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A35961 The anatomy of human bodies, comprehending the most modern discoveries and curiosities in that art to which is added a particular treatise of the small-pox & measles : together with several practical observations and experienced cures ... / written in Latin by Ijsbrand de Diemerbroeck ... ; translated from the last and most correct and full edition of the same, by William Salmon ...; Anatome corporis humani. English Diemerbroeck, Ysbrand van, 1609-1674.; Salmon, William, 1644-1713. 1694 (1694) Wing D1416; ESTC R9762 1,289,481 944

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I mention'd the least weight for we find by ocular inspection that two drams and more have been empty'd by every particular Pulse in the dissections of live Dogs and yet 't is very probable that there is not so much Blood to be empty'd in the whole Body of Man Moreover if in Blood-letting we consider the quantity of Blood that immediately flows out and consider likewise how much in the mean while is circulated at the same time through Myriads of other Veins where the progress of the Blood is hindred by no Ligature all which Blood passes through the Heart we shall easily observe that in a man by each particular Pulse not a few drops not a scruple not one or two drams but much more perhaps half an ounce or more are emptied out of the Heart into the great Artery which is yet much more apparent in Artery-cutting When if we consider what is empty'd out of every small Artery cut by every particular Pulse and what is empty'd by all the rest by the same Pulses we shall find a vast quantity pass through the Heart since it is certain that there is as much Blood empty'd out of one Aorta-Artery out of the left Ventricle of the Heart as out of all and singular the Arteries deriv'd from the Aorta if they were open'd Seeing then that by so great a quantity neither the Arteries are distended to excess nor that any other parts swell nor that the hollow or other Veins are empty'd certain it is that the Blood empty'd into and through the Arteries flows back through the Veins to the Heart VIII The Situation of the Valves in the Veins which in all Men is such that the Blood may flow freely through them to the Hollow Vein but nothing from the hollow Vein to the lesser Veins For if you blow into the hollow Veins with a Straw nothing of that Breath will enter the lesser Veins But if you blow the lesser Veins the Breath will presently enter the greater and so to the Hollow IX The Ligature in Bloodletting For the Arm or Thigh being bound near the place where the Vein is to be open'd the Ligature causes the Veins to swell underneath Because the Blood being forc'd through the Arteries toward the external Parts returns thorough the Veins and ascends upwards and when it comes to the Ligature there it stops which causes the Vein to swell below the Ligature so that the Blood not able to ascend any farther flows out at the little Hole made with the Lancet Again the Ligature being unty'd the Efflux ceases because the Blood can then ascend more easily through its little Pipe which is sufficiently wide than issue forth at the narrow Wound Moreover if that same Ligature be ty'd so hard that the Blood cannot pass through the Arteries themselves toward the lower Parts then nothing will issue forth neither because the Blood is not forc'd through the Arteries toward the lower Parts and consequently cannot ascend through the Veins to the upper Parts But loosning that Ligature never so little and the Pulse more freely penetrating the Artery presently the Blood will flow out of the open'd Vein Moreover also any Ligature or Compression of the Veins and Arteries in living Animals is forc'd through the Arteries from the Heart and through the Veins flows to the Heart For above the Ligature that is toward the Heart the ty'd Arteries swell by reason of the Passage deny'd to the Blood but the Veins fall by reason of the free Efflux of the Blood to the Heart The contrary to which happens below the Ligature These Reasons alone are sufficient to prove the said Circulation Besides which there are many others apparent and probable which here for brevities sake I pass over concerning which Harvey Riolanus Conringius Ent Highmore Deusingius and others may be consulted who have written whole Treatises particularly concerning the Circulation of the Blood I shall add one thing concerning the manner of Circulation wherein perhaps I shall differ from others X. There are two Opinions concerning the manner of Circulation of which one is Riolanus's approv'd by few The other Common which most Philosophers maintain XI Riolanus holds That the Blood Circulates only through the larger Vessels but that that which is pour'd forth to the lesser Branches never returns to the wider Channels but is consum'd in the Nourishment of the Parts moreover that the Blood of the first Region does not Circulate but is consum'd likewise in the Nourishment of the Parts conceal'd therein But this Opinion at this day is utterly rejected by all learned Men there being no Reason to be given why the Blood forc'd through the Arteries in greater Quantity than