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A49892 The history of physick, or, An account of the rise and progress of the art, and the several discoveries therein from age to age with remarks on the lives of the most eminent physicians / written originally in French by Daniel Le Clerc, M.D. ; and made English by Dr. Drake and Dr. Baden ; with additional notes and sculptures.; Histoire de la médecine. English Le Clerc, Daniel, 1652-1728.; Drake, James, 1667-1707.; Baden, Andrew, 1666-1699. 1699 (1699) Wing L811; ESTC R9369 311,651 430

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in which is a small quantity of moisture like Urine so that the Heart is as it were in a sort of Bladder It was form'd after this manner in a Case for its better defence Of the Liquor there is but just as much as is necessary for the refreshment of the Heart and to preserve it from being over-heated It distils from the Heart which draws to it part of the moisture which the Lungs reserve from the Drink For when any one drinks most of it falls into the Stomach the OEsophagus (a) The Gullet being as it were a Tunnel which receives what we swallow whether Liquid or Solid But the (b) The upper-part of the Wind-pipe Pharynx draws a little of the Liquor into its cleft the Epiglottis which is as it were the lid of the Pharynx hindering the greatest part of it from falling into it As a proof of this if we make any Animal whatsoever especially a Hog drink Water tinged with blue or red and cut his throat while he is drinking we shall find this water charged with the Tincture But every one is not fit to make this experiment We are not to make any difficulty of believing that part of the drink slips into the Aspera Arteria But it may be ask'd how comes it then to pass that in drinking too swift the Water getting into the cleft of the Pharynx raises a violent Cough It is because the quantity of the Water being too great opposes directly the return of the Air from the Lungs in expiration Whereas when a little slips in at the clift slipping gently down the sides of the Aspera Artiria it hinders not the Air from Rising But on the contrary facilitates the passage by moistening the (c) Wind-pipe Aspera Arteria The Heart draws the moisture from the Lungs at the time of inspiration and after the Air hath serv●d the use of the Heart it returns by the way it came But the Heart sucks up a part of the moisture which passes into its Bag letting the rest return with the Air. This Air being return'd as far as the Pallate (d) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 escapes thro a double passage and it is necessary that it shou'd go out and the moisture also they being of no use to the nourishment of the Body How can Wind and Crude water serve for the nourishment to a man not but that one and t'other have their use for they serve to fortifie the Heart against the Evil it is naturally afflicted with that is excessive heat The Heart is a very strong Muscle not for its Tendons but for the hardness and compactness of the Flesh It has two distinct Ventricles in one inclosure (e) E. v 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 one on one side and t'other on t'other which are not like to one another the one is on the right-side at the mouth of the great Vein and the other on the left and they take up almost the whole Heart The cavity of the first is greater than that of the latter and is more soft but it extends not quite to the point of the Heart the extremity of which is solid it appears as if it were sewed or fixed to the Heart The Left Ventricle is situated directly under the Left Nipple to which it answers in a right Line and where its pulsation or beating may be felt Its sides are thick and it has a cavity like that of a (f) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Mortar which answers to the Lungs which moderate by their nearness the excessive heat of this Ventricle for the Lungs are naturally cold and receive a further refreshment by the inspiration of the Air. Both these Ventricles are rough and as it were coroded within especially the Left (g) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The natural fire or heat which is born with us has not its Seat in the Right and it is something wonderous that the Left which receives from the Lungs an Air which is not temper'd or mix'd shou'd be the most rugged it was likewise made thicker than the other for the better preservation of the aforesaid heat The Orifices of these Ventricles are not visible till the Ears of the heart be first open'd or cut off and its head or basis When they are cut off we find two Orifices in either Ventricle but the Vena Cava which comes out of one of them is not seen after it is cut These are the Fountains of Human Nature and from hence flow those Springs that serve the whole body These are the streams that give life to Man and when they dry up he dies At the Exit of these Veins the Vena Cava and great Artery and all round the mouth of these Ventricles there are certain soft and hollow bodies called the Ears of the heart they have not however any perforations like the Ears nor do they serve to hear sounds but they are the Instruments by which Nature draws the Air and shew themselves the Work of an Ingenious Workman who considering the Heart ought to be very (h) The Author says this place is very obscure that he has translated it as well as he cou'd that if he has not succeeded extraordinarily in it that he has for his comfort the company of the rest of the Interpreters in his misfortune solid as being form'd of blood coagulated or thickned at the mouth of the veins and that it ought to have likewise the faculty of drawing has fix'd Bellows to it as Smiths do to their Forges that it might draw the Air by this means In confirmation of this we see the Heart in one part continually agitating it self and the Ears in particular