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A47113 The anatomy of the humane body abridged, or, A short and full view of all the parts of the body together with their several uses drawn from their compositions and structures. Keill, James, 1673-1719. 1698 (1698) Wing K131; ESTC R16835 145,956 365

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because of the Valvulae Tricuspides which communicates with the Vena Pulmonaria which carries back the Blood into the left Ear which in its Systole thrusts the Blood into the left Ventricle which is then in its Diastole In the Systole of this Ventricle the Blood is thrust into the Aorta for it cannot return into the Ear because of the Valunlae Mitrales which carries it thorow all the Body Now the Aorta when it comes out of the Heart ascends a little upwards and then turns downwards to form the descending Trunk because the Blood might offend the Brain if it ran with that impetuosity with which it 's thrown out of the Heart and from the upper side of this turning the Cervical and Axillary Vessels do arise by this artifice the Blood collides against the sides of the Aorta its force is broken part of it is taken in by the Mouths of the ascending branches but it s greatest part is directed downwards Of the Circulation of the Blood in the Foetus Let us now consider which way the Blood circulates in the Foetus for this you must observe that in the right Ear on the lower side of the Protuberance of the Cava just opposite to the Mouth of the Cava Descendens there is a hole called the Foramen Ovale which opens into the Vena Pulmonaria this hole has a Valve which suffers the Blood to enter the Vein but hinders it to come back again There is likewise a Passage or Canal called Ductus Bottali which comes from the Trunk of the Arteria Pulmonaria and goes to the Trunk of the Aorta Now the Blood which comes from the Placenta by the Umbilical Vein into the Porta is sent into the Cava by a Canal which goes straight from the Trunk of the Porta to the Trunk of the Cava in the Liver This ascends the Vena Cava and is directly thrown thorow the Foramen Ovale into the Vena Pulmonaria which carries it into the left Ventricle which throws it into the Aorta to be distributed thorow all the Body But the Blood which comes down the Vena Cava ascendens is diverted by the Isthmus of the Cava from the Foramen Ovale and falls into the right Ventricle which thrusts it into the Arteria Pulmonaria from whence it 's immediately carried by the Ductus Bottali into the Aorta to be mixt with the rest of the Blood By this you see that the Blood which comes from the Vena Cava descendens passes only thorow the left Ventricle whilst the Blood which comes from the Cava ascendens passes only thorow the right Ventricle Thus having shewed what way and by what means the Blood circulates thorow the Heart let us now reflect a little upon the quickness of its motion Each Ventricle will at least contain an Ounce of Blood and therefore we may safely suppose that the Heart throws into the Aorta an Ounce of Blood every time it contracts The Heart contracts 4000 times in one Hour or sometimes more and sometimes less according to the different Temperaments Sexes and Ages from which it follows that there passes thorow the Heart every hour 4000 Ounces or 350 Pound of Blood Now the whole mass of Blood is but about 25 Pound so that a quantity of Blood equal to the whole mass of Blood passes thorow the Heart 14 times in one hour which is about once every 4 minutes I say a quantity which is equal to the whole mass of Blood and not the whole mass it self for it is not to be supposed that the Blood which goes to the Extremities can return to the Heart as soon as the Blood which goes only to the Kidneys or Liver The Velocity and quantity of Blood together with the time it takes to run in different Blood Vessels differ according to the different lengths and orifices of the Vessels according to the greater and lesser Compression the Vessels receive in the different Parts thorow which they run according to different quantity of Secretions from the Vessels in the several Parts of the Body according as the Vessels have more or less turnings and windings and according as they divide into more of fewer branches These things determinate the Velocity Time and Quantity of Blood in the several Vessels of the Body In the Blood there is much volatile Salt and Spirits some Phlegm and Sulphur a little Earth but little or no fixt Salt Alcali's dissolve it and Acids coagulate it SECT V. Of the Lungs Of the Figure of the Lungs THE Lungs are in the middle of the Cavity of the Thorax they are divided into two Lobes by the Mediastinum and the left is ordinarily subdivided into two more The Figure of both Lobes together resemble a Cows foot being a little concave betwixt the two Lobes where they embrace the Heart and behind where they lie upon the Vertebrae but before where they touch the Sternum and Ribs they are Convex The colour of the Lungs in a Foetus is of a pale red but after that the Air has once entered them Of their Colour and Connexion they lose their red and remain always pale yet in Adults they are variegated with the one and the other They are tied to the Sternum by the Mediastinum before to the Vertebrae by the Pleura behind where it rises from the Vertebrae to the Heart by the Vena and Arteria Pulmonaria and sometimes to the Pleura where it covers the Ribs particularly in the left side and especially after a Pleurisie Of the Membranes of the Lungs The Lobes of the Lungs are covered with a double Membrane the External is smooth fine but close The Internal is rough and unequal formed by the Extremities of the Vessels and Membrance which tie the Vesicles together It resembles the side of a Honey-Comb Of the Structure of