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A57335 A sure guide, or, The best and nearest way to physick and chyrurgery that is to say, the arts of healing by medicine and manual operation : being an anatomical description of the whol body of man and its parts : with their respective diseases demonstrated from the fabrick and vse of the said parts : in six books ... at the end of the six books, are added twenty four tables, cut in brass, containing one hundred eighty four figures, with an explanation of them : which are referred to in above a thousand places in the books for the help of young artists / written in Latine by Johannes Riolanus ...; Englished by Nich. Culpeper ... and W.R. ...; Encheiridium anatomicum et pathologicum. English Riolan, Jean, 1580-1657.; Culpeper, Alice.; Culpeper, Nicholas, 1616-1654.; Rand, William. 1657 (1657) Wing R1525; ESTC R15251 394,388 314

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the superior Eye-lid B Its tendon thinly opened CC The Cartilages of the Eye-lids DD The Caruncle in the internal angle dd The Puncta Lacrymalia E The external angle of the Eye-lid FIG II. AA The Fat behind the Eyes BBB The muscles of the Eyes not separated CC Part of the Eye covered with the tendons of the muscles FIG III. A The right muscle lifting up the Eye aaa c. Small Nerves carrying motion sence and spirit B The right muscle depressing the Eye C The right muscle drawing to the Eye D The right muscle drawing the Eye from E The inferior oblique mascle whose tendon is but only separated from the part of that which follows F The superior oblick muscle G The Trochlea of the same muscle H The Sclerotes covering the hinder part of the Eye II A portion of the Optick Nerve inserted into the Eye FIG IV. Shews a Sheeps Eye and in it the seventh muscle which Man needs not A B C D The four right muscles E The inferior oblick muscle which here is large F The superior oblick muscle which is slender G The Trochlea of the superior oblick muscle H The seventh muscle of Brutes drawing the Eye to I The hinder part of the Eye covered with the tendon of the seventh muscle K A part of the optick Nerve included in the sevent●h muscle FIG V. ABCD Shew the ame with the former the oblick muscles being removed aaaa The common membrane called Innominata bb The Iris transparent through the Cornes FIG VI. AAA The Membrane Sclerotes dissected B The Membrana Cornea C A part of the optick Nerve FIG VII A The Membrana Uvea a The hole in the Uvea or Pupilla BB The Ciliar Ligament with its strings CC The Membrana Choroides looking black FIG VIII AA The Net-like Membrane aa A Rupture in it upon the Vitrial which by reason of its softness is unavoidable in a Dissection BBB The Membrana Choroides not yet separated CCC The thickness of the Membrane Sclerotes D Part of the optick Nerve FIG IX The three humors of the Eyes received in a Vessel A The Crystalline Humor posited in the Cavity of the Vitrial BB Some appearance of the Ciliar strings CC The Vitrial humor DD The aqucal humor being but little and placed round about the Vitrial AN EXPLANATION of the TABLE of the twenteth brass Plate in this Book This Table represents the external Ear with his Muscles and Cartilages as also the internal or chief Organ of Hearing its Cavities Bones Passages and Nerves as they are found out by Dissection of such Bodies as are grown up FIG I. Shews the external Ear whol with its muscles and Cavities AA The Helix of the Ear. BB The Anthelix C The Tragus or beard of the Ear. D The Antitragus E The external lobe of the Ear. FF The external Concha of the Ear. GG The cavity between the Helices called Innominata H The muscle moving the Ear right upwards III The three-sold muscle with his tendon moving the Ear oblickly upwards divided into so many parts FIG II. Shews the external Ear con spicuous behind AA The skin with the Membrane stretched upwards and downwards BB The Cartilage which makes the Ear. C The hole for the passage of heaving D A portion of the Ligament of the external Ear. E Part of the Lobus of the Ear. FIG III. Shews the fore part of the interna Ear. A Part of the bone of the Temples containing the rocky process B The passage of hearing C The beginning of the passage or hive D The duglike process E The bodkinlike process broken off FIG IV. The bone of the fore-going Figure is shewed in which the passage of hearing is cut off that so the membrane of the Timpanum may be seen AA The beginning of the passage of hearing BB The membrane of the Timpanum C