qp?>^ Columbia (HnitJer^ttp intljeCttpotlmgurk College of ^i^v^iciani anb burgeons! Hibrarp Digitized by the Internet Archive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/firstlinesofphys12hall H A L L ^. RVS FIRS T L I M ^ ,^ F P H Y S I O L O G Y. FIRST LINES O F PHYSIOLOGY, BY THE CELEBRATED Baron ALBERTUS HALLER, M.D. ^c. TRANSLATED FROM THE CORRECT LATIN EDITION Printed under the Inspection of WILLIAM C U L L E N, M. D. AND COMPARED WITH THE EDITION publifhed by H. A. WRISBERG, M. D, Professor at GottingenI TO WHICH ARE ADDED, The valuable INDEX originally compofed for Dr CULL EN'S Edition; AND ALL THE NOTES and ILLUSTRATIONS of Prof. WRISBERGj now iirll translated into English. IN TWO VOLU % > VOL. L :"y^ ■ E D I N B U R'G^i Printed for CHARLES ELLIOT^ And G. G. J. and J. ROBINSON, London. M.DCC.LXXXVI. ^ ^ S2 ADVERTISEMENT. THE firfl: Edition of this Work was publifli- ed in 1 747. It was defigned as a correc- tion and improvement of Boerhaave's Inflitu- tions, by adding the new difcoveries of Morr gagni, Winflow, Albinus, Douglas, &c. In 17s ^ another edition was publiflied; in which fome things were treated more fully, and others more briefly, than before. The ana- tomical defcriptions, particularly, were here abridged ; fome new phyliological difcoveries added ; and a great number of typographical errors correded. A third edition was publifhed in 1764. Here the author conformed the order of his fubjecfts treated of in his Firfl Lines to thofe of his larger work, and made the number of books contain- ed in both equal; but did not think proper to abridge his Eirfl Lines any farther, left they fhould thus have become lefs fit for the purpo- fes of a Text-book. The demand for this Work foon became fo great, that an edition was printed at Edinburgh in 1 766, under the infpeclion of the then Pro- fefTor of the Inftitutions of Medicine ; who had formed the phyfiological part of his ledlures upon a iimilar plan. The greatefl care was taken to have this Edition as exadl and free from typographical errors as pofTible ; and it was farther improved by the addition of an Ir^deXj [ vi ] Index, which may be coniidered as an elegant compend of the whole. It was thought proper, however, to retain the erroneous numbers of the paragrriphs which had efcaped in the original editions, for the more eafy referring from one place to another, and that no confufion might grife from ufing the different editions. Of the laft-mentioned valuable Edition the prefent Editor, a few years ago, publifhed an exa(5t tranflacion, in which all poflible care had been taken to give the true meaning of the Au- thor, in a plain and eafy manner : An under- taking to which he was incited by the confide- ratlon, that the tranflation with wdiich Students had been formerly furnifhed, not only was done from an old edition, exceedingly imperfedl in comparifon with the lafl one; but was alfo tmnecefTarily extended in the printing to double the fize of the original, and of courfe propor- tionably enhanced in the price. The utility of that undertaking was quickly acknov/ledged by the favourable reception which it met with, and which has already rendered another imprefTion neceffary. In preparing this for the prefs, the Editor, folicitous to give it every improvement in his pov^rer, refolved to avail himfelf of a new edition of the original recently publifhed, with Notes and llluflrations comprehending the later Difcoveries, by that eminent phyfiologifl Profeffor Wrifberg of Got- tingen. Accordingly the following tranflation has not only been compared with the text of that edition, [ vll ] edition, but all the Notes, about 200 in num- ber, have likewife been added. At the fame time, the former low price has only been in- creafed by a very fmall addition, not at all pro- portioned to the enlargement of the Work or the expence of the Publifher. Ed Feb INEURGH, 7 ^eb. 1785. 5, CON- TABLE OF CONTENTS. Vol. I. Chap. Page. I. Of the animal fibres^ .9 11. Of the cellular fub fiance. 15 m. Of the arteries and veins. 20 iV. Of the circulation of the blood. 38 V. Of the heart. 46 VI. Of the -nature of the blood and juices of the human body. 77 VII. Of the common offices of the arteries. 91 viir. Ofthefecretions, 109 IX. Of refpiration. 134 X. Of the voice andfpeech. 166 XI. Of the brain and nerves. 178 XII. Oj mufcidar inotion. 226 XIII. Of the fenfe of touch. 243 XIV. Ofthetajle^ 258 XV. Of fuelling. 2^5 XVI. Of hearing. Vol. IL 272 XVII. Of the fight. 3 XVIII. Of the internal fenfes. 32 XIX. Of mafiication, faliva, and deglutition. SS XX. Of the adion oj the flomach on the food. 72 XXI. Of the omentum^ 89 XXII. Of thefpleen. 98 XXIIL Of the pancreas. 103 XXIV. Of the liver, gall- bladder, and bile. 105 XXV. Of the fmall intefiines. 124 XXVI. Of the large intefiines. 1^6 XXVII. Of the chylferous vcffels. 145 XXVlli. , Of the kidneys, bladder, and urine. 15^ XXIX. Of the genital parts in man, 167 XXX. Of the virgin uterus 185 XXXI. Of conception. J97 XXXII. Of nutrition^ growth, life, and death. 240 FIRST FIRST LINES O F P H Y S I O L O G X .A> CHAP. V 0/* ^ Fibre. Cellular Te^ue^^t*^ i^i!>*^ HE human body is compofed either o^ fluids or folids. Since the fluid parts are of different kinds, we fhall confider them afterwards in their mod: proper J>lace ; but as the fohds form the moft fimple ' and true bafis of the body, we fhall begin with their hi- ftory before we enter upon the confideratron of the fluids. II. The folid parts of animals and vegetables have this fabric in common, that their elements, or the fmalleft parts we can fee by the finefl microfcope, are either fibres or an unorganized concrete* VoL.L B I III. ' The firft elements of all the parts of aDiiria} bodies; confiii of a certain earthy fubftance cbnjoined by a gelatinous matter, and of a little air; from which, by the mediation of the primary fibres, plates and membranes, veffeis and inorganic glue, the chief inltruments of the body,- the bones, mufcles, veffela, mem- branes, vifcera, teguments, joints, the whole body, are produced according to the different mixture of the clement?, and the va= tlous addition of the other parte. 10 ANIMAL FIBRES. Chap.I. III. Kfibre^ in general, may be confidcred as re- fembling a line made of points, having a moderate breadth ; or rather as a Render cylinder. And that the more conftant or permanent parts of which it is compofed are earth, is demonftrated from calcination, or long continued putrefaction. IV. Thefe earthy particles poffefs connexion and power of cohefion, not from themfelves or a mere contad, but from the intermediate glue placed be- twixt them. This we know from the experiments mentioned above (IV.); and from the eafy experiment, by which a burnt hair, whofe parts yet hang together, recovers a degree of firmnefs when dipped in water or oil. Alfo the remains of ivory or bone (havings, whofe jelly has been extrafted, become friable, like bones, which, by long expofure to the weather, are converted into a true earth very ready to imbibe wa- ter. But even bones rendered friable by having their gluten extradled, will recover their hardnefs when the gluten is rellored. It is this gluten alone which conltitutes the more fimple parts of animals (II). V. That this glue is compofed of oil combined with water by the vital attrition in animals, again ap- pears from the chemical analyfis of bones and hair; from the jelly of bones, ivory, and horns ; and from the nature of our aliments themfelves. Nor is there any kind of glue that could more powerfully join the parts of animals together ; as we experience in fifli- glue, and that of joiners or cabinet-makers, &c. VI. Earthy particles, then, (III.) adhering longitu- dinally, and connected by an intervening cohefive glue (V.), compofe in the firft place one of the Icaft or moft fimple fibres, fuch as we underftand rather from reafon than fenfe. VII. * The tender embryos in their ovula, the foft plants ftlll latent between the cotyledons, feem to be mere gluten; which, after a greater quantity of each has been added, acquires fo great ftrengtb, that it is able to fupport the due figure of the parts. Annong the polypi and fwiming animalcula, the iatermediate degrees are ver^ evident. a Chap.I. animal fibres. i£ VII. But the fibres which firft appear to the %ht^ are of two kinds. The firft kind is lineal ; namely^ fibres, which have their length confiderably large in proportion to their breadth; and which, by difpofing of the elementary particles in a right line, muft of courfe lie parallel generally with the contiguous fibres. Examples of fuch fibres we fee in the bones, and moft eafily in thofe of a fcetus 3 ; and likewife in the tendons, ligaments, and mufcles : only, we muft always remember, that the eye never reaches to the fmalleft fibres, but to larger ones made up of the fmalleft, and like to them in flendernefs, adjoining in. a redlilineal courfe. That thefe are not different from the fmalleft fibres, we are perfuaded by the moft ac- curate microfcopes of Muyfe and Leewenhoeck ; by which the mufcular fibres, divided even to the laft, appear fimilar to the larger, till at length they feem mere lines. VIII. The fecond kind of fibres (VII.) is thofe in which the breadth is frequently larger than their Jength. Thefe, when loofely interwoven with each other, are called the cellular tunic ; though the name^ tunic or membrane is on many accounts very impro- per. IX. This cellular fubftance is made up of an in- finite number of little plates or fcales, which, by their various directions, intercept fmall cells and wcb-like fpaces; and join together all parts of the human body in fuch a manner as not only to fuftain, but to allow them a free and ample motion at the fame time. But in this web-like fubftance there is the greateft di-^ verfity relatively to the proportion betwixt the foiid. parts and intercepted cells, as well as the breadth and ftrength of the little plates, and the nature of the contained liquor, which is fometimes more watery, B 2 and 5 They are very fully perceived in the ofla bregmati's, frontis/ and temporum, if the child has laboured under a hydrocepha-' lus ; and alfo ia the teeth of larger animalSj when the alveoli artt as yet fhut up* 12 ANIMAL FIBRES. Chap.I. and fometimes more oily: and likewife to the mixture of fibres and threads ; of which in fome parts, as in the coats of the arteries, there is a great number j in other parts, as under the Ikin, fcarce any. X. Out of this net-like cellular fubftance, comijac- ted by the little plates, concreting and preffed together by the force of the incumbent mufclcs, and diftend- ing fluids, or by other caufes, arife broad and fiat plates or fliins in various parts of the body, which, being ge- nerally difpofed in a rectilineal direction, are more properly called membranes ; or, being convoluted into cones and cylinders, pervaded by a flux of fome juice or liquors through their cavities, put on the name of vejfels; or elfe, being extended round fome fpace that is in a plane parallel to itfelf, we call it a tunic or coat* But that tunics or coats are formed out of the cellu- lar fubftance is proved by ocular infpeftion, efpe- cially in the aorta, fliin, pericardium, or dura mater, by maceration ; and thus the coats of the mufcles are evidently of a cellular fabric, fimilar to that of other tunics. The fame thing is alfo proved from the eafy , change of the dartos, and the nervous membrane of the inteflines, by inflation into a cellular fubftance; from the hard and thick membranes about encyfl:ed tumors, which have their origin only in the cellular texture; and, laftly, from that membrane, which, being gra- dually moft firmly compacted, forms the true fl^in ly- ing under the epidermis, and being thence continued is partly refolved into the fubcutaneous cellular tex- ture which is filled with fat. XI. All the veflVls with which we fee tunics painted, are an addition to the cellular net-work, and in no- wife Gonfliitute the nature of a membrane, but are fu- peradded to the membrane itfelf, which is firfl form- ed of the cellular net-like fubftance. Betwixt the mefhes or fpaces of the inteltinal net-work of veflels, perfedly well filled by the Ruyfchian art of injection, we flill fee, that the white cellular fubftance which remains, greatly exceeds the bulk of the veffels, al- though. Chap.I. animal fibres. 13 though, by their preternatural diftenfion, they take up more room by filHng more of the fpace^. But with regard to membranes compounded of fibres de- cuffaring or interwoven with each other, I know of none fuch; unlcfs you will take the ligamentary or tendinous fibres for them, which are fpread over fome true membrane. XII. This cellular web-like fubftance in the human body is found throughout the whole, namely, where- ever any vefTd or moving mufcularfibre can be traced ; and this 5 without the leall exception, as far as I know, XI II. The other elementary fubflance of the human body (111.) which cannot be truly called either a fi- brous or cellular plate, is a mere glue evafated and concreted, not within the fibres, but in fpaces betwixt them. In the bones this extravafated fubflance is ma- nifcft enough: for you fee the fibres very diflinft in the bones of a foetus, in the intervals between which you perceive the veffels running; fo that every bone in the fkuil, on all fides, refembles the teeth of a comb. But this fabric is fo altered in an adult per- fon, that the juice being extravafated in the fpaces be- tween the fibres and the intervals thus filling up, as happens with the juice of madder, plates are then formed of the teeth above mentioned cemented to- gether 6. The cartilages feem to be fcarce any thing clfe than this glue concreted. B 3 XIV. * Many things ftill remain which by no means can be referred to the nature of the veffels. They are very fuccefsful injeftions, which can be thrown into the brain, lungs, glandula thyroidea, heart, thymus, kidneys, liver, gall-bladder, inteftines, lefticle, fliin, &c.; they leave always a great part of the fibres, in filling which the next age will not be more foccefsful than the prefent 5 This is to be underftood with fome limitation. It is true,>in- deed, of feveral parts formed of veffels, membranes, and fibres, that they can be refolved by the knife, inflation, maceration, into cellu- lar texture : But the diffolution of a recent brain, of the cornea, and lens in water; the deftruftion of the epidermis, hairs, and nails ; the ftruAure of a great part of the bones and catilages, &c. render it probable, that all the animal parts do not fully confilb of cellular texture alone. * The offilications and preternatural indurations illuftrate this pqrti- 14 ANIMAL FIBRES. Chap. I. XIV. But here the courfe of nature feems to be fuch, that even the filamentary fibres (III.) are all lirfl formed of fuch a transfufcd glue. And, that the membranous or fcaly fibres of the cellular fub- ftance (VII.) are thus formed appears from thofe cel- lular fibres produced in the thorax from a concreted vapour, which joins the furface of the lungs to the pleura; for thefe perfeftly refemble the true and na- tural cellular fubflance. The fame appears alfo from a comparifon of the foetus with an adult; for the large fubcutaneous cellular fubflance in a foetus has in its ftead a mere jelly interpofed betwixt the fkin and mufcles, which laft we obferve very firm in a foetus : from the morbid diffoiution of the membranes of the mufcles into a mere glue: and from a fimilar change into glue or fize, made on the fkin, tendons, and li- gaments of animals by means of boiling water. This theory is alfo illuftrated froni clots of coagulated blood, the fanguineous membranes of Pvuyfch, Albi- nus's membranes formed of mucus, polypus, filk, and glue. Laflly, that the bones themfelves are formed of compacted gluten, is fhown from difeafes, in which the hardefl bones, by a hquefadion of their gluten, return into cartilages, flefh, and jelly : fimilar changes are made on the bones of fifhes and other gnimals by Papin's digefter. XV. It fcems, then, that a gelatinous water, like the white of an egg, with a fmall portion of fine cre- taceous earth, firil runs together into threads, from fome prelTure, the caufes of which are not our prefent concern, 3uch a filament, by the mutual attradion of cohefion, intercepting fpaces betwixt itfelf and others, helps to form a part of the cellular net-likc fubflance, after having acquired fome toughncfs from the neighbouring earthy particles, which remain after an expuifiQn of the redundant aqueous glue. And in this partic^ihrly ; v.-htcli ?re obvious every where, as in the vefTcls, an4 niore frfcjuctuly the aorta, larynx, glandula pinealis, dura pia- Chap. II. CELLULAR SUBSTANCE. 15 this net-like fubftance, wherever a greater preffure is impofcd on its fcales or fides, they turn into fibres and membranes or tunics ; and in the bones, laftly, they concrete with an unorganifed glue (IV.). Hence, in general, all parts of the body, from the fofteft to the hardeft, feem to differ no otherwife than in this, that the hardeft parts have a greater number of the earthy particles more clofely compared, with lefs aqueous glue ; whilft in the fofteft parts, there is lefs earth and more glue. CHAP. IL Of the Cellular Substance and its Fat. XVI. T^ H E cellular fabric is madcup of fibres and X plates (IX.), which are neither hollow nor iiafcular, but folid ; although it is painted by an accefiion of veffels. But the principal differences of this fabric are the following'. In fome parts of the body it is open and loofe, being formed of long and diftant plates ; in others it is thin and compaft, being made up of ftiort concreted fibres. I find it fhorteft betwixt the fclerotica and choroides of the eye, and betwixt the arachnoides and pia mater of the brain. I alfo find it tender, but more confpi- cuous, betwixt every two coats of the inteftines, fto- mach, bladder, and ureters; in the lungs, where it obtains the name of veficles ; under the pulp of the glans penis ; and between the fmall kernels of the vifcera and glands. It is compofed of longer fibres, where it is extended over the larger veffels, under the name of capfule or vagina; as throughout the vifce- ra, and particularly the liver and lungs j and is vaftly B 4 firmer '^ All the cellular texture may be divided into three clafles : iniOf The loofe and large, whether it comprehenda the fat or oot ; it for the moft part connefts the larger parts of the body, the mufcles and vifcera : 2^5, The (hort and clofe, conjoining the tunic of the membranous vifcera and the glands: 3//V, The con- fufed, from which various membranes arife, as the nervous coat of the iDtefUaei and veffel«, pleura, albuginea teftis, peritoDseuii), &c» i6 CELLULAR SUBSTANCE, Chap. 11, firmer in the veffels which go to the head and joints. Its principal ufe is to bind together the contiguous membranes, vcflels, and fibres, in fuch a manner as to allow them a due or limited motion. But the cel« lular fubftance, fo far as we have hitherto defcribed it, hardly ever receives any fat; it is moiftened by a watery vapour, gelatinous and fomewhat oily, ex- haled our of the arteries, and received again into the veins. The truth of tliis is eafily demonflrable from injeftions of oil and water, either alone or with fifh- glue, made in all parts of the body. When this va- pour is wanting, the fmall fibres grow one to ano- ther, and the contiguous membranes or plates are ce- mented into one, with a lofs of their motion. XVII. The cellular texture is more lax, and formed of plates rather than fibres, where it divides the mufcles and all their fibres, even to the ultimate fibre ; where it furrounds and fuftains the leaft veffels with their free motion; and within the cavities of the bones, where it is alfo made up of bony plates with mem- branous ones intermixed. It is hkrwife very lax un- der the furfacc of the body, being every where inter- pofed betwixt the mufcles and the Ikin ; but it is laxeil of all in the genital parts of the male, which are fur- rounded with very wide cells. XVllL Into the empty fpaces of this cellular tex- ture (XVII.) is poured almoif every where in the foe- tus, firft a gelly, then a grumous, and laftly a clotted fat, all under the fkin, and in its fmall hollows. It is comnofed of an infipid inflammable liquid, lighter than water, which in a cold air concretes into a folid cfpecially about the kidneys ; and in graminivorous animals, in fifhes, probably alfo in man, while they are alive, it is very nearly fiuid, although apt to be indurated. In it, along with the oil, is united an acid fait in quantity alniofl equal to the fixth part of the oil. XIX. Through this cellular lextuir the blood-velTels lun and are divided ; from the arterial extremities of whiclj Chap. II. CELLULAR SUBSTANCE. 17 which the fat is depofited, and abforbcd by the veins. This paffag. , from the arteries into the adipofe cells, is fo free and ihorr, that there muft needs be very large mouths by which they open, and by vvhicli they give admittance to injefted mercury, air, water, diflblved fifti-glue or jelly, and oil not excepted, which is always very iluggilh in palling thhrough the veffels even of living animals. Thele are fecreted not by any long du6ts, but tranfudc on all fides through the whole ex- tent of the veffel ; infomuch that, when an artery is filled or injeded with water, there is no part of the furrounding cellular fubftance but what fwclls with the moiiture. The warm fat, during the pulfation of the arteries, eafily finds out the lame paflages. How quickly it is collected appears from the fpeedy re- novation of it, by a returning fatnefs after acute difeafes, XX. But that this fat is abforbe by the veins, we are taught frorn the fudden eftecfs which exercife of the mufcles more efpecially has in confuming the oil of very fat animals; alfo trom the confumprion of our fat in fevers; from the cure of dropfies, where the water transfufed into the cellular fubltance is in a manner abforbed and thrown out by the inteitinal tube; and, laftly, from the tranfuding of water and oil from the venous orifices, when inje^ed by the fyringe. Are the nerves fpread out upon the adi- pofe cells? It is certain they in moft parts run through this fubftance, and divide mto the minuted filaments, fo fmall that you can no longer trace them by the knife; that they are loft in it, is not probable"; for the fat is both infenfible and unirritable. XXI. The intervals betwixt the plates of the cel- lular membrane, are every where open, and agree in forming one continuous cavity throughout the whole body. * It 1*8 certain that no nerves remain \a the fat. la the very (lender delicate lafnes which pierce the foft fat of the orbit, ia the iufinite diftributions of the crural and fciatic nerve through the fat of the femur, 8cc= the exit of oerves from ihe fat to other parts ^6 fully apparent. in CELLULAR SUBSTANCE. Chap.IL body **. This appears from the inflation which but- chers, and likewife the furgeons of Ethiopia, produce by a wound of the fkin, and which raifcs the Ikin all over the body ; alfo from an emphyfema, in which the air received by a wound of the fkin, being re- tained, caufes a fwelling throughout the whole furface of the body; the paffage of bodies, f put under the {lun'^to a place remote fro'n that at which they enter- ed ;^the paffage of pus from an inflamed place to re- mote ulcers ; and, finally, from difeafes, in which a watery or ferous humour is depofited into all the cells of this net-like fubltance throughout the body, and is emptied from them all by a fingle incifion. That none of the cellular fabric is excepted from this com- munication, appears from cafes, wherein the vitreous body of the eye has received the flatus of an emphy- fema ; and again from difeafe, in which the gelatinous ferum of a dropfy has been found transfufed even into the cavernous bodies of the penis. XXiL The great importance and ufe of this cellular fubftance in the animal fabric, muft be evident to all who confider, that from this part alone proceeds the due firmnefs and fliability of all the arteries, nerves, and mufcular fibres of the body, and confequently of all|the flefliy parts and vifcera formed from thence; even the figures of the parts, their proper length, curvatures, cavities, and motions, depend entirely on the cel- lular texture, which is in fome places of a lax, in others of a harder fabric ; for when it is cut, the parts lengthen and are relaxed : Of this fubftance, along with the veflcls, nerves, mufcular and tendinous fibres (of which it alone compofes a good part), all the vif- cera, mufcles, and glands, with their hgaments and capfules, are compofed. It alone, its various length, tenfion, quantity and proportion, occafions the diffe- rence in the glands and vifcera; and, laflily, it is it alone which makes the greatefl: part of the body itfelf, if ' The cellular texture, juft as the utricular fubftance in vcgc* tables^ communicates through all the cells of the animal body. Chap. II. CELLULAR SUBSTANCE. 19 if indeed the body is not totally formed of fuch cellu- lar filaments. XXin. This fubftance hath a contraftile power, dif- ferent from that of irritability, which, though not de- monftrable by experiments, for the molt part difpofes the cellular fibre to fhorten itfelf gradually after it has been lengthened. This power, excited by cold, ren- ders the fkin rigid; raifes the hairs; draws up the fcrotum ; and, after geftation '°, reftores the Ikin of the abdomen and the uterus to their former fize ". The fame force, by a gentle but continual contraO:ion, promotes the fecretion both of the fat, the liquors of the fubcutancous and other glands, and of pus: in the veins ,and receptacles, it refifts dilatation ; which being taken off, it reftores the part to its former fize. In the foetus, this gentle force is among the principal caufes of the changes that happen to the body« XXIV. The tifes of the fat are various ; as to fa- cilitate the motions of the mufcles, in all parts to leiTen their attrition againfl each other, and to prevent a fliffnefs or rigidity : it fills up the intermediate fpaces betwixt the mufcles, with the cavities about many of the vifcera, in fuch a manner, that it readily yields to their motions, and yet fupports them when at reft : it principally conftitutes the weight of the body ; con- duels and defends the veffels: it gives an uniform ex- tenfion to the (kin ; and, ferving as a cuftiion to eafe the weight of the body, renders the whole of a comely, agreeable fhape : probably, by mixing with many of the humours, it abates their acrimony : it has a prin- cipal ihare in forming the bile ; and by tranfuding through the cartilaginous incruftations of the bones, it mixes with the articular liquid, and by re-abforp- tion it lubricates their fibres : by exhaling through the pores of the fkin, it refifts the inclement drying quality of the air : alfo, by exhaling in a living perfon from ^° And in dropfical cafes, after a cure has been performed, ' * And reftores to the mamma;, after fuckling, their agreeable form and beauty. 20 ARTERIES. Chap. Ill, from the mefentery, mefocolon, omentum, and round the kidneys, it lubricates the furfaces of the vifcera with an oily emollient vapour ; and, by intcrpofing itfelf between their integuments, prevents their con- cretion. XXV. The fat is depofited into the cells of this fub- ilance by fleep, reft of body and mind, and a dimi- niflied force of circulation "^ : whence, being coUeded in too great a quantity, it proves injurious by com- preffing the veins; and, by caufmg too great a refid:- an-ee to the heart, it makes a perfon fhort-breathed, and liable to an apoplexy or dropfy. The fame humour is taken up by the veins; and, being rapidly moved along the arteries, is confutned by violent exercife, venery, watchings, cares of the mind, a falivation, diarrhcea, fever, fading, or fuppurafion. When re- ftored to the blood, it increafcs acute difeafes, tinges the urine, and forms a part of its fediment. After a fudden confumption of it, it is foon renewed again from good juices, or healthy humours : but, in a languid habit, a gelly, inftead of fat, is depofited into the cells ; and this caufes the dropfy we call anafar- ca, and an external hydrocele or watery fwelling. CHAP. Ill, Of the V ESS ELS, XXVI. ^ I ^HE membranes will be better defcribed X fmgly. There are feveral common to the arteries. Thefe are long extended cones, whofe dia- meters decreafe as they divide into more numerous branches: but where the arteries run for fome length, without giving off large branches, their convergency, if any, is not very evident : at length they are cylin- drical, or very imperceptibly diminilhed, when they are called capillaries, and wherever they admit only a ^* And difeafes of the liver, fince the circulation is remarkable during fleep, the increafe of the fat, and ihe propenfity to dropfy aad hepatic affedions. Chap. III. ARTERIES, ai a fingle globule ; the feclion being every where with- out exception circular, in a diftended artery. Where they fend off large branches, the light or cavity is there fuddenly ditninifhcd, infomuch that they might be taken for a chain of cylinders, of which every one is narrower than the preceding. If you reckon them cones, then the common bafis of the cone in all ar- teries is either in the one or the other ventricle of the heart; and the apex of the cone terminates either in the beginning of the veins, or in the beginning of the cylindrical part of the artery, or in the exhaling velTel, unlefs it is cylindrical. In fome places they feem to diverge or dilate ; at leafl they become there of a large diameter, after they have been filled or dillended with wax ; which poffibly may arife from fome Hop- page of the wax, by whofe impulfe that part of the length of the artery becomes more diftended than the reft. Examples of this kind we have in the vertebral artery, at the bafis of the fkuU '^, in the fplenic artery, in the flexure of the carotid artery, according to Mr Cowper*s injections; and, laftly, unlefs thefe experi- ments deceive me, in the fpermatic arteries ^^ in all places, likewife, where the ramifications between the diameter of the artery is a little increafcd. XXVIl. There is no external coat proper and per- petual to all the arteries ; but the office of fuch a coat is fupplied to fome of them by one fingle external and incumbent integument, which in the thorax is the pleura, and in the abdomen the peritonseum. In the neck, arm, and thigh, a fort of thicker cellular fub- ftance furrounds the arteries. The membrane of the pericardium, which on all fides furrounds the aorta, returns back with the veffels to the heart. The dura mater imparts a capfule, that furrounds the carotid ar- tery as it paifes out through a hole in the fkull. But the firft true external membrane common to the arte- rial tube in all parts of the body, is the cellular fub- flance, ** In the bafilar artery, fo called. ** la the artery of the arm a little above the divifion. 22 ARTERIES. Chap.IIL ftance, which in fome parts (as in the thorax) we fee repleniihed with fat> XXVIII. This cellular coat is, in its external furface, of a more lax texture, painted with a great many fmall arteries and veins ; and it has nerves runnning thro' its fubftance, which are none of the fmalleft. There is fometimes fo much of this cellular fubftance about the artery, as might occafion one to think, it hardly belonged to it as an external coat or lamella, but ra- ther as fome foreign net-work added to this vcfleL Thus we find it in the arteries of the neck, groins, and fubclavians ; in the mefenteric, c^Hac, and hepa- tic arteries ; where it is chiefly interwoven with long fibres. And thefe are the vaginas or capfules of the arteries, formerly obferved by fome eminent anato- mifts ^'\ XXIX. As this cellular coat advances more inward, and nearer to the light and capacity of the artery, it becomes more denfe^ folid, and is tied more clofely together by a kind of wool, and may be called the proper coat of the artery. That there is no tendinous coat of the arteries diflincl from this laft part of the cellular fubftance, is evident from maceration, where- by the inner ftratum of chis arterious tunic changes into a cellular fabric ^^. XXX. Within the former, and nearer the light or capacity of the artery, it has a coat of mufcular fibres^ which are in general imperfect circles: that is to fay, no fibre, any where makes a complete circle round the veffel ; but a number of fegments conjoined toge- ther, with their extremities turned off fidewife, feem to form one ring round the artery. Thefe fibres, in the larger arterial trunks, form many ftrata, appear of ** Thefe additions of fmaller vefTels to the greater, which fome people have miltaken for a peculiar vafcular tunic, are the more frequent the youoger the animal, or if it has laboured under a congeftion, or died of fufFocation. '* Soluble, according to Albinus's way, almoft into as many laoiellse as you choofC) without any evident number or divcrfity. Chap. III. ARTERIES. 2j a reddifh colour, and are remarkably firm and folid; but in the fmaller arteries they are by degrees more difficult to demonftrate, and feem to be wanting in the arteries of fmall animals. I have never obferved them to run along the veflel lengthwife. Under thefe membranes, but pretty difficult to demon (Irate, is an exceeding fhort cellular texture, into which a chalky concreting matter is poured when an artery offifies. XXXI. The innermofl coat of the artery is thin, and finely polifhed by the influent blood ; fo as to form a fmgle incruftation that every where lines the fieffiy fibres, which are not very continuous one to the other, and prevents the blood from infmuating into the fpaces betwixt them. 'It is every where fmooth and without valves; although, from a fort of mechanical neceffity, fometimes certain folds, raifed into a femicircle at the origination of branches, form a projeding eminence ; as we fee at the branches produced by the arch of the aorta. Yet, in arteries of the vifcera, the innermofl coat is fofter, lax, wrinkled, and almofl friable, efpc- cially in the ductus arteriofus. XXXII. The arteries themfelves have arteries which are more particularly fpread through their external cellular coat ; and, fpringing on all fides from the next adjacent fmall arterial trunks, from numerous bran- chy net-works, which are all of them indeed very minute, but plainly appear, even in the foetus, with- out injedion, to be very numerous. There are alfo nerves which defcend for a long way together through the furface of the artery, and at lafl vanifh in the cel- lular fubftance of the veffel j of which we have a fpe- cimen in the external and internal carotids and arch of the aorta ". And from thefe, do not the arteries feem *' But this is very remarkable in the nerves, fo called, moiles and cardiaci, that they furround the arteries of the head and large veffcls of the heart. In the plexus pulmonalis arifing from the vagum, the mefenteric from the fplenic, the facial from the du- rum, the frontal from the fifth, the femoral from the anterior crural is. 24 ARTERIES. Chap.IIL feem to derive a mufcular and convulfive force, very difFerent from that of their fimple elafticity ? Does not this force fhow itfelf plainly enough in fevers, fain tings, palfy, confumption, and paffions of the mind? But the artery is in a manner infenfible and unirritable '^; and if it is conftriQed by the application of poifons, it has this in common with the dead Ikin. XXXIIL ThQfedions, or divifions, of arteries (how themfelves with a round light or hollow capacity^ becaufe they are elaflic ; and this is the reafon why, from the fmall arteries of the teeth, hsemorrhagies are fometimes fatal. The aorta, indeed, of the tho- rax and abdomen, the carotids of the neck, and fome other arteries of the dead body, from their lelTened cxtenfion, appear fomewhat flat or depreflfed ; but their round figure, or circular fcction, is every where reftored by injection. Their elaflicity is alfo evident in that powerful compreflure, which a fegment of a large artery makes upon the finger that diflends it^ and which is much ftronger in a dead than in a li- ving body. In the living body, indeed, this force yields to that of the heart ; but inftantly recovers it- felf when the heart is relaxed, and reftores the artery to its former diameter; and this makes the fulfe, whofe full explication ought to be preceded by a hi- ftory of the heart: at prefent it may fuffice to- fay,- that all the arteries have this pulfation, although the fyftole and diaftole thereof can be perceived by the finger, only in the larger, not in the fmaller ones na- turally; and in the ultimate inflexion of the arteries, the pulfe totally vanilhes ; but, by an increafed mo- tion of the blood, even the leffer arteries make a vio- lent pulfation, *as we fee in an inflammation ''. Thefe veflels ftrongly contract lengthwife, and are rendered ihorter on diffedion. XXXIV. cruralis, it is manifeft that they accompany the vefiels, and fpread out an infinite number of branches through their tunics* ^3 This opinion of the irritability of the veffeis has been lifni- |ed from later experiments. ^9 Or on prefiure depending on an external caufe. Chap. III. ARTERIES. 25 XXXIV. The y?r^«(j//) of the arteries is confiderable enough : but as the denfe hard net-work of the outer cellular coat refufes to yield to a diltending force, it breaks without much difficulty, almoft eaficr than the coats of the veins ; and from thence arife aneurifms. Bur, in general, the trunks are, in all parts of the body, weaker, and the branches ftrongcr, in their coats ; whence the impulfe of the blood may exert a confiderable etfeft upon the former, but lead of all on thofe of the limbs. From hence it is, that aneurifms are mofl frequently formed near the heart ; for, in the lower extremities, the Itrength of the arteries, and of the veins too, is much increafed, as well as in the fe- creting organs. XXXV. With regard to the courfe and general du Jlribution of the arteries, nature has every where dif- perfed them through the whole animal body, except in a few membranes. But fhc hath difpofed of the trunks every where in places of fafcty ; becaufe wounds cannot happen to the fmaller of them without danger, nor to the larger without lofs of life. The fl-cln is fpread with numerous Ihort and fmall arterial trunks ; but the larger ones, defended by the fldn and muf- cles, creep along near the bones. In general, the arteries are in proportion to the parts of the body to which they are fent. The largeil go to the fecre- tory organs, the brain, and fpleen 5 the leffer ones to the mufcular parts. XXXVI. The proportion of the light or cavity of the artery to its folid part is not every where the fame, nor is it conflant even in the fame artery. This proportion, in the firft place, is leaft of all at the heart, and increafes as the arteries remove farther from it. Secondly, in a full-fed plethoric animal, whofe blood pafies freely, and with great force thro' its arteries, the proportion of the folid parts of thefc vefTels is lefs than in a famifhcd extenuated creature, whofe blood haih a feeble motion. XXXVII. From the trunks of all the arteries bran- ches are fent forth, and from tbcfe again proceed leflcr Vol. I. C twigs i6 ARTERIES. Chap. III. twigs by a numerous divifion, of which you can fcarcc find thC'Cnd, though you may perhaps count twenty fubdivifions of this kind. Here the lights or fedions of any two branches taken together, always exceed the light of the trunk from whence they come, in nearly a fefquilateral proportion, or as one and a half to one, or fomewhat lefs. Alfo every trunk juft above its divifion is fomewhat broader or more ex- panded. The angles, at which the branches go out from their trunks, are generally acute, either half right angles or nearly fo ; to the forming of which angles, as we fee in mechanics, there is required the longed projection. Inftances of their going off at right angles, or nearly fo, we have in the lumbal or interco- ftal arteries; of their going off in a retrogade or re- flecled courfe, we have one inftance in the coronaries of the heart, and another inftance in the fpinal arte- ries, which are produced by the vertebrals. But, generally fpeaking, thofe which are eftecmed retro- gade or refiexed, were fent off, at their origin, in acute angles ; fuch as the afcending artery of the pha- rynx, the defcending one of the palate, the umbihcal mammary arteries, and the nutritious ones of the large bones, Laftly, we often obferve large branches ari- fing under lefler angles, and fmallerones under greater angles : but it is rarely that we obferve two arteries of a large diameter run together into one trunk. An example of this, however, we have in that artery which is formed out of the vertebrals : in the fmaller ones it is frequent, as in both the fpinal arteries, and that of the fmcipital foramen. In many parts, the ar- teries have repeated alternate undulations or flexures, as they run on in a fpiral courfe, wherein we fee their diameter often confiderably enlarged, as in the large inteflincs, womb, face, fpleen, lips, and iris. Even the ftraight arteries in other places, if too much diftended, fall into ferpentine flexures. Sometimes they are fuddenly twifted into a kind of circles, as the carotids under the mamillary procefs. XXXVIII. Chap. III. ARTERIES. if XXXVIII. The artertes are frequently conjoined by intermediate branches, in iuch a manner, that the twig of fome certain artery fhall run to meet one of the fame kind from another neighbouring artery, and, by joining together with that, form one trunk. In- ftances of this kind we have among the large trunks in the inteftines, among the middling ones in the kidneys, womb, &c. and among the fmaller in all parts of the body; infomuch that there is no part of the human body, wherein the neighbouring arterial trunks, whether of the fame or of different denomi- nations, do not form anaftomofes or joinings one to the other by intermediate branches. Of rings di- verging laterally from the arteries, and returning into themfelves, we have inftances in the eye and brain. The extremities of the arteries, which are either cy- lindrical or nearly fo, fend off fmaller branches, which^ for their extent, are more numerous and generally difpofed like a net j fo that each branch, by its fmallec twigs, forms anaftomofes with thofeof its neighbouring branches: and thus we find it in all membranes. By this means it happens, that, though thepaffage from the heart to any part of an artery is obftrudled, the blood may neyerthelefs flow through the neighbouring arte- ries into all the branches of the obftruded one. Thus a gangrene or languor of the part is very ftrongly prevented, and the obfliruftion is more eafily refol- ved by the repulfion of the obftacle into the hvget part of the trunk. XXXIX. Laftly, one of the leaft arteries is either changed by a continuation of its canal into a vein, in fuch a manner, that the ultimate little artery, whicn is generally reflected, having furpaffed the angle of its re- flection, becomes now a fmall vein ; or elfe a branch, lent out at right angles from the artery, is inferted under a like angle into the branch of a fmall vein* Both thefe kinds of mechanifm arc demonftratcd to us by the microfcope, and the eafy return of injections through the veins into the arteries. And thefe vaf-* G 3 cules 28 ARTERIES. Chap. III. cules we fee fometimes large enough to receive only one, and fometimes feveral blood-globules at a time. A large artery is never obferved to open into a vein. XL. In the vifcera, we find the fmall arteries dif» pofed not fo much in net-works as in a different fa- bricature, wherein the fmall branches defcend very thick, or in clufters, parallel to the trunk, fo as to refemble brufh pencils, a variety of little trees or bufh- es, fmall ferpents, or threads, according to the va- rious difpofition of the parts. XLI. Sometimes the arteries end in another man- ner, namely, by being converted into veffels of the fmaller kinds. I'hefe are fometimes continuous to the arteries and real arterial trunks, as will be obfer- ved in the ophthalmic artery, upon tracing the arte- ries of the tunica choroides, or the colourlcfs ones of the circle of the uvea and iris. That a net-work of pellucid arteries is continuous with the red branches of the ophthalmic one, is evident from inflammations, and the rednefs of the parts when relaxed by vapour or by cupping ; from repletion, and the microfcopi- cal experiments of Lieberkuhnius upon frogs, in which colourlcfs globules were feen to pal's from a red artery into a lateral veffel. In a fabric of this kind the red blood is eafily forced into the fmaller veffels. XLII. In other places the fmaller veffels feem to proceed laterally as branches from the trunks of the leafl fanguineous arteries, and are drawn out into trunks ftill fmaller. Thefe are called excretory duds^°. It is with difficulty that thefe veffels are filled with red blood ; of this, however, we have examples in the kidneys, the liver, and breads. Indeed the blood, when *° I would rather call them fccretory ; for they properly carry a liquor to be fecreted from the blood to the ways and places of excretion. I have almoft always feen mercury, diffolved fifh-glue, or turpentine, when injefted into the arteries after tying the veins, flow from the biliary, falival, urinary, and laftiferous dud« ; but there 18 at the fame time an eafy pafTage of pare blood through the fame canals. Chap. III. ARTERIES. 29 when vitiated, penetrates the excretory duels of the whole body, even without hurting the vefl'els ; nor is that aberration found to be productive of any evil con- fequence after the diforder of the blood is cured. XLIII. Another termination of the arterial extre- mities is info the exhaling vejjels ; and this is a manner of their ending very frequently to be obferved in all parts of the body. The whole (kin, all membranes of the human body, which form any clofe cavity, all the ventricles of the brain, the anterior and pofterior chambers of the eyes, all the adipofe cells and pul- monary veficles, the whole cavity of the ftomach and inteftinal tube, through which the air has a palTage, are all of them replenifhed with exhaling arteries of this kind. Thefe emit a thin, watery, gelatinous humour, which, being collected together by ^landing, fometimes makes no inconfiderable quantity; and, particularly by difeafe or death, is converted into a watery, but coagulable lymph. The truth of this is eafily demonftrable from the watery fweat that enfues after injecting the arteries with that liquor warm. In feme places, indeed, they exhale not a thin vapour, but blood itfelf, as we fee in the heart, the cellular fabric of the penis, urethra, clitoris, and nipple of the female bread ; in all which the blood itfelf is naturally poured out. Does not every fecretion, that is made in true glands or hollow cryptse, bear fome analogy to this exhaling fabric? XLIV. Whether or no, in all parts of the human body, do the pelfucid veffels, arifmg from the fan- guine ones, and carrying a humour thinner than blood, again fend out fmaller veffeis, to be fubdivided into ftill leifer orders ? "VVe feem, indeed, not to want examples of this in the manner propofed to us by the mod celebrated profeflbrs "'. That the aqueous C 3 humour ** I have feen beyond all difpute, a new rife of blood- veflcis, where before they were invifible. This is very clear in the che- mofis ; but I have alfo obferved a net work of veflels on the inner furface of the dura meninges in a woman, who had s very large glanduls 30 ARTERIES. Chap. III. humour is feparated by very fine veffels, generated from the colourlefs arteries of the iris, is very probable. That the red-coloured veflels in the cortical fubftance of the brain, feparate a juice pervading the medul- lary fubftance, by the intermedium of another order of veflels, we are almoft certain. And the like we are perfuaded from an eryfipelas or yellow inflamma= tion, arifing from the yellow or ferous globules imi- pafted into fmaller veffels. XLV. It may then be afked, if there are not yellow arterious veffels of a fecond order, which fend off lymphatic ones of a third order, from whence by degrees (fill leffer kinds of veffels branch out ? Such a fabric does not feem agreeable to the very eafy tranfition that is made by the blood, mercury, or •wax, into the exhaling and perfpiratory veffels, or into the uriniferous tubuli, with the adipofe and pulmo- nary cells ; nor is it very difficult for the blood to ftray into the ladliferous, lymphatic and lachrymal duds, whither it fhould feem not able to penetrate, if it went through any other intermediate vafcular fy- flem fmaller than the blood-globules, which make the fame journey. Nor can it be admitted, from the great retardation, which the humours muft, in a third order of veffels, meet with from this mechanifm, and which is continually to increafe in proportion to their diminiflied fize. XLVI. The Veins, in many particulars, refemble the arteries ^''. There are fix, of which two anfwer to the aorta, and the remaining four to the pulmo^ pary artery. Their bafis is in the ventricles of the heart, and their apices in the extremity of each branch, through all parts of the body, excepting one inftance ! in glandula ihyioidea, whicli by comprefling the jugular veins ob- iiru(Sed the regrefs of "the blood from the cranium: the fame thing happens upon the hings, liver, and other vifcera. ^* We ought to count feven trunks of veins; for the vena por- tarum., conduftiug its contents through fo many windings, at length pours them into the venas hepaticas; fo that it is altogether io be reckoned a very fingular trunk. Chap. III. VEINS. 31 *n the liver. And, in a great number of parts they run parallel with the arteries, one by the fide of the other; but yet they differ from the ajteries in various refpeds. XLVII. The fabric of the veins is flender, every where fmooth, difficuhly feparable into diftinO: coats or membranes, like the arteries ; and the cellular tex- ture furrounding this fabric is very eafily diftended. This fabric, both above and below the heart, is fur- rounded, except in one place, with mufcular fibres. Every where, however, it is lax like the cellular tex- ture of the arteries by which they are joined to the other parts of the body. Notwithftanding this {lender fabric, the veins are every where fufficiently firm, and do not eafily burft with inflated air; being, in mofb inftances, ftronger than the arteries themfelves. But they burft . much more eafily in living than in dead animals, as appears from morbid inftances in the arm, face, leg, thigh, &c.''^ Nor do they fupport themfelves like cylinders after being divided, but they collapfe toge- ther, fo as to make their light or capacity appear like a flit; except they are iuftained and hindered from thus collapfing by fome ftronger cellular fub- flance placed round them, as we fee in the liver and womb. They are but llightly irritable, unlefs the fli- mulus be of the chemical or more acrid claffes ; for, in that cafe, they contra6t themfelves with a convulfive force greater than that of the arteries. They have no pulfation, if we may trufl: all accounts, unlefs the ve- nous channel is fomewhere obftruded; or when, in dying people, the blood is thrown back again from the right auricle into the defcending and afcending cava, or when falling back from the brain. XLVIII. The veins are much larger than their cor- refponding arteries, having the fquare of their dia- meter often double or triple, and almofl quadruple; as near as the emulgents and vcifels of the kidneys. In general, however, the diameter of the veins is C 4 to •3 I know very lamentable cafes of ruptured varices in differ^ €nt places in child-birth. 5« VEINS. Chap.IU. to that of the arteries as nine to four ;■ yet the capa- city of the capillary veins but little exceeds that of the arteries which accon>pany them. They differ like- wife from the arteries in their divifion, having more numerous trunks and branches^"*; for to one artery in the limbs, we ufually meet with two veins. The larger veins are alfo branched in a more net-like difpofition, by forming more frequent anaftomofes one with an- other; for not only the fmaller branches, but even the larger trunks, of the veins, are conjoined one to the other within its neighbourhood, upper with lower, and right with left, by apparent inlets or inofcula- tions. They affeft to run near the furface of the body; and through the limbs, neck, and head: they run a long way covered with little more than the bare fkin, which is a circumftance we very rarely obferve in arteries ; and, for the fame reafon, they often go out in their courfe, to a confiderabie diflance from the arteries. For, in this cafe, the veins fol- low the furface of the parts next the fein, without their correfponding artery, which, in the mean time, defcends to a confiderabie depth, attended in its courfe by fome fmaller venous branch. In the fmaller branches of the veiTels, where they make net- like difpofitions in the membranes and the internal fa- bric of the vifcera, the veins and arteries commonly yun contiguous one to the other; but here the vein$ have generally a lefs ferpentine or inflef a dropfical ovarium into the lefTer plexufes, and mercury from the thoracic duft into feveral lafteal vefTels of the mefentery, and the lymphatics of the loins and pelvis ; it goes backwards alfo in the hepatic plexufes: butlconfefs I never fucceeded in the joints. 46 HEART. Chap.V. veins ; thofe humours only excepted, which are ex- haled or diicharged withoutfide the cavities of the body. To complete this circle, it only remains for OS to find out a courfe for the blood, from the right to the left cavhies of the heart: but then this fuppofes us to be firfl acquainted with the hiftory of the heart, and the pulmonary veffels, CHAP. V. Of the Hear t. LXXVII. ^ i ^HE fabric of the thorax, compofed of i bones and cartilages in general, re- fembles a truncated cone, as we fhall afterwards re- mark. The lateral parts of this cone are two mem- branous bags, terminated above by an obtufe end at the firft rib, where they lie very near together, and are diftinguifhed by the interpofed cellular fubftance only. The obliquity of the plane, dividing thefe two bags, is fuch, that the right is much the broadeft, and ad- heres in its defcent all along to the whole middle of the flernum; but, in its defcent, is inchned to the left fide, and comes from the margin of the fternum itfelf; while the left bag defcends, not from the (ternum, but from the cartilaginous ends of the ribs. The inner central fides of thefe bags, oppofed one againlt the other, make up what anatomifts call the media- ftinum. Thefe bags have no where any communica- tion one v/ith the other ; fo that the right may be opened, and the lungs therein may be deflroyed, with out injuring the left. But the fimple denfe mem-, brane, which forms thefe bags outwardly invefted with the cellular fubflance, is called the pleura ; being harder than the peritona3um, efpecially where it ad- heres to the back \ but is fomewhat fofter in its fore part, and is almofi: deflitute of fe^ling'^^ The capa- city *® It indeed wants that degree of fenfibllity which other parts ffiow that arc fumlHicd with more nerves; but whether the pleura^ :3fe.. Chap.V. heart. 47 city of the mediaftinum, or that interval which lies be- twixt the right and left bag, broadeft above, and like- wile below, contains the thymus, and fome conglobate glandules, fat, and veflels, and, in fome difeafes, pus. LXXVIII. Below, the fame bags, growing broader, depart one from the other, and leave a capacity thro* the whole middle part of their extent, by which the faid bags are divided one from the other. And this capacity is that of the pericardium. But the bags of the pleura on each fide of the pericardium, defcending both before and behind it, terminate finally on the diaphragm, about the fifth or fixth rib ; and on this their bafe is cut off obliquely, fo that each cavity is before fhorter in the fore part, as behind they defcend longer and lower, in fuch a manner as to be hollow in the upper part. Thefe bags contain the lungs. The back parts likewife of thefe bags are more tender; and though they lie near to each other, are yet feparated by the cellular fubftance which iterminates in the pericardium, and includes the aorta, together with the cefophagus; and this we call the poflerior Tned'iaftinum. The triangular produftions of the fides of the mediaflinum form the ligaments of both lobes of the lungs. LXXIX. The pericardium, or third bag, which firft the cellular fubftance, and then the conjoined pleura, loofely cover on all fides as an outer coat, touches the ilernum indeed but by a very fmall part ; fmce the lungs, when diflended, cover the heart almofl wholly before, and interpofe betwixt the fternum and pericardium in their lower part ; and the me- diaftinum, gradually diverging towards the left fide, forms quite a narrow interval under the lower end of the thymus, clofe to which the lungs meet on each fide : but this fituation you will derange, unlefs you are very careful in your manner of opening the D 4 thorax pleura, in proportion to its want of nerves, is perfeiSlly deftitiite ©f the feeling power, we ftiall, when opportunity o5ers, make far^ ther intiuiry (CCCLXV). 48 HEART. Chap.V, thorax. The pericJirdium has a broad, but fomewhat round, bafis, adhering to the tendinous part of the diaphragm, and by a fmall part to the flefhy fub- ftance of the fcptutn on the left fide about the fifth or fixth rib. In young fubjecls it adheres more laxly; but in adults very firmly, by the cellular fubftance fpreading broader to the right and narrower towards the left. It is fomewhat larger than the heart; which, therefore, may move freely therein. This membra- nous capfule or fence of the heart, was never known to be abfent "^K LXXX. Upwards the pericardium grows gradual- ly narrower, ending above the heart in an obtufe coni- cal appendix, extended over the coats of the large blood-veffeis almoil to the upper edge of the fternum. It adheres firft to the inferior branch of the right fu- perior pulmonary vein; then to the vena cava; after that to the aorta, on its acceflion to which it rifes high- er up ; thf^n it adheres to the defcending trunk of the fame veffel, and to the du6lus arteriofus; from hence it is fpread upon the left branch of the pulmonary artery ; then on both branches of the left fuperior pul- monary vein. On the back part it is again attached to the right pulmonary vein ; then to the left finus, to both pulmonary veins on the left fide, and to the au- ricle of the fame fide; from thence it proceeds a long way from the pulmonary vein even to the inferior ca- va, then to the feptum of the finufes, then to the in-^ terior cava. Befides, it goes to the pulmonary artery, its right branch, and the aorta under the origin of the large branches, in fuch a manner as to furround both arteries with a cylindrical produftion of its fub- ftance, whence it appears like a kind of partition be- uveen every two neighbouring veflels. Thus alfo it contains the vena cava fuperior as in a ring, the ante- rior and pofteripr cavities of the pericardium being 'freely ''^ Nor is it really ^vantin;; in foroe quadrupeds, as the hedge- hpg, to which il has been refufed, but only icose tightly tied tot ihe heart. Chap.V. heart. 49 freely continued between that vein and the ao«a. In like manner it furrounds the inferior cava. But this fiieath, by which the vefl'els are furrounded, preferves its nature only for a fhort fpace, and immediately re- turns to the heart "with thofe large veifels to which it ferved as an external coat. It alfo fends a cellular fa- bric like a (heath, along with the great arteries and veins, to the lungs'*-. LXXXI. The arteries of the pericardium are either from thofe of the thymus, which accompany the up- per and lower phrenic nerves, or from the larger phre- nic arteries, from the branches of the mammaries and mediaftinals, the bronchial, cefophagal, and poUerior mediaftinal arteries, or from the coronaries which in- ofculate with the bronchials and others. The venous trunks of the pericardium have a like origination, but appear with mod evident anaftomofes from thofe of the right into the others of the left fide. The nerves of the pericardium are from the fuperficial branches of the cardiacs. LXXXII. That which makes the proper fubftancc of the pericardium, is a ftrong, white, compad mem- brane, more robuft than the aorta itfelf, through which the nerves of the heart and fome fmall velTels defcend. Its outer furface being fpread with the cellular fubftance, gives it there a fomewhat rough appearance, while internally it appears highly poliih- ed, and moiftened on all fides by a watery vapour. This vapour, which we have, times without number, obferved in the living animal, compofes fome, though naturally a very fmall quantity, of a water within the pericardium; which is either limpid, yellowifli, or reddiih, and fubvifcid or gelatinous ; by difeafe, it is fometimes increafed to an immenfe quantity ; yet the. cxiftence of fuch a water here is injudicioufly denied by *^ It IS more rare, and belongs only to varieties, when appen- dices are found in the pericardium ; fuch as I have feen fent to the pnder lobe of the lungs of the left fide, an inch long, and evea jnore. 50 HEART. Chap.V. by fome. The water of the pericardium is of a lym- phatic nature; becaufe by heat it hardens into a jelly; and from hence fmall fibres and a cellular fub- ftance are often found, in fome difeafes, mixed with the natural vifcous humour which every where cx- fudes from the heart and its pericardium. This li- quor is feparated without any intermediate glandules, or any vifible pores, from the fmall exhaling arteries of the heart, auricles, and pericardium; as may be proved by a fimilar tranfudation of water or fifli-glue injected into the large arteries. LXXXIII. The u/e of the pericardium is to con- tain the heart along with this vapour ; and to fupport and ftrengthen it as a fulcrum or prop, that, in con- traction, the fibres of the heart may be drawn toge- ther without diftorting the large blood- velTels, and that by its vibration may not be fenfible of altering the pofition of the body. For thefe reafons we find it in all animals that have a true heart. A watery va» pour here bedews the heart, which is hotter and quicker moved than other parts, fo as to hinder at- trition and cohefion betwixt it and the pericardium ; but when this vapour is dried up, or deficient, the pericardium adheres either to fome one part only of the heart, or to its whole furface, fo that it fometimes feems to be entirely wanting. LXXXIV. Nature hath given a heart to moft ani- mals'*^, even to many infects and worms: to others ihe hath denied it ; and thefe are the moft fimple of 1'^ all *' The heart, with refpefl: to the cavities, and the veffels which correfpond with thefe cavities, may, in the more perfcfl animals, be divided into two claffes. For tliofe animals which have no real lungs to complete refpiration and circulation, are furnifhed only with a bilocular heart, one iinus which receives the blood, and one ventricle which fends out an artery ; as in fifhes, and almoft a! amphibia. But a quadrilocular heart is always an attendant up- qn real lungs, receiving a great part of the blood, and it is ob- £e^■ved to be formed of two finiifes, with as many correfponding veins, and of two ventricles fending out two arteries; as in qua« drupeds, birds, cetacea, if we credit llaius. CiiAP.V. HEART. 51 all animals, even very large ones, though they are irri- table throughout their whole body ; as, for inftance, he prickly hydra. Thofe animals who have no hearts, have alfo no velTels. LXXXV. The veins which carry back the blood from the whole body to the heart, if we except thofe of the lungs, are reducible to two"*"^. The cava is im- properly named in the fmgular by anatomifts, fmce it is no where, or for a very iliort fpace, one fingle trunk. The lower of the two large veins, which is the biggeft of them in man, afcends immediately above the diaphragm from the right fide, towards which it is a. little convex or gibbous, to its union with the upper cava; and, together with that in its back part, forms a middle partition betwixt the right and left fmus : but the left fide of the venous tube degenerates into the right auricle, whofe fibres are a continuation from thofe of the cava. What we have here faid of the lower cava is alfo true of the upper. LXXXVI. Thus by the meeting of the upper and lower cava, a fmus or cavity is formed with a con- vexity to the right, and inwardly filled with ftrong, flefhy fibres, detached betwixt the two fimple mem- branes, and variouily interwoven. But the fame ca- vity, to the left and fore part, dilates forwards into an felmoll perpendicularly oblong or- oval form, and ter- minates above with a blind-pointed end, which is free from adhefion with the heart, and lies incumbent en the great artery. This cavity alfo, like the former, has plenty of Heiliy fibres placed betwixt two very thin membranes, almoft in a parallel pofition ; and ihefe form a kind of arch, extended from the right to the left edge of the whole cavity, and round the anterior half cylinder of this, cavity ; and thefe mufcular arches are conncfted together by fome of ^the leail fibres. This anterior part of the cavity is called the au- ricle / ** Thefe are very rarely found, when all the veins of the lef^ fide of the head, the neck, arm, and thorax, have run into one pommoQ trunk, vrhich is dirsded to the fious of the venx cavse. 52 HEART. Cha-p.V, ride; but that to the right and poflerlor part is called the finus'^^: it is thin at the partition of the auricles, and likewife between the oval ring and where the vena cava enters the heart. In this appendix there feem to be three large mufcles, the anterior, poflerlor, and inferior. LXXXVII. In the partition which feparates the two auricles, the bafis lying in the middle between the two Yen££ cavse is deprelTcd to the left fide, more on the upper and lefs on the under part ; and, at its bafis, the partition is exceedingly thin. I fnall call it the (Toalfojfa. It is bounded on both fides by a flefhy column, by the union of which an arch is formed at top, while the thinner parts at bottom are turned backwards to meet one another. This I call the oval ring; others, the ijlbmus. LXXXVIII. V/here ihe lower cava opens into the right auricle''^, from the tumid column of the left fide cf the foramen ovale arifes a moon-like membrane, naturally complete in its figure, and from its thinnefs in adults fometimes net-like: and this being extended round the lower tdgt of the auricle, grows thinner all the way, as it is incurvated to the right ; but does not quite lurround half of the auricular circumference, the cavity of which it ferves Hke a partition to divide from the vena cava. This is called Eujlachius* s valve. The oval foramen we ihall defcribe hereafter. LXXXIX. The blood of the two venae cavae is pro- pelled by a mufcular force, in either vein, into this atrium or porch of the heart, conipofed of the finus and auricle. Thefe veins, as far as they lie within the breafl, are endowed with flrong and irritable mufcular fibres, by whofe contraction the blood is driven into the neighbouring auricle. XC. In like manner, the auricle, being irritated, is contracted *^ The finu9 of the venx cavse is a very proper name, as the an- cient names of right and anterior are very ambiguous. ** Or, according toWolfc'a opinion, it opens iato each finus in the foetus. Chap.V. heart. 53 contradled on all fides. And, firft, by a coriIlri£tion of its mufcuiar fibres, the anterior femicyliiider oi the auricle is reduced to a plane; while the fame fibres, by their contra(5lion, bring back the middle arch towards the anterior extremity or beginning of the heart, and likewife towards its poderior extremity or finus. Then the appendix to the auricle defcends, and is contrafted tranfverfely by itfeif, while the lower part afcendsj and thus the auricle becomes fhorter. Again, the left edge turns evidently to the right, and the right edge a little to the left ; and thus the auricle is ren- dered narrower. Thus the blood of both cavse, be- ing mixed together in the beginning of the heart now difencumbered, is driven through the edges of the open valve, in fuch a manner as to urge the valves of the right ventricle clofe to the fides of the heart. But the blood is now hindered from returning again into the lower cava, both by the contraction of the auricle, the refiftance of the fucceeding blood from the abdomen, and of the Eu/Iacbian valve; and up- wards it is hindered from afcending, both by the mo- tion and weight of the confequent blood. It is driven back, however, on both fides, if there happens to be any obftacle in the lungs. XCI. The Jigiire of the heart it{e\{^ in fome meafure, refembles half a cone, if the cone be fplit into two longitudinally in the direftion of is axis. It is almofi: triangular; only the end of it is obtufe, and the lower fide of it is flattened in proportion to the diaphragm on which it lies incumbent, and is thereby fuftained. But the convex furface of the cone is fo inclined within the pericardium, under the great blood-veffels, as fuf- fices to place its thicker femicircular curvature, which modern anatomiits call its obtufe margin^ direfted to the upper and to the left fide of the breaft : in its lower and anterior part, the heart is alfo extenuated into a kind of edge, which is called its acute margui; but the point is turned a little forwards. This is the general fituation of it in mankind j but in brutes, the heart being 54 HEART. Chap.V. being almofl parallel to the 'larger axis of the thorax, its apex or tips only extend to touch the diaphragm. XCII. The whole heart is hollow, having its anterior^ formerly called its right ventricle^ communicating into the right auricle and finus^^, which is broad and flia- ped like the fourth part of a cone ; not fo long as the pofterior left ventricle, but larger ; and it terminates in the fliorter tip of the bifurcated apex of the heart. The mouth of this ventricle, where it opens into the auricle, is elliptical; and terminated by a white gluti- nous margin, more callous than tendinous: over thisj plates of mufcular fibres are fpread, and fome fat lies outwardly upon thefe. XCIII. From this callous margin is extended, within the heart, a membranous ring, formed by a redupli- cation of the internal membrane of the auricle, ex- tended fo as to float within the ventricle to which it was before continuous. But this fame ring, in that part which fluftuates in the ventricle, is fo fplit or divided into three unequal triangular portions, that you may in fome meafure give them the name of valves, and count three of them in number, although they are in fa6l only continued parts from one broader ring. Thefe were, by the ancients, named tnglochines ^ or valvuliz tricufpidales'^^. XCIV. That part of thefe valves which lies next to the fides of the heart is ftrengthened by tendinous fibres, which, meeting together in their courfe, are inferted by very (Irong cords, partly into the fides of the heart, and partly into papillary or cylindrical muf- cles, which arife upward from the left fide of the right ventricle towards its right fide. The largeft of thtfe mufcular columns is, that which anfwers to the biggcfl of the valves, which is both the uppermofl and that which anfwers to the adjacent mouth of the pul- monary ''^ I call it the ventriculus pulmonarht fince it alone conveys the blood in!o the lungs, and is wanting in animals which draw in a' great deal of blood. ''^ It is a better name, valvula vtnofa ventriculi pulmonaritf^ 83 it pointedly marks the courfe of the venous b}oo4* Chap.V. heart. 55 monary artery. The leafl of them is the loweft, and is fituated before the acute margin. XCV. The ufefulnefs of this valve is evident e- nough; for the right auricle (XC.) being contrafted, the blood contained in the right porch of the heart, at the loofe extremity of 'be auricle, being impelled from the circumference towards the axis, like a wedge, fe- parates the pendulous portions of the ring, called tri' cufpid valves, and prefles them to the fides of the heart. Thus is filled the right ventricle of the heart, while the uppermoft valve (XCIV.) fliuts the pul- monary artery, left the blood, by the weak impuife of the auricle, fhould flow into that artery: the blood thus received, and confined within the right ventricle of the heart, is, by the ftrong contraction thereof^ more powerfully expelled into the artery. XCVI. The fenfible flefh of the heart, being irri- tated by the quantity and weight of this warm blood, is thereby folicited to a contratlion : for that the heart, being irritated, will contraft itfelf in a perfon. dying, or even lately dead, is proved by injeftions of water, and inflations cf air, whereby the heart, thea quiefcent, is recalled to its motion. XCVIl. The heart's morion is performed by muftu^ lar fibres ; the originations of which, in general, are from rings formed of the cellular fubitance, com- pared into a callous ligament, agreeable to the de- fcription given in XCII. and with which all the larger blood-veflels at their opening into the heart are fur- rounded. From thence the fibres, which arife, de- fcend gradually in an oblique winding courie towards the left fide, and forward to the apex, in many dif- tin£l plates, and fometimes a little traverfing each other, the middle ones being the moft tranfverfc, while the outermoft and innermoft defcend in a llraighter line. In the flat fide of the heart (XCI.) there are few fibres ; anci fo thin, that when you have removed the fat, the cavity appears almoft un- covered. That which is called the left ventricle, is, however. 5^ HEART. Chap. v. however, very firmly invefted by the fibres ; which, after furrounding the fame ventricle, form a flight de- cuffation in the feptum cordis with the fibres of the right ventricle, and are interwoven with them. Some of thefe fibres defcend into the cavities of the ven- tricles, and form there the flefhy columns mentioned at XCIV. Others at the tip of the heart, are wound in a vortical or v^^hirling pofition, the two horns end- ing by a ftrong fafciculus or bunch in each ventricle. A very thin and fmooth membrane covers the external and internal furface of thefe fibres ; but the external membrane, efpecially where it is fpread over the coror nary veiTels, contains much fat beneath it. 1 have, for my own part, not been able to diilinguifh any thing more particular in the mufcular fabric of the heart, with any tolerable degree of evidence; becaufe it is the peculiar property of the fibres in the heart to join toge- ther in branchy appendices or heaps, in fo ftridl union, that they cannot be feparated without laceration. XCVIII. But there are feveral eminent anatomifts^ whofe ingenuity and communicative freedom I re- fpe6;, who have reprefented and defcribed thofe fibres difplayed and feparated : namely, the external fibres of the heart, common to both ventricles, defcending to the tip, and then, taking another courfe, to infert therafelves into the feptum ; others again, at the tip, to perforate the left ventricle, and return, in a con- trary courfe, to the bafis along the inner furface of the faid ventricle. But the middle fibres, betwixt the aforefaid inner and outermoft ones, being vari- oufly inclined towards the bafis, form the feptum. And others have given us figures and defcriptions of ftill different orders of fibres, of which the outermoft run counter to the innermoft, while the interme" diate are tranfverfe. To which defcriptions, as they are not much different from my own obfervations, 1 fhall make no oppofition, although I have never been able to fee this difpofition of them fufficiently 2 ma- CiiAP.V. HEART. 57 manifeft, and am acquainted with great anatomifts who have not been more fuccefsful than niyfelf. XCIX. Thcfe fibres of the heart, like other muf- cies, are furniflied with nerves of their own, very nu- merous and of various origin. The firft and uppcr- moft are on the left fide '^^ from the ganglion of the intercoftal with the uppermoft cervical nerve. With thefe are joined others from the pharyngeal plexus of ibft nerves ; others, produced from the pharyngeal and gloflb- pharyngeal ganglions, are mixed with them; others alfo are added from the trunk of the intercoftal nerves ; and others from the middle gan- glion feated on the flraight mufcle about the paffagc of the thyroid artery, which has branches both from that uppermoft nerve and from the trunk of the in- tercoftal and phrenic nerves. Others come from the recurrent nerve of the eighth pair. The nerves of the heart, originating from thefe fources, (wove toge- ther into a plexus, partly before the great artery, in which the following ones are mixed together; and partly forming feveral fmall plexufes between the afpera arteria and the large arteries going out of the heart), form one or more plexufes out of the nerves of the right and left fide; which plexufes are com- monly joined together, though fometimes they are diftind:. From this fame pbxus, or plexufes, other Vol. I. E nervous ^^ Upon cotrpailng my own obfervations with Anderfch's and Neubaver's defcription of the cardiac nerves, I fee that the rife on each fide, courfe, and manifold intermixture of the cardiac nerves, if you except the deeper defcent of the eighth pair of the left fide into the thorax, and the more remote origin of the recurrens arifing from thence, are very fimilar ; fo that 1 have nothing to add : But among the cardiac branches I found a greater one in feveral fubjedts ; of which, as it is not fufficiently underllood, I (hall add a defcription. From the great cardiac plexus, which the ufual filaments form, five or fix fmall nerves, forming a net- work, at length run together into one trunk, a little lefs than the recurrent: while it defcends into the foft cellular fubftance, clofe to the afpera arteria, it runs with the various furrows of the plexus pulmonaris out of the eighth pair ; then it is divided between the aorta and pulmonary arcery into two branches, and ends partly in thefe ar» terics and partly ia the right fide of the heart. ^8 HEART. Chap.V. nervous twigs pafs betwixt the aorta and pulmonary artery to the right artery of the heart; others crofs the pulmonary artery, and go betwixt it and the left auricle to the coronary artery of the fame fide ; others behind the pulmonary artery to the fame coronary j and others, again, defcend very deeply behind the pulmo- nary artery to the left finus and flat furface of the heart. To the cardiac plexus, above defcribed, other large nerves accede from the fifth and lower cervicals, and fometimes from the phrenic nerve, and from a gang- lion of the lowed cervical with the intercoftal, to which join large roots from the lowed cervical nerves. The laft ddcribed nerves, which are larger, fofter, and more tranfverfely difpofed, are partly mixed with the foregoing plexus, and partly go to the lungs. Laftly, there are fome fmall branches, uncertain as to courfe and number, which join the cardiac plexus from the recurrent and eighth pair of nerves ; and making vari- ous inofculations with the intercoftals, are confounded with thofe of the eighth pair. As for thofe nerves, ■which fome eminent anatomifts have feen afcending from the great abdominal plexus to the heart, through the foramen of the vena cava, I have never been able to find fuch : although it is eafy enough to difcover the diaphragmatics in that place, having ganglions pe- culiar to themfelves, of which thofe anatomifts make no mention. C. That thefe nerves conduce powerfully to move the heart, is the opinion of eminent anatomifts, from a confideration of the common natuie of mufcles ; and from the increafe which follows in the heart's motion, by irritating the eighth pair of nerves, either at the brain or the fpinal medulla; and from the languor that enfues upon tying thofe nerves, w^hich proves fatal, cither fuddenly or within a few days, even though you happen to make the ligature on but a few of the nerves that come to the heart; for the intercoftal, and efpecially thofe from the ganglion of the upper tho- racic, cannot be tied. CI. Chap.V. heart. 59 CI. But that there are ftill other caufes, befides that of the nerves, conducing to the motion of the heart, we are perfuaded from obferVing its motion uri- diflurbed by the irritation of all the nerves in the li- ving animal ; from its remaining after the greatefl wounds of the head, and even of the cetebellum and medulla fpinalis ; like wife from its motion vi^hen torn out of the breall; ; chiefly in thofe animals whofe lungs, being impermeable, make no refiflance to the heart's motion; for the motion of the heart is ob- ferved to be very vigorous in the foetus before the brain is well formed, and likewife in animals want- ing the head. And all oilr experiments agree in this, that the quiefcent heart in dead or dying ani- mals, when irritated by heat, vapours, poifons, and efpecially impelled flatus, watery liquors, wax, or blood, or on receiving an electric fpark, immediately contrafts itfelf, putting all its fibres into a rapid motion, by a force fometimes common throughout the whole heart, and fometimes affeding only a particular part of it. CII. Thus then we fee, that there refides in the heart a kind of imparience of flimulus ; fo- that even in the vifcus, when almoft dead, wrinkles, and mo- tions of different kinds, appeat to be propagated along its furface, from places as it "vvere irradiating froni points : again, the heart, when torn out and cold, on being pricked, inflated, or irritated, cohtracls itfelf j and its fibres, when diffe^ied, corrugate thertifelve^ orbicularly, when there is neither nerve nor artery to bring it fupplies of any, kind. This irritability is greater, and remains longer in the heart, than in any other part of the body; feeing, by flimulating it, the motion of the heart may be renewed at a time, wheri that of no other mufcle can. The heart of the foetus is moft irritable, as well as larger, in proportion, than in adults ; and mofl tenacious of its motion, even in the cold. That motion is peculiar to the heart itfdf ; coming neither from the brain, nor the foul j feeing E 2 it 6o HEART. Chap.V. it remains in a dead animal even when the heart is torn oi^t of the bread; neither can it, by any act of the will, be made either quicker or flower. cm. It is, therefore, evident, that the ftimulus, oc- cafioned by the impulfe of the venous blood, caufes the heart contract itfclf ; and that this contraftion is con- vulfive, made with great celerity, and a manifeft cor- rugation of the fibres; whereby the whole heart be- comes fhorter, thicker, and harder; fo that the left ventricle is drawn foraewhat towards the feptum of the heart, and the right one much more. The bafe alfo advances towards the apex; but the apex more evi- dently towards the bafis. This I have often obferved with the greateft certainty in diffcdting brute animals; fo that thofe learned gentjemi n inufl have feme way or Other been deceived, who have aflerted, that the heart is elongated during its contraftion. But the heart does not feem to turn pale in fuch animals as have warm blood. Even the feptum ot the heart is rendered fiicrter, and draws itfclf towards the bafis. By this adion, the flefhy parts of the heart fwell inwardly, and comprefs the blood as they do the fmger, when introduced into its cavities. But that the heart is accurately enough emptied in this action, appears from the event; the evident palenefsof animals whofeheart is white, as frogs and chickens; and from the internal furface being full of eminences, v;hich exa6;ly anfwer to oppofite cavi- ties, and to the thick reticular arms or columns inter- rupted by finufes. And befides, the apex ot the heart, being contratled a little like a hook, (trikes againft that part of the pericardium next the thorax Forwards, there is alfo a pulfation from ttie left venal fmus ; which is at that time particularly filled. In exfpiration, the heart flrikes violently upwards and forwards. The truth of both thefe we know by experiment. CIV. The blood, which is prefled by the contradted heart (CIII), endeavours toefcape in all direftions; but being driven from the mufcular fides, towards the axis of the ventricle, by the reaction of what is lodged be- twixt Chap.V. heart. 6t twixt the venal ring (XCIIJ.) and fides of the heart, ' the loofer ends of the faid ring are driven forwards and extended inward at the fame time. By this ac- tion upon the whole chcumference of the ring, it not only becomes extended itfelf, but, at the fame time, rejects a part of that blood into the right auricle, which had before defcended into the cone of the open valve, whofe fides, now approaching, fliut up the ve- nous orifice more clofely as the heart contrafts more flrongly ; by whofe force the tricufpid valves as they are called, would be preflVd reduplicated into the auricle, if the mufcular nipples (XCIV ) or columns did not keep down their edges, and hold them firmly by their contradion (which is the fame with that of the heart) in fuch a (hape as will extend the annexed chords of the valve, without injuring them. CV. But the nifus of the remaining blood, now re- filled by the tricufpids, feeks another courfe ; and, whilfl: the larger of thofe valves that is feated to the right (XCIV.), advances from the fide towards the axis of the heart, this leaves open the mouth of the pulmo- nary artery, which it before covered ; whereupon the blood preffing the valves in the mouth of the faid artery clofe to its fides thus rufiies into it. CVI. To defcribe this more particularly ; from the upper and pofterior part of the right ventricle, a way leads into the artery, taken in, as it were, between, the fiefny parts of the heart produced, and ftrongly connected to it by a cellular callous ring, from whence the artery afcends to the left backward, and difplays ' itfelf behind the arch of the aorta. The flrength of this artery is not exrraordinary, being much weaker than that of the aorta. But from the inner furface of the artery, where it is joined to the heart, three femtlunar vahes arife, by a reduplication of the arterial membranes extended upwards, and to- wards the axis, in an arch that is flat or obtufe c- nough; and thefe valves always fluctuate with their edges at free liberty in a parabolical fhape. The E 3 middle it HEART. Chap.V. rniddie of the edges, in each of thefe valves, is gene- rally divided, fometimes in the foetus itfelf, by a fmall, denfe, callous body, of a conical fhapc, but made up of inclined planes ; whereby each whole valve, in it- felf refembling an half-moon, is thereby again fubdi- yided into tv>/o lefs haU-moons. Betwixt the two membranes of the valve, appear fome mufcular or tendinous fibres, partly in a tranfverfe pofition ; fome of which hold faft the valve to the next contiguous fide of the heart, leaving fometimes fpaces betwixt them in a reticular manner. Other fibres afcend from the bafis of the valve ; and, by growing to the callous corpufcle, draw back the faid valve, and open the fmus. CVil. Each of thefe valves, in conjunclion with the fides of the artery here diverging, intercept a fpace, which is blind or impervious downward ; but open upward in ^ parabolical ihape, as we obferved of the valves in the veins (XjlIX.) When, therefore, the blood is impelleii from the fides towards the axis of the contrafting heart, it endeavours to efcape ia the diredion of the faid axis; and, by rufliing forth like a wedge, betwixt the valves, preifes their loofe fail-like edges againfl: the fides of the pulmonary ar- tery, fo as to run freely out of the heart. The truth of this appears from the fabric, from injections, and from ligatures, which, by obflrudling the lungs, will not fuifer the large cavities iii the right fide of the heart to be emptied. CVIII. The blood now received into the pulmonary artery, goes on then to make its circulation through the lungs. That artery is firft divided into two branches; of which the left, being lefs and Ihorter, enters di- rectly inro the fubftance of the lungs : but the right branch, being larger and longer, paffes tranfverfely through the arch of the aort^; and, aher going a little way behind the faid aorta, enters the correfponding lungs of the fame fide. From each of thefe branches, by a multiplied fubdivifion, ^rife the very leait arte- ries Chap.V. heart. 6^ ries, fome of which tranfmit the blood dire^lly into the continued fmall veins, and others exhale part of its aqueous juices into the pulmonary cells. That the blood goes thus dire£lly from the arteries into the pulmonary veins, appears evidently from their ftruc- ture ; alfo from a ligature, which, intercepting the blood's courfe, while the heart and lungs ftill urge it, caufes an aneurifmatic dilatation of the artery ; and from polypufes, by which, the mouth of the pulmo- nary artery being obftruft'^d, the right cavities of the heart become monflroufly enlarged, and at length burft, while the left remain empty. Laftly, from in- jedions; for water, fifli-glue, and milk, are very eafily forced, from the pulmonary artery into the vein, and from thence into the left cavity of the heart. But the direct anaftomofes or final openings of the arte- ries into the veins in the lungs, is proved even to the fight by the microfcope, in frogs, &c. CIX. Nor can the blood which has once entered the pulmonary artei7 return back again upon the heart; becaufe the valves therein (CVI.) are of fuch dimen- fions, that when diftended, they perfectly fhut up the opening at the heart ; and are fo ftrong that they refill a much greater force than the contradtion of the pul- monary artery, without being conftrained to yield. However, fometimes, from a greater contra£tile force of the artery, they grov/ fomev^hat callous ; or, from a laceration of their outer membrane, a bony matter is poured in betwixt the duplicature of the valves. For, when the blood, by the contraction of the artery, re- turns towards the heart, it meets and enters the open fail-like concavities of the valves (G VII.) which are by that means expanded, and driven together towards an axis in the middle: whence the valves, once expanded, quite fliut up the mouth of the artery, fo as to leave not the leafl flit open ; for any opening that might be left, is precluded by the fmall callous bodies remarked at CVI. ex. The pulmonary veins, of which we fhall fay E 4 more 64 HEART. CAap.V. more hereafter, gather into larger branches, which, at laft, terminate in four (feldom two, and ftili more rarely into five) trunks ; to which it has been cufto- mary to affix a name in the fmgular, by calling them. Xh^ pulmonary vein ^°. Thefe enter the cavity of the pericardium, from whence they receive an external covering; and are then inferred at angles into the fquare left or fofieriorjinus, which is fometimes hke- wife called the pulmonary fmus. In this courfe the upper veins defcend as the lower ones afcend. But that thefe veins bring their blood towards the heart, in the fame direction with the fmus into which they open, is proved by a ligature, which caufes a tur- gefcence or fwelling, from the blood retained, betwixt the ligature and the lungs. ~ CXI. This pulmonary fmus, which is almoft of a cubical figure, being firmly built of divers bundles of fibres running betwixt two membranes, has, forward and to the right, one fingle fide or partition, in com- mon to itfelf and the right finus (LXXXVl.); but for- w^ard and to the left fide, it goes into a conical appen- dix, which is divided into procelfes or indentations, like a cock's comb ; and, after two or three ferpentine turnings, makes what is called the left aiincle^incuvnbe^t on the left ventricle, and pointing forwards. Some of its fibres, as in the right auricle, by their bending, con- trad; it into the form of an arch ; others, coming from the origin of the appendix, and inferted into its apex, deprefs it. This finus, with the left auricle, are fome- what lefs than the righr finus and auricle. CXII. In this left finus, the blood waits for the heart's relaxation; at v/hich time the nifus of the blood im- pelled againfl the venous valves, and the contrading ftronger force of the fmus, grow lefs. Then the left fmus ftretches itfelf forward acrofs the heart, is con- tracted tranfverfely along with it, and the appendix be- comes ^° The name oiftnus venaruvi pulmonallum, Inftead of left or po- Jitriort is for the fame reafon more proper, as this Gnus receives the pulmonary veins as the right does the cavsjg. Chap.V. heart. 