the Lungs Each Lobe is subdivided into an infinite number of little Lobes disposed like so many Grapes upon the Sides and Extremities of the branches of the Bronchiae covered each with their proper Membrane and tied together by a number of Membranes which fill up the Spaces that these Lobes leave between one another Each little Lobe contains an infinite number of small and little Orbicular Vesicles which leave small Interstices between them which are full of small Membranes like those which tie the Lobes together Each Vesicle receives a twig from the branch of the Brochiae that enters the Lobe in which they are contained This twig opens in their Cavity which is divided into little Cells which communicate with one another and a twig from the Vein Nerve and Artery which are spread upon the Membranes of the Vesicle each Vesicle communicates with one another Of the Vessels of the Lungs Now the Vessels which enter the Lungs are the Trachea or Aspera Arteria which comes from the Larynx the Arteria Pulmonaria which comes from the right Ventricle and Vena Pulmonaria which comes from the left Ear
of it comes out at the hole in the foreside of the same Bone under the Orbit and is distributed in the Cheeks and Nose Another passes under the Processus Zygomaticus and is distributed in the temporal Muscle and the third is distributed in the Palate and Muscles of the Pharynx The third branch of the fifth Pair passes thorow another hole of the Os Sphaenoides and then it divides into two branches the first of which is again divided into four branches of which the first passes between the Condile and the Corone of the lower Jaw to the Massater The second is distributed in the Crotaphites The third passes under the Processus Zygomaticus to the Buccinator Glands of the Cheeks and upper Lip And the fourth passes from behind the Condile of the lower Jaw where it joins the Pars Dura over the Jaw and is distributed in the Face The second branch is divided into three others The first passes between the Pterigoidaeus Externus and the Internus and towards the Angle of the lower Jaw it sends out a branch which makes the Chorda Tympani which goes also to the Muscles of the Malleolus and then it joins the Portio Dura before it comes out of the Cranium the rest is spread on the Chin. The second goes along the sides of the Tongue sends out several branches which join the ninth Pair It gives also some twigs to the Glandulae Sublinguales to the Muscles of the Tongue and Os Hyoides The third goes to the teeth of the lower Jaw by the holes in its inside The sixth Pair The sixth Pair of Nerves rise from the sides of the Processus Annularis This is a small Nerve which passes straight thorow the Foramen Lacerum and is wholly spent on the Musculus Abducens But a little before it enters the Orbit it casts back a branch which alone makes the root of the Intercostal Nerve It passes out of the Skull by the same passage the Carotidale Artery enters As soon as it is come out of the Skull it with a branch of the tenth Pair and of the first and second of the Vertebrae of the Neck forms a large Plexus called Cervicalis Below this it receives a branch made of a twig of the tenth Pair and of the first of the Neck As it descends above the Musculus Scalenus and below the eighth Pair it receives a branch from each of the Vertebral Nerves When it comes to the Clavicula it divides into two branches of which one passes above the Axillary Artery and the other under it and then they immediately join again they with a branch of the first Pair of the Back form a pretty large Plexus at this place and sometimes before for it observes no regularity it casts out a branch which with a branch of the eighth Pair forms the Plexus Cardiacus then it goes down the Cavity of the Thorax under the Pleura near the Vertebrae and as it passes by it receives a branch from every Pair of the Back by which it grows bigger and bigger As it goes out of the Thorax it divides into several branches of which the three Superior in the right side form the Plexus Hepaticus and in the left the Plexus Splenicus These Plexus's furnish Nerves to the Kidneys to the Pancreas to the Caul to the lower Part of the Stomach to the Spleen to the Liver to the Mesentery to the Intestines and their branches form a large Net upon the Mesenterick Arteries called Plexus Mesentericus The Inferior branches as they go down upon the Vertebrae of the Loins receive a branch from the first of the Loins and they send out some branches which join those of the Superior branches which go to the Guts and which form the Net upon the Mesenterick Arteries Then they go down into the Bason and form a large Plexus above the streight Gut to which it gives Nerves as also to the Bladder Vesiculae Seminales Prostratae in Men and to the Womband Vagina in Women Nervus Auditorius The seventh Pair is the Nervus Auditorius it arises from the hind part of the Processus Annularis it enters the hole in the inner Process of the Os. Petrosum it divides into two branches that which is soft is called Portio Mollis and it is distributed in the Labyrinth Cochlea and Membranes which cover the Cavities of the Ear. That which is hard is called Portio Dura it goes out of the Ear by that hole which is between the Processus Mastoides and Styloides it divides into two branches of which one goes to the Muscles of the Tongue or Os Hyoides and it gives a small branch to the eighth Pair The other is distributed in the External Ear Nose Lips and Cheeks Par Vagum The eighth Pair is the Par Vagum it rises from the sides of the Medulla Oblongata behind the Processus Annularis by several Threads which join together and go out by the same hole that the Sinus Laterales discharge themselves into the Jugulares It is joined by a branch of the Nervus Spinalis