commeth to them the nutritive and nursing faculty which ministreth to the Feature and cherrisheth the Feature in the wombe from the time that the seede is conceived that it may suffice for the composing and ordaining of so many To the nutritive faculty foure other aiding and helping faculties and so great parts of the living Creature And to this last faculty and vertue foure other aiding and helping faculties are said to approach The attractive which some call the appetitive faculty which attracteth convenient nutriment and food to the severall parts by his force as with an instrument as for the nourishment of flesh it attracteth the substance of blood and for the aliment and nourishing of the braine the substance of Phlegme and so likewise in the other parts working by his hot and dry faculty The concocting or altering vertue working by a hot and dry faculty and power changeth and transmuteth the substance of the nutriment and reduceth the nourishments of a diverse nature as it were into one masse or lumpe The reteining or retentive faculty which reteineth and helpeth the pure nutriment whereby that being digested is assimilated made like and is united to the particular members using the helpe of coldnesse and drinesse The expelling or expulsive facultie which by the helpe of moisture and coldnesse doth necessarily expell and void superfluous things neither agreeable or convenient to the quantity nor quality of the parts and therefore by no meanes to be assimilated and united to the parts The second principall faculty is named Vital The second faculty and vertue which worketh principally in humane seed is called Vitall and possesseth his seat and mansion in the heart And that quickneth and giveth life to the heart from whom the vitall Spirit by the Arteries annexed to it doth proceed to the members to be quickned and revived by the disposition of a naturall faculty and vertue by dilating and contracting the Heart and Arteries By dilating and enlarging I say because the moving force and power which remaineth in the heart doth dilate and spread abroad the motion of the heart it selfe from the middle and Center of it into all the extreme and outward parts But by contracting and knitting together because the same force and faculty collecteth and contracteth againe the motion of the heart from the extreme and outward parts to the middle and Center of it Wee see both of them to be done and performed by the benefit of the lungs which like a paire of bellowes attracteth and draweth aire to the heart by an Artery The lungs like a paire of Bellowes attracts aire to the heart that is conveied and diffused againe from the same by the Arteries to other parts of the body The same moneth the brest with a continuall motion the nerves and sinewes being moved first of all Aire most necessary for the mitigation of naturall heat about the Heart Therefore this aire is most necessary both for the mitigation and asswagement of naturall heat about the heart which is attracted from the cold aire to temperate and moderate immoderate and overmuch heat especially seeing it is manifest The heart of so hot a constitution that unlesse it be mitigated by aire from the lungs it would be suffocated and perish that the heart is of so strong a constitution that it would quickely be suffocated and strangled by it selfe and so perish unlesse it should attract to it a cold temperament and mitigation every foot from the aire by the lungs of whose temperature the Animal Spirit is ingendred and is seated in the braine as we will streight-way declare from whence all the nerves sinewes drawing their beginning do descend down by the ridge-bone of the backe named in latine Spina dorsi and from thence afterward are distributed and divided into the body and are also cherrished and preserved of their primary Animal Spirit by the helpe of the vitall spirit Notwithstanding the same aire attracted by breathing The aire attracted by the lungs is by many meanes often corrupted by the labour and imployment of the lungs and passing into his vitall spirit by many meanes is also corrupted as hath beene often observed I say by the evill disposition of the braine by the infection of the Liver by the passion of the heart by the corruption and rottennesse of the Lungs and such like infirmities also by excessive corruption of the aire outwardly approching unto it of which to speake much for the present time would both be besides the purpose and also to no profit The third faculty is named Animal and is three-fold The third faculty is Animal which as the Queene doth possesse the highest place and obtaineth a seat in the braine And the same is certainly found to be three-fold For the first vertue of the same 1. The disposing and ordering faculty is the disposing and ordering faculty which disposeth and ordereth the whole braine and alone doth imploy and busie it in his order In what parts of the braine Imagination Reason and Memory are seated For in the former part of it it placeth and seateth Imagination in the middle part it scituateth Reason and in the hinder part it setteth Memory For whatsoever Fantasie hath conceived in the former little cell cave or ventricle that it streight-way transferreth and sendeth to the Senate and Councel-chamber of Reason there as it were to be examined by judgement and determined and whatsoever is here collected and approved by