6^ comes evidently {horter and narrower. Thus the blood is driven into the left ventricle, in like manner as the right auricle impelled its blood into the right ventricle, (XCV.) For htre, as before, a like membranous oval ring forms produdions called jnitral valves ^^, of which there are ufually t'>^o only counted. Thefe valves are longer and ftronger than thofe of the right ventricle. They have each its own and feparate mufcular ftruc- ture; but it is much firmer than that of the tricuf- pids. And here, more often than in the valves on the right fide, we find cartilaginous tumours in the tendinous firings, produced by the friction occafioned. by the great motion of the heart. CXllI._From what has been faid, then, it appeals, that the fame blood is now arrived into the left ventricle of the heart, which was a little before fent from the ven^ cavse into the right auricle (LXXXIX.), which drove it into the correfponding or right ventricle (XCV.); by which, again, it was urged into the pul- monary artery (CV.); and, from thence pafiing into the pulmonary veins, was conveyed into the left finus (ex.); and, out of this, we here find it driven into the left ventricle (CXIL). This courfe of the blood, from one fide of the heart to the other through the lungs, is called the pulmonary or leifer circulation, and was known to many of the ancients. It is proved by the increafed bulk of the pulmonary veins on the left fide ; and llkewife of the right cavities of the heart, from an obllrudtion of the entrance into the left ven- tricle. CXIV. The left, or pofterlor, and upper ventricle ^^ of the heart, which is alv/ays firft formed, and in a great number of animals the only one, makes up that part of its half cone like body, which we before called obtufe, (XCI.) It is fome what narrower than the right ven- ^* They fomewhat referable a mitre : hov7ever, I prefer the name of valvule venofe ventriculi aortici } which appellation can- not be confounded with any other. s» This I would call, on account of the rife of the aorta from it, ventriculum aortkum. 6.6 HEART. Chap. V. ventricle, gi little longer, rounder, and generally of a lefs capacity within. For the contents of this ven- tricle, are about two ounces, while thofe of the right approach to three. Its fabric internally is reticular, but more nicely wrought than in the right ventricle; and within the mouth of the artery it is fmooth : but its force is confiderably greater, as the mufcular flefli that furrounds it is much thicker and almoft three times ftronger. The feptum of the heart belongs moftly to the left, but fome part of it alfo to the right ventricle: the v^hole of it is reticulated in like manner; but folid, and incapable of fuffering any injeded li- quid to pafs from one ventricle to another ^3. CXV. Again, this left ventricle, being infligated fo motion by the impelled blood, does, from the fame irritable nature before mentioned (Gill.), contrad, and drive its contained blood with a violent motion in the dire£tIonof itsaxis, and determine it towards the bafis, at the time when the tip or cone of the heart is drawn rearer to its bafis. And fince the apparatus of the mitral -valves is here the fame as in the tricufpids, the venous blood now expanding the ring from whence they arife, removes that valve which lay againfl: the mouth of the aorta, fo as to open a way for itfelf to the artery ; in dilating the mouth of which, the faid blood prefles the femilunar valves, there placed, againfl the fides of the aorta, into which it rufhes with a vio- lent impetus. This is proved by ocular demonftration in living animals, where the left ventricle iwells upon fl}utting the paiTage into the aorta. CXVI. Jh^ femilunar valves of the aorta differ little from ^5 Among tlie more rare varieties of parts, unlefs we choofe to term it a difeafe, I would rank the cafe of a girl of feven years, who had a double exit from the pulmonary ventricle. For a little ber low the mouth of the pulmonary artery, another opening, fome- what lefa than the former, led into the true arterial dud of Bota!, fcnt into the aorta. The duft itfelf wa8 perfciElly open, as is ufoal after birth : The aorta, therefore, in this Aibjeft, for fevera years, received blood from each ventricle} the feptum, however, being all tbe while entirely found. Chaf.V. H E a R T. ^7. from thofe in the pulmonary artery: only as the open- ing is here greater, fo the valves are propor'ionably larger and llronger, and are not fo often found to U'ant thofe callous round bodies in the middle. The fibres too of the valves, both iranfverfe and afcending, are here fomevvhat more confpicuous. CXVIl. After the contraftion of the heart, follows its relaxation or diaftole, in which it becomes empty, lax and foft, recovers its former length, the ventricles recede from the feptum, and the bafis from the apex. But, while it is in this ffate, the blood in the auricles, having been as it were in a flate of exptftarion, rufhcs through the openings of the valves of the veins., di- lates the oppofi'e fides of the heart, and makes it at once longer and larger. After the auricles have freed themf Ivcs of the blood they contained, they are in like manner relaxed, and their oppolite fides remove from each other. Then the blood, colleQed in the vense cavge and pulmonary veins, fills the au- ricles by the contraftion of the veins; renders them long, broad, and thick, llkr^ the ventricles ; and even diflends and fills the tooth-like procciTcs of the crefted margin. That the fibres of the heart are not dilated, is proved from the junction of thofe fibres ; which, being tied together by their middle branches, cannot be feparated: alfo, by the diffedions of live animals, in which the whole heart is fhown to be contracted. CXVIII, But we mufl now confider, that thefe mo- tions of the right and left auricle, with the right and. left; ventricle, are not performed inthat fucceffion in which, for the fake of method, we have here defcribed them ; for both the auricles are contrafted, while the ventricles are relaxed : fo that the contraction of the auricles pre- cedes the contraftion of the ventricles ; as we are af- fured from manifefl experiments on dying animals, and on thofe whofe living blood is cold. But both auricles are filhd together in the firfl iiiftant, as both of them are emptied together in the fecond inftant; and both fhs ventricles are contracted together in the third in- ffant gS HEAR r. Chap.V. ftant, which is the fame with the firft ; and both ven- tricles being evacuated, are relaxed in the fourth in- ftant, which is the fame with the fecond. Thofe who have inadvertently taught otherwife, have not taken the advantage of making a fufficient number of expe- riments on living animals^"*. That the auricle, near death, makes frequent palpitations before the ventricle of the heart performs one contra6:ion, is true enough. The auricle wrtn its fmus forms one cavity, and both are filled and both emptied in the fame inltant. CXIX. But it may be afked. Why the heart never ceafes from its perpetual jiwtion, through fuch a num- ber of years as there is in one's life, through fo many days as there are in a year, and through fo many hours as there are in a day; when, in each hour, the heart of a healthy perfon contraQs not much lefs than 5000 times ; fo often are there fucceffive repletions followed with nev/ contraftions, perpetually in the fame conftsnt order ; nor is there any mulcle, befides the heart and diaphragm, but what becomes tired and painful, by act'mo; incefllantly, even for a few hours ? Different anfwers have been given to this queflion by different profeffors, founded either upon a compref- fure of the cardiac nerves be'wixt the large arteries, or upon an alternate repletion ot the coronary arteries and cavities of the heart, &c. CXX. But to me the fimplicity of nature feems very great in this matter. When the auricle is relaxed, it is diredly filled by the mufcular force of the continu- ous great vein ; and fo the heart alfo contracts it- felf, when it is irritated by the blood driven into it from the auricle- Therefore, the heart, having once received the blood, is contraded by that flimulus or, ^^ Obfervatiobs upon living animals, and the reafon of the thing itfeir, amidft the three opinions of Lancifius, Nichols, and Har- vey, the laft of which is very probable, feem to fhow, that at one and the fame inftant the two fyftems of ventricle and veins are contracted, but that the finufes and arteries are at reft, or, if you choofe, are dilated: but whea the latter are contracted, the veins and ventricles are at reft. Ghap.V. heart. (J9 or irritable force, whereby mufcular fibres are excited into contradion ; whereupon it empties itfelf of the blood ; and being freed from the flimulus thereof, im- mediately refts or relaxes itfelf. But the heart being now relaxed, the auricle is in like manner irritated by its contained blood, and by contrafting fills it again j while the inceffant aftions of the heart and arteries continually urge new blood into the right fmus and auricle. That this is the true flate of the heart's mo- tions, is proved from aftual experiment or obfervation; whereby we plainly difcern the fuccefTive repletions and contraftions made in the great vein, auricle, ven- tricle, and artery, eafily feen in a weak or expiring animal ; but more efpecially, and more evidently, lii thofe animals which have but one ventricle in the heart 5 as the tortoife, frog, fnake, filhes; and in the chick hatching in the €gg, which, inilead of a heart, has only one crooked canal. Befides, it is confirmed from the inertia of the heart, produced by tying the veins ; and from the return of its motion, when the ligatures are unloofed; provided thefe phenomena are fufficiently valid : but this is more unequivocally cor- roborated by inje(!:Tion, and by the perpetual con- traction of a frog's heart, from the inflation of a bubble of air, which many hours it alternately ejefts and receives into the auricle. The left ventricle firil; ceafes its motion; then the auricle of that fide; then the right ventricle ; after that, the right auricle ; and, iaft of all, the pulmonary veins and venss cavae. Whatever motion is in the venae cav^, ought to be attributed to the auricle repelling the blood intQ both thefe veins, and which the heart, when dead, is not capable of receiving. CXXI. Nor do 1 believe there is any thing more re- quired to the heart's motion than a continual flimulus applied to a very irritable part. For, juft upon the approach of death, the very coldnefs of the limbs, which the warmth of life has left, contrails the veins, and drives the blood to the heart; when the lungs, being 7b HEAR t. Chap.V, being impermeable for want of refpiration, tranfmit n6 blood to the cavities of the left fide. And, on the other hand, the heart, after it is thoroughly emptied, remains at reft. It may thus happen, that, inftead of the vena cava and right auricle, the lafl: appearance of life may be transferred to the left auricle and ventricle ; if we fuppofe the right cavities to be emptied, the left may be irritated by the blood contained in them. But if you derive the refling of the heart from the compref- fion of its nerves, the motion of the auricles will be an obje6tion, becauTe their nerves are not comprelTed. An example alfo we have in fifli, and little chicken in the egg, where there can be no room for a compreffure of the nerves. If, again, you deduce the heart's reft from a compreflure the coronary arteries, this is contrary to experience; fmce they are not covered by the valves of the aorta, and from a wound of the faid arteries, during the fyflole of the heart, the blood ftarts out to a great height. CXXII. Nor with the ftrength of the heart do I join the ofcillations of the very fmall veffels, which is refuted by experiments : nor the force of external heat; feeing animals are found to live atid thrive iri the coldeft regions of the north: and though the con- traftile force of tne artery, and the weight of the parts and of the atmofphere affift the motion of the blood during the diaftole of the heart, the fame powers re- fift it during the fyftole ; fo that, indeed, by thefe means, the blood is moved no farther through the contradile arteries, than through the rigid arteries of fmaller animals. CXXIII. But with what celerity, and with what force, the heart drives forward the blood, is controvert- ed, and yariouily computed. The more modern wri- ters have raifcd their calculations upon a fuppofition, that, for the celerity to be determined, we are to ad- mit two ounces of blood to iifueout of the heart with fuch a celerity, that the part of the pulfe, called its Jyjloky makes one third of the whole pulfation, and is I ^ finiflied Chap.V. heart. 71 finifhed within a ttt part of a minute ; but the area of the mouth of the aorta, they have eftimated 0.4187 parts of an inch : fo, by dividing the fpace filled by two ounces of blood, (3.318 inches) by the area or feftion of the aorta at its mouth, [and length of its cy- linder filled by two ounce, viz.=7ffTw], the number thence produced divided by -rW, the time in which the heart contracts, they find T49 feet and two tenths of an inch for the fpace through which the blood runs in a minute, if it goes on in a cylinder with the fame velocity it lirfl had from the heart. But the in- cumbent weight of blood moved by the heart, they have computed by the jirk wherein the blood ftarts forth from the larger arteries in a living animal, being feven feet five tenths ; and from the furface of the ventricle, whofe area makes 4 5 inches. Thus i 350 cu- bical inches of blood, or 5 1 pounds five ounces, circu- late, which prefs againll the ventricle of the contracting heart. The heart, therefore, thus drives forward a weight of 5 1 pounds with a velocity by which it may run through 149 feet in a minute; which force it exerts four thoufand eight hundred times in an hour. CXXIV. Although there are many particulars here unthought of which may render the effimate incom- plete, and fuch perhaps as we may never afcertain; and although the mouth of the diflended aorta may be wider in a living animal, though the area of the ventricle is of uncertain dimenfions, and the jirk of blood computed from an infufHcient height; yet if we confider the violence with which the blood ftarts from fome of the leaft fanguine arteries in the living ani- mal, although we cannot eafily determine how much of the heart's fyftole is thus/pent, variations in which will greatly alter the computation ; yet, in the mean time, it will plainly appear, that the machine we call the heart is a very powerful one. The truth of this is evident from experiments ; in which it appears to be very difficult to fill all the red blood-vefTels by ana- tomical injedions, and quite impoilible to fill all the f mailer 72 HEART. Chap.V. fmaller ones: yet the heart, we fee, not only gra* dually diftends all the larger, the finaller, and even the leaft veflels, with blood, but alfo drives it forward through them with a confiderable celerity. Kven in the leaft arteries, the blood is urged forward by the heart with fuch a force as to make the alternate mo- tions of that mufcle perceptible. Like wife, in the veins and fmaller veflels of cold animals, even while con- tained in the infect's egg, there is no other force be- iides that of the heart, by which the blood is driven through their fmall vefTels. And, from fome of the leaft arteries, I have feen the blood ftart forth feveral feet, the jirk defcribing a parabola, whofe height was four feet, and amplitude of projedlion feven feet ; and fome afiert, they have feen the blood afcend from the aorta to the height of twelve feet. CXXV. Moreover, that we may make a juft efti- mate of the heart's force in living animals, we muft confider what great refiftances that complex mufcle overcomes : we muft compute the enormous weight there is of the whole blood.; a mafs, perhaps, of fifty pounds and upwards: for all that quantity of fluids, once ftagnant in a perfon lately drowned . or fainted away,, are eafily put into their former motion by the heart only^^. We muft again confider the great de- creafe of the blood's velocity, arifmg from the geater light or capacity of the dividing branches, (from whence the ratio of its celerity, even in the inteftines, may be computed to only a 24th or a 30th part of its original imp'.dfe), abates tvi?o-thirds from the heart's force. And yet we fee there are humours fwiftly moved through the moft minute veffels; as, for example, the Ssnftorian perfpiration, which, in a fubterrane- ous cavern, I have obferved to afcend fwiftly in form of 4 fmoke ?^ The refiilts from the lateft experiments of Marher, Spallan- zanijFontana, Prochaflca, which appear in a contrary light to fome, do not, when properly confidered, greatly differ from Haller's opinion of the caufe of the heart's motion, the change of figure during motion, the force and quicknefs, and duration of the adion. Chap.V. heart. -^3 fmoke or vapour ; and the fame celerity of the blood in the lead veffels of little fifhcs, &c. is apparent to the eye by a microfcopc. Now, fince the trillions, in every machine, always confume the greatell part of the moving forces ; much more do they in the hu- man body, whofe blood and juices are fo much more vifcid or clammy than water, and driven through veffels fo fmall, that they permit a globule only at a time to pafs through, and even hardly allow that without changing their figure: but from fo ftrong and extended a fridion there muft neceffarily follow a very great hindrance to the motion ; whence wc may cafily underftand, that the force muii be very great, which drives fo fwiftly fuch a prodigious mafs of fluids in fpite of fo many refinances and decre- ments of the moving forces. But, more than that, aneurifms and arteries are burft, and very great weights, as well as the body itfelf, raifed by the force of the heart's fyftole. CXXVI. The blood, being driven into the aorta^ immediately finds the two openings of the coronary arteries, which lie next the arterial valves, but above them, or v/ithin the aorta; and in confequenceof this, it ruihes firft of all into the faid coronary arteries, by which the heart fupplies itfelf with blood. Thefe arte- ries are for the mofl part two ; the right goes off be- tween the aorta and pulmonary artery, and the upper and left one between the left auricle and the aorta. Ail the external arteries are furrounded with much fat ; but their cavity is more intt rcepted with valves than that of other arteries. Thefe arteries communi- cate, by inofculations of the fmall branches, every where about the feptum and tip of the heart ; but they no where make a complete ring round the heart. They terminate in a two-fold manner. CXXVII. The firfl: termination of them is into the coronary veins, whofe branches running in company with thofe of the arteries, have their trunks of necef- VoL.I. F fity 74 HEART. Chap.V. fity difpofed in a different courfe. The great coro^ nary vein is, therefore, a companion of the left coro- nary artery ; and is infertcd with a large opening, fe- cured with valves, or a number of little membranes,- on the left fide of the Euftachian valve of the right auricle : the root of this furrounds the left auricle ex- ternally, and then accompanies the fuperficial branches of the left artery. CXXVUl. The other coronary vein (which you may make a part of the former, fmce they have both one common infertion) defcends along upon the feptum of the heart to its flat fide ; and may be properly called the media?! coronary. The third bends tranfverfly round the furface of the right auricle ; and then terminates within, or at leaft very near, the large opening of the coronary vein (CXXVll.) anteriorly. This vein fup- plies that part of the right ventricle which lies in the flat fide of the heart ; and often receives thofe namelefs veins we fliall hereafter defcribe. CXXIX. There are dill fome other anterior veins of the heart ; but one more particularly large goes along the adjacent edge of the right ventricle, and, running for fome length obliquely betwixt the membranes, is inferted into the mofl: anterior part of the right auricle, and fometimes into the trunk of the upper vena cava. This anterior vein fends off another concealed one through the root of the right finus; and, being again inferted into the great coronary vein, it makes a com- plete circle round the heart, like the arterial circle which fome have defcribed, but has not yet been fecn by me. CXXX. But there are a great many more veins, un- certain in their number, which belong to the bafis and internal parts of the heart, to which the anatomiil has feldom any accefs, becaufe they lie concealed betwixt the origins of the large veflfels : and thefe open by numberlels fmall mouttis into the right fmus and au- ricle ; and fome, but a few only, into the left fmus. Thus I have feen a particular vein, which, from a la- tent Chap.V. heart. 75 tent finus in the flefli of the right auricle, has afcend- ed towards the aorta and pulmonary artery, and in- ferted itfelf on one fide into the greater coronary vein. Another I have obferved, concealed betwixt the mouth of the coronary vein and the aorta, inferted into the right finus; and another through the remains of the oval foramen, and feptum of the two finufes, inferring itfelf into the right finus; and others again belonging to the venous valves; befides which, there are ffcill others too numerous to defcribe. 1 have obferved alfo a vein arifing from the left finus and inferted into the vena cava. CXXXl There are ftill more, and much fmaller, veins in the heart, whofe little trunks, being very fhort, cannot eafily be traced by diffedlion; and thefe open themfelvcs by an infinite number of oblique fmall mouths, through all the numerous finuofitics ob- fervable on the furface of the right and left ven- tricle. Thefe are dcmonftrated by injeftions of wa- ter, wind, or mercury, puflied into the coronary arte- ries, after you have firft tied their correfponding or accompanying coronary veins ; or even into the great coronary veins, after you have firft intercepted the openings of their largeft trunks. For, in either of thefe cafes, there are drops of the tindured water, bubbles ot air, fpherules of mercury, rulhing out through the whole extended furfaccs of both the ventricles of the heart ; and this, without any violence that can be fuppofed fufficient to break the veffels. But the paiTage from the arteries into the cavities of the left fide is more difficult. CXXXil. There are fome who will have the coro- nary arteries filled with blood, not by the contrafting of the heart, but of the aorta in its fyftole ; which they think muft be a confequence of the retrograde angle of the blood's courfe here, and the palenefs of the contracted heart, with a fuppofition that the valves of the aorta cover or clofe the mouths of the coronary arteries. But the two laft of thefe are difproved by F 2 expe- 16 HEART. Chap.V. experience; and the firfl:, or retrograde courle, can only impede or leflen, and not intercept, the flux into the heart : for the injeftions of wind or mercury into all the feminal and biliary veffels, demonftrate that the large retrograde angles, which the veflels often make there, do not hinder the fluids from taking, though they retard, their natural courfe. But a proof, dill more evident, is, that the coronary artery has a pulfe at the fame time with all the other arteries in the body, and the blood llarting from it makes a higher faltus at the time when the heart is contrafiing (CXXip CXXXIII. Concerning the reflux or return of blood from the mufcular fubftance of the heart, there is ftill lefs room to doubt : for all the coronary veflels dif- charge their blood into the auricles and ventricles, ei- ther right or left, (but lefs into the latter), both by the larger (CXXVU, CXXVIII, CXXIX.), the fmaller ■ (CXXX ) as well as by the leafl: orifices (CXXL), which fo eafily tranfmit injeftions, after you havefirft tied the larger coronary veins. . The circulation thro* thefe veflels feems to be completed in the fliorteft fpace of time that can be neceflary in any part, from the great velocity the blood receives from the heart itfelt, urging the fame through its own fubfl:ance. But that the whole contents of the vefl"els are cleared in each contraftion, does not feem to me probable ; for the blood-veflels of the heart do not look pale tnough in that aftion to produce fuch an effect as an entire evacuation. There is a very free or open paf- fage from the arteries of the heart into the cellular fubftance, or fat which furrounds it. If you afk, "What are the ufes of thofe leaft or fhortefl veins which open obliquely through the furface of both the ventricles (CXXXI )? they ferve to return the blood of thofe deeply feated fmall arteries, which have no correfponding veins. CXXXIV. The humours of the heart, which arc thinner than blood, return by the valvular lymphatic •veinSy which accompany the coronary blood-veflels, and Chap.VI. blood. 77 and afcend towards the thoracic duel and fubclaviau vein; but they are to be very rarely feen, although I have obferved them in brute animals. CHAP. VI. Of the Nature of the Blood and ] vices of the J^uman Body, CXXXV. npHE liquor which is contained in the JL beating arteries and their correfpond- ing veins, is called by one general name, the blood: which, to a loofe examination, appears homogeneous, or of fimilar parts, red and coagulating throughout ^^; and is obferved to be redder in proportion to the ftrcngth of the animal : in a weak and famiihed one, the blood inclines to a yellow : it hath a whitencfs mixed with it, which comes almoft totally from the chyle. But from various experiments it is certain, that this animal liquor contains very different ingredients. CXXXVl. That fire is contained i-n the blood may be proved from its heat, which, in human blood, and that of fome other animals, is from 92 to 100 degrees of Fahrenheit's thermometer, which is more than the mean degree of atmofpherical heat, but lefs than the grcateft". Again, a kind of volatile vapour or exha- F g lation. ^^ As the blood has various degrees of rednefs In proportion to the divertity of animals, from their age, food, temperament, and different exercife of body; fo there are feveral morbid changes, which convert the blood from an intenfe red to the greateft paJe- cefs ; whence it becomes liker the vital liquid of more imperfeft ani- mals ; as we remark in the jaundice, phthifis, and dropfy, Sec. ^"^ The heat, which all perfeA animals peculiarly pofTcfs in bjr far a greater degree than vegetables, from the more fimple clafs of animals, through the various orders of nfiies, amphibia, man, qua- drupeds, and birds, at length gradually increafts, till for the molt part, in a natural ftate, even at its greateft heat, it does not ex- ceed the iioth degree of Fahrenheit. Daily experience (hows, that it differs in man, according to age, temperament, ftate of mind, motion, or reft of body, climate, weather, kind of lifc,- meat and drink, health, and the various fpecies and violence of difeafe. It is alfo certain that the degree of heat in the body increafss 78 BLOOD. Chap. VI. lation continually flies off from the warm blood, with a fort of fetid odour intermediate betwixt that of the fwcat and urine. This vapour, after colledion and condenlation in convenient veflels, partakes of an aque- ous nature, with fomcwhat of an alkaline quality. CXXXVII. After this vapour has diffipated, the blood of a healthy perfon fpontaneoully congeals into a fciffile trembling mafs ; and with a lefs degree of heat than that of boiling water, (viz. 150 deg.) This toughnefs is greater in feverilh perfons than in fuch as arc in health. It fomctimes coagulates in the veins of a living perfon, and is found clotted in wounds of the arteries. But even within the veffcls of a living perfon, and in one dying of a fever, the blood has been feen, by the violence of that diftemper, changed into a con- creted tremulous jelly throughout all the veins. The principal part of this coagulated mafs is the craffameri' turn or cnwr, which has the red colour peculiar to it- felf, and gives it tothe other parts of the blood. This, if it be not kept fluid by the attrition of a vital circula- tion, or fome fimilar concuflTion, runs confufedly into a compa^, but foft mafs, like liver, merely by reft and a moderate degree of cold j as it alfo does by the addi- tion increafes a little from an augmentation of heat in the atmofphere ; but it does not rife to the gi'eatcft pitch of fummer-heat, although we can live in a much greater heat ; as is proved by perfons em- ployed in fogar houfes, melting furnaces, by mowers, and the ufe of tiaths and (loves in Finland and Ruffia; and alfo by the late ex- periments of Fordyce, Blagden, Hunter, and Dobfon. It 13 ifometinies fo dimlnifhed in an intenfe cold, that in a perfon froft- bitten, but not dead, a thermometer applied to the mouth, arm- pits, groins, and even the vagina, would not rife above 76° of Fahrenheit. But is the matter of beat in the blood alone ? It is fufuciently probable from phenomena; fince the heat of the body 16 diminifned by hemorrhagy, or when the blood Is intercepted by ligature and comprtffion from reaching the joints; it being re- ilored when the blood returns. I muft: obferve, however, that my experiments on living animals, particularly upon fvvine, did not difcover fo great a difference as might be expefted, betweea the heat of the heart, the arteries, veins, brain, tlomacb, inte^ llinea, tunica vaginalis, aad even the interftices of the cellular tes- luie in the muicles. Chap.VI. blood. 79 tion of alcohol, by mineral acids, or by a heat of 150 degrees, of which 98 is the blood's heat in robufl: people. It is, either as a fluid or a folid, fpecifically heavier than water by near an eleventh part; and, when freed from its water, it is wholly inflammable. In a mafs of healthy blood, one half or upwards is red cruor: and, in ftrong laborious people, the ferum makes only a third part ; and is ftill more diminifhed in fevers, often to a fourth or fifth part of the mafs. CXXXVIII. Another white, fomewhat yellowifh part of the blood, feparates from this coagulum, tranfuding, as|it were, through its pores, and at lafl: be- comes a quantity, in which the coagulum finks : this again feems, though not really fo, a homogeneous li- quor. This part of the blood is, in general, one thirty-eighth part heavier than water, and almoft a twelfth part lighter than the red globular mafs of craffamentum : this too, by a heat of 150 deg. or by mixture of mineral acids or alcohol, and by a concuf- five motion, is coagulable into a much harder mafs than the red cruor (CXXXVIi.); and forms an indif- foluble glue, a flefh-like membrane, which at length (hrinks up to a horn-like fubftance, or friable gum. From thence are formed the pleuritic crufts or f^ins, polypufes, and artificial membranes. Befides this coagulable albumen, fimple water, of which there is the greateft portion, is latent in this ferum; and like- wife a quantity of mucus, lefs capable of being drawn into threads than the red cruor; nor at the fame time coagulable, like the albumen, by heat and acids ^^ CXXXIX. But by putrefadion only, or the diflbl- ving power of the air hot to 96 deg, equal to the blood*s natural heat, the whole mafs, but efpecialiy the ferum, dilfolves or melts into a fetid liquor; firft the ferum, and then the cruor more flowly; till at length F 4 the ^^ Haller has elfewhere properly remarked, that tbe received opinion of the elements of the blood is not hurt by Hewfon's dif- covery of a fecond kind of lymph, which Kraufius has alfo allowed. So BLOOD. Ckap.VI. the whole'mafs, both of ferum and cruor, is turned into a volatile and fetid exhalation, leaving very few feces behind. The blood being a little diifolved by putrefaction, and even before that, becomes fetid ; with the fetor it afl'uines an alkaline nature ; and cfFervefces with acids. This property it afterwards, lofes, the alkaline fait being deftroyed by putrefac- tion. The putrid blood cannot by any art be infpif- fated, as it is alfo very difficult to be refolved after it has been coagulated by fpirit of wine. By too fevere exercife, heat, and malignant diforders, the cohcfion of the blood is diifolved, and it aifumes an alkahne nature almoft as if from putrefaction. CXL. Beiides thele parts of which the blood ap- pears to confift, without fubje6ling it to any violence, it contains in its fubftance a quantity of/ea/ak, which is difcernible to the tafte, and fometimes vifible by the microfccpe. That there is earth in the blood is de- monftrated from nutrition ; and from a chemical ana- lyfis, whereby the earth appears to lodge in the mod fluid, and efpecially in the oily parts of the blood. By fome very late experiments, it appears, that a con- fiderable quantity of ferruginous earth, eafily reducible into metal by the addition of phlogifton, is contained in the blood when calcined, Laftly, another part in the blood is air in an unelaftic ftate , and that in a very confiderable quantity ; the exiftence of which air in the blood and ferum is proved by their putre- fadion and diilillation, or by removing the ambient air from them by the pump. But we are not to think, from hence, that the blood -globules are bubbles full of air, for they are fpecifically heavier than the ferum. CXLI. By the admixture of neutral falts the colour of the blood becomes deeper and brighter, without being either diflblved or thickened. It is fcarcely altered ^^ With the fame propriety we mention the eledric fluid; which, as it is communicated to us by refpiration, we fliall britfly coufider in the 8th chapter, along with that inelaftic gag, V/h«ch H^s become fp famous in our time. CiiAr.VL BLOOD, 8i altered by a weak acid. By fermented liquors it is coagulated. Fixed alkaline falts have almoll: the fame cffccls as the neutrals. The volatile alkalis rather turn it brown, and coagulate it. Alcohol and dif- tilled oils, and hkewife vinegar, coagulate it. Ir does not efifervcfcc with any fait. CXLII. Chemiflry has, in various ways, fhowed us the nature of the blood, (i.) When freih drawn, be- fore it has time to putrefy, the blood, didilled M'ith a flow heat, yields a water to the quantity of five parts in fix of the whole mafs ; which water has litle or no tafle or fmeli till you come towards the end of the operation, when it is proportionably more charged wiih a fetid oil. (2.) The refiduum expofed to a ftronger fire, yields various alkaline liquors ; of which the firft, being acrid, fetid, and of a red- difh colour, is ufually called the fpirit of blood ; confiding of a volatile fait, with fome httle oil, dif- folved in water to the amount of one twentieth part of the original mafs of blood. There is an acid obfervable in the fat, and likewife in putrid fiefli and blood, (g-)^ \it.i\e before, and together with the oil, that next afcends in the diftillation, dry 'volatile Jalt arifes, and adheres in branchy fleeces to the neck and fides of the glafs ; and this in but a fmall proportion, iefs than an eightieth part of the firft mafs. (4.) The next liquor is that called oil of hu- man blood, which afcends gradually thicker and heavier, and is at firfl yellov/, afterwards black, till at lad it refembles pitch, being very acrid and in- flammable, but in a fmall quantity, about a fiftieth of the whole mafs. (5.) There now remains, in the bottom of the retort, a fpongy inflammable coal or cinder of the blood; which, being kindled, burns away, and leaves aflies behind. From thefc, by lixi- viation w^ith water, is obtained a mixed fait ^ partly fea- falt, and partly fixed alkali, together with a fmall quan- tity of fixed earth. This fixed fait is fcarce the five hundredth part of the firft mafs, and of this only one 2 fourth 82 BLOOD. Chaf.VI. fourth part is alkaline : but being urged with the moft intcnfe degrees of fire, the whole fait affords fome por- tion of an acidjpirit; which we judge to arife partly from the fea-falt in the blood, fome of which is de- monftrable even in the fpirit of blood; and partly from the vegetable kind of the aliments, not yet di- gcfted into an animal nature. For which laft reafon, an acid is procurable from the blood of graminivo- rous animals as well as from that of man. But the earthj feparated from the lixivium by filtration, will, perhaps, make about an hundred and fiftieth part of the original mafs ; and contains fome particles which are attraftcd by the loadflone. CXLIII. From the preceding analyfis of the blood, it evidendy contains a variety of particles, differing in bulk, weight, figure, and tenacity ; fome watery, others iriflammable, and mofl of them inchned greatly to putrefaction or to an alkaline nature. For the blood, in a found healthy ftate, not injured by putre- fadion, or too violent a degree of heat, is neither al- kaline nor acid ; but mild or gelatinous, and a little faltilh to the taffc : yet, in fome difeafes, it is fharp enough, and comes near to a ffate of putrefaction ; as for inftance, in the fcurvy, where it corrodes its con- taining velfels ; and in dropfies, the waters of which are often next to alkaline. But an alkalefcent calx is found in the blood of infeds, which effervefces with acids. CXLIV. By viewing frefh blood in a fmall glafs tube by a microfcope, or by applying the fame inftru- raent, while it is yet moving in the veins of a warm living animal as a hen-chicken, or a cold one as a frog, we perceive in it red globules ; which, doubdefs, make that part called cruor or crajf amentum^ mentioned in CXXXVII. If it be queftioned, whether thefe are not rather lenticular particles of the fame kind with thofe obferved by Leuwenhoek in fifh, and lately dif- covered in our own fpecies ; we confefs it is a point difficult to determine : nor have I ever made a fufli- cient Chap. VI. BLOOD. 83 cient number of microfcopical experiments on thofe globules which feem mod denfe and conevx. CXLV. The colour of thefe globules is red ; and fo much the deeper and more inclined to fcarlet the ftronger the animal is : and in the fame proportion their number increafes, when compared with the quan- tity of yellow ferum. Their diameter is very fmall, being between ^oW and toW of an inch. They are faid to change their figure into an oblong egg-like lliape, which I could never obferve with fufficient cer- tainty. They are alfo faid to difTolve into other leiTer globules of a yellow colour, which I have neither ob- ferved myfelf, nor can eaftly admit, CXLVI. From the red part of the blood, fibres are generated in abundance ; from the ferum, in fmaller quantities. They are procured by pouring the blood, into a linen cloth, and wafhing it gradually with a great deal of water, or by beating it with a rod. In quantity, they equal the 28th part of the whole mafs, Thefe are formed of the gluten, and are not generated in a living animal ; feeing they are neither to be per- ceived by the microfcope, v/hich fo eafily renders vifible the red globules, nor yet does their long thread-like figure feem adapted for receiving motion. CXLVII. From the preceding experiments com- pared together, arifes that knowledge which we at prefent have of the blood ; namely, that the craffa- mentum or cruor is compofed of globules. The in- flammable or combuflible nature of thefe globules is proved from dried blood, which takes flame and burns ; as alfo from the pyrophorus, which is gene- rated from the human blood : and from thefe mofl probably arifes thegreater part of the pitchy oil that is obtained from blood by the violence of fire. CXLVIII. The ferum of the blood diiUlled with a ff rong fire, gives over almofl the fame principles with the cruor, viz. fait, oil, and earth. It yields, however, much more water, but no iron at all. Similar prin- ciples, but with alefs proportion of oil and fait, are 2 obtained 84 BLOOD. Chap. VI. obtained from the aqueous humours prepared from the blood; as the faliva and mucus. CXLIX. The exad mafs or quantity of blood con- tained in the v;hoie body cannot be certainly com- puted. The weight of the mafs of humours, how- ever, is much greater than that of the folids; but many of them do not flow currently in the circulation, as the glue or jelly that lodges in moft parts, and the fat. But if we may be allowed to form a judgment from thofe profufe hemorrhagies^° that have been fuftained without deflroying the life of the patient, with experiments made on living animals by drawing out all their blood, joined with the bulk of the arte- ries and veins themfelves: from thefe principles, the mafs of circulating humours will be at leaft fifty pounds; of which about 28 will be true red blood, current in the arteries and veins; of which the arteries contain only one fifth, and the veins the other four*^'. CL. Nor does the blood always contain the fame, or a like proportion, of thofe elements or principles above-mentioned : for an increafed celerity, whether by laborious and ftrong exercifes, a full age, fever, or otherwife, augments the cralTamentum, with the red- nefs, congealing force, and cohefion of the particles; and the hardnefs and weight of the concreted ferum with the alkaline principles, are by the fame means increafed. On the other hand, the younger and lefs active the animal, and the more watery or vegetable the diet on which it is fed, the craffamentum of the blood *° The bodies of fome women, who had died of an uterine he- morrhagy, have bten fent me, whofe blood, to the quantity of 26tb, was found by chance colleded in a veflcl: there appeared the greatetl palenefs over the whole body, aud I found the heart and large arteries and veins completely emptied. In the cafe of a female criminal who was executed, being of a plethoric enough habit, 24tb of blood were coUeded, and all the vcffels found quite empty. ^^ Haller has changed this proportion, and indeed he has come nearer the truth ; to wit, he has allowed four pans to the arteriesj and nine to the veins. Chap. VI. BLOOD. 85 blood is proportionally leffened, and its ferum and mucus increafed. Old age, again, leffens the crafla- mentum and the gelatinous part likewife. CLI, From thefe principles, but with a conjund confideration of the foiid fibres and veffels, the differ- ent temperaments of people are derived*^*. For Aple- thoric ** The theory of the temperaments of the human body, in the fenie commonly recived by phyficians, and taught in the Ichools, the received divifion of them into four fpecies, and their repeated produdion from the different nature and mixture of the blood, lavours-too much of the ancient and particularly of the Galenical doArine. I thinkthere can be'no doubt, that there are tempera- ments; and that the manner and rule which nature follows in man, and likewife perfedl animals, may be obfcrved in the performance of the corporeal and mental functions, in either prefervingf or en- dangering the health and life, and in the exercife of moll of the duties and affairs of life, and in the actions of the incernal and ex- ternal parts, which arc; more or lefs conneiSed with the fafcty of the animal. If, therefore, one would wi(h to give any fpeclfic name to this different relation and determination of the parts of our body, when once communicated with the fyftera in general, as you would do to any plant, or other particular natural body, and to keep the ancient denominations fangulneous, choleric, phlegmatic, and melancholic, in preference to all others, he mult be aware, that, neither the various habits nor temperaments of mankind can originate folely from the different nature of the blood, nor all be comprehended under thefe four modifications. With refpeft to the caufca of diverfity of temperament, there are many which co-operate, (i.) The various quantity, firmnefs, and fentient faculty of the nervous fyftem, from the brain communi- cated to each nerve. I have always obferved a choieric, and cho- lerico-fanguineous difpofilion, in all perfons having a large brain and thick ftrong nerves, along with a great fenfibility as well of the whole body as of the organs of fenfe. Hence arifes a ready apprehenilon of objeAs, and an increafe of underlianding and knowledge, and, owing to the comparifon of many ideas, an acute and entire judgement, which choleric perfons pofTefs in fo eminent a degree; but along with this condition of the nerves, they are ex- cefiively liable to grief and anger, when the body or mind is but flightiy afFe6led: and ou this account medicines fhould be cau- tioufly given, and lefs dofes prefcribed to them. With a fmall brain and {lender nerves, I iiave obferved the fenfea more dull, and a phlegmatic or phlegmatico-meiancholic torpor conjoined. Therefore they require from external objecls flronger impreffions upon the organs of fenfc, and longer applied, if they are meant to leave U BLOOD. Chap. VI. tboric or /anguine habit arifes from an abundance of the red globules ; a phlegmatic temperature from a re- dundancy of the watery parts of the blood : a choleric difpofition of the humours feems to arife from a more acrid, acid, and alkalefcent property of the blood; as appears leave lafting effects : hence their judgment is frequently weak oa account of the defeft of ideas; and they feldom acquire any exten- five knowledge : but nature has compenfated thefe difadvantages, by makinj5 them more able to undergo bardTnips from change of climate, life, or labour ; tbey demand more powerful medicines and larger dofes. What a great difference in man and the cetaceous animals! (2.) The various degrees of irritability in the mufcular parts. For wherever you find a very delicate irritabiUty, affected by almoft every ftimulus, and retaining lafting inripreflions, and at the fame time afting with a certain celerity ; in that cafe you cannot doubt of a choleric difpofition : hence that remarkable ftrength ia the mufcks of fome perfone, which acls with fo incredible quick- nefa, difpatch, and conftancy. On the contrary, if you examine a phlegmatic perfon, you obfcrve the contraftile power of the mufcles languid, difficultly yielding to ftimuli, unlefs powerful ; lince the mufcles of phlegmatico-roeiancholic men are long of be- ing determined to motion, although ftrongly excited, and finifh it with an appearance of languor. (3.) Even a certain foftncfs is obfervable in all fibres and membranes, if you touch the body of a phlegmatic perfon ; or a fecming hardnefs and drynefa in melancholic habits : along with which particularities the phleg- matic join lefs eiafticity ; whilit in the melancholic there is a greater tone and contraftile power. (4.) There is in the air, un- doubtedly, a certain eledrical principle; which being by refpira- tion communicated in different ways with the body, imparts a natural tone to the fibres, occafioas a quicker motion in the vcfTels, and increafes and diminifhes by turns the alacrity of the mind. But as this principle of atmofpberic air does not prevail in equal quantity every hour of the day, all times of the year, and in every climate ; fo fometimes, we feel an univerfal laffitude, which fuddenly ceafcs, the ftrength of the body and mind being reftored with a ferene and claftic air; fo in like manner all men do not equally abforb this eleftrlc matter, which thus forms a re- markable diverfity of temperament. (5.) We ought too to com- bine with tbefe the various nature of the blood from the propor- tion of the elements : and in fa£t, as greater ftimuli in the blood excite the heart to brillier contradions ; fo a more acrid and co- pious bile may effcftually promote the periftaltic motion, and the abundance of mucus occafion a tendency to lentor and frequent catarrh*. Now Chap. VI. BLOOD. 87 appears from thofe who live on flefii, and on the hu- man fpecics, being fo much fiercer and more paf- fionatc than thofe who live on plants or on vegetable food. In the folid parts, a great firmnefs joined with an exquifite fenfibility, or nervous irritability, difpofes to Now, we fee we have fufficlent cavifes, which from our birth may bring on, in the firfl; growth of the parts of the body, an irre- vocable deterraination to this or that habit or temperament. I therefore can fcarcely admit a complete tranfmutation of tempera- meat, which, during the exercife of thefe natural laws, could render a purely choleric perfon phlegmatic : But that feme cliange may take place in temperaments, that violent attacks may be miti- gated, that lentor, torpor, and liltleflhefs may be increafed, I readily agree; and from the remedies by which fuch a change may be pro- duced, I form a fecond clafs of thecaufes of temperaments. The chief are, ([.) A different kind of meat and drink. An animal diet adds a great ftimulus to our ftrength, invigorates our fenfes, and fometimes induces ferocity ; as is evident from the Anthropophagi, carnivorous animals, wild beads and their whelps, and hunters, particularly if the abufe of aromatics, wines, and medicines has fupervcncd. Vegetables, ori the contrary, increafe the lentor of the fibres, weaken the ilrength, dimmifh fenfibility and irrita- bility; in a word, induce a phlegmatic difpofition; in which po- tatoes have a wonderful effeft. It would be of great confe- qucncc to pay regard to this in the bringing up of. children, viz. to invigorate the inertia of the mental and corporeal faculties by the ufe of animal food, but to temper the vehement paffions, peculiar to choleric perfons, by ufing amongft food a good deal of vegetables. (2.) The particular mode of education, examples. It need fcarce be infilled on of what influence thefe are po{reff;:d, particularly in infancy : hence it happens, that whole nations are of one temperament. (3.) Climate, weather, native country. Rarely in an unfettled climate or country, in hot climates, or in moift countries, will you find in choleric perfons that alacrity of temper, agility of body, and quicknefsof underftanding, whicix 18 fo common in a ferene and temperate heaven, and high billy countries. (4.) The increafe of knowledge, 1 have often ad- mired that change which a Ifrenuous induftry produces in fome of the moft dull men; fo that with the increafe of knowledge, they became of a more cheerful temperament. (5.) Abundance and want of neceflaries, both in life and for the purpole of for- warding improvement. For this reafon it may happen, that ac- cording to the diverfity of the form of government, whether under mild or more tevere and tyranical laws, the temperament of the fubjeft may be either lively or languid. (6.) The fort of life itfelf, intercourfe with men, and public employment, may 88 BLOOD. Chap.VL to a choleric habit; a kfs irritability, with a moderate denfity, to a fanguinc habit; and a lelTer degree both of denfity and irritabihty are to be referred to a phlegmatic temperament. Tiiere is alfb a kind of dull heavy temperament, in which there is the greatefl: ftrength may have a great fhare in changing temperaments; fince rarely after the 36th year of a man's life do you find the blood ftill pure; and rarely a choleric perfon, who, after 50 years, has pre- ferved hia former alacrity. It is difScxilt to fay into how many fpecies temperaments /hould be divided, and what kind of cha- racter fhould be afiigned to each, according to nature and not con- jeflure. I doubt, I may not be more fuccefsful than the celebrated. Kaempfius and Gerre(hemiu8, as I exhibit the firft; lines only. The fanguineous and phlegmatic temperaments, fcem with various in- termedia to comprehend all modiiications. (t.)Then, the fan- guineous, which isinconftant and not well fpecified, is diftinguiflied by a vivid colour of the face : the vefTels are full ; and hence for the moft part they take ill v,rith external heat ; they are pre- difpofed greatly to inflammable difcafes ; they have a great fhare of fenfibility and irritability, wliich all therefore indicate a defire of pleafure in this temperament, and the greateft inquietude both, of body and mind prevails: they arc talkative; abide not long with any occupation ; they are eafily feduced, and contraft an intimacy with every body; but they foon forget their friends, ftiowing a certain diffidence to all of them ; they feldom meddle witb affairs of any confcquence, and rarely acquire proficiency in the fciences, unlef^ in an a vanced age. (2.) The fangui- neous-choleric enjoys a better mixture of caufes ; it has the fup- ports of health and cheerfuinefs along with the former, but has perfeverencc in common with the choleric. (3.) The choleric: Here you will always obferve the body tender, though not ema- ciated and dry as is the cafe with the melancholic; the (l fhatic by a better appellation. This gelatinous part of the blood the fmallefl arteries depofite into various, not all, the cellular places of the body ; it is found particularly betwixt the tunic and parenchyma of the bowels, under the integuments of the body and its cavities, in the very cellular fubftance of feverai of the vif- cera, and in the fyftem of the lymphatic veffels. The fecond clals comprehends fuch liquors as are manifefHy compofcd of a different mixture alone of the liquors of the firfl: ciafs, and when mixed have in part fomething proper. The tears ifTue from a double fountain : the milk conlifts of the very chyle of the food, of fome faliva, oil, and fat, and a good part of the iyraph : the compoiitioa of the bile is a great quantity of the Xalivarjf IT2 SECRETIONS. Chap.VIIL vaginal tunic of theteflicle, of the amnios '^^ joints, and probably of the womb, with the juice of the ftomach and inteftines,ofthe renal capfules, and laftly the lymph itfelf commonly known and called by that name. CLXXXIX. Tht fecond chk is thofe of juices; of which fome are exhalable, like the former (CLXXX.), but being more fimple and aqueous, are neither to be coagulated by fire nor by redified fpirits of wine ; and others do not exhale, but, being depofited in their refpective excretory duels, are expelled by fome com- inon outlet, proper to a part of fome gland. To the former of this clafs belongs the perfpirable matter of San6tonus, part of the tears and watery humours of the eyes. To the latter of this clafs belong the re- maining part of the tears, the faliva and pancreatic juice, that of the renal capfules, and the urine. The fweat feems to be a mixture of the perfpirable matter and the fubcutaneous oil. CXC. The t/jird clafs, differing from both the pre- ceding, includes the vifcid, iluggifh, or ropy juices; but fuch as are of a watery difpofition, and not con- gealable into a jelly, but hardening into a crufl-like or fcaly fubflance, by exhaling their water. Thefe do falivary liquid, a good deal of oil, a little mucus, and a fingular balfamic bitter and ftimulating fubftance : the liquor in the joints is nnanifeftly mixed with oil, lymph, and fome part of a fa- ponaceous liquor : the liquor of the proltate gland is mixed with chyle, mucus, and lymph. We have not yet a complete know- ledge of the nature of the femen, at leaft it Is not to be referred to the mucus folely ; although, that it contains rauccs of a very- mixed nature, is fufBciently demonftrated from its peculiar and fpecific fmell, its gravity, and the animalcula it contains. My third clafs comprehends fome hypothefes, moftly referring to fluid bodies, whofe nature and dilpofilion ftill is a myftery to lis. To this head I refer the eleftnc matter of animals, mag- netifm, nervous principle. ^^ As we do no find that nature of all coagulable liquors con- ftant, their pafling to a thick gelly, but are often found like aqueous ones; fo it by no means univerfally holds of the liquor amnii; for by my ovi'n experiments I am certain, that it often evaporates like waterj without any appearance of gfHy. Chap. VIII. SECRETIONS. 115 do not effervefce with any fait, and are contraded and made thicker by acids. By lixivial falts they are diflblved. By fire they are refolved into water, a little volatile fait, and a little oil. OF this fort is every kinds of mucus in the body, which we find fpread through all the internal paflages, whether de- flined for the tranfmifTion of air, aliment, or urine, and the cavities above the parts of generation j to which fort may be added alfo the femen. CXCI. The fourth and laft clafs is that of the in- flammable juices, which at their firft formation are in- deed thin and watery, but, by time, ftagnating and exhaling their more watery parts, become a thick, oily, inflammable liniment, often very bitter. To this clafs we refer the bile, ear-wax, febaceous and oily liniment of the fkin, the marrow in the bones, and all the fat of whatever confiflence or in whatever part feated throughout the human body. To this clafs alfo belong caflor and the yolk of an egg. And the milk itfelf, fo far as it is butyraceous and inflam- mable, belongs to this clafs. CXCII. Other humours, which we have defcribed as fimple, are compounded of the foregoing ones ; as milk is compofed of butter and water, and the hni- ment of the joints of lymph and fat. CXCIII. Thofe who confider that in the blood are found a coagulating ferum (CXXXVIL), an exhaling water (CXLIL), a fort of vifcid mucus (CXXXVIII.), and laffly an oil (CXLIL), may perceive the poflibi- )ity to feparate from the blood all the foregoing claffes (CLXXXVIII. to CXCI.) of humours; in as much as we thus fee their conflituent principles are already in the mafs of blood itfelf. But in what manner it is brought about, that oil is feparated from the blood in one part, a watery liquor in another, or a gummy mucus in a third, is a queftion that ftill remains to be explained, and requires a previous defcription of the fecretory organs themfelves. CXCIV. The coagulable juices are feparated almofl i!4 SECRETIONS. Chap.VIIL every where, from the arteries themfelves, into conti- nuous excretory canals, without any intermediate or- gan or machine betwixt them. The proof of this we have from injections of fi(h-glue, water, and thin oils, which very readily pafs the red arteries, and are pour- ed out like fweat into all the cavities of the body, in wdiich that coagulable vapour is naturally found; nor do the injedions in this courfe meet with any inter- mediate knots or ftops from any hollow cavities or cells. Finally, the blood itfelf, being fo readily poured out into mod of thefe cavities, without any permanent damage, when its courfe is either much obftrufted, retarded, or urged with a greater impetus through the arteries, fliows plainly that there is a fliort and open way betwixt the red blood-veflels and thofe excretory dudls. CXCV, Another liquid, coagulable by acid fpirits and alcohol, is the albuminous humour of the joints. This being compofed of fat, medullary oil, and the exhaling liquor, conftitutes an exceeding foft lini- ment, very fit for lubricating the cartilages, and lef- fening the friftion. For fecreting this, there are appointed certain conglomerate glands of a peculiar ftrudure, which are fituated in the articulations of the bones, fo that they may be moderately comprefled, bur cannot be crufhcd. CXCVI. The ftruaure of thefe glands is pecu- liar to themfelves. The larger clufters of glandular -kernels adhere, for the mod part, to the bone, by a broad baiis wrapped up in fat. From thence, being drawn out into a kind of crefted edge, they pour out their liquor from an exceedingly thin border, by open duels, which however I do not find very evident. Other lelfer ones, placed every where in the capfules, of the tendons, and between the diverging fibres ot the ligamentary capfules of the joints, feem to be much of the nature of fimple glands, and are turgid with yellow mucous ferum. CXGVII. The uncoagulable juices (CLXXXIX.) of Chap. VIII. SECRETIONS. T15 of the firft fort are fecretcd in the fame manner with thofe which harden (CLXXXVIII.); to wit, from the exhaling arteries, which arife from the red fanguine- ons arteries, without any intermediate follicle or ca- vity betwixt them. Thus the vt- ffels, which pour out the perfpirable matter through the (kin and lachrymal duds of the firft fort, fufFer a watery or thin gluey injedion to tranfude fo readily from the arteries, as leaves no room to doubt of this truth. And thefe fecretory dufts have aifo a confiderable degree of irri- tability ; whence, by any ftimulus or contact of acrid particles, they difcharge more juice in a given time than what they diftil in a (late of health. CXCVIIL But in the latter falival kind of that clafs, the fecretion is made by means of conglomerate glandules, which the ancients fo called from their cluftcr-like fabric, and efteemed almofl the only proper glands. Thefe are compofed of roundifh lo- bules or clufters (fomewhat like thofe in bunches of grapes, currants, barberries, &c.) loofely conjoined together into larger maifes by the yielding cellular fubftance, which, at laft, often forms a denfer coat or covering to the whole, fuch as we fee in the paro- tid and maxillary glandules. Through the intervals betwixt thefe glandular clufiers or grape-like bunches, run the arteres and veins, which are here large or confiderable enough. But mod of the conglomerate glandules feparate their juices in fuch a manner from the blood, and from thence difcharge it fo, that each kernel fcQds out an excretory duft ; v/hich, joining with others of the fame kind, form larger trunks, which at laft, in the manner of a vein, end in one canal, which conveys the humour, feparated by the gland, to the part for which it is defigned, as the cavity of the mouth, inteltines, furface of the eyes, &c. There are, indeed, fome of thefe glands in which the faid ex- cretory ducts are either not prefent, or at leaft not yet difcovered ; as we obferve in the thyroidea! glandules, thofe called capfulcs renales, and the thymus, unlefs we ji6 SECRETIONS. Chap-VIII. we fuppofe thefe to approach to the nature of con- globate glands '^^. CXCIX. The acini or kernels of thefe conglome- rate glands are each of them circumfcribed and limit- ed by a harder ftratum of the cellular fubftance ; by which fubftance they are alfo fubdivided into lefs acinuli, '^^ All phyfiologifts and anatomifts talk of the glands, as bodies which, by reafon of a peculiar fabric fuited to their fundions, differ from the other parts of the body, as arteries, nerves, rauf- cles, bonesj Sec. ; and for thegreateft part are endowed with the faculty of iecreting. Under this name of gland conse many bo- dies, though they are infinitely different : but you every where find the utmoft confuiion, an illicit commixture of organs, which, it is evident fhould be feparated from each other; and fo great an uncertainty in the defcription of things, that unlefs you feparate the true from the falfe, the probable from the improbable, you fcarcely know what really deferves the name of gland. For nobody will be fo ignorant of anatomy, who, if he confiders all thefe things with a imzW degree of attention, will not immediately fee, that the name of glands is received in the mofh ample fenfe. It is evi- dent, that the m-ammEE, furnifhed with true glands, diftinfl pa- pillse, and real excrttory duds, in which they convey a certain liquid to the furface of the body, have little relation to the glan- dula thyroidea, deftitule of papills, excretory duft, and liquor; neverthelefs the name of gland has been conferred upon that fame body equally as upon this lalt. Indeed (everal authors cf later times have agreed, that in glands there is a natural difference, as they fay; fo that they conltitute one clafs of conglobate, and the other of conglomerate; to the former, referring thofe bodies of glands in which no diftinft pa- pills appear ; to the latter, thofe which are furnifhed with real papiilsE. But that diftindion feems to me to come nearer nature, if the glands are ranked, according to the funftion of fecreting, to conliitute two clafles ; one of which comprehends the vi^hole feries of glands, fecreting a true and known liquor; the other contains the genera and fpecies of the glands, whofe liquor and mechanifm of fecretion is either not fufficiently clear, or only fiditious. Into the firft clafs, therefore, deferve to be placed all the true falival gUnds or other conglomerate ones; as the parotid, maxil- lary, lingwal, lachrymal, thofe of the cheek, mammary, the pan- creas, Brunner's, andPeyer's ones of the inteftines, Havers's ones of the jo-nts, and an infinite number of cutaneous ones : For it is com- mon to all tl'.efe, the feries gradually diminifhing, to be formed from Jefs portions; the leall of which, marked by ihs name of papilLct fcarce /Chap. VIII. SECRETIONS. 117 acinuli, as is evident to the eye and by the micro- fcope. But it may be queflioned, How does this fub- divifion end? Whether or no is every fimple acinus or kernel hollow in its middle, that by receiving the humour tranfuding from the arteries into the follicle or cell, it may be fent out thence by the excretory du6i: ? Whether or no are we perfuaded to believe fuch a- fabric obtains from the fmali fhot-like flones and hydatides bred in thefe glands with the round fcirrhi that fometimes fill the kidneys? Whether are the larger vifcera, appointed for the fccretion, of the nature of conglomerated glands ? Whether is this opinion made probable from the morbid round con- cretions formed in the liver, fpleen, kidneys, tefticles, and cortex of the brain ; or from the bunch-like di- vifion or appearance which thofe vifcera have in younger animals? Whether the cellular fubftance, that furrounds the extreme vafcules in all parts, does not communicate by open areolae or cells, in which a fecreted humour is poured by thefe glandules? CC. In ihort, none of thefe arguments appear true or conclufive. For the acini, which are found in the vifcera of brute animals, are component lobules, and not elementary parts ; but are large and compounded for the conveniency of each bead. The morbid ccn- fcarce vifible however, confift of cellular fubftance, which com- prehends arteries, veins, and an excretory du6i, with an inter- mediate follicle or cavity. Thefe excretory dudls either open into a cavity with a fmall month, as in the intellines or fl and with a confiderable force, as appears from ex- periments made with empty or exhaufted velTels, and by the air-pump ; fo that its preffure on the human body is not lefs than 3000 pounds weight. It is re- pelled chiefly by the pores of the membranes, which yet are permeable by water : it hkewife penetrates oil or mucus with difficulty. CCXLVIII. This air is excluded from all parts of the human body by the furrounding clofe fkin, which, even when dried or tanned, is impervious to the air; but more fo, as under the fkin is placed the fat, making an equal refiftance to the narrow openings of the abforbing veffels. It, therefore, now remains for us to inquire, why the air enters the lungs of an adult perfon ; for with this they are in a manner con- ftantly full, and of courfe are equally preffed, and re- filling againft the weight of the whole atmofphere : but that the lungs always contain air, is evident ; becaufe, however clofe you comprefs them, they Vvill be flill lighter than water; and even in the foetus, after they have been inflated but a few times, they always fwim; whereas they fink to the bottom of water, if they have not given admittance to the air. CCXLIX. The equilibrium of the air's preflure being removed in any place, it confl:antly defcends or flows that way where it is lead refiflied (CCXLVIU) But air that is denfe and heavy will defcend more eafily than fuch as is light, whofe force fcarce over- comes that of the air which is already in the lungs, nor is able by the fame force to overcome the refift- ance of the bronchia, and force by which the lungs comprefs the air contained in them. Hence an ani- mal lives better in a denfe than in a light air : altho* that kind of air is always moft tolerable, which is pure at the fame time that it is light ; fuch as that of the higheft mouniains of the Alps. Therefore, for the air to enter the lungs, they mufl make a lefs refift- ance to it than before ; namely, the air, which is al- ready in the cellular fabric of the lungs, mull be ra- K 5 riiied : 142 RESPIRATION. Ch.IX. lified: but this effect will follow, if the cavity of the thorax, in which the lungs are contained, and which they exactly fill, be dilated. Thus the air, which is always in the lungs, expands into a larger fpace; by which, being weakened in its fpring, it makes a lefs refiftancc to the external air ; and confequently a portion of the faid external air defcends into the lungs, fufficient to reftore the confined and rarefied air, filling the lungs to the fame denfity with that of the external air, CCL. We mufl therefore defcribe the powers which dilate the thorax to produce this effect. The breaft or thorax is a fort of cage made up of bones, mufcles, and cartilages ; being almoil of the (hape of an oval tub, fomewhat compreffed before, but behind divided by an eminence, whofe hoops are the ribs, which are of a remarkable ftrength. In the lateral parts of this cage are placed the lungs; in the mid- dle and lower part lie the pericardium and heart ; after which it is taken up by fome of the abdominal vifcera. CCLI. The bafis of the thorax is formed by a co- lumn, a little crooked and gibbous on the upper and back part ; and likewife, in that part of the bafis which is uppermoft, the fame is very much behind the others, into which twelve vertebrae coalefce. Ihey coalefce, however, by the union of their bodies into a fingle column, which is prominent in the forepart between the two cavities of the breaft ; divides the right from the left ; and is plane in the forepart, and broad towards the fides. A flight finuofity re- ceives the ribs in that place where the arch feparates from the body. They are bound together into one colunm, as well by the elaflic plate interpofed between every two bodies and coalefcing with both, as by other ligaments and fpines lying upon one another, and the joining of the ribs, by which means no mo- tion can happen among them without the greateit difficulty. The fides of the breait are made up of twelve Ch.IX. respiration. 143 twelve ribs. Thefe are in general bent in the form of an irregular arch, having a great curvature late- rally and backwards, but extending in their forepart towards a right line. The bony parts of the ribs lie fufficiently parallel with each other ; the greated part of the rib is bony, round, and thick backward, but thin and fiat forward. The other part forward is com- pleted by a cartilage; which in general continues the figure of the rib, growing in a flat broad concavity of a nature different from the bony part, and which does not change into bone, unlefs in extreme old age. CCLIl. The pofterior and bony thick part of each rib terminates in a head ; along from which, in the body of the uppermoft and two lowermoft ribs, runs a ca- vity or groove, formed in the other ribs, betwixt , every two adjacent margins, which lie one towards the other. The vertebras are tied to the ribs by ftrong ligaments, of which the principal fpread from each rib like rays into the next adjacent vertebra, other ligaments tie the tranfverfe procefs to the tu- bercle of the rib, and others rie the ribs one to an- other and to the tranfverfe procelTes at the fame time. Moreover, betwixt the angle of incurvation and the jun(5lure v.'ith the vertebra, each of the ten upper ribs fend out a protuberance, which being articulated with the plain fide of the tranfverfe procefs of each vertebra, are fo tied by (hort and flrong ligaments to that procefs, that the rib has liberty to make a fmall afcending and defcending motion, but with a con- fiderable degree of firmnefs. CCLIII. Among thefe anterior cartilages, the feven uppermoft reach to the fternum, and enter into the lateral cavities which are incrufted with a cartilage in that bone, to which they are alfo made fad by fliort ligaments. Of the five remaining ribs, the uppermoft: is faifened to the feventh preceding, and that to the next lower, by a ftrong cellular texture, by which they form a continuous margin, which is at iail zii'o faflened to the fternum. The fame are connected to K 4 one 144 RESPIRATION. Ch.IX. one another both by proper ligaments, and cartilagi- nous appendices joined with them through the cellu- iofity : the two lowermoft are free, and connetled only with the mufcles. Thefe inferior cartilages are united to one another and to the fternum by flrong ligaments. CCLIV. The firft rib is the fhortefl, but more folid than any of the reft. As they follow in fuccef- iion to the feventh and eighth, every two and two ftretch themfelves into longer and more moveable circles. The eighth is the longeft of all ; and from thence, the lower down they are, they grow conti- nually fhorter. CCLV. The direction of the upper rib is defcend- ing ; but the fecond rib joins the fternum almofl in a right angle, while the others afcend both to the ver- tebrae and to the fternum, but more to the latter. But the bony part of the ribs is placed in fuch a di- rection, that the uppermoft have their fides in the forepart very much declined forward, almoft tranf- verfely. In the third ribs it is placed almoll perpen- dicularly ; in the middle ones, it projects a little out- ward in the lower part. Befides, the ftrength of the different ribs is very different. The uppermoft, being fhort, rather grow into the fternum than form a joint with it ; and being tranfverfe, and often as it were welded together, they make a very ftrong refiftance. From thence the mobility increafes downwards, till the loweft rib, adhering only to mufcles, has the moft eafy motion, CCLVI. The fternum in general is a thin fpungy bone, altogether one in adults, but is varioufly divided in the foetus. Irs upper and broader part rcfembles an octagon ; and is articulated with the clavicles, which are jointed very clofely with the triangular head of the fternum, and with the firft rib on each fide. The other part which is longer and narrower, grows broad downwards, and its lides receive the ribs each into its proper angular cavities. The lower part, which is leaer Ch. IX. RESPIRATION. 14^ lefler and fhorter, imitates the obtufe figure of a tongue. This is continued into a detached appendix, partly bony and partly cartilaginous, of a changeable figure, which they call the enjiform cartilage ; and which is found of various fhapes, fometimes being obiufe like a little tongue, fometimes pointed like a fword, fometimes cleft, and fometimes perforated. CCLVII. In order, therefore, to dilate the feat of the lungs, and thus to put the body in fuch a flate that the external air may rufh into the lungs, it is ne- ceffary for the thorax to be elevated. By this means all the feftions of the thorax form right angles, and its ca- pacity is increafed. This motion is performed by va- rious mufcles, which either operate conftantly or only at certain times. The intercoftal mufcles, therefore, all of them acl perpetually in elevating the ribs. By this name we underftand 22 mufcles ; of which 1 1 are external, or next the ikinj and as many internal, fe- parated from the pleura only by fat or cellular fub- flance. The begining of the outer intercojlals is at the pofterior articulation of the ribs (CCLII.) ; but the termination of them is in the anterior bony part of each rib, at fome diftance from the cartilage, in fuch a manner, that the remaining fpace betwixt the car- tilage and flernum to the mufcle is filled by a tendi- nous expanfion. The direction of thefe mufcles is fuch, that the fibres defcend obliquely forward, from the lower edge of the upper rib to the upper edge of the lower rib. And that their action is to elevate the ribs, all authors unanimoufly agree ; becaufe they thus defcend from the upper lefs moveable to the lower and more eafily moveable rib, in fuch a man- ner, that their lower point lies more aidant or re- mote from the hypomochlion, or point of motion, which is in the coftal articulation with the vertebras, confidering the rib as a lever. CCLVIII. But the internal intercojlals arife at fome diflance from the vertebrae, almoft at the outer tu- bercles of the ribs beforementioned (CCLII.) From thence 1^6 RESPIRATION. Ch.IX. thence they proceed as far as the fternum, into which the uppermoft of thefe mufcles are inferted above. The direction of thefe is contrary to that of the for- mer, except the anterior part of the firft or upper- molt of them; fo that they defcend from the lower margin of the upper rib backward, to the upper edge of the lower rib forwards. Therefore fome doubt of their action, becaufe their lower part is inferted into that portion of the rib which is nearefi: its articulation with the vertebrse, and which therefore feems to be the lead moveable : however, they elevate the ribs notwithftanding this; for the great firmnefs or immo- bility of the upper rib, exceeding that of the lower, is evident from the articulation, weight, and ligaments there formed, which furpalTes that mobility, arifmg from the greater diftance of the centre of motion. This appears from the difleflion of living animals ; in which we fee the inner intercoflal mufcles operate in the elevation of the ribs, and reft in the depreffion of them alfo from a flexible thread fixed to the rib of fome human fkcleron, and drawn in the fame direc- tion with that of the fibres of the inner intercoftal mufcles ; by which means the lower rib will be always approximated towards the upper. The greater firm- nefs alio of the upper ribs proves this, as they ferve for a fixed point to the lower ones : for the firfl or uppermoit ribs are from eight to twelve times firmer jind lefs moveable than the lower true ribs; but the difference of diftance in them from the centre of mo- tion, is fcarcely the twentieth part of the length of their whole lever. Laftly, the elevating power of the, internal intercoftal mufcles appears plainly by experi- ment in a dead fubjcct ; when, by the, thorax being raifed, the mufcles inftantly fwell. CCLIX. By the aftion, therefore, of thefe mufcles, the thorax is elevatedj not altogether as one machine, nor would refpiration be alTifted by fuch. a motion; but the ribs turning upon their articulations, though behind they are but httle moved, yet the fore-part of their Ch.IX. respiration. 147 their extremities defcends, and forms larger angles both with the flernum and vertebra ; but from thence in the middle of their arches, by afcending, their lower edges are drawn upward. At the fame time, the ilernum is thruft out forward more from the vertebras and from the ribs. Thus the ribs are both removed farther from the vertebrae, and the right ribs depart from the left ; and the diameter on both fides, betwixt the right and left ribs, betwixt the fternum and the vertebrcC, is increafed almoft to two lines : and therefore this enlargement, following in every imaginable fedion of the thorax, will fufficiently dilate the cavity of the bread. This adion of the ribs is more particularly complete in women, and in men who have no fhortnefs of breath. Thefe effecls are produced lead of all by the firfl: ribs, but more by the following ones, in very flrong infpiration, the ribs defcend both behind and before ; and, along with thefe, the fternum and the fpaces between the carti- lage are leflened. But this dilatation alone is not fuf- cient for healthy breathing : nor is it fo confpicuous or evident in men; although, in them, the intercoftal mufcles, by retaining and elevating the ribs, very nmch affiift the infpiration in a tacit manner, while they afford a fixed point to the diaphragm, that the whole force of that mufcle may be fpent, not fo much in depreffing the ribs, as in urging down the abdo- men. The greater part, therefore, of the fpace which the thorax gains in infpiration, arifes from the a6lion of the diaphragm. CCLX. By the diaphragm we underftand a mufcle expanded in a curvilineal plate ; by which, in general, the pulmonary bags are feparated from the abdomen in fuch a manner, that the middle and tendinous part of the feptum is nearly the higheft, and fupports the peri- cardium : its lateral parts, which arife irom the folid parts of the thorax and loins, are every where lower ; but the lowed of all are thofe which lie mod backward. The flefliy portions of this mufcle arife before from the inner 148 RESPIRATION. Ch. IX. inner or pofterior face of the enfiform cartilage, and from the feventh, eighth, ninth, tenth, eleventh, and apex of the twelfth, rib ; after which follows an interval, in which the naked pleura lies contiguous to the peri- tonaeum. From thence the mufcular appendices of the diaphragm, which are much the ftrongeft part of it, being coUefted on each fide into two, three, or four round mufcular portions, arife flefhy from the tranf- verfe proccfs on each fide of the firll vertebra of the loins, and from the fide of th« body of the fecond ; tendinous from the middle of the body of the fecond, third, and fourth, and with cartilages placed between them, always higher up in the left lide, but lower down in the right '^. CCLX). All thefe fibres (CCLX.), becoming ten- dinous, form the centre of the diaphragm, which re- fcmbles, in figure, an obtufe index of a fun-dial, ha- ving the middle of the larger angle fupporting the pericardiuni, while the lateral angles or wings de- Icend bac^Lward, the left being narrower than the right. 1 his centre of the diaphragm is more move- able and at liberty than the refh; except in the middle of its tendinous part near the flefliy margin, where the incumbent heart makes a refiftance -, but the la- teral parts and the flefhy portions belonging to them are the mofl moveable. The fibres of this tendon form a moft beautiful web, principally indeed on the upper part ; which flretches from the iiefhy part of each mufcle to the flefhy part of the oppofite one : thence remarkable inferior fafciculi are fent ofFtranf- verfely to the right and left, and alfo backwards, which hd portion is the uppermoft. CCLXII. There are two holes in the diaphragm ; of which that on the right fide of its tendinous part is fomewhat fquare, andcircumfcribedbyfour flrong ten- dinous 'J We muft not omit, in talking of the rife of the diaphragms two tendinous arches on each fide, made over the pfoas and qua- dratiis, from which fome {lender mufcular fibres come out, and are interfperfed among the mufcles of the feptum tranfverfum, produced from the relt of the ribs and part of the lumbar ver-. lebras. Gh.IX. respiration. 149 dinous portions ; the left, which is elliptical, lies be- twixt the right and left fleftiy portions, which arife from the middle of the bodies of the vertebras of the loins: under this opening they decuflate and crofs each other once or twice, but above they end in the tendon. This left opening is therefore drawn clofe together in the contra6tion of the diaphragm, while it is probable that the other opening remains im- moveable. The tendons are but little changed in the motion of the mufcles. CCLXIII. The ftrufture of the parts, and the dif- fedion of living animals, demonftrate, that the fiefhy portions of the diaphragm, which on all fides afcend from the firm parts to the middle and more moveable, do, by their contraftion, deprefs the fame, and by that means draw downward the lateral bags of the thorax, "which contain the lungs (LXXVIl.) ; and, by this means, the perpendicular diameter of the thorax is confiderably increafed. The flefhy parts are more deprelTed; the tendon lefs, both becaufe it is fixed to the pericardium, and becaufe its own fubftance does not contra£l. Even the oefophagus and vena cava are contraded, while the diaphragm exerts its action. So that the diaphragm almoft alone performs the office of refpiration in a healthy man who is at reft; as alfo in that thorax whofe ribs are fradured, or the fternum burfl, or where the perfon will not make ufe of his ribs by reafon of pain. The force of the diaphragm alfo, in dilating the breaft, is greater, according to the calculations that have been made, than all the reft of the powers which contribute to refpiration. A ft rong infpiration is as yet confined ; becaufe, du- ring the greatefl: exertion of the diaphragm, the lowermoil ribs are brought inwards, and thus far the thorax is ftraitened. Left this fiiould always happen, the intercoftal mufcles interfere in ordinary infpirations ; in very great ones they are inferior to the diaphragm. The phrenic nerve, which is more eafily irritated than in moft other mufcles, forces the 3 diaphragm 150 RESPIRATION. Ch.IX. diaphragm to perform its office. The lungs them- felves are altogether paffive or obedient to the aclion of the air, ribs, and diaphragm; to which they are prefled into clofe contaft on all fides, as through a large wound ; and when the thorax is denudated by the knife, leaving its capacity entire, the lungs appear through the pellucid pleura and diaphragm. CCLXIV. But in larger infpirations, which receive a greater quantity of blood driven into the lungs, and when there is any obffacle or difficulty oppofed to the a6lion of the lungs themfelves; in thofe cafes, feveral other powers confpire to elevate the thorax: v;hich powers are inferted either into the thorax, clavicles, or fcapulcs; fuch as the fcaleni mufcles, trapezii, cer- vicales defcendentes, ferrati fuperiores, and peclora- les ; together with the fmall elevators ; of which a more ample defcription may be had from profelTed fyftems of anatomy. CCLXV. We have now furveyed the powers which are able to increafe the capacity of the thorax in all its three dimenfions (CCLXIII. and CCLIX.) By thefe the cavity of the bread is dilated, fo that it compreiTes the lungs lefs than before: the lungs then itrive to difiufe themfelves over that fpace, feeing they are never deftitute of air, which expands itfelf by its elaflicity as foon as the prefTure is taken off. Without that mufcular force the lungs have no proper power of their own by which they are capable of at- tracting air: and even when they are mod full of air, by having the afpera arteria doled, the animal vehe- mently attempts to infpire, by the efforts of its inter- coftal mufcles and diaphragm. It therefore remains, that the air (CCXLVIL), which is a heavy fluid, and preffcd on all fides by the incumbent columns of the atmofphere, muft now enter the thorax with the greater force the kfs air the lungs contain ; or yet more powerfully, if they contain no air: but with no force at all, if the air admitted through a wound in the bread preffes upon the furfacs of the lungs. In 3 ^h'S Ch.IX. respiration. 151 this adlion, therefore, which is called infpiration, the bronchia are every way increafed, both in length and diameter ; becaufe all the diameters of the thorax are increafed : but in this ad, the inflated lungs al- ways follow clofely contiguous to the pleura without leaving any intermediate fpace. At the fame time, the pulmonary blood-veflels, which are wrapped up, together with the bronchia, in a covering of the. cellular fubftance, are likewife with them extended in length, and fpread out from fmaller into Jarger angles ; by which means, the circulation through them is rendered eafier. While this is perforniing, the veficular fubftance, or flefli of the lungs them- felves, filled with air, increafes thofe fpaces through which the capillary blood-veflels of the lungs ad- vance ; whereby the veficular preflure, upon each other, and upon thofe veflels adjacent, is leflen- ed: thus, therefore, the blood will flow with greater eafe and celerity into and through the larger and fmaller vefiels of the lungs. Hence a dying animal is revived by inflating its lungs, and facilitating the paflage of the blood to the left ventricle of the heart ; and thus people, feemingly dead by being kept a long time under water, are again recovered. But as for tha preflure of the air upon the blood in the lungs in this aftion, it is fo inconfiderable as not to deferve our notice, as being 300 times lefs than the force of the heart; nor can it ever urge the air into the blood, as it may be eafily forced by art with a fyringe. CCLXVI. It is by fomequefl:ioned. Whether there be not air betwixt the lungs and the thorax? and whether this air, being rarefied in infpiration, is not afterwards condenfed, fo as to comprefs the lungs, and caufe exfpiration ? And they again afli. Whether this opinion be not confirmed by the infl:ances of birds, in which we find this matter to be truly fo ''^} But "• By Camper's very elegant difcovery, it is certain, that air pafles into almoft all the long bones oi birds flying much in the higher 152 RESPIRATION. Ch.IX. But wc fee every thing concurs to confute this opi- nion : for, immediately behind the pleura, in living quadrupeds, as well as in dead human bodies, the lungs are vifible, without any intermediate fpace bewixt them ; but the pleura being perforated, the lungs are immediately, by the contiguous air that enters, prelTed together towards the vertebrae. In birds, indeed, the lungs, being pervious to the air, admit it into the cavity of the thorax through large holes in their fubftance. But in thefe there is a manifeft fpace betwixt the lungs and the pleu- ra. Large wounds, admitting the air only into one cavity of the thorax, diminifh the refpiration ; but fuch wounds as let the air into both cavities, quite fufl'ocate or fupprefs the refpiration. The tho- rax being opened under water, fends out no bub- bles of air through the faid water"; but in birds it does, becaufe they have air in their thorax. The ima- ginable fpace betwixt the lungs and the thorax is al- ways filled up by a watery or ferous vapour, or elfe by the fame vapour condenfed into a watery lymph. If the lungs adhere, they injure the refpiration but ia a fmall degree ; which ought entirely to ceafe, if ic required an intermediate air betwixt the lungs and thorax higher regions, into the cavity of the fternum, the vertebras, cra- nium, inferior maxilla, both from the lungs and tbrough the Euftachian tube, and goes from one cavity into another : fo ic does not feerr- improbable, that the fame may pafs out by the furface of the body. But in birds, who foar not fo high, the air gains admiffion through fewer bones. It is a pretty and fuffi- ciently agreeable experiment, to perforate the humerus or femur ; and the air inflated into the afpera arteria comes out at that foramea with the blood, v/hich it has changed into froth; and vice verfuy the air inflated through the hole diltends the lungs. In like man- ner, I have feen mercury injeAed into a foramen of this kind make its appearance in the lungs. ' ' Though it is my defign, neither to renew this difpute, nor to ftart one of my own, it will not be, however, fuperfiuous to men- tion an experiment which I have often repeated on dead born in- fants : as oft as 1 have opened under water the thorax of fuch children, not afFeded with any mark of putridity, I nevei obfervcd any bubbles of air appear. Cir.IX. RESPIRATION. 