to dilate and subside in their turns I am likewise of opinion (i) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the small veins draw the Air in the Left Ventricle and the Artery in the Right I say likewise that that which is soft is most proper to draw and to be inflated and that it was necessary that (k) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by which the Author supposes the right Ventricle of the Heart to be meant * But I rather think that the Auricles were still intended as by comparing them with the precedent and subsequent expressions will appear what was fix'd to the Heart shou'd be refreshed since it partakes of the heat but the Engine which draws the Air ought not to be so large lest it shou'd overcome the heat I ought likewise says Hippocrates to describe the hidden Membranes of the Heart (l) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which are an admirable Work some are spread within the ventricles of the Heart like Spiders Webs they close the Orifices of the ventricles of the Heart and send their threads into the substance of the Heart They seem to me to be (m) See the Chapter of the Nerves the Nerves or the Tendons of this Entrail and the Origin or Place from whence they spring (n) T●● Aorta signifies
that distinguishes himself from all other Males by a fierce and truly Masculine Air which is peculiar to him I translate the Greek word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by the French word Air which might be rendred Species in Latin which answers exactly to the Greek the Etymologie being the same The dissections that Aristotle made of several different sorts of Animals Quadrupeds Birds Fishes and Insects had taught him divers things concerning the use of the parts of each of these Kinds We shall not go about to examine here what he delivers of the difference of their parts and uses because that would lead us too far from our Subject We shall only touch here in a few words upon what relates to the structure and use of parts common to all perfect Animals such as Men and all Quadrupeds Aristotle esteem'd the heart to be the Origen and Source of the veins and blood The blood says he goes from the heart into the veins (g) De Part. An. lib. 3. cap. 4. Those that find the Circulation of the Blood in Aristotle will have some difficulty to get over this Passage but it comes not from any part into the heart He says that there come two veins out of the heart one from the right side which is the largest and the other from the left side which is the least which he calls the Aorta where by the by we may take notice that this Philosopher (h) Hist Anim. lib. 3. cap. 5. as Galen says is the first that gave that name to the great Artery which proves that the book i of the Heart wherein this name is found is not Hippocrates's Aristotle thought that these two veins distributed the blood to all parts of the body He says elsewhere that there were in the heart three Cavities which he calls ventricles Of these three ventricles that in the middle of whose scituation he gives no other account is the common principle of the other two altho' it be the least the blood which it contains is also the most temperate and pure The blood of the right ventricle is the hottest and that of the left the coldest This latter ventricle being the biggest of the three These three ventricles says he communicate with the lungs by vessels different from the two great veins which disperse themselves thro the whole substance of the Lungs He made not only the veins of the vessels which contain blood to come out of the heart but he would have the Nerves also to take their Origine from thence for which opinion this was his ground (k) Hist An. lib. 3. cap. 5. The biggest Ventricle of the Heart says he contains small Nerves and it is a true Nerve in its extremities having no Cavity and being stretched after the manner of Nerves in the place where it terminates towards the Articulation of the bones He says also in another place (l) De part Anim. lib. 3 cap. 4. that there are abundance of Nerves in the heart which are of great use because the motions come from thence which are made by contracting and extending By this latter passage he seems to design the Tendons which serve to dilate and contract the heart and if we have observed before that Hippocrates confounded the Nerves with the Tendons and Ligaments Aristotle does not appear to have distinguished them any better nor to have known the use of the true Nerves In another place he affirms (m) H●st Animal lib. 3. cap. 5. that the Nerves are not continuous but scatter'd here and there about the places of the Articulations by which it is visible he meant the Tendons If he had known the use of the Nerves he would not have said (n) De part Animal lib. 2. cap. 10. that none but the parts which had blood could feel or had sensation nor would he have maintained (o) De part Anim. lib. 2. cap. 1. that the flesh is the proper Organ of sensation as for motion if he attributes it to the Nerves or says 't is made immediately by the Nerves 't is easie to see that the Nerves there meant were either the Tendons or Ligaments As for the common principle of motion and sensation Aristotle places it in the Heart which he looks upon also as the principle of the nourishment of all the parts of the body by the means of the blood which it sends to them as the Focus which contains the natural fire upon which depends life as the place where the passions have their birth and where all the sensations terminate In a word as the true seat of the Soul and that not because the Nerves have their Origine from thence as some imagine but because it is the reservatory of the blood and spirits He formally maintains (p) l●b de Spiritu that the spirits cannot be contained in the Nerves But if Aristotle attributes such noble uses to the heart the brain was in his opinion but a heap of