The little foot of the Mallcus transparent by the membrane D The duglike process E The bodkinlike appendix FIG V. Shews the Muscles of the internal Ear. A The muscle moving the membrane and Malcolus outwards B The membrane of the Timpanum CC The muscle moving the Malleolus and membrane inwards E The head of the Malleolus FIG VI. A Part of the passage of Hearing passing to the Timpanum BC The cavity of the Timpanum in which B The oval hole C The round hole FIG VII Shews the rocky process with the smal bones of the Timpanum in their scituation A The Mallcolus B The Anvil C The superior part of the stirrop conspicuous DD The bowing of the Cochlea FIG 7. Shews the three small bones out of their scituation A The Malleolus with its two processes its short and long B The Anvil applied to the Malleolus C The Stirrop D The small bone joyned to the Ligament of the stirrop FIG VIII Shews the inferior face of the bone of the Temples AA The extremity of a quil thrust through that passage of Hearing which is carried to the pallat BB Shews the same passage broke off from the next part FIG IX AA The cavity of the Cochlea whose broader part goes to the Labyrinth BB The cavity of the Labyrinth in which the oval hole is conspicuous also four other holes which open themselves in the circles are obumbrated by a black colour the fift in the extremity of the circle of the Cochlea is broken off If you would see how they are in Insants look the eighth Table and the seventh figure FIG X. AA The beginning of the passage of the first hole of the bone of the Temples into which the Nerve of Hearing passeth BB The rocky process of the bone of the Temples in which the cavities are contained FIG XI A B C D The end of the passage into which the Nerve of Hearing proceeds laid open the bone being taken away B The cavity in which the softer portion of the Nerve of Hearing lies in the Centre of the Cochlea C The process between each portion of the Nerve standing up like a bridg D Another cavity called Caecum by the Ancients Aquaeductus by Fallopius by which the harder portion of the nerve of hearing obliquely descends EE Two footsteps of the circles in the Labyrinth which you may see whol Table 8. figure 7 8. FIG XII Contains a portion of the bone of the Temples in which the Timpanum being taken away and the passage which contains the Nerve of Hearing there appears AA The softer portion of the nerve of Hearing BB The harder portion of the nerve of Hearing obliquely descending under the Timpanum being thicker about the place it goes out CC A small Nerve from the fourth pair ●oyning it self to the harder nerve of Hearing An EXPLANATION of the TABLE of the one and twentieth Brass Plate in this Book This Table exactly presents the Bones of Man to your view so that the Composition of the Bones we mentioned before in the Abdomen Breast and Head are here seen especially the Bones of the Hands and Feet are seen both before and behind
the anterior Ventricles it slips into the fourth Ventricle and from thence into the Spinal Marrow and so Causes a Palsie If it be a Flegmatick Humor stopped in the fourth Ventricle or in the third it cannot be discussed and the brain is overwhelmed thereby If the blood be shed out of the vessels it suddainly suffocates In the Carus or other Sleepy Disease only the foremost Ventricles of the brain are overwhelmed with Serosities so that there is yet freedom for the spirits to pass into all Parts of the body But in an Apoplexy all the ventricles of the brain but especially the fourth are obstructed and unless the matter be discussed into the spinal Marrow Death fallows unavoidably Fernelius avouches that an Apoplexy is bred by an Obstructiou of that Rete Mirabile the afflux of Arterial blood out of the Heart into the brain being thereby intercepted Therefore they are termed Carotides because being obstructed they cause Carum or the Sleepy-Evil In the Apoplexy and Sleepy Diseases besides general Medicines as blood-letting Cure of the Apoplexy Carus and sucid like Diseases liberally twice or thrice repeted out of the Arm and foot strong Purgation of watry Humors Cupping-Glasses fixed unto the shoulders and the hinder Part of the Head Topical Remedies are not be neglected which draw and Evacuate near the Part affected such as is the opening of the Veins under the Tongue and of the external Jugular Vein and likewise of the Temporal Artery great Vesicatories applied towards the top of the shoulders to the Cephalick Vein strong Medicines to provoke Sneezing a Seton