or Accessorius Willisii and by a small branch of the Portio Dura immediately after it comes out of the Skull it gives a small branch to the Larynx as it goes down the Neck above the Intercostal Nerve by the side of the Internal Carotide At the Axillary Artery it casts back the recurrent Nerves of which the right embraces the Axillary Artery and the left the Aorta These two branches ascend on each side of the Trachea Arteria to the Larynx where they are spent on the Muscles of the Larynx and Membranes of the Trachea Then the eighth Pair after it has entered the Cavity of the Thorax sends out two branches which with the branches of the two Intercostals form a little above the Heart between the Aorta and the Trachea the Plexus C●●dincus which gives a great number of small branches to the Pericardium and Heart particularly very many creep along the Aorta to the left Ventricle The eighth Pair gives also several branches to the Lungs which accompanying the Bronchiae then it descends upon the Oesophagus and is spread upon the Stomach and some twigs go to the Concave side of the Liver as has been said already With this Nerve it is usual to describe another which passes out of the Skull at the same hole with it It is called Nervus accessorius Willisii it arises from the Medulla Spinalis about the beginning of the sixth Pair of the Neck as it ascends to the Head it receives on each side a twig from the first five Pair of Nerves of the Neck as they rise from the Medulla Spinalis then it enters the Skull and passes out of it again with the eighth Pair and is wholly spent upon the Musculus Trapezius The ninth Pair The ninth Pair rises from the Processus Olivares of the Medulla Oblongata it passes out of the Skull by its own proper hole in the Os
pressed for the distribution of the Chyle but it diminishes the Cavity of the Breast when it resumes its natural Situation and presses the Lungs for the Expulsion of the Air in Expiration SECT III. Of the Pleura Mediastinum and Thymus Of the Pleura THE Pleura is a double Membrane which covers all the Cavity of the Thorax it arises from the Vertebrae of the Back ascends on each side upon the Ribs to the middle of the Sternum It is fixed to the Periostium of the Ribs to the internal intercostal Muscles and it covers the Midriff It s side towards the Cavity is smooth and equal but that which is fixed to the Ribs is rough The Vessels which run betwixt its Duplicature are Veins from Vena Azygos and upper intercostal Vein Arteries from the Inferior and Superior intercostal Arteries and Nerves from the twelfth Pair of the Back from the intercostal Pair and from the eighth Pair Of the Mediastinum The Mediastinum is a double Membrane formed by the continuation of the Pleura it comes from the Sternum and goes straight down thorow the middle of the Thorax to the Vertebrae dividing the Cavity in two It contains in its doubling the Heart in its Pericardium the Vena Cava the Oesophagus and the Stomachick Nerves The Membranes of the Mediastinum are finer and thinner than the Pleura and they have a little Fat The Mediastinum receives branches of Veins and Arteries from the Mammillary and Diaphragmatick and one Proper called Mediastina its Nerves come from the Stomachick it has also some Lymphaticks which open in the Thoracick Duct The Mediastinum divides the Thorax in two Parts to the end that one Lobe of the Lungs may officiate if the other be hindered by a Wound on the other side of the Thorax it fixes the Heart in its Pericardium and preserves them from external Injuries Sometimes there is a matter contained betwixt its Membranes immediately under the Sternum which may occasion the Trepaning of this place Of the Thymus The Thymus passes for a Conglomerate Gland a little softer than the Pancreas situated in the upper Part of the Thorax under the Claviculae where the Cava and Aorta divide into the Subclavian branches This Gland is big in Infants but as they grow in Age it grows less It receives Veins and Arteries from the Jugulars Nerves from the Par Vagum and Lymphatick Vessels which discharge themselves in the Subclavian Vein The use that is commonly given to the Thymus is to be a little Cushion to support the Thoracick Duct and to strengthen the Cava and Aorta at their Divisions in the Subclavian Vessels to defend them against the hardness of the Vertebrae But 't is probable that its principal use is to filtrate or separate some Liquor which is not yet known SECT IV. Of the Pericardium Heart and its Parts Of the Pericardium THE Pericardium is a thick Membrane of a Conick Figure it res●mbles a Purse and contains the Heart in its Cavity It s Basis is pierced in five places for the Passage of the Vessels which enter and come out of the heart it is fixed to the Mediastinum and to the Midriff It receives its Vessels from the Axillaries and Phrenicae Nerves from the recurrent and Diaphragmatick It has Lymphaticks which discharge themselves in the Thoracick Duck. It defends the Heart from external Injuries Of the Water contained in the Pericardium In the bottom of the Pericardium there is a clear and sweet tasted Water but in some tinctured a little with Blood It is found in abundance in the Pericardium of Women and Old Men but there is little of it in those that are Hectick and Pleuritick When it is in too great quantity it causes a Palpitation of the Heart and sometimes Death Authors do not agree about the rise of this Water Some say that it comes from the Extremities of the Arteries others that it comes thorow the Substance of the Heart but it 's more probable that it is filtrated thorow the Glands which are at the basis of the heart and that it may not abound too much nor putrify by standing too long it is taken up by some small Glands which are in the Membrane of the Pericardium and