153 thorax. Finally, the external being admitted to any' of the internal iiv-rnbranes of the human body, de- flroys their texture, ii they are not defended by a plentiful mucus ; of which we can find none upon the furface of the pleura. CCLXVII. Iku refpiration, whether by the admix- ture of a fubputrid vapour, or by fome other method, certainly vitiates the air, and renders it unfit either for inflating the lungs or fupporting flame ; and lafily, it de- prives that element of its elaflicity. We may fuppofe that this happens from putrefadion, feeing the air is ren- dered peftilenfial by.a crowd, and fevers of the nioft malignant kind are thus generated in a. few hours. But in whatever manner this is produced, we are certain that the air is vitiated in the lungs; lofes its elaiticity ; and thus cannot keep the lungs diftendcd, fo as to tranf- rait an increafed quantity of blood through the dilated pulmonary arteries into the veins. Nor can the wnll dilate the breaft beyond certain bounds, or aflift that pafiage of the blood in an unlimited manner. A ftate of body therefore will take place, in which the blood cannot pafs through the lungs. CCLXVIII. Thus is generated a new refinance to the blood continually coming from the heart : and in long retentions of the breath, as in making violent efforts, the venous blood, efpecially of the head, ftag- nates before the right ventricle of the heart being fhut, becaufe it cannot evacuate itfelf into the lungs; and thus fwells up the face with rednefs, fometimes burfts the veins of the brain, neck, inteflines, kidneys, and laftly of the lungs, and right auricle of the heart. This occafions prodigious anxiety and uneafinefs to the fpirits ; this alfo is the caufe of death in compreifed air, in drowned people, and fuch as are flrangled, which is much more fudden than is commonly imagined. A living perfon therefore, that he may remove thofe in- conveniences which flow from an obitru6lion of the paf-_ fage of the blood, flackens the powers of infpiration^ Vol. I. Li and 154 RESPIRATION. Ch.IX. and excites thofe of exfpiration, which free the bread from an air too greatly rarefied. CCLXIX. Thefe powers are, firfi:, the elaflicity of the ribs, which being drawn upwards out of their na- tural fituation, as foon as the powers which elevated them ceafe to acl, fpontaneoufly place themfclves, fo as to make more acute angles with the flernum and vertebras. To this end conduces likewife the eladic force of the bronchia and veficles diftended with air, which ftrive to contract themfelves. Hence exfpira- tion is performed more eafily and quickly than infpira- tion; and hence it is the lalt action of dying people. CCLXX. To this alfo contribute the oblique muf- cles of the abdomen, together u-ith the firaight and tranfverfc ones. The former of thefe are, in one part of them, faflened to the lower ribs; and, in another part, they are attached to the os pubis and ilium, as a fixed point with refpect to the breail. Therefore the firaight mufcles, being contracted, deprefs the arch or convexity, into which the abdominal vifcera are thrufl by the diaphragm, and bring the fame nearer to a firaight line : at the fame time the abdominal o vifcera are prefTed by thofe mufcles upward and backward againft the diaphragm, which alone is able to give vv'ay; and yield up into the thorax, which at that time is rendered Ihorter. The oblique mufcles, for the fame reafons, comprefs the lateral parts of the abdomen, and urge the liver and ftomach backwards, and prefs them towards that place where there is the leafl refiftance. Laftly, they draw dovvn the ribs which were before elevated by the intercoflals. The tranfverfe mufcles, indeed, do not draw the ribs ; but they pull the cartilages of the falfe ribs a litde inward, and render the whole capacity of the abdomen lefs, while at the fame time they prefs the vifcera againft the diaphragm. Along with thefe we may reckon the powers of the fternocoftal and long intercoftal mufcles which are called deprcjfors. By this joint force the fuperior ribs defcend^ but the middle ones • more. Ch.IX. respiration. 155 more, the uppermoft lefs, the loweft: mod of all; and the fame are brought inwards by their margin : the cartilages afccnd, and return into acute angles with the flernum ; and the fternum itfelf returns backwards with the ribs. By thefe means the thorax, contrary to its former ftate (CCLIX.), is everywhere rendered narrower and fhorter, fo as to expel as much air out of the lungs as is fufiicient to relieve the uneaiinefs caufed by its retention (CCLXVIII.) CCLXXl. In more powerful refpirations, when the infpirations are made greater, the exfpirations are iikewife incrcafed by the aiTiilance of fome other powers, as of the facrolum.balis, longiffimus and qua- dratus mufcles of the back and loins. This force, by which the air is blown out of the lungs, is fufficient to carry a leaden buller, weighing above a dram, to the diftance of 363 feet; which force is equal to a third part of the prcifure of the atmofphcre. But, in a healthy perfon, the mufcles of the abdomen alone fuffice to an eafy exfpircticn, in which the lungs are not fo much emptied of air as they are by a violent elllation. CCLXXII. The effects of exfpiration are, a com- prelTure of the blood-veifels in the lungs, a reduction of the bronchia into more acute angles, a preffure of the reticular fmail veffels by the weight and contact of the adjacent larger vefl'cls, and an expuKion ot the cor- rupted blood from the lungs; by which means part of the blood hefitating in the capillary arteres, is urged forward through the veins to the left fide of the heart, while at the fame time that part of the blood is re- filled, which flows in by the artery froai the right ventricle. Exfpiration, therefore, v.ill (top the eafy paiTage of the blood through the lungs ; and when the whole thorax is compreffed together, repels the venous blood into the veins of the head, and fills the brain and its fmufes. CCLXXIII. In this manner a frefn neceiTity follows for repeating the refpiration; becaufe the collapfed L 2 velfels IS6 RESPIRATION. Cii.IX. veffels of the lungs refifl: the blood repeatedly expelled from the right ventricle of the heart. And this makes another caufe of death in thofc animals which expire ■ in veifels exhaufted of air: for, in fuch, the lungs ha- ving the air drawn out from them, appear denfe, fo- lid, and heavier than water ; v/hence they are ren- dered impervious to the blood. Of the fame kind is the death of thofe who are killed by lightning, and prrhaps by the noxious vapours of caverns. Thus, therefore, by the power of a mod wife fabricalure, the organs of exfpiration are relaxed fo foon as that xjneafinefs is perceived, which arifes from the hin- drance of the blood's courfe through the lungs ; and hence the pov^-ers of infpiration are excited into ac- tion, whereby the motion of the blood through the lungs is rendered free and quicker. (JCXXIV. It is by fome queflioned, whether or no there are not other caules of alternate refpiration ? whether or no v.e may hope for any difcovery in this matter, by con^preffing the vena fine pari, the phre- nic nerve, or intercepting the blood fent to the brain? But thofe are repugnant ro comparative anatomy ; by which we always find the fame alternation in the breathing of the animal, independent of any fuch nerve or vein. AVhether or no refpiration is from the alternate contraction of the antagonift mufcles, among which thofe of exfpiration relax the others of infpiration, and the reverfe? But in this manner, all the mufcles of the human body are perpetually in an alternate motion. CCLXXV. From what has been hitherto faid, itap- pears, that refpiration is unavoidably and abfolutely necefiary to life in a healthy aduk perfon; becaufe, whether the lungs remain long in a flate either oi exfpiration or infpiration (CCLXXIIL CCLXXVIIL), w^e fee death will be the confequence. Therefore no animal that has lungs like ourfelves, after it has once .'S^reathed and received the air into the inmoft parts of tae lungs, and by that means brought a new and large quantity of blood to that vifcus, can fubfifl longer ^ than Ch.IX. respiration. 157 than a few minutes without the ufe and benefit of a free air; but it will either perifh, or at leafl: fall into fuch a ftate as differs from death only in its being recoverable again by certain powers or actions. In an animal lately born, this neceflity for air does not take place fo fuddenly. CCLXXVl. But the ufe of refpiration is different from this neceflity; which nature might have avoid- ed, either by ufing no lungs at all, or elfe by difpo- ling them in a manner refembling thofe of the foetus. This ufe, therefore, of refpiration mull be very con- fiderable, fmce all animals are either made with lungs, or with gills as in fifh, or elfe with a windpipe difperfed through all parts of the body. CCLXXVII. In order to difcover this ufefulpefs of refpiration, let us compare the blood of an adult per- fon to that of a foetus, and alfo with the fame vital fluid in fifh. It appears then in a foetus, that the blood is dqftitute of its florid rednefs and folid denfity ; and in the blood of fifh, we obferve there is no heat, the denfity inconfiderable, and but little craffamentum contained in it; and, therefore, all thefe properties, we are, by the nature of things, perfuaded, the blood acquires in the lungs. CCLXXVIIL It may be afked therefore. Whether the blood does not acquire its heat principally in the lungs? But this does not arife from the alternate ex- tenfion and contraction, relaxation and compreflion, of the pulmonary vefTels (CCLXV. and CCLXXII.), by which the folid parts of the blood are perpetually rubbed and clofcly comprefTed ? The lungs therefore will add to the office of the reft of the arteries, be- caufe in them the blood is alternately relaxed and comprefTed more than in any other part of the body. But even when the lungs are obftrufled, ulcerated^ and alraofl deflroyed, a morbid heat leizes upon the body : but in the lungs the cold air very nearly touches the blood. CCLXXIX. The denfity of the blood is, indeed, again promoted in the" lungs, partly by the, copious L 5 difchargc 158 RESPIRATION. Ch.IX. difcharge of the watery vapour which is there fepa- rated, by which the reft of the mafs becomes fpecifi- cally heavier. But the fame effeO: feems to follow here, as in other arteries, namely, from the attrition and preiTure which the blood here fuffers in being alternately retarded, accelerated, and figured in its courfe through the modulating tubes of the leafl: vef- fels, which give a fphericity and denfity to the par- ticles ; hence it becomes denfer, as having more of the weighty globules, and lefs of the lighter fluid. And, in this refpect, the pulmonary vein, being fmaller than its correfponding artery, is of no fmall ufe to- wards increafmn; the attraftion of cohefion betwixt the parts of the globules, fo as to comprefs and bring them clofer to each other. Neverthclefs, cold ani- mals, which have very fmall lungs, have denfe and coa- gulable blood ; as alfo a chicken before it is hatched. The blood alfo has a fiiorC paffage through the lungs: the paffage through the uhole body is longer, and the artery weaker ; the heart, by which the blood is driven forward, is alio weaker. CCLXXX. it is therefore queried byfome, Whether the air itfelf is not received by the blood in the lungs, fo as to excite neceffary vibrations therein? Whe- ther this does not appear from the refinance of bodies to the heavy external air ; and from the air found in the blood -veffels, in the cellular fubftance, and in cer- tain cavities of the human body ; alfo from the crack- ing obferved by an extenfion of the joints j to which add, the air manifeflly extravafated from the wind- pipes into the hearts of certain animals, as in the lo- cuft ; from air coming out of the blood and humours of animals in Mr BoyIe*s vacuum; together with a ne- ceffity of a vital ofcillation in the blood itfelf ; and, laftly, the increafed rednefs of the pulmonary blood? CCLXXXI. But that no elaftic air is here received into the blood, is demonllrated from the impoflibility of forcing air into blood, if it retains its elafticity; from the inutiUty of its reception, if the fpring of it fliould Ch.IX. respiration. J5P fhould be lofl: in the blood ; from the perfect immu- tability of the blood, by cold ; from the minutenefs of the inhaling veflels, with the mucus that perpetually lines the fides of the veficles in the lungs : to which add the nature of the elaftic air itfelf, which is very unapt to pafs through capillary vefTels; with a repulfion of it by water, that hinders it from paffing through paper, linen cloth, or fkins that are wetted by water. Again, the air being driven into the wind- pipe, never pafles to the heart ; or whenever it does, it is forced thither by fome great or unnatural vio- lence : but the permanent air in the veflels and hu mours of the human body, from a ftate of inelafticity, may become elaftic by putrefaction, froft, or an ex- ternal vacuum. But fuch permanent unelaftic air is incorporated with all liquors; and taken into our bo- dies with the aliments and with abforbed vapours, mixing llovvly and with fome difliculty. But thera never were any elaftic bubbles of air obferved in the blood of a living animal ; and fuch air being inflated into the biood-veflels of any hving animal, kills it cer- tainly and fpeedily. Nor is there any great certainty of the blood in the pulmonary veins being of a brighter red colour. Laftly, though air indeed is abforbed by mofl: of our humours, yet that abforption is performed ilowly, and takes up the fpace of feveral days after the former air has been exhauflied by the pump. It then likewife lays afide its elaftic nature; nor is there any reafon produced, v»?hy the air fliould either be more fpeedily abforbed by the blood, or why it fliould re- tain its elafticity after it is fo abforbed"^. L 4 CCLXXXir. '^ In thefe our times, it is now too tnueh a matter of difpute, as if it were a fubjeft entirely new, I mean the different kinds of air; to wit, fixed, inflammable, narcotic, nitrous, &c. which were partly known to Helmont, Newton, Boyle, Camerarius, Hales, and feveral others; but the pneumatic theories in general have been renaarkably elucidated, increafed, and limited, as occafion required, by the laudable induftry of Drs Brownrigg, Biack, Cavendifn, Prieftley, Spielman, Erxleben, &c. If, in a few words, I might offer my opinion about the air found in our bodies, which has been the bafis of io many diipuies, I sra perfuaded, to a: i6o RESPIRATIQN. Ch.IX, CCLXXXII. Whether or not is the blood cooled in the lungs ; and whether or not does this feem to be true from the death of animals, in air which is hot to fuch a degree as equals the heat oF the hottefl breezes in the mod fultry dog-days? Whether the pulmo- naiy veins are not, therefore, lefs than the arteries ; and whether the defire of cold in people that are working hard does not arifc from thence? That the blood is cooled in the lungs is thus far true, as it warms the contiguous air, and therefore lofes fomething of its own heat. But that this was not the principal defign of nature, is evident ; fmce no one "will fay that the venous blood is hotter than the arte- rial, although fome pronounce the former to be fomewhat cooler ; but nobody ever obferved the left ventricle of the heart cooler than the right. But the venous blood enters the lungs; if it be there cold, it will follow, that the arteries muff receive it in (till a colder ftate. But then here the degrees of heat which the blood communicated to the air are again recovered by it. And, indeed, a perfon may live in an air much hotter than the blood itfelf ; of which we have a familiar example in baths and the warm countries. The pulmonary artery in a foetus,^ which does not refpire, is greater ; and the larger area of the right auricle and ventricle of the heart, is like- wife that the atmofpheric air is a very compound fluid, confifting of parts of a very different nature and qualiiy ; which parts, when mixed with any primigcneous fluid as a vehicle, make the common air we inhale in infpiration. This primigeneoiis fluid is, perhaps, that air which we obferve in animals, vegetables, and likewife in the earth itfelf, differing only according to the various fubftanccs with which it is united. If there is mixed in a due pro- portion with this univerfal fluid, any eiallic, ethereal, eleflric prin- ciple, or any particles not yet fully underitood, perhaps there will refult falubrious atmofpheric air. But it will become infefted and noxious in various degrees, from an admixture of putrefaflive fub- ftances, narcotic or inflammable fuffocaling elements. For that reafon it feems to me very proper, thai our judgment about the falutary or noxious quality of the air (hould be direfted by thefe principles; and hence it will be in our power to correct unwhole- fome air, provided we know what qualities the air fhould poflefs which is moil properly fuited to the funflion of rcfpiralxon. Cn.IX. RESPIRATION. i6i wife much greater in a foetus ; which feems necef- fary to referve and retard the blood, as the pulmonary vein being narrower accelerates it. CCLXXXIII. Whether or not is the rednefs of the blood produced from the air ? This is contradicted by what we fee in cold animals, which, though they are almofl entirely deprived of the ufe of air, have blood equally red with that of warm animals ; from the cer- tain connexion of rednefs in the blood of frogs with their having plenty of food, and a palenefs of it with a want of food'; and from the air, as we have jufl: now faid, being denied accefs to the blood. Neverthelefs, rednefs is produced when the air has accefs to the blood, by which means it is alfo reftored after it has been loft ; and, on the other hand, it is deftroyed by the denial of the accefs of air. Whether or not may not a more fubtle element from the air penetrate the blood, and be the caufe of its colour, as light is required for the colours of plants ? - CCLXXXV. Whether the ufe of the lungs is to abforb a nitre from the air to the blood ? or whether the jBorid colour, obfervable in the furface of a cake of blood, be owing to the fame caufe, while the bot- tom part looks of a dark and blackifh colour? and ' whether or not this is a prfervative againft the putre- faftion of the animal? remain as quellions with fomco That there is a kind of volatile acid in the air is cer- tain, fmce that meeting with a fuitable earth forms nitre ; for a nitrous earth, being exhaufted of its fait, and expofed again to the air, becomes re-impregnated with more nitre. But the fame univerfal acid, we know by certain experiments, vmeeting with a differ- ent fort of earth, forms a vitriolic fait, or alum, or elfe fea-falt. For the caput m'ortuum of fea-falt, which remains after the dillillation of the fpirit, recovers fo much ftrength from the air, as enables it to yield more fpirit by diftillation; even in fnow there is a cubical fait: but marcafite perfpires a true vitriol; and colcothar recovers again the acid fpirit, which was i6i RESPIRATION. Ch.IX. was drawn from it ; alfo fixed alkali, expofed to the air, turns into a vitriolated tartar. This, therefore, cannot be the ufe of rcfpiration, becaufe thofe fahs abound in too fmall a quantity in the air for fueh ufes; and air is fitteft for breathing when pure in high mountains, where thofe falts are the leafl to be found ; nor is there any nitrous fait as yet known to be found in our blood. CCLXXXVI. If it bealked, Why tcrtoifes, frogs, lizards, fnails, ear-wigs, and other infcfts, livelong without air? we anfwer, That in them the lungs are f iven not fo much for the preparation of the blood, which they receive but in a very fmall quantity, as for the ufe of fwimming in the water : and from hence it is that their lungs are immediately joined with the vena cava and aorta. But infeds, we know, draw the air in, and exhale it again, through points in the 0^in. If it be aiked, Why all animals perifli in air that is confined or not renewed, although the animal be fmall, fuch as little birds? we anfwer, Becaufe the air, which has once entered the lungs, and been fouled by watery vapours, is rendered lefs elaflic, and unfit for refpiration, by alkaline vapours: not becaufe it becomes lighter; for the mercury falls but little in air which has not been renewed, and which has killed an animial. Hence it is that the animal furvives longer in air that is more compreffed than that of the atniofphere: for in that cafe there is a greater proportion of the elaftic element, which takes up a longer lime to corrupt. But, even in other cafes, confined air is rendered deflru^live only by flag- nation, and filling it with vapours. But the reafon whv animals fwell in an exhauffed veffel, is, from the' extrication and expanfion of the unelaftic air lodged in the blood and other juices. CCLXXXVIL There is a certain confent or pro- portion between the pulfe and refpiration; fo that, according to the common courfe of nature, there are three or four pulfes counted to one refpiration. But Ch.IX. respiration. T65 if more blood is fent to the heart in a given time, the numbers both of the pulfe and refpiration are in- creafed. This is the reafon of the panting or fliort breathing in a perfon that exercifes his body with any confiderable motion ; whereby the venous blood is returned fafter to the heart (CXLII.) But if the blood meets with a greater refiflance in the lungs, fo that it cannot pafs freely from the right into the left ventricle of the heart j then refpiration is increafed, both in number and magnitude, in order to forward its courfe: and this is the caufe of fighing, yawning, and wheezing; of which the firfl is a deep infpira- tion ; the fecond ilow, and very great ; and the third, a frequent and imperfeQ: one. The number of re- fpirations, however, does not always increafe with the pulfe ; of which we have an example in thofe fevers where the lungs are not afFefted. CCLXXXVIII. The mucus, which lines the fen- fible membranes of the air-veiTels in the lungs, may become troublefome both by its quantity and acri- mony; it has been known to caufe even fufFocation in a dropfy of the lungs. Therefore its quantity, ad- hefion, or acrimony, excites a cough ; namely, an ir- ritation of the refpirative fyftem, by alternate large infpirations, fucceeded by large and^ quick exfpirations, together with fudden fiiocks of the abdominal muf- cles ; by which the mucus, and fometimes calculous matters, are expelled from the lungs. CCLXXXIX. Laughter differs from coughing in its caufe, which refides commonly in the mind, or at lead confifls in a certain titillation of fome of the cutaneous nerves ; and, moreover, becaufe it is made up of imperfe«51: quick exfpirations through the contraded glottis, left the air fliould be totally eva- cuated from the lungs. Hence laughter, in a mo- derate degree, conduces to health ; becaufe, in the time of one full infpiration, many fliort infpirations and exfpirations happen, and thus the concufiion is greater. Hence its danger of ftagnating the blood ; 4 becaufe i64 RESPIRATION. Ch.IX. becaufe the exfpiration is not full or entire, whereby the blood is admitted into the pulmonary artery without being fuffered to pafs through it. Weeping begins with a great infpiration, after which follow Ihort alternate infpirations and exfpirations ; and the fame is finiihed with a deep exfpiration, that is im- mediately joined by a large infpiration : hence it has nearly the fame good and bad effects ; and, when moderate, is conduces to relieve the anguifh arifing from grief. An hickup is a very great, fonorous, and fudden infpiration"^. Sneezing confifts of one large or deep infpiration, which is followed immedi- ately with a powerful and fudden exfpiration *, and the acrid matter is blown out by it in fome quantity from the nollrils. CCXC. The fecondary ufes of refpiration are very many. It exhales, as an emunclory, parts redundant, or even noxious, from the blood, which w^ould fuffo- cate, if they remained in the air ; and the breath of many people, fhut up in a clofs place, impregnates the air with a fuffocating quality. On the other hand, it abforbs from the air a thin vapour, of which the ufe is perhaps not fufficiently known ^°. It is by this "5 Id hickup, which always produces its effeA by refpiration, the ceiophagus often fiiffers confiderably; on which account miich alleviation is to be hoped for, if we fwallow any thing at different times. ®° Among the ufes of refpiration, feeinj^ feveral of them are accounted of the fame importance, may be counted the power of reforption; by which the lungs abforb by means of their vtffels, from the air inhaled in infpirationj not only vapours mixed with the air, but mingle with our humours by means of the foramina, dufts, and proper canals, fome other by far nobler parts, confti- tutins; at the fame time one of the elements of the air. This fubft^nce has got no proper name; nor do we know the nature of the part which is principally referred, in the firft place, to the elements of the air, and, next, to our humours and blood. The once celebrated pahHlu?n vita was an ingenious denomina- tion, feeing, as has often happened, many perfona confined in rarrow fpaces, unlefs free accefs of air is procured, have run the rifli of their life, from their wanting a proper renewal or pabu- luna Ch. IX. R E S P I R A T I O N. 1^5 this force that the abdomen and all its vlfcera are continually compreffed ; by virtue of this, the ftomach, inteRines, gall-bladder, receptacle of the chyle, blad- der of urine, inteftinuni reclum, and the womb itfelf, difcharge their contents ; by this a6lion the aliments are principally ground or diflblved, and the blood is urged lum, of air. But the rame of elcSlric principle, if we confider the whole confent of nature, feems more fitly adapted to the fub- jeft. For fince the publicaiion of the famous obfervations made by Gilbcrrt, Guerick, Boyle, the Florentine academicians, Hawkf- bee, Du Fay, Mufchenbroeck, Watfon, Ludolph, Winckler, Nol- let, Franklin, Hartman, Prieftley, and feveral others, both about; the eleftricity of bodies in general, as well as of the atmofphere ia particular, the whole dodlrine, by means of the new machine, the cleftrometer, from the expriments of Volta, Wilfon, Wilkenius, his ferene highncfs Galitzin, Lightenberg, &c. has received fo great additions, that it might almoft be aiTerted, that the eledlric matter of the air is colledled in the nttoft fimple manner by almoft; every body. From all thofe experiments we colleft, 1. That there is in the air a fluid which, in different ways, may be increafed in one place, and diminiflied in another; which, when collected fscundum arterny exhibits ele£iric fparks; but, when collefted in the clouds, breaks forth in lightning and thunder. 2. If from its too great congeflion in any region of the at- molphere or in the clouds, the circumambient air wants its due proportion, our refplration is lels refrefliing, our ftrength grows languid ; but they are quickly renewed after a thunder-ftorm, the tquilibrum of the eleflric matter in the atmofphere being cffef^ed, as ic were, by the flafhes of lightning. 3. Perhaps, too, we learn a method, and the remedies, by which we may artificially remove this defeft; it is vvorth while at lead to confider of this. 4. This e!eftric matter pafTes into the blood or lymph by in- numerable pores and foramina^ with which the infide of the larynx, afpera arteria, and bronchia, abound. Upon the diver- fity of ihefe holes, both with refpeft to number, condition, and mucus, with which they may be covered, and to the Gze of the lungs, depends the reafon why all men cannot inhale and abforb the fame quantity of eleftric matter from one and the fame air. 5. It will not be eafy for any perfon, in an affair deftitute of fufficient obfervation, to unravel what ufe this fubftance ferves in animal bodies, and what funftions depend upon it. Whether is the tone and irritability of the fibres of the body principally fup- ported by it: Do the increafe and caufes of animal heaf proceed from i66 VOICE AND SPEECH. Ch. X. urged through the fluggifh veffels of the liver, fpleen, and mefentery. It excites a kind of flux and reflux in the blood, fo that it is alternately prefled back to- wards the extremities of the veins, and a Httle after is propelled tovi^ards the heart by an accelerated velo- city, as into an empty fpace. Moreover, infpiration ferves to convey odours along with the air to the organs of fmelling. By this, the air is mixed with the ali- ments; which it conduces very much to break and diflblve towards a perfeft digeftion. But even fuck- ing, fo neceflary to the new-born infant, is made by the ufe of refpiration, and forming a larger fpace in the mouth, in which the air is rarefied j fo that, by the greater preffure of the outward air, the milk is driven into that part, where it is lefs refifled. Laftly, the voice itfelf is owing to the air which we breathe; and, as it is one of the principal efi^efts of refpiration, we think it may be proper to give its defcriptipn here, C H A P. X. Of the Voice and Speech. CCXCI. '"T^HE larynx is the principal organ of the voice ; for, that being injured, the air pafl"es through the windpipe without yielding any found. By the larynx, we underfland an aflemblage of cartilages, joined into a hollow machine, which receives the air from the fauces, and tranfmits it into the windpipe, having its parts connefted together by ligaments and mufcular fibres. Among thefe carti- lages from it ? I think it is clear, we ought hence to feek the caufe of animal electricity; which is very confpicuous in cats, and likewife horfes, and many men, by^the numerous fparks which may be made to appear ifTuing from their bodies. This is perhaps the caufe of the greater danger to which fome men are liable of being (truck with thunder. The fpontaneous burning of fome bodies in na- ture are undoubtedly to be afcribed to the fame caufe; and the alacrity and vigour of fome temperaments furely is wonderfully increafed by the prefence of this fluid. May this fubftance be joined with the acidurn pinguc and inflammable principle ? Compare note 78. Ch.1. voice and speech. 167 lages of the larger kind, thofe called the ajinuJar and fcutiform are, in adults, Ircquently changed into bone. The anterior and larger part of this larynx, which lies alniofl immediately next to the Ikin, is compered of two cartilages; one called thyreoides, the other m- coides ; to which laft, the lateral parts of the larynx are fo joined, that the portions of the cricoide car- tilage are always fo much larger as they are higher fcated. The back part of the larynx is lirllmade up of the faid annular cartilage, and then the arytrenoides conneded by mufcles. The epiglottis is looieiy con necled above the larynx with the thyreoide cartilage in fuch a manner, that it may be able to rife up and iliut down. The blood-veifcls of this part are from the upper thyreoids ; and the nerves, below, are nu- merous from the recurrents ; as above, alfo, there are nerves coming from the eighth pair variouily inofculating ; fome alfo from the intercoflal. The former of thefe nerves is remarkably famous for its arifing in the thorax, and being afterwards infieded round the aorta. and right fubclavian; and for the -origin which it gives to fome of the nerves of the heart ^', as well as for the experiment by which a ligature upon the recurrent is found to deRroy the voice. CCXCII. All thefe cartilages are conneded by various mufcles and ligaments, with a certain degree of lirmnefs, to the adjacent parts; and yet fo that the whole is eafily moveable together, as are alfo its feveral parts upon each other. Particularly xhefcuti- form cartilage, or the thyroidea anterior, is compofed of two plates, which are almoft quadrangular, and inclined to each other in an obtufe angle, which is foremoft. Upon thefe cartilaginous plates are fome- times ^^ Principally the great branch, immediately upon reflexion, afcends behind the larynx, goes in particular to the left fide; and having become the cardiac, defcends towards the heart, lungs, and their velTels. I have fometimes obferved two recurrent nerves 111 the right fide, which on both fides gave branches to the cefo- phagus, afpcra arteria, and larynx. i68 VOICE AND SPEECH. Ch.X; times found two apertures, one on each fide for the blood-veffels of the larynx; but they are not very often to be obferved. The upper proccffes of this cartilage, terminating without any protuberance, are inclined upward and backward, to their conn*-clion with the horns of the os hyoides', by ftrong ligaments, forae- times mixed with bone. The lower pans of thefe cartilages are fhorter, and adapted almoft with a fiat furface to thofe of the cricoide cartilage ; to which they are connecled with a very firm articula- tion, by a ftrong and fliort cellular fubftance, uniting them on each fide. The middle parts before, being perforated with ftrong ligaments, are connefted by their infertion to the middle of the annular carti- lage; and likewife by other ligaments above, de- fcending from the horn of the fcutiform cartilage into the upper part of the annular cartilage. CCXCIII. The cricoide cartilage is before thick, and ftrong : it is increafed backwards, in form of a ring unequally truncated or cut through ; and, in its middle part, is divided into two cavities by a protu- berant line. This is firmer than the reft of the car- tilages, and, in a manner, the foundation of them : from this there are longitudinal mufcular fibres and ligaments, which defcend into the windpipe (CCXXXVIII.) The pharynx likewife is connefted to the furface of thefe cartilages by many mufcular plates, and receives the larynx as it were into its bag. From this a fliort ligament comes on both fides to the arytasnoide cartilage. CCXCIV. The two arytasnoide cartilages are of a very complex figure, fpontancoufly dividing into two parts ^^ Of thefe the lower is larger; and is con- s^' The number of cartilages compofing the larynx, If we Itlck to a more accurate anatomy, fhould be changed. Five are comraonly reckoned ; thyroid, cricoid, two arytasnoides, and epij^lottis : Bat nine mutt be numbered. For any arytasnoide, as Haller indeed has remarked, but did not choofe to abandon the old Ch.x. Voice and speech. 11^9 conneded by a moveable junfture with the protuberant cricoide carrilage, by a bafis moderately hollow j and the fame fends a procefs forwards, which feparate? the glottis, and fuft^ins the inferior part of the ventricle of the larynx. They alcend upwards, of a triangular figure, with the pofterior angle hollow, the anterior convex, divided by three furrows or fu'ci, and ex- tenuated upwards, till they are at lafl finifiied or ter- minated by a pretty thick, oval, carnlaginous head fixed on them. The lower part of thefe cartilages is conneded by numerous mufcular fibres, partly tranf- verfe, and partly oblique ; of which the different direc- tions are vifible enough, but the feparation of thent impracticable. Thefe are called aryvsenoide mufcles. In the upper part, the arytsenoide cartilage departs from its companion or fellow cartilage, leaving a cleft perpendicularly betwixt them, which has been (not very properly) by fome called the glottis. CCXCV. The aryt^noide cartilage is connected with the thyroideal by tranfverfe ligaments, fufficiently flrong and elafticj but covered with the common mu- cous membrane of the larynx, which ligaments are in- ferted into the flat angle of the. thyroide cartilage (CCXCil.) Thefe ligaments may be drawn out or Vol. L M flretched old opinion, has a fmall new one placed above it, larger in pro- portion in the larynx of fome brutes, as the dog and horfe, which is in the fame manner joined to the aryaanoides with the affiftance of a capfular ligament by means of a diftinft articulation, as the ary*- fserioides are connefted with the cricoid?. Santorinus has already named them xhtjixth &n6.feventh. Befides, 1 obferved a few years ago, two new cartilages, or bodies fimilar to cartilages, which I thought (hould be taken into the number of the parts of the larynx. *rhefe cartilages lie between the epiglottis and arytsenoide in any fide, but nearer the arytsenoides, above the upper ligament of the glottis. They form a round mafs, about the thicknefs of a crow quill ,and three Hues long. They are extremely well feen, if, wnen the cricoide cartilage is diffeded, the polterior part of the larynx is expanded ; for then they are eafily diftinguifhed rifing through the internal tunic. I think they are tolerably expreffed in an elegant table, belonging to the third fet of deraonftrations^ which I got from my celebrated friead and anatoraift M. Camper. T70 VOICE AND SPEECH. Ch.X. ftretched from each other, by removing the conta£t of their arytsenoide cartilages, and niay be again conjoined ■by placing the cartilages one to another: and this is the true glottis, which is continuous, but at a right angle with the above-mentioned cleft (CCXCIV.) CCXCVI. From the fame angle of the thyroide cartilage, under a notch, from a firm ligament, and an ered {lender ftalk, is extended an oval cartilage, in its forepart convex, behind concave, and raifed up in fuch a manner, by its elafticity, as to projedl confiderably behind the tongue ; but is fo flexible or inclinable down- ward, whenever the root of the tongue is preiGTed back- ward, that, by its tranfverfe pofuion, it fhuts up all paffage into the larynx, and defends it in fuch a man- ner, that whatever is contained betwixt this part, called the epiglottis, and the arytsenoide cartilages, pafles over downward into the pharynx. The epiglottis is con- joined to the tongue by pale membranous fibres, and to the OS hyoides it is conneded by many membra- nous expanfions. Bat as for mufcular fibres from the , thyreo-arytsenoidal and arytsenoidal mufcles, it has ei- ther none at all, or elfe fuch as are too minute to have any effeO; upon its elafticity. CCXCVII. By the fides of the ligaments of the glottis (CCXCV.), there are two other upper and fofter liga- ments, which go out parallel from the arytsenoide cartilage to the fcutiform one, which ligaments are fomewhat lefs tendinous and lefs elaftic. Betwixt thefe two ligaments, on each fide (CCXCV.), a peculiar ca- vity or ventricle defcends, having the figure of a com- prefled parabolic finus extended downward betwixt the double membrane of the larynx, opening conftantly with an elliptical mouth by the fide of the glottis in the larynx ^^ CCXC VIII. Laftly, all the internal cavity of the larynx is ^3 The facks or receptacles found in fome fpecies of apes, are not to be confounded with thefe ventricles, which may be more or lefa iiniiated according to the will of the animal. Cii.X. VOICE AND SPEECH. in is lined with the fame foft, fcnfible, or irritable and mu- cous membrane, as we before defcribed in the windpipe (CCXXXIX.) But this membrane is watered by a great number of fmall glands. The uppermofl: are fmall fimple glands, affembled together in a heap (CCVllL), feated on the anterior and convex part ot rhc epiglottis, upon the hollow furface of which they fend out various openings, large fmufes and produftions; and others are, in like manner, continued there in fmall hard ker- nels. Moreover, upon the hollow anterior furface and back of the arytsenoide cartilages (CC^XCIV), there are fmall glandules placed on each fide of a loofe conglo- merate fabric, compofed of little round kernels, doubt- lefs muciferous, having fome of their loofer parts ex- tended on each fide as lov7 as the annular cartilage. In. the cavity of the ventricles, there are very many mucous fmufes. liaftly, all the internal furface of the larynx is full of large mucous pores. All thefe glandules fepa- rate a thin watery mucus, which yet has a confiderable degree of vifcidity. CCXCIX. It may be alked, If the thyroide glandule has a like ufe, and is of the conglomerate kind, but foft and lobular, with inany coverings, confiderably large or broad in its extent, but of a more tender fub- ftance than the falival glands, feated upon the thyroide cartilage, and in part upon the cricoide cartilage and windwipe, along their fore-partj fo as to encompafs the lateral horns and fides of the thyroides, joined to its companion, which is narrower, by an ifthmus, which is emarginated on the lower part, but afcending upwards by a very thin procefs before, in its middle part, as fac as the OS hyoides? This gland is full of a ferous, yel- lowifh, and fomewhat vifcid humour: but whether it emits the fame into the windpipe or into the cefophagus^ is a queftion j at leafi there are no dufts certasnly known ro open into either of them. Whether or not the juices are altogether retained in this glandj and afterwards poured into the veins in a manner refembling the fabric of the thymus, or whether it is of the con- M 2 globat© 172 VOICE AND SPEECH, Ch.X, globate kind, is uncertain. Yet that the ufe of this gland is very confiderable, may appear from the largenefs of the arteries which it receives from the carotides and lower fubclavians. The veins thereof return their blood into the jugulars and fubclavians. It has a peculiar mufcle, not conftantly to be found, arifing from the edge of the os hyoides, and fometimes from the lower margin to the left ot the thyroide cartilage, which de- fcends without a fellow, fpreading its tendinous fibres over the gland. Upon which alfo the flernohyoidei and fternothyrodci mufcies are hkewife fpread or in- cumbent. CCC. The whole larynx is fufpended from the os hy- oides by the ligaments proceeding towards the fuperior horns of the thyroide cartilage, and perfecting that car- tilage from the middle of its bafis to the conjundion of its plates. The fame, together with the conjoined os .hyoides, is capable of being raifed confiderably, at leafl: half an inch above its mean altitude. This is performed by the biventer mufcies, together with the geniohyoidei geniogloHi, ffyloglofTi, ftylohyoidei, ftylopharyngei, thy- reopalatini, hyothyroidei ; all or fome of which con- fpire together in that adion. In this elevation the glot- tis is preffed together or made narrower, and the liga- ments beforementioned (CCXCV.) approach nearer to- gether. But thus, by the affiftance of the action of the arytsenoide mufcies, together with the oblique and tranf- verfe ones, the glottis may be accurately clofed, fo as to refill with an incredible force the preifure of the whole atmofphere. - CCCl. The fame larynx may be, in like manner, de- preffed to about half an inch beneath its ordinary fitua- tion, by the flernohyoidei, fternothyroidei, and cora- cohyoidei, as they are called ; and, when thcfe are in aftion, alfo by the joint force of the anterior and poffe- rior cricothyroidei. In this motion the arytaenoide car- tilages depart from each other, and render the glottis wider, which is alfo drawn open laterally by the muf- cies inferted into the fides of the aryt^noide cartilages, together Ch.X. voice and speech. 17^ together with the crico-arytaenoidei poflici and laterales, and thyreo-arytsenoidei : thefe may alio comprefs the ventricles of the larynx (CCXCVll.) on which they are incumbent; the particular cartilages which make up the larynx can fcarce be moved ("eparately. CCCll. From the larynx the air comes into the mouth and noftrils. By the mouth, we mean that large and irregularly fhaped cavity between the foft and hard pa- late, both concave in the middle, and lower down parted between the mufcles which lie under, and the lower jaw. The noltrils afcend forwards above the foft pa- late ; they are two broad cavities intercepted between the feptum medium, the offa cavernofa, and various other bones. They are every where bony and carti- laginous. CCCIII. The tongue lies in the middle of the mouth; and is a broad piece of flelh eafily changeable into any kind of figure, and thus readily moved without delay to every part of the mouth ; moft expeditioully directed into every fituation, and made to affume any fhape, by its own flefhy fibres, and by the mufcles attached either to itfelf or to the os hyoides which is joined to it by many fiefliy fibres and membranes. In the fore- part thefe come from the genioglofli and geniohyoidei muf- cles ; backwards from the flyloglofli, ltylohyoidei,.cera- togloffi, bafioglofli, chondroglolli, and biventer ; down- wards, from the fternohyoidei and ceratohyoidei ; up- wards, from the ftyloglofli, ftylohyoidei, from the bi- ventcrs, and likewife from the mylohyoidei. CCCIV. Hitherto we have given the anatomy. It re- mains, therefore, that v/e deraonftrare, v.^hat adion the air produces, when it is driven by the forefaid powers (CCLXIX, CCLXX.) from the lungs in exfpiration through the windpipe into the larynx, and from them urged out through the glottis into the mouth, varioufly configured. The confequences or eifeds of this are, voice, fpeech, and finging. Tne voice, indeed, is only formed, when the air is expelled with fo great a velo- city through the contra6led glottis, that it fplits or M 3 makes 174 VOICE AND SPEECH. Ch.X. ynakes a collifion upon the ligaments of the glottis, fo as to put the larynx into a tremor, which tremor is returned and continued or increafed by the elafticity of thefe parts. Sound, therefore, arifes from the conjunct trembling of the ligaments (CCXCV.) together with the cartilages of the larynx at one and the fame time, which we then call the voice, and is of a peculiar kind or modulation in every fingle clafs of animals, depend- ing entirely upon the difference of the larynx and glot- tis. But when a trembling is not excited, the exfpired air caufes a whifpcr. CCCV. The (trengthof the voice is proportionable to the quantity of air blown out, together with the narrow- nefs of the glottis ; and, therefore, a large pair of lungs eafily dilatable, with an ample cartilaginous and elalHc larynx and windpipe, and the free echo of the noflrils, - joined with a powerful exfpiration, all conduce to this effeft. But acute and grave tones of the voice, we ob- ferve to arife froQi various caufes. The former proceeds from a tenfion and narrownefs of the glottis, and the latter from a relaxation and expanfion of it. For thus, in the former, a greater number of aerial undulations are fplit in the fame time upon the ligaments of the glottis, ■whence the tremors excited at the fame time are more numerous ; but when the glottis is dilated, the contrary of all this follows. And from the greater tenfion of the ligaments, the tremors in like manner become more numerous ftom the fame ftroke. Therefore, to pro- duce an acute and fhrill voice, the whole larynx is drawn upwards and forwards ; and fo much the more as the voice is required to be (harper, infomuch that the head itfelf is inclined backwards, by which the powers of the mufcies elevating the larynx are rendered more full and effeftual. The truth of this is confirmed by experience, by applying the fingers to the larynx ■when it forms an acute found ; for then, to raife the voice an o6:ave, you will eafily perceive it to afcend near half an inch. Alfo the fame is evident from com- parative anatomy, which demonftrate the narrowefi; glottis Ch.X. voice and speech. 175 glottis and the clofeft approximation of cartilages in linging birds, but an ample or broad glottis in hoarfe animals and fuch as bellow or blear. An inftance of this we have in whiftling, where the voice manifeftly becomes more acute by a contradion or narrownefs at the mouth : alfo in mulical inftruments, in which a nar- rownefs of the mouth or opening that expels the air, with a celerity of the wind blown out, are the caufes of an acute or flirill tone. CCCVl. Gravity of the voice, on the contrary, fol- lows from a depreffion of the larynx by the caufes (CCCl.) already defcribed; to which add a broad glottis and a very ample larynx. This is evident to the touch of the finger applied to the larynx when a perfon fings, by which the defcent of it is manifeftly perceived to be about an inch for every odave: hence the voice of males is more grave ; and hence the loweft degrees of the voice degenerate into a mutenefs or whifpering. CCCVil. Is the whole difference of tone owing to the length of the ligaments of the glottis, which is aug- mented when the fcutiform cartilage is drawn forward, and the aryt^noide ones backward ? Is it according to this rule, that the mod acute tones are produced, which arife from the ligaments being exceedingly ftretched, and thus vibrating with great celerity? This has been confirmed by repeated experiments made by eminent men; and fome late anatomfts have obferved, that, when the chords or ligaments of the glottis are tenfe, the peculiar voice of every kind of animal is produced by blowing air into its larynx: that this voice was more acute as the ligaments were more tenfe, and more grave as they were flackcned; that by fhutting the whole ligament, the voice was fupprefled ; by Ihutting the hall, the voice was rendered an odave higher ; by ihutting a third part, a fifth higher, &c. I'here are not wanting, however, doubts concerning this new theory, arifing from the cartilaginous and bony ftru6tur€ of the glottis of birds, which of confequence mud be im- moveable, and not extenfible ; from the voice moit cer- M 4 tainly 176 VOICE AND SPEECH. Ch.X. tainly becoming more acute, in wh idling, from the mere contraction of thie lips ; from the example of women, in which the larynx is fofter, but the voice more acute, than in men ; from experiments which (liow, that more acute founds are produced by bringing the ligaments of the glottis nearer into contaQ: with each other; from the perfect want of machines, by which the ligaments can be (tretched, and which may bring the fcutiform cartilage forward from the annular one. But feeing it appears from experiments, that a tenfion of the liga- ments fuffices for producing acute founds, without the contradlion of the glottis, we may believe that the dif- ferent tenfion of the glottis contributes more to the di- verlity of voice than the different diameter of it. CCCVIII, Smgingh when the voice, modulated thro' various degrees ol: acutenefs and gravity, is expelled through the larynx, while it is trembling and fufpcnded betwixt two contrary pov/ers ; and herein lies the prin- cipal difference betwixt the chanting of fimple notes, and the exprefiion of words. Hence it appears to be a laborious action, by reaion of the continual contrac- tions of the mufcles, which keep the larynx at an equi- librium : and hence it is, that fmging makes a perfon hot ; becaufe in acute tones the narrower glottis much retards the exfpiration, while at the fame time a great deal of air is required to give ftrength to the voice (CCCV.); to which, again, deep infpirations are ne- ceffary. Hence likewife the Windpipe is rendered very dry, from the quicker paiTage or current of air : to pre- vent which, a great deal of mucus is required ; and therefore it is that there are fuch numbers of mucous receptacles in the larynx, amongft which 1 am firmly of opinion the ventricles before defcribed (CCXCVII.) ought to be numbered. CCCIX. Speech is performed by the larynx at reft, or held in the fame place, in tones of voice differing but little in acutenefs and gravity : but then the voice is varioufly changed or modulated by the organs of the mouth. Singing has a variation in the tone or cadence 2 of Ch.X. voice and speech. 177 of the voice, together with a modulation of it by the organs of the mouth at the fame time. CCCX. All fpeech is reducible to the pronounciation of letters, which differ in various nations; but mod of them are alike all the world over. Of thefe, fome are called voiuels, which are made only by an expreffion of the voice through the mouth, without any application of the tongue to certain parts of the mouth. But con- fonants are formed by a collifidn of the tongue againft certain parts of the mouth, lips, and teeth. But to be more particular in thefe matters is beyond our purpofe, which does not permit us to expatiate upon the beautiful art of pronunciation. That art, as an extraordinary in- ftance of mechanical knowledge, has fo accurately de- termined all the corporeal caufes concurrins^ to each letter, that, by infpeftion only, with the aiiiflance of touch, letters pronounced are underftood without hear- ing them, and the attentive perfon is thereby taught to imitate the fame fpeech by a like ufe of the organs ^^. CHAP. ^^ Man's faculty of fpeech, the prettied artifice of nature, fo oftea exaftly imitated by art, involves a double confideration ; the philo- fophical, which has given rife to that acadennicai quedion, particu- larly dcfcribed in the writings of Maupertuis and Suffmilch ; and the phyfical, or rather phyfiological, which treats of the mechanical caufe of fpeech from the Itrudlure and fabric of the parts. Withi refpe£l to the philofophical confideration of fpeech,. I would never- thelefs not totally refufe this faculty to other animals of exprefiingj themfelves by figns, many of which depend upon the voice : it has been very elegantly, and even in fuch a way handled, by the learned Herder who gained the prize, Tiedman, Teteus, Zobel, Piatner, and others perhaps, that a phyfiologill himfelf reaps a great deal of informa- tion from the reading of their works. But upon confidering the faculty of fpeech without regard to the parts, and comparing man with other animals ; infants with adulis; civilized with uncivilized na- tions; man educated by man, with him brought up amongft brutes; the learned with the ignorant; the man who hears, wiih the deaf and dumb; it is very probable, that the elegant phenomenon of the human fpeech as well arifes from the proper fabric of the organs, as depends upon the degree and perfection of knowledge. For there is innate in us even from infancy a ftruggle and defire to exprefs the feelings of the mind by figns ; nay, there is that defire in all gnimals; with this difference only) thatmeo, beiides the affedioos of their 178 BRAIN AND NERVES. Ch.XL C H A P. XI. Of the Brain «2«(^ Nerves. CCCXI. ^ I ^HE remaining aftions of the human body X^ we fhall confider according to the courfe of the blood. The coronary arteries we fpoke of be- fore, when we gave the hiftory of the heart. Next to thofe, the carotids pafs out from the aorta. CCCXII. their mind, cxprefjs the want of things necefTary to their life and de- fence, and the impreflions which external objeAs make upon the min'J, by figns, voice, and fpeech ; which faculty, however, brutes never acquire. Infants fignify their impatience, unlefs we foon under- ftand their figns, by mournful crying. I once faw an Ethiopian in- habitant of Gorea weep feverely becaufe nobody would take notice that a certain ^ifture was pleafing to him. The French foldiers ia the late war, notwithftanding the ufual gent!ene(8 of that nation, were greatly d^fquieted when they found their language not underrtood. Now we fee fpeech fuppofes a concatenation of various circumftan- ces ; the perception of idea ; the necefliiy of expreflTing and fignify- ing it by figns ; the organs necefTary for performing it; and the rea- fon, cudom, improvement, and manner of ufing the inftrumcnt of fpeech in a proper way. Therefore the primary foundation of fpeech, and of the ftore of languages and words, confifts in the co- pioufnefs of fafts and ideas, and in the extent of knowledge and learning. The phyfical ratio of fpeech, by which we pronounce vowels and diphthongs, according to the determined conftri£lion and opening of the fauces and mouth, and according to the fpecific allifion of the air upon the various parts of the mouth, palate, no- ftrils, and teeth, and by the percuffion of the tongue upon the faid parts, it is that we form the conlonants in general, as well as thofe paticnlar to fome nations ; as th of the Englifh, Ir of the Chinefe, mr of Malabar, elegantly fhow ; and that the mechanical application of the inftruments of the voice and fpeech is precifely requifite to the pure and diffinfl pronunciation of this or that fyllable or word, which Wilkins before, and Vogel lately, and de BrofTe, have learn- edly demonftrated. Hence were eafy, but not lefs learned and wonderful, the atempts not only of remedying the various vices of the voice, t'uch as Codronch and Pi'jat have recounted; but what merits the greateft admiration, of teaching perfons born deaf and dumb to fpeak artificially. The celebrated maftersof this famous art, Petrus Pontius, whether he, or, according toothers, Joh. Paul. Bonetus, is reckoned the firit inventor of this art, Wallis, Holder, Amman, Ra- phel, Thumig, Kcrger, Arnold, &c. made ufe of a double method and principle. For fonae, from the fimple imitaiione of the mouth's changes. Ch.XI. brain and nerves. 179 CCdXII. The aorta, which comes out from the an- terior part of the heart (CLVIL), in order to bend itfelf towards the vertebrae of the thorax, forms there a con- fidcrable arch, by which it is bent backward, and to- wards the left, in an angle that is round, but not very large. From the convex'ity of this arch, three confidei- able branches arife. The firit afcends towards the right fide, and is immediately fubdivided into two large ar- teries, of which the lowermofl goes on in the direction of its trunk, under the denomination of \.ht Jubclavian. The other afcends according to the courfe of the wind- pipe to the head, and is called the right carotid. The left carotid fprings next from the fame arch, a little in- dined to the left fide; and the third, which is (till more inclined to that fide, is called the left fubclavian, which is fomething lefs than the right. About the origina-^ tion of thefe arteries, the next continuous margin of the- aorta is a little thicker and more protuberant. But va- riations from this courfe arc rarely obfcrved^^. CCCXIII, changes, when once a word was uttered, and the letter being mark- ed, if they heard a proper articulation, they ulcd to bring their pu- pils to the ufe orfpeech with incredible patience. Btit others in a more natural way firft excited the attention of their pupils to obje(S8, ideas, affeftionsof bodies, and whatever they wifhed or ought to ex- prefs by fpeech ; then the bufinefs being made eafier, they learn to accommodate their voice to the defignation of fuch things. There are examples in infants fuificiently manifeft, that they exprefs more cafily the name of a thing which they have conceived in their mind, whether it has been agreeable or difagi-eeablc ; bin you will fcarcely learn the dumb, deaF, and ftnpid, without the greateft patience and trouble, to pronounce a fingle letter according to the firft method, becaufe you ought firft to corre<^ the dulnefs of their fenfes and men- tal faculties. *^ In more than6GO fubjefts, which 1 have infpefted thefe feventeea years paft, with refpedt to the branches coming out of the arch of the aorta, I only obferved five varieties ; the right fubclavian alone defcending from the aorta, with other three from the arch ; the right fubclavian and right carotid apart from the arch, therefore four branches; again, four branches from the arch ; (vhilft the left vertebral and left fubclavian defcended from the aorta with four branches from the arch, to wit, the vertebral and left mammary; and Jaftly, between five branches, I obferved the vertebral and inferior li^iyrpid of t|ic left fide came out of the arch. 13(3 BRAIN AND NERVES. Ch.XI. CCCXIII. The carotid artery, furrounded With a great deal of dcnfe cellulofity, together wkh the jugular vein and nerve of the eighth pair, commonly alcends as high as the upper part of the thyroide cartilage with- out fending off any branches. There it divides into two trunks. The anterior, called the external carotid, which is rather larger and more in the direftion of its trunk, fends off a branch called the fuperior thyro'idea^ alfo the intleded arteria iingualis, and then the labialis ; and from the pofterior face of the carotid the next ar- terv which arifes is the pharyngea afcendens, which, befides the pharynx and mufcles of the moveable palate, fends likewife a confiderable branch in common with the nerve of the eighth pair through the foramen of the jugular vein to the dura mater, very near to the great foramen of the occiput, at the bafis of the os petrcfum, and which is divided at the cuneiform procefs of the multiform bone. CCCXIV. Again, from the edge of the external ca- rotid, fprings the occipital artery ; which fends branches not only to the mufcles which give it a name, but like- wife fends a branch through a peculiar foramen of the dura mater in the angle which the os petrofum forms by departing from the mamillary portion, which artery is fpread through the feat of the cerebellum ; another branch paffes over the atlas to the dura mater under or into the fkull ; and a third fometimes goes through the foffa jugularis to the dura mater. The next artery, which is the auricularis, goes to the back part of the ear, to the temple, and to the membrane of the tympanum. CCCXV. What remains of the external carotid ar- tery, afcends through the parotid gland, to which having given fome branches as well as to the face and eye-lids, it fends out the temporalis^ which is confiderable. The trunk of the carotid, being inclined, conceals itfelf be- hind the lower jaw under the denomination of maxil- laris interna. CCCXVI. In that place, it direftly fends off a large trunk, which paffes to the dura mater through a pecu- liar Ch.XI. brain and nerves. iBi liar opening^*' of the broad and prerygoide wings, feat- ed at the middle foila of the brain ; from whence they arc largely fpread through the temples and forehead within the dura mater, as far as the falciform fmus. Sometimes this artery is double, and often giveis out a branch that is confpicuous to the lachrymal gland of the eye. In the fame place, likewife, the maxillary artery enters the upper part of the nares by a threefold trunk, where it is fpent after having given off the branches called max'illares inferior and Juperior to the teeth, with the infra orbitalis to part of the face and eye-lids, and the paiatina to the bone of the palate, with fmall branches to the dura mater, and others through the fmaller pores of the great wings, with fuch as accom- pany the third and fecond branch of the fifth pair of nerves ; and laif ly, together with the dura mater, filling up the lowrr orbital filTure. CCCXVI. But the other poflerior trunk, commonly called rhe internal carotid (CCCXlll.), afcends without a brancii. lliis artery having firft made a confiderable Terpentine flexure entejs through a peculiar foramen in the OS petrofum, where it is furrouncled with a capfule from the dura mater, like that which comes out through all the openings of the fkull : from thence it afcends upwards and inclined forwards, till, having penetrated into the cavity of the fkull, it rifes up inflected and in a curvature, according to the diredion of the fella equi- na^'' ; in the middle of which there is a cavernous or hollow fmus retarding the blood: from thence, having given fmall branches to the fifth pair of nerves, it fends others to the fundibulum and dura mater, with one larger to the eye; part whereof returns again through a peculiar hole into the dura mater, which lies upon the middle of the orbit. This is the rete mirabile of beafts, but not of man. CCCXVIl. ^* Commonly called xhcfpinal, tranfmltting tbc arteria raeningea media. ^' In its pafTage through the canal of the os petrofum, it fends fomc twigs, the number not conftant;, to the iuner ear. i82 BRAIN AND NERVES. Ch.XL CCCXVII. But the trunk of this internal carotid paf- fes over the anterior part of the fella equina ; and being incurvated backward, and received by the arachnoide membrane, giving branches to the pons and crura of the brain, with a circle to the choroide plexus, and one that accompanies the optic nerve, it then divides into an an- terior and pollerior branch. The former, being con- joined with its fellow artery of the other fide by a ihort inofculating branch, which fometimes fprings from the trunk itfelf, is then incurvated backward and upward, according to the direction of the os callofum, and fpreads itfelf about the middle and hinder part of the brain ; where it fometimes fends branches to the falciform procefs, and from the very origin of the third ventricle to the fornix and thalami. The latter, being conjoined by a fmall inofculating branch with the ver- tebral artery, unlefs that arifes from the undivided trunk of the carotid artery, afterwards afcends a long way up- on the fide of the brain through the Sylvian fofla; and the fame fends branches to the choroide plexus. All the branches of the carotid, contained within the fkull, are made up of more thin, foiid, and brittle membranes, than the other arteries of the body. CCCXVllI. But the vertebral artery, commonly arifing from the fubclavian of the fame fide, (though the left hasi been fometimes feen to fpring from the trunk of the aorta,) paffes on without giving branches, through a place ot fecurity, till it enters a foramen in the tranf- Verfe proceis of the fixth vertebra of the neck ; after which, it continues with alternate flexures to afcend through the oblique procelfes of the other vertebras of the neck; from whence, at each interval, it fends off fmaller branches to the mufcles of the neck, and com- municates with the lower thyroideal : other branches, again, fomewhat larger, go from it backward, together with each of the nerves, to the pia mater of the fpinal medulla j but before, the branches are larger, though lefs numerous, to the fame fpinal medulla, and commu- nicate by an anaflomofis with its fpinal artery anterior- ly. Ch.XI. brain and nerves. 183 ly. Laftly, growing lefs about the fccond vertebra, and being inflefted with a large curvature round the tranf- verie procefs of the firft vertebra, it there fends ofFcon- fiderable branches to two of the mufcles of the neck : alfd fmall branches it fends off in its courfe through the great foramen of the occiput or fkull to the dura mater, and the adjacent cavities that contain the cerebellum ; after which it goes on through the faid foramen into the cavity of the fkull. Inhere afcending, according to the courfe of the medulla oblongata, the right trunk by degrees approaches nearer to the left, and is conjoined together with it (in an extraodinary manner, hardly to be found in other parts) into an artery called the baji' iaris, which is fufpended in the pia mater all along under the pons Varolii. From the vertebral arteries, before they are conjoined together, or from the trunk produ- ced after the common manner, pafs out JDranches, which go to the low^er furface of the cerebellum, and are deep- ly inferted under the fourth ventricle to the inner fub- ftance of the cerebeJlum. Ihefe fend off ihe fpinal ar- teries. But there are fome inftances where they arife conjunctly from a fmgle trunk; or from the trunk in one fide, and a branch in the other. Then the bafiia- ris, befides branches to the medulla oblongata and crura of the brain, gives the other lower arteries of the cerebellum. Amongfl the forefaid branches aifo arifes an artery, which accompanies the auditory nerve. Finally, the bafilaris, at the forepart of the pons, di- vides into two branches. One of thefe goes to the up- per part of the cerebellum, to the fourth ventricle, to the crura of the medulla of the cerebellum, the nates, teftes, and pineal gland : in place of this, alfo, there are two trunks. The other is divided to the lowed part of the brain at its pofterior lobe, the choroide plexus, the plexus incumbent on the pineal gland, that gland itfelf, the thalami, corpora flriata, fornix, and whole anterior ventricle of the brain. CCCXIX. From the foregoing hiftory of the arteriess belonging to the brain, it appears, that a very great quan- 2 tity i84 BRAm And NERVES; Ch.XI. tity of blood is in every pulfation fent to this organ, in- foinuch that it makes above a fixth part of the whole blood that goes throughout the body, and derived from trunks that are very near the heart, fpringing from the convexity of the aorta. From hence it is probable, that the ilrongeft parts of the blood go to the head, and fuch as are moil retentive of motion. Is not this evi- dent from the effefts of mercurials exerting themfeives al- moft in the head only; from the fudden force and adion of inebriating fpirits upon the head ; from the fhort ftu- por which camphor excites ^^; from the heat, rednefs, and fweat, which happen oftener in the face than other parts of the body ; to which add, the more eafy erup- tion of volatile and contagious puftules in the face? The well guarded paffage of thefe great and important veffels in their afcent to the head, defends them from any great injury. The frequent inofculations of one trunk, with the other going to the head, as well as the frequent communications of their branches among themfeives, leflfen any danger that might enfue from ob- flruction. Hence, when the carotids are tied, the ani- mal neither dies nor feems to be very uneafy. The confiderable flexures of the vertebral and carotid artery ferve to moderate the impulfe of the blood coming to the brain, fmce a great part the velocity, which the blood receives from the heart, is fpent by the various inflections. To which add, that fome authors do not improperly obferve that the arteries here grow larger or fomewhat wider. CCCXX. The hifliory of the brain defervedly begins from its integuments. Such a tender part, fo neceflary to life, we obferve providently furrounded on all fides, firft by a fphere of bones, confifling of many difl:in6t por- tions ; by which means it is rendered extenfible, at the fame time that it is efte£tua!ly guarded againfl: external pref- 58 All thefe arguments are not of the fame force : for mercury applied in different ways to the body, produces its effeft not in the head alone ; fmce it occaftons in fome a diaphorefis, in others a" diarrhoea, and ia others it afta as a diuretic. CHiXt. BRAIN AND NERVES. iR^ |)reirure. To the internal furface of this bony fphere, on all lides, grows a very flrong membrane, co-npofed of two plates fufficienily diflind, which are firmly attached by an infinite number of fmall veflels, as by fo muny font (talks to the whole furface of the faid bones, fo as to be nowhere eafily frparable in a healthy perfon ; thefe, being very thin and fmooth, adhere Icfs firmly to the bones, but more (imngly to the futures^ f > called from their figure, which join the bones of the fl^ull one to another. In younger fubjefts, the adhefion of the dura mater to the fkull is fuch, that the feparation of it pulls off the fibres of the bones to which it is con- nefted. In adults, many of the veffels being effaced, renders it more cafily feparable : yet it is not with- out fome force, even in thofe, that the dura mater can be feparated from the fkull From the rupture of thefe veffels, which enter the bones of the fkull, appear thofe bloody drops which are obfervable after removing the cranium. Hence appears the vanity of all that has been advanced concerning the motion of the dura mater. As to the motion which is remarked by the writers of obfervations upon wounds in this partj that, being preternatural, was the confequence of the beating of the arteries (in a part where the refinance of the bone was now removed, while the red of the dura mater next to the fkull fuftained the force of the heart without motion); or of the brain fwelling during exfpi- ration. Alfo that part, which is properly the dura mater, has neither nerves, nor fenfa^ion nor irritability ^^. CCCXXI. The outer plate of the dura mater, v^hich adheres to the bones of the fkull, is to them inflead of a periofleum, and fupplied with fmall nerves and blood-veffels coming through all the holes of the fls:ull ; from v/hence, and from its cohcfion with the Vol. III. N peri- *^ That nature has given none, or, what is liker truth, very few ijgTves to the dura meninges, I am convinced from Lobftein's and my own obfervations; howev.r, both inflaramaiion and furgical phe- nomena forbid my denying, that ihia mciubrans is tpully d.-ftituic of feOfibilicy. i86 BRAIN AND NERVES. Ch.XI. perioftea of the head, fpine, and whole body, it has received ilic name mater. The internal plate of the dura mater is in mofl parts continuous with the for- mer: but, in fotne fubjefts, it recedes a little from it, as in the great fphenoidal wings; and at the fides of the fella equina, where a good deal of blood is poured be- twixt them ; and they likevvife recede thus upon the fella equina itfelf : the fame plate having left the outer- moft, adhering firmly to the bones of the fkull, de- fcends doubled together to form the fa!x, which arifes firfi: from behind the procefTus criftse galli of the multi- form bone, afterwards from the crifta itfelf, and from the whole jundures of the bones of the forehead and the parietals ; and laftly, it arifes from the middle of the back part of the occipital bone, and, growing broader backwards, is interpofcd betwixt the hemifpheres of the brain ; the more remote part of it forward hangs over the corpus callofum, and that which is next in the back- part is extenuated to an edge in the fame place. That there are fnining fibres in this part, difperfed towards the longitudinal finus from the conjundion of the ten- torium, in the fhape of branches and palm-twigs, is cer- tain ; but it does not therefore follow that they have any raufcular motion ; and betwixt thefe fibres frequent- ly there is no membrane, only natural foramina are in- terpofed. Tiie falx is both joined to, and continued from, the middle tentorium, which is extended laterally. In the fame manner, with fome difference of fituation, the faid falx fends out a fliort plate downward, which divides the cerebellum, together with the ftrong tento- ria or lateral produdions ; which arifing from the cru- ciform protuberance of the occiput, are interpofed tranf- verfely betwixt the brairf and cerebellum, extended as far as the limits of the os petrofum, and connefted to the anterior clinoide proceffes, leaving an oval aperture for the medulla oblongata to defcend freely. Thefe produdions of the dura mater ferve to prevent the parts of the brain from prefiing one another, in all fituations and poflures of the bodyj and they likewife hinder one part Ch.XL brain and nerves. 187 part of the brain from bruifmg the other, by any flioclc or conciifiion. Hence it is, that in the more aftive quadrupeds, where a concuffion is more likely to hap- pen, the brain and cerebellum are divided by a bony partition. CCCXXII. In the external furfaceof the pia mater, not far from the- fmus of the falx, are placed fmall glandules, feated in the reticular texture of the hard membranej partly looking towards the finus, to whofe cavity they are oppofed, in fuch a manner, that fome of them are contiguous to the hollow of the finus ; others arre fo placed at the infertion of the larger veins into the pia mater, that, together with the former, they make up a continued range or feries ; fome are alfo obferved in the tentorium of the cerebellutn, which are fometimes foft, oval, and white, fometimes red, hard, and in appear- ance like wrinkles ^°6 But the vapour, which exhales from the furface of the pia mater, is not feparatcd by thefe glands : for it is every where exhaled, even into the ventricles, where there are none of thofe glandules; and it plentifully tranipires every where from the mouths of the leail arteries, as we fee by experience, when water or fifli-glue are injefted, which fweat out through every point in the furface of the dura mater. CCCXXIII. The next covering of the brain, which is more clofe to it, and prefles the whole furface of the brain, as that does the cavity of the fkuU, has been denomi- nated from its tenuity, arachnoidei^ i. e^like a fpider*s web. This very thin or tender membrane, being pel- lucid Hke water, every way furrounds the brain, whofe inequalities it climbs over, and according to its ex- treme thinnefs is pretty (bong, and furrounds the lar- ger veffels in fuch a manner, that the faid velTels feem to run between the pia mater and arachnoides j which N 2 . laft ^° So called glands by Pacchioni ; frequently found in great num- bers between the two layers of the dura meninges, for the rooft part in the duft of the falciform finus ; they occupy a broad furface ; their ufcs are not yet fufEciently known ; ihcy belong rather to the con- glomerate, than to the conglobate glands. 1-88 BRAIN AND NERVES. Ch.XI. ]aft is, therefore, no part or lamella of the pia mater^ from which it differs by firuation, and is connected to it by a cellular texture after the manner of the fpinal marrow, although it is refolved into a cellular nature between the hemifpheres of the Brain. CCCXXIV. The third or innermofl covering of the brain, which is foft and cellular, is properly the p'la ma- ter ^\ This immediately invefts the whole furface of the brain and fpinal marrow on all fides, is tender, and made up of a vaft number of fmall veflcls which are joined together by a cellular texture : but thefe veffels it fends into the brain in a regular order, like little roots. This defcends betwixt every furrow and fiffure of the brain and cerebellum, and even infmuates itfelf into the fpinal medulla, and is the bond by which the little pro- tuberances of the brain are joined together. This being received into the cavities of the brain, changes its fa« brie, fo as to become foft and almoft of a medullary con- fidence, more efpecially when the fubjeft that comes under the examina[ion of the knife has lain dead fome eonfiderable time, yet then it is eafy enough ta demon- ilrate the veffels themfelves in its fabric. CCCXXV. The veiiu of the brain are not difpofed in the fame manner with thofe in other parts of the body. For neither have they any valves, nor do they run to- gether in company with the arteries, nor have their trunks the flruclure which is commonly obferved in the other veins. The veins, therefore, which come out of the innermofl cavities of the brain, thofe which are ipread upon the ftriatcd bodies, the veins of the cho- liode plexus, with the lucid feptum and the anterior ventricles, are collected together into trunks which at laft meet in one great vein, or often two, which, being accompanied with many fmall arteries of the choroide plexus, defcends backward to the partition of the brain and cerebellum. In that place, it receives veins arifing from the pollerior and lower part of the brain, and fome '* Defcrving the name of vafcular ?nemhrafie, fince there is n* inembraQe found ia the body fo fully fupplied with veScls* Th-XI. brain and nerves. 189 fome of the cerebellum, from whence the blood paffes into a finus, which is a kind of vein included in a re- duplication of the inner plate or membrane of the brain, into which the veins, to fliorten their length, are gene- rally inferted ; and this finuous vein generally defcends to the greater fmus on the left fide, though lometimes it ends bifurcated, one branch on each fide. This is called \h.t fourth finus. CCCXXVI. The upper and fuperficial veins of the brain are large, and fpread in the windings with which, the brain on all fides abounds. With thofc veins, rhro' the whole furface of the brain, are inferted other veins of the dura mater; and others, which enter by peculiar orifices into the falciform finus. From thence the veins, gradually colle£led together, pafs along, moft of them forward, fome few of them in a ftraight direftion, and others backwards ; of which thofe forward are the largcft, and open themfelves, their extremities being obliquely cut off, into the \ong falciform fmus which is formed by the right and left plate of the internal membrane of the dura mater, which meet together below upon the upp^r part of the back of the falx. From thence it is of a tri- angular figure, convex in its upper fide, beginning with a Hender origin at the feat of the foramen Ccccum, that is placed above the crifla galli ; from whence it afcends and follows rhe courfe of the falx until that joins the tentorium: it is generally inclined to the right fide, and takes the name of the right tranfverfe finus ^ which then goes by a peculiar channel in the occipital and tempo- ral bone, tranfverfely to its incurvation at the opening of the jugular vein ; in which place being much enlar- ged, it receives the lower finus petrofus, together with the occipital ones, which are hereby difcharged into the jugular vein. But the left tranfverfe finus refembles the former ; and is, like that conveyed in a fimiiar courfe to the jugular vein, into which it is rather infert- ed on the right fide, than continued as it were in a trunk. Into it the fourth finus (CCCXXV.), together v.'ith the occipital one, ufually infert themfelv.ss. But N 3 there T90 BR AIN AND NERVES. Ch.XI there are fome inftances, where all thefe are difpofed ia a different manner, by an infertion of the longimdinal into the left tranfverfe finus ; and then the right tranf- verfe finus receives the fourth and the occipital one. At other times it is equally divided into two tranfverfe trunks; and fometimes the middle finus joins the tranf- verfe ones. The two finufes alfo have been found li- milar and parallel to each other. CCCXXVII. There is a flender and rounder finus, which runs along the lower and thicker margin of the falx, fomewhat of an irregular figure, more refembling a vein, receiving veins from the falx itfelf, and commu- nicating likewife wdih the upper finus ; it alfo receives veins from the adjacent hemifpheres of the brain, and from the corpus callofam. Where the tentorium joins ^with the forepart of the falx, this is commonly there inferred into the fourth finus. CCCXXVIII. The lower veins of the brain which lie next to the bafis of the Ikull, are varioufly inferred. The foremofi: of them coming from the foifa fylviana, col- lected together into fome trunks, are inferted into the cavernous finus, or triangular interval, that lies at the fide of the fella equina, betwixt the external and inter- nal plate of the dura mater. Other veins, from the pons itfelf, lead into the upper finus petrofus. Other posterior veins, which come from the pofterior lobes of the brain, are inferted in great numbers into the tranf-^ verfe finus that is feated within the tentorium. CCCXXiX. The upper veins of the cerebellum meet- ing together in large trunks, partly open themfelves into the fourth finus, and in part into the tranfverfe finus. The lower veins from the cerebellum and medulla ob- longata, infert themfelves into the upper finus petro- fus ; the later alfo into the tranfverfe procefs very near the place where it goes out. CCCXXX. There are many finufes, befides thofe before-mentioned. The mofi anterior of them, which is commonly like a circle, is larger behind than in its fore-part, whigh is llenderer, and furrounds the pituitary glan- Ch.XT. brain and nerves. ipi glandule betwixt the clinoide procefles, communicating with the cavernous and with the lower petrole fmufes ; likewife communicarin^ betwixt tliofe proceffes and the carotid artery, and again, by the way of the fixth pair, with the upper petroTe finufes behind the fifth nerve. There are fome inftances where this funis receives the ophthalmic vein ; and fometimes the tranfverfe, joining to the cavernous finus, fupplies the place of this circular fmus, or elfe is prefent with it at the fame time. CCCXXXI. The upper petrcje fmus is conveyed back- wards in a cavity of the os petrofum, and takes its ori- gin from the extremity of the anterior fulcus of the OS petrofum, where it communicates with the cavernous iinus, and receives the infertions of the veins of the dura mater, and fometimes of the anterior veins of the brain itfelf, mentioned before (CCCXXVIIL); then it is in- ferted into the angle of the tranfverfe finus, where it begins to be bent; fometimes alfo it joins the inferior finus of the os petrofum. Another vein, likewife de- fcending by the os petrofum, is in like manner inferted. into the angle of the tranfverfe fmus. The lower fimis ■petrofus, which is larger, goes round the root of the bone of this name, and communicates with its fellow behind the clinoide procefs; alfo twice it communicates with the cavernous fmus, and with the upper fmus, and is conjoined under the nerve of the fifth pair, being finally inferted into the jugular foifa or cavity. Moreover, it receives fome veins of the dura mater from the bafis of the vertebrae. To the fame outlet alfo the occipital finus leads on each fide, which being pretty large, goes round the margin of the foramen, till arriving at the falx of the cerebellum (CCCXXL), it is fooner or later inferted together with its fellow, for the moft part into the fourth finus, and with that into the left tranfverfe one, or' into the longitudinal finus it- felf, or laftly by a divided extremity into each of the tranfverfe finufes. This finus receives the lower and poflerior veins of the dura mater, and fome others from Jhe vertebrae. N 4 CCCXXXIL )p2 BRAIN AND NERVES. Ch.XL CCCXXXII. The afitericr cccipitalftnus'xs, irregular o^^ niuMform, partly tranfverfe, and partly defcenciing to the great foramen, being varioufly conjoined uith the lower petrofe finufes : from whence it palTes with the nerves of the ninth pair; and either communicates through a peculiar foramen, by eniiiTaries into the outer vertebral vein; or other branches, going downwards, open into the venous circles of the fpinal medulla. But the ca- vernous finus ot he dura mater (CCCXXV.), being fur- rounded with a ^lo "d deal of cellular fubftancp, receives, beficiesthe forementioncd finus (CCCXXIX,CCCXXX), large veins already dtfcribed; alfo the ophthaln.ic, and principal vein of the dura mater; and tranfmits them with peculiar veins^ together with the firfl and fecond nerve, and third branch of the fifth pair, with a large artery of th.-^ dr.ra mater (CCCXVl.) and the internal carotid (CCCXVl): alfo it fends out other emiflaries through a foramen, which is not conffant in the great wing, which form inofculations with veins placed on the putfide of the fkull leading to the jugulars, and efpe- cially with the largeft pterygoidal plexus of veins be- longing to the nofe. In the fame manner, the veins of the pericranium pafs through fraali fjoles in the parietal bones into the longitudinal finus, as rhe occipital veins pafs through the maftoide hole into the tranfverfe finus through the anterior channel of the occipital bore, and the, external vertebral veins are inferted inro tlie jugular finus; and others of the anterior occipital vems accom- pany the nerve of the ninth pair. T! us there arc ari infinite* number of ways open to the blood; by uhich it may pafs from the finufes, wherein it is often collccl- ed in too great quantity by various diredions, according as the part is more lax or has a greater declivity, J-Jence no violent fymptoms follow upon tying either cr both of the juf^ulars or other large veins. CCCXX^^lll. 1 he great quantity of blood which goes to the brain, the greater impulfs with vhich it is fcnt into the carotid arteiies (CCCXiX.), and the fecurity of this part from every kind of prefTure by a ftrong bony fence, joined with the fiower motion of the blood through •'■■.'"' ■■ ' ■ the Ch.XI. brain and nerves. 19^ the abdominal vifcera and lower extremities, alfo the per- petual cxercife of the brain and fenfes, do all determine a copious flux of blood to thefe parts, and fome other caufes ferve to fill the head furprifingly with blood. Hence it is that a rednefs of the face, a turp^efcence and fparkling- of the eyes, with a pain and puU'ation or throbbing of the arteries in the head, are fo frequently followed with a bleeding at the nofe, by violent exercifes or motions of the body. From hence, therefore, it is evident, that if the veins were of a thin and round ftruclure in the brain, they would be unavoidably in greate'r danger of breaking, and confequently apoplexies (10 which, ia their prefcnt ftate, they are often liable) would be much more frequent. To avoid this, therefore, nature has given a different figure to the veins which carry out the blood from the brain, by which they are more eaiily and largely dilatable, becaufe they make an unequal re- fiftance: their texture is likewife very firm, and more difficuldy broken, efpecially in the larger finufes, which perforni the office of trunks ; for as to the finufes of the Icffer fort, they are either round, half cylindrical, or of an irregular figure. Befides this, nature has guarded the finufes by crofs-beams, internallv made of flrong membranes, and detached from the right to the left fide within the finus, which in greater diftenfions they draw towards a more acute angle, which is ca- pable of a larger dilatation, ft rengthening and guarding it from a rupture at the fame time She has likewife, in thefe veins, provided numberlefs inofculations, by which they open mutually one into another, and openly com- municate with the external veiTels of the head and with thofe of the fpinal medulla, by v.'hich means they arc capable of freeing themfelves more eafily whenever they are overcharged with blood, (CCCXXXII ) CCCXXXIV. It is by fome queried, Whether a part of the arterial blood is not poured into the finufes of the brain ; and whether they have not a pulfation excited irora that blood? That they have no pulfation, is paft doubt; becaufe the dura mater every wav adheres firm- 194 BRAIN AND NERVES. Ch.XI. ly to the ikull, but much more firmly in thofe parts which are the feats of the fmufes. Indeed they receive liquors injefted by the arteries ; but whether thofe tranfude through the fmall exhaling arterial veffc^ls, or whether they firit make a complete circle through the veins, as indedl is much more probable, we are not yet furnifhed with experiments enough to determine. CCCXXXV. Thus all the blood of the brain is finally conveyed into the jugular veins, which are very dilatable, and for that reafon guarded Vv^ith valves to prevent a return of the venous blood from the ris^ht auricle, being at the fame time furrounded with a good deal of cellular fubftance. As to the blood which goes from the head to the vertebral veins, it is a very incon- fiderable -quantity J but the jugulars anfwer in fuch a manner to the great upper vena cava in a dire£t courfe, that they afford the highway for the blood to return back to the heart. The branches of thefe are commonly the fame with thofe of the brain ; namely, the veins of the brain, and thofe of tiiie face. CCCXXXVI. The external jugular is a cutaneous vein of the neck, which produces the temporal one, and is united with the internal jugular at the balis of the lower jaw; and the fame fends a branch through the os maxillare into the tranfverfe fmus. I'he internal verte- bral empties itfelf through the tranfverfe proceffes of the neck into the tranfverfe fmus as often as the canal be- longing to it is opened. CCCXXXVIl. The two lateral finufes of the fpinal marrow run along its whole length, are joined to each vertebra by a femicircular arch, and at laft are united with the jugular and occipital finufes: they fend branches, however, tq the fpinal marrow, joined with the anter- rior and pofterior fpinal vein. CCCXXXVIIl. The veins form innumerable anaflo- mofes with one another, that the blood may return with the greatefl eafe from the head, of which the repletion is very dangerous. The bram is alfo more eafily eva- cuated in the time of infpiration, and fubfides as we fee Ch.XI. brain and KERVES. 