in the Neck the string being often drawn about and anointed with Oyl of Vitriol that it may bite the more and attract opening the Veins of the Nose after the manner used by the Ancients with a split Toothed Quil thrust up as far as the bottom of the Colander a sharp injection into the Nostrils Nostrils by a syring and within the furrows placed between the spaces of Os Vomeris drawing out of the Flegmatick clammy matter which sticks in the Throat and stops the Larynx but thrusting a feather far into the throat to which intent a strong vomit is good to cast forth any Humor that has flowed into the Wind-Pipe neither must we omit extream hard rubbings with salt and continual stirring of the body if it be possible All which remedies are to be applied with all possible speed one upon the Neck of another in an Apoplexy because there is danger in delay In Sleepy Diseases which proceed slowly and are caused by matter falling down from the Parts above they are more slowly administred and without Precipitation You shal observe also that a great Part of these Humors is gathered together in the turnings windings which are outmost in the upper substance of the brain which do either putrifie there or slip into the ventricles of the brain and yet these windings of the brain are not considered The Palsie is an Abolition of sence and motion not in the whol body as in the Apoplexy but only in the greatest Part of the body or in half The Palsie thereof which is termed Hemiplegia or in one Part which is called Paraplegia Fernelius observes that sence is taken away the motion remaining unhurt and somtimes motion is taken away and the sence remains because of the difference of the Nerves of the brain and the Spinal Marrow In the Palsie the Nerves of the Spinal Marrow are obstructed but those of the brain not and therefore many Parts remain unhurt especially the internal Somtimes the Palsie happens without obstruction of the Nerves because the sostning and Humectation of the Nerves brings a kind of Palsie In an imperfect Palsie when motion and sence are only dulled the Disease is Stupor termed Stupor or Nothrotis which arises from a moist distemper of the brain A Stupidity or dulness of sence and motion in a Feaver is wont to foretel a sleepy Disease to follow When it comes alone without Feaver it foretels a Palsie or an Apoplexy Vertigo is a depravation of sence and motion which makes the Patient think Vertigo that al things turn round it springs from a windy Humor which being agitated within the foremost Ventricles of the Brain causes the foresaid Apprehension of all things turning about If it Causes a darkness before the Patients Eyes it is called Vertigo Tenebricosa or Scotodinos It arises from the Brain or from vapours ascending from the inferior Parts That is worst which arises primarily from the brain and it is a fore-runner of the Falling Sickness The convulsion is a violent pulling back of the Muscles towards their Head or Convulsion beginning It is threefold Emprosthotonos when the body is bent foreward Opisthotonos when the body is drawn backward and Tetanos when both sides remain stif by reason of an equal bowing or stretching of the Muscles on both sides The Cause of a Convulsion is either an obstruction of the Nerves or their being pricked by a sharp Humor or a dry distemper which dries the Nerves and so makes them stif as a dried Lurstring this is incurable In one word all Convulsions are said to arise either from too much emptyness or over fulness An Epilepsie or Falling-sickness is a Convulsion of the whol body coming by Falling-Sickness fits and hurting the Mind and sences It is caused by an obstruction of the foremost Ventricles of the brain caused by an Abundance of sharp Humors either Cholerick or Flegmatick Either it comes from the brain Primarily affected or from some other Part sending Malignant Humors to the brain If it proceed from the brain Primarily affected it is the more dangerous if by fault of the Spleen or some other Bowel venemously infected the coming of the fits may be foreseen and prevented The former comes in a moment the latter by degrees Fernelius besides the Humor which is the common Cause accounts the peculiar Cause to be a venemous Air or vapour which is exceeding hurtful to the brain and therefore he conceives it must be cured with specificks and appropriate Remedies as wel as those vulgar ones Trembling is a depravation of Motion through weakness It is caused by the Trembling weakness of the motive faculty and the bodies