Water and Earth without blood and without sense The office of this Cold Lump was says he to refresh and moderate the heat of the heart But besides that he gives elsewhere this Office to the Lungs he does not account for the manner how the brain should be capable of discharging it And altho' the brain be plac'd immediately upon the spinal marrow and fix'd to it yet he pretended that the substance of that marrow was-quite different from that of the brain being a sort of blood prepar'd for the nourishment of the bones and consequently hot whereas the other was cold He made otherwise so little of the brain that if he did not absolutely reckon it amongst the excrements he thought it ought not to be ranked amongst the parts of the body which had any continuity or union with the rest that he look'd on 't as a substance of a peculiar nature and different from all the rest of the body As for the rest of the Viscera as the Liver the Spleen and the Kidneys he thought that their first and chief usage was to support the veins which would be pendulous but for them and to strengthen them in their place Besides this first use he assigned them some others The Liver helped to the digestion of the meat in the stomach and the guts by the warmth which it imparted to those parts of which we shall speak more particularly in the Sequel The Liver was not of such universal use and is according to him but accidentally necessary to collect and concoct the Vapours which rise from the Belly hence it is that Animals in whom these vapours take another course have but a very small Spleen as Birds and Fishes whose feathers and scales are form'd and nourish'd out of this moisture And these Animals for the same reason says he have neither kidneys nor bladder (q) De part Anim●l 〈◊〉 3 ●ap 7. The Kidneys also according to him are onl● for conveniency their office is to imbibe part of the
Guts the Liver the Spleen the Kidneys the Bladder the Matrix the Diaphragm the Heart the Lungs the Brain as well as the most sensible humours such as the Blood Cholar Melancholy Flegm the Serosities or Waters and all the different sort of excrements that proceed from several parts of our body It appears at first Sight that the Asclepiadae cou'd not know all this without being Anatomists or at least without having dissected Animals but 't is easy to demonstrate that they might attain to the knowledge of these things without it The first and most familiar instruction they had came from their Butchers and their Sacrifices and as for what relates to to a human body in particular they were glad of any opportunity to instruct themselves when they found any bones in the Fields that were stript of the Flesh either by Beasts or the length of time that these bodies had been expos'd to the air or when they found in some by places the carcass of some unfortunate Traveller that had been murder'd by Robbers or the bodies of Soldiers that died of the great wounds of they receiv●d in Battel They consider'd them without giving themselves the trouble to make any other Preparation besides what they found ready made to their hands and took no notice of that scruple which forbad them to touch any dead body which they found by accident This was so great a scruple among the Ancients that it appears from a passage in Aristotle which we shall cite hereafter that in his time there was no dissection of human bodies Now this Philosopher liv'd above fourscore years after Hippocrates T is true indeed that the Egyptians as we have already taken notice having been accustomed of old to embalm dead bodies were furnish●d by this means with an opportunity to know the true disposition of some parts of the body which they must needs lay open when they separated them from others to preserve the rest and it might so happen that the Asclepiadae reapt some advantage by these discoveries of the Egyptians but as the chief intention of the latter was the preserving of Bodies so they scarce proceeded much farther than it was necessary for them to go on with their design I have thus recounted the several means by which these ancient Physicians discover'd the structure of bodies after the Death of the animal but the best School they had and indeed that which instructed them better than any of the rest was the Practice of their Professio● which daily gave them an opportunity to see in living bodies what they were not able to discover in the dead when they dress●d Wounds Vlcers Tumours Fractures Dislocations and perform'd other Chyrurgical operations And as Physick was preserv'd in the Family of the Asclepiadae for several Ages where it pass●d from Father to Son so the traditions and observations of their Fathers and Ancestors supply'd the want of experience in each particular man This last opportunity joyn'd with the former has made several Physicians who liv●d a long while after them and of whom we shall make mention hereafter to call it an easie and natural tho a long way to gain the knowledge of the humane Body maintaining that this way alone was sufficient for practice We shall find in the Fifth Book what were the reasons that induc'd them to this as likewise what other Physicians had to say upon this occasion CHAP. VI. Of those Physicians that were Philosophers and first of Pythagoras and Xamolxis his Slave HItherto as we have observ'd it does not appear that Reason had been very much consulted in Physick the whole knowledge of which Art seems to have totally consisted in discerning and knowing Diseases rather by their signs than by their causes and using a few simple Medicaments that were almost all taken from Herbs or the practice of some magical or superstitious Remedies The Philosophers were the first that interloping in this Art at the same time introduc'd the fashion of reasoning into it These Gentlemen added to it that part which is call'd Physiology and considers a humane body which is