from them carried by the Lymphaticks into the Thoracick Duct Of the Situation Figure and Connexion of the Heart The Heart is situated in the middle of the Thorax between the two Lobes of the Lungs it is of a Conick Figure It s basis is the upper end and its Apex or Point is the lower end which is turned a little to the left side therefore its motion is best felt there It is tied to the Mediastinum to the Pericardium and sustained by the great Vessels which bring and carry back the Blood It is covered by a Membrane which is the proper Membrane of the Muscles its basis is always surrounded with Fat in which there are some small Glands Of its Vessels It has two Veins which come from the Cava immediately before it opens in the Heart and they are accompanied with two Arteries from the Aorta which run thorow all the Substance of the Heart they are called the Coronal Vessels The Veins on the right side communicate at their Extremity with the Veins of the left In like manner do the Arteries of each side communicate with one another and it is the same almost in all the Parts of the Body The Heart receives a multitude of small Nerves from the eighth Pair particularly they creep in great numbers about the Aorta and on the left Ventricle It has also some Lymphaticks which discharge themselves in the Thoracick Duct At the basis of the Heart there are two Auriculae or little Ears Of the Auriculae one on the right the other on the left side In the right Ear opens the Vena Cava in the left the Vena Pulmonaria The first discharges the Blood that it receives from the Cava into the right Ventricle and the second thrusts the Blood that comes from the Vena Pulmonaria into the left Ventricle Their Figure is like the triangle Ambligonium the left is less but thicker than the right Their Substance is composed of two Orders of muscular Fibres which terminate in the tendon in the basis of the Heart and at the right Ear there is a circle like to a tendon where the Cava ends Their external Surface is smooth their internal is unequal full of small fleshy Pillars which send out small Fibres that cross and go thwart one another and betwixt these Pillars there are as many furrows which are more in the left than in the right Ear they receive Nerves from the branches of the eighth Pair They have the same motions of Systole and Diastole as the Heart which we shall explain afterwards Their Vse Their Use is to receive the Blood which is brought by the Veins and by them to be thrust
into the Ventricles of the Heart Of the Ventricles of the Heart In the Heart there are two Cavities or Ventricles which answer to the two Ears one on each side the sides of these Cavities are very unequal full of Fibres and little fleshy Productions long and round of a different Figure and bigness called Columnae or Pillars Betwixt these Fibres there are several furrows in the sides of the Ventricles especially in the left Ventricle they are deeper and larger they contribute much to the close contraction of the Ventricles And because the side of the right Ventricle is much thinner than the left therefore there are often two or three fleshy Fibres which come from the middle Partition to its opposite side to hinder it from dilating too much The right Ventricle seemeth wider than the left which is longer and narrower than the right and its sides stronger and thicker The two Ventricles are separated by the Septum Medium which is properly the inside of the left Ventricle being its Fibres are continued with the Fibres of the opposite side of the same Ventricle The Vessels which enter and come out of the Heart are the Vena Cava the Arteria and Vena Pulmonaria and the Aorta or Arteria Magna Of the right Ventricle and of its Valves The right Ventricle receives the Blood from the Vena Cava thorow the right Ear and at the mouth of the Ventricle there are placed three Valves made of a thin Membrane they are of a triangular Figure and are called Tricuspides their bases are fixed to the mouth of the Ventricle and their Points tied by small Fibres to the fleshy Productions so that when the Heart contracts its Point approaches its basis the fleshy Productions move upwards therefore the Fibres of these Valves are relaxed and the Valves lifted up by the Blood which gets underneath them because the furrows and fleshy Productions keeping the Valves at a little distance from the sides of the Ventricle give way to the Blood to pass under them and so to thrust up the Valves which shut so closely the entry into the Ventricle that the Blood cannot return the way it came in But when the Ventricle is dilated the Fibres are pulled down and the Passage made open for the Blood to enter Of the Valves of the Arteria Pulmonaria When the Heart contracts the Valves being lifted up the Blood in the right Ventricle finds an open Passage into the Arteria Pulmonaria which rises immediately out of the right Ventricle its Mouth is less than the Cava it has three Valves called Segmoidales or Semi-lunares because they resemble a Half-Moon or Segment of a circle their Substance is membranous When they separate they give passage to the Blood from the Ventricle into the Artery but they shut the Passage and are thrust together by the Blood if it endeavours to return Of the Valves of the left Ventricle The Vena Pulmonaria discharges it self thorow the left Ear into the Ventricle of the same side At the Orifice of this Ventricle there are two Valves called Mitrales because when they are joined together they resemble a Mitre they are broader than the other Valves they are situated and have the same use as the Tricuspides in the right Ventricle Of the Valves of the Aorta The Aorta or great Artery rises immediately out of the left Ventricle it has three Valves which have the same Use and Figure as the