heavyness So that look how much the motive faculty endeavours to lift up the Member so much does the heavyness of the said Member not sufficiently illustrated with spirits press it down again And therefore it arises from obstruction of the Nerves or from their being over-much softened or from some external Cause as by anointing with Quick-silver or other Application thereof There is a certain mixture of the Convulsion and tremblings which is called Spasmo-Tromois Shivering and shaking are motions of the body which happen in Feavers and Shivering and Shaking they are forerunners of the fits of Agues or of the Exacerbations of Feavers They happen also to such as have ripe Impostumes when the Impostum
dangerously sick and there upon warily to give their Aurum Potabile or som such other Medicine as a cordial and restorer of strength until Nature being freed from al disturbance of Physick begins to gather strength and then they take opportunity to give a gentle Vomit which Purges serous or such like Excrements up and down In very many Diseases Hippocrates saies 't is better to be quiet than to do any thing that is 't is better to leave the work to Nature than to give any Medicament And if the Physitian knew that he is the Servant and Assistant of Nature he would cure more Patients than he does See Valesius upon the 19. Text of Sect. 2. of the 6. Book of Hippocrates Epidemicks Sluggishness of the Belly and impurity of the Vessels brings al into confusion Hippocrates Chap. 24. Of the Liver THe Liver which is the Instrument of making Blood consists of a Substance Substance of the Liver It s Color proper to it self fitted and ordained to that end for it is like congealed blood and therefore red and the same color it imprints upon the blood howbeit the Liver of some Fishes is of another Color viz. green black yellow as Saffron in which Creatures the blood receives its red color by passing through the substance of the Heart But in Men and other living Creatures which have the two Veins distinct called Blood where and how made Porta and Cava the whol Mass of blood is wrought in the Liver but one part thereof less perfect than the rest is by the Vena Porta distributed among those Parts which serve to nourish the Body another part being conveighed by the Vena Cava is perfected in the Heart of which is made the Arterial blood which is distributed to al the parts and afterwards is transmitted into the Veins that so in a Circular motion it may pass again into the Heart that by its flux it may maintain the perpetual motion of the Heart as the Wheels of a Mil are continually turned about by force of the Wind or Water-fal Such blood is furnished to those parts which having sence and motion depend upon the Brain or Heart The Liver is a T. a. f. 10. 1. D. T. 4. f. 1. A B. □ scituate in the right Hypochondrium under the bastard or short Scituation of the Liver Bigness Ribs and fils with its bulk al that Cavity to the Sword-like Cartilage Somtimes it is so enlarged as to exceed those Natural Bounds and then it rests upon the Stomach reaching as far as the Spleen and descends three or four fingers breadth below the bastard or short Ribs which happens partly through relaxation of the bands wherewith it is bound to the Midrif and short Ribs partly through swelling of the Liver it self over loaded with Nutriment In Man-kind there is one single Liver which is not divided into Lobes or Fingers Number as in bruit Beasts yet there is a certain b T. 4. f. 5. C. □ Cleft to be seen where the Umbilical c f. 1. a. f. 5. B. T. 2. f. 10. G. □ Vein creeps into the Liver and many times two little Lobes or Laps are d T. 4. f. 4. A A. □ seated Lobes or laps under the greater ones somtimes there is only e f. 5. B. □ one which being hollowed receives the Trunk of Vena f f. 5. I. □ Porta which is included in a Duplication of the Omentum or Call that the Excrements of the Liver might be derived thither Although the Liver be one continued Substance yet Anatomists divide the same Two Regions of the Liver into two Regions the one superior and exterior the other inferior and internal The superior or upper is called the g f. 1. B. f. 4. A A. □ Gibbous or bunching part of the Liver the inferior is called the h f. 1. A. f. A A. □ hollow part of the Liver Into the upper Region the Vena Its Vessels i f. 4. D D. □ Cava sprinkles its Roots into the nether Region the Vena k f. 5. I. c. □ Porta sows abroad its Suckers Besides these Roots there are observable certain Branches of the Channel of Choler