195 fee when the fkull is opened, but Iwells during the time of exfpiration. Hence, blowing the nofs-, fneczing, and coughing, aredangerous to thole whofe brain is fwelkd by retained blood. CCCXXXIX. Whether or not there are lymphatic veffels to be feen in the brain, is by fome queftioned. Indeed, we read defcriptions of them in the pia mater, and in the larger choroidal plexus ; but, for my own part, 1 have never been able to fee them, and poffibly there are none to be feen, fince there are no conglobate glands in the brain, which are always near at hand wherever any of thefe vefl'els are to be found ^\ As for the various accounts which are given of the pituitary glandule, of the infundibulum, and of the dufts which lead from thence into the veins of the head, abforbing and tranfmitting a water from the ventricles of the brain, they are not fupported by anatomical experi- ments : which makes it more probable, that the vapour which is fecreted into the ventricles of a healthy perfon is, in hke proportion, abforbed again by the inhaling veins; or, if any part abounds, that it defcends through the bottom of the ventricles to the bafis of the fkull, and from thence into the loofe cavity of the fpinal me- dulla. That this is the cafe, appears from palfies which enfue on one fide of the body after apoplexies j and from '^ In almoft no vifcus has the exiftence of" lymphatic veflels been oftener afTerted and again denied, than in the brain. Al- though, indeed, I am fully certain, that a group of lymphatic glands is nowhere found without lymphatic veffels, by no means, however, could I aflert, that there are nowhere lymphatic vefl'els where glands do not appear. By analogy drawn from the whole body and all the vifcera, I am lead to think, that the brain is not deftitute of its aqueous veflels, and that they run in particular upon the furface, not in the heart of its fubftance, although I my- felf have never feen any, but thofe moving on the choroid plexus towards the tentorium, and on the inner furface of the dura mater, in the duft of the fuperlor longitudinal finus. But I cannot dif- credit the induftry of the celebrated Sommering, who confirms the obfervations of King, Collins, and Pacchioni, who faw them going upon the pia mater. I would afl<, May they be joined with the glands of Pacchioni ? May thefe corpufcks fuppiy the place of lymphatic glands? 196 BRAIN AND NERVES. Ch. XL •from the bifid fpines or watery tumours in the lower part of the fpinal medulla, following in thofe who have an hydrocephalus. CCCXL. It now remains for us to fpeak of the en- cephalon itfelf^^ But many are the parts included un- der, rhis general denomination. By the brain, properly fo called, we underftand that upper and foft vifcus which is contained in the fkull, and which is lodged by itfelf in its fore-part ; but backward it is incumbent over another confiderable part, called the cerebellum, which lies in the pofterior and lower cavities of the oc- cipital bone, under the membranous tentorium, which parts it from the brain. Its low^r, middle, and white portion, ^3 Tlie brain, under which name we comprehend the cerebellums, crura, pons, and medulla oblongata, has it in common with all the vifcera, that, according to the diverfity of age, the condition and mutability of funftions, in the various clafTes, genera, and fpecies of animals it has its proportion, which varies prodigioufly, to the body. Nobody will quefiion that the functions of the mind, the fenfual faculties, and the more eafy or difficult rife and impreflion of ideas, both occafioned by thefe laft agents, as well as by cuftom and imitation, owe a dependence upon this different proportion of the brain to the reft of the body. The dignity of fucb difquifitions, and a peculiar fondnefs and defire towards medical pfychology, prompted me, thefe eighteen years, whenever ap occafion prefented. in different animals, and in more than three hundred human fubjefls, to make inquiry in determining the proportion of the parts of the brain to one another and to the reft of the body, and that of man to various brutes, paying regard to the weight as well as to the fpecific gravity. Since the year 1766, I have feveral times com- municated to my hearers, both in my medico-pfychological, and particularly anatomical leflures, many obfervations, both upon the weight and the increafe of the medullary and diminution of the cortical fubftance, and likewife the increafed fpecific gravity of the brain. Hence many of my thoughts, m.y name, however, fupprefT- ed, were copied and inferted in various philofophical defcriptions ; but fome errors crept in amongft them : to amend which, I fhall foon infert a compendium of my obfervations, fince the proper tables, containmg more than 500 experiments, do not fuit this place. Haller has given a great catalogue of the weight of the brain and its proportion to the whole body, and containing the weight of feveral animals, taken from Schneider, Pozzi, Paris Tranf- sdioDs, the famous BufFon, Chalder, S:c. but my obfervations will come in- more properly, chap. xvii. dH.XI. BRAIN AND NERVES. rgy portion, defcending before the cerebellum, is in part called the pons^ and in part the medulla oblongata, CCCXLI. ']^\\tjigure of the brain ref-'mbles that of half an tgg, which is deeply divided iongitudinaJIyy but not cut through above half way, into hcmifpheres refembling the fourth part of an eg^. Both the upper and lower furfaces are full of many gyri or convolutions, which pretty deeply cut or divide the brain with round ends or angles into undulated portions. But the largelt is that which afcends on both fides outwards from the fides of the fella turcica, and divides the hemifphere into two lobes. Upon the furface of the faid lobules or portions lies the cortex, extremely foft, and inclined from a yellow or red to a grey or a(h colour, being the mofl tender of all parts in the human body: this in- wardly is filled with the medulla, which is almofl per- fectly white, but redder in the foetus; in many places, it is perforated by red arteries, which are more fimple and perpendicular, or flraight, than in other parts. This medulla is more folid and more capable of fuftaining its figure, notwithftanding it is very foft, and abounds in a greater quantity than the cortex ^'*. The greater pofterior branch of the carotid artery (CCCXVII.) iirft divides the right and afterwards the left hemifphere of the brain into an interior lobe, which is the larger j and a pofterior lobe, which is the lefs. CCCXLII. The fabric of the cortex has been a long time controverted; but it is now fufficiently evident, from anatomical injedions, that much the greater pare ©f it confifts of mere veffels, which are every way in- ferted from the fmall branches of the pia mater, de- tached like little roots into the cortical fubllance, and conveying a juice much thinner than blood in their natural (late, although in fome difeafes, and by (Iran- gling, they often receive even the red parts of the blood, more efpecially in brutes and birds. The re- maining ** Whoever accurately infpefls the human brain, will find a three- fold fubftance, particularly in fuch brains a8 have becD indurated bj a mixture of alchobol and nitrous acid. 198 BRAIN AND NERVES. Ch.XL maining part of the cortex, which is not filled by any injedion, is probably either an affemblage of veins, or of yet more tender vefffls; for no oiher diffimilar parts are apparent in the cortex, whillt it is in an entire or natural flate ; from whence one may conjefture fome part of it to be tubular, and the other part folid. As to glandules making the fabric of the brain, that notion has been difcarded by ur.iverfal confent ; nor indeed has there been any other opinion received with lefs pro- bability than this. CCCXLIII. In order to gain a knowledge of the na- ture of medulla, we are to confider the anatomical ftruclure of this part of the human brain, compared with- the brains of brute animals and fifh. Therefore this part of the brain, which follows immediately under the outer gyri or convolutions of the cortex, is of a white colour, and becomes gradually broader and more a- bundant ; fo that, at length, it makes up the whole oval fedion of the brain, except only the gyri in the furface, which makes the cortex. In this part, the tv/o hemifpheres of the brain, as before obferved, are divided' but half way through ; which hemifpheres here continue their cohefion with the medulla in the mid- dle. That part of the medulla which is extended un- der the falciform procefs, but at fome diftance from it, is called corpus calh/wn; in the furface of which run two parallel whiteitripes, formed by the pulfation of the • arteries : thefe flripes diverging forwards, and termi- nated at the place where they mingle together in the fore-part, are thence divided backwards. But the an- terior extremity of this callous body is loft in the fub- ftance of the crura, coming from the anterior lobes of the brain : the pofterior, which is broader, with a fhorter curvature in the fliape of a nail, is brought in- wards ; and the other column defcends into the inferior horn of the ventricle, whence it is continued along with the longer one into the hippocampus. Moreover, the whole furface of this callous body is ftreaked with tranf- verfe fibres, which are continued, but extenuated, into 2 the Ch.XI. brain and nerves. 199 the next adjacent medulla of the brain itfelf. Even the interior fubflance of this body is of a ftriated nature, and its lower furface has its future and fibres tranf- verfe. CCCXLIV. As to the remaining parts of the brain, a fcrutiny is more difficult to be made into them : for the brain is not a folid body, but begins to be hollow in- ternally from the lower part of its medulla, which is incumbent upon the multiform bone, at which place the greater crus of the brain paflcs out frani it ; and in this cavity the medulla is only covered with the pia mater, which afcends backward, and then turning continues its courfe forward and upv/ard. Next, the brain divides itfelf near the pofterior extremity of its callons body ; and, at the fame time, fends one of its fhorter pofterior portions into the poflerior lobe Of the brain, turning its extremity inwards. But the anterior portion is continued a long way by the fide of the cal- lous body, parallel to the horizon ; and turning its horn outward, which there grovv^s broader, it is terminated in the anterior lobe of the brain. This cavity, of which there is one in each hemifphere of the brain ^^, is called its triangular or anterior ventricle ; and it is naturally filled with a vapour, which is frequently condenfed into water or jelly. CCCXLV. This cavity is full ; fo that the upper and lower parts of the brain meet together. The lower fide or pavement of this part is varioufly figured. In its fore- part, it forms a horn ; below which there is a rifing moderately convex, and of confiderable length, di- verging backwards, covered with a membrane that is extremely vafcular j and, being outwardly of an afh or grey colour, is called the corpora Jlr'iata ; becaufe in- wardly they exhibit to the view, together with much cortex, alternate white oval flreaks, parallel to one an- other, longer on the back part j befides, as it were, leiTer me- ** It is quite joined under the margin of the lower fornix, fo that water and mercury, injeded from ihe one cavity into the other, has a free tranfition. 200 BRAIN AND NERVES. Ch.XT. medullary fpots and micas. More inwardly and back- ward, there are two other fimilar eminences, more of an egg-like (hape, towards the third ventricle and other parts, moftly cineritious on the outfide, obfcurely ftriat- ed, and fo incumbent together, that they frequently co- here on the upper part, where they arc confounded with the cortex: and thefe, continuing their courfe through the horn of each anterior ventricle, defcend to the bafis of the fkull, and there generate the optic nerves, of which they are called the thalami. Betwixt the faid ftriated bodies and thofe thalami, lies an inter- mediate, parallel, white, and (freaked medullary por- tion, called the double femicircular centre, produced from the a7iterior commijjure^ and frequently from the crura of the fornix ; but erperially from the medulla it- felf, before the thalami of the brain. This commiffure is broad, ftrong, and joins together the anterior part of the brain before the thalami. The double centre, which is broadeft behind, arifes with many fibres, from the junction of the foot of the hippocampus with the medulla of the brain. But the corpora ftriata, with the thalami, conititute the medullary crura of the brain ; which, in the bafis of the cerebrum, lie over the me- dulla of the cerebellum, and are joined together at the extremity of the bridge above-mentioned. At the place where they approach neareft to one another, each fends out an hemifpherical mamillary eminence. The fibres of the medulla of the brain itfclf, mixed together with the medulla of the cerebellum, defcend into the medulla oblongata ; and, being then coiiefted into a bundle, they go to the corpora pyramidalia. ^ CCCXLVl. It is to be obferved, that the corpus cal- lofum medium projects or rifes up in the common axis or middle of thofe ventricles. Behind, this body lies contiguous and incumbent on the fornix; but, before, there are two fimilar medullary partitions, which defcend from this body the whole length of the corpora ftriata ; and this part, which in its middle includes an anony- 5 mous Ca.XI. BRAIN AND NERVES; aot hious cavity, goes under the nzmQof/eptumpeliucidum^^i This feptum is continued to the fornix ; hat is to fay, the four-horned medullary trabecula,wnich takes its an- terior origin from the medulla of the brain, and fome- times from the mamillary protuberances, and thecommif- fure which we have mentioned ; and behind that, par- ticularly under the thalami, and often from ihe double centre and crooked line of the thalami. This fornix is incumbent upon an interval of the flriatcd bodies, and upon another interval of the thalami : from whence it degenerates partly into a broad thin fimbria ; and partly into another tubercle, which is evidently conti- nuous' with the fornix and callous body of an half cylindrical figure, and furniflied with an appofitey?/^- bria, Thefe delcend into the lower anterior horns of the ventricles; and at laft terminate outwards by a fort of convex fulcated end, imprinted by the gyri of the: brain ; and trrminattd by a foot, having as it uere four furrows, whence the name of hippocampus^ which externally are covered by exceeding thin medullary plates, but are inwardly of a cortical fubftance. At the beginning of the divifion of the foot of the hippocam- pus, the tsenia ends in two white ftrise, a long and a fhort one, inferted into this foot and into the brain, or one inferted into the inmoft part of the unguis. A like protuberance is continued in the pofterior horn of the ventricle, crooked inwards at its extremity like the claw of a bird, to which a continuous column occupies the hinder part of the bafis of the horn of the defcending ventricle^ which is continued with the corpus callofum. Betwixt the departing pollerior crura of the fornix, the medullary portion, which is behind the middle plexus of the ventricles, and painted with tranfverfe and pal- mated ftreaks, is called the pfalterium or harp. CCCXLVII. Within the anterior or lower part of Vol. I. O each ^^ This cavity, vshich I ufe to call vttitriculum fepti lucidi, com- inunicat'C3 with no other ventricle of ihe brain, 1 i < ve feen it won- derfully dilated in an internarl hydrocephalus, contaiaing two draros ©f fluid. 202 BRAIN AND NERVES, Ch.XI. each of the ventricles, begins the vafcular plexus^ called choroides^ included in the pia mater only, it lying naked in the reft of the cavity oF the fkiill, made up ot a great many fmall arteries CCCXVII, CCCXVlil.), together with little veins originating from the larger trunk (CCCXXV.); all which numerous velFcls, joined to- gether by the pia mater, rcfemble a curtain varioufly folded. With thefe are intermixed many fmall pellu- cid glandules of a round figure, refembling hydatids. It afcends from the bafis of the brain, through the de- fcending horn of the ventricle, and thus is dilated as it goes upward ; but, thence, becoming narrower, it goes on with the optic thalamus, to the poflerior extremity of the feptum lucidum. , When thofe plexufes have reached the anterior extremity of the thalami, being afterwards refic£led and united together into one very large vafcular plexus, they grr^dually defcend through the crevice of the third ventricle as far as the pineal glandula, and then are continued into the pia mater of the pofterior lobes of the brain. From this plexus, doubtlefs, proceeds the internal warmth of the brain, with its exhalation andinhalation. But the choroidal plexufes .become very broad where the anterior ven- tricles of the brain begin to defcend ; and thence, con- trading gradually downward, they projedl: their extre- mities to the ends of the anterior ventricles, covered only with the pia mater. CCCXLVill. Betwixt the thalami, apphed one to the other almoft with a plain furface, there is a natural fiffure terminating the crura cf the brain, which meet together in the bafis of the Ikull ; and this is called the third ventricle. It leads by a declivity, like a funnel, forward into a concave column ; which though hollow in brutes, is yet evidently lefs tubular in man, and con- nected to tlie pituitary glandule. CCCXLIX. This is comprefled on both fides, fimple, of uncertain ftrufture ; on the anterior part almolt round, and of a reddifh colour j on the pofterior, cine-^ ritious, Ch. XL B R A I N AND N E R V £ S. 203 ritious, broad tranfverfely, covered with the pia mater of the brain : it lies upon the proper impreiTion of the fella turcicaj and feenis to be a kind of appendix to the brain, CCCL. Backward, the thalami are conjoined toge- ther in the bottom of the ventricle, by a medullary faf- cia, or poderior commiffLire, and by a fmaller tranf- verfe chord ; from v^hich a crooked white flrcak goes out on both fides in the upper part, which lofes itfelf in the double centre, in the anterior commiflure, and fometimes in the crus of the fornix. Oa the fore and upper part, the thalami fpring out of a protuberance, which is formed by the triangular fornix lying between the two thalami. CCCLI. This little eminence feparates the upper triangular cavity of the third ventricle, filled up with the fornix, from the inferior calamus fcriptorius, infuch a manner, that the cavity is continued both from the anterior and poderior extremity of the third ventriclCj from the top to the bottom. But even the anterior commiffure is a medullary ftreak which unites the tha- lami before the anterior crura of the fornix. CCCLII. Again, behind the thalami, thofe tfanfverre figured eminences of the medulla meet together, which conjoin the medulla of the right and left pofherior lobes of the brain. In this part, backward, are cut out four oval eminences, which are outwardly fmaller, called the nates and tefles, and which are of a fubftance inwardly cortical, but outwardly medullary. Upon thefe is feated a cortical glandule, fomewbat oval and conical, fpread with many fmali veiTels, into which the choroide plexus here degenerates : this is the pineal glandule fo much celebrated, and fo frequently difeafed, and joined to the brain by fmall foot-ftalks fent into the linea alba thro' the thalami in their palTage forwards. Between this eminence, on which thefe four protuberances are cut out, and the crura of the oblong medulla, paflfes a groove or channel in the fame diredlion from the third to the O 2 fourth 2£r4 BRAIN AND NERVES. Ch. XL fourth ventricle, manifeftly open, refembling an aqac' duel '. CCCLIII. The uhole medulla of rhe brain is, in its lower part or bafis, collected together into two very thick comprefTed column*?, difiinguiihed in their furface by a line running according to their length ; which have internally a cortical fubllance, and are the crura of the hrain^ Thefe, meeting together backwards, are cover- ed by the fubjacent crura of the cerebellum, and are inferted by apparent firata of fibres into the pyramidal bodies of the m.editlla oblongata; and with the other deeper fibres, uhich feparate ihe inner tranfverfe fibres that come from the cerebellum from the preceding, meet together with the medulla cercbclli to make up the beginning of the medulla oblongata. CCCLIV. The cerebellum^ as it is lefs, fo it is more fimple than the brain. It has two lobes, but no where deeply parted, united above and below in their centre to a ring of the fame fabric wiih itfclf, called the vermis^ at the fide of which there is a fmooth eminence of the fame nature with the cerebelium itfelf. This part of the encephalon contains a great deal of the cortex, with a lefs proportion of medullary fubllance. And here likewife, the cortex is placed in the circumference, but marked v*'ith gyri or convolutions, which are rather pa- rallel to each other, fo as to rorni circles. Thu^ the fmall lobules or portions are difLinguiflied, but not deeply, and afterwards fend out Coch of them their medulla; wh'.ch rs, by degrees, {o colledted tojj;ether in rays or brrmches, niecting in one trunk, tliat the whole refeivibles the figure of lirtie trees, i his medulla, col- leded together into the large crura of the cerebeJ)un>,. nnd marked in the inner part with fer-^aied cortical Iint:s, interwoven with ore another, l»ath a threefold ternvina- tion. One part afcends towards the bafis of the nates, where it joins with the medulla of the brain under the telles; but the right and left parrs of it are joined to each '^ So called by Sylvius, as the juenm itfe'f; nnderwaich runs ihc poDS Sylvii. CH.Xr: BflAIN AND NERVES. 205? each other bv n tranfverfe medullavy ftria behind the natrs. From this, fome diftinft fibres afcend outwards, and join (heinfelves to the traniverfe ones of the bridge. Brtween thefe firfl procclTes of the cerebellum, is ilretched a medullary lamina, behind the fourth ven- tricle, fending forth fibres beyond the procefs. Ano- ther portion defcends into the fpinal medulla, and ter- minates in peculiar nail-like protuberances, which are ieach anonyiyous, and have other cortical portions near them. A third portion, which is larger, and fmuated in the middle, goes tranfverfely downward under the crura of the brain, which it embraces ; and by twice intermixing alternately with their tranfverfe medullary fibres (CCCLll.), it is in a great meafure confounded together with them. CCCLV, Thus is produced from the crura of the brain ^efcending above thofe of the cerebellum, and from the medulla of the cerebellum rranfvcrfely furrounding that of the cerebrum, the pons, at firft ahiioft oval, but more blunted on both fides, deprefl'ed in the mid- dle, and iiifcribed on all fides with tranfverfe fibres. Then the medulla oblongata, continuous to the pons, is internally variegated and ftreaked with a fubdance like the cortex, and defcends of a conical fliape, inclined to the great foramen in the occiput. This medulla has two pair of tubercles before the pons ; the outermoft of the figure of an olive, and the innermoft of a pyra- midal fhape, for they IclTen downward like a cone ; and thefe arc immedii;tely divided by a fulcus, through which the pia mater enr-ers. But betwixt that medulla and the worm-iike procefs of the cerebellum, is formed a cavity, limit-ed by the four leffer proceffes, which as they afcend or dsfcend is at firft narrower; but above the tubercle (CCCLIV) it grows broader, and is of a rhoiTiboIdal figure : it is called the fourth ventricle. It is fhut in its back-part by the valvula magna, or a me- dullar}' velum, uniting the proceilcs going from tha cerebrllum to the nates and vermis, and tranfverfe ■ftria lying under the teftes, and {hutting the ventricle O 3 behind. 2o6 B R A I N AND N E R V E S. Ch. XI. behind (CCCLIV.) This ventricle has a moderately large fulcus or furrow, having fwelled lips on each fide infcribed on the medulla oblongata, and anfv^'ering to the canal that is covered by the nates and teftes, called the aqueduct (CCCXLVlll.) In this lad ventricle, as well ^s in the foregoing, is lodged the plexus choroides, only lefs in bulk, together with an upper fulcus called calamus. Each of thefe fulci is continued down along the me- dulla fpinalis, both in its anterior and pofterior fide ; more evidently in the former, but lefs fo in the latter. Tranfverfe fibres are detached in its upper part from the right to the left fide, both of the medulla oblongata and fpinalis. But two or three of the tranfverfe ftreaks that arife from the eminences which intercept a -fulcus, are inferted into the foft part of the acoudic nerve ; others go to the eighth pair, and others of the fame kind afcend to the crus of the cerebellum. CCCLVI. A\\ the medulla of the brain and cere- bellum goes out from the fkull, through particular openings, to the parts to which it is deliined. The fmaller bundles of this medulla we call nerves; but the larger, defcending through the fpine, we call the Diidull a fpinalis, which is a continuation of that called oblongata (CCCLV.) But the nerves, which are bundles of the medulla, and very foft in their origin, are com- pofed of iiraight parallel fibres in diltincl threads. Thefe nervous cords, after they have gone' forward • fome length, covered with the firm pia mater of a red- difn colour, are afterv/ards united into a more tough or permanent ilring; and then, conjoined, divided, and in the neiglibourhood of others like themfelves, they iiaften through a cellular texture to their proper open- ing in the dura mater, and thence run down through the intervals of the channels formed by that mem- brane, till they meet with an opening in the fkull, out of which they pafs through the membranous funnel of the dura mater. The nerve, having arrived v/irhout the fJLull, is commonly furrounded by the dura mater, Xo as to become verv folid and firm. Thus it is in the optic Ch.XI. BR AIN and nerves. 207 optic nerve, in the fifth p;ur, and in others; but in fome again there does not appear to be any dura mater furrounding- the nerve, as in the- olfactory nerves, in the foft portion of the auditory nerve, and the interco- ftal. The nerves now defcend naked or Icfs fenced betwixt the mufcles, detaching their cords or threads of whicli they are compofeJ, and are fiiil made up of the medulla covered by the pia mater. Many fmall threads of this kind are joined together into larger, l»y the union of the cellular fubflance that furrounds them, through which run many final! arteries and veins intermixed; and fomeiimes fat irfclf is therein lodged. But in general the outer covering, common to the whole nervous bundle, is either derived from the dura inater, or at Icaft is a liard plate of the cellular fub- Itance, wherein all the faialier threads are contained and united into one nerve, often relembling a true membrane. CCCLVll. It is common to all the nerves of the head to arife and pafs out from the lower part of the medulla of the brain or cerebellum ^^. The oifaHory nerve arife O 4 with *^ The real origin of thenervis of the brain is placed now beyond iiifpule, fince the elegant tables of Sant.orinus and of the learned Som- mering were pubJiflied, with which the celebrated Camper agrees in }iis Tables, which are not yet come out, and with Mayer alfo. Nature lierfelf has divided all the nerves in the animril body into three clafTes ; the tirft of which contains the nerves, wliofe origin is from the brain, coming tiirough the foramina of the cranium : I ilmply call thefe the nerves of the craninni. The fecond comprehend the greater number of ihofe fent from the fpinal marrow, which Icali fpinal nerves; and the third contains only a few, whicli are compofed of others, and might be called mixt, if there was need of a particular name. To this belongs the accefTorins, which is a true fpinal one ; the great fympathftic, a very complicated nerve; and the phrenic and fplanch- nic. Nobody will call in quetiion the limits and attributes of the fpinal nerves fince the time of the greata natomift Baron de Afch ; but it is certain, that the real number of the nerves of the firft clafs was not determined before the famous Sommering, who firft de- vulged the opinion of his mafter. For indeed, if we confider, with- out regard to the parts, the rife, nature, defcent, and termination of the portio dura of the feventh pair, then the proper pair of nerves, wc ought to make the eighth there, and to diftinguifh it by the name of co7nnninicaTn faciei. AH which are next in order, be- Ions: 2o8 BRAIN AND NERVES. Ch.XI, with lateral fibres from the interval betwixt the anterior lobe of the brain, but with dired fibres from the me- dulla of the anterior lobe itfcU. A great part of the optic nerve fprings from the thalami (CCCXLV.), but fome part likewife from the crus of the brain, while the nerves decuflate through its fubdance. The third arifes from the lowed crus of the medulla of the brain be- hind the mammillary bodies. The fourth, which is either fimple or trifid, fends a procefs from the fide of the cerebellum to the teftes. The fifth arifes plainly from the peduncles of the cerebellum itfelf^^ The fixth out of a fulcus (CCCLiV.) deep from the bottom of the pons betwi^it that and the medulla oblongata, Ihe feventh arifes with one part fofter from the me- dulla oblongata, and by two tranfvcrfe ftrite, from the fourth ventricle itfelf; and with another part harder from that portion of- the crus of the cerebellum which lies next the pons'^". The eighth nerve arifes from the interval betwixt the olivary and pyramidal bodies or protuberances ; and, according to the obfcrvation of other eminent anatomifts, from the fourth ventricle like- w^ife. The ninth arifes from the corpora olivaria and pyramidalia. The tenth, by reafon of iis double root, is reckoned a nerve of the neck, going out with an arch, in company with the upper and lower adjacent nerve„ There Ionp[ to thf medulla oblongata; the firft pair of which is the gloffo- pharynesus ; fecond, the vagus; third, the liogiialis medius, and then begin the pinales, furnifhed with a double root and ganglion ; the jSrft of which is the celebrated pair of Afch, denotxiinated the tenth by Willis. ^^ By my experiments it confiila evidently of a double portion; the minor or anterior, compofed of from ^to 6 nevvoos fafciciili, and arifTOg frort) the upper and high part of the foot-ftalk; the greater, or pofle- rior and inferior, made up of 34 to 50 fafc'cuh', and rithig from the middle line of the foot-ftalk ; a defcription of which I inferted in the GottenburgComi-nentaris, as well as the famous anatonaiftSoramerin£r» ^^° There are three portion? of nerves, which are commonly taken in under the ftTenth pair: a, the communicans faciei, or the portio dura, whicli we may alfo call the fmall fympathetic ; b, a new intermediate portio; c, the auditory or acoudic properly fo called. They are clearly reprefent'.d by my ingenious p'.ipii Soaiaatring, Tab. 2. Ch.XI. brain and nerves. 200 There Is, therefore, no nervous branch that arlfes pro- perly from the cerebellum, unlefs it be the fifth : for the anterior nerves, the olfa£lories, optics, and third fierve, come from the brain only ; ami all the reft from, thofe parts uliere the medulla, both of the brain and cerebellum, is conjoined, CCJLVllI. The fpinal medulla is a kind of very foft medullary rope or appendix to the encephalon, conti- nued down from the medulla oblongata, as low as the fecond vertebrfe of the loins. In the neck its anterior and pofterior fides are fiat, laterally convex, but in the back it is fquare. It is largeft where ir goes out from the head ; from thence it is fmaller in the top of the neck; in the lower part it is larger; but fmaller again through almoft the whole back ; thicker in the lower, oval, and conical part of it ; and laftly it ends in tu- bercles. The pia mater is a proper integument to this part as well as to the brain, fmce it enters ihe foremoft fiffure deeply, and divides the medulla almofl into two. The cortical fubftance which lies within it is obfcure. It has an anterior artery produced in the fkull, from the branches of ihe vertebrals. This artery is retrograde, and defcends through the whole length of the pia ma- ter, perpetually making alternate finuous flexures, which form inofculations about many but not all of the nerves, with branches of the vertebral, intercoftal, lumbar, and facrolumbar arteries; till at laft, being covered with a peculiar coat from the pia mater, it goes out and difappears at the coccyx. In like man- ner the two poderior arteries, which are lefs, arife and are diftributed from the lower arteries of the cerebel- lum, and are more Terpentine, and frequently inofcu- lated among themfelves. The fpinal veins defcend, to- gether with the arteries, from the brain itfelf, fending out branches in like manner on each fide, which ac- company the nerves like fo many circular fmufes, fixed in the dura mater, and correfponding to the number of the vertebra ; all which fo communicate one with another, that each has on all fides a divcdi ccnfcnt both 2IO BRAIN AND NERVES. Ch.XI. both with the uppermofl and lovvermofl ; and, afrer having fent out branches that join the vertebral, inter- coflal, and lumbar veins, they unite with thofe of the facruin. 1 he uppermofl of thefe fmufcs inofculates with the anterior occipital finufes (CCCXXXIl.) CCCLIX. But there is another covering, not fpread with any veffels, which furrounds the fpinal medulla loofely and at a diftance, and is pretty firm, of a watery dearnefs, called arachno'ides; and which being longer than the pia mater, is extended to the bottom of the os facrum, where the nerves, only defcending from the mcdullaj are collecled by it into a fafciculns. But in what manner it goes out, together vt'ith the nerves, has not hitherto been defcribed. Between that membrane and the dura mater there exhales a vapour, which is frequently condenfed into a reddifli water, and produ- ce;:; a true dropfy. CCCLX. Laftly, the dura mater^ belonging to the fpinal niedulla, and continued from that of the cerebel- lum, furrounding the arachnoides, and from thence defcending to the bottom of the os facrum, being lar- ger at its beginning, at the bottom of the neck, and at the loins, but fienderer in the back, and being connec- ted ultimately by nfiany ligaments to the os facrum, it at lad difappears in a (lender cone. As the nerves pafs out through this membrane, it gives them an external covering ; and directly thickens or fv?ells with them in- to a ganglion^ or hard, oval, reddifh-coloured knot. To this hard covering of the dura mater internally ad- heres a ligament denticulated at the interval of each of the nerves, which arifes from the fkuU near the courfe or pafiage of the ninth pair of nerves, tying the arach- noides to the dura mater by triangular produ6:ions in each of the intervals of the nerves, and betwixt the anterior and poilerior bundles of the fpinal nerves down CO the bottom, and twelfth vertebra of the back. Ex- ternally there is a fort of fat furrounds the dura ma- ter, and alfo lines internally the covering of the verte- bra; of the fpine ; which by this means are fo adapted like a tube to the medulla fpinalis, that the latter is I not Ch.Xr. BRAIN AND NERVES. 211 not liable to be compreffcd by the bending of it in any pofition. CCCLXL The fibres of the fpinal medulla, in drop- fical fubjecls and in brute animals, appear very diflindl. Thefe medullary fibres go qui: iVom the whole anterior and poflerior fide? of this long appendix; after which, the anterior cords are commonly wrapt up in the pia mater, in which they corverge together like rays into a larger fafciculus ; to which alfo join fimilar threads in another bundle from the pollcrior fafciculi joining to- gether into one nerve, which, palnng out through the holes of the dura mater, produces a nerve betwixt each two vertebrae. Thefe vertebras are about 30 in num- ber. In the neck, numerous radiated nervous fibres compofe one large and aluioft tranfverfe nerve. In the back thev defcend, in general, of a fnialler fize ; but fo that the lower and larger ones are commonly joined clofe to one another. The large and long lumbar ones join to form the cauda equina. The lowefl nerves of the OS facrum are the leaft, the uppermoft ones large. Many of the dorfal nerves, together with the lumbar ones, and thofe of the os facrum, covered with their proper membrane from the pia mater, accompanied with their arteries, and iuclofed in the arachnoides, make up that rope which is called the cauda equina. CCCLXII. Thofe nerves are afterwards diflributed to all parts of the body in a manner very complex, and not here to be defcribed. Bat we muft not omit to ob- ferve, that all the fpinal nerves, except one or two in the neck, have both an anterior and poderior trunk. This is only lent to the mufcles. It produces a nervous root; which joining the other adjacent nerves, and ha- ving given a fmall circle that proceeds from the fixth nerve of the brain and the fecond branch of the fifth, comes through the pttrygoide canal, and forms one of the principal nerves of the human body ; which, com- municating with almoft all the other nerves of the whole fyftem, fends out nervous branches to the heart and all the vifcv=^ra of the abdomen. The fame has as many eanglia as root'^ from the medulla, unlefs where many of 212 BRAIN AND NERVES. Ch.XL of them join into one ganglion. It communicates in various places with the crural, brachial, and diaphrag- matical nerves, alfo with the par vagum and ninth pair ol^ nerves. The other primary or capital nerve is the eighth or vague nerve, arifing from the brain, and join- ing itfclf to the intercoftal in the bottom of the neck, in the thorax, and in the abdomen: this paffes out of the Ikull in three cords ; of which the larger fends branches to the larynx, gula, lungs, and the cardiac plexus itfelf (XCIX), alfo to the cefophagus, flomach, and liver. Ibe third of thefe is the phrenic nerve, ari- fing from moft of the lower nerves of the neck and arms ; and fometimes, being increafed from the root of the fpinal nerve, it defcends by the fide of the peri- cardium, and inferts itfelf into the upper face of the diaphragm ; but below it receives nerves from the great plexus of the intercoftal nerve. Laflly, the accejjory nerve, arifing by many fmall roots from the fix or feveu yppermofl poflcrior nerves at the neck, and from the medulla oblongata, joins the nerve of the eighth pair going back again into the fkull, and feems, by this means, to make a confent betwixt that important nerve and the fpinal medulla. Moreover, the nerves of the limbs have at their origin plexufes or knots, and are, on account of their length, harder and firmer in their fub- Itance, and much lar':^er, than the great nerves which go to the vilcera : thole which go to the hand, arife irom the four lower nerves of the neck and firft of the back ; but thofe of the lower extremity from the nerves of rhe loins and os facrum. CCCLXIV. The nerves divide into branches like jhe blood-vefTels, but in acute angles, and often in a courfe manifeftly retrograde, growing gradually fofter and lefs in bulk, though fometimes they become thicker as they recede from the brain, till at length their ultimate ex- tremities, which are feldom vifible, j^em to terminate in a pulp, by depofiting the firm integuments with which they were covered, after the manner which we obferve in the optic nerve. But the rectilineal courfe I of Ch.XI. brain and nerves. 213 of the fibres, continued from the brain irfelf, is fuch, that it is never broken off by the divifion or fplitting of a nerve into fmallLr threads, which only recede from each other by an opening of the cellular fubdance thac tied them together. This appears from the dilbrders, which are determined not to all, bur only to fome lin:-':le parts by injuries of the brain ; as a lofs of the voice, deafnefsjdumbnefs, and palfies of particular mufclcs ,°*. They are connected in their coufTe by the cellular fub= fiance to the adjacent parts, but have hardly any elafti- city ; whence they do not fly back afcer being divided, but only expel, by the coi'.tradiion of their integuments, the foft medulla which they include But ihough rhey are irritated ever fo much, they are neirh -r contracted, nor are they rendered Ihorter during the motion of the mufcles which they produce. A great many nerves are fent into the mufcles '°^ ; many of them go to the Ikin ; but fewer to the vifcera, and fewed of ail to the lungs'^^; none at all to the dura and pia mater, arachnoides, ten- dons, capfules, and ligaments, and 'aiUy the whole fe- condary membranes. They make frequent inofcula- tions with each other, or one trunk gives off many branches : and principally from the conjundion of tnefe branches the nervous ganglia are formed ; i. c. hard nervous tumours, for the moll part replenidied with blood-vefiels, and included in a firm membrane, but of a ufe and flruclure as yet not certainly known, in which the ftraight courfe of the nervous fibres is interrupted. The nerves of the fenfes alone are excepted from thefe ganglia or knots, together with the eighth pair ; but they feem in a manner effential to the phrenic nerves, to the fifth pair, to thofe of the limbs, to the fpinal and to *"* Tlie want of fmell, fight, and hearing, is incurable, if the nerves are compreffed or dellroyed by tumours, fcirrhi, and in par- ticular venereal ulcers, arifiog in that part of the brain where the nerves come out. '°* More nerves manifeftly enter the organs of fenfe than the mufcles. ^°^ It is very certain that the lun^s are fuppHed with more nerves than the fpleen, uterus, and other vifcera. £14 BRAIN AND NERVES. Ch.XL to the intercoftal nerves, which laft are truly fpinal nerves. CCCLXV. Thus far we are taught by anatomy con- cerning the brain and nerves; it now remains only that we explain the phyfiological ufes of thefe parrs. Every nerve, therefore, that is irritated by any caufe, produces a fharp fenfe of pain. But we muft reckon the mind to be changed, when any change happens to the body. It is the medullary part of the nerve which feels the pain. If rhe nerve was endued with any pe- culiar fenfe, that fenfe periflies when the nerve is com- prefTcd or differed : the fenfes cf the whole body are loft by a comprelTion of the brain; and of thofe parts whofe nerves originate below the feat of preffure, if you comprefs the fpinal marrow. If certain parts of the brain are compreffed from which particular nerves a- rife, then thofe fenfes only are lofl which depend on the nerves, as the fight or hearing. Thofe parts of the body which receive many nerves, as the eyes and pe- nis, have the mod acute fenfation ; thofe have lead fen- fibility which receive few nerves, as the vifcera ; and thofe which have no nerves, as the dura mater, ten- dons, ligaments, fecundincs, broad bones, and carti- lages, have no fenfation. CCCLXVI. It is therefore evident, that all fenfation arifes from the imprei3ion of an adive fubftance on fome nerve of the human body; and that the fame is then reprefented to the mind by means of that nerve's con- ncdlion with the brain. But this feems to be falfe, that the mind perceives immediately by means of the fenforia and branches of the nerves. For this opinion is refuted, by the pains felt after amputation, the ceffation of all pain when the nerve is compreffed, and the deftruclion of the fenfes by difeafes of the brain. And that the effect of the fenfes is preferved in the brain, is evident from the lofs of memory wiiich follows when the brain is injured or compreffed; alfo from the delirium which happens in fome difeafes, and the ftupor and fleepinefs which Ch.XI. brain and nerves. 215 which happen in othcri> We have already obferved, that the dura mater has no fenfation. CCCLXVII. Another office of the nerves is to excite motions, even the moR vioh-nt ones, in the mufcles. When a nerve is irritated, the tnufcle to which it goes is immediately convulfed ; or if it fends branches to fe- veral mufcles, they are all convulfed at the fame time. This happens during the life cf the animal, and a little after its death, while all the parts are moid. By a great irritation other mufcks are thrown into convulfions, and afterwards the whole body. Nor is it necelTary that the nerve fliould be v^/hule; for even when it is cut, an irritation of it will excite fimilar motions in (he muf- cles. On the other hand, when a nerve is compreffed or tied, a pally follows ; for the mufcles which. have their nerves from that one lie unmoved, when they are commanded by the will to aft. They alfo recover their motion when the compreffion is removed, provided the nerve has received no hurt. CCCLXVllI. But the medulla of the brain being vcl- licated or irritated deeply in its crura, dreadful convul- fions enfue throughout the whole; and this without any exception, whatever be the part of the brain fo affeded ; nor is there any difference in the brain, cerebellum, or corpus callofum. The fame confequences aifo follow, if the fpinal medulla be irritated. But if the encephalon it- felf be compreffed in any part whatever, there follows thence a lofs of fenfe and motion in fome part of the body, which muft be the part whofe nerves are de- tached from the affefted or compreffed quarter of the brain. This is clearly evidenced from experiments which have been made on particular parts of the brain difordered: as from thofe, for inftance, in which the origin of the nerves is compreffed, the voice is loft; or the motion of one arm or leg, or one fide of the pharynx, is abolifhed. But in the injuries of the fpinal medulla, it is ftill more evident, that thofe parts which receive their nerves arifuig from the place injured in the medulla, are either convulfed, if that be irritated, or Si<$ BRAIN AND NERVES. Cu.tL or rendered paralytic, if it be comprefled. But whert any more confiderable or large portion of the brain fuf- fers a compreffure, either from blood, water, fcirrhuSj an impacled bone, or other mechanical caufcs, the greatefl part, and then the whole, of the body lofes its power of motion 5 of thofe organs which obey the will when the malady is in a leffer degree^ and of them all when it is greater 5 all which diforders ceafe upon re- moving the comprefling caufe. Laftly, if the fpinal medulla, entering the ncckj be injured, death imme- diately follows ; becaufe from thofe parts principally arife almoft all the nerves of the heart (XCIX.) CCCLXIX. Thefe things being confidered, there feems to be no doubt, but the caufe of all motion in the human body arifes from the brain with its annex- ed cerebellum and fpinal marrow; and that it thence proceeds through the nerves to all the mufcular parts of the body. The caufe, therefore, of this motion cannot refide in the parts themfelveSj becaufe other wife the moving caufe would continue to act after being feparated from the brain; nor would it be increafcd by irritating the brain, or weakened by a comprefilire of ir. CCCLXX. Whether or not is there in the brain any principal part, in which refides the origin of all motion, the end of all the fenfations, and where the foul has its feai:? Whether is this proved by the frequent obferva* tion, that the fenfes are fometimes entire, and that mo- tion likewife remains, though the brain is grievoufly hurt ? Is it in the corpus callofum? Or is this (hown by the greater fatality of wounds or difeafes in the corpus cal- lofum ? Is this body fufficiently conne£led with the nerves? Are there any experiments which deduce from thence the fifth, feventh, and other nerves? Doth not the fame or even greater mortality of wounds in the medulla fpinalis prove the fame thing? Yet this is not the feat of the foul, feeing, though it is comprefled or even deftroyed, the perfon will furvive a longtime with the perfect ufe of all his fenfes. Nay, this opinion is oppofed by very many fadts ; birds have no corpus calla* fum J Ch.xi. brain and Nerves. 217 fum ; and wounds in that body are not in the leafl more mortal than thofe in other parts of the brain, as appears from undoubted experiments. CCCLXXl. But the power of the cerebellum is not greater in exciting the vital motions, nor are the vital and animal fundions diftinft ; nor does the cerebel- lum produce the nerves of the heart and of other vital organs, and the brain thofe which go to the organs of fenfe and voluntary motion. From the cerebellum the fifth nerve is moft evidently produced ; but that goes to the tongue, pterygoide, buccinator, temporal, and frontal mufcles, the lap of the ear, the eye, the noftrils ; all which are parts either moved by the will, or deftined for fenfe. Again, the fame nerve, like the eighth, fends vital branches to the heart and lungs, animal and voluntary ones to the larynx, and fenfitive ones to the ftomach. Again, it is not even true, that diforders of the cerebellum bring on fo certain aud fpecdy death. For certain experiments, even of our own making, fliow that it has borne wounds and fcirrhi, without taking away life ; nor is it much different from the brain, only that it is fofter and more tender ; and laflly, we have known, and that not very rarely, wounds of the cerebellum cured. The power, how- ever, of this part, in exciting convulfions, is fomewhat greater, CCCLXXII. Concerning the feat of the foul, we muft inquire experimentally. In the firft place, it mud be in the head, and not in the fpinal marrow. For though this is obftnifted, the conftancy of the mind remains the fame. Again, it appears, from the experiment of . convulfions arifing, when the inmod parts of the brain, are irritated, that it hes not in the cortex, but in the medulla ; and, by a probable conjefture, in the cru- ra of the medulla, the corpora ftriata, thalami, pons, medulla oblongata, and cerebellum. And again, by^ another not abfurd conjefture, where the origin of every nerve lies, as the firfl origins of all the nerves taken together make up the fenforium commune. Are VoL.Ii i* the 2i8 BRAIN AND NERVES. Ch.XI. the fenfations of the .i.ind reprefented there, or do the voluntary and necelTary motions arife in that place ? This feems very probable. For it does not feeni pof- fible, that the origin of motion can lie below that of the nerve; for although it ihould be affumed gratis, that fome part of the nerve is immoveable, or infenfible, yet that is altogether fimilar to the remainder of the nerve. Nor can the origin of motion (CCCLXIX.) depend upon the arteries, which have neither the faculty of fenfation nor that of voluntary motion. It therefore follows, that the feat of the mind mud be where the nerve firft begins its formation or origin. CCCLXXllI. We come now to explain the manner in which the nerves become the organs of fenfe or mo- tion; which, as it lies hid in the ultimate elementary fabric of the medullary fibres, feems to be placed above the reach both of fenfe and reafon ; but v/e fhall, not- "withfianding, endeavour to make this as plain as experi- ments will enable us. And firft, it is demonflrated, that the fenfation does not come through the mem- branes from the fentient organ to the brain, nor that motion is fent through the coverings from the brain in- to the mufcle. For the brain itfelf lies deeper thaathefe membranes, and receives the impreffions of fenfe, and when hurt throws the mufcles into convulfions. More- over, it is certain, that the nerves arife from the me- dulla of the brain;, the truth of which is manifeft to the eye in all the nerves of the brain, moie efpecially in the olfactory, optic, fourth and feventh pair of nerves, which continue their medullary fabric a long way before they put on the covering of the pia mater. CCCLXXIV. We muft, therefore, next inquire into this medulla, what it is. It is a very foft pulp, harder in infects and foolilli animals; but every where fimilar to itfelf. It affects, however, to be formed into fibres or parallel threads, lying upon one another lengthwife. That the compofiticn of it is fibrous, appears from in- numerable arguments ; more efpecially to the eye in the corpus callofum, in the ftriatum, and thalami of the optic nerves; but (till more evidently in the brains of fifli,. Ch.XI. brain and nerves. 219 fifli, and efpecially in their thalami optici'°^. Again, that the fibres of the brain are continuous with thofe of the nerves, fo as to form one extended and open conti- nuation, appears, by obfervation, very evidently in the feventh, fourth, and fifth pair of nerves. There is a great deal of oil in the medulla, upwards of a tenth part of its whole vi/eight. CCCLXXV. But here a controverfy begins concern- ing the nature of this fibril, which with others of the like kind compofes the fubftance of the medulla and of the nerves. That this is a mere folid thread, and only watered by a vapour exhaling into the cellular fabric which furrounds the nervous fibres, has been ailerted by many of the moderns; but that, when it is ftruck by a fenfible body, a vibration is excited, which is then con- veyed to the brain. CCCLXXVl. But the phenomena of wounded nerves will not allow us to imagine the nervous fibres to be fo- lid. For if an irritated nerve is Ihaken, (and that happens after the manner of an elaftic cord, which trembles when it is taken hold of,) the nerve ought to be made of hard fibres, and tied by their extremities to hard bo- dies: they ought alfo to be tenfe ; for neither foft cordsj nor fuch as are not tenfe, or fuch as are not well faften- ed, are ever obferved to tremulate. But all the nerveSj at their origin, arc Aiedullary, and very foft, and ex- ceedingly far from any kind of tenfion: where they pafs through channels, where they are well guarded^ they retain the fame foft texture, and are not covered with membranes, as in the intercoftal nerves and the/e- cond nerves of the fifth pair: fome alfo are foft through- out their whole length, whatever fize they may be of; for example, the foft olfadory and acouftic nerves, from which we would mofl: readily expeO: a tremor, as in the cafe of found. Again, though the nerves a-re hard, P 2 they ^°* In no pgrt of the brain does the fibrous nature of the medulla more evirs Monro and Prochaflca, who have extended and di- rcded their ftudy to the phyfiology of the nerves. Ch.XI. brain and nerves. 223 rather than through a fpongy folid, we are perfuaded from its celerity, and the analogy of the whole body; of which all the liquids, the fat excepted, run through their proper veflcls. CCCLXXXIII. Therefore, upon the whole, it feems to be certain, that, from thf vellels of the cortex, a li- quor is ftparated into the hollow pipies of the medulla, which are continued with the fmall tubes of the nerves, even to their foft pulpy extremities, fo as to be the caufe both of fcnfe and motion. But there will be a twofold motion in that humour ; the one flow and conftant, from the heart; the other not continual, but exceed- ingly fwift,*'which is excUed iither by fenfe or any other caufe of motion arifmg in the brain, CCCLXXXIV. The fame nerves mofl evidently pre- fide over both fenfe and motion; as we cannot admit a diftindion between the two fyftems of motory and fenfitive nerves. If fenfe fometimes remains after mo- tion is dedroyed, this feems to be becaufe much more ftrength is required for the latter. Dying people hear and fee, when they are incapable of motion. CCCLXXXV. Ifitbbafked, What becomes of this nervous juice, which cannot but be feparated and diitri- buted in great abundance, from fo large a quantity of blood paffing the brain very fwiftiy, in comparifon of the flower moving blood, from whence the milk is fepa- rated in the bread, and the urine in the lefler renal artery, or by a comparifon with the mefenteric artery ? it may be anfwered. It exhales probably through the cutaneous nerves ; the laflitude both with refpecl to fenfe and motion, which may be overcome by fpiritu- ous medicines, fliows that this liquid may be both loft and repaired. Many have judged, that it alfo exhales into the various cavities of the body ; as that of the ftomach and inteftines. We may expect fome part of it to be reforbed, that the noblefl humour of the body may not be too quickly diflipated. That it nouriOies the body, is incredible: It is too moveable to expe(fl adhefion F 4 from 224 BRAIN AND.NERVES. Ch, XI* from it: that is the office of a flow and vifcid hu- mour. CCCLXXXVI. But then, what is the defign of fo m y protuberances in the brain? what are the parti- ciAar ufes of the ventricles, nates, and tefles; with the dift\n6;ion of the brain from the cerebellum ; and the communication betwixt one fide of the brain, cerebel- lum, and fpinal medulla, with their oppofite fides, by fo many tranfverfe bundles of fibres '°''? CCCLXXXVII. The ventricles feem to be made of Deceflary confequence, and towards the greater ufe and diflindion of the parts. And that the corpora ftriata or thalami might keep their medullary parts from cohering one to another, it was neceffary for a vapour to be poured betwixt them ; and the fame is true with re- gard to the brain and cerebellum. Perhaps, likewife, the neceffity of adminiftring a degree of warmth to the clofe medulla of the brain, may be one reafon for thefe cavities, by which the arteries enter, and' are diftribu- ted in great numbers. Perhaps alfo it was proper, that, in the inmoft parts of the brain, fmall veifels only, vi'ith out any large ones, lliould enter. We may alfo fufpe£l, that thefoftnefs of the fibres of the brain requires fhort- nefs in order to fuftain their own weight. CCCLXXXVIII. The ufes of moft of the protube- rances we are not acqainted with, but have them yet to learn from difeafes, and from anatomical experiments made on animals having a brain like that of mankind. But, in thefe refpeds, we have little hopes of fuccefs, in parts that are fo fmall, fo deeply, and fo difficultly fituated, and hardly ever to be approached but by a wound foon fatal. Whether thefe parts are fo many diftincl provinces in which our ideas are ftored up, and whether this be confirmed by the protuberant thalami of ^°^ Tbefe queftions will be anfwered, when the brains of feveral animals fliall have been compared with their funftions. The learned Sommering has already faid much about this fubjeft, and Camper likewife in fiflies. Gh.XI. brain and nerves. 225 of the optic nerve, are indeed queftions. But then moft of thefe protuberances fend out no nerves at all. CCCLXXXIX. As to the internal communication of one part with the other by ftrise or dud:s; that feems to conduce to the advantage of motion, and probably of fenfe likewife. Some of thefe communications join the brain with the cerebellum ; others join the ipinal me- dulla with the nerves of the brain itfelf, as in the accef- fory nerve ; and moft of them join the right and left parts together, as in the anterior commiffure (CCCXLV.), and in the two pofterior (CCCL,), in that of the cor- pus callofum (CCCXLIIL), in the ftriee betwixt a pro- cefs of the cerebellum and teftcs (CCCLIV.); to which add the medullary crofs-bars in the medulla oblongata and fpinalis (CCCLV.) For from this ftrudure, it feems manifeltly to follow, as well as from number- lefs experiments and obfervations, that when the right fide of the brain is injured, all the nerves which, on the contrary, belong to the left fide of the body, become dif- eafed or paralytic, and the reverfe. Moreover, by this contrivance, nature feems to have provided, that, in whatever part of the brain any injury may happen, the nerve that arifes from thence is, by this means, not al- ways deprived of its ufe. For if the faid nerve receives its fibres by communicating bundles, as well from the oppofite as from its own hemifphere of the brain, its office may in fome meafure be continued entire by the fibres v^hich it receives from the oppofite fide, even af- ter thofe of its own fide are deftroyed. Accordingly we have numberlefs inftances of wounds, and with a confiderable lofs of fuftance from the brain, which yet have not been followed with injury to any nerve, or to any of the mental faculties. Many other lefs inequa- lities, ftripes, protuberances, and nerve-like imprellions, appear in the brain from mechanical neceffity, with the pulfation of the veflels, and the preffure or figure of the continuous incumbent parts. CCCXC. We have before declared, that the nerves are the organs of fenfe and motion: we ihali therefore pro- 2 25 MUSCULAR MOTION. Ch.XIL proceed firft to explain that motion before we defcribe the organs of fenfe; becaufe it is more fimple, uniform, and perpetually exercifed, even in the foetus, before any of the fenfcs. CHAP. XII. 0/" Muscular Motion. CCCXGI. "[% M"Otion in the human body is not per- 1.YA fornied by one individual organ. In every animal and vegetable fibre, alfo in hair, feathers^ membranes, the cellular texture, and in the humid mufcular Fibre; in Hiort, in animal and vegetable glu- ten; there is a contradile power, which both refills the lengthening out of its fubftance, and, when the extend- ing power is taken av(?ay, reftores the fibre to its former fize; nor does this power ever ceafe endeavouring to bring the elementary particles into the clofefl: contact the mechanifm of the part can admit. After death, even for many days, it does the fame ; fo that fibres of a divided mufcle contrad towards each extremity, leaving a wide gap in the middle. An artery, when cut, like- wife contrails itfelf in length. CCCXCil. I call this force dead^ becaufe it continues to be efficacious after death, and fo is different from the powers of life. In the living animal indeed it is fome- what brifker: for, both from cold and fear, the fkin is moved, fo that it grows harder, and has its papilla ercd:ed, and along with this hardnefs contracts itfelf in length. Again, the cellular fibres are animated with this perpetual nifus to fhorten themfelves, and always tend to their own contraction. Hence, when the fkin or any other membrane is extended, as foon as the caufe of extenfion is taken off, it returns by a gentle effort to its former fhortnefs. But it even fomewhat refifls the attempt to perpetual diflenfion ; and by a gentle but continual acceflion of its own elements, pro- pels the contained fat or water, or other bodies acci- (ientally introduced. The fame power alfo feems to I limit Ch.XII. muscular motion. 427 Hmit the excretion of vapour ; for the fibres and plates of the cellular texture being preternaturally relaxed, an imnienfe quantity either of fat or of watery humour is depofited in that texture. And this debility feeras to be the principal caufe of a true dropfy. The fame caufe being always efficacious, and at work in the heart, joints, and every where throughout the body of the embryo, brings into nearer contact the arteries, au- ricles, and ventricles; produces flexures; and contraO:s the heart, when in a manner diflblved into a cone. Tiie fame, by an unknown or hidden power, feems to form the fhape of molt parts of the human body; and while it expels the gluten received into the cells, brings the terreflrial particles nearer to one another, and gives the proper folidity, curvature, and fituation, to the dif- ferent parts. CCCXCIII. It is the nature of this power to a£l con- tinually by a gentle but uninterrupted effort. It is com- mon for it alfo to be excited by poifons, in every mem- brane, fibre, and cellular texture; but never by cutting or punduring with an iron inflrument. Thefe are the known properties of the red mufcuiar fibre. The ftrufture of this fibre, then, it is now neceffary for us to confider. CCCXCIV. By the name of mufcuiar fibres in the hu- man body, we call bimdles of reddifli- coloured threads, which perform all the motions of which we are fenfible. When many of thefe fibres are collected together, and appear more evidently red, they are called a mufcle^ The extreme fimplicity of the fabric in thefe parts has been the caufe of the obfcurity that prevails in undcr- ftanding how a fmall, foft, flelhy portion, can produce fuch ftrong and ample motions as we fee in man, but more efpecially in the cruftaceous infefts. CCCXCV. In every mufcle we meet with long foft threads ox fibres^ fomewhat elaftic or cxtenfible, and al- moft conftantly difpofed parallel with each other ; and thefe, being furrounded with a good deal of cellular fjubftance, are by that faflened together into little bun- dles. 2 2 8 MUSCULAR MOTION. Ch. XII. dies. Thofe bundles, called lacertuli, are again tied to- gether into larger bundles, by a more loofL- cellular net- work, which contains fome fat; and betwixt thefe we conftantly perceive membranous partitions and ftripes of the cellular fubftance removing them farther from each other, till at laft a number of them combined to- gether in. a pofture either parallel or inclined '°', are furrounded with a more thin and denfe cellular mem- brane, continuous with that of their partitions ; and this being again furrounded by a thicker plate of the cellu- lar fubftance, externally parts the whole from the adja- cent flefh, and gives it the denomination of 2i fuigle or entire mufcle. In every one of thefe threads there ap- pears a leifer feries of filaments, which, by oblique ex- tremities, are cemented to others of the fame kind, form- ing together a larger fibre. CCCXCVI. The generality of the mufcles, but more efpecially thofe which are inferted into the bones, and fuch as are preffed ftrongly by other flefhy incumbent parts, do not confiil of fibres altogether of one kind. For the flefhy fibres (CCCXCV.) being colleOed toge- ther, caufe the mufcle to be thicker in the middle^ which is called its belly : and the fame fibres degene- rating by degrees obliquely at each end of the mufcle into a more flendcr, hard, and Ihining fubftance of a filver colour, in which meeting cloler together, the cel- lular fubftance interpofed is thinner, fliorter, and painted with fewer veflelsj they then become indolent and dif- ficultly irritable, and receive the denomination of a tendon, by being collected together into a round {lender bundle; or elfe, if it expands into a broad flat furface, it is called an aponeurofis. The cellular texture which covers the whole tendon is called its vagina or fheatb, and refem.bles the coat of a mufcle. For that the flefhy fibres truly change into fuch as are tendinous, is evi- dent from comparing a foetus (in which there are very 4 * few *°^ Swammerdam, Lyonet and Roefel, have elegantly painted this ftrudture in frogs and palmers, which Leewenboeckj Cowptr, Mujfs, and Frofcbaflia have (hown in man. Ch.XII. muscular motion. 2 2^ few tendons) with a child of fome years growth, in which there are many more ; and both with an adult or old perfon, in which are the greateil number '°^ . Muf- cles, which are not inferted into any of the bones, have commonly no tendons, as the fphinders and mufcular membranes of the vifcera and veiTels. But thofe com- monly end in long tendons, which are required to pafs round the joints and heads of the bones, to be inferted in thofe extremities which are more moveable. In a foetus the mufcles are evidently inferted into the pert- odeum only ; but in adults, where the periofteum is more clofely joined with the bone itfelf, the tendons, being confufed with the periofteum, pafs together with that even into the foveoli of the bone. CCCXCVII. The tendinous fibres indeed often lie in a ftraight line with the flefhy ones, and are as it were a continuation of them. But it is not at all rare for the flefhy fibres to be obliquely inclined to the tendon, and to adhere to it, as the tendon itfelf grows thicker in its progrefs by continually receiving new fibres. This is called a tendinous mufcle. Other tendons lie in the middle betwixt two plates of fibres, forming an obtufe angle with one another, at irregular diftances, in their defcent. There are inftances of numerous tendons pennated in different places formed into one mufcle. There are alfo other methods by which the tendinous fibres are joined with the flefhy ones. CCCXCVIII. Within the cellulartunic, that furrounds the fibres, the arteries and veins are fubdivided into net- works, which commonly form right angles, run in com- pany, and moflly contiguous with each other ; and from the frnaller of thefe veffels a vapour is exhaied into the thinner cellular fubftance, as the fat is alfo transfufed into the thicker cellular fubftance ; from whence again they are both abforbed. The lympthatic veffels, which run be- _*°s Many tendons are found in a fcetus, which could not afTume this nature by mufcuiar aftlon ; as the tendo-Achillis, aponeurofis plantaris, centrum, diaphragmatia, &c. Read the like opinion ii) Mofcate, Jtti di Skna, Vol. IV. 2 30 MUSCULAR MOTION. Ch. XIL betwixt the mufcles of the tongue, with thofe of the neck, face, and limbs, are difficultly demonftrated'*^. But there are alfo nerves more numerous than in other parts, diftributed together with the blood-veffels throughout the cellular fabric of the mufcle ; which nerves, however, depofite their harder covering, and become fott, and difappear before they can be traced to their ultimate extremities. Thofe enter the mufcle in many parts, xvithout keeping to the fame place or fituation. In the tendons they cannot be demon 11: rated. Nor are there any nervous fibres invefting the mufcular bundles or portions, fo as to conflringe them ; for they, who have given fuch a defcription, have feen nothing but the cellular fubftance. CCCXCIX. The fabric of the leaft fibre, which is as the element of a mufcle, being inveftigated by the micro- fcope in man and other animals, has always appeared fimilar to the fabric of the larger fibres j nor do they yield any other appearance, upon which we can rely, than that of the lead threads joined one to the other by the intermediate cellular fubftance. There is, there- fore, no foundation here for a fcries of veficles, nor for a chain of rhombs. It may be afked, whether thefe fibres are hollow, whether they are continued with the ar- '0^ Thelymphaticveffcls, even of the joints, arc now to be Feckoned among the conftant veffcls. I have oblerved a broad net-vpork run- ning from the carpus and palm of the hand, in the infide of the arm, in the duA of the veins following the radius and ulna, towards the bend of the fore-arm, in two trunks, joined by various intermediate rami; into which net-work run fome branches from the oulfide of the cutit and arm : they run in a manifold net-work upon the bend of the fore-arm and infide of the humerus, till by two or three trunks tbey arrive at the axillary glands, and mix with the fubcla- ▼ian plexus. In the inferior extremity, I could render vifible feverai of thefe lymphatic vefTels, in three or four trunks upon the leg, and one on the infide of the foot, going to the ham ; then in a kw trunks, the number various, they run up from the net-work of the ham, around the iufide of the thigh, in the dud of the vena fapbena, and are loft in the inguinal plexus and glands there fituated ; and at lad a greater plexus enters the abdomen along with the crural vefTels. The fame vcffels have been feen byHewfon almoft in a fimi- lar difpofition. Ch.XII. muscular motion. 23t arteries, or whether the difference betwixt mufcular and tendinous fibres lies in the latter being rendered more denfe and beat clofer together by an expulfion of the fluids ? That thefe are not probable, appears from the minutenefs of the fibres, which are found lefs than the red-blood globules, and from the whitenefs of a mufcle after the blood is wafhed out of it; to which add the phyfiological reafons following, (CCCCXI.) And, in general, more flrength may be expected from a folid fibre. CCCC. A mufcle therefore is endowed at lead with a threefold force "°. Firft, the dead one, in common to it with V* Thefe three noted clafles of animal powers, eiaftlclty, irrita- bility, and fenfibility, have been and are yet too much confounded, although it is no difficult taflc to diftinguifh thefe afFeftions of the fibres from one another. The force and nature ofelafticity, poffefTed by the fibres, which, only in different degrees, pervades all parts without exception, was fully known to Bellini, Baglivi, Stahl, PacchlonI, Juncker, &c. This power, known to Stahl's followers under the appellation of toiie^ has no fimilarity to irritability, fenfi- bility, and vital power, fo called : it does, however, either alone perform the aftions of the animal and vegetable body, or adds llrengthand vigour to them ; the former is manifeft in the motion of the ribs and cartilages, and the latter in the conftriAion of the uterus, vefTels, and membranes. It by no means obeys the laws of life alone, but may endure long after death ; it is notdcftroyed com- pletely but by putrefadtion alone. During life it is diminifhed by various caufes, and again reftored by feveral remedies. Irritability, which Hailer thought exifted in the fibres of the mufcles alone, in name indeed but not in reality, and which was known to GlifTon, is a new genus of animal power j nor does the word £vof^ou» of Hippo- crates, fignify the fame thing. It is almoft proved, from the experi- ment of Lups, Hailer, Fontana, Hoffman, and feveral others, that it is different from clafticity in its rife, duration, feat, caufes, effed, and phenomena. I fhall add a few remarks : i. It is moft power- ful in the mufcular fibres of the whole body, but not equally difperled through all ; more powerful in the heart, mufcles of refpira- tion, and intellines; becomes gradually weaker among the voluntary mufcles, and perhaps, in a trivial degree, in the vefTels, membranes ; but always fome however exifts, as appears from the doubts offered by Why te, De Haen, Van Doeveren, f^c. to which Hailer in part, and alfo the learned Cigna, have anfwered. 2. The phenomena of irri- tability and the irritation, themfelves, by which thofe are produced, are, not always the fame ; For in fome it advances in a regular traft, that 232 MUSCULAR MOTION. Ch. XII. with other animal fibres. Another, which we have call- ed the vis injita, and which has different phenomena from the former. For it is more proper to life, and the firft hours after death, and difappears much fooner than the dead one. Again, in moft cafes, it afts by alternate ofcillations ; fo that, being driven hither and thither, it fometimes contracts the mufcle towards the middle : fometimes again it extends the mufcle from the middle towards the extremities, and fometimes alfo it hasa re- iterated motion. Moreover, it is manifeftly quicker, and performs the greateft motions; the dead force, only fuch as are fmall and not eafily obferved. It is excited both by the pricking of an iron inftrument, and in the hollow mufcles by inflated air, by water, and every kind of acrimony, but moft powerfully of all by a tor- rent of electrical matter. Laftly, it is proper to the muf- that almofl: from any irritation you will always obferve a manlfeft irritability s thisi is alraoft the cafe in all the mufcles. In many other parts you fee the greateft inconftancy and a very irregular efFeft, as it will be one thing one day, another thing another day, now increafed, now diminifhed, one time yield to, another time refift, the irritation : all which is evident in the flcin, vifcera, vefTela, and iris. 3. The learned pathologifls Eller, TifTot, Gerhard, have long ago acknowledged the very great rife of the doftrine of irrita- bility. It would be of much importance to know well the remedies, whether they be medicines, or remedies from diet or otherwife, which particularly conduce to excite irritability if it is languid, of to diminifli it if it is too great, Opipm, and the other narcotics, camphor, Spanifh flies, acrid poifons, bark, the eleftric (hock, /how a clear influx of animal fpirits in the produftion of irritability. 4. That it 18 different from the faculty of feeling, and therefore by no means to depend upon the nerves, appears partly from other reafons, partly from the irritability of vegetables. Though I even wifli to take into account fome phenomena of thedionrea mufcipula, according to Ellis's obfervations, or of the fenfitive plant or certun antheras, I would be averfe^to compare this contracrtiic- power of iome parts of vegetables with irritability; for what makes the particular charaAer of irritability, the internal tremor of the conftituent parts, is wanting in all vegetables ; we fee contraftion and motion alont-, which are alfo obfervable in other elaftic bodies, where we fuppofe no irrita- bility to exift. The power of the nerves over irritability, the di- reftion of the foul over mufcular motion, although they reniler it very probable, I, however, refer it to irritations alone. The faculty of feel- Cm.XII. muscular motion. 235 mufcular fibre, and is found in no other pjirt of the human body with the qualities abovementioned. But we mud give a more particular explication of its phe- nomena. CCCCI. It is natural to every mufcle to fliorten itfelf, by drawing the exrremities towards its belly or middle. But to difcover the moving power of a mufcle from the fabric which we have deicribed, it will be of ufe to confider the appearances obfervable in the mufcular contraction. Every mufcle then becomes fhorter and broader in its aftion. But this contraQion of its length is various; in fome more, in others lefs ; and is very confiderable, for example, in fome of the fphinders, in- fomuch that they appear to be contraded more than one third of their extent, though this computation be taken from an erroneous hypothefis. CCCCII. The inteftines are exceedingly tenacious of their vis infita, as they continue to contratSl themfelves long after they are taken out of the body, and even af- ter they are cold. The heart is even more tenacious than thefe, if you confider all things ; as is mofl evident in a young chicken, and in cold animals. Different Vol. I. Q^ muf- feeling, depending folely upon the nerves, although it has been re<" garded as one and the fanne thing with irritability, has been more lirongly oppofed by Haller's opponents, De Haen, Whyte, Le Cat, Gtrhard, &c. than irritability itfelf. But that fenfibility of parts 19 to be referred both to the various quantity of the nerves, their fituation and condition, according to Haller's and Caftell's experi- ments, and to the various violence of irritation and. nature of the irritating or offending body, fo that they may be at times more or lefs painful; and at others, as Hailer thinks, they may be altogether infenfible. I fhall not repeat what has often been objefted to, that 3 greater pain having preceded, abforbs a lefs pain following; as we do not feel the tafte of a drop of wine if we have taken a very fmail "quantity of redified alcohol upon the tongue a little before. It cannot however be denied, that in inflammatory difeafes, affedions of the mind, and other caofes, it may happen, that hurt parts may now feel, which, under any other condition, may feem to be infen- fible. The vital ponusr of certain learned men of later times, as Vanden Bos, BIkker, Gaubius, Alblnus, &c. rather feems com- pounded of all the animal powers comprehended together ; which opinions except in fome minutixj the great Boerhaave and Simpfgn have more exaftly adapted. ii34 MUSCULAR MOTION. Ch.XIL mufcles are bed excited into aQion by different ftimu" li; as the bladder by urine, the heart by the blood, and the inteftines by air. Though the nerves are removed, or the connexion, made by them between the mufcles and the brainy cut ofF, the mufcles lofe but httle of their irritable nature. It appears alfo from the example of polypi and other infefls, that the fame irritable difpofi- tion expends very widely through the animal fibres. Thefe creatures have neither brain nor nerves, yet are exceedingly impatient of fiimulus. Laflly, we may gather this from the affinity of plants : of which very many flowers and leaves open or contract according to the various degrees of heat and cold, fome even very quickly : fo that they are nothing inferior in this rcfpe6t to animals. Neither does this depend upon weight, at- traction, or elaflicity, feeing it is feated in a foft fibre, and vanifhcs vi'hcn the fame grov/s hard. CCCCIII. But that the caufe of motion is conveyed through the nerves into the mufcles, is certain from the experiments before mentioned (CCCLXVII. et feq.) For the nerve alone has feeling ; this alone carries the commands of the foul ; and of thefe commands there is neither intimation nor perception in that part, whofe nerve is either tied or cut, or which has no nerve. Moreover, on irritating the nerve or fpinal marrow, even in a dead animal, the mufcle or mufcles which have nervous branches from thofe parts are mofl vehe- mently convulfed. When the nerve of any mufcle is cut or tied, or the bafis of the fpinal marrow compref- fed, or that part of the brain from whence the nerve has its origin, the mufcle becomes paralytic, and lan- guifhes, and cannot by any force be recalled into ac- tion fimilar to the vital one. But if the ligature be ta- ken off from the nerve, the force by which the mufcle is put into aftion is again recovered by it. The nerve being irritated below the place where it is cut, the mufcle to which that nerve goes is contracted. This appears from numerous experiments, efpecially thofe made on the phrenic and recurrent nerves. 4 cccc:v„ Ch.XII. muscular motion. 1I35 CCCCIV. This force is not the fame with the vis infita. The former comes to the muicle from without ; whereas the other refides conftantly in the mufcle itfelf. The nervous power ceafes when life^ is deftroyed ; af- ter which the other, from certain experiments, appears to remain a long time : it is alfo fuppreifed by tying a ligature upon the nerve, by hurting the brain, or by drinking opium. The vis infita fuffers nothing from all thefe : it remains after the nerve is tied ; and continues in the inteflines though taken out of the body, and cut in pieces : it appears with great (Irength in fuch ani- mals as are deflitute of brain : that part of the body is moved which has no feeling ; and the parts of the body feel which are without motion. The will excites and removes the nervous power, but has no power over the vis injita. CCCCV. In the motion of the mufcles, whether ow- ing to the vis injitft or the nervous power, the fibres are contracted towards the middle of their belly, and re- cede from one another outwards : they are alfo diverfi- fied with various tranfverfe wrinkles : the whole mufcle alfo becomes ihorter, and draws its extremities towards the middle; hence it draws towards each other thofe parts with which it was conne6led, in the reciprocal ra- tio of their ftrength: the mufcle alfo fwells by its con- tradtion, becoming hard at the fame time, and as it were increafes its circumference on every fide. I have never obferved it to turn pale. Whether on the whole it is increafed in bulk, or acquires more in breadth than, it lofes in length, is difficult to be known. It draws af- ter it the tendons, which are obfequious to its motionSj though of themfelves neither moveable nor irritable. The whole mufcle is alfo capable of being moved at once, or only a part of it : if one extremity is fixed to an immoveable part, that only is moved which is ca- pable of yielding. CCCCVI. If it be demanded. Whether the arteries conduce any thing to mufcular motion ? and whether the palfy, which falls upon the lower limbs after a liga^ Q 2 ture 236 - MUSCULAR MOTION. Ch.XII. tare upon the aorta, be not an argument thereof? we anfwer, Not at all, further than as they conduce to the integrity of a mufcle, or to the confervation of the mu- tual (Irudure and habit of the parts, which they fupply with vapour, fat, kc: for the irritation of an artery does not affecl or coavulfe the mufcle to which it be- longs ; nor does a ligature thereof caufe a palfy, unlefs after a confiderable time, when the mufcies begin to be dcftroyed by a gangrene. Moreover, it is impradi- cable to explain the motion of peculiar mufcies from a eaufe derived with an equal force from the heart to all parts of the body. Laftiy, the influence of the will is confined to the nerves, without refiding in the arteries or other folid parts of the body. CCCCVII. But the direct manner by which the nerves excite motion in the mufcies, is fo obfcure, that we may almoft for ever defpair of its difcovery. And firfl, con- cerning the vis infita, we do riot indeed inquire ; as this feems to be a more brill-; attraction of the elemen- tary parts of the fibre by which they mutually approach each other, and produce as it were Utile knots in the middle of the fibre. A flimulus excites and augments this attractive force, which is placed in the very nature of the moving fibre. The other explanations are hy- pothefes. As to nervous veficles fwelling by a quicker iiux of the nervous fpirits, they are inconfiflent with anatomical truth, which demonftrates the lealt vifible fibres to be cylindrical, and in no part veficular ; and likewife repugnant to the celerity with which mufcular motion is performed, and with the bulk of a mufcle being rather diminifhed than increafed during its ac- tion. Again, the inflation of rhomboidal chains in the fibres is equally repugnant to the celerity, to infpection, and to anatomy ; they would alio occafion an immenfe wafte of ftrength, and after all render the mufcle but little fhorter. The nerves want that irritable nature which is obferved in the mufcular fibre. Finally, it is by no means demonflrable, that the fibres, from fo few nerves, can be fo numerous^ or diflributed in fo many 4 different Ch.XII. muscular motion. 237 different tranfverfe direftions, with frefpefl: to the muf- cular threads, as thofe hypothefes require to be allowed. A complication of the nerves round the extremities of fibres, fo as to contract them by their elafticity, is founded upon a falfe (Iruchu-e of the mufcular fibre, fuppofing the nerves to be diftributed, where filaments of the cellular fubdance only can be demonftrated. Moreover, the phenomena of animals, which, having neither brain nor nerves, are yet very apt for motion, apparently demonftrate the intrinfic fabric of the muf- cles tobefufficient for their motion, without other af- fiftance from the nerves. Other explanations, derived from fpherules full of air in the blood, fuppofe a falfe nature of that fluid ; namely, a repletion of it with ela- ftic air, of which it has none, (CCLXXXI.) The ani- mal fpirits are not of the nature of an eleftric torrent, CCCCVIII. If we may add any thing to thefe pheno- mena, you may fuppofe the nervous liquor to be of a ftimulating nature, by which means it forces the ele- mentary particles of the mufcular fibre to approach nearer to each other. The motive caufe which occa- fions the influx of the animal fpirits into the mufcle fo as to excite it into adion, fcems not to be the foul, but a law derived immediately from God. For animals newly born, or newly transformed, without any at- tempt, or exercife, know how to execute compound motions, very difficultly to be defined by calculation. But the foul learns thofe things which it does, very flow- ly, imperfe6lly, and by making experiments. That mufcle then is contracted which in a given time receives more of the nervous fluid, whether that be occafioned by the will, or by fome irritating caufe arifing in the brain, or applied to the nerve. CCCCIX. But, though you may conjefture the foul to be the caufe of the nervous motion, you cannot do the fame with regard to that arifing from the vis infita. The heart and intefliines, alfo the organs of generation, iare governed by a vis infita, and by ftimuli. Thefe powers do not arife from the wiilj nor arc they leflfen- q.3 ^d, 23^ MUSCULAR MOTION. Ch.XIL ed, or excited, or fuppreffed, or changed by the fame. No cuftom nor art can make thefe organs fubjed to the' ■will, which have their motions from a vis infita : nor can it be brought about, that they fhould obey the com- mands of the foul, like attendants on voluntary motion. It is fo certain that motion is produced by the body a- lone, that we cannot even fufpe(5t any motion to arife from a fpiritual caufe, befides that which we fee is occa- fioned by the will ; and, even in that motion which is occafioned by the will, a ftimulus will occafion the greateft exertions, when the mind is very unwilling. CCCCX. There feems to be this difference between the mufcles obeying the will, and thofe which are go- verned by a vis infita ; namely, that the latter, being more irritable, are very eafily excited into motion by a gentle ftimulus ; as for inftance, the heart and inte- Itines ; which organs are moft manifeftly, and greatly, and conllantly, irritable. On the other hand, the mufcles which obey the will, are neither endowed with fo great nor fo durable a power of this kind. Hence, they either fland in need of the power of the will, or a ftronger ftimulus ; by which, indeed, when they are excited, even thefe are animated to motion againft the will. Thus it happens, that, in apoplexies, the muf- fcles which obey the will languifh, and become paraly- tic, as being deftitute of all influx from the brain ; while the vital mufcles, having no occafion for the operation of the brain, continue to be excited into contraction by their ftimuli, the heart by the blood, and the inteftines by the air and aliments. CCCCXI. The fl:rength of this a£tion in the mufcles js very confiderable in all perfons, but more efpecially in thofe who are phrenetic, and fome who are called itrong men ; fince frequently, with the ufe of a few inufcles only, they will raife a weight equal to, or much greater than, that of the whole human body itfelf. For even in one who is in his fenfes, very flender mufcles fuffice to elevate 200 or 300 pounds. The mufcles of |he back will even fuftain 3000. Notwithftanding this, we Ch.XIL muscular motion. 