the subject of Physick such as it is in its natural state and endeavours to assign reasons for its functions and operations in examining the parts thereof and all that belongs to it by Anatomy and the principles of Physick Not that it appears by any of their writings or by the Titles of their Books that they had ever been what we call Practitioners Empedocles of whom we shall talk hereafter is the only man among them who is reported to have perform'd a cure All the rest appear to have devoted themselves rather to the Theory than Practice of Physick Pythagoras who liv'd about the lx Olympiad and founded the Italick School is the most ancient we know of those that began to take this Art into their consideration This Pihlosopher neglected no means nor opportunity to render his knowledge universal With this design he travell'd into Egypt which was the Country of Arts and Sciences and learnt all their curiosities 'T is very probable he borrow'd all the knowledge he had in Physick from thence of which we have nothing remaining but a few small fragments which however sufficiently discover a Spirit of superstition so remarkable in the preceeding Physicians as we have already observ'd that which relates to Physiology being very inconsiderable (a) Diogen Laert. Hist Philos Galen He believ'd that at the time of Conception a certain substance descended from the Brain which contain'd a warm vapour from whence the Soul and all the Senses derived their original while the Flesh the Nerves or Tendons the Bones the Hair and all the Body in general was made of the Blood and other Humours that meet in the Matrix He added that the Body of the Infant was formed and became solid in forty days but that eleven or nine or more generally ten months according to the rules of harmony were requisite to make him intirely compleat that all that happen'd to him during the whole course of his life was then regulated and that he carry'd it along with him in a Series or Chain proportion'd to the Laws of the same harmony above-mention'd every thing falling out afterwards necessarily in its own time At the end of this Chapter we shall examine what he meant by this He likewise asserted that the Veins the Arteries the Nerves are the cords of the Soul According to him the Soul spreads itself from the Heart to the Brain and that part of it which is in the Heart is the same from whence the passions proceed whereas Reason and the Understanding reside in the Brain This opinion which belongs in common to him and the sacred Writers perhaps came first from the Caldeans with whom he had convers'd As for the causes of Distempers he had learnt without question all that was believ'd concerning them in the same School and in that of the Magicians whom he had likewise consulted The Air said
in the Chapter of that Philosopher Several passages may be taken out of the first Book of Diet to confirm what we have advanc'd In a word says he in one place of this Book the Fire has dispos●d all things in the body in imitation of the Vniverse c. But while we are upon the Philosophy of Hippocrates lest the Alchymists shou'd take it ill at our hands we must by no means omit this passage in the first Book above-mention'd viz. that those that work in Gold beat it wash it and melt it by a gentle Fire because a violent fire is not proper for such a business 'T is pretended that Hippocrates here had an Eye on the mystery of the Philosophers Stone of which we shall have occasion to speak in the second part of this History And this may suffice for his Philosophy Let us now descend from the general principles of bodies to the particular principles of the human body and leaving all Philosophical reflections let us see what observations we can find in Anatomy there for those properly belong to the History of Physick Those that are minded to see more particularly how far Hippocrates carried his Philosophy may consult the Books de Flatibus de natura hominis the first de natura pueri de dieta and some others But the Reader ought to be inform'd that the above-mention'd treatises are suspected to be spurious and not to belong to him His opinion concerning the seat of the Soul is to be found in the following Chapter CHAP. III. Of the Anatomy of Hippocrates 'T Is a difficult matter to give a just extract of the Anatomy of Hippocrates for three things hinder us from knowing so much of this subject as it is necessary we shou'd In the first place we find several contradictions in the writings of Hippocrates or rather in those that are ascrib'd to him Secondly tho we shou'd heap together all that he says of each part 't would be an imperfect account and not very coherent Lastly tho so many faults had not crept into the Text as there have or there were less disagreement in the original MSS. yet his stile is so concise and there are some places in him so obscure as being frequently expressed in terms peculiar to himself that are not to be found elsewhere that 't is extreamly difficult for one to understand him aright tho he is never so great a master of the Greek Language For this reason we should very much regret the loss of one of Galen's Books intituled The Anatomy of Hippocrates if we had not just reason to suspect this Author of partiality when he engages for the interests of this antient Physician sufficient proofs whereof we shall see below that purely belong to Anatomy The helps that a man might expect to find upon this occasion from the modern Commentators is but inconsiderable If any light is to be had from them we ought rather to trust the antient interpreters than those of our Age because it is to be feared that the latter full of their new discoveries imagine they see them every where like those that can discover in Homer the most hidden mysteries of all Arts and Sciences or those quick-sighted Genelemen that can find the Philosophers Stone in all Books whatever let the