dispersed among the Roots of Vena Porta and certain little twigs of the Milky Veins which neer the Trunk of Porta do enter into the Cavity of the Liver m T. 9. f. 1. a a a a. □ l f. 15. H. □ It is the mind of Physitians that both these Regions ought diligently to be observed Diversity of the Regions to be observed in practice because in either of these Regions the morbifick matter may be contained which is diversly to be purged according as it possesses the one or other Region for as much as the bunching part of the Liver is purged by the Kidneys through the Vena Cava the hollow part is purged by the Guts by means of the Branches of Porta which are terminated in the Guts conveighing blood and the evil humors of the Liver I have seen Impostumes in the bunching part when the hollow part has not been at al tainted and on the other side I have seen the hollow part impostumated without any detriment to the bunching part Howbeit inasmuch as I cannot see those two Regions separated so much as by a Membrane I cannot beleeve that one part can be sick and the other sound unless the morbifick humor be contained within the Pipes of the little Veins Many Anatomists do affirm that the Roots of Vena Cava and Vena Porta do Whether the Roots of Cava and Po●●● are united in the liver meet together and are united one unto another by many Anastomoses others deny that there is any such Conjunction among which I willingly acknowledg my self for one and give my voyce on their side my Reasons I have els-where laid down and Nature would have it so that natural and vicious Humors might not be confusedly jumbled together in the Liver You shal observe how the Vein which is taken for Cava takes its rise out of How blood is distributed from the Liver the upper part of the Liver and is inserted into the Trunk of Cava neer the midrif that the Cava may forth with powr out the blood which it hath received from the Liver or rather transmit the same into the neighboring Heart scituate only two or three fingers breadths off and inclosed in the Pericardium which cleaveth circularly to the Nervous Centre of the Diaphragma whereby thou maiest perceive that the greater part of the blood goes into the right Ventricle of the Heart that it may become Arterial by a double Circulation Particular and General A double Circulation of the blood I cal that the particular Circulation which is made from the right Ventricle of the Heart through the midst of the Lungs so as that the blood comes again into the left Ventricle of the Heart The general
Epicurus contradicting aristotle maintaines as possible in the 8. Booke of Athenaeus his Deipnosophists Aldrovondus has observed that among Fowles the Estrich has solid bones void of marrow But in case a bone should be deprived of its Gristly Crust and of its periostean Membrane it is moved with difficulty and has no feeling at all If a bone become uneven and prominent so as to have bunches upon it it is termed Exostosis which is an effect and concomitant of the venereous pocks when it is of long standing and confirmed howbeit it may spring from some other cause Finally being depraued and mishapen or disjointed it hinders and mars the Action of the whole body or its parts and being divided in its substance it argues solution of Continuity by some cleft or fracture and although a broken bone by the mediation of a Callus becomes soddered together one the outside Yet does it still remaine divided within Chap. 4. Of the Nourishment Sence and Marrow of the Bones While the Bone did live and was nourished it had a twofold sustenance the one The remote matter that nourishes the Bones remote the other conjunct or immediate according to Aristotle in his Book of the parts of live-wights The remote Sustenance of the Bones is the thicker and more earthy part of the blood The next or immediate is the marrow or marrowy liquor which is contained in the hollownes and porositie of the bones Hippocrates in his The immediate matter Book de Alimento saies that the marrow is the Nutriment of the bones and therefore it is that they are Joined together or soddered up by a callus How can it be Whether the Bones have Veines may some man say that the blood should nourish the bones seeing they have no veines which are the channels to conveigh blood to all parts Hippocrates saies in his book de Ossium Natura that of all the bones the lower Jaw-bone alone has veines Galen indeed in his 8. Booke de Placitis attributes unto every bone a Veine greater or Lesser according to the Proportion