<>-^JifiM ^ Ltt^ MUNTinaTON COLL»CTI»« Columte ®nibersiitp in tfje Citp of ^eto |9orfe College o! $i)pfiiictan£( anb ^urgeonsf Hibrarp Digitized by the Internet Archive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/artofdissectinghOOIyse THE A _ O F SSECTING THE HUMAN BO DY, I N A rlaln, Eafy, and Compendious Method. r WIT u The feveral Inftruments neceffary, curiouOy en- graved ; wherein all the different Parts of the Human Body are defcribed, but particularly the MUSCLES, in a full and accurate iManner, and their Ufes clearly explained. TranHated from the Latin of LYSER US. By G. T H O M S O N, M. D. LONDON: Printed for Joseph Davidson, at the y/;;?-^/, in the Pouh'n. MDCCXL. 5^#<^ ^f¥f J-/ /: W "- (iii) THE -k— /a E have only Pwo JFays of coming at the Knozvkdge of a Machine, either to be tan^ht the ^hoJe Contrivance hy the Maker ^ or to take it intirely to Pieces j and exa» mine what each Part -is capable of in a feparatedj and. in an united State ^ But the Generality -of Enquirers into the human St ru^ure^ have thous'kt that they had better take their Knowledge of it from Books or Plates^ than be at the Pains to examine thoroughly with the Kfiife. Chemifry has^ in all y^ges^, found Private Men ^ and even Princes ^^ very ready to ereSi Laboratories , but few have purfued Anatomy^ that mofl noble y valuable y and ujeful Scienccp^ A. 2 witt): iv The PREFACE. zv/^b er^ual Ardour ^ till "very lately* This Negleci was owing to jome Dtf- Je^iors^ ration at their Origine, you are to turn tlie Body on the Side oppofite to that you defign to make your Operation, that fo you may place yourfelf, when you are to begin the Incifion at the Backfide, and reach the Loins with the Knife. I. MuscuLI Obliqui Defcendentes Are thus to be raifed, by beginning at the Ribs with the Point of the Knife, as Nature herfelf will fhew. Separate the Tendinous Digitations, or Indentations of the Obliquus FiXtermis from thofe of the Seratus Major An- ticus, till you fee the Ribs j and take care in raifmg this Mufele, not to touch the Inter- coilals, becaufe their Fibres clofefy cohere with each other. This being done, take hold of thefe Digitations in your Left Hand, and ufe the Knife carefully, left you cut the Nerves ariling from the Intercoftals with their Veins and Arteries which clofely accompany this Mufele as its Origine. Turn the Body on the contrary Side, as was before direded, raife that Part of the La- iijpmus Dorji, which near the Vertebra, lies SI little over this Mufele, that you may come at of d'ljJeBing Bodies, 27 at its pofterior Part j then raife the Indentati- ons of the S>eratiis^ and feparate this Mufcle, from the fubjacent v.(iTa, Aapc/v, or with the fubjacent Membrana, always differing towards the fuperior and inferior Parts, fo by Degrees you will come to the Loins, from which you are to Separate this Mufcle. Afterwards fepa- rate its Tendinous Connexion from the Os Illium and Peritonceum, by putting the Knife gently under, and carrying it along the Spine towards the Os Pubis, and feparate the re- maining Part yiurct ^upcriv. It is hard to diftin- guifh the Tendon of this Mufcle from that of the Obliqiius Afcendens^ on account of their flrid; Union. By beginning at the Infertion of this Muf- cle, you are gently with a fharp Knife to fe- parate its Tendon from the hinea Alba, Pe- ritonmim, Ofilium, and the Loins ; then cut off the remaining Part with the Skin. When yora come to the Origine of this Mufcle, you may take a full View of the Blood VefTels and Nerves above mentioned. This Operation piay be more eaiily performed, if you begin your Incifion at the Spine of the Ofiliim, then putting your Fingers underneath, the afcend- ing and defgefiding Mufcles may there be fe- parated. a8 TO^ M E T H O D parated. mra. duptFiv and the Tendinous Begin- ning cut off with the Knife. II. MuscuLl Obliqui Afeendentes, To raife the Mufcuhis Obliquus Afcendens, begin at the Loins, where the nervous Origine of the tranfverfe Mufcles will dired: you how deep the Knife muft go, becaufe it will difco- ver itfelf by its white Colour, and fhew you that it is not now to be touched ; and thus you are led to the Beginning of the DiiTedtion of this Mufcle : Then proceed toward the Os Pubis y and feparate it from the Margin of the Ofihimj by putting your Finger under, and the Knife very deep, after raifmg it from the tranfverfalis nurx dupa-iVy and from the Carti- lages of the Ribs. When you come to the Linea Alba^ you muft flop, becaufe of the Intermixture of the Tendons. If you intend to begin your Incifion at the Tendon, it muft be done in the Linea Alba -, and fo you may proceed in your Operation, as above diredled in the Adminiliration of the above former Mufcle. III. Mus= of diJeFihg Bodies. 19 III. MuscuLi Pyramidaks. To come at the Pyramidal Mufcles, remove the fat Membranes, and the Tendons of the Mttfcidi ReBi j then make an Oblong Sedion on either Side. As you proceed draw the Mufcles with your Finger toward the oppofite Side, and as far as you can feparate them from the fubjacent Membranes s on the other Side proceed in the fame Manner, till both are freed from the fubjacent Parts ; then make a Lon- gitudinal Inciiion in the Middle, where they are conne(3:ed by Membranes. Laftly, fepa- rate and cut off the Tendon creeping towards the Umbilicus^ that you may turn the Muf- cles down upon the Pudefida, IV. MuscuLi Re5iL The Mufculi Re5fi, have in the Middle fe- veral nervous Innervations , whereby they clofely adhere to the Tendons of the Mufculi Obliqui Afcendentes j therefore thefe Tendons muft be feparated by a careful Hand, or elie thefe Interfedions will be fpoiled by too deep Incifions. Divide jo The Method Divide the Tunicle or Involucrum of thefe Mufcles, by making an oblong Incifion near the Umbilicus^ and feparate it above ; which Operation would be very eafy, were it not for the tranverfe Enervations of the Mufcidi ReSti^ which adhere fo very clofe to the Tendons already mentioned ^ therefore you are to pro- ceed with Care, in order to feparate theni with a fharp Myrtle Knife. When this Tu- nicle is taken off^ draw the Mufcle afide with your Left Hand, and carefully feparate it from the Cartilago Xiphoides^ for fear of hurting the Mammary Veins in that Place. Afterward take off, by degrees, the inferior Part of this Coatj but take Care not to hurt the Nerves and Veins coming from the Peri- tojjceiim to thefe Mufcles. You will here meet with one of the niceft Mailer-pieces of Nature in the Diftribution of thefe Veflels -, for from the inferior Part come the Hypogaflrick Veins, which fend here and there leveral vi^ fible Branches along this Mufcle. Thefe Branches, as is commonly fuppofed, do not unite with the Mammary Veffels by Ana- fl:omofes, but terminate in feveral fmall Twigs before they approach thefe Veins. When thefe Mufcles are to be dilTedted^ firfl cut away of deff'el^ing BODIES. 31 away the Veffels, then feparate the Mufcles at their Orlgine from the anterior Part of the Os Piibisy and turn them down upon the Thighs. V. MUSCULI Tranfverfaks. To raife the Tranverfe Mufcles requires a quick fight, fteady Hand, and a fharp Knife well directed, on account of cutting the Pe- ritoncsiim^ which is a very thin Membrane, clofely adhering to this Mufcle ; wherefore Labour, Time, and Patience are required; for if you are too quick in the Operation, this Membrane will immediately be perfo- rated by the Point of the Knife only touch- ing it. You will find it much more difficult to begin and feparate this Mufcle from its In- fertion, than from its Origine. According to the latter, you are thus to proceed : J men- tioned in differing the Oblique Defcending Mufcle, that an Incifion muft be made to reach the nervous Body, which is the Begin- ning or Origine of the tranverfe Mufcle, Thefe nervous Fibres lying diredly toward the Umbilicus^ muft be crofi^ed by two fmall Sedions ; hence the fubjacent Fat covered with ji The Method with a {lender Membrane^ will thruft itfelf up, which is to be kept under -, fix a fmall Hook in the Beginning of the Mufcle, and raife it ; then with the Point of the Knife feparate it from the Peritoneum ^ rather break- ing than cutting the Fibres. When you have got over the Corpus Ner'vofiim, put your Fin- ger under the flefhy Origine of the Mufck, near the Cartilages of the falfe Ribs j feparate it frotn the Peritonceum, and above your Fin- ger cut off the Mufcle > becaufe near the Carttlago Enjiformis, they are narrow : Defire one of the By-ftanders to put the Ribs as much as poffibly he can upwards, that the Operation may be more eafily performed. Having thus freed it from the Cartilages, it muft be in like Manner freed from the Spine of the Ofilium^ and the remaining Part may be fo feparated from the Peritonaum as its nervous Beginning was j but this muft be done with Care, for in that Place it fends off a broad thin Tendon, or a fine nervous Sub- fiance, and the Peritoneum fo clofely ad- hering, that it can fcarce be feparated from it. If you proceed the contrary Method, you muft begin with a gentle Sedllon near the- Linen 'of dtJfeEilng Bodies. 35 ijinea Alba, where the Tendon of this Muf- cle takes it Origine ; which repeat till you fee the Tendon gradually leave the Feritonmufi. Make the Sedion Longitudinally along the Abdo?72en, then fix a fmall Hook into thie Tendon to elevate it, and feparate it from the Peritonmim j but you are to turn the Edge of your Knife towards the Mufcle to be diffeded, and the Back towards the Perito?2ceu?n. CHAR IIL D//^^ Peritoneum andOwEi^^ TUMi I. The PeritOn^um^ A I S E the Umbilicus by taking hold of the Thread, perforate the Peri" tonmim on each Side, then put a dif- feeling Knife with the Point upward into the Hole toward the Loins, and repeat the fame Operation on the other Side, taking Gare not to hurt the Inteftines, which^ if the Belly is fwelled^ will burft out with a violent Force; D Having 34 The Method Having folded thefe back in the fame Man- ner, cut the upper Part of the Feritonceum towards the Cartilago Xiphoides j and in the Left Side, having thruft the Knife through the fuperior and lateral Inciiion, feparate a fourth Part thereof, and lay it back upon the Breafl: : Afterward lift up with your Hand or a Hook the other fuperior Part of the Perito- nc^unij and with a Knife feparate that Part of the umbilical Vein adhering to its Infide, This done, cut the 'PeritoncEum near the JJm- bilicuSj and turn it down upon the Breafl. Having now removed one Half of the Ferito- nceurriy the other half mull be divided into two by an oblong Section, reaching the Os Pubis ^ but while this Incifion is making, Care mufl be taken not to hurt the Urachiis j therefore put your Hand under the Peritonaeum^ iind out its Situation, then you will difcover the proper Place for making your Sedlion. Hav- ing drav/n the Peritoneum a little back, fe- parate from it the Urachus and Umbilical Arteries, as you did the Umbilical Vein ; af- terwards cut off the Peritoncsum at the Um- bilicuSy and lay it back upon the Sides. * You * Anatomlfts commonly cut through the Peritoneum with a Pair of Scii'fars. While you are diiTefting the Membrane, l would have you obferve its Duplicature, in which are chief- mufl of dijjeciing Bodies. 35 Intifl not here negled: the Duplicature of the Peritonceum^ which you may plainly obferve in the Pelvis ^ wherein are contained the Blad- der of Urine, the Kidneys, the two Lateral ProcefTeSj the Spermatick VefTels, and Tefti- cles in Men, and the round Ligaments of the Womb in Women, &c. Before you proceed farther, the Umbilicus^ which hinders the Operation, mufl: be removed ; therefore cut off the Urachus, with the Umbilical Arteries near the Umbilicus^ and fold them back upon the SideSj and place the Navel with the Um-^ bilical Vein adhering to it upon the Liver^ 11. The Omentum* The Epiploon^ or Caul, being a double Membrane, appears next ; which if you have a Mind to fee, cut off any of thofe Membranes you pleafe, but efpecially where it adheres to the Colon^ and put your Hand or a Hook in- to the Incifion ; and there between its Du- plicature, if you incline to feparate this Mem- branCj begin at the right Side whereon the \y placed the urinaty VeiTele ; likewife its feveral ProcefTes, eipecially thofe which ferve to envelope the fpermatick Vef- fels in Men, and the Reind Ligaments of the Womb m Womea. D 2 Extre^ 'i6 The Method Extremity may be come at, and proceed to the left ; then cut off the Omentum from the Co!o?2. When you are come to the Stomach, you may cut it out if empty ; for if full, it will fhew itfelf above the reft ; then you may feparate the 0?nentum without hurting the Coronary Veins of the Stomach 5 and when thus fieed, take it entirely out. The Inteftines appear now naked with the Stomach, whofe natural Situation you may take a View of before you fet about this Adminiftration. CHAP. Of the Stomach, Intestines^ and Mesentery. NATOMISTS commonly take out the Stomachy Intejiines^ and Mejentery at one Operation, which is thus per- formed : Place yourfelf on the Right Side of the Body, and turning the fmall Guts from the left to the right^ free the Colon from the of differing Bodies. 3 ^ the Fent07iceiim with the fubjaccnt Membrane to which it adheres ; then in hke Manner feparate the Spleen from the Peritonmim^ tak- ing Care not to lacerate its thin Coat Thus you will come at the Stomach and its upper Orifice, where it unites with the Oefopkagus : But becaufe it lies very deep to the Vertebrce, you muft lay under the Body near the Sto- mach a Log of Wood, or a Brick, to elevate the Region of the Stomach above the Breaft and lower Parts ; then flide vour Left-hand gently betwixt the Stomach and the left Hypo- chondrhim^ and with your Finger feparate the fmall Membranes lying between the Oefophagus and the Pm^iJTZi^z////; afterward fold it round your Middle and Ring-finger, and pull it fo far for- ward as to be able to tye a firm double Liga- ture ; then cut through the Oefophagus in the Middle between the two Ligatures. This In- cifion being made, raife up that Orifice of the Stomach which is cut off, and below Se- parate it from the Perito?imim. Turn next to the left Side, and having thruft back the Stomach and Inteftines in their Places, fepa- rate in the right Side under the Liver the Colon from the Feritonceum^ where it is join'd to the Q41 Bladder, by wliich it is tinged with D 3 a yeU 5 8 The Method a yellow Colour : It likev/ife joins the Kidney, and is faflened to its Timica Adipoja by {lender FibrilSj which are only carefully to be lopped off, left you hurt the Capfidcz Atrahilarice, You now come to the Duodenum^ wherein is inferted the DuBus Choledochus^ on which make a Ligature towards the Liver, and cut it off towards the Liteftines. Search for the Vena Fort a in the Concavity of the Liver, and when feparated of its Fat, cut it off. Do the fame to the Mefenteric Arteries, and thus the Mefentery, v/ith the Inteftines, will be almoff feparated, and may be taken out with the Stomach and Spleen. What remains nov/ to be extracted is only the Intejiinum Re- Bum, lying in the Pelvis ; therefore put your Hand into the Pelvis^ take hold of the Gut with your Fingers, and pufh the Fences upward till you have Room to make a Ligature thereon^ which muft be done in two Places ; then cut the Inteftine through between the Ligatures. It would be more proper to pull out the whole Inteftine, and not a Part j but it has fuch a clofs Connexion with the circumjacent Parts, that it is almoft impoffible to feparate it with- out bringing them along with it ; befides, the frnall Aperture betwixt the Legs, v^'here the AnaU)= of dtfJcEllng Bodies. 39 Anatomift ftands, and the large Qiiantlty of Fat, are a great Hindrance to this Ope- ration. The Intejiines, Spleen^ Pancreas, Stomachy and Mefentery, being altogether extracted from the Body, you are next to feparate them from one another ; therefore take off firft the Spleen, with its fJDlenic Branches, and place them fo on a Table, that Part of the Pancre- as, to which the fplenic Vein and Artery ad- here, may ly uppermoft ^ then feparate thefe with the Knife, by making Inciiions longi- tudinal in the Pancreas, make a Ligature in each of the feparated Branches, and cut them off. Find out the Infertion of the Vas Breve into the Sto?nach ; and after making a Liga- ture thereon, cut it, and feparate the Spleen for a further Preparation. The Pancreas iliould next be removed ; but becaufe we cannot fee the Entrance of its Dud; with- out opening the T)iiodemim, therefore it mufl be fo feparated from its Membranes, as to cohere with this Litefline. The Inteftines in all Demonftrations beins laid on a Table, and expofed to View, fliould be cleaned, and afterwards inflated. The firlt Operation is performed by adapting a D 4_ Funnel 40 The M E T H o B Funnel to the Orifice of the Stomach, through which pour a certain Quantity of Water^ till it finds its Exit at the Colon. You can- not pour the Water in at the Intejiinum Rec- tum, becaufe Wind that Way cannot get beyond the Colon^ much lefs Water. The fecond Operation is performed, firfl:, by making a Ligature upon the lower Ex- tremity of the Guts, then fixing the Mouth of a Pair of Bellows into the Orifice of the Stomach, by firmly tying a Thread round it, and inflating the whole Inteftines. In pulling out the Inteftines, you may ob- ferve their Membranes or Coats, whereof Ga- Im mentions only two, not taking Notice of the iirft, njiz. That arifing from the Perito^, nceiim^ which our modern Anatomifis do, but with this Difference, call it the common, and the other two the proper Coats. You may after the following Manner find out their three Coats. The fiiiali Membranes you be- fore obierved to (brink in, feparating the Mcfentery, take up with your Nails, and you v/iil feparate the firfl Coat,, that takes its Origine from the Peritonaeum. This Coat being removed, make here an angular Inci- fion 5 then raife that diiTeded Coat, and fcrape of dtjjecimg BODIES. 41 f:rape it off from the fubjacent, viz. The third Coat, covered on the Infide with a mu- cous Crufl, to fee which make a longitudi- nal Sedion in the Inteftine. Before you enter upon the Stomach, you may obferve the Ccecum with the Valve which divides the great Guts from the fmall j but you will have a better View of thefe, if you cut off about four Inches of the Intefti- num. Colon and Ilion ; for tlie Colo?i adheres externally, but the Valve lies within. To have a clear Idea of the Strength of this Valve and Situation, pour Water into the Colon, which will not run out at the oppo- iite Part, except the Valve be very flacid 5 b|ut if poured into the Ilio?t, it immediately runs through. Having poured out the Wa- ter, divide the Inteftine longitudinally, and you will more plainly obferve the Valve. Having taken a View of this Valve, pafs next to the Ccecum, which adheres to the Co- lon near the fame Place, and is very fmall in refpecl of the other Inteftines *. Find out its Entrance with a Probe, and fee whether * Our Autkor fays, in Lib. III. Qbj. 21. Thathecnce found in an Infant the Caawi three Times larger than the Colon. If ever he did find it of this Matrnitude, he ii the only one that can boaft ^ fuch an Obfer\'ation. it 42, The Method it is a double PalTage, as fome Anatomifts af- firm ', * or a fingle one, as I have always ob- ferved. You will find it larger in Infants in Proportion to the Magnitude of their Bellies, than in Adults, and full of Excrements, -f- Having done with the Guts, we now come to the Stomach, whofe Coats you are to fe- parate as you did thofe of the Inteftines 3 af- terwards take Notice of the Gailric Veins creeping along its Bottom, then with a Knife open its Orifices, to obferve fome flefhy Fibres in the fuperior, or left Orifice, and a thick fiefhy carnous Circle like a Sphinfter, fur- rounding the Infide of the inferior, or right Orifice, termed the Pylorus. But in the Method of differing the Sto- niach, many Parts are cut off, which would be of Service if kept on -, it would therefore be much better to begin from the yejiinumy and firfl cut off the Inteftines only, as Ria- Ian obferves. But in this Adminiftration the following Order mull be obferved. Having * I imagine that thefe Gentlemen were much more em- ployed in the Diffeftion of Brutes than of Human Bodies, and as they found it fo in the former, they therefore took it upon Credit that it mufi be fo in the latter. f Alhertus and Bartholin found this InteHine miffing in fepa- of d't[feBi?]g Bodies. 43 ^parated the Colon on the right Side, thruft it toward the left, that you may come at the Duodejium ; there find out the biliary Dud:, and tying the Gut above and below the Dud:, cut it afunder between the Ligatures j after- ward take hold of the Inteftine, and gently touching the Mefentery, feparate its upper Membrane, which leaving the Inteftine clear, will point out the Place where the other Membrane is to be perforated, viz. Next to the Intefline. In this Operation, you are to continue both in the upper and lower Mem- brane, till you come to the Intejtinum Rec~ tum^ which take out, as above direded. Fernelli obferves the fame Method in tak-^ ing out the Intefl:ines,but with this Difference, that he begins from the 'Re^ium-^ but he makes two Ligatures on the yejunum, and cuts it afunder between the Ligatures, before it runs under the Vena Porta, that he may re- move at Pleafure from Place to Place the In^ teftines. Some injed Water into the Stomach by the Mouth, before taken out, to make it fhew its natural Situation the better j but this may be left to every one's Fancy. The Jnteftines being extradedj there remains now m 44 The M E r u o jy in the Body the Ventricle , Spleen^ Pancreas, and the Mefentery, which may be all at once taken out in the fame Manner as above di- reded. But if you follow this Method ^ I would advife you to pull out the Oefophagus and Stomach, together with the Liver, Spleen, 'Pancreas, and Mefentery ; however, Anato- mifis feldom ufe this laft Method. I have like wife added the following Obfervations, ii you have a Mind to trace the Nerves that come from the Stomach. The common Method is as follows. The Thorax mud be firft opened, and its Vifcera taken out s but take Care not to eradicate the Nerves of the iixth Conjugation, then the Dia- phragm to the PalTage of the Oefophagus ,h\i\.6iO not touch the abovementioned Nerves ; paffing the fame Way afterward, cut with the Myrtle knife thefe Membranes which conned: the Oe~ fophagiis to the A/per a Arteria, to free it from thofe Parts in the Thorax whereto it is joined. Next, Cut off the Nerve defcending with the Stomach, at its Origine, and thruft the Oejb- phagiis downward, by an Incifion made ia the Septum Tranfuerfum to the Abdotnen. The Livei muft now be feparated from the Diaphragm, as fhall be (hewn hereafter, and lemoved of difJeElmg BODIES. 45 removed to the left Side of the Abdomen, after having made a Ligature upon the Trunk of the defcending Ca'va^ then feparate the Mefenteric Arteries, and having made Liga- tures thereon, cut them off. The other Parts are feparated in like Manner as the Stomach, Spleen, and Pancreas. The Parts thus extracted being laid on a Table, firft feparate the Mefentery Velfels from the Fat, till you come to the Origine of the Splenic VefTels ; having made a Liga- ture thereon, cut off the remaining Part of the Mefentery, and lay it in one Side ; the other Parts you may thus place on the Ta- ble ^ the Liver lay on its convex Part to the right, the Spleen to the left, and the Sto- mach in the Middle, with the Pancreas a- bove it. Having thus placed them, clear the biliary Dud from the Fat, that you may fee its Progrefs and Entrance into the Dtiode- num^ in like Manner the Splenic Branches, both Vein and Artery of their Fat and Mem- branes, then the Vas Breve, which joins the Stomach with the Spleen j next to this, take the Stomach in your Hand, and beginning at the Top, feparate the Nerve of the fixth Pair, proceeding to the Stomach, and taking off 46 The Method off the Membranes, unfold the Plexus Ner^ "Vortim, where you may obferve a fine and beautiful Contrivance of Nature in the Di= f}ribution of thefe VelTels ; afterwards fepa^ rat© the Mufcles of the Oefophagus. The U"- ijida is joined to the Oefophagus by its Mufcles, which cut off. You need not fear hurtins: the Mufcles, that cannot be, becaufe they run below, along the Sides of the Oefophagus. The Oefophagus has a great many MuA cles, but the largefl is the Sphinder, which fhutting its Orifice, and furrounding it, is eafily diffinguifhed from the reft by the Diredlion of its Fibres ^ the other Mufcles lying very clofe together, and differing very little from the dire6l Situation of their Fibres, are difficult to be diftinguifhed. The fmalleft Mufcle called Stylopharyngceus^ is on both Sides fituate next to the Sphindier ; the fecond, being broader, and denominated Sphcenopharyngc^us, is joined to the Infertion of the former Mufcle, but is fomev/hat di- flant from it at its Origine ; the third term- ed Cephalopharyngaus, is the broadeft Mufcle, and is fituated in the pofterior Part. Each of thefe three Mufcles are placed on both Sides of the Oefophagus^ and therefore make three of dtjJeEllng Bodies. 47 three Pair. How far they are to be feparat^ ed, will eafily appear from what has been faid. We muft, in this Sc<5tion, treat of the Mefentery, becaufe it is joined with the In- teflines, and keep them in their regular Order 5 in it you are to obferve VeiTels, Membranes, Glands, and Fat ; the Fat is fometimes in fo large a Quantity, that you can fcarce dlfco- ver its Veflels, but more particularly the Lac- teals. Some fmall Glands are alfo interiper- fed upon the Mefentery 3 the largeft of which is fituate near the greatefl: of the Vena Porta, affording the Ladleals a fafe PalTage, and is by Afiliiu called the Pancreas, which has oc- cafioned a Miflake to many. Thefe Glands are never, or very rare dilfeded, but only the greater are opened to fee their containing Fluids. The Mefentery has a double Mem- brane from the Feritonceum ; to find out this Duplicature, make an Incifion into either Membrane, and pull it off with your Fin- gers towards the Inteftines, which will eafily follow, and give a full View of the fubja- cent Glands and Fat ; on the oppoiite Side, you will find the other Membrane intire. The 4B The Method The Mefentery is furnifhed with VelTels of eveiy Kind, bat the Veins and Arteries are not confpicuous -, and in living Crea- tures, or thofe imnnediately choaked after feeding the Lacteals, thefe Veflels are di- ftinguiihed from each other by their Colour. The Veins feem livid, on account of the Transparency of the Blood ; the Arteries be- ing now empty, appear wh'itifh or yellow- lih J but the Lafteals, if full, are perfedlly white, if empty, invifible ; however^ more of this in the next Chapter. The m.ore curious fometimes feparate the Mefenteric VelTels from the Membranes, Fat, and Glands, in order to fhev/ the Di- ilribution of thefe Veflels j In profecuting this Method, they begiii at the Vena Porta, and take off all the Membranes of either Side, which may be done with the Nails, then in like Manner the Membrane of the other Side. The Membranes being now renioved, you are with a Knife to feparate the large VelTels from the Fat, till you come to the fmall ones, where the Operation is both tedious and troublefome, on account of the vaft [uantity of capillary VelTels. To prevent this of dijje5iing Bodies. 49 this Difficulty, expand the Mefentery on a Table, and fqueeze the Fat with the Back of your Knife toward the Extremities, and thus you will eafily clear your Mefentery of all its pinguous SubftancCj then work ' the Veins witli warm Water. CHAP. y. of the L A C T E A L s. S to the Ladteals, we mufl obferve in particular, that the Difcovery of thefe Veffels is fcarce ever to be made in one and the fame Body, where you in» tend a perfecft DifTedion of the other Parts, becaufe many Reafons may be given why thefe Veffels cannot remain vifible for any conliderable Time after Death 5 therefore foon difappear, and efpecially the Mefenteric Ladleals, when expofed to the Air. Hence there muft be two Operations of thofe VefTels, one which treats of feparatin^ only the Ladteals^ without minding the o-^ B thsi* 50 The Method ther Parts, another which manages them with the other Parts. Thfe iiril of thefe is accurately handled by I'h. Bar tho line in his Anatomical Hiftory of the Thoraic Lacfleals, to which I refer you y the latter I fliall here briefly explain. Having carefully opened the exterior Parts of the Abdomen^ turn to the Omentum ly- ■ing upon the In trails upward ; then, pufh- ing the fmall Guts out of their Places, ob- ferve whether you can fee fmall white Ca- nals on the Surface of the Mefentery, which are AJjellim\ Ladieals ; if they do not appear after a veiy ilrift Search, it mult be either imputed to long fafting before Death, or your Delay in not immediately feparating the external Parts after Death. If thofe Veflfels appear, throwing afide the Inteftines, feek for the 'Mefenteric Gland, where the Vena Porta divides itfelf into a great many Rami- jRcations -, you will meet with a Confluence of La(5leals, which go to the Lumbar Glands. It is enough to take a tranflent View of them here. You then proceed to the Ad- minifliration of the Inteftines, Stomach, and Liver, and the remaining Vifcera in the low- er of di[Je5iing BoDIESo 51 er Belly, as fhall be fhewn in its proper Place. After this, you enter upon the Anatomy of the "Thof-ax in the ufual Way, as fhewn in Book 11. and lay bare the Spine of the ...Back : But, in opening the vital Organs, two Things mufl be confidered. i. To make a Ligature on the left Subclavian Vein, im- mediately after its Origine out of the Trunk. 