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A05049 A most excellent and learned vvoorke of chirurgerie, called Chirurgia parua Lanfranci Lanfranke of Mylayne his briefe: reduced from dyuers translations to our vulgar or vsuall frase, and now first published in the Englyshe prynte by Iohn Halle chirurgien. Who hath thervnto necessarily annexed. A table, as wel of the names of diseases and simples with their vertues, as also of all other termes of the arte opened. ... And in the ende a compendious worke of anatomie ... An historiall expostulation also against the beastly abusers, both of chyrurgerie and phisicke in our tyme: with a goodly doctrine, and instruction, necessary to be marked and folowed of all true chirurgie[n]s. All these faithfully gathered, and diligently set forth, by the sayde Iohn Halle.; Chirurgia parva. English Lanfranco, of Milan, 13th cent.; Hall, John, b. 1529 or 30. 1565 (1565) STC 15192; ESTC S109324 283,008 454

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euery member or parte Of the operation of members The. Vii Chapiter SEuenthly the operation that is in members is to be learned of him that will be a chirurgien And howe those operations are conueied and caried to serue the nede of euery part And to talke of operations it were mete to vse thys worde partes because it includeth more then this worde members for we can calle none of the. iiii humores members yet are they partes of the body So are the three spirites to wite the animall vitall and naturall though in dede many learned men haue vpon diuers reasons denyed any thyrde or naturalle spirite to be The animall spirite geuing the operatiōs of sense and motion The vitall geuinge spirite and life to all the members The natural nurishment to all the bodye The vitall spirite beinge made in the harte the animall in the braine the naturall in the lyuer And both these laste animall and naturall are made of the firste called vitall The vitall spirite is caried into all partes by the arteries The animall by the sinewes the naturall in the veines And of the operations of these all other partes of the body take their operations As the operation of feling of mouing of hearyng of seing of smelling of speaking yea all operatiōs procede of the first operations of whiche first operations procedeth the forsaide spirites The firste operations are these which are also called vertues or faculties and are in number foure namely attractiue retentiue alteratiue and expulsiue And these four are in euery part of the body that is nurished or that serueth to nurish other The attractiue faculty being done by hotnesse and drinesse the retentiue by coldnesse and drinesse the alteratiue by hotnesse and moistnesse the expulsiue by coldnesse and moistnesse And through these naturall vertues or faculties are the iii. digestions wrought and accomplished in the bodye The first of these digestions is in the stomache the seconde in the liuer the third is vniuersally in the veines I vnderstand also that there are iii. poures in the body Animall vitall Naturall this last poure called naturall is deuided into these iiii forsaid operations or vertues And as I said before all operations of euery mēber are receiued of these first operations whether it befeling mouing tasting seing hearing smelling or any other that any man can deuise or name For of the first foure is made nutrition without the whyche no member maye lyue nor growe Muche lesse haue anye operation or facultye Therefore when anye member is hurte or offended we oughte to call to minde what operation belongeth to the parte so hurt and howe that member receiueth the same As for example the operation of felyng and mouynge is caried by the animall spirite in the synewes vnto all members So dothe heate and lyte come to all members by the vitall spiryte in the arteryes And the nutrimentall bloud by the naturalle spirite in the veines If therfore in any member anye of these be so offended that there is no hope of recouerye we maye boldlye Prognosticate that the operatyon of that member so receyued is voyde and frustrate Because the meane wherby it was atchiued is destroyed Euen as no water can come by a conduict to a house or a city when the pype is cutte or broken by the waye But farthermore if anye member lacke hys natural or due operation so that he can not doe his office neuerthelesse no hurte perceiued in the outwarde partes then muste we consider whether it be felynge mouinge or strengthe that is lacking Which thinge knowne knowinge also by what meane the sayde member receiued his operation nowe beinge lost It shall be the easyer to deuise a remedy to cure and helpe the same Therfore that it is necessarye for the Chirurgien to know the office or operation of euerye member as I thinke neadeth no farther proofe Of the vtilitye or office of members The Viii. Chapiter EIghtlye the vtilitye or offyce