matter they treat of be what it will That we may not be charg'd with being guilty of this prepossession which we have condemn'd our selves we will faithfully set down all that we cou'd find relating to this argument in the works of Hippocrates and take particular care not to omit the least thing about which the Anatomists of the following ages have had different opinions or pretended to make any discovery that so we may give every man his due and rob none of the praise that really belongs to them I will not pretend to confine my self to a certain order but indifferently set down every thing as it comes to hand and refer the Reader that expects a continu'd description or a greater insight into the nature connexion situation of the parts of the body to a full treatise of Anatomy which he will find in the Chapter of Galen (a) De locis in homine The nature of the Body says Hippocrates is the principle or foundation on which all the reasoning of Physick is built One wou'd be apt to infer from hence that he had a mind to recommend Anatomy as one of the principal means by which we may discover the nature of the body What helps to confirm this conjecture we find that immediately after he teaches what is the situation composition and use of the several parts 'T is undeniable that Hippocrates wou'd have us study the nature of the body but we may discover by some other places that he thought we cou'd arrive to the knowledge of it no way so well as in the practice of Physick for he laughs at those who fancy'd themselves to be great Physicians because they knew something in Anatomy (b) De Prisc med●cin Some Physiciansiand Philosophers says he pretend that a man can't understand the art of Physick unless he knows what man is what is his first formation and after what manner his Body is made But for my part I am of opinion that all that has been said or written about nature by these people belongs more to the art of Painting than it does to Physick and am perswaded that a man can't know nature clearly but by the means of Physick as those that are well skill'd in that art will soon perceive Here he seems to address himself to the Philosophers that preceeded him and to these of his own time who as we have observ'd had thrust themselves into this profession and were the first that began to instruct themselves in Anatomy It has been remarked above that the Asclepiadae the Predecessors of Hippocrates had other helps of knowing the humane body besides Anatomy As for Hippocrates 't is probable that he did not neglect this latter way as being related to Philosophy which he had carefully studied There wou'd not be the least pretence to doubt of this if the little Book or fragment attributed to him and intituled little Book or fragment attributed to him and intituled Anatomy was really of his writing but this is not certain since Erotiam who has given us a Catalogue of Hippocrates's Books makes no mention of it Be it as it will we shall see anon how far he advanc'd in this Science either by Anatomy or any other method which we have touch'd upon in the Chapter of Asclepiadae Hippocrates owns in one place that the (c) Lib. de Aliment Veins come from the Liver which is the origine and fountain of them as the Heart is of the Arteries In another place he maintains that the Veins and Arteries proceed equally from the Heart (d) Lib. de Carnibus There are two hollow Veins that come from the Heart one of which is call'd the
Artery and the other the Vena Cava At that time all the Blood Vessels were indifferently call'd Veins and the word Artery properly signify'd the (e) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 aspera arteria or the Wind-pipe Nay Hippocrates gives the name of Veins to the Ureters and seems to bestow the same appellation upon the Nerves as we shall take notice below besides there are but few places where he formally distinguishes the Arteries from the Veins and where he calls them Arteries which may render the credit of those books or at least of those passages suspicious where this distinction is to be found The Artery adds he immediately after contains more heat than the Vena Cava and is the receptacle of the Spirits There are other Veins in the Body besides these two As for that which is reported to be the largest of all and next to the heart it runs thro the Belly and the Diaphragm and dividing itself into two streams visits either Kidney towards the Loins Above the heart this Vein divides to the right and to the left and ascending to the head distributes itself to either Temple We may continues he joyn the other Veins to this that are also very large but to speak all in a word all the Veins that are dispers'd thro the whole Body come from the Vena Cava and the Artery Here are already two opinions concerning the Origin of the Veins and Arteries There is a third likewise to be found in two several passages in Hippocrates whether in respect of the Origin of the Veins or in respect of your distribution (a) Lib. de Ossium naturâ de Natur. humanâ The largest veins of the Body are says he dispos'd after this manner There are in all four pair the first pair come out behind the head and descending down the back part of the neek on each side of the spine come to the Hips and Thighs pass on thro the Legs to the outside of each Foot For this reason in all pains of the Back and Hips bleeding in the veins of the Hams and external Ancles are of great relief the second pair coming likewise from the Head run behind the Ears down the Neck they are call●d the Jugulars and run within the Spine down the Loins where they divide on either side towards the Testicles and Thighs and the inside of the Hams from thence through the inward Ancles to the inside of the foot For this cause in all pains of the Testicles and Loins bleeding in the veins of the Hams and internal Ancles is very serviceable The third pair come out of the