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A86079 The anatomical exercises of Dr. William Harvey professor of physick, and physician to the Kings Majesty, concerning the motion of the heart and blood. [Part 3] Two anatomical exercitations concerning the circulation of the blood to John Riolan the son ... With the preface of Zachariah Wood physician of Roterdam. To which is added Dr. James De Back his Discourse of the heart, physician in ordinary to the town of Roterdam. Harvey, William, 1578-1657. 1653 (1653) Wing H1083_pt3; Thomason E1477_2; ESTC R20704_pt3 39,257 87

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TWO ANATOMICAL EXERCITATIONS Concerning The Circulation of the Blood To John Riolan the Son the most experienced Physician in the Universitie of Paris the Prince of Dissectors of Bodies and the Kings Professors and Dean of Anatomie and the knowledge of Simples Chief Physician to the Queen-Mother of Lewis XIII The Author WILLIAM HARVEY an Englishman Professor of Anatomie and Chirurgerie in the College of Physicians at LONDON and Doctor of Physick to the Kings most Excellent Majestie London Printed by Francis Leach 1653. The First ANATOMICAL EXERCITATION Concerning The Circulation of the Blood To JOHN RIOLAN THere did come forth not many moneths agoe a little piece of the most famous Riolan's concerning Anatomie and Diseases for which as being sent to me by the Author himself I return hearty thanks Seriously I do congratulate the felicity of that man in undertaking a thing very commendable To open to the view the seats of all Diseases is a work not to be atchiev'd but by a divine wit Truly he undertook a hard task that has set those Diseases which are almost obscure to our understanding before our eyes Such endeavours become the Prince of Anatomists for there is no Science which has not its beginning from foregoing knowledge nor any knowledge which is not beholding to sense for its original For which cause the business it self and the example of so worthy a person requir'd my pains and did invite me in like manner to put forth and joyn my medicinal Anatomic being chiefly fitted for Physical uses not with the same intention as he by demonstrating the places of diseases from the dead bodies of healthful men and rehearsing the divers sorts of diseases incident to those places according to other mens opinions which he ought to have seen there but that I might undertake to relate from the many dissections of sick bodies and the most grievous and wonderfull diseases of dead persons in what manner and how the inward parts of them are chang'd in place bignesse condition figure substance and other sensible accidents from their natural form and appearance which all Anatomists commonly describ'd and how diversly and wonderfully they are affected For as the dissection of healthfull and well habited bodies conduces much to Philosophie and right Physiologie so the inspection of diseased bodies conduces chiefly to Pathological Philosophie For the Physiological contemplation of those things which are according to Nature is first to be known by the Physician for that which is according to Nature is right and is rule both to it self and that which is amisse by the light of which errors and preternatural diseases being defin'd Pathologie is more clear and from Pathologie the use and art of administring Physick and occasions of inventing many new remedies doe ocur Nor will any man beleeve how much in diseases especially such as are Chronical the inwards are chang'd and what monstrous shapes of the inward parts are begotten by diseases And I dare say the opening and dissection of one consumptive person or of a body spent with some antient or venemous disease has more enrich'd the knowledge of Physick than the dissections of ten bodies of men that have been hang'd Yet doe not I disallow of the most famous and most learned Anatomist Riolan his purpose but think it highly to be commended as being very profitable for Physick that he does illustrate the Physiological part yet did I think that it would not be lesse profitable to the art of Physick if I should set clearly before your eys to be seen not only the places but likewise the diseases of those places and rehearse them after I had well view'd and observ'd them and from my many dissections declare my experience But such things in that Book concerning the Circulation of the blood found out by me which are translated and seem to reflect onely upon me must first and chiefly be taken into consideration by me For so great a mans judgement concerning such a weighty businesse is not to be set at nought who is undoubtedly thought the chief and ringleader of all Anatomists of this age but the opinion of him alone is more to be weigh'd for commendation than the verdicts of all others which shall either applaud or contradict me and his censure more to be weigh'd and look'd upon He then in his lib. 3. cap. 8. Enchir. acknowledges our motion of the blood in Animals and takes part with us and is of our opinion as concerning the circulation of the blood yet not altogether and openly for he says lib. 2. cap. 21. That the blood in the port vein contained admits no circulation as the blood in the vena cava and in lib. 3. cap. 8. That there is blood which is circulated and circulatory vessels to wit the aorta and the vena cava yet he denies that the branches of them have any circulation Because says he the blood running out into all the parts of the second and third region stayes there for nutrition nor does it flow back to the greater vessels but being pluck'd back by force when the greater vessels are in great want of blood or when it returns with a sudden force or exstimulation to the greater circulatory vessels And so a little after Whether or no the blood of the veins does perpetually or naturally ascend or whether it returns to the Heart or Whether the blood of the Arteries do descend or go from the Heart yet if the lesser veins of the arms and leggs be empty the blood of the veins in succession filling the empty places may descend which sayes he I have clearly demonstrated against Harvey and Wallaeus And because daily experience and the authority of Galen does comfirm the Anastomosis of the veins arteries the necessity of the Circulation of the blood You see sayes he how the circulation of the blood coms about without the confusion of humors or the perturbation of antient medicine By which words it is known for what cause the most famous man would partly acknowledge partly deny the Circulation of the blood and why he endeavours to build a reeling and tottering opinion of Circulation Lest forsooth he should destroy the antient Physick and not mov'd by truth which he could not chuse but see but rather for fear he should violate the antient rules of Physick or perchance lest he ssould seem to resume or retract that Physiologie which in his Anthropologia he had publish'd before For the Circulation of the Blood does not destroy the antient Physick but furthers it rather it show the Physiologie of Physicians and the speculation of natural things and disallows the Anatomical doctrine of the use and action of the heart lungs and the rest of the intrals and that these things are so will appear partly out of his own words partly out of those things which I shall here set down namely that the whole blood in whatsoever part of the body living it be does move and shift place