Semi-lunares in the Arteria Pulmonaria Of the Substance of the Heart and of the order of its Fibres The Heart is a compound Muscle its Substance is made of Fibres of the same Nature as those of other Muscles there are several Orders of them which have different Directions and all their Tendons are in the basis of the Heart The First or External Order is of Fibres which surround the whole Heart they go in an Oblique or Spiral Line from the left to the right except on the Surface of the right side some of its finest Fibres go in a straight Line from the basis to the Point The Second or next order surrounds also the whole heart they have a contrary Direction which is from the right to the left in an Oblique or Spiral Line The next Orders are only proper to the left Ventricle The first which is on the external side of the Ventricle goes in an Oblique Line from the left to the right The second Order is on the inside or that which makes the Septum Medium or Partition Wall of the Ventricles they go in an Oblique Line from the right to the left and they are continued with the foregoing Fibres at the Point of the Heart All these Orders of Fibres come together as to one common Centre at the Point of the Heart But Obs That all the Fibres of the same Order do not always go from the basis to the Point for some after they have gone about half way obliquely from the one side turn up obliquely and are inserted in the basis on the other side Neither do all the Fibres in the same order keep together for some intermix with the Fibres of the next Order so in separating these Orders many Fibres are broken Some of the Fibres in the internal Orders proper to the left Ventricle terminate in the fleshy Productions of the same Ventricle The Bone which is found in the basis of the Hearts of several Beasts is nothing but the tendons of the Fibres of the Heart ossifyed it is sometimes found in Men. Of the Systole and Diastole of the Heart This Muscle has two Motions which they call Systole and Diastole The Systole is when the Fibres of the Heart contract its Point approaches its basis the Heart becomes short its sides swell and its Cavities are strongly pressed on all sides The Diastole is when this Muscle ceaseth to act its Fibres are lengthened its Point retires from its basis its sides fall and its Cavities become large and wide Of the Circulation of the Blood thorow the Heart Having described the Heart and its Parts let us now consider the Circulation of the Blood which is performed by means of this Muscle the Vena Cava Ascendens and Descendens unite in one and open into the right Ear where they unite there is a little Protuberance made by their Coats on the inside of the Canal like an Isthmus which directs the Blood both of the one and the other into the Ear and so hinders them from rushing upon one another The right Ear in its Diastole receives the Blood from the Vena Cava which by its Systole is thrust into the right Ventricle for the tendinous Circle which is at the Mouth of the Cava contracts and hinders the Blood to return into it which at the same time is in its Diastole in the Systole of the right Ventricle the Blood is thrust into the Arteria Pulmonaria for it cannot return into the Ear
other two which co●● each side of the proper Membrane come from the Peritonaeum Its Vessels The branches of the Arteria Mesenterica Superior and Inferior which come from the Aorta and the Venae Mestraice which come from the Porta run upon its proper Membrane to the Intestines the Nerves which come from the Intercostals and some sprigs from those of the Vertebrae of the Loins make some Plexus from which there goes an infinite number of small twigs to the Coats of the Intestines The Venae Lact●● and Lymphatick Vessels run also throw the Mesentery In it there are also a great number of Glands among which there is one bigger than the rest near its centre called by Assellius Pa●creas These Glands are surrounded with a great deal of Fat the Lacteal Veins which come from the Intestines terminate in them and other Lacteals arise from them and go to the receptacle of the Chyle Sometimes these Glands being obstructed curn Schirrous and excessively big It s Vse The Use of the Mesentery is to keep the Intestines in order and to sustain the Meseraick Veins Arteries Lacteal and Lymphatick Vessels Of the Ve●●e Lacteae Assellius was the first who found out the Venae Lacteae in the Year 1622. They are so call'd because they are long transparent Vessels which appear white by the Chyle which they contain They are so small as that they cannot be seen but when they are full of Chyle They are of two Sorts They are of two Sorts the first sort are called Radicales or Venae Lacte● primi generis they come by little branches from the Intestines particularly from the Jejunum and Ilenum and they run betwixt the Duplicature of the Mesenterium where they unite and form great branches which go to the Glands in the Mesenterium The second Sort are called Lactea secundi generis they come from the Glands in the Mesenterium by several branches which uniting form bigge branches which carry the Chyle from the Glands to the Receptaculum They have Valves at certain distances as other Veins which hinder the Chyle to return into the Intestines The first Sort have their Orifices in the Cavity of the Intestines covered with the slime and mucosity of the inner Tunicle of the Intestines the Chyle which enters them is filtrated thorow the Glands which are in this Coat Of the Receptaculum Chyli Assellius and almost all thought That the Lacteae of the second Order carried the Chyle to the Liver But Pecquet who found out the Receptaculum Chyli in the Year 1651. hath shewed by Ligatures that they go not to the Liver but to the Receptaculum This Receptacle is easily found in Bodies that