2i In feparating the yf(?r/^, the Fat lying un- der, and ferving as a Pillow or Cufhion for this VefTel to reft upon, muft be left un- touched all along the Spine^ becaufe the tho- rax is inveloped in it* If the Spine be laid bare^ you mufl makd an Incilion into the Diaphragm, and care- fully divide its ProcelTes, efpecially the right one, from the Lumbar Vertebrce^ becaufe un- der it lies the Ladteal Branch, which afcends to the T^horax j then find out the Ladieal Vein after the following Manner* If there are ftill fmall Glandsj pull them gently, and you will eafily find the PalTage of the Vef- fels J but if quite obliterated, you need not defpair, but only clear the Spinal Vertebrd of their Fat vviththe Point of the Knife, and then you will infallibly find the Veflel, which E % VelTd 52 The Method VefTel raife with your Hand, or a Hook, and proceeding upward, feparate it above from the Fat, and below from the Spine -, but you muft be very careful near the Cla^ 'vicula, becaufe there it divides itfelf into feveral Branches. Therefore, to difcern thefe minute Rami- fications nicely, make a longitudinal Inci- fion into the inferior Parts of the Veflel, in which put a flender Tube, then preffing the VefTel tight with your Fingers round the Tube, defire a By-ftander to blow in, and you will eafily fee in what Place the Inci- lion is to be made, likewife plainly perceive whether it enters the Subclavian by one, two, or three Branches, afterward cut off the Fat, where you obferve the greatefl Commotion. If the Infertion of this Canal be only fingle, you may eafily obferve the Situation of its Valve 5 thus make a Ligature on the Extremities of the Jugilar and Axilary Veins, to prevent the Inconvenience of the iffuing from thence ; then make a longitudinal In- cifion in the Axilary Vein, and injed: it with Air or Water through a Tube, where you obferve a Motion to be flrongefu, there the Infertion of dij[e[^ing BODIES. 55 Infertion is, and a very thin Membrane which fupplies the Place of the Valve, to flop the returning Fluids, which you will eafily per- ceive, if you narrowly infpedl the Subcla- vian Vein. C H A P. VI. Of the Pancreas and Spleen. L The Pancreas. 1 ■^HE Verfunglan Du5i^ on whofe Ac- count the Adminiftration of the Pancreas is undertaken, terminates in the Intejlinum Duodenum ; wherefore, if you have a Mind to fee the Infertion of this Canal, a Part of the Duodenum mufl be cut off from the reft of the Inteftines, otherwife you cannot trace the Infertion of this Dud:, ' which joining with the Dudius Cholidochus, enters this Inteftine about two Inches below the Pylorus. The Pancreas being laid on a Table, make a longitudinal Incifion through the Middle of E 3 its 54 57>^^ Method its Coat, afterward by going gradually deep- er, fcrape off the Pancreatick Subflance with the Point of the Knife, but take Care not to go too deep lefr: you hurt the Canal^ if you oblerve a fmall white Membrane in the Subftance of the Pancreas^ you may fup- pofe it to be the external Coat of that Canal Dud, therefore follow it y both toward the Inteftines it is broader, and toward the Spleen it grows narrower ; but it fends off fmall Branches on both Sides like a Feather, which, if you would obferve, you muff fcrape the glandulous Subftance quite away till you come at them. You may find the Entrance of this Duct into the Inteftines, either by injecting it with Air or Water ^ to do this, make a longitudinal Incifion, fix a fmall Tube in it, then injedl either Air. or Water t»y this Tube through the Canal, and where the Air or Water come into the Duodenum, that is the Place of this Canal's Infertion into that Gut. You can fcarce enter it by a Probe or Tube in the Infide of the Duodenum^ becaufe it is there furnifhed with a thick membra- iious Circle, to prevent the Chyle and Ex- crementS;, while ^{Ung dloiig the Duodenum,^ from of dt[fe[ltng Bodies. ^s from entrlng here. If you blow in at the other Extremity, you will be fenfible of thefe Valves which oppofe the Air's Ingrefs into the Capillary Veflels. The Splenick VeiTels adhere to the lower Side of the Pancreas^ which fliould be fepa- rated at the fame Time with the Inteftines, as above directed ; but if they flill adhere, you muft feparate them, to examine further into the Spleen. II. The Spleen. The Method of taking the Spleen out of the Body has been already exhibited, there- fore a Repetition would be to no Purpofe, In taking out the Spleen, we are to look into its VefTels, Membranes, and the Farenchy- ma. The greateft Difficulty in this Opera- tion, confifts in removing the Fat plentiful- ly furrounding the VeiTels ; therefore you muft take Care in feparating it. To do this, a Probe or Stick muft be gently intro- duced into thefe Veffels -, therefore you muft take Care, in feparating it, not to hurt the VefTels, that fo being rendred bigger and larger, they will be vifible. You muft ob- E 4 ' ferve^ ^6 The Method ferve, that thofe VeiTels do not always enter the Spleen by one Branch, but fometimes by two, and fometimes by three. You are not here to pafs by the Vas Breve^ which generally approaches the Stomach by one Branch ; yet Nature feems fometimes luxu- riant here as in other Places, For I have obferved, in the differing of the Spleen of a iplenetick Perfon, three large vilible Branch- es. If you have a mind to fliew its Mem- brane, make a very light angular Incifion, then lift up the Membrane with a Hook, or you may take it off with the Point of a Knife as you think convenient. Sometimes it comes off as foon as touched, as it did in the Spleen, whofe Coat was fo very thick, that it could be fo feparated with the Back of the Knife. The Membrane being taken off, what remains is the Parenchyma, joined with the Veffeis J but the Method of feparating them, we fhall (how in the End of the next Chap- ter. C H A P |»^y>vhich arQ in their Beginnings full of Wind- 74 The Method ino.s and Twiilings, hence denominated Cor- pus Varicojmn & %;pcroe;Jv5; j if die exterior Coat is removed, thefe Veffels may be far- ther extended in Length. You fee in their Progrefs a great many crooked and winding Veins adhering to their external Side, Uke thofe in tlie Circumvolutions of the Brain, which mufl: be feparated with their Mem- branes, or elfe they will intercept the Sight of the Vas Defer e?is ; therefore thefe Veffels mud be cleared of their Membranes as far as their Extremities. Having removed thefe Impediments, you will here find with your Fingers the Situation of the Proftate Glands adhering to. the Backfide of the Neck of the Bladder. In the Middle, between thefe two Glands, make an Incilion in the Membranes, where you will fee a whiti/li Body, inter- fperfed with red Veins, and thefe are the Frojiatce^ which you are to clear of their Membranes, efpecially on the Sides, where you will fee the adjacent Seminal Bladders and Spermatick Veflels. While clearing the Veji- culce, or Bladders, of their Membranes, you will cbferve feveral fmall Veins lying on them, by which they are, as it were, divided into :(b many fmall Cells. They are joined ta the oj dilfeBhg Bodies. ^5 the Vafa Defcreittia, from whence they re- ceive the Seed, and convey it into the Ure- thra. To fee how this is done, open the Vas Deferens^ and inflate it y^ith a Tube, then you will obferve the Veficula fwelJ, 2n4 foon after difcharge theaifelves into the Vre- thra ; that you may fee the Place, open the Urethra, and you will obferve the fmall Point of it fwelled, likewife feel the Air coming through a very fmall Hole j for it is a very fmall Opening in the Urethra that affords the Seed a Paffage. The Penis, belonging only to the Male, and deligned for the Sake of Generation, re- mains next to be examined. We have taken notice of its Mufcles in Chap. VII. where we have alfo fhewn how to feparate the Cu^ tis and Membrana Carnoja, with the Pr^pii- tiiim. By making a tranfverfe Sed:ion in the Penis J you will fee its bodies made up of a fpungy blackifh Subflance, and their ner- vous Coat, without differing it ; in the Mivd- dle they are conneded by a ftrong Liga- ment *, therefore not eafily feparated. The Urethra is almofl of the fame fpungy Sub- t Spigeliiis makes it to be tranfparentj whicJi is more than fver I could obferve. . ' ' fiance ^6 The Method fiance with thofe that compofe it -, but it is eafily feparated from them by making a lon- gitudinal Sediion 3 however, its Separation is of no great Moment. Its interior Surface is very fmooth, to obferve which you need on- ly open it with the differing Knife. CHAP. XII. Of the Farts of GENERATION in 'Women. OU may obferve the Parts in the Fudendum, without uling a Knife, 'viz. the Mom Veneris^ with the Hair growing on it, the Labia iituate on both Sides of the Rima Magna ^ which, if drawn a little afide, you will fee the Carun- cidce Myrtiformes^ above the Extremity of the Clitoris^ the Orifice of the Urethra, and the Hymen, if not rent. But if you have a Mind to go further, you muft make ufe of the Knife thus : Having laid open the Legs, and put a wooden Block under the Buttocks, make of dJlfefiing Bodies. 77 make a longitudinal Incifion in the Skin on each Side near the Fo/ja Magna^ to meet be- hind the Foramen Am, which afterward fe- parate, according to the above Dired:ions. Be- fore you feparate the Fat, trace round the Ligaments of the Womb, and fee whether they are, according to Riolan, extended to the Leg, or whether, as is generally obferved, they end in the Os Pubis. Having made an Incilion in the Peritoncewn, return from the internal to the external Parts : Thefe be- ing removed, cut off the thick Lump of Fat in the Mons Veneris to the Bone, and fepa- rate it about the Pudendum from the Os Coxce-, if the Clitoris be very large and confpicuous, you may take a View of its Bodies, which are joined near the Contexture to the 0/fd. Pubis, and at the Sides you may oblerve fome carnous Fibres, which are reckoned the Muf- cles of the Clitoris. But the abovementioned Parts are fcarce viiible in a Child or new born Infant. However, feparate them all from the OJfa Coxa, to make a fmall Apperture to the Infide ; then feparate the OJ/a Pubis with a Knife as you did in the Male Siibjed:, like- wife cut off the Fat round the Pulva and Podex. Having f 8 The Method Having taken a full View of the natural Situation of the Womb, you are next to enter upon the Adminiftration of the inter- nal Parts 3 firfl: free the 0-varia Vafa Frcepa- rantia^ both Artery and Vein, likewife the Ureters ; then make Ligatures on the Trunk of the Artery and Vein, cut them afunder above the Emulgents, and feparate them from the Spine. If you intend to fearch for the Tho- raie Dud:, take particular care not to hurt it now, for it lies very near, as has been already mentioned concerning the Kidneys. Having re- moved the Kidneys and Capfulcs AtrabUari(^ out of their Place, take them afide along- with the other Veilels -, but when you come to the Pehis, take care not to cut any o- ther Yc^d^ except that which enters the Fo- ramina of the Os Ldtum, or goes to the Fe* nmr-^ for you may happen to cut the Ute- rine Veins and Arteries. Having taken out, through the FiiTure made in the Offa Fiibis^ the VelTels, and what adheres to them, you may feparate the remaining Parts in the Fel- vis by way of Excoriation, and exterminate them with the Fat. Separate next the Ft" teftinimi ReBimi from the Neck of the Womb to which it clofely adheres, therefore take^ care' of difeSihig BODIES. 79^ care not to wound it with the Knife ; then, remove the remaining Fat round the Orifice of the Womb, but do not touch the Clito- ris. What is next to be done, and how the Uterine VefTels are to be feparated, I cannot dired; you by Words, nor will I take upon me to lay down Rules for you to go by '3 but I would earneflly recommend you to the Pradice thereof, which will be your beft Gride. However, I will give you a fevy^ fhort Dirediions. Firft, every Part muil: be removed that does not come under the De- nomination of the VefTels of the Uterus and Bladder. Next, after removing the Mem- branes, begin from the greater, and proceed to the leiTer Branches of the VeiTels. Laft- ly, remove the Fat lying between the Vef- fels, to fee their innumerable Divarications. This is all that can be faid in general con- cerning the Diffedlion of the Uterus, and Words will not allow to be more particular; therefore put your Hand to the Work, and Pradice will befl direcfl you how to proceeds Some Parts yet remain, which, before the Womb is thrown away, and you proceed further, muil be taken notice of. To come at a full View of the interior wrinkled Sur- face 8a The Method face of that Part of the Womb, its Neck,' ■which adheres to the Intefiinum Reciimt, mufb be" laid open, therefore, open in the Middle the whole pofterior Part of the Vagina, as far as the inner Mouth of the ¥/omb, which is a more folid Subflance than the Vagina^ and apt to give way to the Preffure of your Hand. Having opened the Vagina, you will fee the OriHce of the Matrix, re- fembling a Fifh's Mouth, when open. The Bottom of the Womb muft next be dif- fered, to come at the Sight of its Inner Ca-= vity. Some cut it open tranfverfely, others longitudinally like the Vagina, but the lafl: feems to me the miofc proper, i;/^;. Begin- ning your inciiion in the fuperior Part of the Womb, fo as to make a flreight Line with the Corniia Uteri, and thus continuing your Section to its Orifice, that the Womb may be cut afunder in two equal Parts,- or near it. Beiides the pinguous Subflance of the Womb, you will here fee an infinite Num- ber of fmall Foramina, being the Extremi- ties of the dlffeded Veins of the Uterus, which, if inflated with a Blow-pipe, you will obferve reach the VefTels adjoining the Qvaria, In the Middle of the Cavity of the Uterus^ of dijJeSihig Bodies. 8i tJterus, you will lee a Line owing its Rife to the Vulva. You are, after the Adminiftration of the Uterus^ to cut open its Corn u A lengthways, where you will meet with a fmall Nerve, near the Bottom, very much cried up by Riolaii. It is about three Fingers long, and terminates in that great VefTel called the Fallopian Tube, divided into feveral Cells, being the Receptacles of a vifcous Hu- mour^ almoft of the fame Nature with that contained in the Ovaria^ which are next to be cut open, to fee whether their contained Fluid deferves the Name of Semen, G BOOK 8::, The Method B O O K II. Of the Thorax or Chest. CHAP. I. Of the Common Integuments a?2d Breasts. THE common Integuments of the middle Cavity claim the chief Place -, the firil: of which is the Skin, whofe Incifion is to reach as far as the Throat ; the Skin is afterward to be divided bv another Sec- tion, 'uiz. By beginning from the End of the former Incifion, and proceeding in a ftrelght Line above the Acromhim^ through the ■of dijje^hg Bodies^ 8j the anterior Part of the Arm to half the HwneniS'^ and this to be done on both Sides ; then feparate the Skin from the Fat in the iame Manner as has been direded in Book 1. Chap. I. You here meet with the Breasts, which, lying under the Skin, introduce fome Ake- ration in this Separation. In Males, fcarce any Subflance is to be found befides the Nip- ples ; but in Females, a great many Parts are to be obferved, efpecially in pregnant Wo- men, or wet Nurfes , therefore^ while fe- parating the Skin from the Breails, you are to take Care of the Glands interfperfed among the Fat. Having come to the Nipple, you find a large Gland which is compofed of many leiTer ones, to which there is a Con- courfe of feveral lacteal Tubes. To preferve thefe in railing the SkiUj make an Incifion round the Nipple, and leave the Skin on the Breail ; as for the reft, you may not only fe-* parate the Skin on the Breaft, but alfo in that Part of the Shoulder next it, to come at the infertion of the pectoral Mufcle. Hav- ing raifed the Skin, proceed to the Dilleclion of the Fat in fuch a Manner as you did the Skin J and clear it from the Flefli. Under G 2 tba y 84 The Method the Arm-pits, the Separation of the Fat Is fomewhat difficult, becaufe it is there inter- mixed with mufculous Parts; therefore it muft be carefully fepaiated, for fear of cut- ting the Veins which from thence defcend into the Arms. This is the Method of diffeding the Bo- dy of a Virgin ; but if it be a Woman that has Milk in her Breafts, you are to change your Operation. You are to pull up the Fat with a fmall Hook, which is deeply in- termixed among the Glands, and cut off the ftrong Fibres with the Point of a Knife ; you may thus remove the Fat without hurting the Glands, for it lies moft upon them. But thefe Glands are immediately joined to the perioral Mufcles by a peculiar Membrane, which is pretty thick in wet Nurfes, and hard to be feparated from the Glands, but very eafy from the peroral Mufcle through which the Veins take their Courfe to the Breafts. If there is ftill remaining any Quan- tity of Milk in the Breafts, you will obferve the ladiferous Veins, or ladeal Tubes, eve- ry where difperfed among the Glands, and uniting at the Nipple, where they terminate in thicker Branches. To difcover the Divari- cations of di[JeFih/g BODIES. 85 cations of thefe Branches near thofe Pla- ces where the Tubes are moft apparent, di- vide the Skin lengthways carefully with the Knife, and you will fee feveral fmall Branch- es proceeding from a large Trunk, but you muft take Care not to wound them ; be- caufe, when deprived of their milky Juice, they immediately difappear. CHAP. II. O/'^^ Muscles upon /& Breast. 'NDER the Breafls lies the Mus- cuLus Pectoralis, which arifes from the Ckvicula, Sternum, . and true Ribs, and is inferted a little below the Head of the Humerus. To feparate this Mufcle, you are neither to begin at its Ori- gine nor Infertion, but from the inferior Part under the Axilla, Having pulled the Arm a fmall Diftance from the Body, make. a flight Incifion in the Membrane which joins the Mufcle to the Intercoilals, and put- ting your Finger under, feparate it by way of G 3 Excori- 86 The Method Excoriation ; but cut off its Origine with the Knife, proceeding from the inferior to the fuperior Part ; then feparate it from the Clavi- cula and Deltoides^ with which it is joined in its. Progrefs. When feparated, lay it afide over the Arm *. Betwixt this and the Deltoides, near the Extremity, ilTues out the' CephaUc Vein, w^hich take Care of not to wound, The fecond is the SuBCLAviys, fituate un- der the Clavicula^ as its Name fliews. It proceeds obliquely from the Clavicula to the iirfl Rib j therefore, in diflediing this Muf- cle, you are to feparate its Sides by an -ob- lique Incilion, and then cut it off from the Clavicula and firfl Rib. But take Care not to hurt the fubjacent Blood Veffels. Thirdly, the Intercqstales are Forty four in Numbsr, and from the DirecStion of their Fibjes, ^re divided into external and internal. In the Adminiftration of thefe Mufcles, you are to make a flight Inciflon, following the Tradl of the Bone, fo as that the Knife may not reach beyond one Half of the flefhy Part, (for this is the only Way * Gakn makes this a double A^ufcle, which is only a fin- gle one, though there is a great Variety to be obferved iii its Flefli, which, Plate-like, is laid iipon one another. of difeBhg Bodies. 87 to determine the Thicknefs of this Mufcle) feparate the Flefh as far as dilTecfted, that the intercoftal Space may be denudated, and the contrary Direction of the Fibres of the internal intercoftal Mufcle fhewn ; for that which you iirft dillecfted, was the external intercoftal Mufcle. The internal intercoftal Mufcle adheres to the Pleura, which may be feparated after the fame Manner, provid- ing you do not hurt the Pleura, The In- teftines between the Cartilages, feem to have no Relation with the external interco- ftal Mufcle, becaufe they have different Fi- bres. G 4 CHAP. 88 The Method CHAP. III. Of the Method of opening the Tho-^ RAX. IN opening the Thorax^ Galen ufed a quite different Method to what is now prac- tifed. He divided the Os FeBoris with a fharp Knife into two ; an Operation, which is fcarce capable of being performed in an adult Subjed, and attended with Uncertain- ty and Trouble ; According to Ferneliiis \ therefore^ We now open the Thorax^ by fepa-f rating the Cartilages of the Sternum from the Ribs, which Galen knew very well how to do, though he divided the Os Fediorh in the Middle. This Operation of feparating the Cartilages from the Ribs, may be perform- ed two different Ways, 'u/z. either by fe- parating the Sternwn from the Diaphragm, and leaving it adhering to the Clavicles, or by cutting it off at the fuperior Part, and leaving it fixed to the Septum Uranfverjiinh The of elifeSikg Bodies. 89 The Operation fucceeds both Ways; In thq firfi, the Cartilages and Ribs are to be fepa- rated after the following Manner. Having removed the Membranes, Mufcles and Fat, find out the Union of the Cartilages and Ribs, which is eafily done by the Difference of their Colour ; for the Cartilages are of a whi- tifh, and the Bones of a livid or cineritious Colour ; then fix a fharp broad pointed Knife between your Fore-finger and Thumb, fo as that the Point may not exceed an Inch beyond them ; afterward thrufi: the Knife next the Rib into the Cartilage, and cut it afunder. The fame Operation takes Place in all the Ribs except the firft • For the Clavi- cle muft be removed, before you can cut the firfi: Rib ; therefore, cut off all the Muf- cles which have their Origine above the Cla- vicle, then feparate it with a Knife from the Sternum, by making a finous Se<5lion accord- ing to its Union, and turn it up to the Head, which will bring you to the firfi; Rib ; but take Care, while feparating the Clavicles, you do not wopnd the Subclavian Branches, left you fhould be forced to fpend Time in making Ligatures» The Clavicle being laid ^fide, find the Union of the firft Rib with the £ po The Method the Cartilage * by its Motion ; then Aide your Knife gently along under the Rib, turning its Edge outward, to prevent wounding the Subclavian VefTels. Having feparated the Cartilages, make an Incifion in the interco- jftal Mufcles and Pleura -y but if you incline the Sternum (hould remain contiguous to the upper Part, feparate it from the Diaphragm, 1HZ. By lifting up the Sternum on either Side, and putting a Knife into the Cavity of the "Thorax, divide the Septum from the Cartila- ges of the fuperior Ribs ; which Section re- peat on the other Side, and lay it over the Face, after feparating the Membranes of the Mediafiinum from the Cartilago Xiphoides. If you intend to begin at the Throat, and leave the Sternum adhering to the Diaphragm, cut off the Mufcles from the fuperior Part of that Boiie, but take Care not to hurt the VefTels afcending to the Head, free the Mem- branes, raife the Sternum^ feparate the Medi^ (ijiinum as before, and turn down the Ster-^ num upon the AhdoMen, If you incline to. take the Sternum quite away, begin where * It is here to be obferved, that the firft is longer than the fecond Cartilage, contrary to what is apparent in the reft^,, ^here the fliperigr is alway« the ftiorteft,. oj dijjetlijig Bodies. 91 you pleafe, and proceed with both the a- bovementioned Operations. In the mean Time, you may take a View of the Situa- tion and Conned;ion of the Mediajiiniim^ be- fore the Separation of the Sternum^ which afterwards becomes flaccid, therefore not fo vilible. On the Infide of the Sternum^ af- ter removed, you may obferve the Mufculus 'triangularis. To take a full View of the Contents of the T^horax, Galen required a larger Apper^ lure, therefore bended backward the adjoin- ing Parts of the .Ribs to the Vertebra^ with fuch a Force as to break fome of the Bones; but there is no Need of this, fince the open- ing made by the Separation of the Sternum from the Ribs, is fufficient for that Inten- tion, CHAP, 9 z The jM E T H O D C H A p. IV. ^ Of the Diaphragm, IF you Intend to take a View of the na- tural Situation of the Diaphragm, it mufl be done before the Thorax is open- ed, and after the Abdomen is cleared of its Contents, in which you will fee two Fora- mi?2ay and the Veffels difperfed through its nervous Part, But when you defign to feparate it , begin its Adminiftration in the Cavity of the Thorax thus : On the Right-fide, at a fmall Diftance from the Kibs, deprefs the Diaphragm with the Palm of your Hand, that the connediing Fibres may be extended, and more eafily cut off with the Point of the Knife. Repeat the fame Operation on the Left-fide, and when you cannot deprefs the DiaphragmN longer with the Hand, take hold of it, and pull it down with fuch a Force as to break the extended Fibres -, but carefully feparate its two tendinous Procefi^es, firmly adhering to the Spine, oa / . of differing Bodies. pj on account of the fubjacent Thoraic Dadt, which muft be carefully obferved ; there- fore, the mofh convenient Method will be, to lay the Diaphragm upon the Breaft, and begin the DilTedion of its ProcefTes at the prominent Bodies of the Vertebra, taking Care not to feparate any Part of the Fat, under which the Thoraic Dud lies conceal- ed. Spread the Diaphragm, after taken out, on a Table for a Demonflration. CHAP. V. Of the Method of extraB'mg the Con^ tents of the Thorax. ANATOMISTS generally expofe to View the Water contained in the Pericardium^ before they extrad; the Vifcera out of the Thorax, therefore take hold of the Pericardium with your Hand, and make an Incilion large enough to fee the Water, which you may either take out with a Spoon, or fliew it in the Peri' ^4 'The Method fericardmm, by removing the Apek of the Heart a little afide. You may from thence proceed to the Adminiflration of the Vifcera, becaufe the Trachea Arteria^ and Tongue,- are taken out along with the Contents of the thorax. The Skin of the Neck muil: be a little further feparated ; therefore make an Incifion under the lower Jaw, reaching to the Chin, and then feparate the Skin after the ufual Method up to the Ears. In the fame Manner remove the Fat, but take Care not to hurt the Latiffimus Colli, which is a ■ thin membranous Mufcle lying immediately under the Fat ; feparate the Mufcidi Majioi^ dei near their Origine, they being already fuppofed to be cut off from the Sternum, and lay them on both Sides ; then remove the Mufcidi Sternothyriodei a little out of the Way, to give Room for coming at the fub- jacent Parts ; afterwards feparate carefully the Mufculi CoracoUgoidei, which obliquely extend to the Proceffiis Coracoides, and lay them over the Larynx. Having finiihed thefe preliminary Opera-^ tions, and removed the Clavicle out of its Place, feparate the Thymus from the Sides, where it lies ve-ry deep, ^and adheres dole to th© of di[feEi}ng BODIES. $ 5 the VefTels, bat take Care not to hurt the Cava, which would caufe an Effuiion of Blood; then clear the Axillary VefTels of their Flefli and Membranes, and make two Ligatures on each Veflel, at fame Diftance from the Trunk. In the fame Manner pro- ceed with the external and internal Jugulars and Carotides, when feparated, (the farther from the Trunk, and nearer to the Cranio urn, the better) and then cut them all afun- der. This is the common Way of proceed- ing 3 but if you want to fee the Entrance of the Thoraic Du(ft, make two Ligatures on the Veins of the Left-fide, where the afcend- ing Trunk begins to divide itfelf into Branch- es 3 for this VeiTel terminates in the left fub- clavian Vein, as has been already mentioned. In order to take out the trachea Arteria intire, which afcends to the Throat, come to the lower Jaw, and firft fej^arate the Miifcidus Digaftricus, creeping along the inferior Part of it, from the Flefli with the Back of the Knife, but not from the Bone ; then fepa- rate the Mufcles of the Tongue and Os Hy- goides clean from the interior Side of the Maxilla inferior. When you come to the Tunich of the Mouth, make an Incifion therein <)6 The Method therein near the Teeth of the lower Jaw, to put your Fingers into the Throat, and pull up the Tongue j in order to feparate its Muf-^ cles arifing from the Os Styloides. To per- form this Operation with greater Eafe, de- lire your Afliftant to pull back the lower Jaw with the Head as much as he can, and keep them fteady while you are cutting out the Uvula and Gula. At the fame Time^ take out the Tonfils or Almonds, fituate at the Sides of the TonguCj with the fixth Pair of NerveSj which defcends into the Thorax, This being done, pull out the Tongue, by depreffing it with your Left-hand, and, with a large Knife, fixed in a good Handle, cut through the Memhrana Palati tranfverfely a~ bove the JJiiula 3 then, fixing a fmall Hook into the Extremity of the Skin where the Incifion was made, and pulling back that Membrane, feparate it from the adjacent Parts, by which if you pull the Gida^ with its adjoining Parts, they will eafily follow, after the Fibres are cut with the Point of the Knife which unite the Oefophagus to the Ver- tehra. Continue this Operation till you come to the third Vertebra of the BacJ^ where the Vena Azygos^ or Sine Pari rifes out of the of dtfj'eBing Bodies. 