of the Bones and in his Comment upon the first Booke of Humors he saies that there is a Vessel distributing blood allowed to every bone But he confesses in the last chapter of his 16. Booke de Vsu Partium that the veines of the Bones are so small and fine that thay are not so much as visible in the larger sort of Animals or Live-wights because nature according to the Necessity and Indigence of the Parts bestowes upon some greater upon other lesser Veines moreover the little holes which are found about the extremities of the bones Whether they have Arteries do manifestly declare that somwhat there is which goes into the said Bones now their is nothing goes into the bones but little Veines If we beleive Platerus the Arteries doe no where enter into the bones seeing the spirits can easily penetrate Or Nerves into any of the bones without the service of the Arteries to carry them Neither do I conceive that there are little nerves diffused through the substance of the Bones to give them the sense of feeling because all the feeling they are capable of is by means of the periostean Membrane which does incompass them Nevertheles Nicolas Massa call's God to witnes that he saw a Man who had an ulcer in his thigh so that the bone was bare in which bone there was a sence of paine so that he could not endure to have it touched with a rough instrument in regard of the paines it caused and it was freed from the periostean Membrane Yea and he bored the bone and found that it had the sense of feeling within the same which he therefore thought good to declare that Anatomists might be moved to consider whether some branches of nerves do not Penetrate into the substance of the bones ● Threefold Marrow of the Bones We canot looke into the Cavities and Marrowes of the Bones unles they be first broken I observe a threefold Cavity of the bones and a threefold marrow In the greater Cavites of the larger Bones the Marrow is reddish in the lesser Cavities of the smaller bones the marrow is white In the spungy bones there is contained a marrowy Liquor In the meane while you shall observe that the marrow within the Cavity of the Whether the Marrow of the Bones be compast with a Membrane Bones is compassed with no membrane neither is it made sensible by any little nerves penetrating the substance of the bone as Paraeus does imagine Hippocrates himselfe in his Booke de Principlis was the first that noted this The Marrow of the Back-bone is not like that marrow which is in other Bones for it alone has membranes which no other marrow has besides it Chap. 5. Of Articulations or Jointings of the Bones LET us proceed to the Joinings-together of the Bones To the Articulation of the Bones there concurs an Head There does concur to the Articulations of the Bones the Head the Cavitie the Gristle the Flegmatic moisture and the Ligament Every Head is in its owne nature and original an Epiphysis but in process of time it degenerates into an apophysis The Head is within of a Light spungie and porous substance being filled with blood or with a marrowy Juyce on the outside it is covered with a very hard shell or bark very thin and compact which is crusted over with a smooth and polished Gristle Now the Head of a Bone is a T. 21. f 1. d d. f 4. a. □ great and long or short and flat which is termed b T 21. f 1. 2. I I. □ Candylos The Cavity of the Bone which receives the Head is also crusted over with a Gristle A cavity which if it be deep it is called in Greek a T 21. f 4. B. □ Cotyle if shallow 't is called b T 21. f 4 F. □ Glene It is somtimes encreased with a Gristlie brim lest the bones should too easily slip A Gristle aside and fal out of their places And in the Cavities themselves there is contained a clammy thick and Oyly A flegmatick Humor Pituitous Humor to procure a more easie and expeditious motion of the Bones so we grease the Axle-trees of Coaches and Carts that the wheels may turn more easily and quickly Through want of the foresaid Humor in such as have the consumption and are extreamly dried while they go and stir their Limbs one may hear as it were their bones knock one against another and rattle in their Skins As is proved by a memorable History recorded by Symphorianus Campegius in the Medicinal Histories of Galen and as I my self have often times seen Now that the bones might be so knit together as to make a Joynt there is need A Ligament of a Ligament or Band whose substance is broad and round its color white or bloody such as is the round Ligament which fastens