are alive but with a greater difficulty in those that are dead it is of a Vesicular Substance which is thicker in Men than in Beasts but its Cavity is bigger in these than in those Bartholine opening two Bodies immediately after their Death and about four Hours after they had Eat observed three Glands which he calls Lumbares The first which was the least was situated under the right root of the Diaphragma and the other two which were bigger were situated in the Angle made by the Aorta and Emulgents they had Communication with one another by some Lacteal Vessels these he thinks were in stead of Pecquet's Receptacle Of the Ductus Thoracicus From this Receptacle arises a Vessel called Ductus Thoracicus which is sometimes found double This Vessel ascends all along the Vertebrae of the Back under the Oesophagus between the Azygos and the Aorta and discharges it self of the Chyle which it receives from the Receptacle into the left Subclavian Vein by three or four small Pipes or Branches which have every one at their Orifices a small Valve which gives a free passage to the Chyle into the Subclavian but which shuts and hinders it to return back again This Duct is also called Ductus Communis Lymphoticus because the Lymphatick Vessels discharge themselves into it It has several Valves at certain distances which further the ascent of the Chyle towards the Subclavian by sustaining of it that it fall not back again into the Receptacle The use of the Lacteae and Ductus Thoracicus The Chyle being pressed by the Peristaltick Motion of the Guts into the Lacteae is received into the Receptacle from whence it is forced by the pressure of the Intestines and action of the Muscles of the lower Belly into the Ductus Thoracicus which carries it to the left Subclavian Vein to be carried with the Blood to the Heart SECT X. Of the Glands in General THE Modern Anatomists have reduced all the Glands of the Body to two Sorts viz. Glandulae Conglobatae and Glandulae Conglomeratae Of the Glandulae Conglobatae The Glandulae Conglobatae are formed by the several turnings of one or more particular sorts of Vessels closely tied together and wrapt up in one common Tunicle Such are the Testicles and Epididymides Of the Conglomeratae The Conglomeratae are such as are composed of many little Glands each of which is covered with its own proper Coat has its own proper Excretory Vessel which sometimes uniting with the rest form one or more Excretory Ducts and they are all closely tied to one another by Vessels and Membranes and all covered with one common Membrane such are the Pancreas the Liver the Salivares c. The use of the Glands is to separate the Humours such as the Bile Urine Spittle and others from the Blood which is brought to them by the Arteries And tho' of this there can be no Controversy yet what the inward Structure of the Glands is and how they separate these Humours is very much disputed by Anatomists There are some who will not have the Glands to differ from one another nor yet from other Vessels except only in this That their Orifices or Cavities are of different Figures that is they are either Triangular Quadrangular Septangular or such like Others again think That the Arteries and Veins are but one continued Canal and that at the Extremity of the Artery or beginning of the Vein there goes out a Vessel called the Excretory Duct through which the Humour passes and these Ducts have circular Orifices which differ from one another only in magnitude The Learned Bellinus ingeniously imagines That a Gland is only a single Cylindrical Tube which may be either Straight Spiral or otherwise Crooked from which there goes one or more Excretory Ducts as the Venae Lacteae go from the Intestines This Tube at one end is continued to the Artery and at the other to the Vein both which are of a Conical Figure There are as many or more Opinions about the way the Humours are separated The Ancients maintained that it was done by Ferments but as these Ferments must mix with the Blood to separate the Humours from it so they must be exhausted and there must be another Ferment to separate more
but what we call Systole and Diastole It is done as much by the Structures of the Fibres of the Heart and Arteries as by the Blood which being thrust with Violence by the Contraction of the Fibres of the Heart into the Aorta dilates its Fibres because it is thrust from a wide passage into a narrow one the Fibres being once dilated by their spring contract again and so thrust the Blood to their Extremities as fast as they receive it from the Heart The Use of the Arteries is to carry the Blood to all the Parts of the Body It is hard to distinguish the Capillary branches of the Arteries from those of the Veins if it is not by the Injection of tinctured Liquors The Capillary branches throughout all the Body unite with one another as well as with the Veins SECT XII Of the Trunk of the Aorta Ascendens THE Aorta coming from the left Ventricle of the Heart sends out two branches called Coronariae before it pierces the Pericardium but after it hath pierced it it ascends a little and then it crooks downwards and forms the Aorta Descendens From the upper side of this Crook it sends out three branches two on the left side which are one Subclavian and one Carotide one on the right side which is the right Subclavian from which immediately rises the right Carotide The Arteria Subclavia on each side send out the Mediastina the Intercostalis Superior the Mammaria the Cervicalis or Vertebralis and the Muscula which goes to the Muscles of the Neck of the Breast and to the Glandulae Thyroides After that the Subclavia hath passed thorow the Musculus Scalenus it is called Axillaris The Arteriae Carotides as they ascend on each side of the Trachea Arteria give some small branches