97 the Cava. On this Branch make two Li- gatures, and cut it afunder between them ; then turn toward the Abdomen^ and, becaufe the intercoflal Arteries lie in your Way, you may either make Ligatures on, or diredly cut them off, till the Trunk of the Aorta is quite clear. While you are feparating the Oe- fophagtis or Aorta from the Spine, I would advife you not to be too nice in removing the Fat, left the Thoraic Dud (hould be wounded. After the Extradion of the Vifcera, the Pleura is next to be feparated ; in order to which, firft raife it from the Vertebra with the Knife, then pull it from the Ribs with your Hands, H CH^AR 98 The Method C H A R VI. Of the Method of preparing the Vis- cera of the Thorax. IN what Manner the Vifcera^ contained in the Thorax, after taken out, may be cleared of their fuperfluous Parts, can rather be hinted at than defcribed by any general Rules 3 however, I will endeavour to lay down the Order by which you are to pro- ceed in thefe Operations. Fir ft, cut off the Oefophagiis, becaufe there is no farther Ufe for it here 5 then feparate the Thymus in the Fore-part, if not already done, from the Veffels 3 afterward remove the Fat with the ufelefs Membranes, and the Pericardium likewife, that the Trachea Arteria may be cleared of every Thing except its Mufcles, and the VelTels of the Heart appear more vi- iible when freed of their foreign Parts. But obferve not to cut afunder the Dudius Arte- riofus, which is only pervious in the Foetus, and makes a Communication between the Trunk of dijjeviir^g BODIES. 99 Trunk of the Aorta and Pulmonary Artery, nor the Nerve of the lixth Pair, defcending along with the Trachea, The Anatomy of the Heart comes next This you are to take in your Hand, and hold it with the Apex uppermoft, which mufl be cut off about the Breadth of an Inch, to fhew the Diverfity of the Ventri- cles. Then, having cut open the right Ven- tricle and Auricle longitudinally, obferve the three Valves called Tricufpides^ fituate between the Auricle and Ventricle, like wife the ten-^ dinous Ropes, which failen them to the flefhy Pillars of the Heart, and ferve, when the Point recedes from its Bafe, to fhut the Valves upon the Entrance of the Blood ; you are to take a View of the different Surfaces of the Auricle and Ventricle j alfo trace with a Probe the Pulmonary Artery, and its Entrance into the Lungs, and after- wards cut it open, to fee the three femihmar Valves^ placed near its Union with the Ven- tricle. The Adminiftration of the left Ventricle is the fame with that of the right, except at the Entrance of the Ventricle, near the Pul- monary Vein I it has only two Fakes, called H 2 Mitrales, 100 The Method Mitrales, and near the Aorta three femilunar Vahes. In a Fcetus, you are alfo to obferve the Anajiomofis of the Caija and Pulmonary Vein, by Means of the Foramen Ovale, near the Entrance of the Cava into the Heart, with a Valve annexed to it for hindering the Return of the Blood ; likewife the DuBus A?'t€riofus, or a communicating Canal be- tween the Pulmonary Artery and the Aorta, whofe Diameter will only admit of a fmall Probe J but this Canal, with the Foramen Ovale, are afterwards fhut up. After the Heart you are to enter upon the Lungs, and the firft Thing to be taken in hand is the Diffeiftion of the Parenchyma -, in which make an Incilion at the Entrance of the Trachea, with its Ramifications, into the Lungs, and, following the Trad of the Trachea, feparate it where the Blood Veifels keep clofe to the Rings ; * likewife take no- tice of the Anmdi and Larynx, which you will fcarce get a Sight of before they are cleared of their Mufcles. * Highmore has given us a very exa begin your firft Jncifion at the Root of the Nofe, crofs the of dilfe£iing BoDIKs. 105 the Vertex^ and terminate in the Neck j af- terwards begin your fecond in the Maftoide Procefs behind the Ears, and end it in the fame Place, on the oppoUte Side. Take Care your Knife do not go deeper than the Skin, and cut the Pericranium. After the Incifions are made, you can here more ea- iily Jfeparate the Skin than in any other Part of the Body, becaufe there is very httle or no fubjacent Fat ; if there is, it mufl be rai- fed with the Skin, becaufe the Hairs are rooted iir it. In fome Places, feveral Muf- cles lie immediately under the Skin ; as thofe on the Forehead, behind the Ears, on the Nofe, Mouth, and Eyes ; to which a parti- cular Care muft be had in raifing the Skin. The Skin being taken off, and laid afide, make a crucial Inciiion in the Pericrani- um, which muft be done with a light Hand, for fear of wounding the Periofteum ; then raife the Pericranium gently, and feparate its Fibres from the Periofleum as far as you think proper. In the fame Manner make an Inciiion in the Periosteum as you did in the Pericra- nium^ and gently raife it from the Skull with the Back of your Knife, to keep it intire. The PilTedion of the Skull will be fhewn hereafter. * CHAP. io6 The Method C H A R II. Of the Muscles of the Face. iHE frontal Mufcles are the firft to be feen after, the Skin is raifed, and the Method of diftinguifhing them is by beginning above, and feparating them from the Skull, till you come to the Orbit of the Eye. The other Mufcles of the Face muft alfo be laid bare before you can difcover their Situation : Make therefore an Incillon in the Skin along the Ridge of the Nofe and Middle of the Lips, then carefully feparate it on account of the fubjacent Mufcles. When you raife the Skin from the Eye-lids, do not touch the Hair, that you may afterward fee the Tunica Adnata to greater Advantage. Having removed the Skin, the Orbicularis of the Eye- lid requires no farther DifTedion, unlefs it be to feparate it in the inferior Part, where it adheres to the above, than the Tri- angularis lituate on each Side of the Nofe. The, other Mufcles belonging to the Nofe are fo of dijJeBmg Bodies. 107 fo very fmall as not to be difcernible, except it be in thofe who are furnifhed with large Nofes. Before you enter on the DifTediion of the Labial Mufcles, the Fat muft be carefully removed, to avoid hurting thefe fmall Muf- cles. There are two Mufcles which pull up the Lip, one arifing from the Mala^ the other from the Oj Jugak, called by Riolan, Zygomaticus. Under thefe lies a pretty broad Mufcle forming the Cheek, hence denomi- nated Buccinator. There is a Mufcle which furrounds the Mouth like a Ring, and from its Ufe, which is to conflringe, or draw both Lips together, is termed Sphi?iSfer La-~ biorum. This Mufcle is eafily known from its circular Fibres. It is not neceflary to in- lift upon fhewing the Method of diffediing thefe Mufcles, becaufe, if you follow the Courfe of their Fibres, they will diredt, and prevent you from committing any Miflake, CHAP. io8 The Method CHAP. III. Of the Muscles of the Low br J ^ w. "^HE Lower Jaw, on account of Ma- llication, is furnifhed with feveral moveable Mafcles, which I intend to mention here, becaufe the Crotaphite Muf- cle mufl: leave its Situation before the Skull can be opened; you are therefore firft to raife from the Neck the Flotyfma Myodes, io called by Gale?2, and by Riolan, the Latiji- miis Colli ^ and leave it adhering to the Edge of the lower Jaw, near the Angle of the Mouth, where it is infer ted. You are next, after removing the Parotide Gland out of the Way, to raife the MaJJeter Mufcle, lying up- on the pofterior Part of the Maxilla^ which is done by feparating its anterior Part from the Bone, and then leaving it adhering to the lower Jaw. This done, you now come to the I'empo-- ral Mufcle, Part of which lies under the Maffeter^ of di[Je5iing Bodies. 109 Majjeter^ but the Os Jugale muft firft be re- moved, before you can enter upon the Ad- miniftration of this Mufcle ; therefore the Os Zygomaticum mult be twice fa wed through acrofs 3 once near the Eye, and then again at the Maftoide Procefs. The Part cut oiF by thefe Se(ftions, muft firfl be feparated from the Mufcle, and then removed ; afterward raife the Temporal Mufcle from the Skull ; but take Care, while you are about this Operation, not to hurt the Temple Bone, (which is only a thin Scale laid over Part of the Os Sincipitis.) When the Mufcle is thus /eparated, it will adhere to the Coronoide Procefs of the lower Jaw, that being the Place of its Infertion. The lower Jaw muft next be fawed longi- tudinally through the Middle, which Sedion mM^ fall between the De?ifes Incifbres, exad- 1}' performed. When both Parts of the Jaw- bone, thus feparated, are drawn alide, you will fee in the interior and inferior Part of fh.is Bone the Digaftric Muicle, whofe middle Tendon generally periorate? tlie Stykceratohyoidem , of which already in Chap, VII, Book 11. Raife the Digafiri- CliS no The Method ais * at its Infertion Into the Edge of tlid lower Jaw, near its CommilTure above the Mylohyoidceus^ and cut it off at its Origine, from the Sides of a remarkable Sulcus exca- vated internally, near the Root of the Ma- fl:oide Procefs. If the Head be feparated from the Trunk, you need not difTedl the Jaw^ becaufe, by turning the Head upfide down, you mayea- lily perform this Operation, providing you take Care before hand not to remove the Mufcles of the Head and Neck. There remains the two Pferygoidei Interni and Extemiy which agree in their Progrefs and Infertion, but differ in their Origine ; the former arife from the external, and the lat- ter from the internal Part of the Pterygoide Procefs : Therefore, in feparating them, you need only take Care to diftinguifli them from each other -, and_, in order to this, after hav- ing removed the Crotaphite Mufcles, deprefs the Jaw-bone a little, and cut it out, then cut off from the Bone the external Pterygo- ide Mufcle, which is much leiTer than the in- * Bartholinp, calls this Mufcle Graphoides. ternal of differing BODIES. iii ternal one, and feparate it from its Fellow. You will now fee the internal Pterygoide Mufcle adhering to the Infide of the lower Jaw, and you may feparate it in the fame Manner as the MaJJeier was done. CHAP. IV. 0/^//j^ Dissection of the Skull, rTTMIE DiiTedtion of the Skull is not al- I ways performed after the fame Man- ner. The Ancients ufed one Me- thod, ufually called the Common Method^ or ^e5iio Vulgaris -, and Confianthis Variolus con- trived another, which is denominated, from its Inventor, SeBio Variolana, I will begin with a fhort Explication of the firifl, and then fay fomething concerning the laft. T:he 1 1 % The Method The Common Method, In order to make an equal and flreight Sedien, tie a double Thread round the Skull in a flreight Direction, without bending ei- ther upward or downward -, let it reil upon the Frontal Bone, a little above the Orbit of the Eye, bring it round the Temple Bone to the Occiput^ and there pafs it over the lamboidal Suture, about two Inches Diftance from the End of the fagittal Suture 3 from thence bring it over the Temple Bone on the oppofite Side, and to the fame Place of the Frontal Bone, above the Orbit of the other Eye, and then fallen it When the double Thread is thus tied round the Head, make, with a fharp-pointed Knife fuch an Incifion in the Skull, be- tween the two Threads, as may ferve for a Mark or Line to dire(fl the Saw in cutting through the Skull. But the Head being of a fpheroidal Figure, you muft have an Affi- flant to hold it fleady during the Operation. Even thofe who draw the Saw with one Hand, ought to put the other againfl the Head. But to make the Operation eafier, I have of dijje^iing BODIES. 113 haVe contrived an Inftrament that holds it fo very tight, that it can move to neither Side. See its Strudure in the foUov^ing Plate. Unite the Threads now, and cut the Skull round with fuch a Saw as is commonly made ufe of in Amputations. Perhaps it may be expecfled I fhould here lay down Rules how- deep the Saw muft enter ; but as the Skull is not of the fame Thicknefs in all Bodies, nor in every Part of it, it is therefore very difficult to confine you to certain Rules : However, I would advife you not to ufe your Saw with too much Violence, but to pull it gently backward and forward, and now and then to take it out, to try with the Knife whether the Bone is cut through 5 if it is not, you are to go on with your Opera- tion till it is, which you may difcover by the crackling Noife. Continue your Diffediion round the Skull, ftill keeping in your Mark or Line, till you come to the Place where you firfl: entred the Saw. Some Parts of the Skull can fcarce be cut through with a ftreight Saw without hurting the Meninges of the Brain ; therefore I think it more convenient, on this Account, to ufe a Saw whofe Blade is crooked, in Form of a Crefcent j but I I leave 114 The Method leave it to eveiy one's Pleafure, whether he will choofe this Method, or rather ufe the Knife, where the Saw cannot fafely reach- Two Perfons fhould be employed in perform- ing this Operation with the Saw, one topuili it forward, and another to pull it backward, that it may not (hift its Place, efpecially if it happen to be of a pretty large Size, which then cannot be managed with that Exadlnefs it ought to be by one Perfon. When the Skull is fa wed round, it muft be thus feparated ; introduce an Iron Spatula, 6r fuch like Inftrument, into the FifTure made by the Saw, to break the fmall Splin- ters of the Bone where the Saw has not gone through, and the ftrong Fibres wherewith the Dura Mater is faftened to the Skull ; for though the Skull be quite through, yet it re- quires a confiderable Force to pull off its fu- perior Part, becaufe it is firmly connedicd to the Dura Mater, by Means of Membranes and Blood Veffels. If yeu intend the Head for a publick De- monftration, the neateft Way to perform the Operation, is by leaving it on the Trunk, and fawing round the Skull as above diredled. That the Verteic may not incline from Side of dt^eEltng Bodies. 115 to Side while you are employed in the Ope- ration, it muft therefore be held Heady by an Affillant i which being too laborious, I have contrived a Machine, which being put un- der the Head, holds it fo high as to make the DifTedion of the Brain eafy to the Ana- tomift. See the following Plate. 77:^^ Varolian Method. This is managed after a quite different Method to the former ; for he fo takes off the fuperior Part of the Skull, that the in- ferior, where the Nerves lie, may firft pre- fent itfelf to View, which is thus done. Take off the frontal Mufcles, with thofe of the Head and Neck, fo clean as not to leave a carnous Fibre behind them, feparate next the Head from the Vertebrce, when this is likewife cleared of its Flefh, after the fol- lowing Manner -, bend the Head forward, cut through the fpinal Marrow, disjoint the Bones, and cut through the Membranes and Ligaments that unite them, then take out the Eyes, of which more in Chap. VIII. You will now want a Saw, which muff be ufed after the fame Manner as above direded, I 2 but ii6 The Method but fixed in another PlacCj which is the only Difference betwixt this and the preceding Diffedion of the Skull. Fix therefore the Saw fo at the Root of the Nofe, that the Sec- tion may be made above the Orbits of the Eyes, and over the mamillary Proceffes to the Occiput. If you can hit the fuperior La^ mina of the Orbit, the Operation is exactly done, but if you cannot make an Incifion in the hamina, then, juil: behind the above mentioned Proceffes, make another, and con- tinue it on both Sides to the great Foramen of the Occipital Bone. The Skull being thus divided, put your Finger, or a fmall Hook, into the anterior and inferior Part of it, then, raifing it up, feparate the Dura Mater with the Knife from the Bone 3 but if you find any Difficulty, make an Incifion in the faid Membrane along with the Bone, and cut off the Nerves and Blood Veffels clofe to the Bone, the inferior Part of the Skull will af- terward eafily come away. But if you want a fuller Account of the Method of perform- ing this Operation, fee Spigel. Corp, Human, The Skull being, by this laft Method, ren- dered unfit for the offeological Demonfira- tions, makes me therefore choofe the firft 1 -- which. of dtfjeBhig Bodies. 117 which, with a fmall Variation, fo removes the Bones of the Vertex^ that the Brain can be taken out and demonftrated on the oppo- fite Side. The only Difference confifts in this, that the circular Sedion fhould be im- mediately begun above the Orbits, and from thence continued towards the great Foramen of the occipital Bone. The fuperior Part of the Skull being taken off, feparate the Tiiira Mater according to the Diredions given in the next Chapter. Lift up the prominent or an- terior Part of the Cerebrum^ cut off the Point of the Falxj with the firft, fecond, and third Pair of Nerves, clofe to the Bone, and fo with the refl in their Courfe. You fome- times lift up the Cerebrum on one, and fbme- times on both Sides, and cut off the Nerves pafling through the lateral Foramina of the Skull. Raife up the poflerior Part of the Cerebrum^ lay the Falx a little afide, and cut off that Part of the T>ura Mater which di- vides the Cerebrum from the Cerebellum^ by beginning your Sedion at the Falx^ and car- rying it on to the Occiput \ but if not large enough, make another crofs it. You will thus be able to take out the Cerebrum intire, which you may afterward prepare for a De- I 3 monftra- 1 1 8 The Method monflration according to the Varolian Me- thod, as fhall be fhewn in the feventh Chap- ter. CHAR Vo Oj the Admm'tfiration of the Me Mr? BRANES of the Brain. f^ I^HE Membranes of the Brain are two, I r/:^. The Fia and Dura Mater 3 but the laft comes only under a Diflec- tion ; the firft, on account pf its clofs and immediate Connexion withj and its various. Infmuations into all the Circumvolutions of the Brain, cannot be feparated from it. The Subftance of this Membrane, which is ex- tended round the Nerves like a Cobweb^ may be feen after the Brain is taken out. It is therefore the Dura Mater which comes under the Knife, in which you will fee a great Number of minute Blood Veffels iiTuing out Blood while the Skull is taking off; Having obferved thefe Veffels, make an Incifion on each Side of the Falx in the Du* of dijje^iing Bodies. 119 ra Mater, but not in the Middle, on account of the longitudinal Sinus and Falx under it ; infert into this Incilion a (harp-pointed Pair of ScifTars, and cut through the Membrane both backward and forward, as far as you can reach with the Points of the SciiTars. Re- peat the fame Operation on the other Side of the Falx ; afterward make another Incifion in each Side of the Membrane, from about the Vertex to the Ear, and thus you will di- vide the Dura Mater into four Parts, which turn down upon the Sides. The Falx, which is a Dupiicature of the Dura Mater, divides the Cerebrum into two Parts, and adheres anteriorly to the Crifla Gain, from which it muft be feparated, and, after having torn afunder the minute Blood VefTels which join it to the Cerebrum, turned down upon the Occiput, while you are d\{~ fedting the Cerebrum. You are next to trace the Sinus's of the Falx, which are two, one, or the lefTer, running along its inferior Edge j the other, or greater, upon its fuperior Edge to the Torcular. DilTed: this Falciform, or Sythe-like Membrane, at the Extremities of each Side, by an oblong, and fomewhat ob- lique Incilion^ and trace its larger Sinus with I 4. a Probe^ I20 The Method a Probe, which, when found, lay it open with a Knife or a Pair of ScilTars. If you diffedt the inferior Sinus in the Middle, and inflate it with a Blow-pipe toward the ante- rior Part, you will, by the Immiffion of the Air, obferve feveral Divarications or Branch- es, which make a Communication between the inferior and fuperior Simis, The upper Sinus continues its Courfe till it meets with the reft, and fo conftitutes Part of the Torcii- lar J you are therefore to purfue the Courfe of this Sinus as far as the Probe will go, with going to either Side in your Inciiion, which will dired: you to the other three Si- nus's ; one going in a freight Line with the former for fome fmall Space toward the Fo- ramen Magnum of the occipital Bofie ; the o- ther two lituate at the Sides oppofite to eacho- ther, which muft be feparated with the Knife like the larger Sinus of the Fah. Having traced their Extremities, you will find them ' terminate in the internal Jugulars ; hence it appears, that thefe Cavities are only certain Dilatations of the Jugular Veins, which here- about degenerate into Membranes. A farther Obfervation is yet to be made of the Dura Mater. n)iz. That it does not adhere of dtf^eBhg Bodies. 121 alike to all Parts of the Skull ; for on the fu-^ perlor and lateral Parts it is only joined by fome minute Blood Veffels and Fibrils, therefore in thefe Places more eafily feparated -, but it ad- heres fo firmly in its inferior Part, as not to be feparated without being torn in Pieces. CHAP. VI. Of the common Method of dTJjetilng the Brain, ANATOMISTS dilTea: the Brain three different Ways ; fome, in I- , mitation to Varolius^ begin at the O- rigine of the Nerves ; others at the fuperior Part, and difled either the whole Cerebrum^ or one Side of it, according to Fr. Sylvius. The common Method is firft to feparate the Falx from the Crifta Gallic then from the Sides of the Cerebrum^ and lay it back towards the Neck -, afterwards cut off, at one Sedion, with a broad fine Razor, a Piece from the Cerebrum ^ about two Inches Breadth, ta 122 The Method to come at the Ventricles : but the lar^eft Part muft be cut off towards the Occiput^ for there the Ventricles lie deepeft. In this iirft Incifion you will obferve minute Blood Vef- fels through the Subftance of the Brain Uke red Points ; but if you do not yet fee the Ventricles, make another Incilion, and cut off by Degrees thin Slices of the Brain, till you come at them, which will firft make their Appearance in the anterior Part of the Brain, becaufe they are there placed fome- what higher than any where elfe. If, by making a tranfverfe Section, you difcover a fmall Apperture, trace its Courfe toward the anterior and pofterior Part of the Cerebrum -, that Part which goes towards the Forehead, is about two Inches Diftance from its Extre- mity, and that which points to the Occiput re- fiefts toward the Forehead -, but it forms firfl a Kind of a hollow, like a Sulcus, in the Oc- ciput, about an Inch diftant from its Extre- mity, fo that the Length of this Cavity is a- bout two Hands-breadth. It afterward re- turns along the external Side to the anterior Parts, from whofe Extremity, toward the Os T^empQris, it declines about an Inch ; it always goes deeper and deeper, fo that above the of diffetlhig Bodies. 123 the Os Petrofum, near the PalTage of the au- ditory Nerve, where the Ventricle termi- nates, the Brain, under the Ventricle, is on- ly about the thicknefs of a Pea, or an eighth Part of an Inch ; hence it is that you are to cut off a larger Portion of the Cerehru7n on the Sides than near its Middle, where the False is fituate : For under the Falx lies the Fornix, or that white Body, which, being built like an Arch upon the third Ventricle, divides the lateral Ventricles. This may be gut off, if you thruft your Knife pretty deep, and cut off in the Middle a greater Portion of the Subftance of the Cerebrum. That Part, which is in the Middle, between the Sides of each Ventricle, and inclofed, as it were, by the furrounding Ventricle, is called the Corpus Callofim, to whofe Sides is joined the Plexus ChoroideSj arifmg at the End of the Ventricle from the Carotide Artery, with fome adjacent Glands, and taking its Courfe round the Cor- pus Callofum, receives a fmall Branch from the Cervical Artery. Having cut off its Ori- gine, and feparated it from the Limb of the Ventricle, you will obferve under it a fmall Artery, beautifully diftributing its Branches %p the Surface of the Ventricle, Raife now the 124 ^^^^ Method the Fornix, and you will fee under it the Septum Liicidum, which is only the inferior Part of the Fornix -, then cut off the Cms in its anterior Part, and turn it toward the Occiput, that you may obferve the two pofte- rior Crura creeping along the lateral Ventri- cles. Under the Fornix you will find the third Ventricle, rifing from the Union of the two lateral ones, which has two Foramina, one placed anteriorly near the Infundibulura and pituitary Gland, called the Vulva ; the other, in the posterior Part, and tending to- ward the fourth Ventricle, termed the Anus, having two Protuberances, one on each Side, denominated the Tejies, and above it the Pi- neal Gland, which Des Cartes fuppofed to be the Seat of the Soul, and is eafily diftinguifh- ed by its cineritious Colour. Some very im- properly call it the Penis. In the fame Place are two other Protuberances called Nates, Having taken a View of all thefe Parts, you are to pafs your Probe into the fourth Ven- tricle, which defcends downward, and fol- lowing the Trad of the Probe with the Knife, cut into the Subftance of the Cere- bellum till you come to the Ventricle. After having obferved this Ventricle, return to its anterior of dijj'e^iing Bodies. 125 toterior Part, and gently raife the Procefs of the Cerebrum ; but firft feparate the Mammil- lary Froce[jes from the Os Cribrojim, and then lift up the Cerebrum^ to feparate the Nerves in their Order rifing within the Cra- nium. Firil, cut off the Optic Nerves^ be- tween which and the following Pair you will lind the Carotide Arteries palling dong the Sides of the Skull, and diilributing them- felves into an infinite Number of Branches upon the Fia Mater : Thefe you are like- wife to feparate, and, if poffible, the Pitu- itary Gland along with them, which palles through the Dura Mater under the Optic Nerves : then the Nervi Motorii Ocuhrum and a fmall Nerve which goes to the Tongue, with another immediately after it, which likewife goes to the Tongue, and climbs o- ver the Os Fetrojitm \ next, the Nervi Aitdi- foriiy with the Par Vagufn, which Nerve being firft divided into a great many Fila- ments, flides out of the Skull near the En- trance of the internal Jugular -, and laftly, the Ninth Pair, which make their Entrance out of the Skull near the Ipinal Marrow. When you are cutting thefe Nerves afunder, take Care not to pull out the Brain with too great Force, 126 The M E T H O ]3 JForce, for then you will rend the Nerves^ which are more tender near their Origine than in their Progrefs. The next Thing you are to mind, is to cut them oft clofs to the Skull, and not break their Filaments 5 - for there are fome Nerves, which are divided into feveral Filaments before they go out of the Skull, as has been obferved. After hav- ing taken a View of, and differed all thefe Particulars, you are now to return to the Oc- ciput, and take out the Cerebellum ; to exe- cute which, raife up the Cerebrum a little, and then make three Incifions into its Membrane^ which feparates it from the Cerebellum^ one in a ftreight Line to the Occiput, and the o- ther two obliquely to both Sides , but take Care not to hurt the Bone, for fear of cut- ting the Sinus's of the T)ura Mater. In this Vault the Cerebellum is fo fituate, that it cannot be viewed till taken out j therefore put in at one Side of it a broad Iron Spatula or Spoon, and fo take it out of the T)ura Mater. You will obferve under it the Fro- cefjm Vermiformis, fituate at the Root of the Ipinal Marrow, between the two Lobes of the Cerebellum, at whofe Sides are two, and fometimes more Protuberances, which make the h? of dijJeSiing Bodies. 