part of the blood through the coronall arteriese and veins by its branches which are distributed about the bodie walls and septum of the heart He says He that admits of one circulation cannot deny the other So might he have added nor can he refurse the third For to what purpose should the coronal arteries beat in the heart if they did not drive blood thither and why should the veins whose function and end it is to receive blood put into them by the arteries but that they might draw blood from the heart Moreover in the orfice of the Coronal arterie as the learned man himself confesses in his third Book and his ninth Chapter there is a portal which forbids all entrance and is patent to egresse therefore truely he cannot but admit of the third Circulation who likewise admits of another universal one and that the blood does likewise passe through the lungs and the brain lib. 4. cap. 2. For neither can there be an admittance of blood by pulsation in all parts of every region nor regresse by the veins after the same manner and therefore he cannot deny but that the parts admit of Circulation Therefore it is clear from these very words of the most learned man what his opinion is both of the Circulation of the blood through the whole bodie as likewise through the lungs and the rest of the parts for the that admits of the first Circulation it is clear that he does not reject the other For how can it be that he who has admitted of another Circulaon through the whole body so often and through the greater circulatory vessels should deny that universal Circulation in any of the branches or parts of the second or third region As if all the veins those greater circulatory vessels as he cals them were not number'd by himself and by all others amongst the vessels of the second region Is it possible that there should be circulation through the whole body and not through all the parts and therefore where he denies it he does it very stammeringly and only staggers and palliates in his negations there where he affirms he speaks understandingly and as becomes a Philosopher and as a skilful Physician and an honest man gives his advice in this case that in the dangerous diseases of the lungs the letting of blood is the only remedy against Gales and his beloved Fernelius in which thing if he had been doubtfull far be it from a Christian and so learned a man to recommend his expements to posterity to procure death and the hazzard of mens lives or that he should recede from Fernelius or Galen men in high esteem with him Therefore whatsoever he has denyed of the Circulation in the mesenterie or any other part in favour of the antient Doctrine of Physick or the Venae Lacteae or for any other regard it is to be attributed to his civility and modesty and to be prdoned I think it does already appear clearly enough both from the words and the arguments of the most learned man himself that there is a circulation every where and that blood wheresoever it is does change place and passe through the veins to the heart and the most learned man seems to be of the same opinion with me Therefore it needs not yea it were superfluous to bring hither my arguments which I have published in my Book concerning the motion of the blood for the further confirmation of this truth which are taken both from the frame of the vessels placing of the portals and other experiments and observations especially since I have not as yet seen the most learnedd mans Treatise of the Circulation of the blood nor as yet any of the most learned mans Arguments but only a bare negation by which being induced he should reject the circulation in the regions and vessels which he allows to be universal in most of the parts It is indeed true that I did find out of the authority of Galen and by dayly experience to be a refugium the Anastomosis of the veslels yet so great a man as he is so diligent so curious so expert an Anatomist should first have laid open and shown Anastomoses and those visible and open ones and whirlpools proportionable to the imperuous stream of the whole blood and the orifices of the branches from which he has taken away circulation before he had rejected those which were most probable and most open He was oblig'd to demonstrate and declare where they are how they are fram'd whether they are not onely fit for the intromission of blood as we see the arteries inserted in the bladder and not for the return of it or what other way soever they had been But perchance I speak too boldly for neither the learned man nor Galen himself could by any experience ever behold the sensible Anastomoses or ever could demonstrate them to the sense I did look after them with all possible diligence and was not at a little charge and pains in the search of the Anastomoses yet could I never find that any vessell namely the arteries together with the veins were joyn'd by their orifices I should willingly learn from others who ascribe so much to Galen that they dare swear all which he says Nor is there any Anastomosis in the liver milt lungs reins or any other of the intrals although I did boyl them till the whole Parenchyme was made mouldering and like dust was shaken off and taken away with the point of a needle from all the fibers of the vessels so that I could see the fibers and the last grains of every division I dare therefore boldy affirm that neither the vena porta has any Anastomoses with the cava nor the veins with the arteries or the capillar branches of the pore of the chollerbagg which are dispers'd about all the flat of the liver with the veins Only this you may observe in a fresh liver that all the branches of the vena cava which creep through the whole bunch of the liver have tunicles pierc'd with many holes like a sive as it is in a sink fram'd so for the receiving of the blood which falls down The branches of the Porta are not so but are divided into stems and how that both the divisions of these vessels the one in the flat the other in the gibbous part doe run round to the very furthest rising of that intrall without any Anastomoses Only in three places doe I find that which is equivalent to an Anastomosis There rises in the brain from the soporall arteries creeping down into the Basis many and unintangled fibers which afterwards make up the plexus chorois and passing through the ventricles doe at last end in the third receptacle which performs the office of a vein In the spermaticall vessels commonly call'd preparatory little arteries drawn from the great arterie do adhere to the veins preparatory aforesaid which they accompany and at last are so receiv'd within their