to the Trachea Arteria to the Larynx to the Glandula Thyroides and then they divide into two branches the one Internal the other External The External Carotide sends out four branches The first goes to the Tongue to the Muscles of the Os Hyoides and to the Pharynx The second divides into two branches of which the first loses it self in the Muscles Milohyoides and Digastrici and the second goes along the basis of the lower Jaw and is lost in the Muscles of the Lips The third branch of the External Carotide divides at the Angle of the lower Jaw into two branches one enters into the lower Jaw and the other makes the Arteria Temporalis The fourth branch of the External Carotide goes to the Muscles on the hind Part of the Neck and to the Skin of the hind Head The Internal Carotide passes thorow the Canal in the Os Petrosum gives some branches to the Dura Mater joins with the Cervicalis sends out branches to the Glandula Pituitaria Plexus Choroides then it runs thorow all the Circumvolutions of the Cerebrum and Cerebellum and loses its Capillary branches in their Cortical Substance The Axillaris having pierced the Scalenum gives some little branches to the nearest Muscles it sends out the Thoracica Superior and Inferior the Scapularis and then it gives a branch which passes under the Head of the Humerus into the Musculus Longus and Brevis of the Arm. The Trunk of the Axillaris goes down the inside of the Arm giving branches by the way to the Muscles that lie upon the Humerus Above the Elbow it sends out a branch which is spread upon the Internal Condile of the Humerus At the bending of the Elbow this same Trunk divides into two branches the one External and the other Internal The External runs along the Radius it casts out a branch which goes to the Supinator and ascends to the Brachialis Internus in the rest of its course down to the Wrist it gives branches to the Longus Rotundus and benders of the Fingers Wrist and Thumb Being come to the Wrist it sends out a branch which goes to the beginning of the Tenar then it passes under the Tendon of the Flexor Pollicis it gives branches to the External Part of the Hand and it passes under the Muscles between the fore Finger and the Thumb to which it gives a branch on each side The Internal branch goes down along the Cubitus to the Wrist and is distributed to the middle Finger to the ring Finger and to the little Finger SECT XIII Of the Aorta Descendens THE Aorta Descendens sends out first the Bronchialis of M. Ruysch which accompanies all the branches of the Bronchiae A little lower it gives the Intercostalis Inferior the Phrenica which are distributed in the Diaphragma the Lumbaria which goes to the Muscles of the Loins and Psoas the Celiaca which divides into two branches the one on the right the other on the left of which the first gives the Gastrica Dextra which goes to the Stomach the Cisticae to the Gall-Bladder the Epiplois Dextra to the Omentum the Intestinalis to the Intestine Duodenum and to a Part of the Jejunum the Gastro-Epiplois to the Stomach to the Omentum and some branches to the Liver which enter the Capsula Communis to accompany the branches of the Vena Porta The left branch of the Caeliaca gives the Gastrica Dextra which is also spread on the Stomach the Epiplois Sinistra to the Omentum and the Splenica to the Substance of the Spleen Then the Aorta Descendens sends out the Mesenterica Superior the Renales or Adiposae which go to the Glandulae Renales and fat about the Reins the Emulgents to the Reins the Spermaticae to the Testicles the Lumbares Inferiores to the Muscles of the Loins the Mesenterica Inferior which with the Superior is distributed thorow all the Mesenterium and which accompanies all the branches of the Venae Meseraicae When the Aorta is come to the Os Sacrum it divides into two branches called Iliacae and before these branches go out of the Cavity of the lower Belly to go to the Thighs it sends out 4 or 5 branches The first is the Sacra which rises near the middle of the division and is spread in the lower Belly upon the Os Sacrum The second and the greatest is the Hypogastrica 't is distributed to the Bladder to the Rectum to the outer and inner side of the Matrix and to the Os Sacrum then it gives two considerable branches which go out of the lower Belly The first passes under the Pyriformis and is distributed to the Muscles called Glutaei The second which is lower than the first gives also two branches pretty big of which the first goes to the Obturatores the second pierces the Cavity of the Abdomen under the Pyriformis and loses it self by several branches in the Glutaeus Major The third is the Pudenda which passes under the Os Pubis goes to the Privities when this branch is wanting the Hypogastrica supplies its place The fourth is the Ilias Minor or Muscula Inferior it goes to the Muscle Iliacus transversus and Obliquus Ascendens
of the Heart each of these divides into two branches for the two great Lobes of the Lungs which being accompanied with the branches from the eighth Pair of Nerves they divide into as many branches as there are little Lobes in the Lungs Where-ever there is a branch of the Trachea there there is a branch of the Nerve Vein and Artery and the Trachea is always in the middle The branches of the Trachea Arteria which are ordinarily called Bronchiae open in the Cavity of the Vesicles and the Nerves Veins and Arteries form Plexus's upon the Membranes of the Vesicles the Arteries open into the Veins by an Anastomosis Besides these the Lungs have Lymphaticks which discharge themselves into the Thoracick Duct accompanying the Vein and they are chiefly to be seen in the External Part of the Lungs There is also a Vein which comes from the Cava that Sommichellius calls Pneumonica and an Artery that M. Ruysh