127 the Pons according to Va?"olius .hzHXy y having pulled off the fpinal Marrow, take out the Brain, which is the common Method of dif- fering it. CHAP. VII. Of the Varolian and Sylvian Method of difeciing the Brain. AS Conjiantius Varolius invented a new Method of opening the Skull, fo has he contrived another Way of dif- fedling the Brain different from that of the common 5 for, after diflecling the Skull, he takes out the Brain whole, and, turning it up- fide down, begins the DilTedion on that Side where the Nerves take their Origine. I told you before, that the Varolian Method of dif- fed:ing the Skull, renders it unfit for framing a Skeleton, and makes the Operation more difficult, fince the Brain may be as well taken out intire by a circular Sedtion round the Cra- nium as otherwife, which has been already (hewn in the fourth Chapter. Therefore, to 128 r& M E T H O D to perform neatly -the Admlniftration, yoil may put the Brain inverted into the Inlide of the Os Verticis. By this Method of dilTecftingj you will be able to make more curious and accurate Ob- fervations than in the preceding one. The firft that comes under Confideration is the FilTure of the Cerebrum, which divides it in- to feveral Parts. To trace its Extremity, you are, with the Point of the Knife^j to cut afunder the minute Ramifications of the Veins, which lie interfperfed there. The next is the Pia Mater, ftretched here over the Nerves like a Cobweb, and perforated in feveral Places. When this Membrane is rent, you will fee the Anafiomofis of the Carotide and Cervical Arteries, by Means of an inter- veening Branch, which mufl be cut oflf. You here will obferve fome very minute Blood Vefiels, or rather Fibres, here and there ex- panded, which have their Origine from the Ca- rotide and Cervical Arteries, whofe Contex- ture is called the Rete Mirahile. The Cervi- cal Artery, being contiguous to the fpinal Marrow, and divided like the Greek Letter T, is alfo here to be {q^vl. You may take a View of the Pituitary Gland, but the great- eft of dtjjecilng BODIES. 129 efl Part is generally left behind in the Sella Turcica^ and the Infundibidum^ lituate behind the Union of the Optic Nerves. Separate thefe from the Optic Nerves, and find out the Foramen leading to the. third Ventricle^ then cut the Optic Nerves in the Middle, to fee the Place of their Union and Communi- cation, afterv^ard trace their Cavity, if they have any. Ydu are next to fearch for the Ventricles after the following Manner. Search for that Branch of the Carotide Artery, which, along with the Optic Nerve, enters the Subflance of the Brain, and this will di- rect you to the lateral Ventricle • for both the Carotide Branch and Optic Nerve enter this Ventricle, and the lafl: creeps along its Sides, near the Corpus Callofum. But you cannot yet have a full View of the whole Ventricles, on account of the anterior Crura of the fpinal Marrow, you mull: therefore here flop a little, and take the fourth Ven- tricle in your Way. Wherefore, raife gent- ly the Medidla Oblongata^ feparate it with the Point ofv the Knife frC^ th6 Cerebellum^ anA here you will fee below ^ Proceffiis Verm'i- ■formis^ with the Pofis Varoll 3 then you will eafily come at the fourth Ventricle, whofe K interior M ^*- ijo The Method interior and poilerior Surface exadly reiem- bles the Uterine Cavity. If the fpinal Mar- row is a httle raifed, you will fee in this Ventricle a Foramen leading to the thirds and refembling a writing Pen, hence called Calamus Scriptorim. Probe this Foramen gently, and then cut afunder the fpinal Mar- row in the Middle, where Nature herfelf has chalked out the Way by an Interface, which divides it into two Parts by a red Line. Having made this DiviHon, you will foon ob- ferve the third Ventricle, which is to be o- pened with the Knife; and t)ien you will fee its whole Cavity, the Septum Lticidum, For- nix^ and the Avenue to the lateral Ventri- cles. Having made your Obfervations here, cut off \h&' Crura Medulla Spinalis that go to the Brain, and lay them afide with the Ce- rebeUiim -, which done, you will have a more clear View of the Figure and Shape of the lateral Ventricles, refembling, in fome Mea- fure, a Horie-dioe, were it not for the Pro- cefs in the Middle. Having left the Cerebrum^ diffecfl the Cere-^ bellum^ beginning on that Side where the ■fourth Ventricle has fmall Sinufes ; -if it is here divided exadly in the Middle, you will, belides of diJJeBing Bodies. 131 befides thefe fmall Branches coming from the Medulla Albicans^ obferve in that white Body a different Colour, inclining to a yellow, and reprefenting a folded Hand, with the little Finger cut off. The Lamince of the Cere- bellum^ after having removed the exterior Coat arifing from the Pia Mater ^ may be feparated from each other with the Back of the Knife. The Sylvian Method. In this one Half of the Cerebrum is dif- fectedj according to the common Methodg and the other on the oppofite Side, accord- ing to the inverfe Method, which indeed is the moffc convenient and beft Way that has yet been invented, becaufe it exac5tly demon- ftrates thofe Parts which are but feen in the inferior Side of the Cerebrum, and at the fame Time you do not neglect obferving thofe Parts fituate on its upper Part. The Manner of performing this Operation is the fame with that of the other two Methods jointly confi- dered ; for any one of the Sides may be diflec- ted after the common Method, and the other being afterward taken out, and turned upfide K 2 down. 1-z The M E T H o B down, dilTedted according to the invejled Me'^ thod. As there is but only one Side here to be diiTected, there mufl arife fome Difference between it and the former -, but wherein this Difference confifts, I lliall explain in a few Words. In examining the Ventricles, the only Difference is, that the Falx is not fepa- rated from the Ventricles, nor from the Ce- rebrufn^ except on one Side, but fo as to keep its natural Situation. Having found and opened the Ventricle , you proceed as before till you come to the Fornix^ the Cms where- of muft neither be cut off nor laid back, but only raifed, to fee the third Ventricle, and make your Obfervations as before. You are not now to touch the fourth Ventricle, but immediately endeavour to take out the Cerebrum ; therefore, lay the remaining Half of the Cerebrum on one Side, to fee the Ori- gine and Progrefs of the Nerves i which be- ing ieparated, take out the Cerebrum ^ and proceed with the Operation after the inverfe Method already mentioned ; for the Difference is not fo great as to require any particular Di- reiflions. You have here three different Methods of ■diifediing the Brain, now pradifed by the of differing BODIES. 155 moil eminent and accurate Anatomlfts ; out of which you may choofe that you moft ap- prove of: But, if I am to give my Opinion, I would prefer the laft ; however this I will leave to every one's Judgment, and now pro- ceed to the Eye. CHAP. VIII. Of the Method of dijJ'eBing the EyEc ri "SHE Eye being one of the moft noble I Organs of the Body, is therefore placed within a bony Socket, and and fortified by feveral Sorts of Fences a- gainft any foreign Attack. It is externally furrounded by the Eye-lids, whofe extreme Circle, being fomewhat hard to the Touch, is called the Tarfus^ in which are fixed a Row of Hairs like fo many Pallifadoes, term- ed Cilia, or the Eye-laflies. The Mufcuhis Orbicularis aflifts in the Compofition of the Eye-lids, of which already in the fecond Chapter. When the Cilia are raifed, you will fee the Tunica Albiiginea, denominated K 3 like» 154 Tke Met HOB likewife Adnata, becaufe of its Adhefion ta the Cornea, which appear full of Blood Veffels, when there is too large a Quantity of Blood lodged in the Head, either on the Account of a Plethora, or a Stoppage. The Eye being thus fixed in its bony Cavi- ty, requires therefore a nice and a careful Hand to take it out from thence. This Operation muft either be performed when the Skull is intire, or when dilTecled ; the firfl: is the mof!: difficult, and yet more often made ufe of 5 the laft is put in Prad:ice when we want to trace the natural Situation and Oi'igine of the Mufcles of the Eye, with the Egrefs of the Optic Nerve -, to accom-= plifli which, I will lay down the following Direcftions. Having removed the frontal Mufcles, with thofe of the Falpebrcje^ and opened the Skull, feparate the Eye-lid from the Eye- brow, and the Periojieum from the up- per Edge of the Orbit. But the DiiTedion of the Brain ought to precede this, becaufe its Procelles will hinder your Operation j therefore cut it off at the Optic Nerves, then faw off what remains of the Os Frontis^ which muff be done twice^ by fixing your Sav/ of dijJeSiing Bodies. 135 Sawfirft above the Canthus Major ^ and next above the Canthus Minor j but vi^hile you are iifing the Saw, deprefs the Eye, and pufli it to either Angle, that it may not be cut, or become a Hindrance to the Operation. Wlien the thickeft Part of the Bone is fawed through, you may divide the thinner offeous Lamina above the Eye with a flrong Incifion Knife,, and remove it ; thus you will fee the Eye denudated, from which firfl feparate the Fe^ riofteuniy then the Fat by Degrees, till quite removed. You are here to take particular Care of the Miifculus Trochleatis^ or Obliqum Major, that moves the Eye obliquely j for it pafles through the Cartilage which is fixed to. the fuperior Part of the Canthus Major j this Cartilage therefore muil not be cut off. Having iQ^n the natural Situation of theMuf- cles of the Eye, and their Origine about the Optic Nerve, you may eafily take out the Eye, by cutting afunder the Optic Nerves, Motores OcuU, and the Falpehrce. But the greateft Difficulty is to feparate the Eye from the Canthus without hurting the Bones j however, to fliorten your Work, and carefully perform your Operation , take the following Dire(5lions. When the K 4 Eyc' 136 The Method Eye is feparated from the upper Bone, pull it out gently downwards, then with a blunt Knife fcrape off every where the Feriojieum in fuch a Manner from the Orbit, that the trochlea ^ fituate on the fuperior Part of the inner Canthus, may, at the fame Time, be removed ; which, if not done with Care, will be eafily loft. In the greater Angle take away the lachrymal Caruncle, v/ith the Eye- lids, likewife the lachrymal Gland, compo- sed of a great many fmall ones, and placed under that Depreffion in the fuperior Part of the Orbit, near the lefter Angle ; but this cannot be done, if the Feriojieum is not re- moved in the Manner above deferibed. When the Eye is freed on all Sides in order to be ta- ken out of the Orbit, put in a double Hook in fuch a Manner into the Orbit, that both Points may take hold of the Middle of the Optic Nerve, which being ftretched, by pul- ling the Hook toward you, may be eafily cut through by a pointed Knife, like the Greek T • but if you have not fuch a one, rnake ufe of your diifeding Knife, and, with the Point thereof, endeavour, after having pullied the Eye towards the Nofe, to cut of? the Optic KervCj with the farrovinding Mufcles ; but if of dtjfeBtng Bodies. 137 if this will not do, turn the Eye back from the Nofe, and cut the Optic Nerve on the oppofite Side, till the Eye can be extracfted. If you obferve the Eye after taken out, and before the Feriojleum is removed, it will reprefent the Figure of a Pear. We are to- confider in the Eye, befides the Mufcles, Glands and Fat, the Coats and Humours. The firll: Coat is the Adnata^ which is feen upon opening the Eye-lids, of which alrea- dy. You may eafily feparate this Coat with the Fat, then the lachrymal Gland, and keep it for a Demonftration. You are now to enter upon the Mufcles -, and iirfl, you are to fearch for the Obliqtms Major, which may foon be difcovered by handling the trochlea. Sepa- rate this Mufcle before you enter upon any of the reft, becaufe you will foon lofe it if you do not. Clear next the Optic Nerve of the Fat and Mufcles near the Globe of the Eye, and make thereon a Ligature, that you may fufpend it in fome convenient Place; when this is done, free the firft Mufcle that comes in your Way of the Fat, then the fecond and third, and fo with the reft, till they are finiftied. Thefe Mufcles, being fix in Number^ ar? all inferted into the Tuni- ca 138 The Method ca Sclerotica, and afterwards become carnous, except the Obliqims Major, which is furnifhed with a long Tendon, wherein you may take notice of the Cartilaginous Trochea, which is peculiar to that Mufcle. Having raifed the Mufcles, remove the Fat along with the Ad- nata, that the anterior Part of the Eye may be intirely clear ; then cut off the Mufcles ; from whofe Tendons, when expanded, a- rife the Memhrana Innominata, which covers the Fore-part of the Eye to the Cornea, and is feparated with the Tendons of the Mufcles. "When thefe two Coats, or rather Mem- branes, are removed, proceed to the reft^ the iirfl of which is white, and called, on ac- count of its Hardnefs, Tunica Sclerotica. This covers the whole Eye externally, but degenerates in the Fore-part, and becomes tranfparent, hence called Tunica Cornea, This muft be removed before you can come to the interior Parts, which may be done either by making a circular or a crofs Incifion; If you intend to preferve the Cornea whole, make a circular Incifion, if not, a crofs one will do. Take hold of the Cornea between two Fingers of your Left-hand 3 one of which place at the Cornea^ and the other at the Op- tic of did'e^hig Bodies. 139 tic Nerve ; then cut the T^unica Sclerotica a- crofs, if you defign to preferve the Cornea whole ; if not, put your Fingers to the Sides of the Eye, and gently comprefs it if flaccid, and make a crofs Incifion in the Cor- nea. Introduce next your ScifTars foftly, ei- ther within the Sclerotica of the relaxed Eye for fear of wounding the JJvea^ and cut it through in a Line parallel with the Cornea ; or introduce your SciiTars gently between the Cornea and the cryftalline Humour, and con- tinue your Sedion to the Optic Nerve 3 then feparate the Sclerotica carefully from the Edge of the TJ-vea^ where it furrounds the Pupil- la^ fo as not to hurt the fubjacent Coats, which would occalion an Efflux of the Hu- mours. The remaining Part of this Coat is eafily feparated from the Uvea, This Mem- brane owes its Origine to the exterior Coat of the Optic Nerve, which arifes from the Dz/- ra Mater ^ as is plain from occular Demon- ftration ; for if the Se(ftion be continued through the Sclerotica and the external Coat of the Optic Nerve, then this laft, being contiguous to the Sclerotica^ may be leparat- ed with it round the Globe of the Eye. Having removed this Coat, the aqueous Hu^ ^ mour. 140 Tide Method mour, fituate before the cryftalline, ought firft to be demonftrated, becaufe, being of a fluid Nature, without any folid Confiftence, is immediately fpilt upon cutting open the Tii^ nica Cornea^ or Sclerotica. You now return to the reft of the Coats \ the anterior Part of the firft that prefents it- felf, is called the Uvea, and the pofterior, the Choroeides. This you are to difledl iongitudinalTy, and gently feparate the Edges of your Incifion from the Retma, which is an exceeding thin Membrane, therefore liable to be hurt, if not minded. Make an Incifion in the Ptipilla, becaufe it more iirmly adheres there than in any other Part ; then feparate it fo far, that the Humours, with their Coats, may have a free Exit ; for the Pupil- la being once removed, there is no Occafion for a farther Separation. This Coat has alfo its Origine from the interior Involucnim of the Optic Nerve, which being diifedied, the Me- dulla will foon appear -, therefore you need not give yourfelf any farther Trouble, but to fqueeze out this medullary Subftance, and leave ,the Coat empty. The third Coat is the Retina, which fome imagine takes its Rife from the Medulla^ be-. caufe of di\Jc^i?]g Bodies. 141 caufe it refembles it in Softnefs : It cannot be eafily feparated from the TJvea^ therefore they are generally both together feparated from the I'linica Vitrea. The laft two Coats are the tunica Vitrea and the Tunica Cryfiallina ^ the laft of thefe furrounds and contains the Cryftalline Humour, and the former the Vi- treous, fo as not to be feparated j yet if you touch either of them with the Point of the Knife, they foon fhew themfelves, especially the cryftalline, of which if you fcrape off the leaft Quantity, it produces an Inequality on the Surface of the Humours, Yet thefe Humours muft be feparated from each other, which requires a great deal of At- tention. Separate therefore carefully the Pupilla from the cryftalline Humour, then ^ut with the Point of the Knife the Fibrillce between the cryftalline and vitreous Coats, and fqueeze out the vitreous Humour, by putting your Fingers under the cryftalline. If you would fee the natural Situation and Figure of all the Humours, take the Eye out of the Orbit 'm. a frofty Seafon, and, expofing it to the cold Air, leave it till the Humours are frozen and condenfed by the Cold ; afterward divide the Eye with the Knife into two equal Farts, and 14^ The Method and thus, among the reft, you will have a full View of the aqueous Humour, which otherwife runs off immediately upon the Dif- ie(5tion of the Tunica Sclerotica, CHAP. IX Of the Method of dilj'e^ing theB^ARi THE Ear^ or Organ of Hearing, is commonly divided into external and internaL By the external Ear is meant all that which lies without the exter- nal Orifice of the Meatus Auditoriiis in the Oj Tempris'y and by the internal, all that lies within the Cavities of the Bone, or bear any Relation thereto. In the external Ear we have only at pre- fent the Mufcles to confider. When taking off the Skin of the Head, I defired you to have a particular Regard to thefe Mufcles, of which there are two Pair, one for pulling tlie Ears upwards, and the other for drawing it downwards. The firft, called Levator or Attolbis, is fituate above the Ear on the Tempk of dijJeHhig Bodies. 143 Temple Bone, and being very thin, there- fore eafily feparated along with the Skin. It is about an Inch in Breadth, and of an ob- long round Figure, narrower at the Ear than any where elfe. The Way to feparate this Mufcle is obvious. The fecond Pair, termed Retrahens^ is placed behind the Ear upon the Temple Bone, and being of the fame Subftance and Magni- tude with the former, is eafily feparated after the Skin is taken off. If you incline to take a View of the external Part of the Ear, you may feparate the Skin which covers it, and then cut off the Cartilage from the Bone. In the internal Ear a great many Parts lie hid, and cannot be feen till the Skull is bro- ken, and the Oj Temporum, with the Os Pe~ trofum^ feparated from the other Bones with which they are connecfted. But while you are feparating the Bones of the Cranium^ take Care not to ufe too much Force, for fear of hurting the internal Ear, fo as to break ei- ther the Tympanmn^ or put the auditory Bones out of their Places. When this is done, and the Ear cleaned, take a View of the Tympammi, and if fharp-lighted, you may fee the Malleus through the tranfparent Mem- 144 ^^^^ Method Membrane. Then with a Forceps break that Part of the Bone placed toward the Os Fron^ tis, to fee the Entrance of the Meatus Audi- torius into the Os Fetrofiim^ and take away one Half of it to g;et a full View of the Si- tuation of the fmall Bones in the Concha; but take Care not to hurt the Os Petrofum, becaufe the Labyrinth and Cochlea lie con- cealed in it. You will here meet with the Mufcles of the internal Ears^ which ferve to move the Malleus. Having removed the fmall Bones, apply the Saw to the Os Petrofwn^ for it is too hard to be managed with the Knife, I could ra- ther wdfh to fhew the Method of perform- ing this Operation by ocular Demonftratioii than Words, becaufe it is very difficult ; how- ever, I will endeavour to explain it as well as I can. I divide the Os Fetrofiim into three Sides ; in the iirfl is that Foramen through which the Optic Nerve paiTes j the fecond, next to this, is that which is ittn in the internal Part of the Skull when whole j and the third is di- rectly oppofite to the iirfl toward the Con- cha^ and in it may be i^tn the Fenejira Ova- Us. Yo.u are now to cut through the oiie- ous of diU'eStirig BODIES. 145 Qus Lamina with a fine Saw, which covers the third Side- and then you will firft ob- ferve the DuBus Cochleatiu^ oppofite to the Foramen^ forrhed for the PafTage of the au- ditory Nerve j but it does not lie diredtly op- pofite to it ; for the Cochlea is nearer the Os Temporis. If a little more of the Cochlea is fawed off, you will alfo fee the tw» PafTagcs of the Labyrinth, rrieeting above the Cochlea above the fame Foramen, If you have not fawed through the whole Canal of the Goch- ieay you may make a further Opening with a File J becaufe it is ndt equally prominent in all Places. Having iritirely laid open the Cochlea^ you will meet at its Extremity, with a larger Cavity, where you will fee the- Contortions of the Labyrinth meet, and the Feneflra Ovalis, You are now to trace the ferpentine Ca- nals of the Labyrinth, which ai^e three in Number, and all meet in on6 Place. When you diffedl this, you ought to have before you fuch another Bone already diffedted, in order to regulate; your Operation accordingly ; but for want of fuch a one, I will endeavour to point out, in as plain a Manner as I can, the Place where you are to make your Begin- L ni'ngy 1^6 The Method ning. In the fecond Side you will fee a fmall Protuberance, near the Os Temporh j under this lies one of the Canals, which is a Kind of a Bafe to the Triangle ^ for fuch is the Polition of thefe Canals, that on that Side where they face the Os Temporis, they make an equilateral Triangle ; but thefe three Ca- nals, taken together, refemble a Triangle, whofe Vertex is at the Cochlea^ and Bafe near the Os Tentporis, You may know the Situ- ation of the reft by this Figure j therefore, to feparate them, remove that which is between the abovementioned Canal and Os Temporis. The exterior hard Lamina mufl be broken with a Hammer, and the remaining ipun- geous Subftance may be cut off with a Knife. Between thefe Canals alfo, which are inclof- ed in a hard and iblid Bone, lies a fpungy Subftance, which fills the empty Spaces ; this muft be removed with the Knife, that each of thefe Canals may be feen. Thefe Ca- nals mufl likewife be laid open, this may be done, by fcraping the Bone, if green and foft, with a Knife, but if dry, you muft ufe a File. You may enlarge a little the Fora??iina which appear in the filed Bone, and may protrad: them on both Sides till they meet 3 if you do not of dijje^iing Bodies. 147 not approve of this Method, convey a Hog's Briftle through each Canal, fo as that it may find its Exit at the Fenejira Ovalis. This Operation requires not fo great an Apparatus in the Head of a Fcetus^ becaufe the Bones being foft and tender, may be dif- fed:ed with the Knife, without the Help of a Saw, L 2 BOOM 148 The Method BOOK IV. Of the Extremities. The I N T R O D U C T I O N. 'HILE I am prefixing this Title, I think proper to inform my Read- er, that I not only intend to explain the Mufcles belonging to the Extremities^ But almofl all thofe of the human Body that have not been mentioned in the Diitedion of the Cavities 3 viz. The Mufcles of theLoyns, Back, Neck, and Head ; therefore this Book may be denominated Myotomice & Myogra- phice specimen. As the Mufcles are the Sub^ jed of this Book, I think it will not be ta- ken- of diU'eEihig BODIES. 149 ken amifs, if I fhould here introduce two or three Sentences taken from Riolan and Galen concerning them. Riolan fays, That he who is well acquainted with Myography^ will eajily iinderjland Myoto- my^ and be able ofhi?}jfelf to manage this Fart of Anatomy^ which fome think the moft diffi- cult, if he obferve the Method I am going to prefcribe. It is certain the Adminiftration of the Muf- cles is not a difficult Operation, if the Admi- nistrator will trace and obferve the Order in which they follow one another in the Body, If therefore you will keep in the Path I fhall now chalk out, and confult Eujlachius's^ CouperSj &c. Tables, you need not fear com- ing fafely to your Journey's End. I muil likewife delire you to cut off, and throw a- lide all the Mufcles, when feparated, except you intend to referve them for a Demonftra- tion ; becaufe, if left hanging at the Body, they will be troublefome, and obflrudl the Work. Becaufe the Adminiftration of the Mufcles was alfo chiefly inftituted to know the proper Adion of every Mufcle, I fhall here, in general, fhew you from Galeriy in L 3 what I50 The Method what Manner you are to come at this Know- ledge. Mmd, fays he, how this is to he done ; for the following Difcourfe is intended to treat of the Method of dijjeBing a dead Creature^ that yoti may thereby underjiand the Motion of eve- ry particular Fart of it when alive. Cut off therefore all the Fie fi from thofe Bones you in- tend to examine^ leaving untouched only thofe Mufcles which are the Injiruments of their Mo- tions, But when you have raifedthefe Mufcles to their Extremities ^ they alfo muft be fepa- rated from the Bones ^ from which they take their Origine^ keeping them extended in the fame Foftion as they %vere before. If this Ope- ration is performed as it ought to be^ you will plainly perceive the Motio?is of the Bones which have Juch Mufcles inferted in them. He brings the Digaftrick Mufcle of the lower Jaw as Proof of confirming what he has advanced, faying, If you cut off its Ori- gine^ and diffeB its whole Body to the Vhin, without touchi?ig that Fart inferted into the low-- er faw^ and if you afterward pull this Muf- cle toward the Flace of its Origine^ that Fart inferted in the lower Jaw will follow, and the Mouth will be opened. T^hefe Operations muft be of diffeElhig Bodies. 151 be performed after the Skin is intirely removed, and but for a Jhort Time after the Death of the SubjeB, while the Ligaments of the Arti- culations and Mufcles continue foft and flexible. The Functions of every Mufcle may likewife be exat?iined, when all the other Mufcles an re- moved, except that under Confideration and that which aSis in Oppofition to it. What has been faid concerning the Me- thod of finding out the proper Adion of every Mufcle will be fufficient. I will now return to the Confideration of the Extremi- ties, which are of two Kinds. But though they are of two Sorts, as the Hands and Feet, yet the infinitely wife Creator and Ar= chitedl, has alfo made a Pair of each ; there- fore, to avoid Repetition, I will only confider the Extremities of one Side, becaufe the Operation is almoft the fame on either Side. L 4 CHAP. 152 The Me T H o i^ CHAR I. Of the Method of ralfng the Skin and Fat from the Hand and Foot. I Begin with the Hand; becaufe more ufe- ful than the Foot j but it mufl be firft cleared of its Skin, t3efore you can dif- fed the Mufcles. I told you in the fecond Book, that an In- cifion mufl be niade in the Skin to the Mid- dle of the Humerus^ before you could fee the Infertion of the pedtoral Mufcles. Be- gin your Incifion at the End of this Sedlion, and continue it along the Middle of the Arm above the Flexure, where the Median Vein creeps under the Skin, which take Care not to cut ; then carry on your Incifion along the Outfide to the Extremity of the Thumb i Afterward feparate the Skin of the Arm from the Fat as far as the Hand, according to the Directions already given. At the Top of the Cubitus or Olecranon^ there is a Membrane fb cloiely united with the Skin^ as to render it vtry of diJfeSiing Bodies. 