that euery member hath in the bodye is greatly to be noted for euerye member in the bodye hathe a speciall office by hym selfe wherby he is necessarye to the body And therfore when he is lackinge the bodye is destitute o● that necessarye thynge euen as a common weale that lacketh his officer What members in the body are called official ye shall vnderstand in the generall Anatomy Notwithstanding there is no mēber in the body that is wythout his vtility that is to say that hath not a profitable vse in the body But for as muche as in my collection of the symple members euerye member hathe his vtilitye declared where he is spoken of I shall nede the lesse in this place to tarye vpon it But this brieflye I saye the bones are the susteiners of the bodye The gristles are formable additions The ligamentes binde the ioyntes together The muscles make a comelye forme The synewes carye the felynge and mouinge vertue The veine caryeth the nutrityue bloude The arterye caryeth the vitall spirit The fleshe filleth the voyde places The fatte moysteneth the drye partes The skin couereth and clotheth the bodye These are brieflye the offices or the vtilities of all the symple members By whiche the chirurgien taketh great note As well to kepe the bodye in healthe as to cure it when it is diseased Of the diseases that the members are subiecte Vnto Capi. ix NInthlye and laste we oughte to note what diseases maye chance to anye member and whyche bene curable For there be diuers members that when they be wounded receaue no curation Namelye the brayne the heart the stomache and suche guttes are not fleshye and other suche lyke And farthermore as I sayde in my fyrste treatise ▪ that spermatike members receiue no true consolydation And as Galen sayth in li .iiii. therapeut in the cure of vlcers confutinge the error of Thessalus The diseases namelye solution of continuity receiue diuers names according to the diuersitye of the members and their substances For the breakynge of bones are called in Greke Catagma and in Latine Fractura To the fleshe happeneth woundes vlcers bruses tumores Apostemes Solution of continuity in the synewes is called Spasmos and in the lygaments Thlasma in the muscles Apospasma or Rhegma Or as we saye in playne Englyshe The synewes suffer crampes palsyes and conuuition The bones breakinge The ioyntes displacynges The Fleshe woundes bruses c. And to all the other members happeneth diuers peines of diuers names as well by the excesse or corruption of any of the .iiii. humores as also of ventositye or windinesse and waterye humores The ioyntes or sinewye members are greued wyth aches and gowtes And fathermore apostemes vlcers cancers fistules and such like Do happen among the members diuersly in diuers places of the bodye receuynge theyr names oftē times according to their places as it is wryttē of by our auncient authors whome I iudge it expedient to
and also of Erasistratus Epencranis And thys parte is compacte together differynge euydentlye from the reasie of the brayne interhedged wyth the Pia mater as the other substance is but it is deuyded outwardlye as it were into manye thyn and sclender cy●cles neyther is it so whyte as the reasie of the brayne bu● composed as of certeyne hillockes couched together of 〈◊〉 curdy and britle substance wherin is conteined abundance of spirite Furthermore in the concauityes or celles of the former ventrycles there is founde conteyned a certen yelowishe waterye substance whyche is iudged to be the repurgynge or syncke of the humores of the brayne transcente from the glandulous bodyes before mentioned Whyche humores when so euer they superabounde doe fall downe by common passages into the trenche ouer the rouffe or palate of the mouthe ordeyned to receiue the same from whence it is expelled as well forwarde by the nosethrils as backwarde into the mouth Wherof in his place more shall be sayde But vppon thys humore in these former ventrycles is a certayne bodye wouen together of infinite veynes and arteryes commynge from the hearte growynge aboute the meruaylous nette called Rete Mirabile confirmed with a coate of Pia mater and thys contexed bodye is peculiarlye called of some Choriformis membrana And it so swymmeth in the foresayde humore beynge so slacklye bound and loselye tyed bothe to the bothome and the sydes of the holownesse that it deerreth and strayeth to and fro in the sayde humore folowynge notwythstandynge the exacte forme of the Crickes and corners of the said ventricles euen to the arche or vaulte Whose offyce is to woorke in the ventrycles inspyratyon e●pyratyon and efflatyon vnto whyche mouinge doubtlesse the whole substance of the brayne geueth place and is therby caused to moue and heaue The proofe of whyche operatyon maye be manifestlye seene and the braine euydentlye to moue bothe in yonge infantes erre theyr mouldes be closed and also in suche as by chaunce haue