calls Arteria Bronchialis which comes from the Aorta The Artery brings the Blood for the Nourishment of the Substance of the Lungs and the Vein carries back what is superfluous Of the Trachea Arteria This is the passage of the Vessels thorow the Lungs but because the Trachea Arteria has a particular Structure it demands a particular Examination It is a Canal situated in the forepart of the Neck before the Oesophagus it descends from the Larynx to the fourth Vertebrae of the Back where it divides and enters the Lungs and its branches are afterwards called Bronchiae Of its Cartilages This Canal is made of Annular Cartilages which are at small and equal distances from one another These Cartilages the nearer they are to the Larynx the bigger they are and the further they are from it the smaller they are and those of the Bronchiae are so close to one another that in expiration the second enters within the first and the third within the second and so the following always enters the preceeding Betwixt the Larynx and the Lungs these Cartilages make not compleat rings but their hind part which is contiguous to the Oesophagus is membranous that they may the better contract and dilate and give way to the Aliments as they go down the Oesophagus but the Cartilages in the Bronchiae are compleatly Annular only the Extremities of the Bronchiae a little before they open into the Vesicles have no Cartilages but instead of them they have small circular Ligaments which contract and dilate for the reception and expulsion of the Air. Of its Membranes These Cartilages are tied together by two Membranes the one external and the other internal The external is composed of circular Fibres it covers the whole Trachea externally The internal is of an exquisite sense it covers the Cartilages internally It is composed of three distinct Membranes The First is woven of two Orders of Fibres Those of the first Order are Longitudinal for the shortening the Trachea they make the Cartilages approach and enter one another The other Order is of circular Fibres for the contracting the Cartilages When these two Orders of Fibres act they help with the external Membrane in Expiration in Coughing and in the Excretion of any tickling humour The second Membrane is altogether glandulous and the Excretory Vessels of these Glands open in the Cavity of the Trachea they separate a Liquor for the moistening the Cavity and for defending it from the Acrimony of the Air. The third and last is a Net of Veins Nerves and Arteries The Veins come from the Vena Cava the Nerves from the Recurrent and the Arteries from the Carotides Of the use of the Lungs Having thus considered the Structure of the Lungs 't is evident that the Air enters by the Trachea into the Vesicles and so swells and dilates the Substance of the Lungs in Inspiration but in Expiration these Vesicles contract and thrust out the Air which carries a great deal of excrementitious Vapours from the Blood along with it by the Elasticity of their Fibres by the help of the Nerves and by the pressure of the surrounding Bodies employed in respiration It is also evident that the Blood is carried from the Heart by the Arteria Pulmonaria thorow all the Substance of the Lungs and that the same Blood is taken up by the Vena Pulmonaria and carried back again to the Heart And we are sure that whilst the Blood passes thorow the Lungs that it receives some alteration for the Blood in the Arteria Pulmonaria is of a dark colour as venal Blood but that which is in the Vein is of a florid red as Arterial Blood yet how this Alteration is made is not determined by Anatomists Some considering that the Surface of venal Blood drawn in a Pellet and exposed to the Air turns to the colour of Arterial Blood do think that the nitrous Particles of the Air which we breath passes thorow the Tunicles of the Vessels and mixes with the Blood and causes this Alteration which they say is necessary for the recruiting of the Animal Spirits and for the entertaining the natural heat of the Blood by fermenting with the Sulphureous Parts of the Aliments Others explain this Alteration only by the beating and agitation of the Air upon the bloody Vessels of the Lungs which indeed is sufficient to cause this Alteration and the necessity of this beating appears by an Experiment which is this take a little new drawn Blood look to it immediately thorow a Microscope you shall see a number of small red globules swimming in a thin and clear Liquor and the longer you look the more of these Globules join in one and the bigger they grow till at last they all come into one and the Liquor is separated by its self and then the Blood is coagulated Thus the red Globules of the Blood in the Veins as they return from the Extremities grow bigger and bigger for the want of being agitated And if they were not separated and broken into many smaller Particles they would soon cause a stagnation in the Capillary Vessels So the beating of the Air in Inspiration and Expiration is necessary for the attenuating subtilizing and intimately mixing the Chyle Lympha and other Parts of the Blood SECT VI. Of the Larynx It s Situation THE upper Part of the Trachea Arteria is called the Larynx It is almost of a circular Figure lying below the root of the Tongue before the Pharynx It is composed of five Cartilages which sometimes in old Men become as hard as Bones Of the Cartilago Scutiformis The first is the 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or Scutiformis because of its Figure It makes that Protuberance in the forepart of the Larynx called Pomum Adami It has four Corners It is about an inch broad but not so long It 's Concave within and Convex without It is divided in the middle by a Line from its upper to its lower Part it s four Angles have each a small