239 we fee, that much the greater part of the force or power exerted by a mufcle is always lofl without pro- ducing any vifible effeiSt. For all the mufcles are in- ferted nearer the point or centre of motion, than the weights :hey are applied to ; and therefore their a£lion is weaker, in the fame proportion as they move a fiiort- er part of the lever than that to which the weight is applied. Moreover, in mofl of the bones, efpecially thofe of the limbs, the mufcles are inferted at very acute angles ; whence again the effect which a mufcle exerts inaction, is propbrtionably lefs as the fine of the angle intercepted betwixt the bone and the mufcle is lefs than the whole fine. Again, the middle part of all mufcu- lar force isiofl, becaufe it may be reckoned as a cord .extended, and drawing an oppofite weight to its fixed point. Again, many of the mufcles are feared in the angle x)f two bones, from one of which arifing they move the other ; and therefore, that bone being moved, they are bent, and of courfe, like an inflected cord, re- quire a new force to extend them. Many of them pafs over certain joints, each of which they bend in fome de- gree, whereby a lefs part of their remaining force goes to bend the joint to which they are particularly defti- ned. The flefhy fibres themfelves of the mufcles fre- quently intercept angles with the tendon in which they terminate ; from whence a great part of their force is loft, as much as is equal to the difference or deviation betwixt the fine of the angle of their infertion and the whole fine. Finally, the mufcles move their oppofed weights with the greateft velocity and expedition, fo as not only to overcome the equilibrium, but likewife to add a confiderable celerity to the weight. CCCCXII. All thefe loffes of power being computed, make it evident, that the force exerted by mufcles in their contraQ:ion, is exceeding great beyond any me- chanical ratio or proportion whatever; fince the effect is fcarce one-fixtieth of the whole force exerted by the mufcle, and yet only a fmall number of thefe mufcles, ffi'cighing but a few pounds, are able not only to raife C^4 ' forae 240 MUSCULAR MOTION. Ch.XII. fome thoufands of pounds, but alfo with a confiderable celerity. Nor is this to be reputed any defect of wif- dom in the Creator : For all thofe loffcs of power were neceffary towards a juft fymmetry or proportion of the parts, with the various motions and celerities required by the mufcles to a6"t in different direftions ; all which circumftances bear a relation to the niechanifm of com- pound engines. But we may, however, conclude from hence, that the a£lion of the nervous or animal fluid is very powerful, fmce, in an engine fo fmall, it can exert a force equal to fome thoufand pounds for a confiderable time, or even for many days together ; nor does this feem to be otherv/ife explicable, than by the incre- dible celerity by which the influx of this fluid obeys the command of the will. But how, or whence it acquires fuch a velocity, is not in our power to fay ; it is fufli- cient, that we know the laws of its motion are fuch, that a given a6tion of the v.'ill produces a new and determinate celerity in the nervous fluid. CCCCXIll. The eafy and fudden relaxations of mufcles in their motion are aflifted by the aftions of their antagoniJI mufcles. Namely, in all ^parts of the body every mufcle is counterpoifed by fome weight, elafticity,*"^ an oppofite mufcle, or a humour acting againft the ca- vity of a mufcle, by which it is expelled. This caufe, which is a vis infita, continually operates as long as the jnufcle a^ls; and fo foon as the additional celerity de- rived from the brain abates, it reflores the limb or other part immediately to its former eafy ilate, in which there is an equilibrium betwixt the mufcle and its oppofmg caufe. Whenever the antagonift povi^er is removed from the mufcle, there are none of them but muft con- trad:, extending their oppofites, by which the diftend- ed nerves excite an uneaiy fenfe, and caufe a flronger endeavour towards recovering the equilibrium. Hence one of the flexor mufcles being cut in two, the cxten- for operates even in a dead body ; and the reverfe. CCCCXIV. But there are other means, by which the motions of the mufcles are rendered more Jfafe, certain aiid ^afy. The larpe lon| niufcles, by which the great- er CH.:^ir. MUSCULAR MOTION. 241 er motions of flexure are performedj being included in tendinous capfules or cafes, drawn and tightened by o- ther mufcles, are thus f(^cured and ftrengthened ; for fo the mufcle remains preifed againft the bone, in a ftate of contraction, all the time that the limb is bent, and avoids a confiderable lofs of its power. But the long tendons, which are incurvated or extended over joints in their motion, are received and confined by peculiar bands, which retain them within their flippery channels, and keep them from Hipping out under the fldn; which diilocation of the tendon, whenever it happens, is at- tended with a cramp of the mufcle, fevere pain, and lofs of motion ; and in thcfe fheaths a particular liquor is feparated for the lubricating of the tendons. The fame kind of care we obferve taken by nature in the cafe of mufcles which perforate others in their courfe. In other parts, the tendons are either carried round cer- tain eminences of the bone, in order that they may be inftrted at greater angles into the bone which they move ; or elfe they are inferted into another bone, from whence a different tendon defcends under a larger angle into the bone to be moved. In other parts, the mufcles which are derived from convenient fituations, have their tendons carried round in a con- trary direction by nature, fo that they pafs into the part to be moved as it were round a pully. Nature has likewife furrounded the mufcles on all fides with fat, which is fpread alfo betwixt their bundles of fibres and the fnial! fibres themfelves which lie contiguous : which fat, being preffed out by the turgefcence of the mufcles and fibres, renders them foft, flexible, flippery, and fit for motion. CCCCXVI. Moreover, the power and adion of one mufcle is determined by the co-operations or oppofi- tions of others, which ferve either to hold firm fome part from whence the mufcle arifes, or to bend it toge- ther with the mufcle, or elfe to change its action from the perpendicular to the diagonal, by concurring to af- fift its force at the fame time. The mufcles alfo aflifl ppe another, even thofe which are feparated at a confi- derable 242 MSUCULAR MOTION. Ch.XIT. r«r oil feems to follow, and tranfude through the medul- lary traft and pores of the hairs. CCCCXXIX. The nails are of the nature and fabric of the cuticle ; like which, they are alfo infenfible, and re- newable after being cut or having fallen off. They are found placed upon the backs of the ends of the fingers and toes, which they fupport to make a due refiftance ia the apprehenfion of objefts, having the nervous papil- lary bodies, that ferve the organ of touch, placed under their lower furface. They arife with a fquare root, in- termixed with the periofteum, a little before the laft: joints, from betwixt the outer and inner ftratum of the Ikin ; and paffing on foft, go out by a lunar cleft in the external plate of the fkin, -where the cuticle returns back, and is partly laid over the outfide of the nail, to- gether with which it is extended forward as an outer covering. The nail itfclf is of a foft tender fabric where it firft arifes, partly covered by the Ikin; but, by age and contaft with the air, it in time hardens into a folid, horny, and elaftic body, compofed of long hair-like threads, cemented together by interpofed glue, and di- ftinguifhable from each other by intervening fulci or furrows, by which one may be able to fplit them into a number of lelfer orders. The nail thus formed, cx- VoL. I. R tends 2 5© TOUCH. Ch.XIII. fends itfelf to the extremity of the finger ; and is, in this traft, lined all along internally within its concave furface, by an expanfion of the true ildn, and fubjacent perioftcum intermixed ; the filaments of which arife firfl fhort, and are afterwards continued of a greater length, till they become longeft of all at the extremity of the nail to which they cohere. Thefe are molt inti- mately connected into the root of the nail. Over the outer furface of the nail fome part of the (kin is again at liberty, and lies under the nail, and diftinct from it, and has its own epidermis. A furrowed net-work is interpofed betwixt the fkin and nail, which is alfo eafily feparable and fpft, for the protection of the papillae ; from thence the farrows grow gradually harder, fo that a^i'lafl they can fcarce be diftinguiOied from the nail. The tendons do not reach quite fo far as the nail. CCCCXXX. The cellular fubflance is without fat, except in a few places to allow a necelfary motion to the fkin. Where it is replenifhed with ihe fat, it ferves to defend the warmth of internal parts from the cold air; to render the fkin moveable upon the mufcles ; to fill up the cavities betwixt the mufcles themfelves ; and to render the whole body white and uniform. The fkin, cuticle, and its Malpighian mucus, ferve not only to limit the external bounds of the body every where ; but likewife, where they fcem to be perforated, pafling inward, they degenerate by degrees "^. For the cuticle is manifeftly extended into the anus, urethra, vagina, cornea of the eye, auditory paflage, mouth, and tongue; nor is it wanting even in the flomach itfelf and intefiines ; al- though, by the perperual warmth and moiflure, its fa- bric be altered, and extended or relaxed into their vil- lous covering. Thus the true fldn is continued into^ the ^'^ All tlie parts of the flcin are not continued upwards through ■all the holes and openings ; tor the epidermis is different in the cor- nea, inteftine?, larynx, and urethra: the fame holds of the reticuia, snd of the coriaceous part of the fivhich abound with moid vapours ; from which, how- ever, they fweat and pifs plentiful enough. Laftly, fome extraordinary morbid cafes have demonftratcd this, in which a much greater quantity of urine has been difcharged than the quantity of drink taken in ; in which you may believe that the mofl open paffages ferved for inhalation ; that new ones were generated, is not credible. The proportion of this inhalation is diffi- cult to aflign ; but that it is very great in plants, more efpecially in the night-time, appears evidently from cer- tain experiments. CCCCXLllI. Thefe cutaneous vefTels, both exhaling and inhaling, are capable of contradion and relaxation by the power of the nerves. The truth of this appears from the effeOs of-pallions of the mind; which, if joy- ful, increafe the circulation, and relax the exhaling vefTels, fo as to yield eafier to the impulfe of the blood ; from whence, with a fliortening of the nerves, there follows 25^ T A S T E. Ch.XIV. follows a rednefs, molilure, and turgefcence of the ikin. Thofe paflions, on the contrary, which are forrovvful, and retard the circulation, contrad the exhaling vefiels ; as appears from the drynefs and corrugation of the (kin, like a goofe-fhin^ after frights ; and frotn a diarrhoea caufcd by fear. But the fame affections feem to open and increafe the power of the inhaling veflels, whence the variolous or peltiiential contagions are eafily con- tracted by fear. CHAP. XIV. Gf the Taste. CCCCXLIV.'^HE organs of tafte and touch differ \_ but flightly. By certain experments it appears, that the power of tafle is exercifed by the tonoue chiefly"^; for even fugar applied to any other part of the mouth, excites fcarce the lead fenfe of taite in the mind: neither will any other fapid body, unlefs it contains fon\€thing vehemently penetrating; in which cafe the palate, root of the tongue, uvula, and likewife the ccfophagus, are afteded 'with the tafle. I'hat fenfation which is fometimes excited in the ftomach, G2fophagus, and fauces, by the regurgitation of the ali- ments, feems alfo to belong to the tongue j to which the fapid vapours are fent back, uncommonly acrid and nenetrating : and even that fenfe which is fometimes occafioned in the flomach, cefophagus, and fauces, from a rinng of the aliments, fetms alfo to be owing to the tongue, to which the taflabls vapours are conveyed. CCCCXLV. Only the upper and lateral edges of the tongue are fitted to exercife the fenfe of tafte. But by the tongue w^e underliand a mufcular body, broad and fulcated '^' Nowhere indeed upon the ficin, when the epidermis is taken off, do we feel the tsfte of bodies ; but tafte is by no means con- fined to the tongue alone. For on whatever part of the mouth, palate, or cheeks, you apply a fapid body, you will not perceive the fenfe of pain, but of the tafte; even of fome bodies, ss aruni, pepper, &c. it will be ftrongerand raoredillind than any where elfe. Cii.XIV. TASTE. 259 fulcated in man, and lodged in the moutli, whofe pofle- rior and lower pans are varioufly connedcd to the ad- jacent bones and cartilages, while it remains moveable in its anterior and npper part. In thofe portions of the tongue, which make the organ of tafte, the ildn grows to the adjacent mufcuhr fibres, being continued from the Ikin of the face and mouih ; only here it is always foft and pulp-like, from the perpetual warmth and moifture. From this fkin arife innumerable nervous papill and partly to the violence ufed in thefepa- «uon of the bone. tn.XV. SMELLING. 2(^7 CCCCLVIII. The arteries which go to the riofe are many : from the internal maxillary branches ; from the three nafal ones, to wit, the upper and both ethmoi- dal branches ; alfo from the frontal, nafal, and fide branches ; from the leffer ophthalmic branch of the internal carotid ; from branches of the palatine artery ; from the infra-orbital within the fmufes ; and from the fuperior dental one. It is proper to thefe arteries very eafily and very plentifully to fweat out blood, without any confiderable injury to the vellels them- felves. The veins run together in company with arte- ries, and form a large plexus, by uniting upon the ex- ternal pterygoide mufcle, and communicate with the finufes of the dura mater; from whence they open to- gether into the outer branch of the internal jugular. The arteries fupply the nourifhment, warmth, and mu- cus, neceffary to thefe parts. CCCCLIX. The formation of the human head into that of a roundifh figure, has in us given to the organ of fmelling but a fmall extent of furface '*^ ; but to enlarge this the more, nature has made the internal parts of the nofe varioufly hollow and complicated, in a furprifing manner. Firit then, by the nares we underftand the tnultiform cavity, which begins before from the nO- flriis, and, extending tranfverfely backward over the foof of the palate under the os cribrofum, terminates at the cavity of the fauces. This cavity is divided int6 two by a feptum or partition of bone, which defcends above from the plate of the cribrofum, but below is formed by the vomer, and in its fore-part is completed S 2 by **^ I am always ftruck with admiration, when I compare the? organs of fmell in feme quadrupeds with thofc of man. For as in rnan the cavity of the cranium, which is the feat of the brain, is to the face almoft as three, or two to one ; but in brutes, as the horfc, cow, fow, as one almoft to fix, eight, or nine; fo in man the cir- cumference of the noftrils is to the whole globe of the head as one to fourteen or fixteen ; in brutes, on the contrary, as three or two to one ; or in fome, as one to one. Therefore, the anatomical reafon is plain, why moft animals fmell more acutely than man, although he may have weakened his fmelling by no bad cuftom. 2<58 SMELLING. Ch. XV. by a triaiigolar cartilage, whofe furface is largely ex- tended and very fenfible. CGCCLX. Moreover, the lateral furfaces of the nares are increafed by the fplral windings of the ojja turbi- nata'^'"'^ ; the uppermod of which are fmall turns or folds of a fpiral figure from the upper part of the os cribro- funio The middle fold belongs to the fame, fomewhat oblong like a fhell, internally convex, externally con- cave, rifing into an edge on each fide ; all over rough with little finuofities or excavations, and inwardly fill- ed with fpungy cells or recefles ; the whole being fuf- pended in a tranfverfe pofition, and fupported by par- ticular eminences in the bones of the palate and upper jaw. The lowermoft turbina, fomewhat like the mid- dle ones, do like them referable the figure of a limpet Ihell, but longer ; for the moil part divided from the former, but fometimes conjoined by a bony plate, -which is moft frequently of a membranous nature. This bony appendix, being extended upwards in a fquare form, ferves to complete the maxillary finus. CCCCLXL From hence the cavity of the nares is en- larged or dilated by various fmufes, which are a fort of recefles or appendages to the whole. And firft, the frontal or uppermoft fmufes, which are not always pre- fent, are of an irregular figure "', intercepted betwixt the anterior and polterior plate of the frontal bone, where it forms the fuperciliary protuberances 5 and thefe, *'* The ofia turbmata are commonly counted three; but if In- deed we take any turning of the boneJn the cavity of the nollrils for a bone, their number mull be Jncreafed to four, and feveral paffages alfo are formed. **' The frontal finufes fometimes grow to a remarkable fize. Laft wiater, in a male fubjcd, they extended not only over all the or- "bit, that the plates of the orbitary procefs of the os frontis were dilteeded two or three lines j but what is (iili more furprifing, they penetrated into the alas minores of the fphenoid bone, and commu- nicated with the fphenoidal finufes by a diftinA canal going to the inner fide of the foramen opticum. In thefe finufes, worms of vari- ous kinds lodge ; which I afferr, partly from my own experience, ia which I faw in a boy of thirteea years of age fome lumbrici, and leeches m dogs, which h Iikcv?ife proved by other learned men. Ch.XV. smelling, 2(?^ thefe, being not round in a foetus, feem to arife from the adion of the corrugator and other mufcles, which draw the anterior plate of this bone outward, fo as to jncreafe the diploe into large cells, in the fame manner as we obferve in the niafloide procefs, Thefe open in the upper part of the nares into the interior cell of the OS papyraceum. There are inftances of their being totally wanting, and growing after the birth. CCCCLXIL In the fecond place come the ethmoidal Jinufei; which are four or more on each fide, in the outer part of the os cribrofum,like the cells of an honey-comb; completed above by the cellular middle part of the os frontis, and before by the os unguis; behind, by the bone of the palate and fphenoid bone ; from whence they open by many fmall tubes, placed one above ano- ther in a tranfverfe polition, into the upper part of the nares. With thefe are continuous the cells in the pave- ment or bottom of the orbit, and thofe engraved in the OS planum and raaxillare are continued from them outward. In a third place, this iinus is contiguous on each fide with the cavity or ftnus of the tmdtiform hone^ extending largely on each fide towards the os cribrofum and palatinum, which is itfelf formed in a dry prepara- tion, by the cartilage of large extent in the foetus, and by a folid bone, which gradually widens under the fella turcica, with an ample cell either fingle or di- vided ; and opening forward by its aperture or fora- men, into the fuperior part of the meatus narium. CCCCLXIII. The lait, lowermoft, and biggeft finus, which in a fcetus is inconfiderable, but in an adult very large, is that formed in the bone of the upper jaw by feveral thin bony plates. The opening of this- into the nofe is betwixt the os unguis bone of the palate and the proper lamella or plate which accedes to it from the bottom of the os turbintatum. Which opening is fo much lefTened by the furrounding inembranes, as to form only a moderate round aperture in the fpace be- twixt the middle and bottom of the os fpongiofum* But it likewife lends forth an hollow appendix, tending S 3 forwards. 57® S M E L L I N G. Ch.XV. forwards, under the orbits which the os planum, un- guis, and papyraceum complete, communicating like- wife with the ethmoidal cells, and open behind the pftium lachrymale. CCCCLXIV. The nerves of the nofe, being almoft waked, required a defence from the air, which is con- tinually drawn through the noflrils, and blown out again by the ufe of refpiration. Nature has therefore fup- plied this part, which is the organ of fmelling, with a thick infipid mucus, very fluid in its firfl feparation, and not at all faline, but, by the air condenfing into a thick dry cruff, more confident here than in other parts of the body.' By this mucus the nerves are de- fended from drying and from pain. It is poured out from many fmall arteries of the noftrils j and depofited partly into numerous cylindrical dufts, and partly into round vifible cryptae or cells fcattered ail over the no- flrils. The fame flows out all over the furface of the olfadory membrane, which is therewith anointed on all fides. In the feptum runs down forward a long finus to a confidcrable length, which is common to many jnuciferous pores : this mucus is accumulated in the night-time ; but in the day expelled by blowing the nofe, or fomctimes more powerfully by fneezing ; and may offend by its excefs or tenuity, or irritate by too great thicknefs the very fenfible nerves, from whence a fneezing is excited for its removal. But the fmufes of this part, which abound with mucus, are this way va- rioufly evacuated, agreeable to the dijfferent poftures of the body ; by which always fome of them are at hberty to free themfelves, whether the head be erect, or inch* ned forward, or laterally; yet fo, that generally the maxillary and fphenoidal fmufes are more difficultly emptied than the reft. Moreover, the tears defcend, by a channel proper to themfelves, into the cavity of the nofe, by which they moiften and dilute the mucus. CCCCLXV. To the extreme parts of the nares or organs of fmelling is prefixed the nofe ; lined inwardly with a membrane of the fame nature j and compofed 0f Ch.XV. smelling. • 27E of two bones, and ufually fix cartilages, two of which are continued together into the middle feptum, (CIC^/^CLIX.). Thefe cartilages render the nofe move- able by its proper mufcles, fo as to be raifed and dila- ted by a mufcle common to the upper lip, and to be contraded together into a narrow compafs by the pro- per deprelTor and compreifor mufcle pulling down the feptum. Thus we fee that this organ projects, like an engine in the air, for th-e reception of fmells, and may be dilated in proportion to the quantity of inhaled air, and again contra6i:ed, wll-en it is expelled in the fame abundance. CCCCLXVI. The air, therefore, -filled with the fubtlc andinvifible effluvia of bodies, confifting of their vola- tile, oily, and faline particles, is, by the powers of re- fpiration (CCLXV.), urged through the nofe, fo as to apply the faid particles to the almod naked and con- ftantly foft olfaftory nerves, in which a kind of feehng is e-xcited, which we Cd\\ fmelling : and by this fenfe we diflinguifh the feveral kinds of oils, falts, and other matters, dilliculrly reducible to clalfes, which hereby we perceive indiftinftly ; whence they are difficultly re« called to memory, though the odours already eflablifh- ed are fufficient enough for our purpofes. This fenfe ferves to admonifh us of any pernicious putrefaftion ; of any violent acrimony ; or of a mild, foapy, and ufeful difpofition in bodies. And as fait, joined with an oil, is the objed of tafte ; fo a volatile oil, aided with falts, ferves to excite fmells : whence the affinity of the two fenfes, which conjunctly affill and move each other, may be eafily underflood. But volatile particles chiefly are diftinguiihed by fmell, and fixed ones by the tafte ; perhaps becaufe the thick mucous cuticle, fpread over the tongue, intercepts the adion of the more fubde fa- line effluvia from afting upon the tafte, which yet eafily affed the fofter and lefs covered nerves of the internal nofe. We are ignorant of the reafon why fome fmells pkafe, and others difpleafej perhaps cuftom may have fome efted in this cafe. S 4 CCCCLVIL 272 SMELLING. Ch.XV. CCCCLXVII. Smells ha\'e a very ftrong action, but of fhort continuance ; becaufe they are applied imme- diately, by the mofl minute particles, to nerves which are very near to the brain itfelf, and almoft naked ; from thence too proceeds the force of poifonous va- pours, and the refrefnment from agreeable odours, by which fome perfons are eifeciually recalled to themfelves out of a dead fwoon, or even after drowning. From hence comes that violent fneezing, which often arifes from acrid particles ; and a loofenefs or purging of the bowels, from the fmell of fome m.edicines, with the power of particular antipathies. - From hence is derived the pernicious effects of cxcefTive fneezing, more efpe- cially blindnefs, from the near confent or fociety of the nerves. But amongft the various parts of tlie nofe, the feptum, and more efpecially the os turbinatum, have a confiderable (liare in the org^an of fmelling : fince thefe are parts multiplied in quick fcented animals, fo as to form beautiful fpires in hounds and other quadrupeds ; and in fifh, who fmell by water, they are formed like the teeth of a comb, in an elegant manner. CHAP. SVI. Of H E A R. I N G. GCCCLXVIIL A S the fenfe of fmelling diftinguifhes xi^^hefmall bodies vihich float in the air, fo that of hearing perceives the elaftic tremors or itnpulfions of the air itfelF. Therefore, we obferve the fenfitive organ of the ear to be compofed in a different manner fiom that of any of the other fenfes ; as it is niade up, for the molt part, either of hard bones or elailic cartilages and membranes, which are the moffc exquifitcly enabled to receive and communicate the ne- ceffary tremors. CCCCLXIX. The external part, of this organ, called the auricle or outer ear, is a cartilaginous funnel, con- nected, but with a fort of mobility, before and behind, to the bones of the temple, by means of a ftrong cellu- lar Ch.XVI. hearing. 273 lar plate, and like wife by its own proper ligaments and mufcles j but the mobility of this part is diminiflied by cuftom. This cartilage is of a very compound figure ; in general of a kind of oval figure, yet marked with fpirals (landing up, and hollows interpofed, to which other hollows and ridges correfpond in the op- pofite furface. The outer eminence, called helix, be- gins above by a loofe tape, is carried round at liberty about the edge of the upper part of the cartilage, upon the pofterior fide of which it terminates in the fame loofe manr.er. Within the body of the cartilage, furrounded by the former, arifes a bifurcated eminence, meeting together in one, called the anthelix, which terminates in a fmall and fiiort tongue called the antitra^us. The remaining part of the ear, called the concha or fliell, is, before, hollow ; behind, convex ; growing gradually deeper, with a crooked line or ridge running through its middle, under the denomination of the concha, which is immediately joined with the meatus auditorius; before which (lands a round moveable appendix of the cartilage, as a defence, called the tragus. CCCCLXX. This whole cartilaginous body of the outer ear is only furrounded by a thin fkin, and an empty cellular fubflance; it is repleni(hed with mai>y febaceous glandules, which fupply an ointment. This part is governed or directed by certain mufcles, which generally lofe their ufe and acdon, from the cuftom of binding the head in children, which we are orherwife to fuppofe they were defigned by nature to perform. The uppermoft of thefe mufcles arifes thin from the frontal and from the aponeurofis of the cranium; whence it is broadly fpread over the aponeurofis of the temporal mufcle, and is inferted into the anthelix, or neighbouring helix, at the fide of the anonymous cavity. The pofterior mufcles, which are two or three, more or lefs, are more robuft than the former in a tranfveffe pofition ; and, arifing from the fame aponeurofis, are inferted into the convex part of the concha near the piailoidal bone j the cavity of which concha they, doub^r 374 HEARING. Ch.XVL doubtlefs, are defigned to open or enlarge. The an- terior mufcle is one of the leaft, which, being fpread upon the aponearofis of the temporal, is inferied ahnoft tranfveriely into the origin of the hehx and neighbour- ing concha. But the Idler mufcular portions, which, though ihort, and not very confpicuous, look, of a red colour, are probably of ufe to make fome change in the hgure of this part.- The tranfverfe mufcle of the outer car, which, for a long way, conjoins the helix with the anthelix, ferves to open the auricle. The an- titragic mufcle, defcending from the root of the anthelix to the antitragus, ferves to widen the entrance of the concha. The tragicus, which lies upon the tragus, opens the entrance to the auditory pafTage ; and the fmall mui'cle of the larger notch or incifure, that lies be- twixt, the two cartilages of the auditory palTage, forming the tragus and antitragus, ferves to bring them nearer together, and to render the meatus itfeif more tenfc and elaitic. The remaining mufcles, the longer or larger, and the lelfer of the heiix, have hardly any great ufe ; ^ unlefs it be to tighten or brace up the cartilages when- ever we attend or liften to the hearing of weak founds ; and, by drawing together the cartilages, they likewife render the auditory palTage more firm. CCCCLXXI. To the concha is conneded the meatus auditorius, lomeu'hat of a round eompreffed figure, ielfening as it bends inv/ard ; for a confiderable part bony, and bent forward in its middle. But, in its an- terior and outer part, it is, in fome meafure, made up by three imperfect rings, arifmg from the concha and tragus, and united together, and to the bone itfeif, by intermediate flelh, membrane, and cartilage. Upward and backward, the meatus is completed by a mere membrane. This is the ftate of it in adult perfons ; for, in the fcetus and new-born infants, the meatus is wholly cartilage, and becomes aftervv^ards, in part, a bone by degrees. CCCCLXXII. Through the auditory paffage are con- tinued the cuticle and true fkin^ gradually extenuated and Ch.XVI. hearing. 275 and exaftly fltetched over the furface of the bone, by which it is rendered extremely fenlible of any itching pleafure or pain ; and, being rcplenifhed with irritable hairs, is by them admonifhed of any fordes or wax abounding, and guarding from the entrance oi fmall in- fects. But, in the cellular fubftance under the fkin, which is here more firm, and makes up the greater part of the membrane (CCCCLXXI.), in a fort of reticular manner, are feated numberlefs round follicles or cells of a yellow colour, which pour out their contents by Ihort du6is into the cavity of the auditory paffage ; at firffc of an oily confiftence, but afterwards it becoaies more thick, bitter, and inflammable like wax. This liniment defends the fenfible fldn and membrane of the tympa- num from injuries of the air, and keeps out or catches any fmall infetls ; but, when accumulated in too great abundance in thofe who are flothful or uncleanly, it may be the caufe of deafnefs, or a difficulty of hearing. - CCCCLXXllL Into this funnel of the ear thefonorous waves of the airflow, which, fromprinciples of mechanics, it muft of courfe colled together. The elaftic air only receives fonorous tremors or impulfions j and transfers them, either alone or principally, much after the fame manner as we fee water, without air, transfer any im- pulfe that is given to it'^^ From hence, the found is in- creafed in air that is condenfed, and is loft in a velTel emptied of its air. But the medium receives thefe tre- mors, either from fome body ftriking againft it, or from the air itfelf colliding againft another body, or laftly from *^^ That water communicates the fonorous undulations, diveri feem to prove ; becaufe, when under water, they hear the found and voices of thofe at the fhore : and it is now beyond doubt, from the power of bt-ariog which fifhes pofTefs. The indefatigable inveftigator of nature, Lyonnet, is of opinion that infefts hear. Long ago Ariftotle and Klein alTerled the power of hearing pofTefled by fifliess Nollet agreed with them, but Camper has confirmed the afTcrtion, via. they have a kind of tympanum, in which there is a fmall bone, a certain figure of a concha, receiving a nerve : they alfo have ferai- circular cartilaginous canals, through which in like manner nerve* ar.e diftributed. zj6 HEARING. Ch.XVT. from the collifion of two bodies againfi: each other in the air. But the body which produces found, ought to ireinble or vibrate in all, even the lead of its particles. To as to form alternate arches rifing up from the former Itraight furface, and returning beyond the fame; the cmrve line of the fame exceeding that of the founding l>ody. From fuch a tremor, the contiguoos air is beat into waveSj whereby the parts of the air that lie outer- mofl arc eomprefTed and iiy back again fo foon as their elafticity gets over the impulfe ; wtience the air flies again towards the fonorous body, where it is now more loofe and rarefied, to be there again comprefled by ini- pulfion; and in the fame manner the anterior and outer portion of air, furrounding that which is impelled, is, by the action of the latterj compreffed and removed far- fher from the trembling body, yet fo as to return again in its proper time by the force of elafticity, driving its contents to the tremulous body for the exciting of a new wave. Thefe ofciilations or impulfions of the air are required to fucceed each other with a certain velo- city; and, in order to render them audible, they muft not be fewer than 30 in a fecond of time. CCCCLXXIV. Acute founds are, in general, yield- ed from bodies that are hard, brittle, and violently ' ihook or ftruck ; but grave founds are from the contrary. Thofe founds in general are called acute, which are pro- daced from more numerous tremors in an equal time ; and thofe obtufe, which are produced from few tremors. As to any medium betwixt acute and grave founds, there is none but what is arbitrary. Cords, or other bodies, that yield the fame number of vibrations in a given time, are faid to be unifon ; as thofe which make ■ double the number of ofciilations in that time, are faid to yield a tone that is an o£lave or eight notes higher; and other proportions betwixt the numbers of the vibrations have different names affigned to them. The ihorter cords produce fharper tones, and the reverfe, in a pro- portion diredly as their lengths ; as thofe v/hich are snore ftretched afford Iharper founds in a fubduplicate pra- Ch.XVL hearing. 277 proportion to their tenuity, or to the weights or powers by which they are ftrerched. Ex{^riments to this pur- pofe are very eafily made with a monochord, or a feries of cords ftretched with weights"^. CCCCLXXV. The founds thus produced, whether acute or grave, ftrong or weak, is carried through the air with a celerity equal to about 1038 Paris feet In a, fecond, and that with an iinifo,rm velocity, without abating in the larger diftances. But a contrary wind, caufing the vibrations to extend more ilowiy, retards the progreffion of found about -^-V of its velocity. S© likewife denfity and drynefs of the air increafe the found, as a rarefadion and moifture of the air lelTen it. Hence, in fumraer time, founds move fwifter; an-d ia -Guinea, it has been obfervcd to pafs at the rate of 109^ Parifian feet in one fecond of time. CCCCLXXVL The found, thus every way extend- ed, meets with certain particles in all adjacent bodies^, even in water and mercury, to which it communicates fimiiar tremors or vibrations, not only fuch as are ia unifon with the original tone, and which yield a found in a more particular manner fenfible; but alfo it excites tremors lefs fenfibly, even in the other parts of bodies, which vibrate in the various proportions of the fcale. From hence it is, that every found which we hear, is a mixture of the original tone, produced by the trembling foody, in conjunction with fecondary tones generated from the eialHc trem.ors of the furrounding bodies. The flrength of found is increafed, if one audible or primary tone follows the other fo clofcly, that their fuc- ceffion *^5» ThedoQrine of raufic undoubtedly is to be accou-nted among the chief proofs of human indultry. it has recommended itfcif, not by the art by which it has bfen cultivated overall Europe, and par- «iculariy at Naples, but likewife by i;s effeds upon animal bodies; (0 that almolt any affcdions of the mind may be produced by it, and difeafes themfelves, particularly of the nervous kind, may be cured, Albrecht and Roger have given an abridgment of thi^ art ; but theor es of this doe nerves and arteries. CCCCLXXXiX. In the foetus, thefe are formed of a diitincl hard fhell, which being furrounded with a fpungy bone, are lodged in a cavity of the os petroipm ; which, in adults, is extremely hard, extended into leg- ments fomething larger than femicircles, which have aa T 2 ample *3o There is almoft no part of the human body fooner acquires its perfeft magnitude than the labyrinth of the internal ear : for in a foetus of five months, it is almoft of the fame fize as in aa adult. 'S'' AH the internal cavity of the labyrinth is filled, not with va- pours, but with true water. In 1 77 1, I had two cafes of pcrfons who died through cold, in whom an icy Itria could be perceived pene- trating through the feneftra ovalis, the ftapes being driven out frora the veftibulum into the cavity of the tympanum. Isfoperfon before Cdtun, although Vieuffene, Salzraan, Valfalva, Morgagni, &c. had fome knowledge of the fubjeft, was really and fully acquainted with this water, which Caldan and Meckel have more fully confirmed. The whole cavity of the labyrinth, particularly of the veftibulum, is filled with it: if you injeft qnickfilver, it is expelled; or by cold, it is converted into ice, exadly reprcfenting the figure of the cavity : Thi3 is feen in feveral aairials. It is fecreted from the arteries, and thrown out by two fmall canalfi, through which at leaft mercury goes from th© Cavity of the labyrinth. 284 H E A R I N G. Ch.XVI. ample opening betwixt them. The larger pofterior and lower of thefe circles is perpendicular; alfo the middle and upper one is placed towards the perpendicular; but the outermofl and leaft is horizontal. The inner mouth or aperture of the uppermoft of thefe meets with the upper opening of the pofterior ring, and both join into one. CCCCXC. But the cochlea is a part flill more won- derful, feated in an inclined pofture within the anterior portion of the os petrofum. Into one part of this cavity opens the veftibulum ; and into the other the feneflra rotunda of the tympanum ^^", which is concealed behind a protuberance in the bottom of the tympanum. The cochlea itfelf is made up of a nucleus of bone, of a co- nical figure, with its apex inclined inward ; divided by a middfe fulcus, both through its bafis, and through its ■whole length ; and perforated w,ith innumerable fmall foramina into the tubes, which are called y^^/ the camtrae of ths eye are really feparated. eH.XVlI. SIGHT. If That pare of it which is drawn over the pupil is of a vafcular texture. About the time of birth, it gradually retracls, difappears, and allows a free paflage to the rays of light. DXIII. Though the iris has little fenfation, and is not endowed with any mechanical irritability ; yet in a living man, quadruped, or bird, it is conftricled on every greater degree of light, and is dilated on every fmaller one ; hence it is rendered broader for viewing diilant objects, and narrow^er for viewing fuch as are near. The caufe of this dilatation feeras to be a remif- fion of the powers refifting the aqueous humour; an argument of which, is the dilatation of the pupil, occa- lioned by debility, and which fucceeds fv^ncope and death. The contraction is more obfcure, and perhaps only depends on the ftronger aiHux of humours into the colourlefs veffels of the iris, into which ihefe veflels are extended '35; and, along with thefe, the iris is render- ed longer, and flouts the greater part of the pupil : fo that this motion has fomething in common with a be- ginning inflammation. The pupil is more evidently moved and contracted ; as the eye gradually grows callous in old people, it is rendered almoft immoveable- In an animal twenty or thirty hours dead, I have feen the iris extend by heat, and fhut the pupil. DXIV. Behind the uvea, from the fame circle by which the choroides and fclerotica join together, and outwardly adhere to the cornea, arife thick ftripes, ex- tended from the choroides, elegantly wrinkled with pa- B 2 rallel" *^' And my own experiraeDts alfo have convinced ir.e, that the iris does not belong to the parts endowed with regular irritabihty 3 for the folar light, or that of any othtr -lucid body, if it ought to exert its effedts upon the irif, that part of it taken in through the narrow channel ought to be conveyed to the retina ; whereas, direasd tjpon any other place of the ins, it remaios without any fbch eflett. Thefe phenomena of the motion of the iria alio convince me fo much the more ; bcfides anatomical proofs, by which it is undoubiedly cer- tain, that it has no real mufcular fibres, and that the contraftioa and dilatation of the pupil is rather to be afcribed to the velTeU than^ to mufcles, although Janio endeavours to prcve the prcleacc oi mufcks by chkurgical rcaCo-isg, 12 SIGHT. Ch.XVIL rallcl veffels^ fpread under them, which are conjoined by feather-like loofe and thin foot-ftalks, into the retina, every way fpread with a good deal of black paint ; and departing, after the manner of a perforated ring, in- ward from the tunica choroidea, they fpread upon the vitreous humour ; and, lallly, are laid on the capfule of the cryftalline lens, but do not adhere to it, and are called by the name of the ciliary Uga?nents. The origin of the black pigment we are as yet unacquainted with ; nor can any glandules be found, which fome have af- figned for its feparation. Among its other ufes, one feems to be to keep firm the cryftalline lens. In in- fants, this fame mucus has the image of a radiated flower behind the ciliary procefs. DXV. But the retina, which is truly a continuation of the medulla from the optic nerve, is next expanded into a fphere concentric with the choroides^ extremely tender, and almoft of a mucous confiftence, diffolvable by a blafl; ; and this immediately embraces the vitreous body. But when the retina has extended itfelf as faf as the ciliary procelTes, it follows their courfe, making their ftripes and fmall arteries its foundation or fupport in its courfe to the cryftalline lens, to the capfule of which it adheres ; and if we may believe the obferva- tions of fome anatomifts, as v/ell as our own, fpreads upon its furface ^^°. DXVI. Thefe coats of the eye, which invefl and fupport each other, after the manner of an onion or other bulbous root, give a fpherical figure to the eye, and include its humours : by which name are underftood commonly three fubftances ; the one a folid, the other a foft body, and the third truly a liquor. Firft, then, the common furface of the retina is, on all fides, filled by the principal or vitreous humour, which is contained in a thin pellucid membrane of its own, of a cellular fabric, ^*'' Among all ray obfervations upon the eye of man or of brutes, I find none to favour the opinion that the retina is fpread over the capfule of the lens. I have feen the end of that medullary mem* brane erery where circumfcribed behind the greateft circle of the ens. Ch.'XVIT. sight. 15 fabric, in the Intervals of which is confined a moft clear liquor, a little dcnfer than water, which entirely evaporates by heat, like the aqueous humour : from which nature it does not eafily degenerate, even in old people. Its veflels, which are moft manifeft in. fifh, lie in the back part ; are moft beautifully radiated from the central trunk of the retina, embracing the convexity 'of the vitreous humour ; and are inferted. into a circle formed by other arteries coming from the choroides, not far from the lens, and which I have feen in a flieep. The vitreous, membrane, which is tender confidering its body, is yet grown to the lens in two places, before and behind ; fo that the middle hollow ring is intercepted between both infertions, round the cryftalline lens. Afterwards it is divided by fome little ropes. The ftreaks of the ciliary body imprint their marks on the anterior face of it. DXVII. But, in the fore-part of the vitreous body, behind the uvea, there is an orbicular depreflion or fi- nus confiderably deep, into the cavity of which the ^ry- ftall'ine lens is received, though that be lefs properly ranked in the clafs of humours. The figure of this lens is made of two elliptical convex portions or fides, the foremoft of which is flatter, and the pofterior more gib- bous. The ftrufture of it is that of concentric plates or fcales, fucceeding each other, and compofed by the fibres themfelves, elegantly figured and contorted, and connected by cellular fibres, fo as to form a tender cel- lular texture. Betwixt the cryftalline leaves is alfo contained a pellucid liquor, which in old age turns of its own accord to a yellow colour. The innermoft fcales lie clofer together ; and form at laft a fort of continued nucleus, harder than the reft of the lens: it does not fo adhere to the capfule, but, when that is broke, it very readily leaps out ; and fome fay that a litde water is efFufed around it. Its artery is from the retina, which perforates the middle of the vitreous hu- mour ; that is, the pofterior one ; for the veffels in the fore-part are not yet known. This whole lens is con- B 3 tained S4 S I G H T; Ch.XVIL tained in a ftrong, thick, claftic capfule of a pellucid membrane, more firm in the fore-part, which is lined backward by the vitreous tunic. DXyill. Laftly, the aqiieous humour^ which is ex- tremely clear and fluid, and renewed agair) if it be let out '"^'j is feated in a fmall fpace of a curve-lined trian- gular figure betwixt the uvea and cryftalline lens, and in a larger chamber that is before betwixt the iris and the cornea. This humour feems to exhale from the fmall arteries of the iris, uvea, and ciliary procefles y being again abforbed into fmall veins of the fame parts, ■while fome portion of it is drunk up and exhaled thro' the cornea. This humour alfo waters the uvea and eapfule of the lens. About the beginning of the pre- fent century, the fpaces filled with this liquor were called the camera of the eye ; the fore one between the cor- nea and iris ; the pofterior one, which is fmall, be- tween the circumference of the cryftalline lens and the uvea. DXIX. The eye, thus framed, is outwardly fur- rounded with mufcles for its government and dire£lion. Namely, into the circle of the fclerotica, which is next to the cornea, are inferted four ftraight mufcles, arifing from the dura mater of the optic nerve at the bottom of the orbit ; where, departing frorri the nerve, they cohere with the periofteum, forming, as it were, one circle ; from whence, going forward, their bellies lie round the bulb of the eye, and terminate again by their aponeurofes, meeting together in another circle into the fclerotica. Of thefe, the elevator'is the leafl:, and the abdu6tor the longeft. The office of thefe mufcles appears very plainly in each of them apart ; fince, being- bent round the convex bulb of the eye, as about a pul- ley, they mud, of courfe, elevate, deprefs, or turn the c^lobe of the eye either* to the nofe or to the temple. Moreover, two of them ading together may turn the eye '''^ It is iin(ioo]>tedly included in a very tender membrane, which rannot be made vifible and prcferved without' the moft conce]nlrate4 fjKivia] fluids Ch.XVII. sight. 15 eye in a diagonal betwixt the former diredlons ; as up- wards and outwards, upwards and inwards, kc. Laflly, when all the four Itraight mufcles are -contraded, there is no doubt but they draw the whole eye towards its origin within the orbit, by which means the cryftalline lens is moved nearer to the retin-a. DXX. But the two oblique ?nufcles of the eye are of a more compound fabric. The upper of thefe, arifing together with the re(51;i, is long and fiender, afcending forward to a notch in the os frontis, which is completed by a double ligament, cartilaginous on each fide, and hollow in the middle, almolt quadrangular, for fuftain- ing the tendon of the mufcle. Through this canal paf- fes the tendon of the obliquus fuperior; which being again refleded backward and downward, included in a, capfule of its own, is inferted into the globe of the eye behind the ftraight mufcles. This draws the globe for- ward and upward, in a manner out of the orbit, that the eye may t^ke in a larger field of vifion ; it aifo turns the pupil inward and dow-nward. The other leffer oblique mufcle, arifmg from a fmus of the lachrymal fo- ramen in the upper jaw, afcends immediately outwards from the os unguis round the globe of the eye, and is inferted by its tendon into the fclerotiea behind the ex- ternal redus : whence it appears, on its part, to turn the eye downward and outward; and of courfe, con- trary to the former, to dired the pupil upward and in- ward. DXXI. But there are other more minute mufcular. motions performed in the eye, which prefuppofe a knowledge of the nerves belonging to this organ '"*". And, firft, we have already fpoken of the optic nerve (DIX, DX). The fourth pair goes only to the larger oblique mufcle, and the fixth paic belongs to the ex- B 4 ternal '■»* It is an ancient obfcrvation, that tbe eye, with its mufcles, id proportion to their fize, is fupplied with an incredible number of nerves, making ufe of the whole fecond, third, fourth, and fixth pairs, except a root to the intcrcoftal, and a great part of the 6rll branch of the fifth. Janin has told us, that the eye has nerves fronn) the pathetic and ophthalmic alone^ 1 6 SIGHT. Ch.XVIT. ternal re£lus. The third and fifth pair produce the principal nerves in the eye ; and of thefe, the firft branch of the fifth produces the opthalmic nerve, and i€40Lds off a fmall nerve from its entrance into the orbit, to the eye-lis/hofe diftance is known. DLIL The convexity ox protuberance of a body is no,t feen ; but is afterwards judged of by experience, after we have learned, that a body, which is convex to the feeling, caufes light and fhadowto be difpofed in a cer- ' tain manner. Hence it is, that microfcopes frequently pervert the judgment, by tranfpofing or changing the Ihadows. Ihe fame alfo happens in that phenomenon which is not yet fufEciently underftood, by which the con- Ch.XVII. rs I G H T. 3^ concave parts of a feal are made to feeni convex, and the contrary. DLIII. The -^xdhXt fituatlon of the parts of an obje£l, are judged by the mind to be the fame with that which they naturally have in the objeft, and not the inverted pofition in which they are painted upon the retina. But it is certainly a faculty innate or born with the eye, to reprefent objefis upright to the mind, whenever they are painted inverted upon the retina : for new-born a- nimals always fee things upright. And men who have been born with cataracts, without ever being able to fee, are obferved, upon couching the cacaracls, to fee every thing in its natural fituation, without the ufe of any feeling, or previous experiences. DLIV. One thing which impofes upon the mind, is the continuance which external fenfations make, during almofl: the fpace of a fecond of a minute, after they have been conveyed to the fenforium by the eyes; whence they are reprcfented to the mind as objeds really pre- fent. From hence proceeds the idea of a fiery circle from the circumrotation of a lucid body ; and from hence proceeds the continuance of the (liining image of the fun, and fometimes of other bodies, after they have been viewed by the eye. DLV. Do we perceive only that objed diflindiy which is direftly before that part of the retina which fees moil diftindly ? And does the eye perfuade itfelf, that it fees many objefts at a time, partly from the, du- ration of the ideas, and partly from the quicknefs of the motions of the eye.? Concerning the moft diftind: vifion, this is mofl certain ; but we cannot affirm it of that which is lefs diftinft. Why do we fee only one object with two eyes? Becaufe the fenfation becomes one, and without difference, when we have fimilar impreffions .of two objeds. For, even without the concourfe ot op- tic nerves, infeds who have numerous eyes perceive objecls fmgle. Hence the images of two objects ex- cite only one fenfation, when they fall upon the fame point of the retina j but two fenfations arife from one C 4 objed. 32 INTERNAL Ch. XVII objecl, when the images fall upon different parts of the retina. Whence proceed diurnal and nocturnal b'ind- nefs ? The former is common to many nations living in the warmed climates, under the brighteft rays of the fun, and to old men. The other happens in inflamed eyes, and young men of a hot temperament, and hence en- dowed with eyes vaftly fenfible. Whence do animals fee in the dark? From a large dilatable pupil, and ten- der retina ; a fhining choroides, and one which reflects the light very ftrongly. Why are we blind when brought out of" a ftrong light in'o a weak one? Becaufe the optic nerve, having fuffered the action of ftronger caufes, is incapable of being moved by weaker ones. "Whence have we a pain, by paffing fuddenly from a dark place into the light? Brcaufe the pupil, being widely dilated in the dark, fuddenly admits too great a nuantity of light before it can contract ; whence the tender retina, which is eafily affected by a fmall light, feels, for a time, an impreffion too {harp and ftrong. "Whether fee we with one eye. or with both ? Moft frequently with one, and more efpecially the right eye : but when both are employed together, we fee more ob- jects, and more plainly ; and we alfo diflinguifh more points of the fame object, and judge better of their dif= tances. CHAP. XVIII. Of the Internal Senses. DLVI. ^ I ^HE organs of the fenfes have hitherto been JL confidercd and difcuffed feparately. We now fee, that it is common to them all, that the tender pulp of the nerve, being ftruck or impreffed by external objects, conveys, by the nervous fpirits, fome change to that part of the brain where the impreflfed fibres of the nerve firft arife from the arteries (CCCLXXII.) We know nothing more, than that new thoughts are thus excited in the mind, whenever fuch a change, produced upon any organ of fenfe, is conveyed to the firil origin of Ch. XVIII. SENSES. 35 of the nerve "which receives the imprellion. For thought is not the exprefs image of the objeft, by which the fentient nerve is afFefted. What in common has the idea of rednefs with a flightly refrangible ray, feparated from the feven portions of the whole ray ? Nor is it con- fident with optical principles, that an objefl:, painted by rays upon a foft white nerve, can be, in a long traft of perfed darknefs, conveyed throu'^h a very opaque body to the origin of the optic thalami. There is nothing in the pain of burning that can reprefent to ,the mind a fwift and fubtile matter violently moved, by which the continuity of the nervous threads are deltroyed. There is nothing in the idea of a fliarp found, from *i cord of a certain length, that can inform the mind the faid cord trembles 5000 times in the fpace of a fecond. Neither does tafle teach us that the cryftals of fea-falt are of a cubical figure. Again, though a motion is im- preffed on the brain, from the fenfation perceived by the body, the mind neither perceives this motion, nor the tremors of founds, nor the percuflions of the rays of hght, but fomething perfectly diftinft from this motion. But it is eftabliflied as a perpetual law by the Creator, that certain changes, made firft in the nerve, and then in the common fenfory, fhall produce certain new correfponding thoughts in the mind, which have an indilfolvable connexion with each other; fo that, although what we perceive in the world be arbitrary, yet that it is real, and not falfe, appears plainly from the perpetual agreement of fimilar thoughts arifmg from fimilar aiFedions of the fenfitive nerves, in all per- fons at the fame time, from one obje£t, or in one per- fon at different times. DLVII. During the time of our perceptions, there- fore, five very different beings are joined together : the body which we perceive ; the affeclion of the organ of the fenfory by that body ; the affedion of the brain arifing from the percuflion of that fenfory ; the change pro- duced in the mind ; and, laftly, the mind's confcioufnefs and perception of the fenfation. ' DLVIII. 34 INTERNAL Ch. XVIH. DLVIII. It appears from certain'experiments, that the firft: origin of every perceiving nerve is always diflind ; and that the change which is firft excited by the exter- nal object in the faid nerve (DLVI.) continues in the origin of that nerve for a confiderable time ; and alfo that thofe changes are fo claffed and laid up within the faid part of the brain, that thofe are neareft together, which were either contemporary, or nearly fo, or which have fucceeded next in courfe ; or laftly, which have a •relation to the fame fubject, or were excited by fimilar objects : infomuch, that it is certain, new fpecies or- ideas are always conveyed again to the fame part of the brain where others of the like kind are referved: for otherwife the arbitrary figns of words and letters would never be able to renew the fame old ideas again in the memory ; nor could difagreeable ideas, returning into the mind, without the alTiilance of external objects, re- produce the fame effects, as would the difagreeable ob- jects themfelves ; nor, otherwife, could there be fo con- ftant and manifeft a connection of analogous ideas, which mod powerfully occur in dreams, according to the corporeal caufes which then remarkably act in the brain. Whether or no do imagination and memory depend on this confervation of ideas ? Finally, thofe changes in the fenforium, which many term palt or re- ferved ideas, are, for diftinction's fake, by us called ih& focftJJeps ox traces of things, which are lodged or en- graved not in the mind, but in the body itfelf, by cer- tain notes or chara£ters, incredible in their minutenefs, and infinite in their number, recorded after an inex- prefTible manner in the medulla of the brain. Amongft thefe characters, fuch are more eminently and diftinctly preferved as were received, firft by the fight, and next by the hearing ; for thofe of the other organs are more confufed and irrevocable by the will. And both the traces and their figns are preferved ; the latter more cafily ; the former, however, fo far, that a painter can eafily exprefs with his pencil upon canvas, an image of Ch-XVIII. senses. 55 a face fimilar to one which he is accuftomed with, and which is impreffed on his mind. DLIX. Imagination, then, is whenever any fpecies, preferved in the common fenfory, and in prefent per- ception, excites fuch other thoughts in the mind as would arife if the perceiving nerve that gave the firft birth to the faid fpecies was itfelt" affcfted or changed. This definition is confirmed by examples of the great ftrength of fancy in certain perfons, and thole who are delirious 5 but in every body, in the inftance of dreams, in which thoughts arife in the mind, occafioned by the corporeal fpecies referved in the brain, fo as to be not at all weaker than thofe which were firft formed by the change in the fentient nerve, from the external objefts. ' Even more, the attention and reft of the mind, with the abfence of all external objecls, v/ill often obtain a ilronger affent from dreaming, towards the traces im- preffed in the brain, than that which is given from the mind by the perceptions which are excited from exter- nal objeds : for the will is more powerfully determined in thofe who dream, than in thofe who are awake, fo as often to perform certain aftions by the voluntary mufcles, while they are alleep, which they never can perform awake, even though the fame nerves were more ftrongly afFefted by the real objefts. From hence we may underftand, how it is pofiible the intec- nal fpecies, v,'hich are very ftrong in a delirium, may fo impofe upon the mind, as to make her miftake them for the perceptions of external objecls; as, for example, in the fiery fparks which are excited by prefling the eye and optic nerve; in the rednefs feen by the eye when it is fliut ; in the vertigo or rotation that arifcs from a motion of the retina, which we afcribe to the ex- ternal objecls themfelves ; in the duplicity of fight, &c. DLX. But memory is, when any internal former thought of the mind, or the fpecies perceived and pre- ferved in the brain, from external objects (CCGLXXIl.), repeat or excite again other perceptions in the mind. And here the perceptions are commonly weaker than in B^ INTERNAL, Ch. XVIII. in the imagination, being almoft only certain arbitrary figns conjoined together, with the idea that was firft perceived in the mind : for the memory hardly rcpre- fents the images and piftures of things to the mind ; only the words or figns, and certain attributes, together with the general heads of ideas ;' for which reafon, they move the will with lefs force: but it appears from the obfervation of thoie changes which happen in the me- mory, that fuch as arife from the external fenfes re- main longefl in the brain ; and fometimes, if they made a llrong impreffion, they may for ever, and in all ages of life, be repeated to the mind ; but they are wtakea- ed, and in a manner blotted out in time, by degreeSj unlefs the reprefentadon be renewed again to the mind, cither from an external objeft, or from the mind itfclf recalling the fame change again into memory: fo that^ without this repetition, at lad the change or impreffion will be in a manner erafcd and quite loft; and will never be able to be drawn in again to the mind, whenever fhe repeats fuch other thoughts as had na- turally any connection with the former. This deftruc- tion of new and different fpecies, conveyed to the.fen- forium, is evident, not only from the effeft of time, but likewife from cataleptic diforders ; which fome- times, after a confiderable interval of time, go on with the fame train of thoutrht which the difeafe had inter- o rupted. But fometimes all of them will be fuddenly deftroyed by difeafe, in which the brain is any how comprcffed, either from the blood or other caufes. Such a comprc fling caufe, acting on fome part of the common fenfory, blots out a correfponding number of the fpecies from the njind or memory, whether they be certain or all kinds of words, or even the characters by which we exprefs words ; or, lailly, the characters of our friends, and neceiTaries of life : yet all thefe fpecies are often again renewable to the mind, whenever the comprelTmg caufe is removed. But the ftrength and duration of an idea depends upon its being either un- ufual, of a ftrong adion, or greatly conducing either to in- Ch. XVIII. SENSES. 37 increafe or leffen our felicity; or, laftly, from being joined with great attention from the mind, and oftent repeated: all which circumdances being conjoined, may render the fpecies fo (Irong to the mind, that flie will afterwards receive the perception of them, as if they came from external objects, in the manner we ob- ferve in mad people. DLXl. Moreover, if we review the hiftory of human life, it will appear, that in the beginning of our infancy, we have hardly any memory ; only fimple perceptions, that foon vanifli : which, neverthelefs, do for the pre- fent excite flrong thoughts or impreflions in the mind, as we learn from the clamours of infants. But after- wards, the memory is perfected by degrees, and the ideas received from perfons mofl: beloved and familiar to the infant remain impreffed in the mind ; while, at the fame time, the imagination likewife increafcs in proportion, fo as to be often very powerful in young children ; as we fee, for example, in frights, which in no age produce more violent or fatal efFefts, From thence forward, as the number of our ideas in- creafes, the faculty of prefcrving thofe paft, weakens ; and, at the fame time, the power of the imagination is more torpid or fluggifli : till at lafl; the former almoft perifhes, and the ideas, which are received but a fliort rime, efcape from the brain; while, at the fame time, the imagination, which is a kind of memory, languiflics in proportion. DLXII. But fince the perceptions thus formed in the mind, produce in her various changes, which are per- fectly free and diRin6t from any corporeal faculty, we . fliall briefly add fomething concerning them, fo far as may fuflice to the purpofes of phyfic. The office oi cogi- tation in the foul, is to attend to the fenfations which are either brought by the fenfes, or recalled by the imagi- nation ; frequently alfo to the figns alone which recur into the mind. Attention then is faid to operate when the mind obferves one and the fame idea alone, and for a longer time together. The coniparifon of two or 4 more ^d INTERNAL Ch. XVIII. more ideas brought to the mind, is called reafon ; as the fimilitude, diverfity, or relation perceived by the comparifon, is called Judgment. The principal caufe of luijdom and invention lies in a flow examination of the ideas, confidered in the relation of all their parts one to another in the mind, while, neglefting all other objedls, fhe is employed with a ftrong attention only upon that which is under examination. From hence proceeds that efficacy of folitude and darknefs in making difficult calculation ; with the more exquifite attention of blind people to the nature of founds; and of thofe who are deaf, to colours. The fource of error^ is fome neglect in contemplating the whole idea, or the making an efti- mate of it from only a part of its note or charafter, or from a lefs congruous connection of fome ideas with others that are diftinft, but only related by accident, external caufes, or affections. DLXIII. The integrity or foundnefs of the judgment depends upon a perfect and healthy conftitufion of the brain '■^^ For the fabric of the encephalon being chan- ged, '*^ In medical pfychology, differing only in a few remarks from that fcience which is finigly called pfychology, the edlions of che foul or mind are inveftlgated. A more elegant fubje<5l, and more wor- thy of attention, cannot be imagined, than the thinking principle in man; wheiher we confider the difficulty of the inveftigation, the delight which the ftudy of it affords, or the utility which it pro- pofes in life. It is a very well known point, that all bodies, endued with the perfeft life which we ufually call anitnal, do not perform and exercife tiicfe funflions of the mind in one and the fame man- ner, degree of perfedion, multitude of fymptoms, and attributes, for the advantage of public fociety, for the like and fame reafon, and, what feems peculiar to me, in the hope, knowledge, and remem- brance either of future profperity, or adverfity. All animals, qua- drupeds and mammalia in parcicular, have fome or other of the funiliono or operations of the mind in common with man : fome feem to be proper to man alone, being bleffed with the pleafure of fociciy, and of education and fpeech ; but in men themfelves, there IS in fact a wonderful difference both in tbefe faculties and the exer- cife of the mind itfelf. For although, among the various ways in which the human mind can aft and exercife its own proper funftions, and fignify its govern- meat uver the body, we confine ourfelves to iwq, we fhall however ob- ferve Gh. XVIIL senses. 39 ged, either by compreffure, irritation, or a deficiency of blood, confounds all the ufe of reafon; occafions the ftrong internal fpecies of the brain to be reprefent- ed to the mind as if they came from external or real objeds J breaks the connedion of the ideas, fo that the ferve a very great diverfity. Under this head belongs, (t.) The power of dircding, exciting, and limiting the whole body, and many of the corporeal aftions; whether our will be governed by 'm~ (tinft alone, which man frequently, though not always with fafety, and brutes almoft always indulge; or whether it be inclined by reafon and underftanding. (2.) The power of learning, of amplify- ing our knowledge, making n^w difcoveries, meliorating humaia fociety ; and, in a word, of arriving at that pitch of felicity to which the divine wifdom allows us to afpire. The rife and preferva- tion of ideas, the power of memory and imagitration, and, by means of attention, the inherent bleffing of thinking, comparing ideas, and pafling judgraenr, &c. are all to be numbered in this clafs. Upon rational confideration, why thefe mental fundions are eser- cifed in fo different a manner, both by men and brutes, a twofold clafs of canfes is to be afiigned ; the one innate in the body; the other depending upon external caufes, and their various methods of a(5ting. I. The firft clafs of caufes, allowing no change, unlefs in the moS: rare examples, fuppofes fuch a conttitution of the body, that is fit for performing its funftions, and for receiving impreilioas from «s* tern a I caufes. Of confequencc, in particular <3, Not only the prefence, but at the fame time the! due profMsr- tion, of the organs, raufcles, inftruments, and certain v if c era is re- quifite. ■ ^, The neceffary proportion of the brain and nervous fyftemt-o the whole body, and its parts in particular, and the interior aptitude of the fame for performing its funftions. Here we refer (i.) To the quantity and magnitude of the brain relatively to the whole animal body. Man has the largeft brain among all the mammalia, a few excepted: compared with the weight of the whole body, I25lih. ill is 3|-, 4-I-, 5 lib. and therefore proportionally a« 30, or 26, 'Or 24, to 1. The lead brain 1 ever faw was in a woman who was a great fool, and it was i^ to loo, the weight of the whole body. But in youth tliis proportion is changed, viz. the younger a perfoa is, the more brain he has; in proportion almoft as i to S. The in- ference, therefore, that the powers of the mind increafe with the greater quantity of brain, which the fcetus ftate denies, is only con- fiftent with another attribute. (2.) To the different relation arodl proportion of each fubltance of the brain. The human brain is fuJil of furrows and irregularly encircled portions. The younger man and all aoiinals are^ the more cortical I'ublUflce is prefeat^ o^ore ihaa a 40 , INTERNAL CH.XVIli; the mind cannot compare them together j and is con- fequently unable to judge of, or forefee, their propor- tions, differences, or confequences ; darting imme- diately from one idea to another that has no kind of relation: or laflly, the aftions of the fenfes being either weakened or abolifhed, and the brain in a manner de- prived of its corporeal fpecies, the man is reduced to ' the flate of an idiot or S plant. But the powers of external bodies alfo have a considerable influence in changing the fpecies of objects which the mind ac- quires by the fenfes ; for the air, way of life, foodj and cuftoms, either help or diminiih the foundnefs of the judgment, the force of the imagination, and the flrength of the memory. DLXIV. Finally, as thefe ideas are either indifferent to us, or elfe conduce to the lofs and increafe of our fe- licity, a half of the whole : it is diminifhed gradually as age grows up, and a great part of It is changed into medLillary?; which change, ia faQ, does not a little contribute to the increafe of the mind. (3') '^^- i""ft confider the \'ery fpecific gravity of the brain in brutes 2nd men at different ages. I have always found, and many obferva- tions have confirmed it, that a cubic inch of an infant's brain was fpe- cifically lighter than the fame of an adult ; the fame alfo held good of the more ftupid fort of men and quadrupeds. (4.) At the fame time, we mull: remark the d'fferent proportion of the brain to the cerebellum ; for moft brutes have more cerebellum, with refpeft to the brain, than any man. It is the fame cafe with the nerves. If you want a due perfection in this part of the body, you never caa correft it, nor add any thing to thefundions of the mind. IT. The latter clafs of caufts comprehends thofe bltffings through which we acquire an increafe of knowledge, and in general upon which the whole knowledge of man, our profperous and adverfe fortune, &c. depend. We gaay reckon of importance here, a, The multitude of ideas which our fenfes fupply us with, and which we may augment by the imagination, memory, and affociation of fimilar ideas, b, Our education, infpired by our teachers; which, if ii has been eafy and faithfully taught us, wonderfully aids the rudiments of our under- ftanding. c, The imitation of others ; I would almoft call it the primary caufe of this clafs, the real fource of proper and improper underftanding. We are unwilling to fay more about the fubjeft, though highly necefTary; and indeed fome of the moft celebrated philofophers have already begun to treat very accurately, and have advanced our idca» about it. - Ch.' XVIII. SENSES. 41 licity, fo they produce different determinations in the luilt. Some of thefe ideas, by which the felicity of our mind is either increafed or diminifhed, arife merely froQi the mcchanifm of the perfcft body : /^nd amongft thefe, corporal Pain is a forrowful fenfe or perception in the mind, to which every violence or over-ftrong" fen- fatioft in any nerve feems to ferve as a foundation ; while Pleafure confifts only^in the nerves being irritated beyond what is ufual, but in a moderate degree. Itching {lands related to pleafure, inafmuch as both of them have an increafed flux of blood into the parts in which either the pleafure or the titillation is per«i ceived ; but when increafed, it ter\ds towards pain, or to an over-violent fenfe of the nerve. AnguilOh or anxiety is from an over-diftenfion of the vefiels, be- caufe the blood is hindered from paffing freely through the lungs. The other ideas with which the mind is affefted, are either wholly abftrafted from the proper- ties of matter or body, or are at leail much lefs fimple than the foregoing, which arife either from fenfe or mechanifm. The perception of good ideas excites joy ; the defire of poffeffing good excites love, as the expectation of it is the caufe of hope : on the contrary, prefent evil caufes focrowfulnefs, terror, or defpair ; the defire of fhunning evil excites hatred ; and the ex- peQation of a future evil excites fear. Hope, curiofity, and glory, feem to be affeftions of the human mind, which neither belong to the body, nor are to be found in beads. DLXV. From thefe afFeftions of the mind, the mere will appears not only to be determined to fome fore- feen purpofe, to which it diredls the anions of the bo- dy, in order to poifcfs good and avoid evil ; but alfo in the body itfelf, unconfulted, and making no great refiftance, it exercifes an equal dominion over the pulfe, refpiration, appetite, ftrength, afifeftions of the heart, nerves, and ftomach ; with the changes which arife in the other parts, ferving as figns of the pafTions in the mind, from which they immediately follow. Thus Vol. II, D * anger 4? INTERNAL Ch.XVIII. angler excites a violent motion of the fpirits, caufes a palpitarion in the -heart, a frequency of the pulfe, a greater fhrength of the mufcles ; urges the blood into the fmaller pellucid and improper veffels ; and, laflly, haftens the expulfion of the bile from its veffels ; by which means it frequently removes obflru6lions, or Cctfes chronical difeafes. Grief, on the contrary, "Weak- ens the ftrength of the nefves, and the aftion of the heart ; retards the motion of the pulfe ; deftroys the appetite and digeftion ; whence it produces a palenefs, carhexv, diarrhoeas, jaundice, fcirrhofities of the glands, and other flow difeafes, arifmg from a ftagnation of the humours. Thus, alfo, fear fo much diminifhes the force of the heart, as to occafion polypufes, palenefs, and weaknefs of the mufcular motions, a palfy or relaxation of the fphinfters, an increafe of inhalation, but a di- minution of perfpiration. Terror from a prefent evil, v/ill alfo increafe the flrength to fo great a degree, as to caufe convulfions and a ftrong pulfe j whence it fome- times removes obfiiruclions in palfies, or. by intercept- ing the courfe of the blood, it kills fuddenly. Love, hope, and joy, promote the perfpiration, quicken the plilfe, and give the blood a free circulation ; whence they increafe the appetite, and render difeafes curable. But exceffive and fudden joy often kills, by incrcafing the motion of the blood, and exciting a true apoplexy. Shame, after a peculiar manner, retains the blood in the face as if the veins were tied ; it will alfo fupprefs the menfes or other fecretions, and in fome cafes has even produced death. DLXVL But in what manner are thefe changes pro- duced, from the commotion of thofe paffions in the mind ? Do not the nerves cover the veffels like fphindl- er mufcles, fo as, by contrading them fuddenly, to increafe the courfe of the blood, or, by relaxing and weakening their tone, retard and vitiate the circulating juices? That this is the cafe in the fmaller veffels, ap- pears evidently from the near fimilitude of effects from fear and cold-upon the nerves of the ikin. But in the genital Ch. XVIII. SENSES. 43 genital parts, from a conftriction of the veins, under particular circumftances, we perceive that the blood is manifeftly colledfd or accumulated in the parts : and it is no lefs probable, that, even in the larger velTels, the nervous bridles with which many of them are fur- rounded, produce the fame efFeds : for thus, in feveral parts, they furround and include the meningal, tempo- ral, vertebral, carotid, fubclavian, coeliac, mefenteric^ renal, and. other arteries. ' But after it is fhown by our experiments, that the nerves are at reft during the action of the mufcles, nor can be rendered fhorter by any irritation, we muft defert this elegant theory '^°. Nor does it feem far from the truth, that the arteries are rendered more or lefs irritable from the various fenfibility of the nerves, and thus may be contrafted more" vehemently or languidly by the fame quantity of blood : and thus the motion of the blood is either quickened or flackened, if it is at all certain that the fmaller arteries have the fame irritable nature which is common to the large ones. And thus it is that the appetite and periftaltic motions of the ahmentary tube are manifeftly deftroyed or depraved by the paf- fions of the mind. DLX VII. Nor is it to be denied, that the Creator has affixed certain charafteriftic marks or evident figns to the paffions of the mind, that in mutual fociety one man might not impofe upon another. For the refpec- tive mufcles, more efpecially of the voice, face, and eyes, do naturally exprefs the feveral paffions of the mind, fo faithfully, that they may be even reprefented by a painter. To run through thein all would indeed be an elegant theme, but too long for this Compen- diur^. From the adions of thefe mufcles, often re- peated by the affedtions, follow the features or phy- D 2 . fiognomy 'S® From feveral fand new anatomical reafons, I am inclined to embrace the author's former opinion ; nor could be himfelf pcrhap* ever have abandoned it, had not the confufion arifing between irri- tability and fenfibility, which he dreaded from that affertion, deter- miaed hitn to efpoufe the contrary. 44 INTERNAL Ch.XVIIL fiognomy '^' of a perfon's face, which is a perpetual in- dex to the ftate of the mind, and retains fomething of the aftion of the prevailing mufcles ; fo that the ap- pearance of anger often remains in the countenance, after the paffion itfelf is gone off. LXVIII. From whence proceeds the confent of parts, which is fo famous and often repeated by, writers on the pradice of phyfic ? Some of them appear to de- pend upon the conjunction or inofculation of the blood- veffels ; by which the blood being driven out of one, is more ftrongly urged into another veifel, which has its branches from the fame common trunk. To this caufe belong the revulfions made by blood-letting, the pains of the head which enfue from a cold in the feet, &c. In. other parts, the confent arifes from a fimilitude in their fabric, by which they fufFer like effefts from the fame caufes in the body: to this alfo we refer the confent that is betwixt the womb and the breafts. Another caufe of this confent is a continuity of the membranes, ex- tending from one part to another : from hence a ftone in the bladder excites an itching in the glans of the penis, a diarrhoea cures a deafnefs arifing from a de- Suftion. Another caufe of confent lies in the nerves themfelves, and their anaflomofes or communications one with another, as appears plainly from the teeth be- ing ftupified or fet on edge by certain founds, becaufe the various communications which the hard portion of the auditory makes with the maxillary nerve transfers the difagreeable fenfe to the latter. Thus alfo, the fympa- thy of the eyes, which is not obfervable in like manner in *^* It 18 a dangerous, and too deceiving ftep, to give a decifion from a reliance on the phyfiognomy. I reckon Camper tht beft judge of this fubjeft, who fhould be confulled for his ingenious re- marks. He muft underftand the rules of art, the good and bad dif- polition of men, the characters of nations and the genius of brutes, who wifhes to write with ^^ny fort of authority upon the fubjeft. However, there is in the mufcles of the face a certain declaration, given by the words and figns, of a good or bad ftate of mind, whicU never will deceive a flcilful perfon ; but maybe wonderfully difguifed by thofe addidcd to lying. Front: nulla Jides, mniiume[uc ne crede color '^ Ch. XVIII. S E N S E,S. 4^ In the ears, proceeds from the mutual conjundion of the optic nerves within the Ikull ; and thus a ftone in the kidney excites vomiting. Laftly, the confent may proceed from fome caufe afting on the common fen- fory, and beginning of the nerves 5 whence the irrita- ' tion of a fmgle nerve manifeftly excites ample convul- fions, fpreading through the other parts : fo an univer- fal epilepfy will proceed from a local diforder. Sec. A confent is obferved, in fome difeafes, from a tranflatlon of the matter of a difeafe by filtration through the cellular fubftance of one part to another ; and another kind proceeds from the incumbent weight or adions of the adjacent mufcles and arteries. DLXIX. But there is ftill another remarkable confent to be explained betwixt the body and the mind. For that the nature of the mind is different from that of the body, appears from numberlefs obfervations; more efpe- cially from thofe abftraft ideas and affeftions of the mind which have no correfpondence with the organs of fenfe. For what is the colour of pride ? or what the magnitude of envy or curiofity ? to which lafl there is nothing fimilar in brute animals ; neither can that hap- pinefs which is defired by it, viz. the glory of new ideas, be referred as an acquifiiion to any corporeal pleafure. For is it poffible, that a body can acquire two kinds of forces by the uniting of an infinite num- ber of fmaller parts into one mafs ; each of which fhall not only preferve their own particular properties and affeftions, and reprefent themfelves, but alfo join together into one confcious whole, differing from all the chara£leriftics of its component parts, and yet be capable both of perceiving and comparing the attri- butes of thofe parts? Is there any one inflance of a body, which, without an external caufe, can, like the mind, pafs of itfelf from reft to motion ; or is there any body that can change the diredion of its motion, without the adlion of fome other caufe? Upon flight reflection, it will be obvious to all, that voluntary adion is the attribute of the mind alone. D 3 " DLXX. 4^ -INTERNAL Ch.XVIII. DLXX. Yet the mind, however different from the nature of the body, is clofely tied to the fame, under certain conditions; fo that flic is obliged to think upon thofe fpecies which the body offers to her perception ; and again, fo that fhe cannot perceive, remember, nor judge, without the reprefentation of thofe corporeal fpecies, which are lodged in the brain : and again, her will is the caufe of the greatefl and fwifteft motions in the body. DLXXI. Thofe have behaved modeflly who, con- felTing themfelves ignorant as to the manner in which the body and mind are united, have contented them- felves with proceeding no farther than the known laws which the Creator himfelf has prefcribed, without in- venting and fupplying us with conjedures not fupported by experience. We may, furely, be excufed in this refpeft from the obfervation (DLVL), which is here equally certain as in optics, that the affe£lions of bodies cohere, by an arbitrary relation or connexion, with the thoughts of the mind; in fuch a manner, that they would produce thoughts of a different kind, if the Creator was to alter the figure, the refrafting power, or colours of the parts of the eye. Thus he has efla- blifned a law, which obtains always, betwixt the leafi refrangible rays and a red colour, or an idea of fuch in the mind: and thus there is a law betwixt the im- prciTion of thofe rays upon the retina, and the connec- tion with the correfponding thought. Nor need we be more afliamed to confefs our ignorance in the mecha- nifm of this law in the efiecls of nature, than we are to own ourfelves unacquainted with the nature of the for- mer. DLXXII. But it will perhaps be demanded of us, "Whether the mind does not govern the whole body? and whether or no all the motions and aftions in the body do not arifefrom the mind, as the immediate fpringand principle of motion ? Whether even the motion of the heart, arteries, and refpiration, does not arife from the mind, confcious, and felicitous for the common good Ch. XVIII. SENSES. 47 good of the whole fyftem ? Whether this power of the mind does not appear in the flopping ot hemor- rhagies from wounds, by grumous concretions ; to which add, the force of paflions of the mind, and the power of the mother's imagination, in the marking or other blemifhes of infants ? Whether the abfence of confcioufnefs in the mind, with refpecl to thefe defers, be not excufable, from the known obfcurity of atten- tion which (he gives to the refpiration, the motion of the eye-lids, and mufjles of the eye itfelf, the ear, or tongue; all which motions, we know, are effedied by the will, although we know not the organs, nor take any notice of the aclion of the will, when we breathe, look, hear, or even walk, while we are taken up with other thoughts ? Whether or no is it certain, that all bodily motions arife from the mind, on the account of our being unable to find out any other caufe, con- ftantly united to the body, to which we can manifeftly refer them ? DLXXIII. There are indeed many reafons which will not permit us to confent to this opinion And, firfl:, the conftruction and government of the body itfelf appear greatly to exceed all the power and wifdom of the mind. The mind is able to fee but one point diftinftly at a time (DLV.), and it can entertain only one thought or idea at once : for if it endeavours to fee two objects at a time, to contemplate two different ideas together, or read two letters at once, the fenfe of both is immediately confufed, the mind (trays in her reafoning, and makes no right judgment of either, object ; infomuch, that be- ing fenfible of this her weaknefs, whenever (he endea- vours to make a ferious and diligent inquiry into any object or intended work, (he withdraws herfelf, and fhuts up all the ports of fenfe, without taking any im- pre(rions either by the fight, hearing, fmelling, &c. or without exercifing any of the voluntary motions of the mufcles. But the mind ought to be capable, not only of infinite thoughts, but alfo diftind one^, fo as to be able to perform and govern fo many hundred mufcles, D 4 organs. 4S INTERNAL Ch. XVIIf. organs, veffels, and moving fibres, in fuch a variety of ways, and with fo great an exaclnefs, as is difficult to, or even above all the folutions that can be given by the working of geometrical problems : and yet, by this hy- pothefis, the mind, ignorant both of herfelf and of her works, ought not only to be equal to fo immenfe a tafk ; but likewife, at the fame time, ihe muft, ovei- and above tbofe works, be capable of contemplating the mofl diffi- cult and abftratled ideas, without either difturbing her meditations by the cares whiclf concern the body, or neglefting any of her necelTary corporeal offices by the variety of her mental operations. DLXXIV. Moreover, if, without being confcious of our will, we are neverth^lefs able, by that faculty, to influence the refpiration, the winking of the eyes, &c. and even to be able not only to govern, but alfo to fufpend our breathing, (hut or clofe our eyes, and open them again ; it follows from thence, that "we never lofe either the confcioufnefs or the ufe of thofe actions, and confequently neither the government of them. But we are able to perform nothing of this kind in the heart or inteflines; we cannot reftrain the motion of thofe parts when they are too quick, nor excite therh when they are too languid. In fuch a number of perfons as inha- bit the world, why do we not meet with fome who can govern the inotion of their guts ? Or why, in all the ages of the world, not one who could govern the con- traftions of the heart? If cuftom only is the caufe of this unknown power, why does not the mind receive a fenfe of her aftion, in moving the heart, after it has flood (till for whole hours,' or even days, in fwoons, in hyfteric fits, and in perfons drowned? ' DLXXV. But it is evidently a falfe pofition, that all the motions of the body arife from the rhind, without which the body would be an immoveable unaftive mafs: for the force of mufcular contraftion, by any kind of ftimulus, to which the motion of the heart, intedines, and perhaps all the other motions in the human body are obedient (CCCCXCL), does nor require the pr6- ' ' • fence -Ch.XVIII. senses.. 4^ fence of the mind ; fince that power continues a confi- derable time in a dead body, and may be recalled again into a6lion by mechanical caufes, as heat, infla- tion, &c. Nor does this power defert the fibres fo long as they continue unftifFened by cold, although the mind may have been a longtime feparated from the body by a deftrudion of the brain ; and this a6lion we fee more evidently in the heart, after that mufcle has been taken out of the body tor fome time, fo as to be feparated from any imaginable conneclion with the mind. DLXXVI. As to the blemifhes of infants, we have declared in another place, how litde that article is to be depended on. The adminiftration of the vital motions, in difeafes, is not under the rule of any prudence, but governed almoft entirely by the power of ftimulus ; as we are manifeftly taught from the mod ancient and only certain praftice, by which we are direded to reflrain the too great violence of thefe motions in acute and in- termitting febrile difeafes, by the ufe of blood-letting, with the poppy, nitre, Peruvian bark, &c. The wifeft philofopher in the world has no more privilege or ad- vantage in the government of his bod^^-, than the mereft idiot; and that a foetus, when it is born, has not fuffi- cient knowledge how to move its mufcles, but by ex- perience learns to go, prattle, fee, and, finally, to rear tip its own body, which is formed with incredible art, is indeed an aflertion fo void of probability, as is fuffi- cient to refute the hypothefis. DLXXVII. A ready difpofition to the exercife of fenfe and voluntary motion, in healthy organs, is called 'vigilance or ivakefulnefs ; but an indifpofition to fuch an exercife of them, with an inclination to reft, in all the faid organs, while they remain healthy and entire, is c-A\tA/leep, DLXXVIII. In fleep, the mind either thinks not at all of what flie knows or retains in memory ; or eUe fhe only attends to the traces of paft objeds repofited in the. common fenfory (DLVllL); the vivid reprefentations of which excit^ altogether the fame perceptions as are 2 made so INTERNAL Ch.XVIII. made by the impreffion of external objeds upon the organs of fenfe, by which they were firfl: received. Thefe reprefentations of fpecies to the mind are called dreams; and happen whenever a fmall portion of the brain or common fenfory is, by the refluent motion of the fpirits, kept in a ftate of vigilance, while all the reft of the empire of fenfe and voluntary motion is filent and at reft. Sometimes there are certain voluntary motions, following of courfe from the perceptions thus perceived by the mind, fuch as fpeech, or motion of all or fome of the limbs, conformable to the nature of what the mind perceives ; and hence fome walk in their fleep. DLXXIX. But, during the time of fleep, the motion of the heart, with the diftribution and circulation of all the other humours in the body, are regularly continued, together with the periftaltic one of the ftomach and in- teftines; and, finally, the aftion of the fpindter mufcles, •with the refpiration, are continued in a like manner. This compofition, in which a certain number of the or- gans are at reft, while others continue their motions, renders a knowledge of the mechanical caufe of fleep fomewhat difficult to attain. DLXXX. Therefore, in order to make this difcovery, •with all its caufes, we Ihall conftder all the appearances both of fleep and vigilance, and trace them in all kinds of animals ; for that condition which appears conftantly to follow from all thofe caufes and appearances, will be the true and mechanical caufe of fleep. Sleep natu- rally follows after the vigilance and labour which are joined to human hfe. For when a perfon is awake, there is a continual motion or exercife of the voluntary mufcles, of the parts which guard the fenfes, and of the affeftions of the mind; all which continually add a new ftimulus to the nerves, blood-veflels, and heart itfelf. Thus the blood, by continual motion and triture, changes its fmooth albuminous nature, to a rough al- kaline, and in fome degree putrid, fliarpnefs; while, at the fame time, its more fluid parts, efpecially thofe fubtile CH.XVm. SENSES. 