153 very difficult to be feparated in that Place, Becaufe there are a great Number of Veins creeping under the Skin, you mull: take par- ticular Care that they be not wounded while railing the Skin, which would prevent your feeing the beautiful Diftributions and Diva- rications of the fubcutaneous Branches. And becaufe there is a greater Variety in dilTecfling the Hand than the Arm, I will therefore treat of it more particularly in a few Words . Having made an Incilion in the ex- ternal Side of the Thumb according to the Direcflions given, make one in the internal Side parallel to it; and, in the fame Manner, make a double Incifion in each Finger, ex- cept the litde one, the inner Side of which you need only open lengthwife. Having made thefe Incifions in the Skin, lirft fepa- rate it from the Infide of the Fingers, then from the Palm of the Hand^ where you are to obferve, that the nervous Expanfion of tlie Palmaris Longiis is interwoven with the Fat, and adheres fo clofe to the Skin of the Palm of the Hand, as fcarce to be feparat- ed, unlefs it be by a dextrous and experien- ced Hand -, by beginning the Separation at the Roots of the Fingers, and proceeding to- wards 154 "^^-^^ Method wards the Flexure of the Carpus^ always tak- ing Care not to cut the Tendon of the Muf- cle, which was often done in Galen's Time. However, Galen never feparated the Skin of the. Hand, but took it off intire ; and it was owing to this that he found out the Ten- don, which had been before negledted. In dif- fed:ing the Fingers, take Care not to cut the Blood VelTels and Nerves, which only run along their Sides. Having taken off the Skin on the Infide, turn the Hand, and take the Skin alfo off the Outfide. Having made an Inciiion round the Roots of the Nails, feparate them from the Bones, by putting the Knife under them | then take them off along with the Skin, and, being divided into fmall leathern Thongs, they will difcover their genuine Origine. So much for the Skin, under which the Veins run along, being fometimes fo over- run with Fat, that they are fcarce vifible, unlefs cleared of it. To perform this Opera- tion, begin near the axillary Veins, and free them there of the Fat -, from thence pro- ceed towards the Extremities, but take Care not to cat the Branches arifing from the lar- ger VeiTels. Perhaps you will fay, I ought to fh^w you how to avoid them j but that is not of dtjjeBtng Bodies. 155 not fo eafily done as fome imagine, be- caufe thefe Branches take a different Courfe in different Subjeds ; therefore it mufl be your Bufinefs to perform every Part with the greatefl Exadnefs and Attention. But to proceed, the Veins mufl be cleared of their Fat after the following Manner. Whenever you obferve a Tra6lof a Vein, make a lon- gitudinal Incifion into the Fat, lift up the Vein with a Hook, feparate the extended Fibres under it with the Point of the Knife, till the Vein is cleared, and then remove the Pat J or make an Incifion in the Fat, where it is free from the Vein, and then fe- parate it from the Mufcles. But where you meet with Veins, make a longitudinal Inci- fion in the inner Membrane of the Fat j and for the refl, proceed as has been direded. The Cephalic and Hepatic Veins march along the external Parts ; but as you met with fome Difficulty in raifing the Skin of the Hand fo you will find the fame in removing the Fat there ; becaufe the Tendo Falmaris is fo deeply interwoven with the Fat in the Palm of the Hand, that one cannot be removed without the other. On the Back of the Hand there is only a vifcid glutinous Sub- fiance^ 156 The Method fiance, which does not deferve the Name of Fat, yet this rather increafes than dimi- niflies the Difficulty of the Operation. The Veins, being here likewife flaccid and emp- ty, on account of the Return of the Blood to the Heart, are not eafily feparated from the Membranes; wherefore this Operation rnuft require a great Deal of Labour, Affi- duity, and Patience : For the reft, proceed as above. The Skin of the Arm being taken off, turn the Body on its Face, and then fkin the Back till you fee the Apices of the Vertebrm of the Back, likewife the Extremity of the Os Hium and the Gluteus Maximus, or which is the fame, till you have denudated Half the Back : The Fat muft likewife be fo ht re- moved. CHAR of dipBifig Bodies. 157 CHAP. 11. Of the Muscles of the Scapula^ THE Scapula, or Homoplata^ is that broad Bone which lies upon the Back, ferves for the Articulation of the Humerus^ and is moved different Ways by five Pair of Mufcles, viz. 1. Serratus Minor 3. Rhomboides, Anticus. 4. Levator Scapulee, 2. Trapezius. 5, Serratus Major, I. Serratus Minor Anticus, lies im- mediately under the PeSloralis^ afld afcends obliquely to the Scapula, as appears by the Direcllion of its Fibres. Raife its inferior Side, then feparate from the Breaft %«r« la^siv, or with the fubjacent Membrane, after hav- ing cut off its Origine from the Ribs. It adheres in its Progrefs to the Deltoides, un- der which it marches to the Caracoide Pro- cefs of the Scapida^ where it is inferted, from which feparate it. While the Body lies fupinely on the Table, you fhouid feparate the Serratus anterior and Major from the Scapula and Mufculus Suhfca- pularis. 158 7X'^ Me T H o B pidaris^ then turn the Body, becaufe the other Mufcles of the Scapula lie on the Back. 2. Trapezius, alfo called Ciiciillaris or Scapularis^ becaufe it covers the other Muf- cles of the Neck and Back, and is the firft that appears after the Body is laid on its FacCj and the Skin and Fat are removed. It arifes from the occipital Bone, from the Spines of the cervical and dorfal Vertebra, and the flefhy Fibres run in different Directions, and terminate by one continued infertion into the Spine of the Scapula. To raife this Mufcle, begin at the inferior Part oppolite to the Loins, v\^here the Fibres afcend obliquely to^ ward the Scapula -, cut off thefe Fibres, af- ter pufhing back the Scapula to the Back, and, putting your Finger under the Mufcle^ feparate it till you come to the Aponeurojis^ •which unites it with the Spines : This Apo- neurojis mufl be feparated from the SacrO" Lumbaris and the Longijpmus Dorji, and cut off from the Spines, afcending gradually to the Head ; when you are above the Mufcles of the Neck, return to the Scapula, and feparate the Trapezius from its fpinal Procefs, that it may not hereafter be in your Way» 3. Rhomboid Es, called alfo ^adratus from its Figure^ lies under the Trapezius ; arifes of differing Bo DIES. 159 arifes from the fuperior Vertebrce of the Back, and inferior of the Neck, and reach- ing obliquely down to the Bafis of the ^ca^ pula^ is there inferted. You are, according to the Diredlons given with refpedt to the for- mer Mufcle, to feparate this, by the Help of your Hand, from the fubjacent Parts, be- ginning at the Side : But, becaufe it clofely adheres in its Courfe to the Tendon of the Serrattis Pojiims Superior, you are there to ufe the Knife, and cut it off at its Origine and Infertion, 4. Levator, called alfo Mufciilus Pati^ entice J becaufe it is generally ufed in pulling up the Shoulder, when we exprefs any Sign of Paffion. The Origine of this Mufcle lies hid among the Mufcles of the Neck ; there- fore feparate the Majioidceus and Scalenus from the anterior Side, in order to find it, which is in the tranfverfe FrocefTes of the fuperior Vertebrae of the Neck 3 cut it off from thence, and trace its Infertion, which is in the fuperior Angle of the Sca-^ pula. 5. Serratus Major, arifes internally from the whole Bafis of die Scapula^ and is in- ferted bv Dentiform, or Tooth-like Procefies, by i6o The Method» by an equal Number of them, from whence jt has taken its Name, into all the true Ribs, and fome of the falfe. Separate this Mufcle anteriorly from the Subfcapukris, of which hereafter -, pofteriorly from the Ribs, which may be wholly done xutu. dapaiVj or by raifing only the fubjacent Membrane, except its O^ rigine and Infertion^ which muft be cut off with a Knife. G H A P. III. Of the Muscles ofihe Humerus, T HE Mufcles deilined to move the Humerus, are generally reckoned nine. viZe 1. Pe£ioraUs Major ^ 6. Rotundus Minor: 2. Dekoides, 7. InfrafptnoMs. 3. Perforatus. 8. Suprafpinatus, 4. Laiijjimus Dorfi. g. BiSfcapiddrU: 5. Rotundus Major o I. PeCtoti A LIS Major lies upon, and covers the greateft Part of the Breaft. The Method oj di piling Bodies. i6i Method of railing this Mufcle I have alrea- dy iliewn In Book 11. Chap. II. If you re- move the PeBoralis. and Serrafus Minor, you will fee three Kinds of VelTels coming out of the Thorax through the Miifcuhis Scalenus, From the fuperior Nerve, (for here five thick Nerves unite) arifes a Branch, which refled:- ing backward, is diftributed among the Mufcles of the Scapula. From the fame Place arife the Cephalic and Hepatic Veins 5 the firft of which, paffing between the Del- ioides and Pe5f oralis, makes its Appearance at the Extremities of thefe Mufcles, and. Continuing its Courfe under the Skin along the external Side of the Biceps^ where it is accompanied by a Nerve, goes deeper at the Flexure of the Cubitus, The Hepatic Veint paffes along the Infide of the Arm, and after forming the Median Vein, defcends to the Head. I nov/ return to the Mufcles. 2o Deltoides is a large broad Mufcle/ which lies upon the fuperior Part of the Arm, and may be felt in living People. It arifes from the Spine of the Scapula, the A- cromion and Clavicula^- and is inferted in a rough Protuberance near the Middle of tlie iiwnerus^ almoft at the fame Place with the M Pe^oralis i6z The Method TeBoralis Major. Separate iirfl the Cephalic Vein ', then, raifing the Humerus^ difled: the DeltoideSj firft in the Side next the Back, be- caufe it adheres but loofely in that Place, therefore more eafily feparated. It afcends above the Jnfrafpi?iatus to the Spine of the Scapula, to which you are to keep in making your Incifion, carrying it obliquely upwards^ and when you come to the Spine, there cut it oiFj then feparate it from the Acromion and Clavicula, and turning it toward the Hu- meruSj feparate it, at its Infertion, from that Bone, which is there very firm, 3. Perforatus is a flender Mufcle per- forated in the Middle, for letting a large Branch of the fourth Pair of Nerves of the Neck to pafs through it for forming the firft brachial Pair; hence it has its Name from VeJlinghiS, but Riolan calls it Coracoidcsus, and Coraco-brackiaUs, from its Origine and Infer- tion. It adheres to the Scapula, with one of the Heads of the Biceps, with which it is clofely joined and intermixed. Begin and feparate this Mufcle near its Infertion from the Biceps, You will here obferve that Nerve, which being feparated from that Conjuga- tion of Nerves that go to the Arm, perfo- rates of diJJeSiing BODIES. i6 j rates the Infide of this Mufcle, and conti- nues its Courfe under the Biceps to the Cubi- tus and Extremity of the Hand. On the Infide of this Mulcle lies a large Nerve with Veins and Arteries 5 about the Middle of the Perforatus one of the Branch- es leaving its Trunk, and, under the Exten^ for Biceps Ctibiti^ accompanying the Brachi^ aus Internus^ is diflributed among the Muf- cles, fituate at the pofterior Part of the Cubi^ tus^ yet foj that a Part thereof marches along the Supinator Longus to the Hand, climbs bver the Radius^ and diflributes its Branches upori the external Side of the Index and Mid- dle-finger. Near the End of this Mufcle the Nerve is divided into two Parts j one is car- ried back towards the Cubitus^ from thence to the Extremity of the Little-finger j hence the Gaufe of Pain or Numenefs in the Lit- tle-finger when the Olecranon is hurt ; the other portion proceeding forward between the Profundus and Sublimis to the Hand, enters it under the Thumbs and from thence goes to the Extremities of the Fore and Middle-fin- gers. You are now* to turn the Body, becaule M 2 all 164 r& M E T H O D all the abovementioned Mufcles are fituate in its anterior Part, 4. Latissimus Dorsi, called 2\{o y^ni- fcalptor, arifes by a broad Aponeurofis from the Spines of the Lumbus Vertebra, and from the Spine of the Os Ilium. In raifing the abdominal Mufcles, I advif- ed you to feparate a Part of this Mufcle j therefore begin your Se(5lion here, carry it upward, and feparate the Mufcle with your Fingers, or the Handle of the Knife, which will eafily and quickly break the Fibres ; then defcending towards its Origine, cut off from the Spine the Os Ilium , and carefully fepa- rate it from the Serratus Pojiiais Inferior, becaufe here their tendinous Origines are not only clofely united, but fo intermixed with each other, that it will require a careful Hand to remove this Mufcle, and keep the Serratus on the Body. In feparating this Mufcle, you will meet with a fmall Bundle cf fleihy Fibres, ariiing from the externa! Side of the Bafe of the Scapula, near its an- terior Angle, and adhering to the fuperior Part of this Mufcle in its Progrefs along the Cofia inferior, to be loil in the fame, where it began to grow tendinous. If thefe fiefliy Fibres- of diJJeSiing Bodies. 165 Fibres are not to be reckoned a diftindt Mul- cle, which none has yet done, they muft then of courfe be taken for a Part of this Mufcle, becaufe they unite, and are inferted with it. Which of thefe foever be the Cafe, you are to raife them from the Scapula ^ and feparate them with the Latiffimiis Dorfi. If the Clavicle is feparated, you may take off the Arm from the Body, in order to manage it better hereafter according to Plea- fure, 5. RoTUNDUs Major, called alfo Teres Major J lies contiguous to the abovemention- ed carnous Mafs, and takes its Origine from the inferior Angle of the Scapula. Near to this is the 6. RoTUNDUs Minor, or the Tranfver- falis Brevis, which arifes from the inferior Co/ia of the Scapula^ but fomewhat nearer to the Arm. Separate thefe two Mufcles, by beginning at their Infertions where they are djftindt 3 for the firfl has its Infertion near the Middle of the Humerus^ and the other in its Head. Having feparated them, cut off the Jiotundus Major from the Cojla Scapulc:e^ and the Minor from the hifrajpinatus, and like- •vyife at its Origine. M 3 • 7, In- i66 The Method 7. Infraspinatus, called alfo Super- fcapuhris Inferior and Seciindus, lies hid in that Cavity of the Scapula, formed by the Spine and the Dorfum Scapula in its inferior Part, and is inferted in the rou^ Protube- rance on the Head at the Humerus. The whole Operation of this Mufcle is performed by beginning with raifing it from the Bone, and ending with cutting it off at its Infertion. 8 : Su PR ASP I N A T us, termed alfo Super- fcapuhris Superior and Primus, is lituate in the fuperior Cavity of the Scapula, oppofite to the former, or in the Interfcapulum Supe- rius^ and proceeds under the Acromion to the Head of the Humerus, Firft, cut off the Ligaments between the ^wo ProcelTes of the Scapula, and then raife the Mufcle from the Bone, beginning at the Spine of the Scapula, 9. Subscapular is, denominated alfo In-- frafcapularis and Immerfus, poflefTes the inner or concave Side of the Scapula, arifes from its Bafe, and is inferted in the Protuberan9e on the Head of the Humerus. Raife it firfl fiom the Cojla Scapulee^ and then from its Cavity, CHAP, of diffeSiing BODIES. 167 CHAP. IV. Of the Muscles that move the Cubitus. THE Cubitus has five Mufcles for per- forming its double Motion, 'viz. Flexion and Extenfion, two Flexors iituate on the Fore-fide of the Arm, and three Extenfors on the Back- fide. As to the Flexors, it miift be obferved, that their Con- ne(5lion with the Cubitus can fcarce be feen, till fome Mufcles belonging to the Hand are removed, of which more in the next Chap- ter ; therefore you mufl not be too quick in cutting off thefe Mufcles , but leave the Dif- fedtion of their Origine till you are done with the Mufcles of the Hand. The Difpofition and Names of thefe Muf- cles are as follow, vi^^ 1. Biceps. 3. Extenfor Longus. 2. Brachiceus Liter- 4. Extetifor Brevis. nus, 5. Anconeus. M 4 I. Bi- i68 The Method 1. Biceps is the firft of the Flexors, and fo called from its double Originei one where- of arifes from the Proceffus Coracoides, and the other from the inferior Part of the Cer- ^ix Scapula. It defcends freight down, and is inferted in the Tubercle of the Radius by a ftrong thick Tendon ; hence the Reafon that we feel a StiiFnefs near the Flexure, by flrongly drawing back the Cubitus on a fud- 4en. The Median Vein pafles along this Mufcle, therefore you mufl: take Care not to prick the fubjacent Tendon when the Vein is opened. The Separation of this Mufcle is eafiiy performed, if you take hold of its two Heads in your Hand, and pull them dov/n, then feparate it K«T«5«pc-iv, or with the fubja- cent Membrane. You may pull afunder its fleihy Bellies, or feparate them with the 'Knife ; for each of them, near its Origine, is wrapt tip in a particular Membrane. 2. Brachi^us Intjirnus is tbefecond of the Flexors, which arifes from about the Middle of the Humerus^ from whence it de- fcends under the former Mufcle upon the Humerus^ hence its Name 5 and is inferted into the fuperior and anterior Ecphyfls of the yina. It is hid among the Mufcles of the "Radius, of cVtQeBing Bodies. 169 Radins^ and adheres chiefly to the Supinator Longus, which mufl be firft raifed before you can go about the Difledion of this Mufcle, which may there be feparatcd from the Hu- merus^ and afterward pulled down. The Veins and Arteries which go to the Infide of the Hand, and efpecially the Carpus^ pafs over this Mufcle in their Way. Having done with the Flexors, we now come to the Exr tenfors. 3. Extensor Lqngus, v/hich may alfo be called Biceps Pofticus, becaufe it has a dou- ble Origine ;, one of which ariles from the inferior Cojia ScapulcE^ near its Cervix, and the other frorn the Humerus ; both which unite, and are inferted into the fuperior and external Procefs of the Ulna, termed Ancon, or Olecranon *. To this Mufcle is joined a Nerve that defcends to the Cdrpus, of which already in the firft Chapter, under the Per- foratus. This Mufcle is eafily feparated at its Origine 5 but it is a very difficult Opera- tion at its Infertion, where it clofely adheres to, and, in foqie Meafure, intermixed with * Rtolan makes two Mufcles of this, and calls that the Exterior Longus whicli arifes from the CoJia Scapulas, and thp other the Bre-vis, which takes its Origine fiom the Neck of |he Humerus. the 170 The Method the Extenfor Brevis ; for it muft be here carefully obferved, that the Endings of Ex- tenfor Longus and Brevis unite as it were into one, before they are inferted into the Olecra- non^ jufl: as thofe which are fubfervient to the Extenfion of the Tibia ; the Vajii, Cm- 7'eus^ and ReBus^ being clofely intermixed with one another, make but one Tendon, which, furrounding the Patella^ is inferted into the anterior Part of the Tibia. 4. Extensor Brevis, called by Riolan Brachiatis Externus, arifes pofteriorly from about the Neck of the Humerus, to which it adheres m its Defcent to the external Con- dyle of that Bone. It muft, in fome Mea- fure, be diftinguifhed from the former Muf- cles, and fcraped off from the Humerus, 5. ANCONiEus, being a very fmall Muf- cle, about the Bignefs of one's Thumb, is fituate on the external Side, on the Olecranon above the Articulation. It may be ittn through the nervous Coat in which it is wrapt, and is diftinguifhed from the reft of the Muf- cles by a white Line. Make an Incifion in the Membrane above the white Line, which goes obliquely to the Cubitus, then feparate this Mufcle from the adjacent ones, froni the ipferior of dljfeSiing BODIES. iji inferior Ecphyfis of the Humerus^ alfo from the Olecranon and Cubitus, I would have added the Mufcle of the Ra- dius to thofe of the Cubitus ; but thefe being placed very deep among thofe of the Cubi- tus, is the Reafon w^hy I have referved them to the next Chapter. C H A P. V. Of the Mufcles ^h'tch lie upon the Cubitus and Radius. IT is proper to advertife the Reader^ that I do not intend to follow the commoa Method of Anatornifts, which is to exa- mine iirft the Flexors and Extenfors of the Carpus, then the Flexors and Extenfors of the Fingers, but to purfue that Method which Nature has made ufe of in the Dilpolition of thefe Mufcles ; that is, to begin at fome pro- per Place, and from thence go through with the Mufcles in the Order they lie, till you return to the fame Place from whence you fct out : For the Cubitus and Radius are eve- 172 The Method ry where furrounded and inclofed with Muf- cles, which muft be feparated in the fame Order I Ihall dire<5t you, beginning at the external Side of tht Cuifkus. I v/ould have this general Rule obferved concerning thofe Mufcles which have long Tendons, to begin their Separation at the \Cen- don^ which is the eafieft and befl Method. Galen is of the fame Opinion, as is plain from what he fays of the Flexors of the Car- pus. Begin the Diffe^ion of thefe Mufcles^ which Jerve tq bend the Wrift a little above the Flexure of the foint^ becaufe there they ter- minate m thin nervous Bodies, and difcover the circumfcribed Extremities of their Tendons a- rifing from thence ; then you are to feparate them fro??i their fubjacent and furrowiding Parts as far as their Extremities, as has been already Jloewn. But Riolan is of another Way of thinking, faying, That we fhotdd not be- gin the DiJJeBion of a Mufcle from its Tendon -, becaufe he imagines that a Mufcle may be di- vided into two or more by this Method of proceeding i but this is a trifling Objec- tion, and may eafily be removed, if the A- natpmifl is upon his Guard. The of dlfjeclmg Bodies. 173 The Difpofition and Names of the Muf- cles we here intend to treat of are as follow, viz. I. Cubit eus Externus. %. Pronator radii longtis 2.ExtenforIndicispro- 9. Radians Internus. prius. 10. Palmaris. ^.ExtenforminimiDi- 11, Sublimis. gitipropriiis. 12. Profundi. 4. Extenfores Pollicis. 1 3 . Lumbricales. 5. Radiceus Externus^ 14. Flexor Pollicis. 6. Supinator Longus. 15. Cubiteus Internus. J. Supinator Brevis. 16. ^adratiis, i.CuBiTEVsExTER^ns^orExten/or Car- pi Ulnaris, fo called becaufe it clofely adheres to the poilerior Part of the Cubitus. It arifes near the Anconeus , whofe Separation I fliew- ed you in the preceding Chapter, whence it is eafily diftinguifhed, and is inferted iij the metacarpal Bone, under the little Finger. You may raife this Mufcle, as has been al- ready mentioned, by clearing the Tendon of the fubjacent Parts, and efpecially of the Membrane, which covers moft of the Ten- dons, and alfo infinuates itfelf into the Muf- cles, which it invelopes j therefore make a longi- 174 ^^^^ Method longitudinal Incifion in this Membrane in that Place where the white Line points between! this Mufcle and the Extenjbr Digitorum^ and feparate the Ciihiteiis from the Cubitus and neighbouring Mufcle. Before you proceed fartherj eiit that mem- branous, tendinouSj and circular Ligament, which is fituate near the Carpus^ and keeps the Tendons of the Fingers in their Places. It is called Armilla^ or the Bracelet y and is very vifible on the Back of the Handy with its oblique tranfverfe Fibres. When it is cut, turn it afidCj that you may come at the Ten- dons. Clear now the Tendons afcending along the Back of the Hand towards the Fingers of their inveloping Membranes, put a Probe un- der the four largeft ones, and raife them up, and cut the Worillce^ with the Point of the Knife, that unite them together^ all the Way back to the Q/to/j, where you will find the Difference between the Exf^?i/br Minimi Di^ giti, IndiciSy and Carpi. Having feparated it as fai as its Origine, which is in the external Con- , dyle of the Himerus^ cut it. off, and trace its Tendons to the Phalanges of the Fingers, in- the Outfide of which you will find them firm- \ly inferted. 2,- Ex-=- of dilJeB'wg Bodies. 175 2. Extensor Indicis Proprius, of Indicator J which imparts its Tendon not on- ly to the Fore, but alfo to the Middle-finger, is to be feparated after the fame Manner. 3. Extensor Minimi Digiti Pro- prius, which is a Kind of collateral auxi- liary Mufcle to the Extenfor Communis ^ is al- fo raifed after the fame Manner as the two former. Thefe two Mufcles, united together, cor- refpond with the Flexor Profundus^ as the former does with the Flexor Sublimis, there- fore might properly enough be denominated Extenfor Siiblimis and Profundus. 4. Extensores Pollicis, being three in Number, and having one and the fame Origine about the Middle of the Cubitus^ marching jointly along the Radius^ and fepa- rate only when they come near the Thumb, one of thefe Tendons being inferted into the third Phalanx of the Thumb, and the other two into the fecond and firft Phalanges. Thefe Mufcles are feparated as the for- mer. 5. Radialis Externus, or the Ex- tenfor Carpi Primus^ lies along the external Angle of the Radius, hence its Name. It arifes 1^6 The Method arifes from the external Condyle of the Hit- meriis^ and about the Middk of the Radius is divided i?ito two Tendons, therefore called: Bicornis^ which are wrapt up in a Mem- brane, and inferted into the Carpus and Me- tacarpus. Galen will have this to be a dou- ble Mufcie, becaufe it moves different Parts, 3tnd may be divided into two^ if any one will give himfelf the Trouble. Therefore^ in order to do this, make an liicifion in the Vagina, and direcfting your Knife upward, divide thefe Mufcks, then you will fee two diftind; Mufcles, as Riolan alfo acknowledges in his Enchiridion. Betwixt this and the next following Mufcie, palTes a Nerve along the Infide to the Thumb and Fore- finger, like- wife a Vein and Artery, \thofe Pulfation is felt in the Carpus. 6. Supinator Longus, which arifes a- bove the external Apophyiis of the Humerus,' and is inferted into the inferior Extremity of the Radius. 7. Supinator Brevis lies under the for- mer, has its Origine near the fame Place with it, and, pafTmg over the Radius, is inferted iftto the Middle of it, in the Infide. You- •may raife the Supinator Longus from the Bre" of differing Bodies. 1^7 'His with the Knife, beginning at the Sides, and continuing your Separation upward aud downward. Having removed this Mufcle, you will fooii fee the Supinator Bre'vis, which immediately furrounds the Radius^ and is wholly carnous both at its Origlne and Infertion. If you intend to feparate it, bend back the Hand, and fcrape it off from the Radius, then cut it off at its Ongine and In- fertion. Perhaps there will be no Occafion for feparating it, becaufe, without toucliing it, the reft of the Mufcles may be raifed. 8. Pronator PvAdii Longus, whofe A(ftion is contrary to the former Pvlufcles, arifes from the inner Condyle of the Hu- merus, and defcending obliquely to the Ra- dius, is inferted in its pofterior Part. The Separation of this Mufcle is the fame v/ith that of the former Mufcles, which are fur- nifhed with long Tendons. 9. Radialis Internus, or Flexor Carpi Radialis, being in an oppoRte Situa- tion to that of the Radialis Extenms, takes its Origine from the inner Condyle of the Himerus, near to that of the abovcm.ention- ed Mufcle, and paffing over the R^idius to the Thumb, is inferted into the firft and N fouah 178 The Method fourth metacarpal Bone. This is feparated as the former Mufcles. 