Waxe and Hens grease so much as is sufficient and make an ointment of them Let such a water be made for the same purpose A Water Take An●s figges five ounces Indian-nuts the Fishes named Scinci brought from beyond the Seas the taile of the Fish named Lacertus sweet Almonds Pine-apple-kernells Rocket-seed of each one ounce Vrtica the roots of both the kindes of Satyrion Hermodactili Peper long and blacke of each two ounces Muske one scruple the best white Wine wine sublimated of each one equall Measure Let them all be mixed and infused and haxing beene set out to the Sune fouretene daies let them be distilled If you will use this water take halfe an ounce with one ounce of the Electuary Diassatyrion and drinke them mixed together morning and evening very hot Also these Pills are approved taken in the evening Take of the seede of Rocket Radish stone-Parsley Pills Vrtica Satyrion of each one dram stones of a Fox pissle of a Bull of each two drams the taile of the Fishes named Scinci and the Fishe Lacertus of each one dram braines of Cocke Sparrowes Drakes Cocks Pigeons of each halfe an ounce Peper Galangal long-peper of each a dram and a halfe roots of both kinds of Satyrion halfe an ounce Euphorbium Castoreum of each one scruple Let all be beaten to powder let them be incorporated with Hony and let Pillls be made of them Take the quantity of two or one dram Another Electuary for the same purpose to be taken morning evening Another Electuary the quantity of a Chesse-nut shall be prepared in this manner Take Satyrion-rootes halfe a pound Dates foure ounces Mints Ginger candi'd or green-Ginger Iujubae of each three drams Let all things be mingled together and sodden in Sheeps-milke and pounded in a Morter as is accustomed which being done afterward take Cock-stones stones of a Weather or of a Bull or of a Goat Let those things be decocted in Sheeps-milk with a little fresh Butter and the yolkes of two Egges let them be dried in a Pipkin on the fire orderly After which things take clarified Hony two pound and a halfe of the Sugar named Tabarzeth as much as sufficeth Let all these things be decocted in due order and these powders following be mingled with them being boiled take the Pissle of a Bull of a Goat Rocket-seed of each one dram and a halfe Galangal Zedoaria of each one ounce Cinamome Ginger long-peper seed of the Ash-tree of each six drams seed of Mercury seed of Mallowes of each halfe an ounce the pith of the Indian Nut Pine-apple-kernells cleansed sweet Almonds of each one dram Let all these things be brought to a powder and let them be mixed to the decoction before prescribed and let an Electuary be made of them And now also let these things be sufficient to have beene spoken concerning medicines to be received inwardly for the cure of barrennesse sterility CHAP. VIII Of the Suffocation and choking of the Matrix and of the causes and cure of the same IT remaineth also to speak a few things hereafter concerning the most especiall diseases of the Matrix which have greatest force to procure and cause sterility and also to hinder conception and generation such as are principally the Suffocation and Precipitation or falling downe of the Matrix the immoderate issuing of the Termes and the stopping of the same But we will speake first of the first What the suffocation of the Matrix is Wee say that the Suffocation of the Matrix is not naturall but that it is a forced and constrained ascending and rising up of the Matrix or Mother towards Diaphragma or the Midriffe whereby it commeth to passe that the passages of the aire are stopped the Lungs and Arteries of the heart being pressed and thrust together and the Lungs is prohibited and barred from amplifying and inlarging it selfe as it should which passion proceedeth from windy and divers vapors arising from corrupt matter And by this sicknesse the breathing is hindred the braine is molested the Heart is restrained of his free liberty the Lungs is crowded together the senses and motions doe cease the Spirits are intercepted the members of the body doe deny to doe their office whereby it falleth out that faintings of the faculties of life doe happen sudden swoonings doe overwhelme the diseased and sometime doe deprive them of life the Heart being suffocated for which effect it is supposed that it is therefore called in Latine Suffocatio The Causes We cannot say that there are any other causes of this Malady but the stopping of the Termes contrary to the course of Nature or corrupted seede or else other depraved and evill humours inclosed in the Matrix being dissolved into winds vapors and so forcing the Matrix to be heaved and lifted upward The signes of this disease are two-fold The Signes one of the sickenesse present by the fit which is present the other of the disease to come taken from the tokens of the fit to come But the tokens of the present sickenesse taken by the Present fit are these signes The women doe hardly fetch their breath Signes of the present fit the Pulse of the Arteries is seldome their hands are continually laid upon their belly above the Navell for to depresse and keepe downe the Matrix rising upward the habite and forme of the body is bending downward the colour is pale when you speake they make no answer the understanding is quicke and lively without any voyce at all there is no motion of the body and indeed nothing else but a similitude of present death But whether life doth remaine still in the body or not in this extreme passion of the present fit we may finde out by these experiments and trialls Let feathers or cleane wooll be put to the mouth of her which is afflicted with this grievous fit the which if they be blowne away or at least be moved it shall be certaine that there is life remaining in the body Moreover it shall be a more certaine thing to place a glasse full of water upon her breast for life remaining as yet must needs thrust and extend it selfe out and so moving of the water must follow Or else a cleane and smooth looking-glasse is to be put to her mouth and nostrills and if life be not departed you shall see the glasse stained by the hot breath Which experiment seemeth to be most probable of all Some doe declare that a certaine woman was afflicted with this fit three whole daies and nights and at last to have returned to her selfe being supposed to have beene dead Wee have seene the same thing to have happened in some women for one naturall day that is foure and twenty houres together through suffocation of the Matrix Signes of a future fit But these signes goe before a fit which shall follow that is to say paine of the head dimnesse of the eyes a continuall