5t fubtile ones which compofe the nervous fpirlts, are difli- pated fafter than they are fecreted ; whence gradually enfues both a weakncfs and a wearinefs of the body: and, if the vigilance be continued longer than ufual, there is alfo a feverifli heat, a greater acrimony of the humours, and a fenfible lofs of itrength. As the night advances, a weight or heavinefs feizes all the large mufcles and their tendons, the mind becomes unfit for any accurrate thought or ftudy, and feeks after reft. Hereupon the powers which hold the body ere6:, fhrink from their office, the eye-lids clofe, the lower jaw falls down, a neceffity of yawning comes on, the head nods forward, and by degrees we take lefs notice of the external objefts, till at length all the thoughts and ideas are in confufion, and a fort of delirium en- fues ; from whence there is a tranfition to fleep not fufficiently marked, which however always precedes lleep. In this natural fleep, which is common to all animals, the caufe feems to be a deficiency of the ner- vous fpirits, which have been ev^ry where largely con- fumed by the exercifes of the mufcles and fenfes, in whofe adions there is probably a great quantity of this fluid exhaled. DXXXI. A perfe£t reft or compofure of the mind and external fenfes, with the abfence of all ftimulus or irritation in the head and other parts of the body^ joined with darknefs, promote and haften the fore- mentioned fteps of fleep, and render it more quiet or profound. DLXXXII. Again, it is obfervable, that a variety of caufes, which weaken the powers, incline to and in- creafe fleep ; fuch as great lofles of blood from any caufe, bleeding from a vein, the ufe of cooling medi- cines or thofe prepared from the poppy, and cold of the external air ; to which add, fuch as call off the quan- tity of blood flowing to the head, as warm-bathing of the feet, a plentiful ingeftion of food into the ftomach, which is found to produce fleep in all kinds of a- nimais. DLXXXIII. 52 , INTERNAL Ch.XVIIT, DLVIII. On the contrary, again, there are various hot medicines which induce fleep, by exciting a greater afflux of blood to the brain ; fuch as wine, alcohol, or vinous fpirits of all forts, but more efpecially when re- folved into vapour; opium, hyofcyamus, the indige- ftible particles of our aliments ; to which add, acute and malignant fevers of various kinds, or elfe fuch things as retard the return of the venous blood, as fat- nefs. All thefe caufes feem to concur in this, that the blood being collected in the head, compreffes the brain, fo as, in a degree, to intercept the courfe of the fpirits from thence into the nerves. DLXXXIV. But likewife mechanical caufes produce a fleepinefs ; namely, a compreffure of the dura mater and brain, whether from extravafated blood, a depref- fed part of fome bone, or a collection of ferous water within the ventricles of the brain itfelf. DLXXXV. Sleep, therefore, arifes either from a limple deficiency of the quantity and mobility of the fpirits, or a compreffure of the nerves ; but always from a more difficult motion of the fpirits through the brain. DLXXXVI. This theory is likewife confirmed by the caufes of vigilance : for all thofe things prevent fleep which produce plenty of fpirits ; more efpecially warm aromatic drinks, which fend plenty of minute ftimula- ting particles to the head, by which the motion or courfe of the blood is moderately quickened through the brain; and, being at the fame time more dilated, makes a lar- ger fecretion cf fpirits in a given time. DLXXXVII. Sleep, again, is hindered by cares of the mind, meditation, fludy, and paffions of a flronger degree, with pains of the body and mind ; all which hinder the fpirits from refting in the common fenfory, or urge them fo as to prevent the nerves from collap- sing. Therefore, as the former increafe the quantity of the fpirits, thefe caufes increafe their motion. And therefore, again, the fame conclufions are to be made from hence as before (DLXXXV.) ; uamely, that the nature Ch, XVIII. SENSES. 55 nature of llecp lies in a collapfing of the nerves which go out from the common fenfory. DLXXXVUI. If it be inquired. Whether the feat of fleep be not in the ventricles of the brain ? we anfwer, that it is not confident with the ample bounds or domi- nions of fleep, which extends itfelf even to fuch ani- mals as haveno ventricles in the brain. Whether do the vital aftions continue to be carried on in fleep, as it is only an aftedion of the brain independent of the cere- bellum ? and what may be the caufe of this difference, by which the animal offices reft in fleep, while the vital operations are continued ? We know not of any other reafons, befides thofe before given, that the vital mo- tions are perpetually flimulated into adlion, from the caufes urging a neceflity of keeping them from rcH (CCCXCil.) DLXXXIX. The efFed of fleep is a moderation or a- batement of all the motions in the human body. For now the aftion of the heart only remains, by which all the humours are fent through the veflfels, at the fame time that all the mufcles and perception of the nerves, with the paflions of the mind and voluntary motions, are difcontinued ; by which, independently of the heart, the courfe of the fpirits was quickened, fo as to caufe wakefulnefs (DLXV. CCCCXVII.) Thus the heart, is gradually reftored from its quick and almofl feverifli pulfation, to the flow and calm condition in which we find it in the morning j the breathing in fleep be- comes flower and fmaller, the perifl:altic motion of the ilomach and intefliines, the digefl:ion of the ali- ments, the fenfe of hunger, and the progrellion of the faeces, are all diminiflied ; at the fame time, the thin- ner juices move more flowly on, while the more grols and fluggifli are colleded together, and the fat being poured out is accumulated in the cellular fubftance ; the vifcid albuminous humour, for the nourifliment ol" parts, adheres more plentifully to all fides of the fibres and fmall vefl!els ; the confumption of the fpirits, the attri- tion of the blood, and the quantity of perfpiraticn, are ali 54 INTERNAL Ch.XVIIL all diminiflied. Thus, while the quantity of the ner- vous fpirits continues to be fecreted, with a lefs con- fumption, it is by degrees accumulated in the brain, fo as to diilend and fill the collapfed nerves, that, both in the internal and external organs, return to ac- tion by the approach of fome fmall ftimulus, by which they are reftored to vigilance. Sleep, continued for too great a length of time, difpofes to all the difor- ders that attend a flow circulation, to fatnefs, drowfi- nefs, weaknefs, and cachexies ; and is, at the fame time, highly detrimental to the memory. DXC. From whence does yawning attend thofe that are about to go to fleep ? We anfwer. To promote the paifage of the blood through the lungs, which is now flower. Whence the ftretching of the limbs ? To in- creafe the motion of the fpirits, that they may over- balance the natural contraftionof the mufcles, by which all the limbs are drawn into a moderate degree of con- tra£lion. If it be demanded. From whence came the unjufl opinion, which has been fo well received, that the motion of the heart becomes flronger in fleep, and the perfpiration more plentiful ? we anfwer. That the miflake arofe from the increafed heat arifing from the bed-cloaths, by which the perfpirable matter being con- fined, every where conduces to warm, foften, and re- lax the fkin. But any one that fleeps in his ufual gar- ments grows colder ; and animals which fleep for a long fcafon together grow cold externally to the higheft de- gree, as field-mice and hedge-hogs. From whence is it that all animals grow fleepy after taking food ? Not from a comprelfure of the aorta, or from a repletion of the head with blood ; for even animals which have fcarce any brain fleep after food. Whether or not do the indigeftible particles of our aliments, by paffing lefs eafily through the brain, and compreflfmg its me- ^ duUa, produce fleep of a lefs benign kind ? Whether "^ or not is there a perpetual dreaming, fo as to be infe- parable from fleep ? and whether this be natural, fo that ihe mind never ccafes to be without thought, as a con- 2 fcquence Ch.XVIIT. senses. 55 fequence following from fcnfation ? We anfwer. This does not feem to be the true ftate of nature ; for dreams we judge to be rather referable to difeafe, or to forac fti- mulating caufe that interrupts the perfeft reft of the fen- forium. Hence that fleep refrelhes moft in which there are no dreams, or at leaft that in which we have no re- membrance of any. Hence they are generally wanting in the firft fleep, at which time the fpirirs are moft ex- haufted, and return in the morning when thefe are ia fome mcafure repaired. Hence wc fee, that intenfe cares of the mind, or the ftrong impreftion of fome vio- lent idea received in the memory, hard indigeftible food abounding in its quantity, with any uneafy po- fture of the body, are the moft ufual caufes that excite dreams ; for they are ufually generated by fome fenfa- tion which, by the law of affociation of ideas, joins with itfelf a whole colIe6tion of fpecies having an affinity with that one. CHAP. XIX. 0/ Mastication, Saliva, and 'DEGLvririo'tf. DXCI. OUCH hard and tough foods as confift of long parallel fibres, or are covered with a bony Ihell or cartilaginous fkin, generally require ma- ftication, to divide them into lefs cohering parts, that they may more eafily yield their nourifhment to the dif- folving powers of the ftomach. The more diligendy they are fubdivided in. the mouth, the more relifhing and agreeable they become to the ftomach ; the nearer they approach to the nature of a fluid, and the more eafily are they digefted or aiftmilated. DXCII. Therefore moft animals are provided with teeth, extremely hard, with a root that is indeed bony and hollow ; fince it receives, through a fmall hole in the tip or point of each fang, little blood-veffels, and a nerve, which go to form its internal periofteum i^*: " and. *** There Is no part of our body wc arc better acquainted with than S6 MASTICATION. Ch.XVIII. and this whole root, being fixed into a focket of the jaw conformable to itfclf, is, in the upper part towards its crown, flrongly furrounded and tied down by the adhering gum. But the crown, or upper part of the tooth, placed above the gums, is not bony; but a pe- culiar fort of enamel, of a harder, denfer fubftance, and almoft of a glaify texture, compofed of ilraight fi- bres vertical with its root, and running together to- wards the middle. This laft portion of the tooth, having neither periofteum nor velTels, perpetually grinds away, and is as often repaired again by a kind of petrifying juice, that afcends or filtres from the cells of the root; by which mcchanifm they are therefore fupplied with a great degree of hardnefs, very fit to overcome that of other bodies, and to grind the food with their unequal furfaces. DXCIII. As the materials of our food are various in their texture and firmnefs, nature has accordingly made our teeth varioufly figured. In us, the anterior or incifive teeth are four in each jaw, weaker than the reft, and fixed by a fingle root, upon which (lands a crown than the teeth, both with regard to their rife, ftructure, and chan- ges, and their diverfity in different animals, ufe, and difeafcs. A few remarks remain, which have efcaped the induttry of Janck, Albinus, and the celebrated Hunter, and which future experience may fuggeft. I fliall add a few. The teeth which firft appear ; I mean the four incifores of both jaws, the two canini and the four JDolares, lie hid in a canal or capfule, fupplied with an artery and vein: thefe run the whole length of the canal ; in the lower jaw below the teeth, in the upper above them ; and every tooth fends off as many branches as it has roots. All thefe veffcls are diftributed through a membrane which encompaffes the (hooting tooth. The veffels retain the fame trunk ; although, the tooth being fenfibly formed, the prolonged root at length leaves a fmall hole, which the plexus of the tooth's artery, vein, and nerve enters. Any tooth which is about to come out is inclofcd in its own membranous fack, elegantly fet with veffels ; which net-work, in my preparations, I cannot but admire, forming its internal and external periofteum. The mod tender nervous filaments enter the fame fac with the vef- fels, and terminate in the cellular fubftance, leaving no villblc proof tkat the nerves are iaiermixed with the offcous fubilancc<> Ch.XIX. mastication. 57 crown inwardly concave, outwardly convex, and ter- minated by a gradual extenuation, like a wedge or chifel, with a reftilineal edge. The office of thefe is only, in the fofter foods, to cut thofe which are tougher than the reft into fmaller portions ; fuch as the^ fibres and membranes of animals and vegetables, with the brittle feeds and kernels of fruits. DXCiV. The fecond fpecies is the can'me teeth, which are two only in each jaw, fixed by a longer and ftronger, but fmgle root ; from whence their crown is extenua- ated into a cone. Thefe lacerate tough aliments, and hold fall fuch as require a longer triture by the grind- ers. DXCV. The third order of the teeth is that of the molares, which in general are compofed of feveral roots^ with a quadrangular crown, fomewhat flat furfaced, but more or lefs divided by rocky afperities. The two foremoft of thefe are weaker than the reft, inferted by two, or often but one root, with the furface of their crown parted into two ; but the three pofterior grind- ers are larger, fixed by three, four, and fometimes five roots, but terminated in their crown by only one furface, fomewhat fquare and flat, but lefs in the lower than upper jaw, and is fubdivided into a number of eminences correfponding to that of their roots. Be- twixt thefe teeth, the moft compact or bony foods are interpofed and broke, as the more tough arid hard are ground fmaller, while the lower teeth are urged ob- liquely and laterally againft the moveable upper ones ; and thefe are the teeth which perform principally what we are to expefl: from maftication of food, DXCVI. That the teeth might break or grind the food with due ftrength and firmnefs, the uppermoft are fixed into the fockets of the immoveable upper jaw, as the lower ones are into the lower moveable jaw, which is a fingle bone, and fo joined with the temporals, that it may be drawn down from the upper jaws, and pulled up againft them with a great force ; and may be mo- ved laterally to the right or left, forward and back- VoL.n. E ward. 5^ MASTICATION. Ch.XIX. ward. Thofe various motions of the lower jaw depend upon the articulation of its oval heads, in'which the lateral parts of the jaw terminate^ convex or higheft in the middle, and received betwixt the oblique protu- berances of the temporal bones, in a Ihallow excava- tion, at the root of the jugal procels, deeper in its mid- dle ; and increafed by a little excavation of the fame kind before the auditory paffage, from which it is fe- parated by a peculiar fiffare. This joint has the freer liberty in moving, and its incruftated cartilages have a longer duration, by the interpofition of a fmall cartila- ginous plate, betwixt the condyle of the jaw and tu- bercle of the temporal bone ; concave in its middle above and below, with rifmg fides, which furround the tubercle of the temporal bone upward, the condyle of the jaw downward, and correfponds to the adjacent inequalities. DXCVII. The mufcles moving the lower jaw, which are weak in man, but very ftrong in brute animals, are the- temporalis and elevator, arihng from a large part of the fide of the fkull, and from the outward tendi- nous expanfion of it the ftellated fibres run together into a tendon fixed to the fliarp procefs of the jaw ; the maffeter elevator, having two or three diHind parts or lefs mufcles, defcends from the os jugalis and mar- gin of the upper jaw backward into the angle of the lower jaw. Both thefe act in concert ; but the tem- poral mufcle brings the jaw more backwards, and the mafl'eter forwards. The pterygoideus internus defcends from the pterygoide foffa, and from the palate bone and root of the little pterygoidal hook, with the internal •wing, into the angle of the lower jaw, which it elevates or draws to one fide or the other alternately. The •pterygoideus externus has a double origin ; one tranf- verfe from the inner wing and adjacent bone of the pa- late, with the pofterior convexity of the upper jaw : the other, defcending, arifes from the hollow temporal part of the great wing of the fphenoides j thence it pro- ceeds Ch.XIX. mastication. 5jy ceeds backward and downward into the outer part of the condyle of the lower jaw, which it moves laterally, and draws forward before the upper jaw. DXCVIII. The lower jaw is depreffed, fo as to open the mouth by the digaftric or biventer mufcle, arifmg from an hollow of the maxillary bone ; from whence defcending, its middle tendon is tied by a firm cellular fubftance of a tendinous nature to the os hyoides ; and being likewife connected to the mylohyoideus, and then paffing through the divided fibres of the ftylo- hyoideus, it is increafcd by another flefhy belly, in- ferted at the fymphyfis of the two halves of the lower jaw, within the chin. Moreover, the mouth may be partly opened by all the other lower mufcles of the jawj OS hyoides, "and the larynx, as the geniohyoideus, genio- gloffus, fternohyoideus, flernothyroideus, coracohyoi- deus, and latillimus colli ; although the latter rather draws the fliin of the neck and face downward than the jaw itfelf. The genibhyoideus and digaflric mufcles have a power of drawing the jaw backwards. DXCIX. The lower jaw is elevated with a great force, fo as to divide the food by the preiTure of the upper and lower teeth againft each other, by the action of the temporal maffeter, and internal pterygoide mufcles ; the contradlion of which appears by experiments to be: very powerful, and fufficient to raife feveral hundred weight. The lateral and circular motions of the jaw upon one of its immoveable condyles are performed by the external and internal pterygoidei, atting either alone or together with the former. Thus the food is cut, la- cerated, and ground to pieces ; and if the mafticatioa be continued diligently, it is together with the liquors of the mouth, reduced into a kind of pulp. DC. The fore-part of the teeth is covered with a cutaneous and flefliy fack, which is every where pro- duced from the integuments of the face ; and makes a hpllow, in which both rows of teeth are ihut up. The fides are called the cheeks^ the middle parts the lips. From this eayity there lies a paiTagej betwixt the teeth. ^o SALIVA. Ch.XIX. into the mouth ; which on the upper part is bounded by the bony and foft palate, underneath by the flefliy parts lying under the tongue, and on the fore-part by the teeth. On the back part it opens between the foft palate and tongue into the fauces. The tongue di- vides the cavity of the mouth in the middle, and is eafily moveable to every part of it. DCI. During the trituration of the food in the motith, there is continually poured into it a large quan- tity of a watery clear liquor, evaporable or infipid, or at lead but very little fa'.ine, and containing but little earth ; heither acid nor alkaline, although from thence may be obtained a very fmall portion of lixivial fait ; o£ ■which there are numerous fprings in the neighbour- hood. A large quantity of this Jalroa is feparated by numberlefs fmall glandules of the lips and cheeks, of an oval figure, and fome larger ones which are placed round the mouth of the du6t of the parotid gland; and laftiy, the>pores of the hard palate pour out this liquor, which they fecrete, through a little (hort dud and hole. The juice poured out from the exhaling velfels of the tongue, mouth, and cheeks, is of the like kind, or ra- ther more watery. As for the duclus incifivus, we are now fufficiently certain that it is blind, or difcharges nothing into the mouth, only gives palTage to an artery from that of the palate into the nares. DCII. The falivais a watery liquor, with a moderate quantity of fait, partly lixivial, and partly culinary; with fome oil and earth, diffipable by the fire; with fcarce any tafte, unlefs given to it by difeafe or famine. The quantity produced is very confiderable, as twelve ounces have been known to flow out from wounds in thofe parts in thefpace of an hour. By good-mannered people it is for the moft part fwallowed ; and iifefuliy, as it cannot be thrown away without hurting the di- geftion. DCIII. But the falival glands efpecially fupply the Watery humour called after their own name. Of thcfe the principal is the parotid, filling up a large interval be- Ch.XIX. saliva. ^r betwixt the auditory paffage and the lower jaw, to which it is immediately contiguous in the part uncc - vered and to the maileter. It is a conglomerate gland, made up of round or grape-like clufters, conneded by the cellular fubftance; whi«li lalt, being denfified and reticulated, forms an almoft tendinous covering that furrounds and conneds the whole gland. Its dud is white., vafcular, and capacious, afcending from the bottom of the gland to the os jugale, from whence it is tranfverfely inclined, and takes in by the way a fmall idu6: of a folitary glandule on the top of the maifeter, or elfe lodged diftmft, or continued upon the parotid itfelf, and is rarely double ; after this the dudl, bend- ing round the convex edge of the maifeter, opens with an oblique or cut aperture, without a papilla, through the departing fibres of the buccinator mufcle, in the midfl; of many little glandules of the cheek. The bulk of this gland, and the number of its arteries, make it the chief fpring from whence the faliva flows. DCIV. Another fmall gland, adjacent to the paro- tid, but twice as little, compofed of fofter and larger kernels, conne£led by the like cellular membrane, is, from its fituation at the lower angle of the jaw, called 7naxUlary; being in part terminated only by the Ikin, but in part fends off an apendix over the mylo-hyoide mufcle ; which, following the long hollow fide of the lower jaw, of a granular fabric, is fpread under the membrane of the mouth, by the name of fub lingua lis. From the larger maxillary, together with this appen- dix, a dud palTes out, which, being a long way co- vered in its. middle part by the fublinguahs, receives one, two, or three branches ; by whofe infertion being increafed, it opens into a projecting membranous cy- linder under the bridle of the tongue. But other fmall and fhort dufts from the fublingual gland, from the number of three, four, or more, to twenty, with fhort little duds and points in the line continued back- wards from the fmall frenum, perforate the edge of the tongue, and fecretc faliva. There are fome in- E 3 fiances 62 SALIVA, Ch.XIX. ftances where the larger anterior branch of the dudt of the appendix, which ufualiy joins itfelf to the maxil- lary gland, goes on fingle, parallel, and opens by it- felf Other glands alfo, fimilar to thofe of the cheeks, which likewife may be ri*:koned among the fublin- gual ones, by their proper du£ls perforate the mem- brane of the mouth where it departs from the tongue. Various other falival duds have been publiflied by dif- ferent profelTors, which are not confirmed by ana- tomy. DCV. The Creator has wifely provided, that, by the motion of the jaw in maflication, the falival glands (hall be comprefTed by perfedl neceflity, fo as to difcharge their juices into the mouth in greater plenty. For, when the mouth is opened, the maxillarv gland, being preffed by the digaftric and mylo-hyoldeus, throws Tortii a fountain of faliva; the mafieter when fwelled prefles the parotid gland, as does alfo the cutaneous mufcle of the neck which lies over it : and it is this mufcular preiTure that excites the appetite, and pours the faliva into the mouth. DCVl. The food therefore, being in this manner ground betwixt the teeth, and intermixed with the wa- tery faliva and air, is broken down into a foft juicy pulp, pliable into any figure, and replete with elaflic air, which by the a6lion of the latter undergoes a far- ther diffolution, by the warmth of the parts exciting the elafticity of the air to expand and burll afunder the confining particles of the food, betwixt which it is in- cluded, in this aft of maflication, the oily, aqueous and faline parts of the food are intermixed the one with the other ; the fmeli and tafte of different ingredients are loft in one, which by the dilution of the faline parts with faliva renders the food favourable : but fuch par- ticles as are more yolatile and penetrating, being di- rectly abforbed by the bibulous veifels of the tongue and cheeks, enter ftraight into the blood-veffels and nerves, fo as to caufe an immediate recruit of the faculties. DCViJ. Bat the motions which are neceflary for turn- IDQ- Ch.XIX. saliva. 65 ing round the food, applying it to the teeth, and con- veying it through the diiFerent parts of the mouth in niaftication, are adminiflered by the tongue, cheeks, and hps. And firll, the tongue being expanded fo as to form a fmall concavity in jn its back, or furface, takes up the food thus prepared, and conveys the charge by- its moving powers (CCCCL:) to the parts for which it is defigned. At one time the tongue, rendered narrow by lateral contra6;ion, fearches every part of the mouth with its tip, and turns out the latent food into a heap on its common concavity. At another time, applying its extremity to the fore-teeth, and raifmg itfelf up fuc- ccffivcly, it draws from the cavity of tiie mouth the fluids or chewed aliments, and conveys them to the fauces or back part of the mouth behind the teeth. DCVIU. But thefe motions of the tongue are likewife governed by the mufcles and membranes, largely in- ierted into the os hyoides, the bafis of which is inter- nally concave ; from whence are extended horns late- rally and outwards, terminated by more protuberant heads, and* completed with little oval cornices ; and this bone being drawn down by its refpective mufcles, deprelTes the tongue at the fame time, and the lower jaw likewife, if the mufcles of that be relaxed. Thefe powers are the fternohyoideus^ but arifmg alfo in part from the clavicle, extenuated upwards, and ftriped with.- tendinous Hnes ; i\\c Jierrwthyroideus, arifing as the for- mer, and broader froai the upper rib ; wliich mufclej, depreffing the cartilage to which it is inferted, is under a neceffity of pulling down the os hyoides^ to which it is joined: this is partly intermixed with the hyothyroideus and thyreo-pharyngeus, and every where confufed with the fternohyoideus. Next the coracohyoideus, arifing from the upper and fliorter fide of the fcapula, near its notch, afcends obliquely, and at the crofling the jugu- lar vein changes into a tendon \ from whence the other belly of the, mufcle afcends dired to its infertlon into the OS hyoides, which it deprefies, being every where E 4 con- 64 ^ S A L I V A. Ch. XIX. confounded with the fternohyoideus. The hyothyroideus is determined by the former mufcles. DCIX. The other powers which elevate the os hyoi- des,' together with the tongue, are \\.s Jlybglojfus mufcle, fuftained by a peculiar ligament of the upper jaw. The flylohyoideus, a weak mufcle, often fplit for paflage of the biventer, and again united into one portion, after adhering to the tendinous expanfion of the biven- ter, is inferted, together with its fellow, into the angle of the bafis, and often into the horn of the os hyoides: the fecond ftylohyoideus, when it is prefent, refembles the former, behind which it is placed ; arifmg from the tip of the ftyloide procefs, it is inferted into the fmall ofla. triticea, and anfwers the purpofe of a ligament to fuftain the OS hyoides. All thefe mufcles draw the tongue back, but laterally they elevate it. The 'mylohyoideus, arifing from the whole length of the jaw, running into one with its companion, elevates the tongue, and fixes it in making various motions, or in like manner de- prefTes the jaw. The geniohyoideus, being a companion of the geniogloffus, pulls the tongue forwarci out of the mouth. DCX. But, moreover, the mufcles of the cheeks varioufly move and prefs the food in the mouth. Others move it from the cavity of the cheeks into the inner cavity of the mouth behind the teeth, as we fee in the buccinator when the mouth is fhut. Others open the inouth for receiving the food ; fuch as the double-headed proper elevator of the upper lip, and the elevator which is partly common ; to which add, the zygomaticus, up- per and lower ; the riforius, triangularis menti, and the depreflbr proper to the angle of the mouth ; which arifmg from an excavation on each fide, near the focket of the canine tooth, are inferted into the orbicularis of the lips. Others, again, clofe the lips, that the food received may not return out of the mouth ; fuch as the orbicularis of each lip, the proper depreflbr of the up- per lip, and the proper elevator of the lower lip, and that which ferves in common for the elevation of both. Of Ch.xix. deglutition. 6s of thefe, more particular defcriptions may be had from, profefled fyflems of anatomy. DCXI. By thefe means the food, ground and mixed with the faliva into a foft pulp, collected from all parts of the mouth by the tongue into the arched fpace be- twixt the teeth, is afterward, by the expanfion and fuc- eeffive preffure of the tongue, conveyed backward be-^ hind the teeth ; and, in this adlion, the tongue is ex- panded by the ceratogloffi and geniogloffi, and rendered a little concave by the ftylogioffus. And from thence it is next conveyed into the fauces. DCXII. For the tongue being raifed by the ftyloglofli, and broadly applied to the palate, firft by its apex, then alfo infenfibly by its poflerior extremity, preiTes the food fucceffively towards the fauces, which at that time only afford an open paiTage. After this, the thick root and back part of the tongue itfclf, by the forementioned mufcles, and by the flylohyoidei and biventers carried backward, preffes down the epiglottis, which ftands up behind the tongue, conneded therewith by numerous membranes, and perhaps by fome mufcular fibres. At the fame time, the mufcles elevating the pharynx all a6t together ; fuch as the biventer, geniohyoides, ge- niogloffus, flylohyoideus, ftylogloflus, ftylopharyngeus, and the other elevators, which now draw the larynx upward and forward, that the epiglottis, being brought nearer to the convex root of the tongue, may be better clofed or deprelTed. Hence it is neceffary towards de- glutition for the jaws to be clofed, that by this means the biventer may have a firm fupport ; and, together with the mufcles already defcribed, elevate the os hyoi- des. Thus the epiglottis, being inverted, fhuts up and covers the paffage very exaftiy, into the larynx, over which it is extended like a bridge for the aliment to pafs over into the fauces. DCXIII. By the pharynx '^^^e underfland an ample ihape- '« It is mod elegantly painted by Albinus, Courcelles, and San- torinus, on the back part j and by Camper internally. 6<5 DEGLUTITION. Ch.XIX. ihapelefs cavity, extended from the occipital bone be- fore the great opening of the fkull downward, along the bodies of the cervical vertebrse, covered above by the middle cuneiform bone, the opening of the nares, and moveable velum of the palate, receiving the tongue and larynx before, and continued into t|ie oefophagus below. Its fides are formed by the lower jaw, the cheek, the velum of the palate, the pterygoid procefs, the ililiform appendix, the tongue, os hyoides, and larger cartilages of the larynx. It forms one foft membranous bag, outwardly furrounded on all fides by mufcular fibres. Internally it is lined with a membrane continuous to the cuticle, like which it is renewable, but more moift. Outwardly it is joined to the pharynx with a good deal of cellular fubftance, more efpecially in its pofterior and lateral parts. By this ftrudure it becomes lax and di- latable, fo as to receive all bodies that are prelfed by the tongue over the larynx. DCXIV. It is dilated in its aftion (DCXII.) by the powers ferving to its elevation ; fuch as ihe Jlylopharyn- geus, fometimes double, from the procefs or its name ; whence defcending, it is inferted into the membrane of the larynx, under the os hyoides, and into the cartila- ginous edge of the defcending thyreoideus ; aher which, it is broadly fpread through the internal face of the pharynx, together with the following. The thyreopala- tinus, being fpread in the form of an arch round the moveable palate, is from thence extended downwards in two columns, on each fide the pharynx, which form a confiderable part of that bag, being alfo conneded by broad fibres to the thyreoid cartilage. That the falpingopharyngeus is a true or diliindt mufcle, I ani ready to believe, rather from the obfervations of eminent anatomifts, than any of my own. As to the cephato- pharyngeus^ I almofc dcfpair of finding any, unlefs you will reckon the {trong white plate of the cellular fub- ftance, which furrounds the upper part of the pharynx for a mufcle. This bag clofely furrounds and follows the ch.xix. deglutition. 6f the drink, on each fide the epiglottis, above the larynx, that it may from thence fall into the cefophagus. DCXV. That the aliments might not regurgitate into the noftrils at the time when they are prelH^d into the dilated pharynx (DCXIV.), a moveable velum or palate is interpofed: namely, from the bony palate anteriorly, and laterally from the pterygoide wings, is continued a moveable velum, compounded of the membranes from the mouth and nares, betwixt which membranes are fpread mufcles and glandules ; being almoft of a fquare figure, and pendulous betwixt the cavity of the nares and fauces, in fuch a manner, that they naturally leave the former open, and form a concave arch towards the mouth : and from the middle of this is extended a fmall portion, pendulous, and of a conical Ibape, before the epiglottis, replete with many fmall glands ; which, from its appearance in a difeafed ftate, is called uvula. The elevator of this velum, which is (Irong, arifes from the afperities and plane face of the os petrofum, behind the fpinal foramen ; and from a cartilage of the tube de- fcending inward, does, with its companion, form an arch, which is moveable with the palate itfelf, between the two plates of the thyreopalatinus mufcle, fo as to be brought into a clofs contafl: with the fides of the nares and with the tubes, that none of the aliment may enter into either of them. But this elevator does not feeni to have any confiderable action in fwallowing. At this time regurgitation into the noftrils is prevented by a conftriclion of the mufcles of the pharynx, together with a depreffure of the thyreopalatinus, which then mani- feftly drav/s the moveable velum downward and to- wards the tongue and pharynx. Add to thefe, the cir- cumflexm palati mollis, which arifes a little more for- ward from the fame cuneiform bone, from the internal fide of its wings, and from the inner wing, with the cartilaginous end of the tube, broad ; and then, pafling through a notch of the pterygoide hook, changes its diredion, and afcends with a radiated tendon through the upper membrane that covers the velum of the pa* late. 69 DEGLUTITION. Ch. XIX. late, joins with its fellow, fpreads over the other mufcles, and adheres to the edge of the palate bone. This is able both to open the tube, and to prefs down the moveable velum of the palate. Thus the pharynx be- ing contracted like a fphinfter, drives down the food, without permitting any part to return back into the ca- vity of the nares. Hence, when the velum of the pa-, late is vitiated, the aliments regurgi|:ate into the noflrils, and a deafnefs enfues. DCXVI. During this endeavour to deprefs the food by the pharynx (DCXVIL), the velum, drawn back and expanded, is pulled down towards the tongue, by the adtion of the palatopharyngei, and by the circum- flex mufcles of the foft palate. Thefe mufcles, toge- ther with the gloffopalatinus, (which lad is indeed weak, being received into the leffer arch of the fauces, and here united with its companion into the arch by the velum of the palate, and from thence fent to the tongue,) prefs the velum againft the protuberant root of the tongue, and intercept any return to the mouth and no- flrils. After there is no further danger of any part falling into the windpipe, the epiglottis is raifed up a- gain, as well by its own elafticity, as by the elevation of the tongue itfelf, by which it is drawn forward. Laft- ly, the depreffed uvula is raifed by the azygos, which arifes from the tendons of the circumfiexi mufcles and levator of the foft palate. DCXVIL A little after this follows an attempt to urge the food downward, which is exerted by the con(lriy Ch. XX. DIGESTION. 87 by the interpofed aliment, at the fame time that the juice of the ftomach itfelf is lefs iharp and freer from a mixture with the old remains of the laft food, which often excite a naufeating uneafmefs in the nerves of the flomach. DCXLIX. But that the aliment might not degenerate into a ccfmplete acidity, there is a check from the putre« fcent degree of the heat, the power of the juices diftilling from the ftomach, and that of the faliva itfelf, fwallowed. to the amount of half an ounce in an hour, and rather inclined to an alkalefcency : alfo thefe juices being ground together with the aliment, macerate, foften, and diiTolve the fibres themfclves and their cellular bands, leaving them a foft pulp like what we fee by letting them (land for a long time in warm water, extrad their juice, and mingle it with themfelves. There is there- fore no particular kind of ferment in the ftomach '^' ; from which the defign of nature, the difpofition of the ftomach, and its ufe, are all very remote. And yet the juice of the ftomach alone, by its longer ftay in fiftiesj diffolves the bones which they had devoured. DCL. For the fleihy fibres in the ftomach being now irritated by the flatus, weight, and acrimony of the food, begin to contract themfelves more powerfully than when the ftomach is empty, and with a greater force in proportion as it is more full, the round fwel- ling of which ftretches thefe fibres. And, firft, the mufcular ftratum, which pafTes along the leifer curva- ture, connecls the pylorus with the oefophagus ; and, being inferted only into the left face of the former, draws it to the right. The principal ftratum of the circular fibres contradls the capacity of the ftomach, acccording to its length 5 grinds or intermixes its con- tents '^"^ The ftomach's adion upon the food, which is performed in fome by fermentation alone ; in others by p^trefaAion; in many by trituration; in fome, in fliort, by maceration alone; is carried on in none by real alkalefcence. In man, who is furnifiied with a weak, ftomach, digeftion goes on by means of feveral caufes co-opcratirigb which are fully defcribed by M'Bride. 88 DIGESTION. dK-XX; tents together with the liquors (DCXXXIIL); and de» termlnes them both, hke the prelfure of two hands placed oppofite, to flow towards the pylorus : but this flux through the pylorus is not made continually, for rea- fons before affigned (DCXXVL), as well as becaufe this motion begins from fome part that is more irritated ; and from thence the aliment is driven here upward, as in other parts downward. Thefe alternate contractions at lad terminate in a full evacuation^ In this aftion of the ftornach, there is nothing which refembles the tri- -lure made by the ftrong gizzards of granivorous fowls, which fome anatomifts have afcribed to the human (lo- rnach ; which yet has a confiderable degree of (trength^ fince the contraftion of its fibres is often more than a third part of their length ; for we frequently fee the fto- mach reduced to lefs than a third of its diameter: fre- quently alfo the flom.ach is obferved to be diminifbed to nrjuch lefs than a third part, even to the breadth of an inch ; which, laflly, makes it fit for moving forward lliarp- pointed fubffances. Yet it neither bruifes berries nor the foftefl: v/orms. DCLI. But that motion which it receives from the diaphragm and mufcles of the abdomen, is ftronger than the periftaltic force of the ftomach ; for, by this^ the Ifomach is more perfeclly em.ptied by a clofe ap- proximation of its anterior and pofterior fides. For it is principally by this force that the drinks are urged on continually, but the foods only when they are diilolved, left thofe parts which are too grofs fhould be expelled through the pylorus into the duodenum, when the fto- mach is more that way inclined by repletion ; for the folid aliments do not feem to leave the ftomach, before they have changed their fibrous or other texture for that of a mucous, as it were cineritious, yellowifh, fome- what fetid", mucilaginous, and liquid pulp. That which is firft prepared and turned fluid, goes before the r6ft out of the ftomach ; firft water; then milk, pot-herbs, bread; and lafl: of all, flefli-meats, the harder, tougher, and k>nger Hdns or fibres of which pafs unchanged : but^ jt fucb Co. XXI O M E N T U M« 8$ fuch things as are hard, or too large to pafs the pylorus, are retained in the ftomach for a long time. DCLII. But a confiderable portion of the drink is ab- forbed by the pendulous inhaling veins of the ftomach itfelf, gaping like the exhaling arteries of the fame part (DCXXXIIL); fo their contents take afliorter way into the blood, as plainly appears from repeated experiments of injefting the veins. Does any thing pafs into the lymphatic veflcls (DCXXXI.)?^ DCLIII. The ftomach, being irritated by too great a quantity or acrimony of the food, or elfe by ficknefs, a repulfion of the bile, or other caufe, does, by an anti- periftaltic or reverted motion of its fibres, drive its con- tents upward, through the open and relaxed cefopha- gus, in the a6l of vomiting '". But then this eiFed is partly from the preffure of the abdominal mufcles, de- preffing the falfe ribs, and urging the contents of ths abdomen againft the diaphragm ; which 'at the fame time contrafting itfelf to a plain downwards, forces the ftomach, as betwixt the fides of a prefs, to throw up its contents. DCLIV. But the aliments, driven in their natural courfe to the duodenum, meet there with the influent bile and pancreatic juice, which often flow back into the ftomach. But the former of thefe being the princi- pal bafis of chylification, will require from us a previ- ous hiftory of the vifcera, ^which convey their blood through the vena porta. CHAP. XXI. Of the O M E l A N C R E A S. CH.XXn. plate of the tranfverfe mefocolon (DCLIX.) ; and isi finally, fo connected by its round head to the duode- num, that this inteftine ferves it for a mefentery. The ftruclure of it is, like that of the falival glands, made up by a great number of fmall kernels of a firm texture, connected to each other by a good deal of cellular fub- ftance. The pancreatic blood-veffels are rather nume- rous than large, derived chiefly from the fplenic bran- ches : but on the right fide it is fupplied by the firft artery of the duodenum, and from that other which is lower down, and is in common both to the duodenum and pancreas ; both of which arife from-ihe hepatic artery, and of which the former inofculates with the lat- ter, and both v/ith the mefenteric artery, which fupplies ccnfidcrable twigs to this gland; but the fmaller rami- fications come from the phrenic and capfular arteries. The nerves of this gland are not of any confiderable fize; whence it is but little fenfible : they are jderived from the pofterior gaflric and the hepatic plexus, from that of the fpleen, &;c. DCLXXXVII. The excretory du6l of this gland runs almoft through its middle, white and tender, arifing every where from a great number of roots ; by which, being gradually increafed, it emerges before the ,vena portarum and mefenteric artery, and receives a large branch from the lateral pancreatic portion ; from whence it advances to the fame part of the duodenum into which the biliary duel opens ; where, changing its courfe downward, it enters through the finus that lies betwixt the coats of the inteftine, internally fmooth ; and here, receiving the ductus choledochus, it opens together with that into a certain fold of the fame duodenum, dc- fcending towards its loweft part. But not unfrequently it opens diftinft, both in its duct and orifice, from that of the biliary dud ; and fometimes it is inferted by two ducts, ot which the lower one only is diftind and lefs ; but in man, and moft other animals, it always opens near the dud of the bile. In its mouth there is no bile. DCLXXXVm. Ch.XXIH. pancreas. 10^ DCLXXXVIII. The quantity of juice fecreted by this gland is uncertain : but it mufl: be very confiderable, if we compare the bulk or weight of it with that of the fa- lival glands ; than which it is three times larger, and feated in a warmer place. It is expelled by the force of the circulating blood, with an alternate preflure from the incumbent and furrounding vifcera ; as the liver, flomach, fplee.n, mefenteric and fplenic arteries, with the aorta. The great ufcfulnefs of this gland may ap- pear from its being found not only in man, but almoft in all animals : nor is its ufe the lefs from that experi- ment u hich fhows a great part of it may be cut out from a robuft animal without occafioning death ; becaufe, in the experiment, a part of the pancreas mult be left with the duodenum. Its effervefcence with the bile arifes from the efFed of a ligature, and air mixed with the inteflinal humour. DCLXXXVIII. The pancreatic juice feems princi- pally of ufe to dilute the vifcid cyftic juice, to mitigate its acrimony, and mix it with the food. Hence it is poured into a place remote from the cyftic du6t as often as there is no cyftis. Like the reft of the inteilinal hu- mours, this juice dilutes the mafs of aliments, refolves them, and does every other office of the faliva. CHAP. XXIV. Of the Liver, Gall-Bladder, and Bile. DCLXXXIX.T^HE Uver, being the largeft of all the vifcera, fills up a very large part of the abdomen in its upper chamber, above the mefo- colon ; and is ftill larger in proporton in the foefus. Above, behind, and to the right fide, it is covered by the fuperincumbent diaphragm, from which it receives the perironseum for a covering, under the denomina- tion of ligaments, chiefly in three places; for on the convex part of the liver, from the palTage of the vena cava to the tranfverfe furrow of the liver, the peritonaeum ' dcfcends double, growing broader in the forepart, VcL.lI. li under io5 LIVER. Ch.XXIV, tinder the name of I'lgamentum Jufpenforium, which di- vides the greater right lobe from the leffer left lobe of the liver ; and then parting from its duphcation, it ex- pands into the proper coat of this yifcus (DCXXIIL), which is white, fimple, and thin, like the external coat of the ftomach ; and under this fpread the cellular fub- flance, by which it is intimately conjoined with the flefh of the liver. To the lower margin of this, joins the umbilical vein ; which, in an adult, being dried up, leaves only a fmall cord, furrounded with much fat. In the extremity of the left lobe, and on the convex part, not unfrequently at its edge, a membrane goes to the liver from the diaphragm; which in children, and other young fubje<5LS, is frequently to the left fide of the cefophagus, but in adults to the right fide; yet always conjoined both to the gula and to the fpleen, whenever the liver or the left ligament is very large. The right ligament ties the diaphragm in its hinder part to the thickefl part of the right lobe. Befides, but without any apparent length, the membrane of the right lobs of the liver is often conjoined by the cellular fubilance ■with the diaphragm ; m.ore efpecially in old fubje^ts, for in the fcetus it is eafily feparated; and then it con- tinues it courfe betwixt the fufpenfory and left ligament, joined as before with the peritonaeum, fo as to refemble a ligament. But alfo from the right kidney, the peri- tonaeum going off to the liver, makes a reduplication like a ligament, and conjoins together the lefs omen- tum with the continued loofe productions of the mefo- colon (DCLXIII.) with the liver, ftomach, and duo- denum ; and likewife the fame mefocolon fo the pan- creas. Thus the liver is fufpended in the body, with a confiderable degree of firmnefs ; yet fo as to be allowed a confiderable liberty to move and be varioufly agitated, raifed, and deprelTed, by the a£lions of the diaphragm. The fame ligaments form a common membrane, which covers the liver as well as other vifcera. DCXC. Moreover, the inner concave face of the light liver lies with its forepart before the colon j and in Ch.XXIV. liver. tof in its back part correfponds to the right kidney and re- nal capfule, to which it is conneded by the cellular fub- ftance. The middle finus lies near the duodenum, which touches the gall-bladder; and alfo lies contigu- ous with that part that condudls the great blood-velTels. The left lobe extends largely over the flomach ; and frequently, efpecially in younger fubjedls, goes beyond the cefophagus into the left hypochondrium. The lo- bule, in the mean time, adapts itfelf to the leffer curve of the ftomach. But, moreover, the pancreas is co- vered by the liver, and the right renal capfule is tied to the part of the liver fartheft to the right fide by much cellular texture. DCXCI. The figure of the liver is difficult to defcribe. It begins in the cavity of the right hypochondrium, by a very thick folid protuberance, convex towards thei diaphragm, and hollow towards the colon and kidney ; having a protuberant line dividing the faces of thefe fmall hollows, which is continued to the longer appen- dix of the lobule. After this, the liver grows llenderer and thinner, and is at laft terminated or extenuated in- to a tip, almoft triangular ; which, paffing into the left hypochondrium, goes before the csfophagus, in young fubjefts, as far as the fplecnj but in adults, it is often fliorter, and ends at the cefophagus. The t^g^, in which the convex part of the liver meets with the concave one, is wholly in the fore and lower part. The whole obtufe margin lies backward. The upper and back part of the liver is every where con- vex ; fuftains the diaphragm ; and in a large part,- which is fomewhat flatter, towards the left fide, it is placed under the heart: but the lower furface, being variouily figured, refts itfelf upon the duodenum, colon,- flomach, pancreas, and right renal capfule. For there are feveral little furrows which divide the furface into different regions, and which did not efeape the notice of the ancients. DCXCII. The principal of thefe furrows is extended tranfverfely, from the right fide to the left, and divides H 2 a 16^ LIVER. Ch.XXIV. a third part of the liver, beginning llender in the right lobe, and growing broader towards the left. Before this tranfverfe fulcus, there is an excavation in the right lobe for the gall-bladder, and then the anonymous con- vex lobule ; after which comes the foffa of the umbili- cal vein, extending tranfverfely backward, often cover- ed with a procefs or bridge that joins the anonymous to the left lobe ; but behind the great fulcus, firft towards the right fide, there is a {lender tranfverfe eminence growing broader to the right, and moderritely hollo\^, by which the great blood-veffels are condu6led into the liver : and this little valley was by the ancients deno- minated the porta or gates of the liver. This joins the lobule, which I fliall defcribe, with the right lobe. Then the pofterior lobules, fhaped like a nipple, obtufely co- nical, projeds into the lefs curvature of the flomrch. The thick root of this and the former excavated emi- nence, begins from the convex part of the liver, at the diaphragm ; and from thence, on the right fide, is im- prefled with an oblique furrow, inclined to the right fide, for the paffage of the trunk of the vena cava, de- fcending from the heart to the lumbal vertebrae ; and is frequently furrounded by a great part of the flefli of the liver, like a bridge, or even fo as to complete the circle, and form a tube. The left end of the lobule is termi- nated by another folTa almoft ftraight backwards, but inclined to the left ; which, taking its origin from the extremity of the tranfverfe one, terminates at the paf- fage of the vena cava through the diaphragm. In this fmus was lodged the ductus venofus in the foetus, of "which there are fome remains to be perceived alfo in the adult. All that lies beyond this is the left lobe, ■which is fmgle, equally concave below, fo that it may lie upon the (tomach, and is extenuated to a thin edge. DCXCIII. This fo large vifcus is proportionably fup- plied with veffels, and of various kinds. The artery, •which is indeed confiderable, being the greater right portion of the cssliac, emerges from the trunk forward, and Ch.XXIV. liver. 109 and to the right, going tranfverfely before the vena por- tarum ; and after giving off a fmall coronary with the pancreatic and duodenal artery, the laft of which is pretty large, it goes on and enters the liver, commonly by two branches ; of which the left is betwixt the um- bilical foffa, the venal du6l, pofterior lobule, with the left and the anonymous lobe, alfo the fufpenfory liga- ment ; and this branch inofculates with the phrenic and epigaftric arteries. The right enters the liver lower, covered by the biliary duds ; and having reached the right with the anonymous lobe, there fends off, in one fmall trunk, the cyltic artery, which foon after divides into two, and is fpread both under and upon the gall- bladder, covered by the common coat of the liver, and fupplies not only the gall-bladder and biliary duds with its branches, but likcwife fome part of the liver itfelf. From the left branch, or fometimes from the trunk of this, arifes a fuperficial artery to the biliary ducts, anony- mous lobe, and glandules of the pottle. Behdes the cEcliac artery, there is frequently a large right branch produced from the mefenterica major, creeping behind the pancreas ; and this fcrves inftead of the eighth branch of the hepatic artery from the casliac. But likewife, the greater coronary, which is the firfl twig of the cssliac, always gives fome ramifications to the left lobe, and to the foffa of the ductus venofus ; which lafl branch is often very confiderable. The lefler arteries are thofe fcnt to the liver from the phrenic, mammaries, renal and capfular arteries. They communicate alfo with the epigaflrics, DCXCIV. In the foetus, the umbilical vein brings much blood to the liver, at which time the vein ftretch- .ing to the portse is but fmall. It fends forth branches while it ftretches backwards through its folia ; thefe branches are numerous, and very large ; fo that one of them equals the vena portarum in bignefs, in that place where it is dilated into a tumour, which unites with the left branch of the vena portarum. But it fends one branch through the pollerior part of the horizontal foffa H 2 into rro LIVER. Ch. XXlV. into the vena cava, or fome of its hepatic branches: this is called the du6lus venofiis. In an adult perfon, indeed, this duct is fiiled up ; and the vena portarum, ■which now grows larger, fills the hepatic branches. DCXCV. The vena portarum receives all the blood of the flomach (DCXXIX), of the inteftines and mefen- tery (DCXXXL), of the fpleen (DCLXXVIl.), omen- turn fDCLXlX.), and, laftly, of the pancreas, at firfl into two trunks, the tranfverfe fplenic and afcending mefenteric ; then into one, which is continued with the mefenterics. This is large, compofed.of ftrong mem- branes, firft a little bent behind the duodenum, where it receives the vein from its right fide, together with the lefler coronary ; whence going higher to the right fide, it again divides into two large trunks in the finus of the lobule of the liver (DCXCII.), and immediately after is again divided into two large trunks. Of thefe two, the right, being (horter, larger, and bifurcated, having received the cyflic vein, goes to its own lobe. The left runs on through the remaining part of the tranfverfe furrow of the liver; and after giving veins to the lobule, with the anonymous and left lobe, it is in- curvated and enters the umbilical fofla ; from whence about the middle, it immerges and ramifies through the liver. There are fome inftance in which the venous branch of the poflciior lobule has been fent diftin^t from the vena portarum. DCXCVl. The vena fort arum is on every fide fur» rounded with a good deal of cellular fubflance, derived to it from the melentery and fpleen, denfe, fhort, and adding flrength to the membranes ; thofc with which it is furniflied being harder than the aorta itfelf. Inter- mixed with this cellular fubltance, are alfo many of the fmaller yeffels and hepatic nerves, which all come to- geiher under the denomination of a capfula, which is nothing more than the cellular fubflance, and never has truly a fingle fleihy fibre. By this the vena portarum is conduced to the hver, and firmly fufiained ; inib- jnuch, that the branches, being cut, maintain the round lights of their fections. But each branch of this veiiel Ch.XXIV. liver. n£ veflel is divided into many others, again divided and fubdivided, after the manner of arteries, till they at length produce the fmallefl: capillaries. In this courfe every branch of the vena portarum is accompanied with n focial branch of the hepatic artery, creeping upon the furface of the vein, and the contiguous hepatic ducts, almofl: in the fame manner, as the bronchial arteries ufually creep along the ramifications of the windpipe in the lungs ; while, in the mean time, both the artery and the vein are conneded to the branches of the biliary duels by a thin cellular fubftance like a fpider's web. Some go out of the liver, being divided to the liga- ments, and inofculating with the furrounding veins. And the fum of the branches in the vena portarum is always greater than the trunk ; whence the lights of all the branches together greatly exceed that of the trunk (XXXVII.) : from whence follows a great fridion or refiftance (CLXXX and CLXIL), after the fame man* ner as we obferve in the arteries. DCXCVII. But, fmce the blood is in this manner conveyed through the liver to the branches of the vena portarum, together with the hepatic artery, it muft of courfe be conveyed back again by fome other veins : and, therefore, the extreme branches of the. vena portarum and hepatic artery inofculate ultimately into other veins, which are branches of the cava ; which arifmg from the whole circumference of the liver, run together towards the pofterior gibbous part of the liver into branches and trunks, which at laft^go-offinto ten or more large vef- fels. The leffer of thefe 'trunks, and greater number of them, pafs out through the pofterior lobule of the liver, and go to the cava through the fulcus, rhat lies on the right fide of the lobule, often completed into a circle by a fort of bridge or production of the liver; from whence they afcend together through the diaphragm to- wards the left fide. Two or three trunks, much larger than the former, are inferted into the fame cava, clofe ~ to the diaphram, whofe veins they often take in by the way. The branches of the vena cava are, in the adult, H 4 generally 112 LIVE R. Ch.XXIV. generally fewer and lefs than thofe of the vena porta- rum; which is an argument that the blood moves quicker, bccaufe of the lefs friction (CLXX.), and of the very collection of the blood into a lefs light or capacity, by which it is always accelerated when there is a fuffi- clcnt compreffing force (CLXX.) As to any valves at the openings of thefe branches into the cava, I know not of any which deferve to be regarded. The trunk of the vena cava, paffing through a foramen of the dia- phragm, obtufely quadrangular, furrounded and ter- minated by mere tendons (CCLXIL), is thereby ren- dered not eafily changeable : and having furmounted this opening of the diaphragm, it then immediately ex- pands into the right auricle. The fmaller veins of the liver creeping about its furface, are fent forth from the phrenics, renals, and azygos; or at lead there is cer- tainly a communication betwixt thcfe and the hepatic veins coming from the portse. DCXCVIII. That the blood comes from all parts (DCXCV.) by the vena portarum to the portse, is pro- ved by a ligature, by which any vein betwixt thefe parts and the ligature fwells; but the porta itfelf, above the ligature, grows flaccid and empty. But that it after- wards goes through the liver to the cava, appears by anatomical injections, which fhow open and free ana- ftomofes or communications betwixt the vena portarum and the cava, together with the common nature of the veins going to the cava. Again, the difficult diflri- bution or paiTage through the vena portarum, like to that of an artery, together with its remotenefs from the heart, and the oily or fluggifli nature of the blood itfelf, occafion it to ftagnate, accumulate, and form fcirrhous fwcllmgs in no part oftener than the liver. But this dan- ger is diininiflied by the motion of the adjacent mufcles, and by the refpiration ; as it is increafed by inadivity, with four and vifcid aliments. But, hitherto, we have been fpeaking of the adult liver, in which both the um- bilical vein and the ductus vcnofus are empty and clofed up, Ch.XXIV. liver. 113 up, although they continue to cohere with the left branch of the vena portarum. DCXCIX. The 7ierves of the liver are rather nume- rous than large ; hence, when wounded or inflamed, it is capable of no very great pain. They have a twofold origin '^\ Mod of them arife from the large gangliform plexus, made by the fplenic branch of the intercoilal nerve, with the addition of a branch from the pofterior plexus of the eighth pair; they accompany the hepatic artery, and, playing round its trunk, are diftributed with that and the portal branches throughout the liver. Another fafciculus of nerves ufually enters with the duftus venofus, and arifes from the pofterior plexus of the eighth pair, but fometimes from the great plexus. DCC. The lymphatic vejfels of the liver are nume- rous, being conftantly and eafily to be feen about the ports. They arife froiu the whole concave furface of the liver and gall-bladder, and run together into a plexus, furrounding the vena portaruni, going after- wards to the fmall conglobate glandules, feated before and behind the faid vein ; from whence they meet to- gether in one large trunk, which is one of the roots of the thoracic duft. Upon the convex part of the liver are defcribed other lymphatics, whofe infertion is not well known ; but it is hardly probable that they enter the cava, nor have 1 been able to find that they lead to the ciitern of the chyle. DCCl. The interior fabric of the liver is more ob- fcure. Through the whole fubftance of the liver go bundles of biliary veiTels, of branches of the vena por- tarum, and of the hepatic artery. Each veffel has both its proper cellular texture furrounding it, and fimilar • i'ga- '^' My obfcrvatlons make out three foiirces of hepatic nerves; the anterior, which run to the left lobe, arife from the eighth pair alone of the right fide ; the polterior come from the ganglion and plexus ftmilunaris of either fide ; of which ihofe that arife from the right fide of ihe plexus are ftrong and large, and conftitute the great hepatic pitxus^ Ukewife ^nWA plixus i^criarum. fr4 LIVER. Ch. XXIV. ligaments, by which it is tied to its fellow velTeis; and, laftly, the whole bundle has its cellular texture placed round it. The branches of the vena cava lie on the outfide of the reft, being lefs accurately received into the fame bundle. Laftly, the ultimate fmall branches of the vena portarum, cava, and hepatic artery, together •with the bilious duds, which we fiiall foon del'cribe, are united together by means of the cellular fubftance (DCXGVI), into a fort of mulberry-like bunches, of an hexagonal fhape, furrounded with a lax cellular texture. in thefe bunches, likewife there are mutual anaftomofes betwixt the portal branches and hepatic artery, with the roots of the vena cava on one fide, and the firfl organs of the pori biliarii of the liver on the other fide j which Jafi: demonftrate their inofculations by anatomical in- ]e6:iohs, for liquors injcded by the vena portarum re- turn again through the porus choledochus. DCCIL Many eminent anatomifts have taught that the forenientioned bunches are hollow, having arteries and veins fpread upon their external furface, and depofite the bile into their cavity, after it has been fecreted from the branches of the vena portarum. For this they al- lege arguments taken from the comparative anatomy of brutes, whofe liver is made up of more round and definite bunches ; and from thofe difeafes which de- monftrate cells and round tubercles, filled with lymph, chalk, and various kinds of concreted matter. To this they might have added the thick fluggifh nature of the bile itfelf, by which it is related to mucus, and the ana- logy of the follicles of the gall-bladder. DCCllL But greater accuracy in anatomy will not allow any follicles into which the fmall fecretory veflels open; for fuch would intercept the courfe of anato- mical injeO;ions, and give us the appearance of knots, intermediate betwixt the fecretory veiTels and the bi- Hary pores, which we have never yet been able to fee : for the wax flows immediately, without any interruption pr effufion, into a cavity in a continued thread from the vena portarum into the biliary dutls. But, again, a fol- Ch.XXIV. liver. ^ 115 follicular or glandular fabric is not allowable in the liver, from the great length of the biliary duels. For all follicles depofite their contents into fome fpace im- mediately adjacent ; and are unfit to convey their fe- cerned fluid to any length of courfe, as they de- ftroy fo great a part oi the velocity received from the arteries. Lailly, the very common prefllire which we muft fuppofe to be on thefe bunches of kernels would fo crufh them, that no affiftance could from thence be brought to promote the motion of the excretory ducts. Concretions and hydatids are formed in the cellular fubilance ; and, laftly, the bile, when firil fecreted, is fufBciently fluid. DCCIV. Again, we are perfuaded that no bile is fe- parated from the hepatic artery, becaufe the peculiar flrutlure of the vena portarum would be ufelefs if it fe- creted nothing. Its office in fecretion appears plainly by the continuations of its branches with the biliary duds, in a manner more evident than that of the artery: but it appears by experiments, alfo, that the biliary fe- cretion continues to be carried on after the hepatic ar- tery is tied ; add to this the largenefs of the biliary du£ls, in proportion to fo fmall an artery, with the pe- culiar nature of the blood colletled in the vena porta- rum, fo extremely well fitted for the formation of the bile. For we have already feen that it contains oil, which abounds more in the bile than in any other hu- mour of the body ; for it takes in the faponaceous wa- ter of the ftoraach by the abforbing veins, together with the fubfetid alkalefcent vapours of the abdomen, which tranfpire through the whole furface of the inteftines, fl:o- mach, omentum, liver, fpleen, and mefentery, which are abforbed again by the veins, as we know by incon- tefl:able experiments of anatomy; and, finally, the alka- lefcent femiputrid acrimonious humidity from the feces while they continue to thicken in the large inteftines, which is taken up by the internal hemorrhoidal veins, from- whence that bitternefs, alkalefcent and putrefcent difpoiition of the bile is derived. But in the blood of the he- ti6 LIVE R.. Ch.XXIV. |]€palrc artery, we can find nothing peculiarly fit for the iccretion of bile, or analogous to its nature. DCCV. Since, therefore, the vena portaruni conveys ihe blood ready charged with biliary matter, fix to be fecreted in the leail acini (DCCIV.), and from thence Phrre is an open free paiTage, v/ithout any intermediate loUicIes, from the ultimate branches of the vena porta- FQm into the beginning roots of the biliary du£ts, and that the humours driven into the vena portarum may eafily choofc this paflagc, the bile will be expelled from thence by the force of the blood urging behind, as well as by the auxiliary force of the diaphragm preffing the Ever againfl: the reft of the vifcera in the abdomen when •very full (DCLXXXIX,) and again, contracted in ex- fpiration, it will be forced into the larger branches, and laiily into two trunks of the larger biliary duel of the liver ; which trunks meet together in one upon the ¥ena portarum, in the traufvcrfe foifa of the liver, near fine anonymous lobule. DCCVi. The fabric of this duQ: is made up by a Uxong nervous membrane like that of the inteftines^ over which is fpread an external and internal cellular membrane ; and is internally lined with a loofe villous tunic, elegantly reticulated, but afperated with many fraall pores and finufes, and continued with that of the mteiline itfclf. But there is here no mufcular fabric apparent. From experiments it appears to be endowed with a moderate degree of irritability. That it is vaflly dilatable, is ihewn from difeafes. The fame feem alfo to- ihow that this duel is endowed with a very fharp fcnfation. DCCVil. Tke hepatic dud, thus formed, goes on upon the vena portarum, more to the right than the artery, towards the pancreas ; and then descending ob- liquely, covered by fome part of that gland, it goes to the lower part of the fecond flexure of the duodenum, and is inferted backward about fix inches from the pylorus, through an oblique oblong finus made by the pancreatic dud, into which it opens by a narrow orifice. The Ch.XXIV. liver. tJ7 The faid finus runs a great way through the feco-nJ. cellular coat of the duodenum obliquely downward ; then it perforates the nervous coat, and goes on agaiaa obliquely betwixt it and the villous tunic; and, la('tly, it opens into a protuberant long wrinkle of the duo- denum. Thus there is almoft the length of an inc3i taken up betwixt the firR infertion and the egrefs of this duft through the coats of the duodenum, by a fmii;s which furrounds and receives the ductus choledochus, in fuch a manner, that when the coats of this intcftinc are diftended by flatus, or clofely contraded by a mor« violent periftaltic motion, the opening of the duel muH: be confequently comprefled or (hut ; but when the dua- denum is relaxed and moderately empty, the bile theia has a free exit. Any regurgitation from the duodenuim is hindered by this obliquity and wrinkling of the duel, eafily preffed together, or clofed and joined with a quick. fuccefiion of frefli bile defcending perpendicularly from. the liver. Nor does wind inflated into the iiitefliiEe find any paflage into the du6i:. DCCVIU. But, in the portse themfelves,this common, duct receives another lefs canal of the fame kind, whick lies for a good way parallel with itfelf fi-om the gall- bladder, making its infertion in a very acute angle ; and this, which is called the cyftic du6t, from its origin. Is fometimes firfl: increafed by another fm all du6t from the hepatic before its common infertion. This dufti^ form- ed by the gall-bladder as a peculiar receptacle for ths bile given to moft animals; but is abfent in fonre, efpe- cially thofe of a fwifter foot, and perhaps only in fuck of thefc as are herbivorous '^^^ : it is placed in an excav^«a- tioiU '^* Animals are for the moft part dlfpofed into two clafffs witk refpeft to the gall-bladder ; feme have it, and fome want it ; amonjy the former the elephant is comprehended by alJ. Some perteiUy vvant the gall-bladder, as the horfe, afs : others have it lyiag in i-ia proper fiirrow of (he liver, and joined with the liver, as in manr others again have their gall-bladder feparatc from the liver, as, ac- cording to Camper's obfervations, in the eagle, and once obfci-vtrcl by me in man : and Tome fhow a true bladder, fhut up in the coat« of the duodenum, as the elephant ; which llrudture I learned froiu Camper's drawing. . _ ii8 LIVER. Ch.XXIV. tlon of the right lobe of the liver (DCXCIL), to the right fide of the anonymous lobule, in fuch a manner, that in infants or children it lies wholly within the edge of the liver, but in adults projects confiderably beyond, lying upon the inteftinum colon. Itsfituation is almoft tranfverfe from the fore to the back, parts ; its neck afcends a iiitle upwards, DCCIX. The figure of the gall-bladder is variable, but in general like that of a pear, terminated in its fore- part by an obtufe hemifpherical end, which is imper- vious, gradually diminifhing backward ; the neck or tip of this truncated cone bemg infle(Sed upwards againfl itfelf once or tv.'ice, and tied together by the cellular fubflance belonging to it, makes then another fmall flexure upward, and begins the cyftic dud ; which from thence goes on towards the left fide of the hepatic dudt. Within this duel there are many protuberant wrinkles^ formed by the numerous cellular bridles which tie them together; and thefe wrinkles, conjunftly in the dry gall-bladder, reprcfent a kind of fpiral valve ; but being altogether foft and alternate in a hving perfon, they do not flop, only leffen the courfe of the bile, as we are aflured from experiments, by preffing the gall-bladder^ and by inflations. Befides, it is reticulated like the gall bladder itfelf. DCCX. The outermoft coat of the gall-bladder covers only its lower fide, being the common covering of the liver itfelf flretched over the gall-bladder, and confinr- ing it to the liver within its proper finus. The fecond' coat is the cellular fubflance, and of a loofe texture^ The third coat has fometimes fplendent fibres chiefly longitudinal ; but forae obliquely inrerfefting each other in various diredions. At other times it has none at all; fo that we may doubt of its mufcular nature, efpecially as the irritability of the gall-bladder is flow and obfcure. Next to thefe come the nervous coat, then the fecond cellular, and lafl the vilous tunic; which are all found here as in the inteftines, except that the laft, in the gall- bladder, as well as in the biliary duels, is reticulated I and Ch.XXIV. live R. lit) and full of cells '^^. Within the gall-bladder, but more efpecially about its neck and middle part, we obferve muciferous pores '^^, capable of receiving a horfe-hair; and befides thefe, the exhaling arteries difcharge fome quantity of a watery humour into the cavity of the gall- bladder, as we obferve in other cavities. DCCXI. All animals, between their gallbladder and liver, or between the dufts coming from both, have, befides, fome peculial openings in the gall-bladder, into which fome ducts orginating from the liver, or the he- patic biliary duel, difcharge their contents. In mankind thefe du£ls have not been fliown by any certain experi- ment, and the gall-bladder is eafily loofed from the liver, without a drop of bile diftiUing either from it or from the liver. There is alfo a thin water in the blad--. der as often as the cyftic dud; is obftruded. DCCXII. The bile flows both out of the bladder and liver, according to its nature, as long as there is no impediment in its way; fo that both dudls fwell when that paffage is obftrufted, and the cyflic lies inaftraight line with the choledochus. Nor is it credible that all the bile iliould be diverted into the gall-bladder before k '5' On account of the elegant net-work, which is divided into numerous greater or fnialler cells, I think the name of tunica reti* ' eidaris fhould be given to this inner membrane of the gall-bladder, Notliing can be prettier than the preparation I have of this humaq membrane. The whole interior membrane of the gall-bladder, in the fame manner as the du&us cyfticua, is wrinkled into aiveote and membranous cells; fome of which have a regular cubic figure, others are of an irregular figure, oblong, angular, and round: they like- wife vary in lize and capacity; in the middle of the cyft. they ar« larger ; towards the extremity and bottom particularly crowded* That membrane which forms little ridges, is in fome places more than two lines long, in others fhorter. If, when all the cells and ridges are deftroyed, you expand that membrane over an even fur- face, it becomes three or four times greater than the'cyft. An ele- gant net-work of innubierablc vrflcls runs upon thefe little ridges. ^'^^ Upon comparing Camper's drawing of the elephant's cyft with the trials I made upon man, I am fully perfuaded, that the great number of pores, opening into the inner furface of the cyft, pour.out a peculiar liquid, which isneccffary to the pieparaiion of the cyft^s bile, but of unknown ufe. 125 LIVER. Ch.XXIV. it flows into the duodenum. There Is not a perpetual obftacle which hinders the afflux, and peculiarly refills the hepatic bile, and admits the cyftic; the paflage into the duftus choledochus is larger and flraighter, the duclus cyfticus much lefs than the hepatic, nor is that dudl fo well formed for receiving all the bile ; the choledochus being much larger than the cyftic duel, cannot therefore be made only for the reception of its bile. There are many animals in which the hepatic du6l difcharges its contents into the intefline without any communication with the cyftic. In living animals, even when the cyftic duel is free, the bile appears to de- fcend into the duodenum with a perpetual current. That the quantity is very confiderable, appears from the "magnitude of the fecretory organ, and the excre- tory duel, fo many times larger than the falival ones ; from difeafes, in which four ounces of the cyftic bile only have flowed out duly through an ulcer of the fide. But the hepatic bile goes into the bladder, as often as there is any obftrudion in the duodenal finus* from flatus or any other caufe comprefllng the exit of the ductus choledochus. Accordingly, we find it ex- tremely full, whenever the common biliary duet is ob- llrucled or compreflTed by fome fcirrhous tumour, whence the gall-bladder is fometimes enlarged beyond all belief ; and if the cyftic duel be tied, it fwells be- twixt the ligature and hepatic duet ; and in living ani- mals, the hepatic bile vifibiy diftils into the wounded gall-bladder, even to the naked eye. The retrograde angle, or direction of this duel, is not repugnant to fuch a courfe of the bile: for a very flight preiTure urges it from the liver into the gall-bladder; and even wind may be eafily drove the fame way, more efpeci- ally if the duodenum be firft inflated. Nor does there feem to be any fort of bile feparated by the gall-blad- der itfclf. Whenever the cyftic duel is obftrueled by a fmall ftone, or a ligature made upon it, we find nothing feparated into the gall-bladder more than the exhaling moifture, and a fmall quantity of infipid mu- l cus Ch. :^XIV. LIVER. If I cas fecreted from the follicles (DCCX.) In many ani- mals, we meet with no appearance of any gall-bladder, when at the fame time there is a plentiful flux of (trong Avell prepared and falutary bile difcharged into their inteftines. Again, it does not feem probable, that the cyftic branch of the vena portarum can feparate bile into the gall-bladder; for that vein in itfelf is a mere reconduftory veiTel: nor can any be feparated from the hepatic artery ; for it miilt be vaftly beyond probabi- lity, that fuch a ftrong bile as that of the gall-bladder fhould be feparated from a milder blood than the more foft hepatic bile prepared from the blood which is moft fit for that purpofe (DCCIV.) DCCXil. Laftly, the bUe flows alfo from the gall- bladder to the liver, and at length returns into the blood when its paiTage into the inteflines is totally in- tercepted, fometimes alfo from a caufe latent in 'he nerves. This paffage or abforption of the bile into the fyftem is pernicious, and is the occafion of jaundice; which, when the offending flones or concretions are re- moved, is cured by the bile's free eourfe into the duo- denum being reilored. DCCXill. Therefore a portion of the hepatic bile be- ing received into the gall bladder, there ftagnates, only a little (haken by refpiration; and there, by degrees, exhales its thinner parts, which, as we fee, filtrate thro' and largely penetrate the adjacent membranes. The remainder, as being a fluid of an oily fubalkaiine nature, digefting in a warm place, grows Iharp, rancid, more thick, bitter, and of a higher colour : tor this is all the difference betwixt the cyflic and hepatic bile; which lad we find weaker, lefs bitter, lighter coloured, and of a thinner confidence, while it remains within its proper hrpatic dudts. That this difference betwixt them pro- ceeds only from flagnation, appears from fuch animals as have only a larger porus hepaticus^ inftead of a gall- bladder ; for here we find the bile, which ftagnates in the larger hepatic pore, is conliderably more bhter than that in the fmaller pores of the liver; as for ex- VoL. II. 1 ^nple. I2Z LIVER. Ch.XXiV. ample, in the elephant. But the gall-bladder gives this particular advantage, that it receives the bile when the ftomach, being empty, has no call for it, that after- wards it may be able to return it in greater plenty, when we principally v/ant it for the digeftion of the aliments now flowing- in great quantity into the duodenum. This flow of the bile is quicker in proportion through the cyilic duct, as the feclion of that duel is lefs than the fection of the gall-bladder. DCCXIV. The gall-bladder, indeed, hardly touches the ilomach, but the beginning of the defcending duo- denum. But when the (tomach is extremely diftended, and in a very full abdomen, it makes a confiderabie preflTure both upon the liver and duodenum ; by which the gall-bladder is urged, and its bile expreffed. Thus the bile flows through a free paflTage,- from the gall- bladder into the common du£t, and the duodenum : and this it does more eafiiy in perfons lying pn their back; in which pofture the gall- bladder is inverted, with its bottom upv/ard. Hence it is that the gall- bladder becomes fo full and turgid after fading. The expulfive force of the bile is but Uttle mere than that of the prelfure received from the flomach and dia- phragm; for as to any mufcular force refiding in the iibres of the proper membrane, which may be thought to contract the gall-bladder, it muft be very weak and inconfiderable. DCCXV. The hepatic bile is always bitter, but the cyftic is more fo; always vilcid ; of a hill yellow coIouf, •with a tincture of green; mifcible, by triture, either v.'ith water, oil, or vinous fpirits ; coagulable by mine- ral acid liquors ; difloluble by alkalies, efpecially the volatile kinds ; and extremely well adapted to diflblve oily, refmous, or gummy fubftances ; quickly putrefy- ing, and by putrefadion fpontaneoufly degenerating to a muik-llke odour. Its chemical analyfis'^', and ex- periments ^''^ The chemical examination, which long ago oughc to have been carried on, of all the animal humourf^ has been begun in this age by the inveftigatioa of the bilc^s properiies ; For fnicc from our theory Ch.XXIV. L t V E R. 12^ J>eriments of mlxttire with various fubdances demon- Itrate, that it contains a large portion of water, and a confiderable quantity of inflammable oil, which, In ftoncs of a gall- bladder, appears very evidently. I'he bile, therefore, is a natural foap ; but of that fort which is made from a volatile faline lixivium, mixed with oil, and has its water along wiih it. This, therefore, be- ing intermixed with the aliment, reduced t6 a pulp, and llowly exprcffed from the ilomach by the periftal- tic force of the duodenum and prelTure of the abdomi- nal mufclds, incorporates them all together ; and the acid or acefcent qualities of the food are in fome mea- fure thus fubdued, the curd of milk is again dilfolved by it into a liquid, and the whole mafs of aliment in- clined more to a putrid alkaleicent difpofition : it dif- folves the oily matters, fo that they may freely in- corporate with the watery parts, and make up an uni- form mafs of chyle to enter the ladteals ; the furround- ing mucus in the inteftines is hereby ablferged and attenuated, and their periitaltic motion is excited by its acrimony ; all \vhich offices are confirmed, by ob- ferving the contrary efiefts from a want or defe6l of the bile. Nor is the hepatic bile fufficient to excite the necefTary motion of the inteitines, if the cyitic is wanting ; both which are of fo much ufe and iir.por- tance to the animal, that we find, by experiment, even the llrongeft will perilli in a few days, if the flux of bil^ to the inteftines be intercepted, by wounding the gall- bladder. DCGXVI. Thus it flowly defcends along with the alimentary mafs j and having fpent its force, or changed 1 2 its tlieory of digeftion not only gjcod and vvholtfortie bile is required* but fo many depravities of this humour occur-in difeafes which come under medicine, it would be of much importance, we fee then, to kno'A; the conllituent parts of it ; by which means we certainly could prcferve the bite in its wholcfome, and correfl it in its vitiated, ftace. Since the experiments of Pringlc, Ramfayjand Schrocdcr, much h;.3 been added on this head by the moft celebrated perfons ; Giber, an anonymous writer's efTay upon pvitrefatiioD, Cadet, Spieiiuani^tcfl HaafF, M'Lurg, and others. 124 LIVER. Ch.XXT. its bitternefs by putrefa£tion, mod of It is afterwards excluded together with the feces ; but probably fome of the more fubtle, watery, and lefs bitter parts, are again taken up by the vena portarum. It returns the lefs into the ftomach, becaufe of the afcent of the duo- denum, which goes under the ftomach, with the re- fiftanee it meets with from the valvula pylori, and the advancement of the new chyle which the ftomach . adds to the former : in man, however, it frequently enters ; and always in birds. The bile is of a fweet foft nature in the foetus ; for in them the feces are not very fetid to fupply putrid alkaline vapours to the liver, nor are there any oily or fat fubftances abforbed from the inteftines. As the bile is a vifcid fluid, and thickens by inadlivity of body in fat animals, and in us from the fame caufes, efpecialiy when the blood moves languid from grief; fo it cafily coagulates into an hard, fome- >\'hat refinous, and often ftony fubftance, infomuch that Hones of the gall are much more frequent than thofe of the urinary bladder, as we are taught by our own expe- riments, its ufe is manifeft, as, being triturated with the ahments, it diffolves oil, refifts acidity, and thus fti- mulates the inteftines to contra6lion. DCCXVII. The ufe of the liver, befides fecreting the bile, is manifeft in the foetus. It feems to tranfmit the blood brought back from the placenta, and to break its force. Even in an adult perfon it has the fame uCe though lefs manifeft, namely, to retard the return of the blood coming back from the vifcera appointed for preparing the chyle. C H A P. XXV. Of the Small Intestines. DCCXVIII. TJ Y the f?nall inteflines, anatomifts un- derftand one continued almoft cylin- drical tubCj but whofe tranfverfe fedion is nearly ovaly the obtufe end being towards the unconnected fide of she inteftine. This tube is continued from the end of tke Ch.XXV, intestines. 125 the ftomach, the right orifice of which it embraces (DCXXy.) ; and, being produced through a long trad:,' ends by an expanfion into a much larger inteftine. Anatomifts have ufually reckoned three fmall inteftines, though nature has formed but one. However, the duodenum has generally pretty certain bounds, termi- Eating with its end in that part of the abdomen which is above the tranfverfe mefocolon (DCLIX.) But that fmall inteftine which lies below this mefocolon, commonly called the jejunum, has no certain mark or boundary to feparate it from the lower portion, which is commonly called the ileum: although the former, abounding more with valves and blood-velTelSj has, in general, a more florid appearance, and is furnifhed with longer villi internally ; and the ileum again, having fewer of thofe vafcular ramifications, like little trees, abounds more with a fort of minute glandules : how* ever, thefe differences infenfibly difappear one in an- other, without affording any certain limits betwixt the two inteftines ; they are great in the extreme termina-. tions, but obfcure in the neighbouring parts. DCCXIX. The duodenum feems to be denominated from its length. It is larger, and more lax or open, than the other fmall inteftines, more efpecially in its firft flex- ures; which is partly owing to its not being circumfcribed in fome places with any external membrane, and in other places only for a fmall compafs. It is florid and ten- der, having its flelhy fibres fometimes of a confider- able thicknefs. Its origination begins round the ring- like valve at the mouth of the pylorus ; from whencq being undulated or infle(5ted, but generally in a tranf- verfe courfe, to the right downv/ard and backward in an empty ftomach, it goes under the gall-bladder, to the neck of which it is contiguous (DCCXIV.) From thence it defcends obliquely and backwards to the right fide as far as the lower plate of the mefocolon, where it is per- forated by the biliary duel, and in that courfe is intercep- ted betwixt the upper and lower plate of the mefocolono From thence at laft it proceeds tranfverfely, but a little I 3 afcending 126 intestines; Ch.XXV. afcending behind the pancreas and large mefenteric vef- fels, and goes on to the left fide along with the left renal vein, where, going out from the duplicature of the me- focolon, and bending round before and to the right of the fald vtflcls, it paifcs through a peculiar foramen, in which the mefentery and left part of the tranfverfe uie- focolon adhere to the intefline itfcli; from thence it de^ fcends forward, towards the lower part of the abdo- men, into which it advances under the denomination of the jejunum. The largenefs of this inteftine, with its afcent from the infertion of the biliary du6t^ joined with the confequent fold about the root of the mefen- tery, caufe a remora of its contents, by which the bile, pancreatic juice, and aliuientary pulp, are here hrft in- timately blended together. DCCXX. The reft of the fmall intefline, having no certriin feat or divifion, is continued by innumerable and uncenain convolutions, not to be defcribed, fo as to fill ' up the lower part of the abdomen and pelvis furround- ed by the colon on each fide, and lies between the blad- der and uterus below. DCCXXI. The fabric of the fmall inteftine is almoft the fame wii.h that of the ftomach and oefophagus. Its external coat, excepting part of the duodenum, is recei- ved from the peritonseum or mefentery, applied on each fide to the obtufe end of the oval inteftme, and fepa- rated by the intervening cellular fubftance, which is often replenilli,ed with fat, but more clofely embraces or adheres to the mufeular fibres in the unconneded fide of the intefline ; where the outer and mufeular coats ftriclly cohere, without Tnowing any remarkable diffe- rence from v/hat we have obftrved of them in the ffo- mach. By this external membrane, and by the mefen- tery (DCLXl)^ the inteftines are fupported with a con- fiderable degree of firmnefs, at the fame time that they are allowed every way a free liberty for motion. DCCXXU. But the fabric of the mufeular coat differs from that of the ftomach, in the figure of its fibres. The largeft and moft confidcrable body of thefe fibres is circuUr ch.xxv. intestines. 