10. Palmaris arifes from the inner Condyle of the Humerus, and has, near its Origine, a llender fiefhy Belly of a pyrami- dal Figure, but foon after degenerates into a long thin Tendon, which, defcending ftraight along the Sublimis, joins, in its Courfe, the metacarpal Bone, fuftaining the Thumb ; it afterward difappears, and is inferted, by its nervous Fibres, into .the firft Condyle of the Fingers. Make an Incifion in the Mem- brane above the Tendon which envelopes the Mufcles, and free the carnous Part of this Mufcle from thofe which have the fame Ori- gine with it -y then feparate it from the me- tacarpal Bone, and lifting up the broad Ten- don, cut it oif from the inner Tendons of the Hand. After having raifed this Mufcle, you will fee a Nerve entring the Palm of the Hand under the Thumb, and diftributing its Branches, 'viz, two to the Fore and Middle- Finger, and one to the Ring-finger. Under the Abdudor of the Little-finger is another Nerve, which fends two Branches to the Ring, and one to the Little-finger, If you intend of dijJeBmg'Bo-DiES, 179 intend to feparate them, follow their Courfe and with a fharp Knife make a longitudinal Incifion into the membranous Coat which envelope them, then feparate them gently : They creep along the Sides of the Fingers to* their Extremities. II. SuBLiMis, or Perforatus, which bends the fecond Articulation of the Fingers lies under the Falmaris, at its Origine, and in its Progrefs, This, at its Origine, feems to be only one Mufcle, but a little below the Middle of the Fore-arm is divided into four diftind: Mufcles^ that terminate into four long flat Tendons of different Sizes. Thefe Tendons being of a confiderable Length, and having a long Way to go, wanted a Kind of Defence, that they might not, dur- ing their Courfe, be turned out of their Way • therefore Nature has taken Care to prevent this Inconvenience, by furnifhing them with a double Ligament ; for in the Carpus they are braced down by the Ligamentum annu- lare ; and in the Fingers, kept within their due Bounds by another circular Ligam.ent ; be- fides which, they have Membranes that unite them together. N 2 12. Pro- i8o The Method 12. PiioFUNDi, or P erf or antes, which bend the third Internode of the Fingers, are in every Pvefpecl, like the former, except in this only, that they are not perforated, but perforate, therefore called Perforantes, and Profundi^ becaiife they lie under the ^iibli^ mis. The Adminiflration of thefe Mufcles being the fame with that of the former, I will thei efore treat of them jointly. Make an Jncifion in that Ligament, which, ari- fing at the Sides of the Fingers, furrounds the Tendons j but take Care not to cut the Tendons. Cut through the Ligamentinn an- nulare^ under which thefe tendinous Twigs pafs to the Fingers -, put a Probe under the Tendons, and raife them all up 3 then de- fire your Aiiiflant to hold them up, while you feparate the Tendons, by cutting afun- der the Membranes. They are divided at firil into four, but each are fubdivided into two leiTer Tendons, which mull: be alfo fe- parated. You will eafily diflinguifli the In- terflice with your Eyes, then cut through the Membrane that unites them together; lift up next, with a Probe, the Tendons of the Perforatiis, and feparate the Mufcle to- wards its Origine, where you are to cut it off. of dtfjeSihig Bodies. i8i off. Separate alfo the Ferforam from the Ligament, which unites it with the Bones of the Cubitus and Radius, but take Care not to cut the Ligament in the Adminiftra- tion. 13. LuMBRiCALEs, which bend the firfl: Joint of the Fingers, owe their Origine to the Tendons of the Profundus. Riolan fays they arife from the annular Ligament, but I could never yet obferve their Union with it ; however, be that as it will, this not being a proper Place for difputing the Matter, it is certain that they clofely adhere to the Tendons of the Profundus, from whence they mull: be feparated • likewife from the Interofjei, where you are to fearch for their Infer tion, which is about the firfl Joint. 14. Flexor Poll ic is arifes internally from the Middle of the Cubitus, and afcends to the Thumb, under the "thenar, whofe Bafinefs is to m^ove the iirfr Joint, and is fometimes inferted in the fecond. The Ad- miniflration of this Mafcle is the fame with that of the former. 15. CuBiTEus Internus, cr Flexor Carpi Alter, arifes laflly fiom the inner Con- dyle of the Humerus, runs down along the N 3 Vhui, iSz The Mi: T H o D Vina J and terminates, by a long Tendon, in the Os Orbiculare of the Carpus. 1 6. Qu^ADRATus, or Alter Pronator Kadii, lying on the Inlideof the lower Ex- tremity of the Fore-arm, makes its Ap- pearance now after all the abovementioned Mufcles are removed. It is fixed by one Side or Edge to the Cubitus, and by the other to the Radius, owing its Origine to the firft, and its Infertion to the laft. As there are no fubjacent Mufcles, I fee no, great Occafion for feparating it= CHAP. if differing Bodies. i CHAP. VL Of the Mufcks which are placed In the Hand. I N the Hand are found fome fmall Muf- cles, the Adminiftration of which fhall be the Subje(5l of this Chapter. 1 . Abdudior minimi Di~ 4 . Hypothenar^ or Alter giti. AdduStor Poiiicis, 2 . Thenar^ or AbduBor 5. Abducior Indicis» PoUicis. 6. Interojj'ei, 3. Antithenar, or Ad- duBor PoUicis. I. Abductor Minimi DiGiTi, being fituate under the Little-finger, arifes from the Carpus^ but chiefly from two Bones^ one of which is fituate near the little Finger, the other under the Little and Ring-finger % and is inferted in the firft Internode of the Little-finger, To raife this MufclCj begin at N 4 the 1^4 ^^^ Method the Back of the Hand, and feparate it from the metacarpal Bone, then cut it off at its Origlne and Infertion. 2. Thenar, or Abdu5lor Follicis^ being lituate on the Side of the Thumb, arifes from that Bone v/hich fupports the Thumb, and is inferted in the fecond Joint of the Thumb. The Adminiilration of this Muf- cle is the fame with the former. 3. Antithenar, or AdduSior Pollicis, being fituate on the Back of the Hand, pulls the Thumb to the Fore-finger, and runs obliquely from the fourth metacarpal Bone to the firfl of the Thumb. Bring the Thumb gently to the Fore-finger, then fe- parate this Mufcle from the AbduSior Indi- cis, which are eafily diflinguifhed from each other by the different Pofition of their Fibres, and cut it off at its Origine from the meta- carpal Bone. 4. Hypothenar, or Alter Addudior PoIUciSy being fituate in the Palm of the Hand, pulls the Thumb to the Fingers, and takes its Origine from the fecond metacar- pal Bone. The Separation of this Mufcle is the fame v/ith that of the preceding j which done„ of differing BODIES, 185 done, cut it off at the Thumb, or then you cannot fo eafily raife the 5. Abductor Indicis, the Origine of which is cut off at the fame Time with the Thumb -, therefore you need only fepa- rate tliis Mufcle from the metacarpal Bone. 6. Interossei are fix in Number, viz, three internal, and three external ; but thefe cannot be feparated till you divide the Car- pus from the Metacarpus 3 therefore disjoin thefe two with a Knife, then cut through the Ligaments which unite the metacarpal Bones above and below ; then you will, without any Direction, fee the Difference between the internal and the external Inter^ ojjei. CHAR 1 86 The Method CHAR VII. Of the Mufcles that hend the Head, THE Head, by its own Weight, be- ing apt to incline forward , has therefore only one Pair of Mufcles ; but to keep it ere6t, or fupport it, is fur- niflied with more, placed for that IntentioHr in the Neck. That Pair fituate in the an- terior Part, is called Mastoideus, which immediately appears upon feparating the muf- cular Expanlion : Its Origine is cut off at the fame Time you remove the Sternum^ which you are to take hold of, and feparate it from the fubjacent Mufcles, but efpecially from the Scalenus 3 from thence you are to proceed to its Infertion in the malloide Pro^ cefs. In the pofterior Part of the Neck are fix Pair of Mufcles, generally afcribed to the Head, viz, I, Spk- of differing Bodies. 185^ 1. Splejiius. 4. Refills Minor, 2. Compkxus. 5. Obliqmis Superior, 3. Re5ius Major. 6. Obliqiim Inferior, 1. Splenius, which furrounds the po^ fterior Part of the Neck, immediatly ap- pears upon removing the trapezius and Bhomboides. It arifes from the fpinal Opo- phyfis of the cervical and dorfal Vertebrce, and is inferted into the Occiput. Begin the Separa- tion of this Mufcle on that Side next the ^^, defcending tov^ards its Origine, vi^hich you are to cut off ; then raife its Infertion, but take Care you do not feparate the next fol- lowing Mufcle. 2. CoMP LEXUS lies immediately under the former, and is fo called, becaufe it con- tains and comprehends as it were both the ReSli and Obliqui. It has the fame Origine and Infertion with the former Pair 5 there^ fore the Separation is the fame. The Compkxus are no fooner removed, but the ReBi^ which are divided into Majores and Minores^ and the Obliqui, into Superio- res and Inferiores, immediately make their Appearance, Hence it is, that G^/^;2Juftly wondered i88 The Method wondered how Lycus could obferve the Re^i without taking Notice of the Obliqui. 3. Rectus Major arifes from the Spine of the fecond Vertebra of the Neck, afcends obliquely to the Occiput^ where it is inferted, and covers in a Manner the 4. Rectus Minor, which differs only from the former in Origine, this arifing from the firft cervical Vertebra. If you intend to Separate ReBus Major and Minor ^ put your left Thumb upon the one, and Fore-finger upon the other, and thus pull them dov/n- ward, then cut through the diflended Fibres with the Point of the Knife, and feparate the Rectus Major either at its Origlne or In- fertion. 5. Obltquus Superior arifes fiom the tranfverfe Procefsof the Atlas, and terminates in the Occiput, near the ReBus Major. This is vifible enough without any Separation. 6. Obliquus Inferior, is by fome reckoned among the Mufcles belonging to the Head, but without any Reafon, becaufe thefe Mufcles do not reach the Craniinn -, hence they ought not to be ranked among thofe of the Head -, by the fame Rule, you may place the Tranfverfalis Colli, which has the of diJJ'eBing Bodies. 189 the fame Infertion in the firfl Vertebra of the Neckj with the Obltqims Major ; yet I will follow the common Method in placing them among thofe belonging to the Head. They arife from the fpinal Procefs of the fecond cervical Vertebra, from thence they afcend obliquely to, and are inferted in the tranf- verfe Procefs of the firfl: Vertebra, where the Obliqiii Superiores take their Origine. Obferve that thefe three Mufcles, viz» the ReSfi Majores, and the Obliqiii Siiperi- ores and Inferiores, taken jointly, form a Triangle, whereof the Obliqiim Inferior is the Bafe, and the reft form the Sides ; there- fore they are eafily diftinguifhed from each other, efpecially lince the Re5liis makes that Side of the Triangle which is next the Spine. C PI A P. ipo The Method CHAP. VIIL Of the Mufcles of the N e g k. TH E Neck has four Pair of Mufcles^ the iirft two Pair fituate anteriorly lower for bending it, and the laft two Pair placed pofleriorly for extending it„ J. Scale?iuSi t^. Spinalis. 2. Longus. 4. 'Trajifuerfalis. The two firft Pair muft be raifed whild the Subjed; lies upon its Back. I. Scalenus, arifmg from the firil Ribb- and terminating in the tranfverfe ProceiTes of the cervical Vertebra:, becomes confpicuous as foon as you have dilTecfled the abovemen- tioned Mufcles 3 and the Method of railing this Mufcle is plain of itfelf. But if you deiign to difled; this Mufcle while the other Parts remain intire, feveral Things mufl be obferved. The chief Particular to be taken notice of, is the Paffage of the axillary Vef- fels through this Mufcle to the Arm ; there- fore of diJjeBtng BODIES. 191 fore you muft take Care not to hurt them, otherwife you muft expe<5l to meet with an EfFufion of Blood. Firft raife the Mafioi- deus, of which already, then the Levator Scapulcey fituate laterally on the Outfide, and arifing in the fame Place where this is infert- ed ; afterward feparate the Scalenus from the Rib, and cut it off at its Origine. 2. Long us, fituate laterally along the Fore-fide of all the cervical Vertebra^ and fome of the fuperior dorfal Verfebrce, arifes generally from the fifth Vertebra of the Back, but Nature varies here j becaufe it fometimes arifes from the fourth, and fome- times from the third, and is inferted in the Tubercle of the Atlas^ or in the Occiput^ as has been obferved by Columbus, You are to feparate this Mufcle, by abrading it from the Sides of the Vertebrce. Between the Atlas and the firft dorfal Ver^ tebra^ you will fee the cervical Veftels paf- fing through the Perforatus made in the tranf- verfe ProcelTes of the cervical Vertebrce. If you incline to have a full View of the two Extenfors of the Neck, the Body muft be turned upon its Face ; however, before you come at this, not only the Skin, but the 'Trapezius, ip^ The Method Trapezius, Rhomboides, Serrafus Fofiicta Su^ perior, Splenius^ and Complexus, muft be re-^ moved, with a Part of the Semi-fpinalis. 3. Spinalis appears firft in its natural Situation, after thefe Obftacles are out of the Way, fixed to the fuperior Spines of fome of the cervical and dorfal Vertebra. 4. Transversalis, fituate under the former, and filling up that Space betv^een the tranfverfe and oblique Procefies, arifes from the fix fuperior tranfverfe ProcefTes of the dorfal Vertebrae, and is inferted into all thofe of the Neck. Raife this Mufcle from the Spinalis, by making an Incifion in that Line by w^hich they are diflinguifhed, v^hich is eafily found if you feparate the Spinalis Dorji, under which lies concealed the Ori- gine of lihsTranfuerfalis, and then carry your Separation upward. Afterward feparate it from the tranfverfe ProcefTes, but do not cut off the tendinous Produd:ions. If you raife the Spinalis Colli from the Tranjverfalis, it requires no farther Preparation. CHAR of difje^tng BODIES. 193 C H A Po IX. X^f the' Method of feparatlng the Skin and the Fat from the Foot. E who underftood and retained what was faid in the iiril Chapter of the firfl Book, will foon find that he is fufficiently acquainted with the greatefl Part of this Operation 3 for this is fo near a Kin to that of the former, that they will admit of very little, if any Difference; which though fmall, yet muft be explained here, left the Omiffion thereof fhould lead the young Anatomift into an Error. Begin therefore your Incifion of the Skin at the Pubis, and bring it down along the Infide of the Thigh, Leg, and Foot, to the Mola ; from thence turn a little toward the back Part, and end in the Os Calds, be- hind the Malleolus. Make afterward another incifion, fo as to form a right Angle with the former, diffeding the Skin of the Foot to the Nail of the great Toe ; this done, O feparate 1 94 The Method feparate the Skin after the fame Manner as you did in the Hand j but the Adminiftra- tion is more difficult in the Leg and Back of the Foot, becaufe in thofe Places there is ge- nerally a foft fubjacent Fat. Galen did not fo much as touch the Skin in the Bottom of the Foot, nor in the Palm of the Hand, on account of the tendinous Expanfion of the Tlantaris ; but there was no Occafion for fuch an over Care, becaufe the Skin may be eafily feparated without hurting that Tendon. You are likewife to obferve, that there is in the Thigh a membranous Mufcle invelop- ing feveral other Mufcles, hence denominated Fafcia Lata. This Mufcle, though carnous at its Origine, yet foon degenerates into a broad Tendon, or rather a Membranous Ex- panfion, which you mull take particular Care of, otherwife you may, by Miftake, diffedt it for the Fanniculus Carnojus^ which I have often ictn. done. Therefore, to avoid falling into this Error, when you defign to feparate the Fat, make an Incifion at the Origine of this Mufcle, \f hich is at the inferior Spine of the Os lli- tim, but do not let the Knife go too deep, left you fliould wound the membranous Ex- panlion oj di[feBtng Bodies. 195 paiillon of the Mufcle ; and if you per- ceive the mufcular Flefh denudated, you may reft fatisfied that your Incilion is of a proper Depth. Likewife when you feparate the Fat on the Bottom of the Foot, you are to begin on that Side of the great Toe next the other Toes, and take Care not to remove with the Fat that nervous Expanlion, which be- ing ftretched along the Sole of the Foot, and interwoven, as it were, with the Fat, is inferted into the firft Joints of the Toes. Round the Os Calcis lies a large Q^ntity of folid Fat, which muft be removed, before- you can have a full View of the Termina» tion of the great Tendon. C H A Fo 196 The M E T H o B CHAR X. Of the Mufcks of the Thorax and Loins. THE Mufcles of the "Thorax, called by others the Mufcles of Refpira- tion, are numerous, and of diffe- rent Kinds : For it is faid, that thefe Muf- cles, fubfervient to Respiration, are the terrains Major, of which already among the Mufcles of the Scapula, Siibclavii, ^ri-^ angular is, Intercojlalis, Diaphragm, ex- plained in the fecond Book, Serratus Pojiicus Superior, and the Serratus Pojiicus Inferior, therefore we have only the two laft to treat of. Serratus Posticus Superior, lies under the Khomhoides, and arifes by a broad yiponeurojis from the three inferior Vertebras of the Neck, and the firfl of the Back ; from thence this Aponeurojis pafles over, and, in fome Meafure, covers the Mufcles of the Loins, whence fome iiave taken it for a Li- gament, of dijJeEiing BODIES. 197 gament. But it is inferted bv carnous Di- gitations into three of the true Ribs, which it pulls upward. The Separation of this Mufcle depends wholly upon railing it at its Origine, which being done, you cannot mifs of finding its Infertion. Serratus Posticus Inferior lies un- der the LatiJJtmus Dorfi^ and is firmly united to its Aponeurojis, which being feparated, it makes its Appearance. This Mufcle takes its Origine from the laft Vertebra of the Back, and the firfl: of the Loins, by a broad Apo- neurofis like the former Mufcle, and covers the Mufcles of the Loins ; it is likewife in- ferted by flefhy Digitations into the four in- ferior Ribs, which pulls it upward. The Adminiftration of this Mufcle is the fame with that of the former. We now come to the Mufcles of the Loins, which are, 1. Sacro-Liimbaris. 4. Semi-Jpinalis, 2. LongiJJimus Dorji. 5. ^adratus Lumbo- 3. Sacer, rum. I. Sacro-Lumbaris, having the utter- moil Seat among thofe Mufcles on the Ribs,^ O 1 arifes ipS Tke Method arifes from the external Margin of the Cofta OJJis Ilium y from thence it afcends, and fends its tendinous Portions and Digitations to all the Ribs. Separate this Mufcle from the Longijjtmus Dorji, from which it is diftin- guifhed by a yellowiih Line, occafioned by the intervening Fat j the Tradt of which you are to follow in the Adminiftration, and then you are fure not to mifs. The Separation of this Mufcle at its Origine from the Longtjji" rniis DorJi is attended with fome Difficulty ; becaufe the Origines of thefe Mufcles are fo clofely intermixed with the Sacer, that it is almofl impoiTible to make an exad: Diftinc- tion between them. It mufl be intirely rai- fed from the Ribs, except the fmall nervous Portions, which mufl be left. In the Loins you may feparate it from the fubjacent ^^^- dratus by a lateral Incifion, 2. LoNGissiMus Dor SI, being conti- guous to the Sacer^ reaches along the Back to the Neck, and fometimes as far as the Occiput ; it is fixed to the Spines of the Os Sacrum, and to thofe of the Loins, by a tendinous Expanfion. Make firfl an Incifion in this Aponeurojis, and feparate it from the fubjacent Sacer, which will lead ycu to the fuperior of dlUfeEihig Bodies. 199 fuperior Parts, and fliew you where it Is ta be divided from the neighbouring Muicles ^ then feparate the carnous Part from the Bones, to come at a Sight of the numerous Fajcicidi. 3. Sacer being next to this both in Ori- glne and Progrefs, arifes from the Os Sacrum ; hence fo called. It covers the tranfverfe Procefles of the Loins, and from thence reaches to fome of the dorfal Vertebrce un- der the Semi-fpinalis, It is fcarce worth the while to feparate this Mufcle, becaufe there is nothing elfe under it but Bones. Semi -SPINALIS, whofe Origine being placed under the Extremity of the former, arifes from the fpinal Procefles of the Loins, adheres to all the dorial Vertebra^ and (huts itfelf up between the Spinalis and Tranfver- falis. If you have a Mind to feparate it, fcrape it off with the Knife from the Bones. Riolan calls this Mufcle the Spinalis^ and de- duces its Origine from the Spines of the Os Sacrum. 5. QuADRATus Lup,iBORUM, being in- tirely carnous, appears after removing the Origines of the LongiJJimus Dorji and Sa- cer i it arifes from the Spine of the Os Bi^ O 4 tW7^ 200 The Method "Um^ and is inferted into the inferior Rib and tranfverfe Apophyfes of the Lumbar Vertebra. To raife this Mufclc, make an Incifion at the Spine of the Os Iliwn ; andj having feparated it from the tranfverfe Proccffes, cut it off from the inferior Rib. CHAP. XL Of the Mufcles of the Thigh and Le g. I Thought it abfolutely neceffary to bring thefe tv70 Parts into one Chapter, be- caufe the Adminiftraticn of the Mufcles of one, cannot be performed without the other, as v/ill appear from what follows. The Mufcles we intend to treat of here are, 1. Sartorhis. y. Gracilis. 2. Membranofus. 8. Pfoas Magnus. 3. Rectus. 9. Pfoas Parvus. 4. Vajlus Exterftus. 1.0. liiaciis Internus. £j. Vaftus Internus. 11. triceps. bTCrureus. 12. Pe5fineus. 13. G/«- of di[feSiifig Bodies, ap i I'^.Glutceiis Maximus. ig. Biceps. J 4. Gluteus Me dins. 20. Seminervofus. 15. Glutceus Minimus, 2.1. Semimembranofus. 16. Iliaciis Ext emus. 22. Triceps. 1 J. Obturator Intermis. 23. Obturator Exter- 18, ^adratus. nus, J. SartoriuSj or FafcialiSy or Sutorius^, arifes from the inferior Spine of the Os Ei- UfUy and running obliquely over the Mufcles of the Thigh, is inferted in the Inlide of the Head of the 'Tibia. This Mufclc may be ea^ fily feparated with the Hand, by putting your Finger between this and the ReBus^ and parting them by moving your Finger up- ward and downward s then cut it oiF at its Origine and Infertion. 2. Membra NO sus, or Fafcia Lata^ coverg a great Part of the Thigh, elpecially on the Outfide. I place its Infertion in the Tibia ; but Riolan will have it reach as far as the Foot. It arifes from the Spine of the Os Ilium, near the Sartorius, where you are to begin your Incifion, and feparate its carnous Part, which lies concealed among the other Muf- cles ; then feparate the nervous Membrane ■with the Knife, which clofely adheres to that Part aoi The Method Part where thefe two Mufcles meet 3 it like- wife firmly adheres at the Flexure^ under the Knee, and there feems to be infer ted. The Leg mufl: be often turned in this Adminiftra-. tion, becaufe this Membrane invefls the Thigh behind and before. Before you proceed farther, you will ob- ferve fome Blood Veffels pafs over the Ojja Innomtnata along with the Ffoas and Iliacus Internum ; from hence thefe Branches called the Cniraln defcend to the Foot, which, af- ter got beyond the Os Pubis ^ fend forth a long Branch, called the Saphcena^ that runs down along the Iniide of the Thigh and Leg to the Foot ; but the Trunk goes deeper be- tween the Vajius hiternus and Criireus, near the Tendon of the Iliacus Internus, 3. Re^uSy fo called on account of its flreight Situation in the Body j arifes from the inferior Spine of the Os liium^ from thence defcends flreight down upon the Cm- reus, between the Vafiiis Externus and Inter ^ VMS to the Thigh. This Mufcle is eafily fe^ parated like the Sartorius, either with your Fingers, or the Handle of a Knife. 4. Vastus Externus arifes from the Trochanter Major ^ and from thence defcends along of differing Bodies. 203 along the Infide of the Thigh to the Tibia. To raife this Mufcle, begin on the Infide, and turn the Thigh, then feparate it from the Biceps, to which it clofely adheres ; af- terward free it from the Crureus in that Place where thefe two Mufcles are united too-ether by a white Line. 5. Vastus Intern us is placed on the oppolite Side, and takes its Origine from the Trochanter Minor. It is alfo diftinguidied by a white Line from the Crureus, where you are to feparate it, then behind from Gra- cilis and Triceps. 6. Crureus lies immediately along the Qj Femoris, from which it mufl be raifed with the Knife. Thefe three Mufcles, along with the KeBus, unite into one Tendon, which furrounds the Patella, and fixes it to the Knee j therefore thefe three Mufcles be- ing fo nearly contiguous to one another, that they may be reckoned a Triceps, you may thus feparate them at one Operation. Sepa- rate the Patella on the Infide, near the Flex- ure, from the Tibia, and continue your Se- paration, by afcending gradually under the Vajius Intermts. When you come to the Os Fe?mriSy clear it of the Fleilij and then re- peat 204 The Method peat the fame Operation on the oppoiite Side^ under the Vafim Externus. Cut off the Heads of the Vajii, and free the Crureus from the Bone, but take Care not to injure the Head of the Biceps, which Hes on the Out^ iide. Having removed thefe Mufcles, you may feparate them into their proper Divi^ fions. 7. Gracilis, fo called from its being a thin Mufcle lying in a ftreight Line along the Infide of the Thigh, between the Os Pubis and Knee ; it is likewife termed by Riohn^ Pojiicus^ to diftingtiifh it from the ReBus. It arifes near the Synthefis of the Os Pubis, and is inferted into the Infide of the Head of the T^ibia. This Mufcle is eafily feparated 'AA-a. duixriv, or with the fubjacent Membrane. Having diffeded thefe Mufcles, return up- ward, and take a View of the PJsias and Hi- actis Interniis. 8. Psoas Magnus, is that round Mufcle which arifes from the Lumbar Vertebrce, and running over .the Os Ilium, is inferted between the two Trochanters. Upon this you will of- ten meet with another Mufcle, firfl difcover- ia. It marches in the Middle, between the Biceps, Semimembranofus, and Seminervofiis, diftri- buting its fmall Branches to the adjacent Parts J but it divides into two Branches a little above the Knee, one of which defcends along the Inlide of the Leg to the Foot, the other abfconds above the PopUteus under the Gajlerocnemius and Soleus. The fecond and third ^ladrigetnini are unit- ed at their Origine, Middle, and Infertion, and only diftinguifhed from each other by a white Line, which being cut, the Tendon P of ^io The Method of the Obturator Internus makes its Appear- ance. Some Anatomifts will not allow thefe to be reckoned proper Mufcles, but only a carnous Involucrum or Bag for the Obturator Internus^ whence it has gone under the Name of Burjalis by fome, and by others that of Marfupialis. You may difTedl thefe three Mufcles at once -, but here you are to ob- ferve, that there is a Foramen in the Os Coxce^ to the internal Labium of which is fixed 1 7.OBTURATOR Internus, which maybe raifed by introducing the Knife into the Pel- 'visj and freeing it from the Bone, over which it pafTes backward ; continue feparating it in this Tra6t, till you come to the fecond and third ^adrigemini^ one whereof lies above, and the other below the Obturator^ which they furround ; remove them along with it, then you will come to their Infertion, which is in the Cavity of the Trochanter Major, Having raifed thefe Mufcles from the Bone, you may feparate them if you think proper, and divide this carnous Bag into two Parts. i8. Qu_ADRATUs is the fourth of the Sluadrigemini, and is fituate near the fecond 'and third. Riolan fays, they are about two .. Inches diftant from the former Mufcles, but they of difjeEi'mg Bodies. 211 they feem to lie clofs to one another when carefully viewed. Thefe being removed, you will foon fee where you are to feparate the ^adratiis from the fubjacent Obturator Ex~ terniis. Therefore begin your Adminiftra- tion on the upper Side, raife the ^adratus with a Hook, then introduce your Knife in the white Line, which is the Mark of Di- flindion between the one and the other, and free it from the fubjacent Mufcle ; afterward cut it off at its Origine. The Adminiftration of the Obturator Externus muft be let alone till the Triceps is removed. In the pofterior Part of the Femur you will fee the Biceps^ Semmervofus, and Semi- membranofus. 19. Biceps, whofe firft, or longeft Head, is fixed to the Tubercle of the Os IJcbium, and the fecond, or fhorteft, to the Os Femo- ris, is placed near the following Mufcles. Se- parate the longefl Head from the Semimem-. branofus and the Seminervojus^ and cut it off from the Tubercle of the Os Ifchiiim. The fhorter Head adhering firmly to the Os Femo- ris^ mufl therefore be carefully raifed from the Bone with the Back of the Knife \ af- P 2 terward 212, The M ET H o i> terward cut off the Infer tion of this Mufclc from the T^ibia. 20. Seminervosus, 7 c r Are contigu- 2 1. OEMIMEMBRANOSUS, ^ ^ Gus to the former Mufcle, they have the fame Origine, Progrefs^ and Infertion, but differ in this, that the former is fituate on the Outfide, and has a long (lender Tendon towards its Infertion ; but this is placed on the Infide, near the Triceps, and has a broad Aponeurofis at its Origine. Separate thefe Mufcles from the Triceps, and from each o- ther }i«T« ^«po-iv, or with the fubjacent Mem- branes. 22. Triceps, fo called from having three Heads, and as many Infertions. The three Heads arife from different Parts of the 0[jo. Pubis J the iirft adheres to the fuperior An- gle, the fecond to the Middle of the Bone^ and the third to the inferior Part. Their Origines, as well as their Infertions, are on- ly at a fmall Diflance from one another j, for that Infertion, which is fixed to the infe- rior Part of the Femur, anfwers the firfl Head, the next to the fecond, and the third to the third Head. According to thefe Marks the Parts of this Mufcle mufl be di- ilinguiilied ^ of dilJe[ih?g Bodies. 213 llinguifhed ; for a more accurate Admlniflra- tion of them cannot be defcribed. 23. Obturator Internus appears af- ter the former Mufcle is removed ; it is fitu- ate fo deep under the ^adratus^ that we could not attempt its Separation till now ; when every Part befides is removed this is left behind alone, and therefore it would be to no Purpofe here to infill: upon its Sepa- ration. CHAR XIL Of the Mufcles placed upon the Tibia. 1. f^Afterocnemii. 2. ^^ Plant aris, 3. Soleus, 4. PopUteus. 