Temples and run along the Neck towards the Shoulders and Lungs from thence one turning from the right a little towards the left runs under the Breast to the Spleen and Kidneys the other likewise turning from the left to the right runs under the Breast to the Liver and Kidney And these two branches terminate in the Rectum The fourth part coming out of the fore part of the Head and Eyes run under the Lungs and the Clavicles and from thence thro the upper part of the Arm pass over the bending of the Elbow to the back of the Hands and Fingers and thence they return again thro the palm of the Hand on the inside of the Elbow and under the Arm to the Arm-pits and upon the surface of the side one to the Spleen and the other to the Liver At length both branches running over the Belly terminate in the privities To salve the contradiction between these two last passages it may be urg'd that the Book of the nature of the Bones from whence this latter is drawn is not Hippocrates's but Polybius his Son-in-Law's Neither Galen nor Erotian take notice of this Book among the works of Hippocrates They have not so much as taken notice of the name tho they seem to have explain'd certain words found in it There is a passage of (b) De Generat Anim. lib. 3. cap. 3. Aristotle wherein this Philosopher speaking of the Origin and destribution of the Veins and relating the several sentiments of the Physicians thereupon cites these very words of this Book of the nature of the Bones which we have translated and cites them as Polybius's This proof were sufficient but it removes not all the difficulty for we read the very same words in the Book of Human Nature which Galen maintains strongly to be Hippocrates's pretending to prove it by the Authority of (c) Platon Phaedr Plato who as he says has quoted a passage out of it tho others have ascrib'd this Book to Democritus Nevertheless Galen himself (d) De Hippocrat Platon decre● l. 6. c. 3. But Pelops Galen's Master was of another mind maintaining that Hippocrates held as himself also did that the Veins and Arteries as well as Nerves had their Origine from the Brain denies this later opinion touching the origin and destribution of the Veins to be Hippocrates's or even Polybius's but affirms that it must have been foysted surreptitiously into the Text. But this is not probable for we find the same opinion in the Book de locis in Homine There is another difficulty relating to the Book of the flesh or of the principles from whence was taken what we said in the first place that the Veins and Arteries came out of the Heart Aristotle in the afore-cited passage after having remarked that almost all the Physicians consented with Polybius to bring the veins from the Head concludes they were all in an error not knowing that they came from the Heart and not from the Head If Hippocrates be the Author of that Book of the Flesh wherein this opinion of Aristotle is plainly laid down how is it likely this Philosopher should not know it Why should he not as well have read the Writings of Hippocrates as those of Polybius From hence we may infer that this Book is no more Hippocrates's than that of the Nature of the Bones Perhaps Aristotle chose rather in this place to cite Polybius or Synnesis of Cyprus and Diogenes Apolloniates Physicians of small reputation in comparison of Hippocrates than to cite Hippocrates himself whose Name we sind but in (e) Polit●c li. 7. cap. 4. one place of his Works and there mentioned only en passant perhaps I say he has omitted to quote him out of malice or envy Plato shew'd more honour having made honorable mention of him in several places Perhaps the Book in question was not Hippocrates's for neither do we find the Title of it in the List that Erotian gives of his Works Of the description of the HEART Amongst the Anatomical Books ascrib'd to Hippocrates there is none written with more exactness than that of the Heart which being very short we give you here the entire Translation of it The Heart says the Author of this Book is of a Pyramidal figure its colour is a deep red It is encompassed on all sides with a clos'd Membrane
the Sences the Muscles and the Tendons The Grinders signify the Teeth Those that look out of the Windows are the Eyes The Doors shut in the Streets and the sound of grinding become low signify the mouth which opens with pain to speak and the necessity of eating slowly and without noise The voice of the Bird denotes the morning which is the time when old men get up because they cannot sleep The Daughters of Musick that are brought low signify that men leave off Singing at that age and have no ●relish of Arts or Sciences The fear and trembling of ancient persons and their difficulty of going is represented by what follows immediately after The flourishing Almond tree is white hair The Grashopper being a burthen is the body which from a light and slender one as it was before is become gross and heavy To conclude the long home is the grave and those that go about the streets are the mourning men or women that made a trade of waiting upon burials The rest of the Emblem or Enigm is more difficult to explain To succeed in such an attempt a man ought to have the very same Idea of the parts of the body as Solomon had This is certain that the sacred Author designed under these hidden terms to show the dissolution of our principal organs and this is all we can pretend to know As for what has been written of the Silver cord which some interpret to be the Arteries or the Spinal Marrow of the golden Bowl which some take to be the the membranes of the Brain the Liver or the Heart of the Pitcher which signifies the Skull and the Wheel that denotes the Lungs all this I say is but a bare conjecture that has no solid foundation Perhaps there may be something in the writings of the Rabbies that may help to interpret this passage But if there is I know nothing of