127 circular, cloathing the tube on each fide, refembling each other both in their parallel difpofition and appear- ance, which is that of imperfeft arches or fegments of circles, cemented one to another, paler than other muf- vcular fibres, and yet remarkably contraftile. The longitudinal fibres are, in the fmall inteftines, much fewer in number, fcattered round their whole extent, interfperied with the former, and are more efpecially fpread upon the loofc or unconnefted fide of the in- tefline. DCCXXIII. Within the mufcular coat, is feated the fecond cellular funic^ of a larger extent here, as it was in the Itomach ; and this being fpread on all fides round the nervous -coat, which it includes, is, in us, feldom repleniflied with fat. But the nervous coat, being like that of the ftomach, ferves as an internal foundation or fupport to the whole inteflinal tube ; being compofed chiefly of compafted fibres, which, by inflation, may be parted one from another, fo as to refemble a web-' like or cellular fubftance. Next to this, follows the third cellular coat, which is almolt like the fecond ; and then the innermoft or villou-s coat, which differs, in fe- veral refpedis, from that which we defcribed in the flo- ma-ch : for firft it is folded on all fides into wrinkles that are femicircular,the extremities of which correfpond one to another oppofitely, but uncertain in their pro- portions ; into which wrinkles the nervous coat flight- ]y enters, whiKt the reft of the intermediate fpace be- twixt the folds of the villous tunic is filled up by the third cellular ftratum. Thefe pliciZ or folds of the in- teftine begin within one inch of the pylorus, and are moft numerous in the firft and middle part of the inte- ftines, but gradually grow fewer in number downward. Here each fmall twig of the artery, which is fpread ia the cellular fubftance, upon the convexity of the inte- ftine on one fide, is anfwered by another twig, difpo- fed in the fame manner, on the oppofite fide. The pli- cae are, at firft, confufed in the duodenum, and afrer- is'ards become more confpicuous as the inteftine ad- 1 4 vances y 158 INTESTINES. Ch. XXV. V9.nces ; but the appearance of acute imperfeft circles or valves is given to them by anatomical preparation, in which their natural ftate is altered. They are indeed foft, and eafily inverted, fo as to give way, in any direc- tion, to the courfe of the alimentary pulp; upon which, however, their number has fufficient influence to retard the motion, while, at the fame time, they enlarge the furface of the villous membrane. DCCXXIV. We come now to the true villous coat, which we call fo in other parts by analogy. Namely, the whole incernal furface of the inteftineand its valves, together with the fmall cavities interpofed betwixt them, fend out on all fides innumerable fmall fluctuating fleeces like a piece ot velvt t, the extremities of which are obtufely conical produftions of the inner coat of the inteftine, and from the cellular fubftance, intercepted between the duplicature, and from the fmall veflels and nerves wrapped up in that cellulofity, and likewife from the lafteal veflel which we fliall afterwards fpeak of, fo as very much to refemble the papillas of the tongue, only of a fofter texture. DCCXXV. The chief fmall veflfel of each villofity is an oval vefl'cl opening by a flender du6t in the furface of the villous coat, often filled with milk, which the neigh- bouring fmall veflels every where furround. DCCXXVI. In the internal furface of this villous coat, open an infinite number of pores ; fome larger, other fmaller. The former lead to fmall confpicuous fimple glandules of the mucous kind, feated in the fe- cond cellular ftratum, and like to thofe of the vafcular follicles feated in the mouth and pharynx, which liker wife open with numerous patulent orifices into the in- teftincs. In the duodenum thefe are aflembled toge- ther in feveral places, without running together ; nor can they always be demonfl:rated ; but many of them are quite folitary or afunder in the ileum, or often ai- fembled only a few together ; though, in many places, a confiderable number of the fame kind are afl'embled tpgetherj CA.XXV. INTESTINES. 129 together, into a little army of an elliptical figure. They have every where a villous membrane. DCCXXVII. Throughout the whole trad of the in- teftines arc tound pores of a lefs kind furrounding the bafis of the viili, and mod ample or confpicuous in the large inteftines, where they were firil obferved ; but have been lately diTcovered, by a more careful inquiry, in the fmall intedines likewife. Thefe alio fcem to depo- fite a liquor of the mucous kind. DCCXXVIII. The veiTeh of the fmall inteftines are very numerous. The comuion larger trunk belonging to the iftteftine that occupies the fpace below the m.efo- colon is called the me/enteric artery^ being the largeft of thofe produced by the aorta above the renai arteries. This, defcendiiig behind the pahcreas 10 the right fide of the jejunum, and before the colic branches, fends out more efpecially a long trunk to the bottotn of the me- fentery and termination of the ileum towards the right fide; as on the left fide it fends out numerous branches, the firfl and lad being fhorter, the middle ones longcft, Thefe lafl, fubdividing into fmaller, join with thofe ia jheir neighbourhood in (hape of convex arches; which again fend out other branches united in like manner, to the repetition of almoft the fifth feries of arches, un- til the lafl fend ftraight and very numerous branches to the inteftine ; where, forming their laft convexity, their numerous fmall branches are detached on each fide the inteftine. DCCXXIX. The divifion of thefe branches in the inteftine, is much after the fame regular manner ; fo that one comes out from the mefentery, through the cellular fubftance, on the forefide of the inteftine, as the other does, in the like manner, upon the lower fide ; which, having given fmall branches to the outermoft ^nd flefhy coat, come to the fecond cellular one : there the anterior trunk, running out towards the obtuie ver- tex of the inteftinal ellipfis, is continued ftraight into the pofterior branch fimilar to itfclf ; and, according to its fi^e, gradually fcn4s off fmaller fhrub-like twigs, inof- cu- i^o INTESTINES. Ch.XXV. culating with each other, and with their oppofites, by innumerable circles. From this arterial net- work, fmai- ler twigs penetrate from the nervous tunic into the third cellular ftratum, and are, with that, continued to the ultimate extremities of the villi, where they at laft open by exhaling orifices, and difcharge a watery humour into the inteftine ; for this continued courfe is eafily imitated and ihown, by injeding water, fifh-glue, or mercury. But late induftry has difcovered, that thefe arterial extremities firft open into an hollow veficle ; from whence their dcpofited juice flows out through one common orifice. For the reft, the arteries in this part form numerous reticular inofculations, that, by a- voiding all obftruftions, they may be able to fupply the inteftines equally on all fides ; and that any obfirucling matter may, upon occafion, be cafily removed back from the narrower extremities to the larger arterial trunks. DCXXX. The laft trunk of the mefenteric artery in- ofculates with the ileo colic. The duodenum has va- rious arteries. The firft and uppermoft from the right hepatic goes round to the convexity of the inflexure of this inteftine, which it fupphes in its way to the pan- creas, and inofculates together with the lower or left pancreatico-duodenal artery, which makes a like 'arch round the curvature of the duodenum into the pancre- a^s ; being at laft inferted into the lov.er duodenal ar- teries, produced by the mefenteric in its paifage before this inteftine. As to the fmall arteries which go from the fpermatics to the duodenum, and from thofe of the renal capfule, we defignedly omit any further notice of them. DCCXXXI. The mefenteric veins meet all together, in the fame courfe or difpofition with the arteries, in the inefenteiic trunk of the vena portarum ; except rhe right duodenal vein, which goes immediately into the trunk of the vena portarum itfelf ; and except thofe fmall veins which run in company with the fmall arteries (DCCXXX.), and are inferted into the fpermatics and lum- Ch.XXV, intestines. i3t lumbals. Nor have 1 been able to difcover any other veins of the mefentery arifing from the cava. It is a property in common to all tbefe veins to be without valves, and to make free commuuications with the ar- teries. Thofe veins in the villous coat, which is for the mofi part compofed of veins, abforb thin humours li-jin the inteftine ; as appears from the injeftion of watery liquors, which readily run through the fame way ; and, from analogy, in aged perfons, in whom the mcfenteric glands, and confequently the ladeals that pafs through them, are frequently clofed up ; add to this, that birds liave no lafteal veifels, and the celerity with which wa- tery hquors pafs to the blood and through the kidneys, compared with the fmallnefs cf the thoracic dud, chiefly from thofe experiments which have confirmed by ocular demonftration the palTage of water from the cavity of the intefline into the vena portarum. DCCXXXII. The izerves, though fmall, are nume- rous, whence the inteftines receive no little degree of fenfibility ; they arifc from the middle plexus of the fplenic nerves, and, embracing the mefenteric artery, play round it in great numbers, wrapped up in a very denfe cellular plate. The duodenum haslikew'ife fmall nerves from the poiferior hepatic plexus of the eighth pair. From this great fenfibility of the inteftines it is probable, that the ultimate branches of the nerves pe- netrate into the third cellular coat. DCCXXXIII. From the exhaling arteries diflils a thin watery liquor into the cavity of the inteftines, like the juice of the ftomach, not acrid, but fakifli. The quantity of this liquor may be computed from the large extent or fum' of all the excretory orifices, and from the fection or light of the fecretory artery, larger than which we fee no where in the body ; add to this, the laxity of the parts perpetually kept warm and moiR:, and the co- pious diarrhoea or watery difcharge that often follows the ufe of purgative medicines. But the mucus arifmg from the pores or cells before-mentioned (DCCXXVl. (DCCXXVII.) ferves to lubricate and defend the inter- nal igi INTESTINES, Ch.XXV. Hal furface of the villous membrane, and to guard the fenfible nerves from flrongly acrid or pungent particles. Hence we fee, it is more abundant at the beginning of the larger inteftines, becaufe there the mafs of aliment begins to be more feculent, acrid, and tenacious. DCCXXXIV. The mixture of this liquor with the pulp-like mafs of the aliment, together with the bile and pancreatic juice, is made by the motion of the fur- Founding mufcles of the abdomen ; but this force is quite fmall, and unfit for moving forward the aliments. But for this purpofe ferves efpecially the periftaltic mo- tion, which is more particularly ftroiig and evident in the fmall inteftines '^-. For any part of the inteftine, irritated by flatus or any (harp or rough body, contra6ls itfclf, even after death, moft violently in that part where the ftimulus is applied, in order to free itfelf from the offending or diftending body, which it e:^pels into the next open part of the lax inteftine ; where, being recei- ved, it is again propelled forward, by exciting a like fti-. wulus and contradion as before. This contrading mo- tion of the inteftines is made in various parts of the gut, either fucceffively or at the fame time, wherever the fla- tus or aliment excite aftimulus; and this, without ob- ferving any certain order. So well fitted, however, are the inteftines for this motion, that they emulate, and even exceed, the irritability of the heart, or at leaft are fcarcely exceeded by it. When they are not irritated, they remain at reft, as 1 have often obferved ; and we may fuppofe this to be the caufe why the fat remains in the belly. The air a6ls chiefly as a ftimulus to the in- teftines'^^, next to it is the aliment, and iaftly the bile. This ^'^^ The road for our food through the prims vi?e begins in the jT.otith after deglutition ; the meat proceeds through the inteftinal canal by means of a periftaltic motion, and at laft is excreted. The beginning and end of this aftion, viz. the bufinefs of deglutition and fome part of the alvine excretion, depends upon the will of the enimal : the motion of the osfophagus, ftomach, and inteftines, caa Beither be increafed nor retarded in any way by our inclination. '^^ To thefe are added in a difeafed ftate external cold, joined with humidity, affeding the abdonaen and feet, sind evacuanta q$ aity kiod. Ch.xxv. intestines. 1^5 This motion is performed by a wonderful fort of alter- nate creeping and revolution of the inteflines, which diffeftion cafily deinonflrates in living brute animals, and unhappy cafes of wounds in the abdo:nen and rup- tures have manifefted in the human fpecies. And fmce here, among fo many inflexions, the weight of the aliment is but of little force, it eafily afcends or de- fcends through the irritated inteftine, which thus emp- ties itfelf. From hence the andperidahic motion is in- telligible, by which the pulp of tlie alimentary mafs is oftener or longer applied v/ith a gentle force to the triture of the Inteftine, to the exhaling diluent liquor, and to the mouths of the abforbing veins. But all the •contents of the inteftine are determined downward to the large inteflines, becaufe the flimulus begins above, from the left opening of the ftomach ; and fo, by the fuccellion of new chyle, repeating the flimulus above the contradion, it delcends, when there is no refiflance made to it, into the lower part of the ileum, at its open- ing into the colon : here the loofe part of this inteftine readily receives what is prelfed into it by the con- traction from above, and as eafily unloads itfelf into the large unadive csecum ; from whence it is again repel- led upward, and in part urged on by the preffure of the fucceeding mafs. Anatomifls obferve, that this motion is made flronger downward than upward, and that the fuperior parts of the inteflines are more irri- table than the lower. But as often as an infuperablc obftacle refifls the paffage of the aliment, (here wiH be the feat of the principal contraction, and the ali- ment likewife is driven upward from the valve of the colon through the whole length of the inteflines, into the flomach, and laftly into the mouth. DCCXXXV. This periftaltie motion of the inteflines is performed by the conftridion of their circular fibres, which know how to empty the tube exactly, without injuring the inteftine againft pins, needles, or any other Iharp bodies lodged within their contents, which they tenderly promote forward. But the revolutions of the 134 - INTESTINES. Ch.XXV. jnteftines, drawn upward and downward, and the ftraightening of crooked parts of them one before an- other, which is fo remarkably confpicuous in brute animals, are performed by the long fibres, which we fee contract themi'elves at the feat of the prelent ftimu- lus, and dilate the following portion of them to receive what enfues. By the fame contraction the villous .membrane of the inteftines, within their cavity, is urged and reduced into longer folds ; whence the mucus is expreffed and applied to that part of the alimentary mafs, where it was required by the force of irritation and ftimulus. Thefe long fil>fes frequently make intro-fufceptions of the inteiiines, and generally without any bad confequences, by drawing up the contrafted portion of the inteftine into that which is loofe, in fuch a manner, that the former is furrounded by the latter, which is relaxed. DCCXXXVI. The alimentary pulp, therefore, dilu- ted with the pancreatic juice and that of the inteftines, intimately mixed with the faponaceous bile and circum- jacent mucus, is more perfectly dilTolved than by the efficacy of the ftoraach, in proportion as the fides of the inteftines come into a larger contact, and approach nearer together; to which add, the longer Icries of the periftaltic motions, and the greater quantity of dif- folving juices. In this manner, the alimentary pulp, intermixed with air, forms a froth, without any kind of fermentation, which air is the fame with what we commonly eructate from the (tomach ; but yet, at the fame lime, the acid or acefcent force is fubdued^ while the oily or fat parts, diflblved by the bile (DCCXV.), intermix with the watery juices, and give the chyle its ufual milky appearance, like an emulfion, of a bright colour in the duodenum, at the firfl: entrace of the bi- liary duft ; from whence downward it clofely adheres to the villous coat of the fmall inteiiines. But the ge- latinous juices of flefli meats, diluted with a large por- tion of water, and likewife from their own fubvifcid na- ture, do more particularly adhere to the villous coat, I and Ch.XXV. intestines. 735 and enter it in the way of abforption. So water and watery liquors are all very greedily drank up by the Veins : and yet the feculent remains never grow thick in the i'mall inteftines, as far as 1 have been able to ob- ferve, becaufe the watery part is repaired by the arte- rial vapour and mucus j nor do they become fetid in any confiderable degree, as well becaufe of the great quantity of diluting juices, as becaufe the quick pro- greffion will not allow them time enough for a putre- fadion. Thofe remains, which are of a more earthy, grofs, and acrid difpofition, which were excluded by tile mouths of the abforbing la6lcal orifices, do, by their weight, or by the mufcuiar contratlions, defcend flowly into the large inteflines, fo as to complete their whole courfe in the fpace of about twenty-four hours. But within three, four, or a few more hours time, all the chyle of the aliment is commonly extracted. ' DCCXXXVII. The confiderable length of the fmali intelline, which is five or more times longer than that of the body, the great furface of the villous membrane increafed by folds, the incredible number of exhaling or abforbing veffcls, the flow courfe of What remains through the large inteflines, and the great quantity of the inteffinal juice poured into the alimentary mafs, do all of them concur, in the fmall intefline, abundantly to perform what is required in the emulfions of the food for our healthy juices, and for their abforption into the laftcals and the mefenteric veins : aifo for abfterfion of vifcidities from die inteftine ; for the avoiding adhefions and coagulations ; for the de(lru«51ion of any acid difpo- fuion not yet fubdued ; and for the fubduing any veno- mous quality in many juices, which, being direcliy mixed with the blood, inllantly kill, but are thus fent in by the mouth without damage. Hence, in general, the inteflines are long in aniuials that feed upon any hard diet, but ftiorter in carnivorous ones, and Ihorteft in all thofe that live upon juices: and, even in man, an uncommon Ihortnefs of the inteflines has been knowa 136 INTESTINES. Ch.XXV. known to be attended with hunger, and a flux or dif- cbarge of fetid and fluid feces. DCXXXVIil. The heat by which the aliment is fo- mented, and which is exceedingly proper for the folu- tionof the gelatinous matter, and exciting a beginning putrefaftion, is hence the principal caufe of the fetor which is gradually produced in the aliment ; thence alfo is the cauie of that thinnefs by which the ufeful part of the iilimf-nt is fit;ed for abforptioni But the air alfOj inclofed in the vifcid aliment, operates here, as in the itoinach, by breaking the cohefion of the aliments, if any vtt remain whole. The inteftinal water dilutes the little mafles of aliment ; and if any hard part remains^ this liquor Toftens it by maceration. The bile being in- timat'-jly mixed with oil, diiTolves the fame, and renders it mifciblc with water. CHAP. XXVI. Of the Large li^TE5ru and in this way ta produce hernias. '"^ You will find it raoft elegantly drawn la Camper's very ufe- ful plates of hernias. 170 MALE GENITALS. Ch.XXIXv fecond ftratumis called tunica vaginalis ^''^ In this the Veficles or cells of its fabric appear larger than elfewhere, and may be inflared one after another. At the begin- ning of the teflicle, above the epididymis, it is, in a manner, fo feparated from the reft above the tefticle, towards the rings of the abdominal mufcles, that the inflation can hardly be continued through. Betwixt this laft membrane and the following is a fpace, into which are exhaled thin vapours, and fometimes a •water is collected. The inner coat, called albuginea, is aftrong, white, compact membrane, which immediately invefts and confines the proper fubftance of the tefticle itfelf. DCCCXI. The tefticle more properly fo called, is of an oval figure, with an acute vertex, looking upwards and a little outwards. The epididy?ms is a kind of ad- ditament to the tefticle ; and is a flat fubftance, re- fembling thick tape, which goes round the pofteriof margin of the tefticle, to which it is conne£ted by the cellular texture, and by blood-veftels. In the lower part it is plain ; on the upper part it adheres to th© tefticle by a thick and convex head, as it does alfo on the lower part. In the middle, it is partly attached by its bafis, and being partly free makes a blind fac. DCCCXII. To the tefticle iht fperfnatic arteries de- fcend, one on each fide fent off" by the aorta below the renal arteries ; but not unfrequently from the renal arteries themfelves, from thofe of the capfules, or from the aorta itfelf above the emulgents. This artery, the fmalleft in the body in proportion to its length, defcends a long way outward before the pfoas mufcle, and gives fmall branches to the fat of the kidney, to the ureter^ mefocolon, glandules of the loins, and to the perito- naeum; but more efpecially towards the bottom of the kidney, ^''^ There are three coverings which furround the fpermatic cord with the tefticlf, known by the name of vaginal tunics. The common vaginal, which is the true continuation of the peritonasum; the proper vaginal coat of the cord;> confifting of a loofer cellula'^ membrane; and the proper vagiaal coat of the tettick> Ch.XXIX. male GENITALSo 171 kidney, it gives a remarkable branch infle6led and co- vered with fat, yet Icflening itfelf, that takes a ferpcn- tine courfe behind the peritonaeum, as far as the ring of the abdomen. This ring is formed entirely of the tendinous fibres, defcending from the external oblique mufcle, interrupted in their oblique defcent by a long aperture, growing wider downward ; from this aper- ture part of the fmaller inner fibres are broadly detach- ed to the OS pubis, and others crofTmg cohere with the fibres beloning to the other fide of the mufcle, which, being colledted together, is called the inner column. Other ftronger external fibres, diftinguiflied from the former by the aperture, are broadly infertcd by a thick bundle into the outer fide of the os pubis, under the denomination of the external column ; from whence va- rious fibres run off to the fafcia lata and groin. The upper part of this opening . is in fome meafure clofed up by fibres, arifing from the outer column, and a- fcending in a curve diredlion round the inner and weaker column. Below thefe fibres there is a fmall opening left, often feparated by tendinous fibres, thro' which defcends the fpermatic artery, with the vein, and vas deferens, with a good deal of cellular fubftance, by which they are wrapt together into a cylindrical cord y before the external column, through no perforation of the peritonaeum, which it has every where lying on this fore part of it. At the hafis of this ring, the duclus de^ ferens is joined with the rope of veffels, and the whole bundle arrives at the groin, and thence at the fcrotum. The fpermatic artery gives many fmall branches to the cremafler, to the cellular coat, and to the feptum of the fcrotum ; and then defcends in a double plexus, to the teflicle; of which the principal comes from betwixt the epididymis and originof the vas depTens, at the middle and lower part of tcfticle, and then goes, by tranf- verfe branches, through the albuginea ; the other plex- us, that accompanies the vas deferens in the upper part of the tefticle, has a like termination, and is va- rloufly inofculated with the former. There are other M 2 fmall 172 MALE GENITASS. Ch.XXIX; fmall arteries, which go to the coverings of the te- fticle from the epigaftrics, and others from thofe of the bladder, . which follow the courfe of the vas de- ferens, both which communicate with the fpermatic veflels. DCCGXIII. Many of the fmall arteries play about the epididymis ; but the larger of them fpread tranfverfely through the albuginea, which they perforate in feveral places, to enter the innermod fabric of the teflicle, through which they are minutely ramified in all points, and feparated by numberlefs membranous partitions. There is no large anaflomofis or communication be- twixt the fpermatic artery and vein here, any more than in other p jrts of the boay ; but fome red blood is re- ceived inlo rhofe branches that pafs through the albu- ginea to the innermoft fubftance of the tefticle. But irom the long courfe of this artery, the fmallnefs of its diameter, the number of ferpentine flexures, the great ratio of the dividing branches to their trunk, and the coldnefs of their fubcutaneous diftribution, demonflrate, that the blood flows not only in a fmall quantity, but very flowly, to the teflicle. DCCCIV. T\\p fpermatic vein of the right fide is in- ferted into the cava ; but that of the left pours its blood into the emulgent vein, or into both; it isenormoufly lar- ger than the artery, and takes the fame courfe in com- pany with that; but both its trunk and branches are much larger and more numerous, very ferpentine, and formed into a bunchy plexus of confiderable length, which is interwove with the artery, and continued as low as the teilicie, there by degrees dividing into two like the artery. There are fome valves in this vein, but few. DCCCXV. Thefe external coverings of the tefticle have imali arteries from the epigaftrics ; the fcrotum ffom the crural arteries, with an internal branch, which are called the external pudenda ; the fellow veins go to the faphena, and to the crural trunk. DCCCXVI. The nerves of the tefticle are many, whence Ch.XXIX. male genitals. 173 whence it has a peculiar tendernefs of fenfation ; info- much that faintings and convulfions follow from bruifing t)r injuring the tefticle, and particularly a conftriilion of the jaws. Some of them arife deep from the renal plexus, from the mefenteric plexus, from the trunk of the intercoftal nerve, and laltly from the mefocolic plexus, and follow the courfc of the fpermatic veflels. Others are proper to the furface of the coverings of the tefticle, from the fecond, third, and fourth pair of the nerves of the loins. DCCCXVII. I have frequently obferved lymphatic veffels in the fpermatic cord, which are judged to arifr- from the tefticle itfelf, and mix themfelves with thoff- that accompany the inguinal blood-veftels. The ind'uftr^t of late anatomifts have traced them even to the net-l work of the tefticle itfelf. DCCCXVIIL The blood, moved flowly and in a fmair quantity through the fpermatic artery, by^which it is brought to the inner fabric of the tefticle (DCCCXIIL), is there drained into very fmall veftels, which carry their fluids to ihtfeminal veffels, although we are igno- rant of the manner by which the arteries communicate with thefe canals, the bundles of which form the whole fubftance of the tefticle, Thefe feminiferous veffels are exceeding fmall, ferpentine, firm, or folid, and have a very fmall light in proportion to their membranes; they are not, however, blind, as I have feveral times filled them through the vas deferens. They are coUeded to- gether into bundles, about twenty in number, divided by diftind cells or partitions, which defcend from the albuginea to conduct the arteries and veins. In each of thefe cells there is a feminiferous dud, to convey the fecreted humour from the feminiferous vafcules. Twenty or more of thefe duds form a net -work, adhering to the furface of the albuginea, and forming inofculations one with another ; and quickfilver is very eafily poured from them into the furrounding cellular texture. Frqm that net in the upper part of the epididymis, afcend twenty or thirty duds, which, being contcned into folds, form M 3 aa 174 MALE GENITALS. Ch.XXIX. as many vafcular cones, that are joined together by an intermediate cellular fubflance ; and lying incumbent one upon another, then form the head of the epididy* mis, and in that head foon meet together into one duct without the tefticle "^ DCCCXIX. This duel being intricately wove by an infinite number of folds and ferpentinc flexures, after a manner not imitated in any other part of the body, and connected together by a great number of loofe cellular ftrata, is afterwards collected by a membrane of the al- buginea into one bundle, called the epidldymu. But the duct of which it is compofed, grows larger as it de- fcends, being largeft at the bottom of the tefticle; from whence again afcending along the pofterior face of the tefticle, in a diredion contrary to itfelf, it by degrees fpreads its fpiral convolutions, and comes out much larger, under the denomination of dudus deferens. Almoft always, however, a fmall veffel feparates fome- where from the ductus deferens, and afcends along with the cord, having an uncertain termination. DCCCXX. This is the courfe defcribed by the femen, propelled forward by the motion of the fuceeding juices in the tefticle ; and perhaps, in forae meafure, though ilowly, by the contraction of the cremafter : as we may reafonably fuppofe, from the numberlefs fpires and convolutions formed by the epididymis, obructing al- moft every kind of injection ; and, as we may con- clude, from the length of time that is required to fill the feminal veficles again, after they have been once exhaufted. DCCCXXI. The cylindric du£tus deferens being made of a very thick fpongy fubftance, included betwixt two firm membranes, bored through with a very fmall tube, afcends in company with the cord of the fper- inatic veffels, and together with them paffes through the ring ^'^ This every obfervation confirms: but I have often feen the number of the cones greater. Fontana fays they have been as many as thirty-feven ; and the celebrated Monro long ago dcmoaftrated, that they vary diS^erentiy in different pcrfons» Ck.XXIX. male genitals. 17^ ring of the abdomen (DCCCXII.) : thence it defcends into the pelvis ; and applying itfelf to the bladder be- twixt the ureters, it foon after meets the fubjacent re- ceptacles, called the right and left veftculiZ feminales. Here it goes along the inner fide of the veficle, as far as the proftate glandule ; and dilating in its paifage, forms a ferpentine flexure, that begins itfelf to put on a cellu- lar appearance. But very near the proflate, being con- tinued from thefe cellular bendings, with a conical ducb coming out from the veficle, it unites in a very acute angle, which does at the fame time itfeif form a conical du6l ; which being continued rather with the vas de- ferens, and finking through the proftate gland, is there wrinkled into a large fold, and going oft' outward at right angles from its companion on the other fide, and afterwards (traitened, it opens into the urethra, thro* a little hollow protuberance, which has a long tail or defcent, and is laterally perforated with tv/o very fmall openings, one on each fide. By injeding a liquor into the dudus deferens of a dead fubjecc, we perceive that it flows b.oth into the urethra and into the feminal vefi- cle, but more readily into the former: but in a living perfon the femen never flows out but in the afl: of ve- nery ; and confequently the duftus deferens conveys all its femen, without further delay, over a retrograde angle, to the feminal veficles. DCCCXXII. By this laft denomination we call a fort of ftrong convoluted intefiine-like membrane, placed under the bafis of the bladder, conneded towards its neck by a good deal of cellular fublfance : from this ten or more blind gut-like cells or inteftinuli go off laterally, in fome meafijre ramified and divided, but ending in impervious conical extremities. This kind of intelfine, intermixed with a great deal of firm cellu- lar fubftance and fmall vefiels, is io contracted, as to lie within a Ihort ferpentine heap. For the relt of its fabric, it feems to have externally a pulpy and thick membrane, and likewife fomething fimilar to the dudus deferens. Internally it is wrinkled, having a fort of villous M 4 ap* 't76 MALE GENITALS. Ch.XXIX appearance ; and is befides faid to have fmall pores and glandules, with which I am unacquainted, but various and hollow cells it certainly has. DCCCXXIII. The liquor depofited into this refervoir, is in the tefticle yellowifh, thin, and watery : and the fame nature it retains in the veficle, only becomes there fomewhat thicker and higher coloured ; and laftly, it ' is white in mankind, when it has mixed with the liquor of the proftate. It has a fort of heavy or ftrong fmell, of a peculiar kind in each clafs of animals ; and it is the hcavieft humour in the human body. In water, how- ever, a part goes off into a kind of cuticle, like a cob- web, that fwims in the liquid ; the greater part, which is feemingly of a pulpy nature, falls to the bottom. In the femen which is long kept by chaite people, fhining globules mixed with the white liquor are eafily to be feen. It has a very great quantity of mucus. DCCCXXIV. Without the conveyance of this into the womb, no clafs of animals, of which there are two fexes, can be fecundated fo as to propagate their fpe- cies. The reafon of this was concealed from us, till the microfcope taught, that in man, as well as in all other male animals, the feminal liquor is full of living ani- malcules, refembling eels, only with a thicker head ; and that thefe are alv/ays prefent in healthy femen, from the time that a perfon comes of age; but, before that time, and in thofe who are fterile from a gonorrhasa, they are abfent ''^. That they are animacules, appears evi- dently from their various motions, rcftings, and geftures of body. DCCCXXV. It has been much doubted what could be the ufe of thefe animalcules ; and in another place we (hall confider the difpute concerning the opinion that they are as it were the firft appearance of the future animal. ^'^ A very few authors excepted, all agree, that there are ani- malcula in the femen of the more perfect animals; as has been fhown by the elegant obfervations of Ham, Leuenhoeck, Hartzoeker, more than thefe hundred years ; which, alfo the labours of the fa- mous Liebcrkubn, Leidcrmuiler, Burgrav, Gleuhen, and Spallanzanij have confirmedj and demonltratcd all their att^ibutes^ Ch.XXIX. male genitals. 177 animal. To me, in the mean time, the nature of the feminal animalcules feems to be the fame, with that of the eels in vinegar or pafte. DCCCXXVl, That the femen is produced ffom the lymph of the blood, and that the chyle is added to the lymph, will appear probable from the fudden alacrity to venery that happens after eating, and which is lelTen- ed by fading. It is compounded of the liquor of the tefticles and feminal veiTels, the former indeed being more evident in fonie animals, and the coagulable milk of the proftate gland. That liquor, however, only fe- cundates which is generated in the tefticles ; as we fee from geldings, which, though they have the feminal veflels and proftate, are yet barren. DCCCXXVII. The feminal fluid is retained in the veficles as long as a man neither exercifes venery, nor fports in imaginary dreams. But it is always a ftimuius to the animal appetite of venery, as long as it is there prefent in any quantity. But befides this, there is a conftderable ftrong, volatile, and odorous part of the femen abforbed^again into the blood, where it produces - wonderful changes as foon as it begins to be formed ; fuch as the protrufion of the beard, the covering of the pubes, a change of the voice and paffions, horns in. cattle, &c. for thefe changes in *the animal are not the confequences of age, but of the feminal fluid, and are always abfent in eunuchs. The ;]:rowth and Itrength of caftrated animals are conftantly diminiflied ; and in like manner the fiercenefs of their temper, and the ftrong fmell of their whole body, are remarkably weakened. And from the examples of fome animals, and even of mankind, it appears, that the irritation of this fluid has occafioned death, by exciting convulfions. A retention of the femen may follow from a narrownefs of the ex- cretory du6:, a fcirrhofity of the proftate, and other caufes not fufficiently known. DCCCXXVIIL The quantity of femen expelled at one time from the human veficles is but fmall, more efpecially in a man who has not long abftained from ve- nery 5 17^ MALE GENITALS. Ch. XXIX, nery ; and it is natural t© think that the liquor can be but flovvly produced froui fo fraall afubcutaneous artery. It.> generation is accelerated by love, by the prefence of the beloved woman ; fo that it diftends its veffels with a fenfe of pain. Nature heifelf, therefore, enjoins ve- nery, both for preferving the human rac^ and likewife the health of every found man. That it comes from the tePricle, is fhown by difeafes, in which the duclus deferens being obftrucled, a fwelfing of the tefticle has enfued. The veficles never are emulged, except by venereal a6:ions and aoDetites. , DCCCXXIX. Seeing the femen is in fmall quantity, that it might be projefted with a greater force, and to a farther diftance, nature has joined another humour,- which is generated by the pro/late. This is a gland, ihaped like a heart, with the fmall end foremoft, fo as to furround the organ of the urethra, but moft round its upper fide. This is one of the hardefl and moft corn- pad; glands, of a peculiar fabric, yet not evidently con- glomerate ; it prepares a thick, white, fofr, or cream- like liquor in a large quantity, which is poured out at the fame time and from the fame caufes (DCCCXL.) with the femen itfelf, into a little valley or channel at each fide of the openings of the feminal veficles, where, mixing with the feminal fluid, it imparts the white co- lour and vifcidity which the femen poiTelTes. DCCCXXX. But it was neccffary for this canal of the urethra to be firm and capable of a direcl figure, that it might be able to throw the femen with fome flrength into the diftant v?omb ; and therefore a three- fold cavernous body furrounds it. The iirft and proper cavernous body of the urethra begins, as foon as that canal has paffed the proftate, with a, thick origin, almoft like a heart, firll under the urethra, and then Tabove it, but thinner; from thence it furrounds the whole car nal, through the whole length of the penis, till the lower part terminates in the glans, while the upper part is reflected from the extremity of the urethra, and, being dilated, returns in a dire<5tion contrary to that .Ch.xxix. male genitals. 17^ that of the penis, which being circumfcribed by a broad circumference, gradually extenuated, and ibmewhat round, terminates the extremities ot the cavernous bo- dies, upon which it is incumbent, and with thofe for the mod part communicates by an imperfe6t feptum. The fabric of this body is cellular, but of a larger fort than the cells of the cavernous bodies, being compofed rather of plates than fibres, interwoven like a net, and intercepted betwixt two firm membranes. DCCCXXXI. Into this cavernous body of the urethra, the blood is poured out from the arteries, which come from deep branches fent off from the external hasmor- rhoidals (DCCCXXXVL); the truth of which is de- monftrated by the injection of any kind of fluid, which, being urged into the faid arteries, eafily flows into thefe cellular fpaces furrounding the urethra. But thefe are not naturally turgid wath blood, becaufe there are veins open and numerous enough in proportion to drink up and return what is poured in by the arteries ; but if the return is impeded by comprefTmg thofe veins from the powers hereafter mentioned (DCCCXXXIX.), the blood is then retained within the cellular fpaces, while the ar- teries continue to import it more fwiftly and flron^ly than the veins return it. Thus the flagnant blood dif- tends the bulb of the urethra, together with its caver- nous body, and the glans itfelf. But this is performed generally at the fame time, when the other cavernous bodies of the penis, with which this of the urethra has no communication, are likewife rigidly diftended. DCCCXXXil. But the cavernous bodies of the penis arife from the oifa ifchii and pubis, where they are con- joined by a white, cellular, very denfe, and firm fub- ftance ; from whence inclining inward towards each other, they take betwixt them the urethra, a little before its bulb, where, changing their diredtion, they go on parallel, conjoined together^ and with the urethra ex- tended forward along their middle, and terminate with an obtufe end in the glans, and laterally they are com- prehended by the cavernous body of the urethra, Thefe bodies 18© MALE GENITALS. Ch.XXIX; bodies are covered with a very firm integument, and their internal flefh is fpungy, lilce that of the urethra (DCCCXXX.), like which it is capable of being diftend- ed by the reception of the blood. Betwixt both caver- nous facs there is a middle feptum or partition, compo- fed of firm parallel tendinous fibres, growing narrower downward ; but not continuous one to another, that the intermediate fpaces might be larger and more nume- rous as they are more forward, and that they^i might leave a free communication betwixt the right and left fpungy body. Other fuch robufl: fibres run through the cavernous bodies, and are very firmly inferted into the fides of their membranous fac, fo as to prevent an aneurifm or over-diflention of the penis. DCCCXXXIII. Thefc cavernous bodies are furround- ed with a good deal of very tender cellular fubftance ; of which that fide lying next the cavernous bodies is denfe and firm, like a membrane ; but from thence out- ward, towards the fkin, its fabric is cellular and very tender, without including any fat, and continuous with the cellular membrane of the fcrotum, but always the more tender the nearer the ildn it is ; and, by blowing air into it, it appears to have a fine filky texture. But the glans (DCCCXXX.) is naturally covered in fuch a manner, that the fkin is continued from the penis, and folded back againft itfelf, as we obferve in the eye-lids; -both folds of the fkin being covered with its proper cu- ticle, and ftufFed, each with its proper cellular (fratum, under the name of preputium, or prepuce ; which may be, like a cap, drawn back from, and again brought' over, the glans ; at which it changes into a tender pa- pillary body, vehemently fenfible, covered with its pro- per cuticle and cellular fubftance, fpread over the re* fiefted cavernous body of the urethra (DCCCXXX.); and, finally, is continued with the membrane of the urethra itfelf. The faid prepuce is tied by a double triangular ligament, by which the common fkin is con- joined to that which makes the covering of the glans. _ Ppon the excavation that furrounds the crown of the glans^ Ch.XXIX. male genitals. jSi glans, as well as upon the crown itfelf, are feated fimple febaceous follicles, which feparate a liniment of a pecu- liar, fomcwhat fetid fmell, from the nature of their feat, ferving to abate the attrition of the fkin, as in other parts of the body. Finally, the whole body of the penis is fuftaincd by a firm cellular plate, corapadted into a kind of triangular ligament, which defcends from the fyn- chondrofis of the ofl'a pubis, and is from thence conti- nued into the denfe cellular flratum. that furrounds the hard cavernous bodies. DCCCXXXIV. The whole human penis forms a cy- lindrindrical body, depreffed on the upper part, of va- riable magnitude J whofi? ufe is, to be received into the female parts of generation, and to carry thither prolific femen. DCCGXXXV. Thefe cavernous bodies then of the penis, having their fpungy fabric diftended in coition by the blood retained by the veins, and (till propelled by the arteries, become rigidly turgid, and fuflain the other- wife flaccid or but weakly filled urethra, in fuch a man- ner that it may be able to conduct the femen into the diftant womb. All this is demonftrated from the diifec- tion of brute animals in the a<5t of venery, from an ar- tificial erection, and from the injection of liquid mat- ters into the vefTels of the penis. The caui'e is love, the defire* of pleafure, the friction of the glans, vari- ous irritations of the bladder, teflicles, feminal veffels, urethra^ from the urine, from abundance of good feed, from the venereal poifon, from cantharide?, whipping with rods, or convulfion of the ncr\4es. But the caufc of this diflention remains flill to be cxplaiJied. The diiiribution of the blood- veffels into the genital parts are therefore to be here defcribed, to make it evident, how ready the comprefiing caufe conftantly is to act up- on the veins. DCCCXXXVI. The aorta at the fourth vertebra of the loins, and the vena cava at the fifth, are divided, the former before the latter. The common iliac brar.ches, cot yet arrived to the middle of the interval in the thighs, fend !B2 MALE GENITALS. Ce.XXlt. fend ofi: inward and downward a confiderable artery, called the hypogajlr'ic^ which in the foetus is larger than the femoral artery, and in the adult is equal to it. This defcending into the pelvis, divides into four, five, or fix principal branches ; of which the firfl is the iliaca anterior^ v/hich fupplies branches upward to the dura mater, cauda equina, and loins, and afterwards into the OS facrum. The next, or facro-lateral artery, goes oil from the bone of that name, when it does not arife from the former ; and the third, or iliaca foflerior, is diflributed to the glutei mufcles. The fourth, the ifchi- atica defcendens^ goes to feveral mufcles, nerves, and le- vators of the anus. The fifth trunk is -that of the hce* 7mrrhoidea infima or pudenda communis^ which in the ca- vity of the pelvis fends confiderable branches to the bladder, and to the rectum gives the middle hemor- rhoidal joined wirh the mefenterics ; after which, going out of the pelvis, it creeps by the fide of the obturator, and gives off the external hcsmorrhoidals to the fphincter and ikin of the anus : then dividing, it goes with an in- ternal branch to the bulb of the urethra and furface of the proftate, where the external is again divided : here it enters deeply the cavernous body of the penis, and runs through its whole length; while by another branch often joined with the velfeis of the bladder, it runs along the back of the penis, according to the direftion of its bodies, and terminates with them by ramifications into the fkin. The fixth is the obturatrix^ fpent upon the joint of the femur and adjacent mufcles. The laft is the umbilical artery^ to be defcribed in treating of the foetus; although in adults it fends off forae branches to the bladder, from its thick callous vagina. Sometimes one or more of thefe arteries come from the common trunk. The fkin of the penis and fcrotum have their arteries from the epigaftric, and from the internal branch of the crural. Thefe external arteries communicate in many places with the internal. DCCCXXXVIl. The veins are, in general, diflributed in like order with the arteries. They come oif in two 2 trunks Ch.xxix. male genitals. i§^ trunks from the iliacs, joining together into a net ; and then the bamorrboidal vt\n, bending round under the os pubis, forms a large plexus, fpread with the veins of the pelvis upon the prottate and feminal veficles : from hence the vena fenis arifes, which is often fingle, and furniihed with valves to forward the return of the blood. The external veins of the penis and fcrotuni go to the faphena and crural, communicating in feveral places with the internal veins, more efpecially at the ba- fis of the prepuce, DCCCXXXVIIL Lymphatic vejfeh of the penis are, by m.oft eminent anatomiris, faid to run under the fkin towards the groins. The nerves of this part are both numerous and very large, and accompany the arteries of the penis from the trunk of the great fciatic nerve '^'°. But the bladder, reftum, and uterus, are fupplied by the lower mefenteric plexus, which arifes from the middle one, defcending into the pelvis. DCCCXXXIX. In order to diftend the penis, there muil:beeitheracompreffureofthcvein(DCCCXXXIV.), bringing back the blood from the cavernous bodies of the penis or urethra; or at lead it is neceflary that there be a conftridion of the lefTer veins that every where open within the cavernous bodies, to hinder them from abforbing and returning the blood from the arteries* The firfi, however, may be efFeded by the levator, draw- ing up the proftate and bladder : but it is very probable, that, as we fee in the nipples of the fuckling mother, in the gills of the peacock, and in the blulhing or rednefs of the face from paffions of the mind, as well as from brute animals, which all couple without the ufe of any erecfor raufcle ; from the erections which take place in animals totally different from man, and efpecially thofe which ISO Tijg bundles of the nerves of the penis are numerous and great, equalling aimed the fenfitive organs. The fuptriar ones have a double origin ; the common plexus of the perinasiim arifes from the ifchiadic plexus, which produces the great dorfal nerve of the penis, that is drtlributed between the (Icin and lateral part of the corpora cavernofa, as far aa the gland itfclf : the inferior ferve both the pesis and fcroium. i84 MALE GENITALS. Ch.XXIX. which take place in birds very quickly; from the re(fc of the erector mufcles themfelves in the libidinous erec- tion of the penis, and from their unfitnefs for compref- fmg the veins : from all thefe, 1 fay, it is probable, that the courfe of the blood through the vein may be retard- ed, without the immediate ufe of any mufcle ; and that, by the power of the numerous, fmall, latent, nervous bridles, by whofe conftriclion, from the force of plea- fure, the veins are compreifed and ftraitened, fo as to return lefs blood to the trunks, at that time, than what is imported by the arteries, which are not only free from any ftri£ture, but, by the increafe of pulfatioa bring a greater quantity of blood, which caufe alfo con- tributes to produce the ereclion. But the caufe of this conftriclion in the nervous bridles or fphinders them- felves depends upon a mechanical irritation of the nerves, and from fomething more fubtile, by which means the penis is immediately ereded. DCCCXL. A long continued and violent ere£^ion is at laft joined commonly with an expulfion of the femen ; and this requires much greater force than is requifite for the eredion only. For the femen follows at that time when the irritation of the nerves is arrived at its greatefl height : and in natural venery indeed, when at length the cellular fpaces of the urethra and its con- .tinuous glands, which are at lall filled, become fo far diftended with a large quantity of warm blood, that the nervous papilla, (tretched out in the latter, be- come violently affefted from the irritating or plea- fing caufe ; the feminal veficles are emptied by the levator mufcles of the anus, which prefs them againft the refilling bladder with a convulfive motion, excited either by a voluptuous imagination, or from the pruri- tus that is exquifite in the nerves of the glans, princi- pally in its lower part, which is in the neighbourhood of the frenum. Hence the femen is never difcharged with any of the urine, in an healthy man ; becaufe the expulfion of it requires the bladder to be clofed or drawn up firmly together j for, while lax, it affords little or no 2 refiftancc Ch.XXIX. male genitals. i8s refiftance to the feminal veficles. The tranfverfc mufcles feem to dilate the canal of the urethra for the reception of the femen exprefled from the velicles. DCCCXLL Soon afterwards the powers conftringing the urethra are, from the irritation of the very fenfible fabric of that canal, put into adtion. To this conftric- tion conduces principally the accelerator (DCCCII.), which makes a powerful concuffion of the bulb aLnd ad- jacent part of the urethra, fo as to propel the contents more fwiftly, in proportion as the bulb has a larger dia- meter than that of the urethra. But that this may ad firmly, the fphinder of the anus, together with that of the bladder, mull be well fnut. The accelerator mufcle feems alfo principally concerned in the ereftion, by com- preffing the veins of the corpus cavernofum of the ure- thra. At the fame time the ere^ores p&nis, as they are called, arifmg from the tubercles of the ifchium, become ftrong, and are inferred into the cavernous bodies, fu- ftaining the penis as a fort of medium betwixt the tranf- verfe and perpendicular direction. Thus the femen is drove into the vagina, and into the uterus itfclf, in a prolific coition : the whole adion of which is very im- petuousj and comes near to a convulfion 5 whence it wonderfully weakens the habit, and greatly injures the whole nervous fyflem, as the maladies arifmg from thence feem to indicate, in confequence of the affec- tion of the nerves, without which the femen cannot be expelled. CHAP. Tit, Of the Virgin Uterus. DCCCXLIL ^ I ""HE uterus is feated in the upper part JL of the pelvis, with the bladder be- fore, and the redum behind it, v/ithout adhering to either of them, and has iis mouth turned a little for- wards. In an adult woman, it is contained within the pelvis ; but in an infant, it lies above it. In women, the peritongeum defcends from the os pubis into the Vol. II. N pelvis, i8^ VIRGIN UTERUS. Ch.XXX. pelvis, over the pofterior face of the bladder, down to the bottom or mouth of the uterus i from virhence again .it afcends over the forcfide of the uterus ; and paffing round its convexity, defcends on the pofterior fide down to the vagina, from whence it extends laterally or tratif- verfeiy on each fide, including the reftum with lunated folds, which is all the difference betwixt the female and male peritonaeum. But this fame peritonaeum, coming into the pelvis from the iliac veffels, and broadly adhe- ring to the fides of the uterus and vagina, is folded back over itfelf, rmd divides the pelvis into two parts, the anterior and pofterior, like a partition, under the deno- mination of Ugamerdwn latum. Thus the peritonaeum accurately connects the uterus, without the intervention of any fat, fo as to ferve it on all fides as an external coat or covering. It does not, however, hinder the uterus from being totally free and moveable. DCCCXLIII. The body of the uterus is ufually di- ftinguilhed from its neck. The body is flatly convex before and behind, with acute edges on each fide and at the meeting of its convexities, but converging gra- dually afterwards for fome way ; in its upper part, mo- derately convex. It has a peculiar fabric, being made up of a clofe, firm, but fomewhat fucculent and cellular llefli, in which we perceive the appearance of mufcular fibres, more efpecially in thoie women that have born children : fome of vv'hich fibres are flat, and mixed with one another into a kind of net-work; others run along the uterus longitudinally, from the bottom to the mouth of the uterus, difpofed ia various circles, and particu- larly at the fundus betwixt the tubes, and likewife in the neck near the mouth. In beafts, the uterus is ma- nifeftly mufcular ; and in women, likewife, gives evi- dent figns of a contraftile power. Its outer coat is re- ceived from the peritonseum. As for any mucous finu- fes varioufly branching and dividing within the fiefh of the uterus, after repeated inquiries we now declare, that we have not been able to find any ; only fome veins, furrounded with cellular fubftance, by which their dia- A meters Ch.XXX. virgin uterus* i8^ meters are fuftained. The internal membrane of the uterus is continued from the cuticle ; in the upper part of the cavity fleecy ; and in the lower part callous, and valvular. The cavity of the uterus is fmall, for the mofl: part triangular upv/ard, and below like a compref^ fed cylinder. The cylindric part, which is called the cervix or neck, is comprelTed, thick, and has alfo a cy- lindric cavity within. It is altogether rough, with callous wrinkles rifmg up into an edge ; whence they incline towards the vagina. Thefe recede laterally from the anterior and poflerior margin, joining together by fmall wrinkles, in the intervals of which are fmall mu- cous finufes, with fmall pellucid fpherules, filled with a very clear liquor, in fome parts interfperfed through the upper region of the cervix uteri, differing both in their number and magnitude. It is not uncommon for the uterus to be diflinguilhed by a line or protube- rance extended through its middle. The cervix is ter- minated by the os internum uteri, with a tr'anfverfe rim, forming protuberant Ups, which project for fome length, into the vagina, are received by its blind extremity, and project into it obliquely forward. But it is full of mucus, and mucous finufes fituated in its fwelling lip. DCCCXLIV. The triangular part of the uterus fends out, from its lateral angfes, canals, in fome meafure folded together by the cellular fubftance, growing gra- dually broader, and being again a little contraded to- wards their extremity, they proceed towards the ovary, firft in a tranfverfe diredion, and afterwards a little de- fcending, but with fome variation, under the denomi- nation of the uterine tubes. Their external membrane is from the peritonseum : for they are included within the duplicature of the broad ligament, which is a produc- tion of that membrane ; internally they are wrinkled almoft reticularly, lined with mucus, extended to a confiderable length by intervening plates or folds which broadly crown the opening of the tube, which is alfo connefted to the ovary. Betwixt the two membranes is , N 2 fome- i88 VIRGIN UTERUS. Ch.XXX. fomething of a fpungy cellular fubftance, of a flender texture. They alfo contain ufually a mucus, the ori- gin of which is not known. There are alfo great num- bers of velfcls, and perhaps fome mufcular fibres, but the latter are more obfcure. They are fupported by the proper fold of the peritonseuni which goes out from the broad ligament. DCCCXLV. But the ovaries, included in the fame dupllcature of the broad ligament behind the tubes, are feated tranfverfely, and conjoined to thefe tubes by a H- gamentary expanfion of their own, which is long enough to allow them a free motion. They are fomewhat of an oblong or oval figure, deprelled on each fide, con- vex upon their unconnefted fide, and half elliptical ; but that which is connected with the ligament is ftraight. Their membrane, which comes from the peritonasum, is thick, and almoft cartilaginous. Their fabric nearly enough refembles that of the uterus itfelf ; being a clofe, white, cellular fubftance, compacted together, without any fat. The margin of the broad ligament, receding from the uterus to fuftain the ovary, has fomething of a more folid and thick fubftance, reiembling a liga- ment, yet is not a hollow or true canal. DCCCXLVI. But in the ovary even of a tender vir- gin, arefituated round veficles made of a pretty ftrong pulpiy membrane, connected every where to the ova- rium by cellular threads, which are filled with coagu- labie lymph ; of an uncertain number and magnitude, being found in one ovary to fifteen and upwards. Thefe remarkable bodies are found very widely diifufed thro' all animals, even fuch as have but one fcx. DCCCXLVII. Laftly, the uterus fends out from the fame lateral angles of its triangular body downward, a kind of fafciculus, compofed of long cellular fibres and fraail veflels '^', which, becoming fmailinits progrefs, goes *^* They grow to a remarkable Cze during pregnancy, along with the other fpermatic and uterine veflels ; and this bundle abounds with many lynriphatic vefTels, which is called, though not very pro- perly, teres ligametitumjiterU Dr Hunter has giveo aa excellent drawing jof it. Ch.XXX. virgin uterus. ' iSp goes out of the pelvis through the ring of the abdomen (DCCCXII.) into the groin, where itfplirs into branch- es, and diffolves into fmall veiTels, which communicate with the epigaftrics. Whether or no it has any long fibres propagated from the uterus itfelf, does not plainly appear. DCCCXLVIIL The arteries of the uterus are from the hypogaftrics ; a confiderable branch of which goes off, like that to the bottom of the bladder in men ; or at leafl: it arifes from the umbilical trunk, or immediate- ly below that trunk, and makes the common artery be- longing to the uterus^ bladder, and reftum. It fpreads on the lower parts ot the uterus, almolt at the extremi- ty of its neck ; and, afcending upwards, fends tranf- verfe infle(Eled branches to the uterus, makes numerous anaftomofes with the fpermatics, and often gives arte- ' rics to the tube itfelf. Another plexus of branches tends downwards to the vagina, and follows it a long way ; although there is otherwife a proper vaginal ar- tery originating in the pelvis, and branches fometimes come from the mefocolic. There are alfo feminal vef- fels which have the fame origin as in men ; and form a. plexus, which, from its fimilitude to the tendrils of a vine, is called pampiniformis. This plexus, defcending over the pfoas mufcle into the pelvis, divides into two plexufes. The pofterior furrounds the ovary itfelf, with many circles, elegantly diitributed through its fub-r fiance and tlie ova themfelves. The anterior both fup- plies the tube, and defcends to the uterus itfelf, in v.'hich it fends out winding branches upward and downward, and fome branches that are detached to the bladder. Another artery is the middle haemorrhoidal, coming from the common trunk of the pundendal, a conlide- rable way forward with the vagina : to which, and to the bladder and rectum, it is diftributed. The begin- ning of the vagina likewife, and the clitoris, have arte- ries from the external hemorrhoidal, which are diflri- buted like thofe of the penis, fome inwardly, others fu- N 3 190 VIRGIN UTERUS. Cn.XXXa fuperficlally, both of which inofculate with the vefical branch. DCCCXLIX. The courfe of the uterine veins is like to that of the arteries, originating from the trunks of the hypogaftrics ; they are the internal uterine, the vaginal, the middle hemorrhoidal, the external circumflex, and thofe of the clitoris. But they make a remarkable plexus on each fide, which occupies the fides of the va-; gina below the clitoris. Below that, it is joined into a continued plexus with its companion on the other fide, A plexus alfo from the external hemorrhoidal, and joined with the vefical veffels, goes to the clitoris, as well as to the penis. It has no valves, except a few in the fpermatics. Thefe, in a very large bundle, go to the ovarium, and alas vefpertilionis. DCCCL. Within the uterus itfelf the arteries termi- nate in exhaling branches on its internal cavity. By childbirth thefe go off into litde pendulous productions, like very fmall eels. Thus the veins of the uterus are at the fame time very large finufes ; for the veins are enormoufly augmentedj and open with very large mouths into their cavity. DCCCLI. Lymphatic vefiels are found in the uterus of brutes, but more rarely in the human ; they have been obferved, however, by very eminent anatomifts. DCCCLII. The nerves are fupplied from the lower mefocohc plexus, united with thofe of the facrum, which fends out large branches to the bladder, womb, and re£lum ; befides which, there are a few nervous twigs that defcend through the broad ligament to the ovaries, and others from the nerve that goes with the vefTels to the clitoris. But the ovary has alfo its proper nerves from the renal-plexus, fimilar to thofe which go io the tefticles of the male. The great number of the nerves, therefore, make thefe parts extremely fen- fible. DCCCLIII. The defcriptions we have hitherto given, jire in common to all ages of the female; but about the i^th year, or fomewhat later, nearly at the fame time Ch.XXX. virgin uterus. 191 when femen begins to form itfelf in the male, there are likewife confiderable changes produced in the female. For at this time the whole mafs of blood begins to circulate with an increafed force, the breads fwell out, and the pubes begins to be cloathed : at the fame time the menfes in fome meafure make their appearance by a common law of nature, although in different coun- tries both the time and quantity of the flux is differ- ent. DCCCLIV. But, before the menflrual flux, there are various fymptoms excited in the loins, heavy pains, fometimes like colic pains, with an increafed pulfe, headachs ; and cutaneous puftules commonly precede, and a white juice commonly flows from the uterus. For now the fleecy veffels of the uterus, which in the (late of the foetus were white, and tranfuded a fort of milk, as in the young girl they tranfuded a ferous liquor, do now begin to fv/ell with blood ; the red parts of which are depofitcd through the veffels into the cavity of the uterus. This continues fome days, while in the mean time the firft troublefome fymptoms abate, and the ute- rine veffels, gradually contratfling their openings, again didil only a little ferous moifture as before. But then the fame efforts return again at uncertain intervals in tender virgins ; till at length, by degrees, they keep near to the end of the fourth week ; at which time fol- laws the flux of blood, as before, which is periodically continued to about the 50th year; though the diet, country, confl:itution, and way of life, caufe a great va- riation in this difcharge. Pregnancy commonly pro- duces a temporary ftoppage of the menfes. DCCCLV. This difcharge of blood from the veffels of the uterus itfelf, is demonftrated by infpedlion in wo- men who have died in the midfl of their courfes ; and in living women, having an inverfion of the uterus, the blood has been feen plainly to diftil from the open orifices : in others, in whom, when the menfes have been deficient, the uterus has appeared full of con? creted blood. It alfo appears from the nature of the N 4 uterus rp2 VIRGIN UTERUS. Ch.XXX. uterus iffelf full of foft fpungy veffels, compared with the thin, callous, by no means fleecy, and almoft blood- lefs fubftance of the vagina. That this is good blood in an healthy v/oman, appears both from the foregoing and innumerable other obfervations. Nevertheleis no- thing hinders the blood from being fent forth through the vagina, as in other cafes it is through the intefti- num reftum, and in fhort through the reinoteft parts of the body. DCCCLVL Since none but the human fpccies are properly lubje6t to this menflrual flux of blood (altho* there are fome animals who, at the time of their vernal copulation, dlflil a fmall quantity of blood from their genitals j, and fmce the body of the male is alway free from the like difcharge, it has been a great inquiry in all ages, what Ihould be the caufe of this fanguine ex- cretion peculiar to the fair fex. To this efFe£t the at- traftion of the moon, which is known to raife the tides of the fea, has been accufed in all ages ; others have referred it to a (harp ftimulating humour, fecreted in the genital parts themfelves, the fame which is the caufe of the venereal difeafe. But if the moon was the parent of this effeft, it would appear in all women at the fame time ; which is contrary to experience, fmce there is never a day in which there are not many women feized with this flux ; nor are there fewer in the decreafe than the incrcafe of the moon. As to any fliarp ferment feated in the uterus or its parts, it will be always in- quired for in vain ; where there are none but mild mu- cous juices, and where venery, which expels all thofe Juices, neither increafes nor ieflens the menftrual flux : and women deny that, during the time of their menfes, they have any increafed' defire of venery ; feeing at that time moft of the parts are rather pained, and lan- guid ; and the feat of venereal pleafure is rather in the entrance of the pudendum than in the uterus, from which la(t the menfes flow. But, laftly, that the men- ftrual blood is forced out by fome caufe exciting the motion of the blood againfl: the vefl'els, appears from henc'". Ch.xxx. virgin uterus. 1^5 hence, that, by a retention, the courfes have been Jcnown to break through all the other organs of the body, where no vellicating ferment could be feated, even fo as to burft open the veffels of each organ ; and that the efFe6l produced by the retention of the blood, is not confined to thofe parts which pour out the vene- • real humour. DCCCLVII. Nature has, in general, given women a more delicate body, and folids that are lefs elaftic ; .their mufcles are alfo fnialler, with a greater quantity of fat interpofed both betwixt them and their fibres ; the bones too are flenderer, and their furfaces have fewer proceffes and afperities. Moreover, the pelvis of Xhe female is, in all its dimenfions, larger ; the offa ilia fpread farther from each other ; and the os facrum re- cedes more backward from the bones of the pubes, while the offa ifchii depart more from each other be- low ; however, the angle in which the bones of the pubes meet together to form an arch, is in the female remarkably more large ; which differences are confirm- ed by the obfervations of the great anatomifls ; and from ncceffityitfelf, which requires a greater fpace for a great- er number of vifcera in the pelvis. Moreover, the ute- rine arteries are confiderably large, more fo than in men; and have a greater proportion of light, with refpe6: to the thicknefs of their coats : but the uterine veins are, in proportion, lefs than in men ; and of a more firm re- filling texture, than in other parts of the body. From hence it follows, that the blood, brought by the arterial trunk to the womb, by pafling from a weaker artery in- to a narrow and more refifting vein, will meet with a more difficult return, and confequently diftend the ute- rine veffels. DCCCLIX. The female infant new-born has her lower limbs very fmall ; and the greater part of the blood, belonging to the iliac arteries, goes to the umbi- licals, fending down only a fmall portion to the pelvis. Hence the pelvis is fmall, and but little concave j fo that the bladder and uterus itfelf, with the ovaries, projecl " beyoad 1^94 V I R G I N U T E R U S. Ch. XXX. beyond the rim of the pelvis. But when the foetus is born, and the umbilical artery is tied, all the blood of the iliac artery defcends to the pelvis and lower limbs, ■which of ccurfe grow larger, and the pelvis fpreads •wider and deeper : fo that, by degrees, the womb and bladder are received into its cavity, without being any longer compreffed by the inteftines and peritonssum, when the abdominal mufcles prefs upon the lower parts of the abdomen. When now the increafe is per- feft, or next to it, then in general we find thofe arte- ries of the uterus largeR, which in the foetus were lead, and eafily injected with wax ; and all things are chan- ged in fuch a manner, that the hemorrhoidal artery is now in place of the hypoga(lric(DCCCXXXVl.), when formerly the umbilical had been the trunk of that arte- ry. More blood, therefore, at that time comes into the uterus, vagina, and chtoris, than formerly ufed to do. DCCCLX. At the fame time, when the growth of the body begins confiderably to diminifli, and the blood, finding eafy admittance into the completed vifcera, is prepared in a greater quantity, the appetite being now very iliarp, in both fexes, a plethora confequently fol- lows. In the male, it vents itfelf frequently by the nofe, from the exhaling velTcls of the pituitary mem- brane being dilated to fo great a degree without a rup- ture, as to let the red blood diftil through them (CCCCLVIII.); and now the femen firft begins to be fecreted, and the beard to grow. But in the female, the fame plethora finds a more eafy vent downward ; beings that way directed partly by the weight of. the- blood itfelf, to the uterine veilels now much enlarged, of a foft fleecy fabric, feated in a loofe hollow part, with a great deal of cellular fabric interfperfed, which is very yielding and fucculent, as we obferve in the womb: for thefe caufes, the vefTels being eafily diflendible, the blood finds a more eafy paffage through the very foft fleecy exhaling veflels, which open into the cavity of the uterus, as being there iefs refilled dian in its return by ;he veins, or in taking a courfe through any other partj becaufe. Ch.XXX. virgin uterus. 195 becaufe, in females, we obferve the arteries of the bead are both fmaller in proportion, and of a more firm re- fifting texture. The return of the fame is therefore more flow, both becaufe the flexures of the arteries, from the increafed afflux of the blood, become more ferpentine and fit for retarding the blood's motion, and likewife becaufe it now returnb with difHcuIty through the veins. The blood is, therefore, firft; colle6led in the veiTels of the uterus, which at this time, by repeated diffeflions, are obferved to be fwelled ; next it is accu- mulated in the arteries of the loins and the aorta itfelf, v.'hich, urging on anew torrent of blood, augments the force, fo far as to difcharge the red blood into the ferous veflTels, which at firfl; tranfmit an increafed quantity of warm mucus, afterward a reddifli. coloured ferum ; and by fuflering a greater difliention, they at lafl: emit the red blood itfelf. The fame greater impulfe of blood, deter- mined to the genital parts, drives out the hitherto latent hairs, increafes the bulk of the clitoris, dilates the caver- nous plexus of the vagina, and whets the female appe- tite to venery. Accordingly we find, that the quantity of the raenfl:rual flux, and the earlinefs; of their appear- ance, are promoted by every thing that either increafes the quantity or momentum of the blood with refped to the body in general, or which direct the courfe of the blood more particularly towards the uterus ; fuch as joy, lufi:, bathing of the feet, a rich diet, warm air, and lively temperament of body. It is diminifhed by thofe things which leflen plethora and the motion of the blood, as want, grief, cold air, floth, and antecedent difeafes. - DCCCLXl. When fix or eight ounces of blood have been thus evacuated, the unloaded arteries now exert 4 greater force. of elafticity, and, like all arteries that have been overcharged with blood, contratl therafelves by degrees to a lefs diameter, fo as at length to give paf- fage only to the former thin exhahng moifi;ure ; but the plethora or quantity of blood, being again increa- fed from the fame caufes, a hke difcharge will always mere eafily enfue through the veflTels of the uterus, afr ter 19^ VIRGIN UTERUS. Ch.XXX. ter they have been once thus opened, than through any other part. Nor is there any occafion to perplex our- felves about the eaufe, why this periodical difchatge is, for the moft part, nearly regular or menftrual ; for this depends upon the proportion of the quantity and mo- mentum of the blood daily collefted, together with the refiflance of the uterus, which is to yield again gradu- ally to the firft courfe. Therefore this critical difcharge ©f blood never waits for the interval of a month, but Sows fooner or later, according as the greater quantity of blood in plethoric women is determined, by luft or other caufes, towards the uterus. Finally, they ceafe to flow altogether, when the uterus, like all the other folid parts of the body, has acquired fo great a degree cf hardnefs and refiftance, as cannot be overcome by the declining force of the heart and arteries, by which the blood and juices are driven on through all the vef- fels. This increafed hardnefs in the old uterus is fo, , yemarkablf in the arteries and ovaries, that it eafily dif- covers itfelf both to the knife and the injections of the anatomift. But, in general, brute animals have no menfes ; becaufe, in them, the womb is in a manner rather membranous than flefhy, with very firm or refift- ing veffelsa which, with the difference of their pofture, never permit a natural hemorrhagy from the noftrils or ©ther parts. They are wanting in men, becaufe in that fex there is no fpungy organ fit for retaining the blood; and likewife becaufe the arteries of the pelvis are both harder and lefs, in proportion, than the veins; and thus the impetus of the blood in the lower limbs is turned away, whofe veffels in men are larger, as thofe of the pelvis are fmaller. DCCCLXII. It will, perhaps, be demanded, why the breafts fwell out at the fame time with the approach of the menfes ? We are to obferve, that the breafts have many particulars in their fabric, common to that of the uterus; as appears from the fecretion of the milk in them after the birth of the foetus, which incrcafes or diminifhes in proportion as the lochial flux is cither increafed or di- miaifhed ; Ch.XXX. virgin uterus. 197 minilhed ; from the fimilitude of the ferous liquor, like whey, found in the uterus, fo as to rcfemble milk, in thofe who do not fuckle their children, being of a thin and white confidence, appearing very evidently in brute animals ; alfo from the turgefcence or eredion of the papiilce or nipples of the brca(t by fridion, analogous to the eredion of the clitoris. Therefore, the fame caufes which diftend the veffels of the uterus, likewife determine the blood more plentifully to the breafts ; the confequence of which is an increafed bulk and tur- gefcence of the conglomerate glandules and cellular fa- bric which compofe the breafts, CHAP. XXXI. Of Conception. DCCCLXIII.*^ I ^HIS is a very arduous inveftigation, _£_ as we propofe to difcover the changes which take place in the inward parts of woman, when a new creature begins to germinate, who is, in proper time, to be expofed to light. We fhall relate, in the firft place, therefore, thofe things which experience fhows to be true ; and then add thofe hypothefes by which learn- ed men have endeavoured to fupply fuch things as are not evident from the fubjed itfelf. How few things are afcertained on this fubjeft, and how difficultly they are afcertained, I have learned by too much experience. DCCCLXIV. That fome light may be thrown on fuch a dark fubjedt, we ;fhall begin with the mofl fimple ani- mals, and afterwards take notice of what nature has ad- ded in others whofe fabric is more compounded. The fmallcft animals, then, which have very few or no limbs, the leaft diftinclion of parts, the {horteft life, the vital functions both few and very limilar to one another; thefe animals bring forth young ones like themfelves, with no diftinftion of fexes, as all of them are fruitful, and none imparts fecundity to the reft. Some of them ex- clude their young whom they have conceived in their body, through a certain deft^ from others, fome limbs fall 198 CONCEPTION. Ch.XXXL fall off, which are completed into animals of a kind fi- milar to thofe from which they have fallen off. This kind of generation is extended very wide, and compre- hends the greater part of animal life. DCCCLXV. The next to thefe, which are a little more compounded, all bring forth their young ; yet in fuch a manner, that in their bodies is generated a certain panicle peculiar to themfelves, diflimilar to the whole animal, and contained in fome involucra, within which lies the animalcule that is afterwards to become fimilar to that within which it is produced ; this is commonly called an egg. A great part of thefe animals is im- moveable. DCCCLXVI. The animals which follow are not in- deed numerous, but have both eggs, and male femen befides ; fo that both fexes are joined in the fame animal. But w^e call it maIefe?Tien,hec2iu[c it is neceifary for fprink- iing the eggs in order to render them prolific, although it never grows alone into a new animal. In this clafs, therefore, a juice is prepared by its own proper organs, which is likewife poured on the eggs through organs proper to itfelf, but diiferent from the former, in order to generation. BCCCLXVII. Thofe animals are much more nume- rous which have both a male juice and female eggs ; yet fuch as cannot fecundate themfelves, but require true coition. For two animals of this kind agree in the work of fecundation, in fuch a manner, that each im- pregnates the other with its male organs, and again fuf- fers itfelf to be impregnated in its female ones by the •male parts of the other. DCCCLXVIII. And now the nature of animals ap- proaches nearer and nearer to that of the human race; of which, namely, fome individuals of a fimilar kind have only male organs, and the fame males fprinkle their feed on the female eggs of others. Very many cold ones fprinkle their feed upon the eggs after they are poured out of the body of tb.e mother. Warm animals injeft their Ch.XXXI. conception. 199 their femen into the uterus of the female. But now, if eggs are generated within the body of the female, they are brought forth covered with fhells or membranes ; but if the female has a live foetus in its uterus, it is born quite free of any involucrum : but the difference be- tween thefe oviparous and viviparous animals is but fmall ; fo that in the fame clafs, and the fame genus, fome animals lay eggs, others produce live fcetufes ; and lailly, the fam.e animal fometimes lays eggs, and fome- times brings forth live young. DCCCLXIX. From this review of animals it appears, that all animals are produced from others fimilar to them- felves ; many from a part of it fimilar to the whole ; others from an egg of a peculiar flructure ; but that all thefe do not ftand in need of male femen. Laftly, the more moveable and lively animals only, whofe bodies are of a more complicated jflruclure, are endowed with a double fyftem for generation ; and the difference of fexcs feems to be added for the bond of focial life, and for the fafety of a lefs numerous progeny. DCCCLXX. For the ct^rtain elFufion of this male juice into the female organs, both fexes are inflamed with the mod: vehement defires ; the male indeed has the moft lively ones, becaufe the female is at all times ready to fuffer the venereal congrefs ; and thence it behoves the male to be animated with a defire of venery, when he has plenty of good feed, and fuch as as is of a prolific nature. Therefore this is the greateft caufe of venereal defire in him; bur in females, of the brute kind efpeci- ally, fome kind of inflammation in the vagina, which excites an intolerable itchins^. DCCCLXXl. But nature has firff added to the womb, both in v.'omen and in quadrupeds, a vagina or round membranous cavitv, ealily dilatable, which, as we have already feer. (DCCCXLllI.), embraces and furrounds the projecting luouth of the uterus ; from whence it defcends obliquely forward under the bladder, and refting upon the rectum with which it adheres, and laftly opens under the urethra with an orifice a litde contracted. 200 CONCEPTION. Ch.XXXI. contrafl:cd. This opening, in the foetus and in virgins, has a remarkable wrinkled valve, formed as a produc- tion of the fkin and cuticle, under the denomination of hymen^ which ferves to exclude the air or water ; not perhaps without fome kind of moral ufe, feeing this membrane, as far as 1 know, is given to women alone. It is circular, excepting a fmall deficiency under the urethra, which yet is not always conftant, but it turns broader towards the anus. This membrane being in- fenfibly worn away by copulation, its lacerated portions at lafl difappear. The caruncles, which are called myr^ tiformes, are partly the remains of the fhattcred hymen, and laftly the valves of the mucous lacunse hardened in- to a kind of flefh. DCCCLXXII, The fabric of the vagina is fomewhat like that of the fkin, compofed of a firm, denfe, or callous cuticle, covering a thick, white, nervous fkin, in which, more efpcciaily at its end, appear flefhy fibres. Its internal furface is, in a grth meafure, rough, befet with m.any callous warts, which, though hard, are fenfible: befides which, there are thin plates, terminated Viilh a protuberant inclined edge, pointing downward, fo as to form two principal rows, fpreading betwixt thofe warts ; and of thefe, the uppermoft are extended under the urethra, where they are larger, as the lower are incumbent on the anus. From each of thefe to the other are continued, on both fides, feveral rows of leffer valve- like papills, varioufly infleded into arches, and which feem to be defigned for increafing the pleafure, and facilitating the expanfion, when it is called for. It js furnifhed with a proper mucus of its own, feparated from particular finufcs in feveral parts, but more efpe- cially in its pofterior and fmoother fide. DCCCLXXIII. At the entrance of the vagina are prefixed two cautaneous productions or appendages, called nympha, continued from the cutis of the clitorisj and from the glans itfelf of that part ; and thefe, being full of cellular iubftance in their middle, are of a tur- gefceat or diflenfibie fabric, jagged and replenifhed 2 with Ch.XXXL conception. 201 with febaceous glandules on each fide, fach as are allb found in the folds of the prepuce belonging to the cli- *toris. Their ufe is principally to dired the u.ine, which flows betwixt them boch from the urethra, that in its defcent it may be turned off from clinging ro the body, in which office the nymphas are drawn togcfher with a fort of ereftion. Thefe membranous produc- tions defcend from the cutaneous arch furrounding the clitoris^ which is a part extremely fenfible, arid won- derfully influenced by titillation ; for which it is made up, like the penis, of two cavernous bodies, ariiing in like manner from the fame bones, and afterwards con- , joining together in one body, but without including any urethra. It is furniflied with blood-veflels, nerves, and levator mufcles, and a ligament fent down from the fyn- chondrofis of the os pubis, like thofe in men, like un- to which the clitoris grows turgid and ered in the time of coition, but lefs in thofe who are very modefl ; bu t from friQion, the clitoris always fwells up and is eredled. DCCCLXXIV. The mufcle, termed oflii vagin(y are not fupprtffcd :n all women ; (^) the mafs of menlirual blood fupprefTed after conception, amounting to twelve, Jixteeo, or even twenty uunces, can in no ways be expended upon tUe fmall mafs of embryo of the firft or fecond month, which, together with the fecundine^, weighs fcarce an ounce. 2. Thofe great and dangerous hemorrhagles which happen after the abftraftion of the human placenta, excite no fmall fufpicion of an immediate aQaftomofis. But (a) the flow of blood does not happen in all with the fame force ; but is fometimes feveral pounds, fome- times a few ounces and drachms : (^) and the fame flux is the more gentle the more carefully the abftradllon has been performed, and vice verfa i and in very profufe fluxes the uterus is, for the mod part, more or lefs injured, (c) I have feen abortions of two or three months attended with a very fmall profufion ; and I now remember five in which fcarce an ounce was loft, {d") In the birth of brutes, fo large effufions never happen, or do not laft fo long. 3. It would truly be a weighty argument, which would eafily de- termine me to embrace the doArine of anattomofis, if I could recon- cile it with my own obfervations, that the foetus is deprived of a great part of its blood if the mother has died of an hemorrhagy. But I have feen [a) a human foetus whofe mother had died in the feventh month of gettation of a very bloody wound, and had fufFered a great effufion, which had loft no blood out of the heart nor larger veffeia ; nay, not even in the placenta itfelf did the ftate of the blood-veffcia exhibit any mark of hemorrhagy. {b) Next, I have killed pregnant dogs and cats, juft upon the time of birth, by cutting the carotids ; 1 have examined the uterus of cows and mares, killed by means of a very large wound of the heart, without finding in any of them either the ova or foetus fhowing the leaft defe(5t of blood. 4. That mothers may lufFer fatal hemorrhagies from cutting and not tying the cord, neither my own oblervations, nor thofe of Roe- derer, will allow ; and no perfon at prefent direds midwives to be- gin the tying of the cord towards the placenta. 