5. Peronceus Biceps, 6. Exlenfor Lo?igus. 7. Peronaus Flexor, 8. Extenfor Pollicis, 9. Tibialis Anticiis. 10. Flexor Digitorwn Longus. 1 1 . Tibialis P opticus.. 12. Flexor Pollicis, P3 0% a 14 The Method On the poflerior Part of the Leg are plac- ed a great many Mufcles, as 1. Gasterocnemii, called by Riolan^ GemelU, a rife by two flat Tendons from the two Condyles of the Os Femoris, and run down over the Soleus and Flantaris. Begin their Adminiftration at the internal Side, make a longitudinal Incifion in that flrong Membrane, which furrounds the whole Leg, then feparate it from the Soleus with your Finger, which will diredl you to the Heads of the Mufcles that muil be cut off. The flefliy Bodies of thefe Mufcles are divided by a white Line into two Parts, which being difre<5led, you may feparate them. 2. Plantaris, which anfwers to the Tahnarh of the Hand, is placed under the former Mufcles 3 it arifes carnous and (len- der from the outer Edge of the external Con- dyle of the Os Femoris^ and foon after runs into a long flat Tendon, which defcends along the external Side of the Gajierocnemii to the Os Cakis, and is there inferted into it with the Tendons of the Soleus and Gajierocnemii. That nervous Body, which fpreads itfelf a- long the Sole of the Foot, is reckoned a Part of this Mufcle ; but I could never yet fee their of dij[eBhig Bodies. CL15 their Connexion. Having made an Incifion in the Membrane above the Tendon, proceed with your Operation upward till you come to the Origine of this Mufcle ; then defcend to the Os Calcis^ and fee whether you can find its Connexion with the tendinous Ex- paniion. 3 . Sol e us having a pretty large flefhy Belly, arifes from the Fibula^ then goes obliquely inward, and covers the Mufcle fituate on the back Part of the T^ibia^ as it defcends. It intermixes its Tendon with thofe of the Ga- Jierocnemiij and forms what is called Chorda Magna Tendo Achillis^ ^%x: Nervtis Igna'vus, by Celfiis. This Mufcle may be feparated by beginning at its Tendon, and fo afcending to its Origine. It is inferted into the poftcrior Part of the Os Calds, where you may cut it off, or let it alone. 4. PoPLiTEUs, or Subpopikeus, which is fituate under the Ham, from whence it has its Name, appears after thefe Mufcles are re- moved. It arifcs from the external Side of the Femur J defcends obliquely over the Head of the Perone to the Head of the Tibia, where it is fometimes inferted, and fome- times it goes a little farther. If you intend P 4 ta, ai6 The M e"T hod to raife this Mufcle, begin on that Side next the Perone^ and fo afcending gradually upward from the Ligament which inclofes its Origine, feparate it to its Origine, which you may cut off. Return now to the Muf- cles fituate between the l^ibia and Fibula ; where I mull inform you, that you are not to exped a full Account of the Method of feparating them ; this I reckon unnecefTary, becaufe it is exacflly the fame with that pre-» fcribed in differing the Mufcles of the Cubi- tus. Therefore I will only fliew you their Origine, Progrefs, and Infertion, which be- ing known, you will be able of yourfelf to accomplifti their Adminiftration. 5. Peron^us Biceps having a double Origine from the fuperior and middle Part of the Ferone^ makes its Appearance at the fu- perior Part of the Fibula when denudated. Its fuperior Head is fixed to the Fibula and CnemodaBylitiSj and its inferior Head ap- proaches the Extenfor of the Great Toe. It runs down under the Malleolus Externus^ palling through an annular Ligament to the MetatarfuSj and is joined by one of its Ten- dons to the fifth metatarfal Bone : It pailes by the other Tendon under the Sole of the Foot^ of dijfe^iing BODIES. 217 Foot, and ends under the great Toe. Riolan makes this a double Mufcle, and calls it the Teronaus Externus and Internus. It feems to anfwer the Fundions of the Bicoris or Ra- dialis Externus in the Hand, therefore might properly go under that Denomination here. You may feparate this Mufcle, by cutting the Ligament under the Malleolus^ as you did the Bicornis in the Hand. 6. Extensor Long us, or CnemodaByli- ns^ fituate near the former, arifes from the Head of the T^ibia^ and defcends along the Side of the Tibialis Anticus upon the Foot, and is inserted into the four leiler Toes. The Adminiftration of this Mufcle is the fame with that of the Extenfor Longus in the Hand. To this is joined in its Progrefs, and, in fome Meafure, intermixed with its carnous Subllance, 7. PERONiEus Flexor, fo called, but not defcribed by Riolan, It arifes from the Middle of the Fibula^ and paffingtalong with the Tendon of the Extenfor Longus through the annular Ligament, is inferted between the fourth and fifth metatarfal Bone, It would be 2iS The Method be a d'fficult Ta{k to contend how this Muf- cie has been named by other Anatomifts. Betwixt this and the following Mufcle is placed 8. Extensor Pollicis, which defcends from the Middle of the external Side of the Tibia J with the Ex ten/or Longus, to the Toes, particularly to the great Toe ; but before it reaches fo far, it is divided into two Tendons, which are inferted into the iirfl: and fecond Phalanges of the great Toe. The Ihorteft of thefe two Tendons unite with the Tendon of the Pediceus. 9. Tibialis Anticus lies next to this and the T^ibia^ from which it takes its Ori- gine, defcends to the firft Bone of the Meta- carpus, into which it is inferted, and fends off a Branch to a Joint of the great Toe ; hence it is that we can fcarce bend the Foot without moving and extending, at the fame Time, the great Toe. Having removed \his Mufcle, you then fee the Ligament which units the Tibia and Fibula. On the oppofite, or interior Side, behind, are placed the three following Muf- cles. 10. Flexor of dij[e£iing BODIES, 219 10. Flexor Digitorum Longus, or FerodaByUtis, is the firft which is to be raifed. It arifes from the inner and fuperior Part of the Fibula, pafles over, in its Defcent, the T^ibialis Pojiicus near the Foot, and turns off by the Malleolus Internum to the Majfa Carnea^ with which it joins its Tendons. 11. Tibialis Posticus is the fecond, which, like the Anticus^ adheres ufually to the Tibia, it alfo palTes under the Malleolus to the Cavity of the Foot, and firft reaches the Os Naviculare, then the Os Cubiforme^ with which it is joined. 12. Flexor Pollicis is the third ; it arifes from the Fibula, paiTes under the Mal- leolus Internus to the great Toe, where its Tendon is alfo united with the Offa Sefamoi- dea. If thefe three Mufcles are to be dif- fered, cut firft the Ligament which unites their Tendons under the Malleolus, then fepa- rate their Origines thus far ; but do not pro- ceed farther till you have raifed the Mufcles placed upon the Foot, which I am now go- ing to defcribe. CHAP, 2.20 The Me t h o d CHAP. XIII. Of the Mufcles placed upon the Foot. 1. T^Xtenfor Brevis, y. AhduBor Minimi 2. "^ Inter ojfeiExterni Digit i. 3. Flexor Br evis. 8. AhdiiElor Pollicis, 4. Maffa Came a. 9. Trarijhjerfalis. ^. Ltimbricales, 10. Biterqffei Interni; 6. Flexor Pollicis. 1. Extensor Brevis, or Pedi^us, which arifes from the A/iragalus^ and fends Tendons to all the Toes except the little one, is the firfl Mufcle that appears on the Back of the Foot. Separate this Mufcle iirffc with the Point of the Knife from the Bones of the TarfuSj then from the Afiragalm^ and laftly, its Tendons from the Bones of the Metatar- fus^ that you may fee its Connedion with the Toes. 2. In TE ROSS EI Extern I are likewife fituate on the Back-fide of the Foot, which mull of diJJ'eSling BODIES. cci mufl be feparated at the fame Time with the Interojj'ei Interni. Under the Sole of the 'Foot are a great many Mufcles ; therefore turn the Foot, and firfl ieparate carefully the tendinous Expan- fion of the Flantaris with the Fat, becaufe this Tendon adheres very clofely to the Flex^ or Brevis, confequently very hard to be fe- parated from it : However, do not let the Difficulty of this Operation deter you, but rather take Courage in Hopes of bringing your Anatomy, thus far carried on fuccefsfully, to a happy Conclulion. Firfl feparate this Tendon from the firft Phalanges of the Toes ; you will then come at this Mufcle, by cut- ting gradually the carnous Fibres with the Point of the Knife from this extended Mem- brane, till you come to the Os Calcis. 3. Flexor Br e vis is next to be feparat- ed from the AbduBor^ and cut off from the Calcaneum^ that you may fee the Tendons of thofe Mufcles, which enter the Foot under it. Then feparate the fame Extenfor from the AhduBor of the Little-finger, and free it from the fubjacent Mafj'a Carnea^ to find the Infertions of the Tendons in the fecond Pha- lanx of the Toes. I have fometimes ob- ferved 222 The Method ferved that it fent Tendons only to three of the Toes, and pafTed by the httle one, which I imagine is owing to the Coalefcence of the fecond and third Phalanges of the little Toe into one, which fometimes happens, as is commonly obferved in dead Bodies. 4. Mass A Carnea is now to be feparated under the Tarfus, by beginning at that Side next the great Toe. You may obferve, a§ you proceed, its firm Connedion with the Tendons of the Flexor Longus. 5. Lumbricales, of which there are only three, becaufe the fourth Toe has no fuch ufcle belonging to it, feem here to take their Rife. You are to feparate the Majfa Carnea J the Tendons of the Flexor Longiis and the Lumbricalis together from the fubjacent Flefh, becaufe they are fo firmly united as not to be divided till taken ofi^. Ob- ferve that the Tendons of the Flexor Longus perforate the" Tendons of the Flexor Brevis^ as the Siiblimis do the Proftmdus in the Hand. 6. Flexor Pollicis may now beraifed to the Place of its Infertion. 7. Abductor Minimi Digtti, feems to be either a double, or a double-headed Mufcle; of differing BODIES. C123 Mufcle ; for it has one Beginning from the fifth Bone of the Metatarfus^ and another from the Os Calcaneum. This Mufcle mufl be feparated from the Bone in the fame Man- ner as you did the Uke Mufcle in the Hand. 8. Abductor Pollicis performs the fame Fundions, and is, in all Refpeds, like the Ahdu5ior of the Thumb. In the Cavity of the Foot there is ilill ano- ther Majja Carnea, which, adhering to the great Toe, is fuppofed to pull it to the other Toes. Under the Bones of the Tarfus lies a broad thin Aponeurojis, which remove with the Knife, and then you will fee the Oiigine of this Majfa Camea^ by tracing which you will come to its Infertion ; but take Care you do not raife along with it the Uranfoerfalu ly- ing under the Roots of the Toes, and eafily difcovered by its tranfverfe Fibres. But to prevent fuch a Millake, feparate firft the 9. Transversal IS, and then the MafJ'd Carnea. 10. Interossei Interni, being the laft, are more protuberant than the Extemi^ and are feparated after the fame Manner with thofe under the fame Name in the Hand, to the Defcription of v/hich I refer you. We 224 ^^^^ Method We fhould here obferve laftly, the Courfe of the Tendons of the Tibialis PofticuSy and the Feroncem Pojiicus under the Sole of the Foot ; for, what happens in no other Part of the Body, they decuffate one another ; one, entring the Foot under the great Toe, march- es to the little Toe, while the other, being nearer to the Bones, enters the Foot under the little Toe, and runs to the great Toe. BOOK ()f dijfeSihg BoDlES. 225 BOOK V. Of the Method of making a Skeleton. The PREFACE^ 'ITHOUT a previous Knowledge of Ofteology, a Perfon, according to Hippocrates y Galen j and Riolan, mufl have but a very obfcure Idea of the Origine and Infertion of the Mufcles, the Adhefion of the Parts^ the immediate Inte- guments of the Bones^ or of any other Branch in Anatomy. Q^ AMaix 226 The Method A Man, with the greateft Diligence^ can never become a complete Anatomift, by merely converling with Books j ocular In-- fpedion is therefore abfolutely neceflary, in order to fix in his Mind the particular Figure and Shape of the human Bones : But, be- caufe we cannot have always Accefs to view frefh Bones, and are apt to forget Things if we have them not continually before us ; to fupply this Defed, we have contri- ved a Method of making Skeletons, or uniting dry human Bones almoft in their proper Places, and preferving them when thus articulated, that fo, by often infped:ing them, we not only retain what was likely to efcape our Memory, but rivet a deeper Im- preffion thereof. And this feems to be of as old a Date as any Operation in Phyfick • for Gahij fay the Antients, ufed to prepare Bones, and unite them by proper Liga- ments. In our Age Arts have been (o well improv- ed that they are almofl brought to Perfedion 5 that of preparing Bones, and making Skele- tons, has not been negledied, and fuch Pro- grefs has been made therein^ that my Mafter of dijfeBlng Bodies. 227 D. Simon PaulU has hit on a Method of mak- ing the Bones as white as the finefi; Ivory. That the Art of building Skeletons, which is fo necelTary a Branch in Phyiick, may be well underflood ; I have, in Imitation of Riolan^ who added to his Anatomy a con- cife OJJikgium^ annex'd a fhort and eafy Me- thod to this prad;ical Compendium of Ana- tomy, I have already mentioned, if there is a Va- riety of Subjects to be had, that a proper Choice thereof fhould be made in Anatomi- cal Diffedions, The fame ought to be ob- ferved as to the Bones, for thofe are only fit for a Skeleton whofe Fibres firmly cohere with each other ^ but Columbus is of a con- trary Opinion, and thinks^ that a young, fhort Body, not lufly, is the fittefl for this Purpofe ; however, I cannot help alTum- ing the Boldnefs to tell him, that thefe Bones are lefs durable, and more iiabie to Corruption, ihan the Bones of an Adult, We indeed often fee Infant Skeletons in Ana- tomical Theatres and the Repolitories of Ana- tomifts I but thefe ferve more for Ornament than real Ufe, and are made up in a quite dif- ferent Manner to adult Skeletons^ which I Q^ z have 2,2 8 The Method have alfo fubjoined to this by Way of Ap- pendix. Two different Operations are required in fitting up a Skeleton, viz» One for cleaning the Bones, and another for uniting them when cleaned, which are the chief Subjed: of this Book. CHAP. L Of the Method of cleaning the Bones. TO clean the Bones of their Impuri- ties, requires feveral Operations. I . The Bones mull be feparated into proper Divifions, becaufe you will not ealily find a Copper large enough to receive the whole Body. 2. The Bones contain a medullary Oil, which mufl be extradled, otherwife it en- ters their Subftance, fpoils them of their Beauty, makes them appear of a yellowifh Colour, and attrads a large Quantity of Duft, of dijJeSihig BODIES. 229 Dufl-, both externally and internally. 3. They muft be fteeped in Water to extradl the Blood. 4. Boiled, to clear them of their Flefh and Ligaments. And, 5. Cleaned. Each of which fhall be fully explained in this Chap- ter. The Separation aj^d Divtjion of the Bones. I. The Bones are to be feparated and di- vided into the Trunk and Extremities. Tie the Extremities, and put them into the Boil- er, but they mufl be perforated to let out the Fat ; therefore they mufl be firfl: feparated from one another. Begin with the Hume- rus^ and feparate it from the Cervix Scapu- la, by cutting the Ligaments that unite them. Afterwards feparate the Humerus from the Cubitus and Radius, by beginning at the Radius, and cutting the Ligament which ar- ticulates it with the Humerus, and furrounds its round Protuberance > then bend the Hu~ merus and Radius Sidewife as if folded 3 by this Means the Radius will fink into the Place where the former Secftion was made, and give Room for carrying the Sedion farther. %^o The Method You may cut off the Hand after the fame Manner. Find the external Part where the Carpus and Radius join, by bending the Hand once or twice ; in that Place cut the Liga- ment crofs, by beginning with the Hand at the Cubitus^ and bringing your Knife towards the Thumb ; thus you will come at the inte- rior Region of the Carpus ^ v/hich you are there to cut, and take away the Hand. The Cubitus and Radius are feparated from each other, by bringing the Knife betwixt them, from one Extremity to the other. The inferior Extremities, like the fuperi- or, muO: be divided into three Parts. Bend the Femur backward and forv/ard, and cut the Ligament arifing from the Edge of the Acetabulim^ and furrounding the Neck of the Femur ^ then cut the fhort round Ligament, which takes its Origine from the Bottom of the Acetabulum^ and is inferted into the round Head of the Femur ^ and any other Part that hinders you from feparating this Bone. Afterwards cut off the T^ibia^ by feparat- ing the Patella from the Femur, then begin with either of the lateral Ligaments, next with the Middle, lailly with the other late- ral one and Membranes, There is an inter-: vening of di[feBh/g Bodies. 231 vening Cartilage, which Columbus and W, Fabriciiis kept feparate j but it may be left with the Tibia. To feparate the Foot, you are to extend it as far as poffible, and cut the anterior Li- gament at the Joint -y then put the Knife un- der the external, and continue the Se(!lion till the Foot hang down on the oppofite Side 5 what remains may be performed with- out any Inflrudion. The Fibula may be fe- parated from the Tibia, by making a longi- tudinal Incifion in the Extremity, and a fomewhat curvated one in the fuperior, be- caufe the Fibula is joined obliquely to the Tibia in the upper Part by Syjichondrojis. The Trunk is generally divided into five Parts, but three are fufficient. The firft is the Head, which (after having removed all the Mufcles) bend forward, and cut the Membrane reaching from it to the Neck, then incline the Head to either Side, and be^ hind the Mailoide Proceffes fearch for the Articulation, and cut it. The fame Opera- tion is to be performed on the other Side» You muft take Care not to break or cut the Styloide ProcefTes. Some begin the Sedlion, which is done with lefs Trouble, between 0^4 the 2,32 The Method the fecond and third Vertebrce, or they put the Vertebra of the Neck into the Copper by themfelves^ I chufe rather to leave them join- ed with the Hhorax. Some feparate the Ribs from the Vertebrce^ then tie them together, and afterwards put them into the Boiler; but this takes up too much Time, and is of no Service, becaufe they will feparate in boiling ; belides, their Extremities are liable to be broke. The fecond Part is the Neck and Thorax, which muft be feparated from the Lumbar Vertebra, by making an Incifion through the Cartilage, joining the lafl Vertebra of the 'Ihcrax with the firft of the Loins, and the fpinal Marrow. Next, invert the Body, and cut the Ligament which unites the Spines of both Vertebra 3 afterwards extend and bend the Trunk to either Side, and carefully fe- parate the tranfverfe ProceiTes, becaufe they are, as it were, articulated to each other, and if violently disjointed, liable to be broke. The fuperior Vertebra enters the Sinus of ■ the inferior, and when the Mufcies of the Loins are removed, the Place where the Dif- fedion is to be made will eafily iliow itfelf. n. T:he of dijfe[ihig Bodies. 233 11. The Extrdlmi of the Medul- lary Substance. 2. When the Bones are feparated fron^ each other, the Marrow is only to be ex- traded out of the large cylindrical ones, 'viz, the Jiumerus, Radius, and JJlna ; the Femur ^ Tibia, and Fibula. To thefe fome add the Cla'vicula, the Metacarpal, and the Me^ tatarfal Bones, with thofe of the Fingers and Toes ', out of which the Moderns extrad no Marrow. To perform this Operation, you mull have two Sorts of Inftruments, viz. Per- forators and Pins. The Perforators muft be of different Sizes, for the greater and fmaller Bones ; the Shape of them may be feen in Figure 5. I have there only delineated the Inftrument without the Handle, becaufe every one may have it made according to his Fancy ; and It is no great Matter of what Form it is, pro- vided it be fitted for the Hand of the Ope- rator. The Pins fhould be round, and made of Iron or Wood ; if of Wood, they muft be armed with Steel Points. Their Magni- tude 2.34 "^^'^^ Method tude muft be in Proportion to the Perfora- tors, on account they pafs through the fame Holes made h^ the Perforators. It will like- vi^ife be proper to ufe fuch an Inflrument as Gunfmiths have for cleaning Gun-barrels ^ but becaufe its Shape differs a litde from theirs, I have given a Reprefentation of it in Figure 6. Having furnilhed yourfelves w^ith thefe In- ftruments, you are next to perforate the Bones 3 but the Ligaments muft firft be re- moved, becaufe the Point of the Perforator will be very much blunted, if fuffered to pafs through them before it touches the Bones. You are alfo to perforate the Bone in fuch a Place as is moft convenient for ex- trading the Marrow, and preferving the Beauty of the Skeleton y for the right per- forming of which, I offer the following Di- redlions. The Vertex of the Head of the Hum ems mufl be fo perforated, as that the Hole be in a flreight Line with the Cavity of the Bone. In the inferior Extremity it is to be perforated in the Hind -part, where there is a Kind of a fuperiicial Cavity for receiving the Ancon. The Hole is to be made after the Peri^ of dl[fe^lng Bodies. 235 feriofieum is removed ; but this Perforation is attended with Difficulty. The Cubitus^ or Olecranon, is to be per- forated in its fuperior Part, and in the infe- rior Part about the Styloide Procefs, where it iinks a little, and from whence a Ligament takes its Originej whjch muft be removed before the Perforation is attempted. The Radius muft be perforated in the Middle of its fuperior and inferior Epiphyfes. Before you fet about to perforate the Head of the Femur ^ you muft firft clean the Cavity adjoining the T^rochanter Major ^ wherein the Tendons of the ^adrigemini are inferted, and then apply your Perforator, The lower Extremity of this Bone is to "be perforated in the Middle of that Binus ber tween the Protuberances. As for the TUbia^ the round Ligament which connedis it with the Femur muft firft be removed, and then you are to perforate it in that Place above, and diredly oppofite below. The Fibula rnuft be perforated above, iri the Place where it joins the Tibia^ and is fmooth by the Cartilage covering it ; an4 l^eloW;, in that Cayity belonging to the Mah leolus %^6 The Method leolus Eicfernus, the Ligaments and Mem- branes being removed. Having perforated the Bones, the Marrow is next to be extracted. To do which, take one of your Iron or Wooden Pins, and in- troduce it into either of the Holes of the Bone made by the Perforator, then pufh it backwards and forwards, till the Marrow is thruft out at the oppolite Hole. Lay afide the Pin, and then take hold of a Radula of a Thicknefs in Proportion to the cylindrical Cavity of the Bone, prefs the Sides of it to- gether with your Fingers, and introduce it into the Bone. This Inftrument, when the PrefTure is removed, will fcrape off the re- maining Marrow from the Sides of the Bones, which is to be thrufl out by another Appli- cation of the Pin. You muft like wife ufe internally a flrong crooked Iron Wire, to break the fpongy and cellular Subftance of the Bone, and thruil it out with the Mar- row. . ' The Marrow, after extracfled, fhould not be thrown away, but carefully put up in a Glafs, and fet in a warm Place to melt, till the Dregs fubfide, and the clear Part afterward to be poured off. Hilandui of dlje^ilng Bodies. 2,3^ Hilandus afcribes many Ufes to this Mar- row. III. The Bones are to be Jieeped in Water. 3. The Marrow being extraded, the Bones are next to be fteeped in Water, to fuck out the Blood, and draw off the adhering Flefhj for if the Bones are boiled before they have lain fome Time in Water, they will ever after be of a yellow, or an afhy Colour, Hence I am apt to think, that if the Bones were laid in fome particular Liquors, they might be brought to an Ivory Colour s but more of this hereafter. Therefore lay the Bones about five or fix: Inches deep under Water for three or four Days, or till the Flefli turns white, and the Water iofes its Tincture, and change it once or twice a Day. In Winter it is more difficult to extrad the Blood than in Summer j the Bones therefore at fuch a Time fhould be kept in a warm Place, or fleept in warm Water. The 238 The Method The boiling of f he Bon E s. 4. We now coiiie to treat of the Manner of boiling the Bones -, but they mufl not all undergo that Operation, for the Sternum^ will not fuffer it, becaufe cartilaginous. Some are of Opinion, that the Sternum is only to be macerated in Water, and after- wards dried in the Sun. Riolan is againft boiling the Os Hyoides and Os Coccygis, but upon what Account I know not ; for the latter fuffers no Detriment by boiling ; and as to the former, it has no proper Place of Con- nediion with the Skeleton, therefore ought not to be joined to it j yet this is no Reafon that thefe Bones, if they are to be cleaned,^ fhould not be fomewhat boiled. In boiling the Bones feveral Particulars are to be obferved. Riolan advifes to ptit the Bones Jirfi into boiling Water ; for by that Means he thinks the Operation will be fooner over» And G?- Jumbiis fuppofeSj beiides other Advantages^ that they will be much whiter than if they had been put in cold Water, 2, The Bones mull be put a confiderable Depth under of differing BODIES. 239 Water, becaufe they are often tofTed up and down by the boiling Water, and frequently fwim on its Surface 3 therefore they fhould be kept down with a Skimmer, or fuch like Inftrument, to prevent their Colour being fpoiled with the Smoak. 3. The Bones of the Hands and Feet fhould be feparately tied in a Piece of Cloth before thrown into the Kettle, otherwife their Articulations will be difunited, on account the Ligaments fe- parate from the Bones in Time of boiling. 4. The Water is to be fkimmed clean of its Naftinefs, that the Bones may be white. 5. The Bones and Flefh, while boiling, mufl be cleaned of their P'at, and due Care mufl: be taken, that it do not return to the Bones ; therefore it fhould be taken off with a Skim- mer. 6. As to the fixed Time of boiling we cannot determine, becaufe that depends intirely on the Nature of the Bones. Some think four or five Hours are enough ; others reafon more juflly, and fay, let them boil till the Flefli falls off: Wherefore, if the Sub- jed: has been more than 2 z Years old, after the Bones have boiled for four or five Hours, lay hold, with a Flefh-hook, of one of the large Bones, and fee whether it is fully boil- ed; 240 The M E T H 6 B ed ; if it is, ydu may go about cleaning them ; if not, put it in again. As to the Time of boilings it may be held a general Rule, that young Bones boil fooner than a- dult ones. This even the common Cooks are apprifed of, becaufe they daily find that old Meat takes a longer Tinle in boiling than young. Young Bones, when too long boiled^ grow exceeding tender, porous, and liable to break in Time of cleaning 5 This I am fuffi- ciently convinced of frorri Experience.' The Feet and Hands mufl boil longeft, that the Marrow (of which they contain a great Quan- tity) may have Time to evaporate through the Bones, I mentioned that the Sternum fhould be macerated in Water, and not boiled , when it has therefore lain in Water for three or four Days, it fliould be taken out and cleanedj without any previous boiling. Some, however, put it into boiling Water for a Minute or two, that the Membranes may be more eafily extirpated 5 but Vefnlim will not fo much as fuffer it to be fprinkled with hot Water, and I think he is in the right ; for it is of bad Confequcnce to flrip the Cartilages of all their Membranes,^ be- of cUjJeSiing BODIES. 