theyr sculles broken Wherof Galen vpon good reason did attribute Diastolen Systolen also to the brayne and also by this workinge the vitall spirite in the arteries is there made animall In the boughte or bosome of this Choriformis are the spirites receyued and conteined as yet grosse and vnpure that by the former ventricles they may there be wroughte and prepared before they enter the middle ventricle and the sēses therof Wherin they are made also yet more perfecte that afterwarde they maye descende into the .iiii. or laste ventricle of Cerebellum and to this purpose certeyne passages wayes or pores are ordayned to leade the said spirites from one cell into another Which that it should not to sone or vntimelye be done There is a certeine delicate glandulous bodye ordeyned vnderlyinge the holowe pore wherof I doe immediatlye make mention called Conarion because it representeth the forme of a Pine apple called Conus Whiche by his naturall propertye stoppeth the pore in suche wise that the sayde spirites maye not be caryed before theyr time into the Cerebellum The lyke wherof may be seue in a glandule lyinge vpon the gutte Pylorum whych wil suffer no substāce to passe oute of the stomache into the sayde gutte before the full tyme and complete ende of digestion There is moreouer a certeyne holowe pore whyche of some is called the thyrde ventrycle and of other a perforation onlye Constitutynge the thyrde ventrycle to be the vaulted body aboue the common holownesse of the former ventrycles whyche because it is lyke an arche or vault is called of the Grecians Camarion and Psallio●ides the common sorte call it Fornicem and Corpus fornicatum Whyche vaulted body was of nature made in the brayne that the vpper substance of the same myghte be the stronglyer susteyned But nowe concernynge the sayde pore whych some yea and Galen hym selfe constituteth the thyrd ventrycle It is dyuerslye wouen together his vpper partes being couered of a subtill panycle but there not weake whyche also reacheth euen to the holownesse of the hyndermoste ventricle There are also on the sydes belongynge to the sayde pore certeine longe and sclender emynences growing oute from the substance of the brayne called Glutiae or Naticulae whose nighe concurse and vicinitye passinge together thou maist saythe Galen liken aptly to buttockes touchynge together one an other thoughe some likeninge them to the testicles had rather call them Didymia But they are called of the late wryters Anceformes because they are like boughtes or buttockes And these Anceformes do strengthen and thrust together the wormlike processe called Vermiformis epiphysis whose function is chiefly to stoppe and open the pore by contractinge together or distending it selfe by length in the same wherof also it hathe hys name whose end or extreme part is aboute the lower parte of the thirde ventricle called of the Grecians Scoleco●ides But for the copiouse declaration of the causes of these and other names wyth many other circumstances herevnto belonging for briefnesse sake here I leaue the louynge reader vnto the perfecte ennarratio●s of Galenus Vesalius and Carolus Stephanus where thy desyres maye be satisfyed at the full And nowe accordinge to the grounded iudgementes of the learned I will procede to the senses or wittes conteyned and wroughte in these celles In the fyrste parte of the former ventricles are founded the common wyttes or senses called otherwise the .v. witts as hearinge seinge smellinge felynge and tasting And in one parte of this also is sayde to be the vertue of searchyng called Phantasia whyche vertue taketh all the formes or ordinances disposed of the aforsaide .v. wyttes accordinge to the mouinge and remouinge of sensible thynges In the other parte of the sayde ventricles is ordeyned the vertue imaginatiue which representeth to the vertue memoratiue what so euer it receiueth of the common wyttes as the shape or forme of sensible thinges c. as they were receaued from withoute In the mydell cell or ventricle is constituted the vertue cogitatyue or estimation whyche pondereth wayeth iudgeth and declareth all suche thinges as are therto offered and broughte from the aforsayde vertues Nowe lastlye the fourthe or hyndermoste ventricle of Cerebellum conteineth and preserueth in it selfe the vertue memoratiue Wherby it is noted the cell or store house of that excellente vertue of memorye or remembrance From the whyche Cerebellum at the extreme partes therof procedeth forthe the Medulla or pithe of the backe whyche as Galen sayth is of one substance with the brayne and is clothed wyth lyke panicles passynge downe in the holownesse of the spondilles or turning ioyntes euen to the end of the ridge And as the whole frame of spondils together is of the likenesse it hathe by reason of his manifolde scraggy processes with the thorne called Spina dorsalis in Greke M●tiaea acantha