it and leave is to others to find it out that understand them To these curious Gentlemen I likewise leave every thing else relating to Physick which it to be found in the Books of the Jewish writers The informations we receive from this quarter are but very inconsiderable if all the rest be of a piece with the ridiculous Fable of the bone call'd Luz which according to them is found in the Back-bone which is the Root and as it were the Basis of the whole frame of the human Body so that the Heart the Liver the Brains and the Genitals derive their original from this miraculous bone which has this virtue or priviledge besides that it cannot be burnt nor grownd nor broke to pieces but continues still the same being as it were the bud of the Resurrection from which the whole Body of the animal shall shoot again as Plants from their Seeds Rilanus from whom I have borrow'd this passage adds that the Rabbies reckon'd two hundred forty eight bones and three hundred sixty five veins or ligaments in a man's body Those that understand Anatomy will langh at this but as little skill as these Doctors show in this Science 't is probable that they were not much better verst in it in the time of Solomon or those Aegyptian Kings whom we mention in the beginning of this Chapter Their Superstition was no less then than when the Rabbies flourish●d who plam'd an infinite number of Fables upon the world as the account we have given of the Physick of these ancient times suf●●ciently testi●ies THE HISTORY OF Physick PART I. BOOK II. By Mr. BROWN CHAP I. Of what happen'd to this Art from the time of the Trojan War to that of Peloponnesus WE have hitherto set down almost every thing that the earliest times of antiquity furnish us with relating to Physick If the Reader is surpiz'd to see the account so uncertain and mixt with Fables to the time of the Trojan War he will have more reason to be so when he is inform'd that even after this period if we may believe Pliny (a) Sequentia ejus Medicina a Trojanis temporibus mirum dictu in nocte dentissimâ latuere usque and Peloponucsiacum bellum Tunc eam in lucem revocavit Hippocrates lib. 19. Cap. 1. Physick lay buried in a most profound darkness till the Peloponnesian War broke out when Hippocrates as it were reviv'd it and brought it to light 'T is at least the space of seven hundred years from the first of these Wars down to the second Celsus does not descend altogether so low as Pliny but we want only about fourscore years which distance of time there is between Pythagoras and Hippocrates the first having liv'd in the lxth Olympiad and the second in the lxxxth Behold now after what manner he speaks of the latter (b) Cels Praefat After those whom I have mentioned that is to say the Sons of Aesculapius there was no person of reputation that practis'd Physick till such time as men began to apply themselves more earnestly to the study of learning which being as prejudicial to the body as it is serviceable to the mind it so fell out that those who pursu'd it with the greatest application having destroy'd their health with the perpetual Meditations and Watchings had more occasion for Physick than other Men. For this reason the science of healing Maladies was at first consider'd as a branch of Philosophy so that we may justly affirm that Physick and Philosophy were born together This is the true cause why we find several of the ancient Philosophers very well skill'd in Physick among whom we may reckon Pythagoras Empedocles and Democritus as the most considerable What this Author says here viz. that Physick and Philosophy began together is only pursuant to what he had advanc'd before and we have already observ'd that all the Physick of the Sons of Esculapius and of their contemporaries wholly consisted in healing of wounds If we must assign a reason for this great Vacuum which these Authors remark to have happen'd here in the History of Physick we may say that the knowledge of those that practic●d it during this interval being shut up within the narrow bounds of Empiricism men were content with knowing a few Remedies which experience had shown to be proper for certain Diseases without reasoning either upon the cause of the illness or the operation of the remedies so that these remedies being handed down from Father to Son and never going out of the Family there was no necessity to write upon this subject This being supposed we are not to wonder that since these Physicians did not make themselves known by their writings which is one of the surest ways of preserving our memories their names are buried in oblivion Another reason no less forcible than the former is this that those who succeeded Aesculapius and his Son how great soever their skill and experience might be lived in a fabulous age and having no opportunity to assist at so celebrated a Siege as that of Troy they wanted
the great Artery only in all the succeeding Anatomists h●● Hippocrates under that name comprehends the Vena Arteriosa also the Aortae These Membranes are disposed by pairs for to every Orifice Nature has fram'd three which are round above in the form of a Semi-circle Those that know these Membranes wonder how they can shut the Aortae And if any one (o) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Which words Foesius translates thus Siquis veteris instituti probè gnarus mortui animalis corde exempto hanc quidem demat illam vero reclinet neque aqua in cor penetrare nec Flatus emitti poterit And Cornarius much after the same manner Siquis veteris eximendi cor mortui moris goarus aliam auferat aliam reclinet neque aqua c. Why these Translators render the word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 by that of Mos or Institutum which it does not signifie is a mystery to me it ought to be translared Ordo with relation to the Membranes 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 according to