241 baufe they are then apt to fplit, and when joined with Brafs Wire, gready disfigure the Skeleton, nor can there be a greater Mark of Deformity in a Skeleton, though every other Way neatly conneded, than a bad pre- pared Os PeBoris, with its Cartilages. Sup- pofe the Cartilages are to be denudated, yet this may be done without boiling. There- fore I thus free only the Os FeBoris of its Membranes, and not the Cartilages ; Having made a tranfverfe Sedlion in the fuperior Part of the Sternum^ I cut all its Coats to the Bone, and fcrape off as much of tbenifrom the Bone as I can take hold of with my Hand ; this I fo ftretch as if I were to tear it afunder, that the intervening Fibres clofely adhering to the Bone may appear ^ which, partly by Jcraping, and partly by gently cut- ting, I clear the Bones of, till I come to thd Cartilage Xiphoides^ that, like other Cartila- ges, muft be foftly treated. I afterwards re- peat the fame Operation on the oppolite Side. , ■ . When the Bone is ftripped of its Mem- branes^ cut off the Cartilages covering the glenoide Cavity that receives the depreffed Mead of the Clavicle j afterwards clean the R Carti- 1^2 The Method Cartilages belonging to the Ribs of tbek Flefh and Fat with the Knife. This cannot be conveniently taught by Words ; but it mufl ferve for the prefent to advertife you to begin near the Sternim, and not to cut or break in the leaft the Liga- ments that unite the Cartilages and Sternum. While the Cartilages are drying, they are apt to be contraded and diftorted ; therefore fome proper Method mufl be fallen upon to make them keep their proper Diftance and Situation. We mufl: get two Pins a little crooked,, and fix one of them in the End of each Car- tilage, and fallen them at fuch a Diflance as the Ends of the Cartilages ufe to be from one another in the Body^ but becaufe their Di- ftance will decreafe by Degrees, after it has been fpread a Day or two, you mufl: extend it with a Cord, lefl it fhould change its pro- per Situation. Hang up the Sternum to dry in a cold fliady Place *. * Vefalius orders the Sternum to be laid in a molft Place^ left the Cartilages fhould be divided before they are connefied with the Ribs ; but if their Connection be too long defeired, it will be no Hindrance if the Ster-num be dried ; for whea you are to join it, dip it in W'ater, and it will come to its natural Pcfitioa j and when foftened, faften it to the Ribs. v.o/ of dtjj'e^itng Bodies. 245 V. OJ c leaning the B o N E s. We now come to the cleaning of the Bones, upon which it would be trifling to fpend many Words, fince this Exercife dif- charges the Office of a" Preceptor, and every- one that can cut his Viduals, knows how to take the Flefli off from a Bone ; wherefore I will fay no more upon this Sabje6t, but only put you in Mind to be careful when you come to the Epiphyfes^ becaufe their Sub- fiance is tender, and may be ealily broke, if you apply a Knife to them with any confide- rable Force. You muil alfo obferve to wipe the Bones gently with a clean rough Towel ; for lliould you rub them roughly, efpecially the Vertebrce, Ribs, Os Sacrum, or their Pro- celTes, you may hurt them fooner than you are aware of. But every Part which does not belong to the Subflance of the Bones is to be taken away, as Flefh, Membranes, Liga- ments, and Cartilages*. We fhould take particular * Hence it happens that I do not underftand Riolan, who'» among thefe Parts which are demonfi:rated after the Bones are well prepared, roentions, in the third Place, the cartila- ginous Incruftation of the Bones, and the Cover of the Mem- R % brane 244 ^^^^ Method particular Care in cleaning the Claviculce and Os Sacrnmj bec^ufe they are very unequal y befideSj the 0; Sacrum is crooked, contains the End of the fpinal Marrow, and fends out through its anterior and poflerior Forami- 7ja feveral Nerves. This Bone fliould be cleaned on the Outfide, then the Nerves fhould be thrufl: back with an Iron Pin by their Foramina into the great Cavity, and af- terward extraded with a Hook put in at that Foramen through which the fpinal Mar- row defcends, or they may be pufhed down- wards, and extracted at the lower Foramen. To clean the Head is a very difficult Tafk, on account of its Bafis havino; feveral Protu- berances and FrocefTes, which meeting toge- ther form a great many Cavities and Forami- na, and thefe are filled with Fleih and Mem- brane of the Periojleum ; for in preparing the Bones we re- move the Cartilages, which, in Time of boiling, are torn and rent. It is impoffible to preferve the Periojfeum ; for it feparates of itillf from the largeft Bones, therefore needs not be differed. I cannot well relifh the Advice of Colum- bus, who defires us to cake Care, while the Bones are boil- ing, that no Injury be done to the Proce/Tes and Cartilages covering their Extremities, and to fee that none of the o- ther moveable Cartilages be loll. This Admonition, I think, is trifling ; becaufe they ought to be viewed and de- monftrated before their Bones are committed to the Boiler, according to his own Way of thinking. branes_, of dijJeSih/g Bodies. 245 branes, which clofely adhere to them : Their numerous Foramina increafe the Difficulty, becaufe they pafs the Cranium fometimes in a freight, and fometimes in an oWique Di- rection. To clean the Head therefore it re- quires a good Ofleologift^ with a careful and experienced Hand 3 a particular Re- gard mufl likewife be had to the Styloide and Pterygoide Proceffes, becaufe they are very llender: The Styloide are fometimes joined to the Head by an intei-vening Carti- lage, and therefore eafily feparated j if you iind them fhake, cut them off, and lay them afide, till you have an Opportunity of re-unit- ing them. To clean thefe minute Cavities, you mufl: have a Pair of Forceps with long llender Points, for taking hold of and ex- trading the Membranes. This Inftrument will ferve to clean the Meatus Auditorius, and the other Foramina that will not admit of the Pin. As for fuch as will receive the Pin, they may be cleaned with it, or with the Point of a Knife. While this is doino-, endeavour to extrad the OJicula Auditus out of the Meatus Auditorius, which you may hang at the mammillary Procefs, or keep them fome other Way. In cleaning the ^ 3 Bone^ 246 The M E. T H o D Bones the folio wing Diredtions are to be ob- ferved. There are n:iany Bones fo much like one another, that even the moil: experienced Anatomift is often at a Lofs to diftinguifh them, and yet every one mail: have its proper Place; therefore, to prevent lofing more Time fearching for the Situation of the Bones than would be neceffary in joining them, they muft be tied with a Thread in their natural Order. For Infcance, in the Hand beginning at the Little-finger, tie firil: its upper Joint, next the middle one, then the laft ; after- wards that metacarpal Bone which lies under it. In the fame Manner proceed with the Ring, Middle, and Fore-fingers, and with the Thumb. This Direction will ferve for the other Hand, and alfo for the Feet. The Ribs muft alfo be tied in the. fame order they fucceed one another ; alfo the Vertebrce, efpecially the dorfal ones, becaufe it is more difficult to diftingai£h them from one another than any of the refl. The Bones, when cleaned, are to be num- bered, to fee that none are loft 3 Regard muft likewife be had to the Teeth, which gene- rally fall out of their Sockets while in the Boiler, of differing Bodies. 2,4^ Boiler, and alfo to their Lamiride^ which are Parts of the temporal Bone, and adhere to the Sides of the Syncipiit^ becaufe in boiling they often ilide off *. We have now ended the firfl Operation in the Structure of a Skeleton ; however, fome may objed, and fay, that we have taken no Notice of the Manner of polifhing the Bones, which they think gives them an a- greeable white Colour, that very much ftrikes the Fancy of the Spectator j but this is more for Ornament than real Advantage, therefore I omit it, tho' I could fay fomething on that Subjed: : For Ufefulnefs, and not Beauty, which is not minded by Anatomifts, is the chief Intention of this Book. * Vefalius advifes when you have reckoned the Bones, to throw them again for a fhort Time in boiling Water, then take them out, and rub them clean with a rough Towel ; af- terwards fcrape off any Remainder of Ligaments, Mem- branes, Origines, or Infertions of Mufcles. But this fhould not be attempted in the ilender Bones for Reafons formerly jmentioned. R 4 CHAP, 48 r& M E T H O B CHAR 11. Of the Method of articulating the. Bones when cleaned. Skeleton is not only ufeful in bring- ing the young Qileologifl: to the Knowledge of the Bones, but alfo to Anatomical ProfefTors, when they want to fhew where the Mufcles have their Origine^ and Infertions. It is on this Account that Bones, when joined in a particular Manner, are kept by Anato mills to be made ufe of on proper Occafions ; and therefore being obliged to have feyeral Syflems of Bones, I intend to fhew how they may be fo con- ned:ed, that when the Skeleton is compleat^ ed, they may be divided into as many Parts as the Body will admit of, according to the Rules of Ofieotomy^ and alfo to re-unite them in a few Minutes. But before you fet about the Work, fome proper Inftruments qiuil be had, mz. Per- ' forators. of dijJeSling BODIES. 249 fbrators or Piercers, the Forceps, a Pair of SciiTars, and Thread. I have delineated the common Perforators according to their Bignefs, which are fome- times called Needles, and fometimes Fibula. Thefe fliould be of a different Magnitude, in Proportion to the Bones they are to perfo- rate. The Needle fhould be fhort and thick, to fuftain the Re-adtion of the fmall Bones without breaking ; and the Perforators long and thick, becaufe defigned for perforating the large Bones. You want another Machine to turn round the Terebra, and the moil convenient one for that Intention is delineated in Figure 7. When you ufe this Machine, fix its Bafe in the Place you think moft proper, only take Gare that the Prominence of the turning Piece of Wood be expofed to free Air, whereby you can, without Hindrance, apply the Bones to the Terebra, fometimes in a ftreight, and fqmetimes in a curved Line. Having fecur- ed the Bafe, fix the Terebra in its own Place, and faflen it with a crofs Pin, then drawing the Bow backwards and forwards, you turn round the Tlerebra, to which apply the Bonq to be perforated. ^^ ' The %5o The Method The Bones being perforated, you mufl have Wire for uniting them. Fabricius fays the Antients ufed Fiddle-ilrings, but thefe were of a fhort Duration ; he therefore fub- ilituted in their Room Brafs-wire, which iafi:s as long as the Bones. Iron-wire is of equal Strength with Brafs-wire, but is more liable to ruft, therefore the latter is prefera- ble to the former -, but put it fome Time in the Fire before you ufe it, to prevent its turning Brittle, and breaking when twifted. While in the Fire it gathers Duft, and lofes its Colour, yet, if fcoured with Brick-duft and Oil, you will free it of its Duft, and re- cover its Colour *. Cut off with your Scif- fars or Pincers, a Piece of Wire of a certain Length, which put through the Holes of the Bone, and with a fharp-pointed round For^ ceps pull it ftrongly, and twift it fo that it may not fall out, nor the Bones feparate from each other. This is the general Method of connedling the Bones, and what has been faid concerning this Affair, might, perhaps, be fufficient ; , but I intend to be more particular, and Ihew * Some would have the Wire boiled, to make it more flexible. where of di[fe£iing BODIES, 251 where the Bones fhould be fo perforated as to conceal from the Sight the Wire as much as poffible, and likewife point out the Diffe- rence in joining particular Bones *. I begin with the Extremities, and firfl with the Hand, then the Foot, and laftly the Trunk. L Of articulating the Bones of the Upper Extremities. In the Hand begin at the Extremities of the Fingers, and perforate twice the third Joint with a Needle on the Infide near the Place of Articulation, or you may fo perfo- rate the Bone that both Holes may meet in one, which is agreeable to the Pradice of many, who make only one Hole in a Bone; or as you begin with a double Perforation, you may end with one ; which was Fabricl^ us' Method, who twice perforated every Bone of the Fingers and Metacarpus, to hinder * Fabricius attempts foR^ething of this Kind in a Letter to Pa'vius, annexed to a Treatife in High Dutch concerning the Excellency and Ufefulnefs of Anatomy, wherein are a great many ufeful Things, and feyeral .Defeds, which I fhall en- ■deavour to fupply. them 2-52. The Method them from turning round *. But whether you make a lingle or double Perforation, the fuperior Hole muil be in a ftreight Line with the inferior : Therefore obferve this general Rule 'j wherever the Peiforation is made, that the Holes for receiving Wire muft be paral- lel in the feme Bone, and diredly oppolite to thofe in the correfponding one. In order to this, place the Bones in the Situation they are afterwards to ftand in ; if the Bone is fmall, mark the Place where you intend to begin the Perforation with a Needle j but if this cannot be done, take them gently up from one another, and fix your Eye on the Place where you defign to fix the Perfora- tor. This muft be the general Method with all Bones of the Hands and Feet. If you make in every Bone two Holes, draw through both Ends of the Wire, and twift them un- der the Metacarpus 'y and if you defign to make only one Hole in fome Articulations of the Fingers of the Metacarpal and Metatarfal Bones, it muft be done with the Fibula^ be- caufe the Wire muft be drawn through the ^ole after doubled and twifted. You are * This is indeed a-n excellent War, but a very laborious aod difficult Q^e. ake. of dijje^iing BODIES. 25^ likewife to perforate tranfverfly twice with the Needle the fuperior Extremities of the Metacarpal Bones in the Prominence next the Palm of the Hand, and then, drawing through the Wire, unite them a little loofe- ly, becaufe in live Subjects thefe Joints are not clofely conneded. If you will follow the Advice of fome, you may ealily join the Bones of the Carpus to thofe of the Meta^ carpus ', for in cleaning thefe Bones they leave the Ligaments intire, that the Operator may be eafed of the Trouble of colleding the Bones again, and they ufe the fame Method with thofe of the Foot. It is indeed a trou- blefome Affair to place every one of thoie Bones in their natural Situation, and fcarce pradicable, except you have another Skele- ton as a Pattern to go by, with relpecft to their Place and Situation. It is not poffible here to dire6t you by verbal Inflrud:ion, be- caufe thofe Bones have no proper Names af- fixed to them. However, I will, in fome Meafure, endeavour to account for the Or- der in which they fhould be joined, by giv- ing them Names taken from their Figure. Under the Thumb lies the Os Culiforme, which, on Account of the great Inequality of 254 ^^^^ Method of its Sides, {hould rather be denominated Os TrapezoUes. Under the Fore- finger is placed the Trapezium, Under the Middle-iinger the Os Magnum^ fo called, becaufe it is the greateil and thickeft Bone in the Carpus^ having a fmall Prominence in the Hind-part. Under the Ring and Little-fingers is fituate the Os UndJ'ormey (6 called firom being crook- ed in the Infide like a Hook. Next to this,- on the Outfide, lies another fmall Bone^ whofe Sides make three fmall Triangles, and may be denominated Os Ciineiforme -, to it is joined a fmall Bone, about the Bignefs of a Pea, concave on that Side v^hich lies next the former. Thefe fix Bones muft be joined in the Order now mentionedj and each of them twice perforated with a Needle j then draw the Wire, as above direded, through the fu- perior Heads of the metacarpal Bones, but they mufi: be placed a little oblique and crook- ed. Two Bones are yet remaining, one whereof I call KoTuXosiJ^f, becaufe of its ^z- niis^ which receives the fmall Head of the" Os Magnum ; the otherj Os Lunaiim, becaufei it has a Si?2us in Form of a Half-moon^ which receives a Part of the fame Protube- rance of the Os Magnum, When you have found of dijfe^iing BopiES. 255 found the proper Situation of thefe Bones,, perforate them with the Fibula in thofe Pla- ces correfponding to the metacarpal Bones, and pull the Wires already put through the Fingers, then join the Thumb according to the Diredlions given in articulating the Fin- gers *. The Cubitus and Radius are connedled a- bove and below by the fame Operation -, only with this Difference, that fuch Holes as are made in the fuperior Part of the Radius^ mull be made in the inferior End of the Cubitus, and vice 'verfa. Therefore find out the natural Situation, then you will obferve almofl a third Part of the fuperior Head of the Radius a little depreff ed ; about the Edges of this Place fix your Needle, and make it pafs through the Hole made for taking out the Fat, but perforate the femilunar Sinus of the Cubitus at leafl once with the Fibula. Twifl now a double Wire, fo as to form a fmall Ring in its fuperior Part like that in the Figure I jntend to lay before you when I fpeak of the * Some twift here the Wires, and join the Hand to the Cu- hitus and Radius with other Wires. But 1 think it more convenient to draw the Wires of the Thumb, Fore, and Middie-iingers through the Radius, and in this Place only twiil the Wires belonging to the other Fingers. Scapula -J 2^6 The M E T H B Scapula J draw it through the Hole in x\it Cubitus^ and faflen it, by twifting it round • the Ring fhould be turned towards the Radius^ Then draw another Wire through either of the Holes of the Radius -, after having drawn? it through the Ring of the fir ft Wire, put it through the other Hole of the Radius ^ and twift its tv/o Extremities, After the fame Manner you unite the inferior Parts of thefe Bones, if you underftand the fame of the Ra^ dius which I have faid of the Cubitus, and ^ice verj'a of the Cubitus what has been men-^ tioned of the Radius. To join the Cubitus ^ith the HufHerus^ perforate its two Protuberances ; if you ob- ferve a little Riling, which divides, as it were, this Sinus into two Parts, make the Holes pa- rallel to this Eminence, and it is no great Matter if you touch its Surface j becaufe, ^^tn the Bones are joined, it cannot be feen. This Operation is fomcwhat difficult, on ac- count the Sinus refembles a Crefcent ; there- fore, according to the given Direction, thie Bone fhould be perforated in that Form which cannot be done, becaufe the Terebrd fnuft perforate the Bones in a ftreight Line. To' obviate this Difficulty, and that the Diredlion may of dtfjeBtng Bodies, 257 may be ix)mewhat crooked, pufli the Terebnt from both Extremities of the Bone, fo as that the Foramina meeting togetlier may tnake an obtufe Angle ; then drive the Tere- bra into ahnoll half the Thicknefs of the Uumerus^ a little above the 'Trochlea ; after- Wards draw a Wire through this and the for- mer HoleSj and twift its Ends, fo as that the Cubitus may have Room enough to bend. The Scapula iliould be joined to the Ribs, before the Head of the Humerus is perforat- ed J therefore perforate the middle Cavity in the Neck of the Scapula^ that there rnay be a PalTage to the Infide of the Bone, through which a t wilted Wire may be drawn, and its Ends croiTed over each other, as in Fi- gure 8. To know where the Head of the Humerus Ihould be perforated^ apply the Humerus to the Scapula In the fame Pofition it is natural- ly fufpended, and mark the Place where the Wire inferted into the Scapula touches j then begin your Perforation with the Fibula, and end it in that Sinus carved for theReception of the fecond Tendon of the Head of the Biceps. Put the Wire, which for this Articulation is pretty thick, through the Ring fitted for the S Cervix 258 The Method Cervix Scapulca^ and twifl: the other End in a fpiral Line ; thus it will be made fit for per- forming all the Motions which the Humerm did in the living Body. 11. Of the Articulation of the Bones ^/& Lower Extremity. The Compofition of the Foot is almoft the fame with that of the Hand, except in a few Things, which I fhall mention. The great Toe has the fame Conjundion with the other Toes as the Thumb with the Fing- ers : But in the Foot are fe'veral fefamoide Bones, and thofe lying under the great Toe deferve our particular Notice, becaufe they are large enough to be connected with the Skeleton, and are always found different from the refl. In the Head of the metacarpal Bone are two Smufes divided by an intervening Tubercle, which, with the Ojja Sefamoidea^ muil be obliquely perforated with the Nee- dle, and joined by a Wire. As to the Connexion of the Tarfal Bones, the litdeToe,and the next to it are received by the Os Ciiboides, which again is received by the Os Cakaneum v through thefe Bones draw Wires, of dljfeSl'tng Bodies. 259 Wires, and faflen them in that Cavity form- ed by the Trains and Os Calcis^ when joined. Next to the Os Ciiboides comes the Os Cunei^ Jorme Medium^ lying under the great Toe, then the Os Cuneiforme minus \ but fome would have this Bone placed in the Middle. Thefe three Bones lie in the anterior Part of the Foot parallel j but the fourth, or Os Cu' neiforme Majus^ is more prominent than the reft. The Ojja Ciineiformia are fixed to the gibbous Part of the Os Scaphoides, the Con- vexity of which lies toward xhQ Talus -, in this the Bones of the three Toes meet, which are there to be united s but the Offa Cuneiform mia and Os Cubiforme (hould be firft connect- ed by a Wire drawn tranfverlly through them according to the above given Direcftions in the Carpus, When you join the Aftragalus to the 0$ Calcaneum^ perforate it twice in the Einus made by the bending Adion of the ante- rior Part of the Tibia on it, then perfo- rate the Os Cakaneiim, under which twift the Wires. Some perforate both Bones tranf- verlly, and jdraw through the V/ire. The Foot is joined to the Tibia and Fibu- la., by perforating the Talus and both Malleoli S 2 with n6o T& M E T H o D with a pretty grofs I'erebra^ and driving' through thefe Holes a fubftantial Piece of Brafs Wire of the fame Thick nefs with the Terebra, and which will not eafily bend, then riveting it on each Side. The Tibia is joined to the Fejniir^ by mak- ing two Holes through that Foramen defigned for extracting the Marrow, to reach the Sides of the Bone ; one to terminate in the Place where the Fibula is joined, and the other to pafs through ih^Fibula: Then twifl the Wire according to the Diredlion given in the Sca- pula that it may form a Circle, tranfmit its Extremities through the Holes in the Tibia, and make one End pafs through the Fibula, which will, by this Means, be connected to the Tibia. The Patella has on its Infide a protuberant Line, on each Side of which make a Hok, fo as that they may both meet, and form an obtufe Angle ; put a Wire through both thefe Holes, and twifl: it j then make another Hole in the Tubercle in the Middle of the Head of the Tibia, through which draw the other End of the Wire. Perforate tranfverfly with a grofs Terebra the hind ProcelTes of the inferior End of the Femur f of dijJeSih/g Bodies. '261 Femur y through which Holes, and the Wire- ring inferted in the Head of the Tibia, drive a pretty thick Wire, and thus thefe two Bones will be united *'. When you join the Fe^ mur to the Coxendix^ take Care the Holes be parallel to each other, leaft the Foot fhould incline too much to the Infide or Outfide, Therefore apply according to the natural Si- tuation the Head of the Femur to the Ace- tabulum, then perforate thefe Bones with a long and thick Terebra, and fecure both by driving a Piece of grofs Wire through them. Of articulatmg the CoxENDIx* I mufl make a fhort Digreffion on account of mentioning the Coxendix, therefore I fliall fubjoln the Method of conneding it pofteri- orly with the Os Sacrum, and anteriorly witli its Fellow Bone. This being a broad Bone, mufl be twice- joined to the Os Sacrum, viz. by its firft and. third Fertebra. If you have a Terebra of fuch a. * Fahricius ufed another Method of conneding thefe two Bones and the Patella, which you may fee in his Epiftle to Pamus ; one Article in it is, that he prevents the Bones from making Motion. Vefalius puts a Piece of Wood into the Holes made for extradling the Marrow, and thus he united thefe two Bones. S: 1 Lengths =2-6a The Method Length as will perforate the Os Sacrum, and reach the 6ppofite Side of the Ck)xendix, thefe two Bones may be conneded by the fame Wires, which will thereby be hid. But if you have not a I'erebra long enough, then perforate the Bones twice above near the firft Vertebra of the Os Sacrum, and twice below near the third, and faflen them clofely with Wires. To join it with its Fellow, make two Holes in each ; begin where the Carti- lage, now removed, joined the OJja Pubisy then end in the interior Region, and make the Holes diredly oppofite to each other. Put the Ends of the Wire through the Out- lide of one Bofte, and through the In fide of the other, then twill them fo as that they may lie intirely hid, and not loofe. The Coccyx, fometimes compofed of three, and fometimes of four Bones, adheres to the inferior Ver- tebra of the Os Sacrum, perforate each of thefe twice with a Needle, alfo the inferior Vertebra of the Os Sacrum, then put the two Extremities of one Wire through all the little Bones of the Os Coccygis in their order, thro* the Os Sacrum^ which twift afterwarr put the Bones in boiling Water, but only macerate them for three or four Days in cold Water often changed, to foften the Flefh, whereby it may be feparated with lefs Trouble *. From hence you may eafily make Skeletons of fuch fmall Animals, whofe Bones will not admit the Perforation of a Needle. Of this Kind are Rats, Mice, Moles, Squirrels, and other living Creatures of the fame Magnitude ; but the Bones of Birds and Beafts of a larger Kind fhould be joined with Wires. * Columbus advlfes to boil the Bones ; for, fays he, if you prepare an Infant Skeleton, take Care not to boil the Bones for any confiderable Time, becaufe their Appendices will b* «afily relaxed. Cqrox.- 17^ The M E t H 6 fi Corollary. Before an End is put to this Subjetfl, I hiuft fubjoin, by way of Corollary, a fhort and eafy Method of preparing of Skeletons, iiril difcovered by Chance. Shut up the Animal of your intended Ske- leton in a Scatula^ and for the Suntimer put it in a warm moiil Place to putrify, and as it corrupts, it will produce a great Number of Anhnalcida, which will devour the Flefh^ and denudate the Bones. Or you may lay your intended Skeleton under the Rafters of a Houfe during the Sum- mer Seafonj whence Worms will breed j which will intirely confume the Flefh, and leave only the bare Bones. Mate JttheEn^ Plate.m Fi^.2. ( ^73 PLATE I. Vide Pag. 6. EXPLANATION. t. r|pHE Myrtle Knife. 2. J. The Crooked Knife. 3. The Knife with a long Handle. 4. The Hook. 5. The Pipe to inflate the different Parts of the Body. 6. The Round Edg'd Knife. 7. The Streight Edg'd Knife. Plate IL Figure Jifft, Is the Bafe of a Table, hav- ing two Holes in it, thro' each of which paffes a round Piece of V7ood fixed to the Table. This Piece of Wood ihould, m its lov/er Part, be made in the Form of a Pe- T ritrcckciim^ 274 '^^-'^ Plates explained, ritrocheum, that a Screw may be fitted to it by which the Table can be raifed or lower'd at Pleafure, which fhould be alfo fiipported with Planks for greater Security. Figure fecond^ Shews the Surface of the Table fixed on its Bafe by the Screw. Figure thirds Vide Pag. 113. Lin. i. a. A Bafe made of a thick Plank. b. b. Two Columns of Wood. c. A Hole in the Form of a Parallelo- gram. d. d. Square Pieces of Wood that pafs thro' the Columns. e. e. Two concave Pieces of Wood fixed to the Columns to contain the Head. f. A Peritrocheum. g. A Screw, which being turned round, bringrs the Columns fo near each other, as to keep the Head faft. Figure fourth^ Vide Pag, 115. Lift. 3. a. A Bafe made of a very thick Plank. b. b. Two Columns of Wood, one of which is fixed. c. The other, by turning the Screw, is made The Plates explained. 2^5 made to approach or withdraw from the former ; on which Account there is J. A Bow fixed to them full of Holes, that the Diftance between the Columns may be regulated at Pleafure. e. e. Two hollow Pieces of Wood fixed to the Columns to contain the Head. /. Where the two hollow Pieces of Wood meet. Figure ffth, a Perforator, Figure Jixth^ a Radula. Figure fe-venth, a Machine in which they fix the Perforator, and pierce the Bones, by turning it round. Vide Pag. 249. a. The Bafis of the Machine, which the Wedges b. b. pufh'd forward, hold fafl. c, A Piece of Wood that may be turnedj found, which in its Fore-part d. Has a fquare Hole for the Terebra e. to be put into. /. A Bow with a Cord, that turns round the Piece of Wood. Figure Figure eighth, a twifled Wire; Figure ninth, a Piece of Iron, which takes Its Rifes from the Anus. The Length of it, as far as the Curve, fhould reach to the Feet, the Curve ought to enter the Lumbar Vertebrie, whofe Breadth ought' to be fuch as not to meet the other Piece of Iron there concealed j then tlie Holes b, b. ought to be joyned with the Holes c\ c. and below, for Security, there fhould be a Plate of Iron fixed by the Wedges a. a. to the Bafe. b. Another Piece of Iron, which fliould go along the Spine, and be as long as it, yet ihould appear a little above the Head,' that it may be fixed by the Screw d. F J n I s. kj^ j'rrrSf'^CO jr/ Oi Y LIBRARIES 75 .iii'**; i:'^'J'^vvrt