is requisite for the Nourishment of the Parts should not with equal necessity circulate through the smallest Veins as if it were forc'd through the greater Arteries Or why the Blood forc'd through the Coeliac and Mesenteric Arteries in great quantity to the Stomach and Intestines should not circulate thorough the Veins of the same Parts Especially seeing that Experience contradicts him in both these Cases For that if you cut the smallest Artery in the Extremity of the Hand or Foot more Blood flows out in one hour than is requisite for the Nourishment of the whole Hand or Foot a whole day together And our own Eye-sight shews us in the Dissections of Living Creatures that upon tying the Mesenteric Vessels the Blood is forc'd through the Arteries to the Intestines and that a sufficient Quantity also flows back through the Veins to the Por●…evan XII The common Manner affirms That the Circulation of the Blood is caus'd by the Anastomoses of the Veins and Arteries by which the Orifices of the Arteries are united with the Orifices of the Veins and mutually open one into another So that where-ever any such Anastomoses are there is also Circulation I thence conclude that where those Anastomoses are not there is no Circulation It would be a very difficult thing to uphold this Opinion for that those Anastomoses are very few in the larger Vessels and tho' they may be more numerous in the small Ends of the diminutive Vessels which however are not every where discernable to the Eye yet because of the extraordinary Narrowness of such Passages very little Blood can pass through them not the sixth no not the tenth part of what is forc'd through the Arteries can enter the Veins Besides how shall the Parts be nourished by the Blood passing through those Anastomoses to which there is nothing contributed in that Passage Perhaps you will say there is as much allow'd 'em by Exhalation as is sufficient But hence it would follow in regard the thin Serum is most apt for such an Exhalation that all the Parts are nourished by Serum because the Blood being somewhat thicker cannot easily exhale through the Pores of the Vessels But this is absurd because the Serum is added to the Blood only for a
Chanel that is somewhat bowing and arch'd about the middle yet they do not all reach the Point neither but are turn'd upward with their Extremities For those which first descend from the Orifices of the Ventricles are shorter next to which are others somewhat longer yet not reaching to a Cone To these are joyn'd others somewhat longer So that at length the last which are the longest reach to a Cone and contain the rest which are shorter and plac'd under them and annexed to them And because the shorter contain'd under the longer make the Heap the higher it comes to pass that the upper and middle part of the Heart is somewhat more bunchy when the longer to whose Extremities the shorter cannot reach end in a sharper Cone Nevertheless according to the Observation of Nicholas Steno this same Course of the Fibres seems rather to be observed in the Region of the right than left Ventricle He observ'd this Course in the right Ventricle to ascend the Fibres obliquely descending inwardly from the Septum toward the hinder Parts along the exterior Superficies and so to elevate a little the bottom of the right Ventricle toward the Basis and hence it happens that in Contraction the Heart in the right side comes to be not only shorter but sometimes rounder and thicker and by reason of this greater shortness and thickness of the right and left side of the Walls of necessity the Hollowness of the Ventricles become narrower VII By reason of these Fibres and the Motion of Pulsation Hippocrates asserted the Heart to be a Muscle which has hitherto been stifly deny'd by all the Schools of Physicians who have generally asserted that it is the Chief Bowel in the Body 1. Because therein is generated the most noble Humour together with its Spirit viz. The spirituous Vital Blood whereas there is no particular Humour or Spirit generated in any Muscle 2. Because in hardness of Substance it exceeds the Substance of all Muscles 3. Because fleshy Fibres do not make a Muscle for otherwise the Stomach and the Piss-bladder by reason of their fleshy Fibres might easily be reckon'd into the number of Muscles From which they are nevertheless exempted by common Consent 4. Because the Heart has Ventricles and Valves which are not to be found in any Muscle of the whole Body 5. Because the Muscles are the Instruments of voluntary Motion which are mov'd at Pleasure and not perpetually but by Intervals and are tir'd by long and vehement Motion and so compell'd to desist from Motion Where on the contrary the Heart is mov'd not with an animal but with a natural unwearied Motion which cannot be alter'd increas'd lessen'd or stopt at pleasure but continues from the beginning to the end of a Man's Life Now tho these be very strong Arguments nevertheless Nicholas Steno goes on and pronounces that the Heart is nothing else but a Muscle because it has all those things that are allow'd to a Muscle neither is there any thing found in the Heart which is deny'd a Muscle and hence excuses it from