Erotian is an Attick Word signis●ing 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or Order I explain als● the Word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ancient by the term Natural 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ordo vetus seu naturalis 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 says Erotian 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 for 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 auferat I read 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 firmet which I suppose to be the true reading but that the former crept into its place through the error of the Copists misled by affinity of the sound of those two Words who understands the ancient Order or the natural Order and Disposition of this Membrane takes out one rank or keeps one rank stretch'd and closes the other neither water nor wind can get into the Heart These Membranes are disposed with more Art or more Exactness on the Left-side than the Right The reason of this is because the Soul of Man or the Reasonable Soul which is above the other Soul has its Seat in the Left ventricle of the Heart This Soul has not its nourishment from the Meat which comes from the Belly but from a pure luminous Matter separated from the Blood This Matter which serves for Aliment to the Soul is abundantly furnished from the neighbouring Receptacle of the Blood and casts its Rays round as the Natural nourishment which comes from the Intestines and Belly is distributed into all parts and for fear lest that which is contained in the Artery shou'd hinder the course of the nourishment of the Soul and give a check to its motion the Orifice of this Artery is closed as aforesaid for the great Artery is nourished from the belly and intestines and not by this first or principal nourishment But the great Artery is not nourished by the blood which we see as is manifest by opening the left ventricle of any Animal for we find it quite empty or find nothing in it but serous humour or a little Bile and the aforesaid Membranes but the Artery is never without blood nor the right ventricle This Vessel therefore gave occasion to the making of those Membranes for the passage out of the right ventricle is likewise furnished with Membranes but the blood moves upon that side but feebly This way is open on the side to carry the blood thither for its nourishment but it is shut towards the heart so that way is left for the air to pass insensibly from the lungs to the heart not in great quantities for the heat which in this part is but feeble wou'd be over-power'd by the cold the blood not being naturally warm no more than water which receives its heat from elsewhere tho most believe it 's hot in its own nature This Book of the Heart will give us the greatest Idea of the Anatomy of Hippocrates and his exactness but it is one of those that is not acknowledg●d either by Erotian or Galen What the Author says in the beginning of this Book of the passage of one part of the drink into the Lungs being a very ancient Opinion and maintained by Plato who must have it from the Physicians that preceded him of which Hippocrates was most considerable we might infer that the Book in which this Opinion is maintained is his but those who forged this Book might on purpose insert this opinion to warrant its antiquity We shall see hereafter further proofs that it is spurious in the Chapters of Aristotle and Erasistratus This opinion is repeated in the Book of the Nature of the Bones It is indeed amply refuted in the fourth book of Diseases but most Authors agree this later book not to be Hippocrates's We shall find something more of importance in the Chapters of the Fibres We have seen already three different Opinions taken from the Writings of Hippocrates concerning the Origin of the Veins there is yet a fourth and what is more particular This later opinion is to be found in the same book with the third I mean the book of the Nature of the Bones in which the Veins are derived from the Head The passage is this The veins which are spread thro' the body and which give it (p) See the Chapter of the Nerves the spirit the flux and the motion are all branches of one Vein whence it draws its Origin or it terminates I know not but supposing a Circle a beginning is not to be found Something like this is what we read in (q) De locis in hom sub initia another place There is no origin or beginning in the body but the parts are equally both beginning and end for in a Circle there is no beginning There are some other passages parallel to these (r) Lib. de Al●men The nourishment comes from the inward parts to the hair nails and outward superficies It goes likewise from the external parts and superficies to the internal All agree consent and conspire together in the body And a little after (s) Ibid. The great Principle reaches to the extremities and the extremities to the great Principle (t) Ibid. The Milk and the Blood come from the superfluity of the nourishment or are the remainder of the nourishment of the body (u) 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The same word is to be found in the first book of Diet. We find there likewise these following words 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 to turn about 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 gyration or turning round 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 terms used by Hippocrates to signifie the Mechanism of our bodies by an allusion to the methods used by Artificers of all sorts in their Shops The Circulations go a great way in relation to the Faetus and to the nourishment after the nourishment is perform'd what remains returns and turns to Milk and becomes nourishment to the Mother and afterwards to the Faetus And again the same way which leads upwards leads also downwards or there is but one way which goes both upwards and downwards