the duty of sanguifying and generating natural Spirits and laies it up among the servile Muscles despoyl'd of all the Privileges hitherto allow'd it perhaps intending to write its Elegy in a short time with the same Applause as Bartholine makes his Epitaph upon the Liver as if I should say because the Piss-bladder has all those things which are allow'd the Stomach as Membranes Nerves Arteries and Veins and a globous and hollow Form therefore the Bladder is the Stomach and appointed for the same Uses VIII The Heart resembles a Pyramid with the sharp end turn'd downward or broad above and pointed below To which purpose it is divided into the Base or upper part and the Cone or sharp part which terminates below in a Point IX The Bigness of it varies according to Age and Temper Yet considering the Bulk of Body it is bigger in Men than in any other Creatures The ordinary length of it in Persons grown to ripe years is about the depth of six Fingers and four Fingers broad It is also observ'd that in men of hot Constitutions and Couragious it is lesser and harder but in cold Constitutions and Men that are timid it is bigger and softer In like manner in all other timorous and slothful Creatures according to the Proportion of the Body it is very large but in such as are bold and daring small or of a moderate bigness Bauschius however produces some Examples of Lyons dissected whose Hearts according to the proportion of the Bodies of those Creatures were much larger than in any other Creature Sometimes but very rarely there has been observed a wonderful Excess of the Heart in bigness And so that Man had a monstrous Heart which Dominic de Marchetti asserts to have dissected at Padua which was of so vast a Magnitude that the Lungs being very small it possess'd the whole Concavity of the Breast and depress'd the Diaphragma having the Pericardium joyn'd to the Pleura at the sides and its Ventricles so large that they were able to contain the ordinary Heart of any other Man No less monstrous was that of which Kerkringius writes that being dissected out of a Woman of forty years of age weighed two and twenty Ounces and whose right Ear only equalled an ordinary Heart of a Man The Pulmonary Artery also and the hollow Vein were of an extraordinary Bigness Many other Examples of Hearts of an extraordinary Bigness Bartholinus sets down in his Observations as having been seen by himself X. It is wrapt about on the side with a proper and thin but strong and compact Tunicle and hardly separable from it for the Security of the Bowel and such a Tunicle as this is that same thin proper exterior Tunicle of the great Arteries And as the thin Pellicle on the inside enfolding the Ventricles is continuous and common with that same thin Pellicle which like a smooth little Skin enfolds the greater Arteries on the inside hence it is very likely that the Arteries borrow these Tunicles from the Heart as the Nerves borrow two Tunicles from the Meninges of the Brain XI To this exterior Tunicle about the bottom grows a hard sort of Fat on purpose to moisten it which Riolanus has observed to be more copious and yellower in Women than in Men. This Fat has been seen so abounding round about the Heart in Beasts that formerly the Southsayers have been often deceiv'd thereby and have thought the Beasts had no Hearts Thus Spigelius writes that in an Eagle dissected at Padua he found the Heart surrounded with such a quantity of Fat that he could easily have perswaded many that were present that the Bird had no Heart XII It is a very rare thing to find the Heart Hairy which however has been observ'd in some Hearts As in that of Hermogenes the Rhetorician by the Report of Caelius Rodiginus And in Leodina and Lisander the
are two in number of which the Right and looser is plac'd next the Vena Cava the Left which is the lesser thicker and firmer joyns to the Pulmonary Vein They are both remarkable for their more than ordinary bigness in the Embryo IV. They are compos'd of a peculiar Nervous Substance though somewhat thin and soft for more easie Dilatation and Contraction V. Their outward Superficies appears to be full of Wrinkles but smooth when fill'd and distended VI. They are both concave and supported on the inside with strong and nervous Fibres as with Pillars between which are to be seen certain little Furrows fewer on the Right side more on the Left VII In the Birth and new-born Infants they are of a ruddy Colour in Persons of ripe years somewhat darker than the Heart which nevertheless in Dilatation by reason of the Blood receiv'd grows more ruddy in Contraction the Blood being discharg'd becomes paler VIII They are dilated and contracted like the Ventricles of the Heart but varying in Time For always the dilatation of the Ventricles concurs with the contraction of the Ears and the contraction of the Ventricles concurs with the dilatation of the Ears as appears by the Dissection of Living Creatures Which teaches us also that they continue a weak palpitation when the motion of the Heart sails and are as it were the last parts that die Hence Harvey and Ent were of opinion that they were first enliven'd and that the beating little Vessel that appears first in the Egg was the little Ear and not the Heart Which Deusingius opposes and which seems to be an Error by the number it self seeing the Heart has two little Ears and only one jumping little Vessel appears in the Egg which in all probability seems rather to constiture the Heart which is single than the Ears that are two IX Their Use is to receive the Blood first of all from the Vessels that bring it in slightly to ferment and prepare it and so prepar'd to send it to the Ventricles Walaeus believes 'em to be the Measures of the Blood carry'd to the Ventricles from the Vessels that bring it in which Opinion Riolanus also approves But Sennertus that they are appointed for the particular Attraction of Air for the making of Spirits But how much he is deceiv'd we have already told you and shall further declare in the following Thirteenth Chapter X. The Heart has two Cavities call'd Ventricles distinguish'd by the Middle Septum which is fleshy close and thick gibbous on the Right side concave on the Left a wonderful piece of Workmanship wrought on both sides with little Pillars or Sinews and several little Caverns but no where pervious These Sinews some take for Muscles and little Fibres proceeding from them and extended as well to the treble-pointed as the Mitral Valves and to be the Tendons of those Muscles conducing to the Contraction of the Valves of the Heart Whence appears the Error of the Ancients who wrote that the Blood pass'd through its broader pores from the Right to the Left Ventricle Certainly if there were any such pores diligent Nature had in vain provided that Oval Hole in the Basis of the Heart and that some middle Vessel which joyns the Pulmonary Artery with the Aorta for then there had been no need of these passages if the Blood could have pass'd through the pores of the Septum from the Right into the Left Ventricle And therefore Realdus Columbus deservedly opposes that ancient Opinion and truly informs us that the Blood is thrust forward into the Lungs out of the Right Ventricle through the Pulmonary Artery and from thence descends into the Left Ventricle through the Pulmonary Vein Farther also he writes That he had found that same Septum by which the Ventricles are distinguish'd to be gristly in some Bodies a certain sign that the Blood could not pass through that from the one to the other Ventricle Let Riolanus therefore hold his peace who so stifly defends the passage of the Blood out of the Right Ventricle to the Left through the Septum that he supposes Figments for Foundations and affirms that the Septum is not only conspicuously pervious toward the Point but also that there are certain little holes in it Perhaps Riolanus might see these holes in his Sleep which never could be found by any Anatomist that was awake either in a raw or boyl'd Heart Only Dominic de Marchettis writes that he found once two holes in the upper part of the Septum which were furnish'd with Valves in the Left Ventricle But without doubt he was deceiv'd by one great oval hole which in new-born Children is always to be seen but afterwards is clos'd altogether and this by reason of its extaordinary Breadth he took to be two XI In the Ventricles sometimes various Things are bred contrary to Nature though the Physician can hardly tell what the Patient ayls Sometimes we have found little Gobbets of Fat and as it were little soft whitish pieces of Flesh about the bigness of half an Egg and sometimes bigger In October 1663. we dissected a Virgin about three and twenty years of Age who in her Life-time had often complain'd of an extraordinary heaviness and palpitation of her Heart and had often fallen into swooning Fits and so dy'd In whose Body we found such a Gobbet of Fat almost filling the Right Ventricle and another little one in the Lest and after a more diligent Search we found that it was no kind of Body bred by the coagulation of Blood but really a firm piece of Fat not to be crumbl'd between the Fingers And this we judg'd to be the Cause of her Death for we could find no other in the whole Body Neither did she complain in her Life of any other Distemper than of that Anxiety and those swooning Fits which the ignorant People of the House took for Convulsions or Fits of the Mother In Decemb. 1668. In another young Wench of the same Age we found in the Right Ventricle such another Body of Fat about the bigness of half a Hen-Egg And both Bauhinus and Riolanus write That they have often met with such pieces of Fat. Smetius also tells us two Stories of a whitish Substance found in the Heart about half a Fingers length a Thumb's breadth resembling the Marrow of the Leg of an Ox furnish'd with several Appendixes Tulpius tells us of a Flegmatic Polypus found by himself in the Left Ventricle Vesalius writes That he found in the Left Ven tricle of the Heart two pounds of a blackish Kernelly sort of Flesh which seems to be an Error of the Printer instead of two Ounces the man before his Death being very sad very wakeful and his Pulse beating very unequally Beniverius tells us That he found in one Body a piece of Flesh like a Medlar and in another a hard brawny Substance about the bigness of a Nut. Nicholas Massa