5. The venous finufes, fo called, in the uterus, except the cellular fubftance of the fungous chorion, feem to afford no proof. I have obferved fuch finufes, fo called, in the uterus, if a very great part of the fpongy chorion has cohered to the uterus. I have perceived them on the placenta, if it had adhered to it. The blood detained here does not abfolutely demonftratc the continuation of vefTels : it only fhowSi that a certain ftore is prepared, from which the abfor- bent 214 CONCEPTION. Cn.XXXL external villous and fleecy membrane, full of pores and fmall veffcls, of a reticular fabric, eafily lacerable, fo as to refemble a fine placenta, and is called the chorion. But even this is conne£led to the flocculent furface of the uterus, which is very like to itfelf, but fofter, by veflels fmaller than thofe of the placenta, but manifeftly inof- culated from tiie chorion into the veflels of the uterus. DCCCXCIll. Under the chorion lies a continuous- white, opaque, and firm membrane, not vafcular, which does not cover the part of the placenta turned towards the uterus, but is concave, and turned to the foetus. It coheres by a cellular texture both to the chorion and amnios. The mofl: fimple name we can give it, is the middle membrane '^^. DCCOXCIV. The innermod coat of the foetus, which is called amnios, is a watery pellucid membrane, very rarely fpread with any confpicuous veflels, which yet I have obferved in an human fubject ; extremely fmooth, and in all parts alike ; alfo extended under the placenta with the former, the furface of which is every way in contaft with the waters. If there are more foetufes than one, either in man or beaft, each of them has their pro- per amnios. DCCCXCV. bent veflels of the placenta may receive their nourifhing matter, which contains a mixture of the blood itfelf tranfmitted through the increa- fiog veins, whofe refiduum is reabforbed by the veins of the uterus, and at length mixed with the blood. Docs not the like happen m other fpongy parts ? 6. As to examples of foetufes wanting the heart, whofe circulation therefore fiiould have depended upon the mother alone, although I am not fo certain of the truth of them, Icouidoppofe as many other obfervations of a fimilar monftrous mechanifm in birds. ^'^ There are three real tunics of the human ovum, any of which may be feparated into new lamella. The outermoft, which fhould be called the fungous or fpongy chorion, is almoft the fame fubftance with the acetabula in the fecundines of brutes, that part, to wit, proper partly to the uterus, partly to the placenta, which has been excellently defcribed by Cooper and Sandifort ; but moft elegantly delineated by the famous l)r Hunter. The middle one maybe cal- led lave choriuvit and the innermoft one is known by the name o£ amniunu Ch.XXXI. conception. 215 DCCCXCV. The nourifhment of the foetus, from the beginning to the end of the conception, is without doubt conveyed to it through the umbilical vein. This ga- thers its roots from the exhaling veffels of the uterus (DCCCLIV.), and it has maniteft communications by fome roots with the umbilical artery, from whence it ia part rifes, and, meeting together in a large trunk, is twilled in a circular manner through a number of folds to a fufFicient length, that may allow of a free motion; and in this courfe it is furrounded with a cellular fub- ftance full of mucus, diftinguiflied by three partitions, and the membrane which is continued to the amnios, but known by the name of the umbilical rope ; and after forming fome protuberances, it enters through the na- vel, in an arch made by a parting of the fkin and ab- dominal nmfcles, and goes on through a proper fmus of the liver (DCXCII.), into which the fmaller portion of the blood that it conveys is poured through the flen- der ductus venofus into the vena cava feated in the po- fterior foifa of the liver : but the greater part of its blood goes through the large hepatic branches, which conftantly arife from its fulcus, and remain even in the adult (DCXCV.) ; but it goes thence to the heart by the continuous branches of the vena cava (DCXCVII.) The fmus or left branch of the vena portarum itfelf is a part of the umbilical vein, and its branches bring the blood from the placenta to the cava, while the right branch alone carries the mefenteric and fplenic blood through the liver. DCCCXCVI. But this is not all the ufe of the pla- centa ; for the foetus fends great part of its blood again into the fubftance thereof, by two large umbilical arte- ries, ■which are continued on in the direction of the aor- ta ; and after giving fome flender twigs to the femorals, with ftill fmaller arteries into the pelvis, they afcend re- flefted back with the bladder on each fide of it, fur- rounded with the cellular plate of the peritonaeum, with fome fibres fpreading to them from the bladder and urachus, in which manner they proceed on the outfide of 21(5 CONCEPTION. Ch.XXXI. of the peiitonasum into the cord at the navel, in which paffing alternately in a ftraight and contorted courfe, they form, various twiftings or windings, fomewhat iharper than thofe of the vein which they play around ; in which ^manner they at laft arrive at the placenta, whofe fubflance is entirely made up of their branches, in conjunftion with thofe of their correfponding veins, and a ilippery cellular fubftance following both veffels j fo that the kernels themfelvcs, that are confpicuous in the placenta, are convolutions of thofe veffels. By thefe branches the blood feems to pafs out through the minute arteries of the placenta into the bibulous veins of the maternal uterus, that after undergoing the aftion of the lungs by the mother's refpiration, it may return again in an improved ftate to thcifcetus : for what other rcafon can be affigned for fuch large arteries, which carry off above a third part of the blood of the foetus? DCCCXCVII. But it will perhaps be demanded. Whether the foetus is not nouriflied by the mouth like- wife ? Whether it does not drink of the lymphatic li- quor contained in the cavity of the amnios, which is co- agulable, unlefs putrefied, and in the middle of which the foetus fwims, and whofe origin is not fufEciendy known ? Whether this opinion is not in fome meafure confirmed by the open mouth of the foetus, and the ana- logy of chickens, which are under a neceffity of being nourifhed from the contents of the egg only ? to which add the abfence of a navel-ftring in fome foetufes j the quantity of meconium filling the large, and part of the fmall, inteftines ; the fimilitude of the liquor found in the cavity of the ftomach to that which fills the amnios ; the proportionable decreafe of the liquor amnii, as the foetus enlarges ; the glutinous threads which are found continued from the amnios, through the mouth and gu- la, into the ftomach of the foetus ; the true feces found in the llomach of the foetus of quadrupeds ; the open mouth of the foetus, which we have certainly ob- ferved ; the gaping of a chicken fwimming in this li- quor, and its attempts as it were to drink it up ? Again, A what Ch.XXXI. conception* 217 ivhat are the fountains or fprings from whence this lymph of the amnios flows ? whether it tranfudes thro* the invifible veflels of the amnios, or through certain pores from the fucculent chorion, wtiich is itfelf fupplied from the uterus? It mud be confelTed, that thefe in- quiries labour under obfcurities on all fides ; notwith- ftanding which, there feems more ;probability for them than otherwife, fmce the liquor is of a nutritious kind, at lead in the firft beginnings of the fcetus, and derived from the uterus. DCCCXCVIII. All the excremental feces, which are collected in the fcetus during the whole time of its reli- dence in the womb, amount to no great quantity, as they are the remains of fuch thin nutritious juices, per- colated through thefmalleft veflels of the uterus. I fre- quently obferve, that the bladder is almofl: empty in the foetus. However, there is generally fome quantity of urine, collected in a very long conical bladder. But in the cavity of the inteftines, there is colleded together a large quantity of a dark green pulp, which may pof- fibly be the remains of the exhaling juices ''^^ like the feculent remains, which are fometimes left in the other cavities of the body that are filled with exhaling juices, and fuch as I have fometimes obferved even in the va- ginal coat of the tefl:icle. DCCCXCIX. It may then be demanded, whether there is any allantois ? fmce it is certain that there paf- fes out from the top of the bladder a duft called the ura-^ chus^ which is a tender canal, firfl: broad, covered by the longitudinal fibres of the bladder as with a capfule ; and afterwards, when thofe fibres have departed from each other, it is continued thin, but hollow, for a con- fiderable way over the umbilical cord, yet fo that it vaniflies in the cord itfelf. Whether this, although it be not yet evident in the human fpecies, is not con- firmed by the analogy of brute animals, which have Vol. II. P both '*" The greateft part of the meconium unqueftionably arifca from the bile, which is very plentifully fecreted by the fcetus, the roag« nitude of the liver beiog fo great. ^i8 CONCEPTION. Ch.XXXI, both an urachus and an allantois ? But as for any pro- per receptacle continuous with the hollow urachus, it either has not yet been obferved with fufficicnt certain- ty, or elfe the experiment has not been often enough repeated, to render the opinion general in the human fpecies ; and thofe eminent anatomifts who have obfer- ved a fourth kind of veffel to be continued along the umbilical rope into its proper veficle, will not allow that veffel to be called the urachus, and very lately have re- ferred it to the omphalo-mefcnteric genus '^' ; and in the human foetus, the urine is feparated in a very fmall quantity : but it perhaps may be no improbable con- jedure, that fome portion of the urine is conveyed to a certain extent into the funiculus umbilicalis, and there is transfufed into the fpungy cellular fabric that fur- rounds it; and therefore, that, of all animals, man has the longeil umbilical cord, becaufe he alone has no al- lantois. But then this can take up but a fmall fpace, terminating in the funis, and hardly ever feems to reach as far as the placenta. Sometimes, even in an adult perfon, this open duct has brought the urine to the navel. DCCCC. In the mean time, the fcetus continues to advance in growth ; the limbs by degrees fprout from the trunk, under the form of tubercles ; and the other outworks of the human fabricature are by degrees beau- tifully finifhed, and added to the reft ; in a manner not here to be at large defcribed, as indeed it has not been as yet by anatomifts in general ; of which, however, we muft premife fome compendium. DCCCCI. The embryo which we firft obferved in the *S' Since Ifirft made a drawing in my anatomical defcriptions of the embryo, after Albinus and Bcehmer, concerning the bladder re- fembling the allantois, which Hunter and Sandifort have confirmed by an elegant figure, I have twice had an opportunity of feeing the fame with a fimilar filament. I filled another foetua with wax ; and that filament which might impofe upon us for the urachus was like- wife filled : the artery certainly ran from the veflelaof the omentum to the cord, and was diftributcd in very fmall branches through thff coilular texture of the rspe and upon the bladder. Ch. XXXI. CONCEPTION. 419 the uterus of the mother was a gelatinous matter, ha- ving fcarce any proper fhape, and of which one part could not be diftinguifhed from another. There was, however, in that gluten a heart, which was the caufe of life and motion ; there were veiTels which generated the humour of the amnios ; there were therefore vefTels of the umbiUcus and yolk, the httle trunks of which, be- ing received from the foetus, are at that time very large, feeing they have lately begun to be obfetved. There was both a head and fpinal column, both parts very large, and larger in proportion to the reft than ever. There were likewife, wirhout doubt, all the red of the vifcera, but pellucid and of a mucous nature ; for which reafon, they may be obferved fome days fooner than can be hoped for from nature alone, if you render them opaque. DCCCCII. But in the whole foetus, an immenfe quantity of water is mixed together with a very little earth, as the very cellular texture furrounds ft in a (late between fluid and folid ; feeing large drops of water are inrerpofed betwixt the remote elements of the folid parts. DCCCCIII. In birds there is added to this the vivi- fying gluten or white of the egg, which is of the na- ture of lymph ; and the yolk, which is of an oily na- ture : in man, fomething of a milky nature, not alto- gether unlike the yolk of an egg, and the coagulabic lymph. That the blood is perfected from the fat by th'S proper powers of the foetus, we are perfuaded from the example of birds. From it are infenfibly prepared all the other humours ; but all of them at firfi miid, void of tafle, colour and fmeil, and of a glutinous nature. The proper nature of every one of them approaches to that of ferum ; but fome of them are not produced till many years after birth, for inftance the fcmen. DCCCCIV. The firm parts, even in a grown per- fon, make much the fmallefl portion even of the harder parts of the human body j in the foetus they differ from the fluids, by a fomewhat greater decree of cohefion ; P2 ^ a-. zto CONCEPTION. Ch.XXXL as yet, however, they are like -a gluten, at firft fluid, and afterwards more confiftent. In thefe the fibres which we could not diftinguifli in the primeval embryo are by degrees produced ; the gluten, as it would feem, being fhaken between the neighbouring vefi'els, part of the water exprelTed, and the terreftrial parts attracting one another. Thefe fibres varioufly comprehend one another, and form a cellular texture, even in difeafes, and intercept little fpaces, in which there is a kind of humour. From this cellular fubftance are formed the membranes and veflels, and almoft the whole body. DCCCC V. i he veiTels are the oldeft parts of the bo- dyj and are prepared in the firft deHneation of the em- bryo. What firft appears in an egg during the time of incubation, having any diilinft form, are venous circles: but thefe veins fabricate the arteries, by which they both receive their juice, and the motion of that juice. They are not generated mechanically from an obftacle, as the arterial blood is found at that time. At firft the trunks of the veins are confpicuous, afterwards the branches which convey the humours to the trunks. If they were produced from the arteries reflected, the branches would firft be feen, and the trunks formed in the laft place. Neither could the arterial blood, driven back by an obftacle, form thofe moft beautiful circles, and bring back the veflels into the heart. It would ra- ther flow irregularly through the cellular texture. And the primeval heart would foon lofe its life, unlefs as much of the humours returned to the heart as was fuf- ficient to keep up its pulfations. DCCCGVl. There are, therefore, in the primeval foetus, fuch as we firft obfcrve it, fome things more perfcfl; and confpicuous ; others involved, invifible, and very fmall. The heart is the moft perfect ; it is the only moveable and irritable part ; although it is in many refpects different from what it is in an adult perfon. The brain is large and fluid ; the veffels formed which appear in the back next to the heart. The vifcera, mufcles, nerves, and limbs, are not yet. to be feen$ the Ch.XXXI. conception. 221 the bones themfelves are prefent, of which the firfl: ap- pearance is a mucus, as are the vefTels of the reft of the body. The other portion is that of the abdomen, the umbilical capfule of which is an immcnfe hernia. DCCCCVII. To this embryo is fuperadded motion, in man almoft of the heart alone ; as alfo in birds, whofe formation does not take place without heat rather greater than that of the human body : yet, without the heart, heat deftroys, inftead of forming the foetus. It is the largeft in proportion to the reft in thefe begin- nings ; afterwards its proportion to the other parts of the body grows gradually lefs and lefs. Its pulfations are alfo at this time the moft frequent, and in the fofteft: foetus the moft powerful for impelling the humours, and^ diftending and producing the veflels. DCCCCVIII. To the force of the heart is oppofed what is of fervice however in forming the foetus, namely, the vifcidity of the vital humours which coiled the earthy elements. There is therefore in the embryo both aa impelling force, which increafes the parts longitudinal- ly ; and a refifting force, which moderates the increafe, and increafes the lateral preifure, and thus the diftea- tion. By the force of the heart all the arteries, but for cafmefs of expreffion we lliall fay only one artery, which reprefents all the reft, with all its furrounding cellular texture, is lengthened out ; its folds are ftretched out, and the fame artery is dilated. And the blood by its lateral preflure makes an cftbrt againft the almoft blind branches of the arteries, fills and evolves them, and fets them off at more obtufe angles : thus are produced fpa- ces which make very little refiftance, in which the glu- ten is depofited. In the very fubftance of the artery it- felf, while it is every where dilated, between its imagi- nable folid threads are prepared little reticulated fpaces like a ftretched-out net, which are equally fit for recei- ving humours. Ihe largeft of thefe are formed round the heart and in the head, whither the impulfe of the heart drives the humours in a ftraight direftion, and in the placeiita : the leffer ones are in the inferior part of P 3 the 222 CONCEPTION. Ch.XXXT. the body, from which the umbilical arteries fubtrad the greatefl part of the blood. DCCCCIX. The foetus increafes very quickly, as is mod evident in the example of a chicken, whofc length the twenty-fecond day is to its length the firft day at leaft as 1,000,000 to i ; and the whole increafe of bulk in the bird during the remainder of its life does not ex- ceed the fifth part of the increafe of the egg the hrft day. For the foetus has a larger and more irritable heart, vefTels larger in proportion, and likewife more numerous and relaxed, and the folid parts are mucous and diftenfible. The breail: is later of coming to per- fection, furrounded with membranes fo fofr, that they cannot be feen. DCCCCX. The embryo does not only increafe in bulk, but is fo remarkably altered in fhape, that it comes forth into the light totally diHimilar from any thmg that could be obferved in it at its fird formation. And firft; it is probable, that the articulations of the limbs are produced from the elongated arteries^ that they are la- terally knit together by a certain gluten, feparately e- volved, and at firft that they fprout out very ihort, buc afterwards increafe by infenfible degrees, and appear divided into diftinft articulations, as the wings of a bat are formed from an open vafcular net-work. Thus likewife the right ventricle of the heart is expanded by the blood coming to it in greater quantity ; and, being increafed by degrees, equals the left. DCCCCXL On the other hand, the cellular texture, from its glutinous aqueous nature, by which earthy par- ticles are continually brought to it, becomes infenlibly harder ; by a gentle attraction contracts its parts, which were before flraight, into various flexures ; and ties- the auricles to the heart, from which they were as yet at a diftance. 80 the mufcles draw out procefles from the bones by their continual pulling, arid open fmall cavities into large cells : the fame likewife incurvate the bones, and varioufly figure them. DCCCCXII. Preilure can do a great deal : to it wc / Ch.xxxi. conception; ±2^ muft attribute the <3efcent of the tefticles into the fcro- tum, after the irritable force of the abdominal mufcles has taken place : to this alfo we muft afcribe the repul- fion of the heart into the breaft, when the integuments of the breaft are larger : to it we are to afcribe the length of the breaft and the ftiortnefs of the abdomen, and the fmaller fize of the vifcera of the latter ; becaufe the air received into the lungs dilates the cavity of the thorax. But even the bones are varioully hollowed out by the preflure of the mufcles, blood-veflels, and even of the very foft brain itfelf ; and by the fame means flefh is changed into a tendinous fubftance. DCCCCXllI. The power of derivation brings the blood into the pelvis and lower extremities from the clofed umbilical arteries : the fame, when the foramen ovale is contraded by the auricles drawn towards the heart, evolves the right ventricle of the heart : when the veflels of .the yolk have taken up the whole length of the egg, and can receive no farther elongation, it di- lates the umbilical arteries of the chick, and produces a new membrane with incredible celerity. On the other hand, but by the fame power, after the blood has got an eafy paflage through fome veflels of any part, the other parts which do not afford a like eafy paflage in- creafe the lefs. The head grows lefs after the lower limbs have begun to increafe in bulk. DCCCCXIV. A membrane may be formed from a humour of which the thinneft part is exhaled, as we have an example in the epidermis : from the fame may be formed a cartilage as happens in the bones, or even a bone itfelf, or fomething of a ftony nature, which is very frequent in the tefticles of aquatic animals. The bones at firft are foft, and of a mucous nature ; then they become of the eonfiftence of jelly ; this afterwards becomes a cartilage ; without any change made on the parts, as far as can be obferved. DCCCCXV. A cartilage, however, is not afterwards fecretly changed into a bone. That never happens, unlefs lines and furrows have at firft run abng the car- P 4 tilage ; «24 CONCEPTION. Ch.XXXI. tilage : nay, the red blood has made a paflage to itfelf through the velTels of the bones ; but thefe veffels ma- nifcftly come from the nutritious trunks in the interior parts of the bone, and ftrike as it were in right hnes on the cartilaginous extremity of the body of the bone, which they remove farther and farther from its middle. Round thefe veffels is formed a cellular texture and la- minae, which feem to prefs the veffels themfelves towards the medullary tube. Laftly, in the epiphyfis, which both remains much longer cartilaginous, and denies en- itrance to the blood, the red veflels penetrate through the cruft which covers the extremity, as well as the o- thers which come from the exterior veffels of the limbs. Thus alfo in the epiphyfis is produced a red nucleus of a vafcular texture, which, being gradually increafed by veffels fent out from its furface, changes the reft of the cartilage into a bony nature. DCCCCXVI. In thefe long bones it feems evident, that the increafe is owing to the arteries elongated by the force of the heart, and gradually extended to the extremities of the bones : but that the hardnefs is owing to grofs particles at laft depofited in the cartilage when its veffels admit the red blood. But even a bony callus never becomes found till the newly formed red veffels, have penetrated its fubftance. DCCCXVII, The flat bones originate from fomething of a membranaceous nature. Over this the fibres fpread themfelves, at firft in a loofe net- work, but afterwards they become more denfe, having the membrane for their bails ; the pores and clefts between thefe fibres being gradually contradted and filled with a bony juice, at laft perfect the nature of the bones. DCCCCXVIil. That a heavy bony juice, confifting of groffer particles, is depofited between the primeval fibres, is proved by the phenomena of the growing cal- lus, which exfudes in fmall drops, not from the perio- fteum, but from the inmoft fubftance of the bone, and is hardened by degrees. But even a chymical analyfis estra^s that gluten from the bones j and in an anchy- lofis Ch.XXXI. conception. 225 iofis it appears poured round th^ joint in a fluid, and manifeftly fills up the chinks of the bones and in- tervals of the futures. It contains grofs earthy particles, which have been difcovered by various experiments ; and the juice of madder which adheres to it, manifeftly diftinguiflies it by its colour. DCCCCXIX. The periofteum covers the bones, as a membrane does any of the vifcera ; and from it cel- lular productions follow the interior veffels of the bones : but, in the periofteum, there are neither ftraight fibres, nor an appearance of alveoli or laminse, nor red veffels, while the bone grows hard in the egg ; nor does the periofteum at all adhere to the bone, except in the epi- phyfis, when it has affuraed a bony nature in the mid- dle J and it is thinneft when the bone is in a cartilagi- nous ftate, but every where complete. In the flat bones it every where affords a bafis for the bony fibres. DCCCCXX. Therefore the head is large, every where membranaceous, in a few places cartilaginous on thefe firft days of geftation, with a mouth deeply cut, and long jaws. In the fcetus come to maturity, there are alfo rudiments of the teeth, which have a great deal of membrane as an appendage : the brain, at firft fluid, and always foft, is itfelf very large, with large nerves : the eyes are big, and the pupil fiiut by a membrane : the breaft is very fliort, but capable of extenfion, on ac- count of a great quantity of cartilage: the abdomen is large, furrounded with membranes, with a very large liver : the bile is innocent and mucous : the inteftines are at laft irritable, and full of foft, green, excrement, when the foetus has now arrived at its ftate of maturity: the kidneys are divided into lobes, are large, and have very big capfules : the pelvis is very fmai), fo that the bladder, ovaries, and tubes, projeQ; from it : the ge- nital fyftem is denfe, not yet evolved, nor preparing its juices : all the glands are large, particularly the con- globate ones, and full of a ferous juice : the fliin is at Sift pellucid, then gelatinous, and at laft: covered with a 226 CONCEPTION. Ch.XXX!, a foft cuticle and fcbaceous ointment : the fat is firft ge-r latinous, and then grumous : the tendons foft, fuccu. lent, and not yet fhining. DCCCCXXI. There is a great difference betwixt the circulation of the blood in the foetus and in the adult : that this may be underftood, it is neceffary to defcribe the organs by which it is performed. The firft is the thymus^ a foft loofe gland, confifting of very many lobes, collected into two large upper horns, and two inferior fhorter ones, which are however joined together by a great deal of long and lax cellular texture: this gland is large in the fcetus, and occupies a great part of the bread : it is feated in the cavity of the mediaftinum, and part of the neck ; and is wholly filled in its very in- moft ftrut^ure with a white ferous liquor, which cannot be difcovered without wounding it. This gland, in an adult, being continually leffened by the increafe of the lungs, and by the aorta now become larger, gradually difappears. What is the ufe of this gland or its liquid, we are altogether ignorant ; but even all the other glands, efpecially the conglobate ones, are larger in the fcetus than the adult, as we have juft now obierved. DCCCCXXII. The cavity of the breaft is fhort in the foetus, and greatly depreffed by the enormous bulk of the liver ; the lungs are fmall in proportion to the heart, and fo foHd as to fink in water, if they are every way excluded from taking the atmofphere into their fpungy fubftance, in making the experiment. Since therefore thelikequantity of blood (CCXCI1,CCXCVII.) which paffes the lungs by refpiration in adults, cannot be tranfmitted through the unadive lungs of the foetus, who has no refpiration, there are other ways pre- pared in the foetus, by which the greater part of the blood can pafs diredly into the aorta, from the lower cava and umbilical vein, without entering the lungs. In the primeval fcetus there is no right ventricle of the heart ; and therefore there is fuch a large opening of the right auricle into the left, that all the blood which comes by the vena cava immediately palfes into the aorta. Ch.XXXI. conception. 227 aorta, a very fmall quantity excepted, which goes to the inconfiderable and inconipicuous lungs. Afterwards in the foetus, now grown bigger, the lungs are indeed larger, and the paffage from the right part of the auri- cle into the left is narrower, feeing the auricular canal is now taken into the heart, and the auricles them- felves are become much fhorter. But yet the feptum betwixt the right and left auricle, conjoining them to- gether, is perforated with a broad oval foramen ; through which the blood coming from the abdomen, and a little directed or repelled by the valvular fides of the right auricle (LXXXVIIL), flows in a full (tream into the cavity of the left auricle. But it is by degrees that the membranes of each finus depart from each other, upward and backward, above the oval foramen into the pulmonary finus, where they are conne£lcd on each fide above, by feveral orders of fibres, which be- low are palmated or like fingers, fo as to clofe up at firft a fmall part, and afterwards a greater part, of this foramen, fo as to leave only a fmall oval portion of ic at liberty ; which lies free betwixt the round margin of the faid oval foramen and the increafing valve, making in the mature foetus about a fifteenth part of the area or capacity of the mouth of the vena cava. DCCCCXXllI. That the blood takes this courfe in the foftus, and that it does not on the contrary flow from the finus of the left to that of the right auricle, is evident, from all manner of experiments and obferva- tion '^^, For, firfl, the column of blood in the right finus, "^^ Cnntrary to this ancient opinion of Galen and Harvey, which almoll ail the moderns, except Mery and VVinflow, have adopted, Mr Wolf has railed great doubts; and, as he goes upon difieftion, has fiibllituded an ingenious and not improbable opinion. When he found that there was one foramen ovale in the right fide formed by Vieiiffens's arch and Euftachius's valve, and another in the left fide formed by the fame arch and foramen ovale, thefc finufea in this vvay never could communicate. He therefore found, that the inferior vena cava, which opened both into the right finus and into the left, and poured a part of its blood into each finus, the valve of the foramen •voie being differed, was interpofed between the fmufes, the lefc more 22S CONCEPTION'. Ch.XXXL fmus. Is of all the largefl; and, as it is the returning one from the whole body, cannot be exceeded by any other : but the left auricle has fo much lefs blood in proportion than that of the right, infomuch as part of it flows throw the duel or canalis arteriofus into the aorta, whence its contents will be much lefs than that of the right auricle : moreover, the valve of the oval foramen, in a mature foetus, is fo large, and placed fo much to the left of the mufcular arch or iftmuu^^ (DCCCCXXIl), that when it is impelled by the blood from the left fide, the valve, Hke a palate or ihutter, clofes up the foramen ; but being impelled from the light fide, it readily gives way fo as eafily to tranf- mit either blood or flatus, but it will retain even flatus itleif when injected from the right, nor will it fufl'er it to pafs back again to the right fide. DCCCCXXIV. Moreover, there is but a fmall por- tion of the fame blood, which firfl; entered the right auricle and ventricle of the heart, that takes its courfe through the lungs : for the pulmonary artery, being in the foetus much larger than the aorta, is directly con- tinued into the du6:us arteriofus; which is larger than the light of both the pulmonary branches together, and greatly larger than the opening of the foramen ovale, and enters that part of the aorta which comes firfl: in contaft with the fpine, under its left fubclavian branch: by which means it transfers more than half the blood to the defcending aorta, which mull otherwife have pafl'ed through the left auricle and ventricle into the afcending branches of the aorta ; and this is the reafon why the aorta in the foetus is fo fmall at its coming out from the heart. By this mechanifm an overcharge of blood is turned off from the lungs, by directing a great part of that more than the right, which he obfcrved in heifers fomewhat more accurately than in man. That portion of blood, therefore, which penetrates through the orifice of the inferior vena cava into the right finus, ftraightway paffes with the blood of the fuperior vena cava into the right ventricle: But that portion of the blood which runs through the orifice of the inferior vena cava into the left finus, with- out touching the lungs, goes into the left ventricle with the blood of the pulmonary veins. Ch. XXXI. CONCEPTION. 22^ that fluid in a ftraight courfe to the umbilical arteries, and the powers of both fides of the heart are united in propelling the blood. DCCCCXXV. Thofe who have aflerted that the foetus refpires in the uterus, having made very few ex- periments, have neglected that moil eafy one which is made by water, in which the fcetus will fwim ; and likewife by the lungs, which in a fcetus are conftantly heavy, and fink in water : laftly, they do not attend to the evident Ihortnefs of the breaft, and fmallnefs of the lungs. Whether or not it can talsLe in air through the vagina of the mother, is very difficult to be determin- ed : and I fufped it to be pollible in a certain fitua- tion, that a well-grown foetus, which is not too much comprelfed, may fometimes draw in air, while it (ticks by a part of its body, between the parts of its mother. DCCCCXXVI. As the foetus grows larger, fo the uterus increafes proportionably ; the Terpentine arteries of which it is compofed being extended by the impelled blood, and ftretched into a more diretEl courfe; while the veins having their trunks compreffed by the great bulk of the uterus, and being unable to return the blood, fwell out into immenfe finufes ; and laftly, from the menftrual blood retained in the uterus, and not yet quite fpent on the foetus. Thus its thicknefs continues the fame, becaufe the greater quantity of blood and dilatation of the arteries and veins make up for the ex- tenuation of its folid parts. But more efpecially the fundus, or upper part of the womb, increafes beyond the reft ; fo that, by dilating the above tubes, thefe laft feem thus to defcend froni the middle of the uterus, which now by degrees goes out of the pelvis, even as high as the colon and ftomach itfelf, fo as to compafs all the abdominal vifera, more efpecially the bladder and reduni. The os uteri in the firft months of gefta- tion is drawn upwards with the uterus itfelt, and re- cedes from the entrance of the vagina : after the third month, however, it again defcends, and ftretches into the ^5© CONCEPTION. Ch. XXXI. the vagina '^^ The fame becoming perpetually fliorter, projects upon the clofe extremity of the vagina : it is, however, conftanrly tender ; and, from that cartilagin- ous hardnefs which is obfcrved in the virgin womb, is relaxed into a mucous foftnefs. It is never perfectly clofed or fliut together, but only flopped up and de- fended from the air by thick mucus from the fmufes, and perhaps from the veficles which are feated in the cervix uteri. Moreover, the cervix or neck of the womb itfelf, which has long remained unchanged du- ring the lad months of geftation becomes likewife fliort, and forms a broad flat opening, of no length ; which, towards the time of delivery, is always more or lefs re- laxed and gaping. As thefe matters advance, the foetus, which in the firfl months had no certain fituation, being now grown to a confiderable bulk, is, about the mid- dle of the time of geftation, folded together into a globe, in fuch a manner that the head lies betwixt the knees; and being the heavier part, it fubfides by de- grees more aiid more into the pelvis towards the cer- vix uteri. DCCCCXXVII. The various complaints in the uterus are now increafed to the higheft degree, being diftended by the great quantity of blood retained in it; for no- thing is more difagreeable to a human creature than a violent tenfion, unlefs it is done very gradually. From the head of the fcetus finking down into the pelvis, the reclum, bladder, and that part of the uterus next the neck, and which is the moll fenfible, are preiTed, and become painful : the foetus, having received its full increafe of bulk, diftends the uterus every way ; and that with the greater uneafmefs, becaufe, the waters being now taken away, the limbs which are fully form- ed, and the head, prefs much more vehemently on the . uterus. It is thought alfo that the placenta itfelf, now very *^' The afcent of the uterus is continued for almoft four months and a half, fo that it is out of reach of the finger. In the beginning of the fixth nnontS it agala begins to fall, and may be more caGly reached by the fingc Ch. XXXI. CONCEPTION. 2g f very large, diftradls the internal and naked fdrface of the uterus. From thefe caufes arife at firft flight en- deavours of the uterus to free itfelf ; and at lafl, when thefe caufes are now got to their utmoft height, fnch an imeafy fenfation is occafioncd by the impacted head of the foetus as arifes from a colleftion of feces in the rec- tum; by which pain, therefore, the mother is con- ftrained to attempt the birth of the child. The time of delivery comes on after the expiration of nine folar months, and is kept pretty exadly in every fpecies of animals, although by fome caufes it may be accelerated or retarded for fome weeks, according to the nature of thefe caufes, whofe power, however, we mufl not ex- tend too far. DCCCCXXVIIL The tenefmus thus increafing till it is no longer tolerable, the mother ufes all her efforts by very deep infpirations, which prefs downwards the uterus and vifcera of the abdomen (DCCLVL); and at the fame time the womb itfelf, by its contra£lile vital force, .conftringes itfelf fo powerfully about the foetus, as fome- times to exclude it, without further efforts from the mo- ther. The difficulties of the birth, however, are evi- dently overcome principally by the efforts of the mo- ther, while the mouth of the uterus, now very foft, fuf- fers itfelf to be diftended by the head of the foetus. Now the amnios, filled with the water, is firft protruded vertically, before the head of the foetus, fo as to dilate the OS internum uteri ; in which, the membranes being by degrees extenuated and dilated, eafily break, and pour out their waters, which lubricate the paffages, and relax all the parts of the vagina. The naked head of the foetus now prefents naturally with the face to the os lacrum, directed that way by its weight : and being ur- ged forward, like a wedge or cone, it further dilates the OS uteri ; till at length, by the more powerful ef- forts of the mother, which often loofen the bones of the pubes in young women, the head is thruft out through the dilatable vagina, with intolerable pain to the mo- ther, and an univerfal tremor of body j and if none of 3 the 432 CONCEPTION. Ch.XXXL the bones of the pelvis happen to prefs unequally, the infant eafily advances, and is delivered into the world. This happens difficultly even in quadrupeds ; but moft of all in the human ,Tace, whofe foetus has the largelfc head in proportion to its body. DCCCCXXIX. It is natural for women to have but one child at a birth, which law they have in common with all the larger animals, unlefs they are of the carni- vorous kind. Frequently, however, they have two '^% more rarely three, and fcarce ever five. It is not to be doubted, however, that a fecond foetus may be concei- ved while the firft remains in the uterus ; feeing women have frequently born children, when a hard and ofEfied fcetus had been for a long time retained in their uterus. DCCCCXXX. The placenta of the foetus, connect- ed with the fundus uteri (DCCCLXXXVIIL), is, in the next place, feparated from the womb, without much dif- ficultly in a mature birth, partly by the weaker throes of the mother, and partly by the extracting force of the deliverer ; by which the fleecy or villous furface of the placenta being withdrawn from that of the womb, is immediately followed with a confiderabie flow of blood; and thus is the mother delivered from the fecundines or after-birth. The umbilical cord of the foetus is next tied, before it is cutoff; for it cannot be left open, without danger of a fatal hemorrhagy. Thus the um- bilical vein is deprived of all the fupplies of blood which it ufed to receive, and at the fame time an infuperable obflacle is oppofed to the blood, conveyed by the arte- ries of the fame name. DCCCCXXXI. The uterus, which hitherto had been diftended beyond imagination, now contracts itfeif by the elaflic power of its fibres (I)CCCXLIlI.),fo fudden« ly and powerfully, as often to catch and embarrafs the hand of the deliverer, and frequently retain the placen- 2 ta, *9o Twins are conceived in the uterus more frequently than Is ge- nerally believed, although one is often deftroyed, and comes away ■with the fecundines without any perfon*3 notice: but the proportioQ of tbofe which come to the full tinae is as i to 60 or 65. Ch.XXXI. conception. 233 ta,if it be not foon loofened and withdrawn . By this con- tradion ot the womb, the bleeding vefTels are compref- fed, no lefs than by the contraclftion of their own coats ; whence the large quantity of blood that was coilefted in the uterine fubftance abundantly flows out, under the denomination of the lochia; at fir ft a mere gore, but af- terwards, as the openings of the veflcls more contract themfelves, they firfl beconip yellow, at length become of a whitifh or wheyifh complexion ; and then the ample wound of the uterus is foon healed, and Ihrinks up to a bulk not much exceeding that of the virgin uterus. DCCCCXLIV. But after two or three days are elap- fed from the birth, when the lochial difcharge has almoit fpent itfelf, the hreajls begin to fwell confiderably ; and their ducts, which in the time of geflation often diftil a little thin ferum from the nipple, become now very tur- gid with a liquor, which is at firft thin or like whey, but is foon after followed by the thicker chyle itfelf. For m'llh very much refcmbles chyle, but human milk lefs than that of other animals. It is white, thickilh, fweet, and replete with a very fweet eifential fait, which grows four fpontaneoufly, but is tempered by the oil and lymph added to it. It has alfo a volatile and fomewhat odorous vapour, a good deal of fat or oily parts, a larger portion of a white craflamentum or cheefy curd, and ftill more of a diluting water ; and again, in the cralTamen- tum, are contained parts of a more earthy, alkalefcent, or animal nature '^'. But when the chyle is once changed into ferum, by falling a confiderable time, the milk be- comes brackifli, alkalefcent, and difpleafmg to the in- fant. As the chyle, fo the milk frequently retains the nature of the ahments and medicines taken into the itomach. The caufc of this increafed fecretion in the Vol. II. q^ breads, ^9^ Milk in Its iogrediente does not differ much In many animals i but no milk refills acids fo ftrongly as the human. It is alfo lefs rea- dily coagulated than afs or cow milk by alkalis. Alum poured upon woman's milk leaves it untouched ; but lime-water coagulates it. The experiments of Hahn and VoltcleDjwhich were made after Spielman's obfervattons, are very elegant. - - 254 CONCEPTION. Ch.XXXF. breafls, feems owing to the revulfion, in confequencc of the plentiful uterine fecretion being fupprefled, by which the foetus was nouriflied ; in the fame manner as a diarrhoea is fuppreffed by increaling the perfpiration. For it has been obferved, that true milk will fometimes make its way through other parts befides the breads, and even efcape through wounds. And there is other- wife between the uterus and breafls fome kind of ner- vous fympathy, and a fimilar fitnefs for generating a white liquor. For the uterus in infancy, and during the time of pregnancy, manifeftly generates it. But the inr ofculations betwixt the mammary and epigaftric arte- ries, though true, are fo fmall, that they can have but a very little (hare in this account. DCCCCXLV. The breafts are made up with a very large quantity of foft furrounding celluhr fat, of a white colour ; and conglomerate glandules, of a convex figure, aifembled into bunches fomewhat round and hard, of a reddilh blue colour, outwardly furrounded and connec- ted by a firm web of the cellular fubftance, feparating off into leffer kernels, which are common both to men and women. To thefe glandules a great number of blood-veffels are diftributed from the internal mamma- ries, from the external vcflcls of the thorax, and fome- times from thofe of the ihoulders, all which inofculate together around the nipple '^*. The trunks of the mam- mary arteries, but not the mammales ,my effectual motion, cannot drive the blood through the fungs, that the aorta may receive its due quantity^ Thus the utmoft force of refpiration is exerted in order to open a paf- fage to the blood through the lungs, until even the powers given by nature for performing the adlion of infpiration, become unequal to their taik, and ceafe alto- gether. Thus the left fide of the heart neither receives blood 248 DEATH. Ch. XXXII. blood nor is Irritated, and therefore remains at reft; while yet for a little time the right ventricle, and laftly the auricle of the fame fide, receive the blood brought by the veins from the cold and contradted limbs, and by this means being irritated they continue to beat weakly. But laftly, when the reft of the body has become perfedly cold, and the fat itfelf congeal- ed, even this motion ceafes, and death becomes com- plete. DCCCCLXXIII. I would call that death, when the whole irritable nature has left the heart. For the mere reftin^ of the heart is not without hope of a revival of motion : neither does the putrefadlion of any part of the animal body demonftrate the death of the whole animal ; nor does its infenfibility or coldnefs do fo : but all thefe things when joined together, and perpe- tually increafmg, with the ftiff'nefs which follows the coagulation of the fat by reft and cold, prefent the figns of death in any doubtful cafe. DCCCCLXXIV. The dead body now haftens to putrefaftion. The fat, water, and gluten, in confe- quence of feparation and diffolution, confume: the earth, deprived of its bonds of union, infenfibly moul- ders away, and mixes itfelf with the duft : The fpirit departs whither God hath deftined it. By death it is indeftruclible ; which is manifeftfrom the common and frequent obfervation of phthifical people, who, while their bodily powers are wafting by difeafe, evidently poffefs a moft ferene, lively, and joyful mind. INDEX. N D E X. Chap. I. The FIBRES. I. ^ h ""HE moft fimple parts J 2. The common fabric of the folids 3. The fibres Their more permanent particles are eajthy 4. The earthy particles cohere by means of a gluten interpofed betwixt them 5. The gluten is compofed of oil and water 6. The fimple fibre 7. A confpicuous linear fibre 8. Laminae or plates 9. Common fabric of the cellular texture Its diverfity in general 10. Membranes formed of the cel- lar texture Veffels Tunics or coats 1 1. That the veffels of the tunics are an acceflion to the cellular texture 12. That the cellular texture is eve- ry where to be found 13. The inorganic concrete 14. That the fibres and cellular tex- ture are formed of the glutera 15. Afterwhatmannerthe folids are formed of the gluten. Chap. II. The CELLULAR TEXTURE. 16. The differences of cellular tex- ture In what parts it is (hort and ten- der 17. In what parts it is more lax 18. That the fat is pourc^d out in thcfe 19. The fmall fanguineous veffels of the cellular texture That the fat is depofited from the extremities of the arteries That it exudes alfo longitudi- nally through them 20. That the fame is reforbed into the veins Whether the veins remain in the cclular texture 21. That all the cells mutually open into one another 22. The very great dignity or impor- tance of the cellular texture 23. The contraMe force of the cel- lular texture different from the irritable one 24. The various ufes of the fat 25. The caufes and effefts of the fat being colle£led in the cells, or abforbed by them. Chap. IIL The VESSELS. 26. The figure of the arteries 27. That they have no external and conftant common membrane That their firft true membrane is every where cellular Vol. II. 28. That the exterior one is more lax, and perforated withblood- veffels and nerves 29. The inner more denfe and pro- per coat of the artery R $0. 250 N D X. 30. The mufcular coat formed of circular fibres That there are no longitudinal ones A fhort cellular texture under the mufcular coat 31. The innermoft membrane of the artery How this is formed in the arte- ries of the v.ifcera 32. The arteries of the arteries The nerves of the arteries If there is thence a contraAile power diftinft from the fimple elafticity 33. The round light of the arteries The pulfe of the arteries 34. The itrength of the arteries That the trunk is weakeft, the branches more ftrong 35. That the arteries go to all parts The proportion of the arteries to the parts which they en- ter 36. The proportion of the folid part of the artery to its light or cavity 37. The divifion of the arteries into branches The proportion of the light of the branches to that of the trunk The angles at which the bran- ches go off The flexions of the arteries 38. The anaftomofes and net-works of the veflels 39. How the fmalieft artery goes off into a vein 40. The various difpofuion of the arteries in the vifcera 41. That the arteries go out into veffels of the lefTcr kinds 42. Otherwifc they go off into ex- cretory dufts 43. Otherwife that they at laft ter- minate into exhaling canals 44. Whether every where there are veffels produced from the red ones 45. Whether the fmaller veffels are ufually produced by a multi- plied divifion 46. That the vei ns belonging to ma- ny are fimilar, to various o- thers are different 47. The ftru(5i:ure of the veins 48. The 'amplitude and divifion of the veins That they affeft the furface of the body 49. The valves of the veins 50. That the origins of the veins are from the arteries, from the veins of the leffer genera, from the veforbing veins of the whole circumference, and "from every cavity of the body 51. That othervcfTelsreforbingfrom the cellular texture are little different from thefe 52. That there are veins as well as arteries of fmaller kinds ^^. The lymphatic veffels 54. The conglobate glands ^^. Where the lymphatic veffels arc found That they unite in the thoracic diia ^6. The orifice of the conglobate glands 57. The valves of the lymphatics. Chap. IV. The MOTION of the BLOOD through the ARTE- RIES AND VEINS, OR THE CIRCULATION. 58. In what manner the blood fills the arteries and veins 59. That the blood moves rapidly through all the vcfTela 60. — 76. The direftion of the mo- tion of the blood 60. Proofs of the communication of the arteries and veins 61. I N D X. 251 61. That the blood, flows through tlie arteries from the heart to the extremities 62. That fomc have doubted con- cerning the motions of the venous bldod Who have acknowledged their error 6^, That Harvey firft fhowed the venal blood to return from the extremities to the heart This is proved by the valves vrhich prevent the reflux of the blood into the branches 64. That the valves alfo fuftain the weight of the blood That thefe alfo caufe the pref- fure of the mufcles to drive the blood into the veins to- wards the heart 65, — 70, Which things fhow the courfe of the venous blood 6^. Tlie valves of the right fide of the heart 66. Ligatures and compreflion in a living peifon 67. More accurate experiments on living animals 68. Injeftions into the veins 69. Trausfufion of blood 70. That the blood pafles from the arteries into the veins, pro- ved by injcftion 71. That the fame pafTage is (hown by the microfcope That there is no parenchyma between the arteries and veins 72. Which circulation of the blood is proved by what is already faid That there are fome places, however, where the pafTage is for a little contrary to the above mentioned one. 74.. That in the lyraphalic vefTels the pafTage of the liquor is from their roots to the thora- cic du6t 75. That all the reforbed vapours are carried towards the heart 76. That a pafTage mufl be found for the blood from the right ventricle of the heart into the" left. 73 Chap. V. The HEART. 17: 11' 78. 79 8r 82, 83- 84 85, 86, 78, The bags of the pleura The mediailinum 87. The pleura The place of the pericardium 88. The hinder part of the media- 89. ftinum The ligaments of the lungs 80. The pericardium The arteries of the pericardium' 90. Its veins Nerves The ftruflure of the pericardi- 91. um The water contained in it 92. The ufe of the pericardium What animals have a heart 93. In what manner the vena cava 94. terminates in the heart 95. The right finus venofus 96. The right auricle The oval foiTa The oval ring Euftachius's valve By what powers the blood Is forced into the cavities of the heart lying on the right fide The contraftion of the right auricle of the heart, and what follows from thence The figure and fituation of the heart The anterior or right ventricle of the heart The valvuL-e triglochines Their papillary mufcles The ufe of the triglochines That the heart is ilimulated to R 2 con- 252 N D X. contvaftion by the blood forced into it 97. The mufcular fibres of the heart according to the author 98. The fame dcfcribcdby others 99. The nerves of the heart 100. That thefe nerves give the heart its power of motion 101. But that there is aho fome o- ther caufe 102. The irritable power placed in the heart 10^. How the contraction of the ventricle is performed 104. By the contraction of the heart the return of the blood into the auricle and veins is pre- vented 105. By the contraction of the right ventricle the blood is driven into the pulmonary artery 106. The origin and beginning of the pulmonary artery Its feminal valves 107. The going out of the blood from the right ventricle into the pulmonary artery 108. The pafTage of the blood thro' the lungs 109. That the blood cannot flow back from the pulmonary artery into the heart 110. The puhnoiiary veins The courle of the blood thro' thefe 111. The left finus venofus The left auricle 112. That the contraction of the left antrum forces the blood into the left ventricle The vahuL-e 7m t raids 11 3. The conrfe of the blood from the right ventricle into the left, or the leffer circulation 114. The left ventricle J 15. That the blood is forced into the aorta by the the con- traction of the left ventricle 116. 117. 118, 119. 120. 121 122 123. 124. 125. 126. 127, 128. 139, 130. i3»' The valves of the aorta. The diallole of the heart In what manner the motions of the auricles and ventricles alternately foUovy one ano- ther Why thefe motions for fuch a long time, and fo conllant- ly, follow one another The queftion anfwered, that this is explained by the lli- mulus of the blood driven into irritable cavaties. That nothing elfe Is required. That the reafon cannot be found either in the com- preffion of the nerves or of the coronary arteries That the powers of the heart are not aflifted by the ofcil- lation of the fmalleft vef- fels Nor by the power of external heat Nor by the contraCtile force of the arteries The velocity with which the blood iflues from the heart The weight of the blood in- cumbent on the heart The force of the heart That hence many things arc uncertain That the powers of the heart are notwithllanding very ftrong , That the fame Is proved by the refiftance which the heart 0- vercomes The entrance of the blood in- to the coronary arteries The two coronary arteries , Their termination In the veins The great coronary vein The middle vein The third vein , The anterior veins . The middle -fized veins , The leail veins 132. N D E X 253 heart 132. When the coronary arteries the cavities of the receive the blood through the veins. 133. That the blood returns from 134. Thr lymphatic vefTels of the the coronary arteries into heart. Chap. VL The NATURE of the BLOOD and HUMOURS OF THE HUMAN BODY. 135. The blood in general 136. The warmth of the blood The vapour iffuing from blood when drawn 137. That the blood coagulates when this vapour is fent out from it. The cruor is the principal part of the coagiilum 138. The ferum of the blood 139. How the blood is changed by putrefaction 140. Belides thefc, that there are in the blood, fea-falt, earth, earth of iron, and air in an inelaftic ftate 141. What changes are wrought upon the blood by the ad- mixture of falts 142. The chemical analyfls of the^ blood J43.A fummary of thofe things that are to be known from thence - 144. That the red globules are di- iHnguifhed in the blood by the help of the microfcope Their figure 145. The colour of the globules, their number, magnitude, and figure, variable Whether or not they break in- to others fmaller 146. That fibres are produced from wafhed blood which did not H7 149, 150 151. J52 154. ass- ise. exift in the living animal That the cruor is compofed of globules which are inflam- mable The chemical analyfis of the ferum That the aqueous humours, the faliva and mucus, give over the fame principles by diftillation The quantity of blood in the whole body That the proportions of the elements of the blood are not always the fame Which of them vary in their proportion On the different proportion of the elements, and the confi- deration of the flructure of the folids, depend the dif- ferences of conftitutions The ufe of the red cruor. ' The coagulable ferum, thinner liquids, feiline particles, air, fire ; what, and by what means produced That the thick blood and more thin liquids are equally ne- ceffarv for health The difference between the ar- terial and venous blood That all the rell of the hu- mours are produced from the fame blood. R3 Chap» 254- N D X. Chap. VII. The COMMON OFFICES of the ARTERIES. 157. The blood propelled from the left ventricle into the aorta 158. That the arteries are conflaot- ly full The pulfe of the arteries, and its eaufe 159. The contradlion of the arteries 160. How it is proved that the ar- tery is contradlcd, and the blood driven forward by that means 161. That no fucceffion can be per- ceived in the puliation of different arteries, altho'igh we are certain that it rauft afftiially take place 162. That the velocity of the blood coming from the heart muft continually be diminifhed as it proceeds farther ttirou^h the arteries Wb;'.t things feem to be dioil- niflied, without actually be- ing fo 163. That the blood does not lofe fo much of its velocity as according to calculation it ought to do The caufe of this 164.. Why the pulfe vanilhes in the fmalleft arteries 165. That the blood prefles againd the fides of che veins Why the veins do not beat like the arteries 166. That the pulfe is the meafure of the powers of the heart What is meant by a flow, large, hard, and qi;ick pulfe W^herc it is beft felt 167. That the pulfe is more flow in proportion to the bulk of the animal. ' The difference of the pulfe in men according to the time of the day 168. That a frequent pulfe is diffe- rent from a fwift one Different caufes of a frequent pulfe 1 69. By what powers the venous blood is m.oved 170. That the fame moves more quickly in the trunks than in the branches • 171. By what means a ftagnation tion and coagulation uf the the blood is prevented 172. That the venous blood is pro- pelled by the aftion of the mufcles 173. Other powers comprefling the veins 1 74. The power of derivation What are the ufes of the ana- flornofes 175. The velocity of the venous blood What caufes render Its mo- tion more difficult 176. The time in which the circula- tion i& pel formed 177. The effects of the motion of ' the heart and arteries on the blood, by what means they are calculated 178. 179. By what means we un- derftandthe manner in which, thefe things are carried on 180. What fi iftion takes place in the arteries. Its effccls how calculated Whence the reducfs of the blood 181. Whether heat Is produced by the motion of blood 182.1 hat the progrefiive motion of the blood hinders putre- faction 183. That it is vavlous In different particles of a different dlf- pofition i?4' IN D E X. ns i84.Theeffefts of the fyftoles of the arteries 185. That the fmalleft mouths of the arteries are modles in which the fmall maffes of blood are formed 186. What is the ufe of the reticu- lar works of the arteries 1 87. Tl»e effefts of a flow motion of the blood. "^ Chap. VIII. Of SECRETION. 188. Four claffes of fecreted hu- mours That the firft is of the coagu- lable ones, which for the moll part exhale 189. That the fecond is of fuch as are not coagulable, which partly exhale, and partly not 190. That the third is of the mu- cous ones 191. That the fourth Is of the in- flarriTnable ones 192. That the other humours arc compofed of thefe 193. That a defcription of the fe- cretory organs is required, ' according to what we ob- ferve of the different natures of the humours fecreted by different organs 194. That the fecretion of coagu- lable liquors is performed without glands J95. 'What glands fecrete the al- buminous humour of the joints 196. The feat of thefe glands 197. That the exhaling liquor« which are not coagulable are fecreted without glands 198. That fuch liquors as are nei- ther coagulable nor exha- ling, are fecreted by con- glomerate glands That thefe are made up of kernels 199,200,201. The ftrufture of thefe kernels 202. That the liquors of 198 are even fecreted without thefe kernelly glands 203. That the mucus is every where fecreted by glands The ftruAure of a true gland 204. How the fecretion is perform- ed in thefe glands 205. The mouth of the excretories The cryptiS or cells 206. The conglutinated glandules 207. The excretory dufts 208. The compound glands The agminated or congregate glands 209. The various fecretion of In«> flammable liquors That there are many febaceous glands without a du6l That there are other febaceous ones which have a duct 21 r. Compound febaceous ones 212. That milk is fecreted in the conglomerate glands 213. The organs being defcribed, that we muft return to the queftion 193. 214. That the blood coming to the fecretories is of a particular nature 215. That the retardation of the blood in the Icafl; veffels fe- parates the more denfe hu^ mours from the lighter and fuch as are more flov? in their motion 216. That the mouths of the fecre- tory veffels are of different diameters 217. That this inequality may al- ter the fecreted humours in many different ways 2 1 8. That moft; fecretions happen R 4 through 9^6 N x; tlirough fmall vefiels rifibg from a red artery That fome, however, are made by thefe vefTels which arife from others of a lefler kind 219. That perhaps the angle at which the fecretory branch goes off is of fome confe- quence What things render this pro- bable "What things render it doubt- ful 220. That the flexions of vefTels contribute to fecretion 221. That the thicknefs of the ar- teries may do the fame That their irritability does al- moft the fame things 222. That [various things which augment or diminifh the velocity of the blood have great efFe£l on the fecre- tions" 223. That the fecreted humours va- ry by a variatioa of thefe conditions 224. That the mod large and denfe particles of the blood pafs into the veins 225. What becomes of the larg?, flow, and fluggifh parti- cles And of the coagulable ones 226. In what veffels the thin and aqueous liquors are fecre- ted %z6. * In what vefTels are fecreted the light aqueous but- vif- cid and fiow humours 227. Various hypothefes are formed concerning lecretion 228. It remains to be found out how the pure fecretions are made That all humours newly fecre- ted have an admixture of water 229. What humours become vifcid by flagnating in the vefl'els 230. That liquors may be changed in their receptacle by tlie admixture of a new liquid 23 1. That the rcforbed humours are alfo of ufe 232. The ufe of receptacles 233. The powers by wliich the re- tained humours are at lafl e- jefted. Chap. IX. Of R E S P I R A T I O N. 234. The figure of the lungs 235. The external membrane of the lungs 236. The itru6lure of the lungs 337. The ftrudlure of the afpera ar- teria 238. The fibres of it are mufcular 239. Its mucous glandules The conglobate glands in their neighbourhood 240. The veffels and nerves of the afpera arteria 241. Its divifion into bronchia 242. That their ultimate branches terminate in the cellular tex- ture 243. The bronchial arteries and veins 244. The pulmonar}'- artery 245. The pulmonary veins 245. *Tht: lymphatie vefTels of the lungs Tlie nerves of the lungs 246. That a very larg:e portion of the blood enters the lungs That the utility of this vifcua depends on the air 247. 1 he nature of atmofpherical air 248. In what manner ft is excluded from the body It ought to be underftood why it enters the lungs 249. It Is fliown why it enters ihetn 250. The general fabric of the tho- rax 251. The index: 257 25 r. 252. 253- 254. 255. 256. 257, 358. 259. 260, 262. 263. 264. 265, 266 267. 268 269 270, The vertebrse of the back The articulation of the ribs 271. with the vertebras The ligamenrs of the latter 272. How the ribs are joined wirfi 273. the fternum The length of the ribs. The direction of the ribs 274. Their ftrength various The fternum That the thorax muft be raifed 275. in order to dilate the feat of the lungs 276. That this is performed by the external intercoftal mufcles. The internal intercoftals. 277. There are doubts concerning the aftion of thefe, but it is 278. ' certain that they are eleva- ted 279. By what means thefe enlarge the thorax. They are not, 280. however, fufficient to per- form this dilatation 261. The diaphragm The two holes of the feptum 281. That the contraGion of the feptum augments the capa- 282. city of the thorax But that this is performed on- 283. ly by means of refpiration What powers confpire to pro- 285. duce the more deep infpira- tions Infpiration how performed 286. Its effefls on the air and blood- veffels , Whether there is air between the lungs and thorax 287. That the air is vitiated by re- fpiration Theinconveniencesof too long 288. an infpiration 289. , The powers of exfpiration That the abdominal mufcles confpire to produce this ef- fedl 290 That the fternocoftals and o- thers alfo afllft What powers affift the mufcles in tlie ftronger refpirations The effedls of exfpiration That from thence there arifea a new neceflity for refpira- tion That we can fcarce affign any- other caufes for alternate re- fpiration That refpiration is neccifary for an adult That the ufefulnefs of refpira- tion is different from that neceflity From whence thefe things are difcovered Whether animal-heat is gene- rated in the lungs Whether the blood is conden- fed in the lungs Whether air itfelf is received into the blood in the lungs What things render this pro- bable What things feem to prove the contrary Whether the blood is cooled in the lungs Whether the red colour of the blood proceeds from the air Whether the ufe of the blood is to abforb nitre from the air What animals live long with- out air Why every animal dies in air that is not often changed What is the agreement be- tween the pulfe and refpira- tion Cough Laughter Weeping Hickup Sneezing . The acceflbry ufes of refpira- tion. Chap«' ^jfg N D X, Chap. X. [XI.] The VOICE And SPEECH. 29tr. That the larynx is made of car- tilages Its veffels and nerves 292. The fcutiform cartilage 2£>3. The annular cartilage 294. The arytenoide cartilages 295. The glottis 296. The epiglottis 297. The ventricles of the larynx 298. The mucous glandules of the larynx 299. The thyreoide glandule jcc. The connex^ion of the larynx with the OS hyoides The elevation and narrowing of the larynx and glottis jci.The depreffion and dilatation of the larynx and glottis 302. The cavity of the mouth The noftrils 303. The tongue 304. The voice Whifpering 305. The llrength of the voice Hew an acute tone is made 306. That a grave tone is produced by oppofite caufes 307. The caufes of a divcrfity of tcnes 308. Singing 309. Speech 3 to. The pronunciation of letters. Chap. XL The B R A I N and NERVES. 31 1. A confidefation of the order 312, — 3^9- The arteries which be- long to the brain 312. The ?.rch of the aorta, and the branches produced from it JI3. The divifion of the carotid The external carotid. From it proceeds The fuperior thyreoide artery The lingual artery 1 he labial one The afcending pharyngea 314. 1 he occipital artery The auricular one 315. The temporal artery The internal maxillary one 316. The principal branch to the dura mater Other branches of the internal maxillary 516. *Xhe internal carotid ]ts angles Its paffage through the fora- men of the OS petrofum The branches produced from it in the receptacle 517. The branches of the internal carotid on the bridge and crura of the brain The branch accompanying the plexus choroides and optic nerve The anterior and pofterior branch The ilrutture of the branches of the carotid artery which lie within the flcull 318. What may be coUefted froni the hiftory of the arteries of the brain 320. 324. The coverings of the brain 320. The bony covering of the en- cephalon The hard membranes in gene- ral 321. The external and internal la- mina of the hard membrane The falx and tentoria proceed from thefe, and what is their ufe 322. The glands 323. The arachnoid membrane 324. The pia mater 325. 339. The veins of the encc- phalon 325. The fourth finus 326. The I N D E X. ^26. Th£ fuperior fintu of the falx ^he tranfverfe linufes 327. The inferior finus of the falx 328. The inferior, anterior, and po- fleiici veins of the brain 329. The veins of the cercrbellum That the fupeiiov ones termi- nate in the fourth finiis; the inferior ones in the iuperior and tranfverfe finus of the os pet; ofum 330. A finus like a circle The tranfverfe finufes joining the cavernous ones 331. The fuperior iinus petrofus The inferior finus petrofus The pofterior occipital finvis 332. The anterior occipital finus The cavernous finus The conjunction of the finufes and external veins of the cra- nium with one another, and what happens from thence 333. The ufe of the finufes 334. What happens to the arteries with the finufes 2^^. That the blood chiefly flows into the jugular veins Their cerebral and facial branches $$6. The external jugular vein The internal vertebral vein 337. The finus of the medulla fpi- nalis 338. The ufes of the venal anallo- mofes 339. The lymphatic veffels of the brain The reforption of that which exhales in the brain 340. That a great number of parts are comprehended under the 3S^' name of e-ncephaion The cerebrum, cerebellum, 357. bridge and medulla oblon- gata, what they are 358. 34 1. The figure of the brain its gyri or circumvolutions Its cortex Z'i')' Medulla *59f S42' 3+3' 343' 344- 345' 346 347' 348' 3+9 35O' 35^' %s-^ 353' 354' 355 Lobes The more fubtile ftrufturc of the brain 53. 1 he interior anatomy o£ the brain The oval feftion of the brain The corpus callofum The anterior or three-horned ventricle The corpora itriata The thalam.i of the optic nerves The double femicircular centre The anterior commifiure The mamillary'- eminences The pellucid ieptum The fornix The fimbriae The hippocampi The pfalterium The choroid plexus The third ventricle The pituitary gland The pofterior double commif- fure The feparation of the third ven- tricle from the calamus fcrip- torius The anterior commiflure The nates The teftes The pineal gland The crura of the brain The cerebellum The bridge The medulla oblongata The olive-fiiaped and pyrami- dal bodies The fourth ventricle The great valve The aquedu6l The calamus The common origins of the nerves of the brain The originsof eachof the fingle nerves of the brain The medulla fpinalis The pia mater, arteries, and veins of the fame The arachnoid membrane of the medulla fpinalis 360. The 'a6o I N D E 360. The hard membrane of the me- dulla fpinalis The toothed ligament 372. 36 r^ The common properties of the fpinal nerves 373. 362. The' anterior and pofterior trunks of the fpinal nerves The intercoflal nerve The eighth pair 374. The phrenic nerve 375. The acceffory nerve ' 364. The extremity of the nerves 376. The ftrai'ghtnefs of the fibres of the nerves 377, That the nerves are fcarcely e- laftic, and not at all irritable The number of nerves in pro- portion to the parts to which they are fent The anaftomofes of the nerves 378. Ganglions ■965. Howr it is proved that fenfa- 379. tion is owing to the nerves That it is the medullary part of the nerve which feels 380. ^66> That the foul perceives in the brain, not immediately by the fenforia and branches of 381. the nerves -267. How the mufcles are affefted 382. by comprefling or irritating the nerves 368. What impediments of the ani- mal motions happen on hurt- 383. ing the brain or fpinal mar- row 384. 369. From what is laid down In 367 and 368, the nerves are pro- ved likewife to be the organs 385. of motion , Whether there is In the brain any principal feat in which 386. is the origin of all motions, and the end of all fenfation, where the foul refides 387, Thatthatfeatisnot in thecor- 388 pus callofum Nor Is It the proper province 389 of the cerebellum to carry on the vital motions 350 Nor are we to derive the mo- 370- 371' lions called anmalanA vital from different fources That the feat of the foul is where the nerves firft begin That the nerves are the organs of fenfation and motion, not by their membranes, but their medullary part What the medulla is Whether a medullary fibre Is folid That the nerves are entirely devoid of elafticity That motion can only be pro^ pagated downvvards That from what is already faid, it follows, that the medul- lary fibre feems to be hol- low A dlfproof of the objeftions ufually brought againft this , The nature of the nervous fluid How proved not to be electri- cal , That the nature of that fluid Is neither aqueous nor albu- minous , Of what kind the nervous fluid ought to be . How it is rendered more pro- bable that the nervous fluid pafles through a hollow tube than through a fponeyjolld . A double motion of the nef- vous juice . That the fame nerves mofl: evi- dently ferve both for fenfe and motion . What becomes of the nervous fluid Whether it nouriflies the body . Qneftions concerning the ufes of the different parts of the brain The offices of the ventricles What is known concerning the ufe of the tubercles The ofiices of the Ilrlae and the internal dufts The order of thofethlngs which follow confidered. 391. What IN D E X. 261 Chap. XII. MUSCULAR MOTION. 391. What is called the dead power of the fibre 392. The reafon ,why it is called dead Its effcfts 393. The power of the dead fibre commorily known. The properties of the common red mufciilar fibre 394. What the fibres of a mufcle, and the mufcle itfelf, are 395. The fibres treated more fully 396. The belly, tendon, aponeuro- fis, and capfule of a mufcle, what Whether the fibres of the ten- dons are of a different genus from the mufcular ones The parts in which the mufcles go off in long tendons, and thofe to which they affix themfelves 397. The reafons of the tendons u- niting themfelves with the flefh A pennated mufcle, what 398. The arteries, veins, lympha- tics, and nerves, of the muf- cles 399. The flirufture of the leaft fibre which fcrves as an element to the mufcle 400. That there is a threefold force in the mufcle The vis hifita of the mufcle .•. 401. The meafure of the mufcles fhortening when they con- traft 402. Other things which relate to the vis injita 403. The nervous power of th^ muf- cle 404. In what the nervous power and vis itifita differ 405. The phenomena in the motion of the mufcles arifing from the nervous power and vis inftta 406. What the arteries contribute to the motion of the muf- cles 407. A refutation of the caufes by which the nerves are faid to move the mufcles 408. That the nervous fluid feems to ferve in the place of a fti- mulus ; and that its moving caufe is not the foul, but a law derived from God 409. What things fhow that in the motion arifing from the vis infita, the foul does not in- terfere 410. What things happen to the mufcles obeying the will, and to thofe which are governed by a vis injita 41 1. The magnitude and lofs of the powers which the mufcle« exert in their contra£tions 412. The proportion of thefe loffes 313. What thofe that are called an- tagonills contribute to the motion of the mufcles 414. Other helps to this motion 416. The co-eperation of the muf- cles 417. What effefts are produced by the adlion of the mufcles 418. The relaxation of a llretched mufcle What becomes of the fpiritfent out from the brain. Chap* 25» lir D X. Chap. XIII. TOUCH OR FEELING. 419. What feeling Is A confideration of the order 1^20. Touch in general A2 1. Touch in another and more proper fcnfe 422 The true flcin 423. The granules and papillae of the fliin 424. The epidermis 425. The rete Malpighianum 426. Of what the net-work and e- pidermis are made 427. The glands of the Mn That there is another fpring of oily liquor, and what it is 428. T,he hairs 429. The nails 430. 1 hat the fubcutaneous cellular texture in very few places is free of fat What purpofe it ferves after it has received the fat That the (kin and Malplghian mucus, where they feem per- forated, are drawn inward and degenerate 431. The reafon of feeling, and the qualities which are known from thence 432. The Malpighian mucus, hairs and nails, what purpofe they ferve 433. A vapour perfpires through are infinite number of little ar- teries of the fl34" 636. 657. 638. 639- €40. 641. 642, 643' 644 645 646 647 The prefTure of the diaphragm 648. and ir.ufclts of the abdomen on the ttomach 649. The neceffity of meat and drink The phenomena of hunger New chyle, the ufc of it The caufe of hunger 650. The feat of third How it is excited How quenched 651. The plcafnre of taking food That we ought to inquire why a diet is required confiftmg of two kinds of ahments Why flcfh is required Why vegetables 6^ 2 . . Drink , Pickles and fauces Preparations of aliments 653. . The meafure of food 654, The changes which happen to the food in the itomach What hinders the food from degenerating into a full aci- dity in the ftomach That there is no kind of fer- ment here The periftaltic motion of the ttomach driving the aliment into the inteltines The more powerful force of the diaphragm and abdomi- nal mufcles In what order and time the aliments go out of the fto- mach What portion of drink in the ftomach is abforbed into the veins Vomiting , A confideration of the order. Chap. XXI. The OMENTUM. 655, 6j6. 657, 658 660 661 662 66s The peritonxum and its cir- cuit 1 hat the cellular texture pla- ced round the peritonaeum is continued into the cap- ful es Its communications with other parts 1 he productions and ligaments of the peritonsum By the feparated laminae of the peritonjenm the vifcera are furroundcd, and kept firm and defended in motions and concuffions of the body . 659. The mefocolon , That the mefocolon and me- fentery are hollow The fltnder purfcs cf the me- focolon , The mefentery . What things are found In all parts of the mefentcTy and mefocolon . That many parts come under the Tiame of ovicntum Their nature In general A membrane coming from the external membrane of the colon, and lofing itfelf in the filTure of the liver The natural mouth, and com- mon gate of the omenta 664. The lefltr hepatico-gaftric o- mentum 6()^. The anterior lamina of the greater gaftro-colic omen- tum 666. The pofterior lamina of the fame 667. '!'he omentum colicum 668. That it is common both to the omentum and mefentery to prefcrve the fat How it is proved that this fat is received into the veins 669. The arteries of the omenta 670. The nerves of the omenta 671. The arteries of the mefentery and mefocolon 672. The veins of the omentum and mefentery The N D X. 269 The lymphatic veffels of the 675. The water reforbed by the omentum ~ veii)S of the mefentery, what 673. Other ufes of the omentum fort it is, and what it con- 674. The ufe of the mefentery tributes to tlie bile. Chap. XXII. The SPLEEN. 676. The fubftance of the fpleen Its figure Conneftion Its fituation, bulk, and num- ber 677. The arteries and veins of the fpleen 678. The lymphatic veffels of the fpleen 679. Its nerves 680. Its internal ftrufture The furrounding membrane 681. That the fpken contains great deal of blood Its nature 682. 683. The ufe of the fpleen 084. Conjcftures concerning it. Chap. XXIII. The PANCREAS. 685. The pancreatic juice 686. The fituation and figure of the pancreas Its (trufture Its veffels Its nerves 687. The pancreatic du6t 688. The quantity of pancreatic li- quor The powers by which it is ex- pelled The perpetuity of the pan- creas is an argument of its utility Whence the effervefcence with the bile is produced 688. *The utility of the pancreatic juice. Chap. XXIV. The LIVER, GALL-BLADDER, and BILE. 689. -690. 691 692. 693 • 694, The bulk of the liver The fituation of the liver by reafon of the diaphragm The ligaments from it Other ligaments How it can be moved Its common membrane How the 'iver is fituaced with refpeft to the colon, kid- neys, duodenum, ftomach, and pancreas The fhape of the liver The furrows of the liver Its lobes [he arteries of the liver The umbilical vein The duftus venofus 695. The large trunks of the vena portarum 6c)6. The capfule of the vena porta- rum The divifions of the branches That thcfe branches perpetu- ally accompany the hepatic artery The proportion of the branches of the vena portarum to its t ru n k 697; The branches of the cava The proportions of its branches to thofe of the vena potla- rum The trunk of the vena cava The fmallcr veins creeping S 3 over 270 «^98 699, 700. 701, 704 705 706 707 708, 709 710. I N D over the furface of the li- ver , The pafiage of the blood thro' the vena portarum The nerves of the liver The lymphatic vefTels of the li- ver 3. The internal ftrufture of tlie liver How it happens that the bile is not fecreted from the he- patic artery, but from tl:e vena portarum How the fecreted bile is driven into the biliarj- duels and through them The ftruclure of the biliary duft Its irritability and fenfation The duftiis choiedochus The duclus cyfticus The gall-bladder Its fituation The fhape of the gall-bladder The wrinkles of the duclus cy- fticus The coats and muciferous pores of the gall-bladder The exhalation of the arteries into the bladder That the bile exfudes through inorganic pores That in man, no ducts come E X.' from the liver into the gall- bladder 711. *That the bile flows into the inteftine both from the li- ver and from the gall-blad- der That all the bile is not firO: conveyed to the gaU-blad- der The quantity of bile How often the bile flows into the bladder That the bile is not fecreted by its proper veficle 7 f 2. The return of vitiated bile into the blood 713. Thechiinge which the bile un- dergoes in the cyftis That it returns to the gall- bladder, when there is no ufe for it in the inteftines 714. The powers which exprefs the bile from the gall-bladder 715. The qualities, elements, and offices of the bile 716. Where the bile goes off That it foraetimes comes into the ftomach The coagulation and ufe of the bile in the foetus 717. The proper ufe of the liver In the foetus Chap. XXV. The SMALL INTESTINES, 718. 719. 720. 721. 722. The fmall inteftines in general Their divifion The duodenum That in it chiefly the bile and pancrearic juice are mixed ■with the aliments The feat of the remaining part X)f the fmall inteftines in ge- neral 27. The fl:rucl;ure of the fmall inteftines The external coat The fir ft cellular one The mufcular coat 723. Another cellular coat The nervous coat The third cellular coat The villous coat Its folds 724. The villi of the inteftines 725. The veficles of the villi 726. The larger pores of the villous coat leading to the mucous glands 727. The lefler pores likewife depo- litinjT mucus 728. 730. The arteries of the fmall inteftines 730. The N D E X. 271 730. The arteries of tlie duodenum 731. The veins of the fmall inte- itines How it is proved that thefe ab- iorb a thin humour from the inteftincs 732. The nerves of the fmall inte- ilines 733. A liquid flowing from the ar- teries into the cavity of the inteftine Its quantity The ufts of the mucus of ti.e fmall intcltiiics 734, 5. The periilakic motion 736. The changes which the food undergoes in the fmall inte- (lines 737. The office of the fmall inte- ftincs in general 738. The principal caufcs which change the ahments in the fmall inteftines Chap. XXVI. The LARGE INTESTINES. 739' 740. 741, 742, 743' 744' 745 746 747 The remains of the food after the chyle is extradled How the ileon moves itfelf to- wards the colon The valve of the colon The blind extremity of the co- lon The appendix The cliange of ilrucElure which happens to the cascum in an adult from what it is in the foetus That the fetor of the excrements begins chiefly there The iituation and connexions of the inteftinum colon Tlie ftrufture of the colon in general Its ligaments The cells of the colon The wrinkles, follicles, and pores of its villous mem- brane^ The veflels of the large inte- ftine The divlfion of the veflels to the large inteftines The exhalation and reforption from thefe The hemorrhoids , The lymphatic veflels of the larje inteftine 748. 749' 750 75 1' 752, 753' 754 755- 756. 757- That chyle is fometimes obfer- ved in thefe The nerves of the large Inte- . ftinc The feces of the inteftinum co- lon The periftaltic and anti-peri- ftaltic motion of the colon Flatus How the ileon is ftiut up The paflage of the feces thro' the colon The fituation and dudl of the redlum The external and mufcular coat of the i-eftum The internal fphinfter of the anus The villous coat of the reftum Its folds, and mucous glan- dules The febaceous glandules of the anus . The external fphin£ler of the anus, and its action How the anus is naturally con- tra fled , The levator mufcles of the a- nus The excretion of the feces The feces themfelves. S4 Chai i27» I N D X- Chap. XXVII. The CHYLIFEROUS VESSELS. ^58. Tlie nature of the chyle. ^59. The abforption of the chyle, and its pafTage through the lafteal veflels In what animals lafteal vefiels are found Hovv they are difpofed in the different inteftines 760. The valves of the ladleals The caufes of the chyle's mo- tion through the coats of the inteftines *}Gl. The glands of the mefentery That the chyle goes from the inteftines to thefe glands 762. What happens to the chyle in the glands of the mefen- tery 763. The pafiage of the ladleals from the mefenteric glands to the receptacle of the chyle 764. HoviT the paffage into the re- ceptacle of the chyle is de- monftrated 765, 6. The thoracic duft 767. That the chyle comes into the blood through the thoracic dua 568. The caufe of the motion of the chyle in general 769. The change of the chyle du- ring its circulation with the blood That in the inteftines there are not latteal and lymphatic vefTcls of different kinds 770. That the lymphatic veffels ab- forb vsrater after the time of digeftion is expired That the thoracic duft brings back the lymph of the whole body. Chap. XXVIII. The KIDNEYS, BLADDER, and URINE. 771 772 773 774' 775' 776. 777' 7^8, , That a part of the water brought into the blood by the cliyle is ftrained through the kidneys The fituation and connexion of the kidneys Their figure External membrane Their fat Ligaments The arteries of the kidneys The veins of the kidneys The quick palTage of the blood from the arteries into the veins The veins of the renal fat The lymphatic veins of the kidneys The nerves of the kidneys The renal capfule So. The internal ftru6ture of the kidney 78 // 779' 780, 782 783 784. 785, 786, The firufture of the cortical part The urinifcrous veffels The glandules The papiiJEe of the kidneys The infundibula, or funnel? The pelvis The fecretion of the urine The quantity of the urine The elements of the urine How the ureter moves the u- rine forward The ureter itfelf Hew it is prQvtrd that the urine is feparated in the kidneys, and defcends by the ureter into the bladder That the urine canrlot defcend by other paffages The fituation of the urinary bladder 787, INDEX. 27$^ ^87. The figure and magnitude of the bladder 788. The fir ft cellular coat of the bladder Its longitudinal nvufcular fi- 795. bres 796. 789. Its other mufcular fibres 790. The contraftik power of the bladder 791. The fccond cellular coat of the 797. bladder, 798. The nervous coat . The innermoil coat of the bladder The mucus of the bladder, 799, and its fprings 792. The veflels and nerves of the 803. bladder The lymphatics 793. That the bladder tranfmits 804. and abforbs water through lits inorganic pores 8C5. 794. That the urine flows through the ureter Into the bladder. That it remains there The caufes retaining the u- urine How the urine is expelled That various noxious matters are thrown off by the urine The confequences of a reten- tion or fuppreffion of urine The urethra in general The parts receiving and fup- porting the urethra The various capacity and fi- gure of the urethra • 802. The mufcles gover« ning the urethra That the pyramidal mufcle has no efE^ft in drawing the bladder downward The mucus of the urethra, and its various fprings The ftone in the urinary blad- der. Ghap. XXIX. The MALE GENITALS. 806. The reafon of the fituation of That the arteries have no ana- the genitjal parts ftomofes with the fpermatic 807, . A confideration of the order vein The various fituation of the The motion and quantity of tefticles the blood in the tefticle 808. . The fcrotum 814. The fpermatic vein The dartos 815. The veflels of the external co- 809. , The cellular texture of the verings of the tefticle fcrotum 816 The nerves of the tefticle. The cremaller 817. The lymphatic veflels of the 810. , The vaginal coat of the tcfti- tefticle cle 818. The internal ftrudure of the The tunica albuginea tefticle 811, . The figure and fituation of the 819. The flirufture and wandering epidydimis veflel of the epidydimis 812. . The fpermatic artery 820. The motion of the feed The abdominal ring 82 I. I'he vas deferens The paffage of the fpermatic 822. The veficula feminalis cords front thence to the 823. The fenien tefticle 824. The animalcules of the femen The fmall arteries to the c(3ats 825. How thefe come to be in the of the tefticle femcn 8j3. The diftribution of the fmall 826. Whence the feed comes arteries through the tefticle 0£ m I N D E X. Of what humours it is corapo- fed What is generated in the te- fticles is only proHfic How long the femen is pre- ferved in the vefiels S27. That a part of the femen is abforbed, and it efFefts How the femen is retained in the veffcls 828. The quantity of femen That the femen comes from the teftick into the feminal vefTels 829. The proftate gland Its liquor 829. * The three dilatations of the urethra ; its various direc- tion ; its coats [^Omitted by vujlake hi its proper place- 3 *« 829. The urethra, though in ge- *' neral of a cylindric figure, *' is yet dilated into three " pretty large cavities. The *« The firft is in the proftate, *' about the feat of the ca- *^ put galUnaginis ; the o- *' ther is in the bulb ; and <« the third in the beginning ' *' of the glans. Its duft is *' generally horizontal at " firft ; it then afcends a- ♦' long the ofTa pubis ; and, " laftly, in man it is pendu- *' lous, except during the *' time of venery. Itiscon- ** tinued from the nervous ** coat of the bladder, and *' is covered inwardly with " a very fmooth cuticle, *' between which and the " nervous coat is interpo- ''■ fed a cellular texture." 830. The cavernous bodies of the urethra 831. How it is proved that" the blood is poured into this body 832. The cavernous bodies of the penis 833. The teguments of the penis The prepuce The odoriferous glands The fufpenfory ligament 854. The ufe of the penis 835. The ercftion of the penis Its exciting caufes 836. The arteries of the genital parts 837. The veins of the fame parts 838. The lymphatic veflels of the penis The nerves of the genital" parts 839. The immediate caufe of the e- redtion of the penis 840. The expulfion of the femen into the urethra 841. Its expulfion from the ure- thra That this aftion is moft vio- lent, and next to a convul- fion. Chap. XXX. The V I RG IN WOMB. 842. The fituation of the uterus in the pelvis How the uterus is tied to the peritoneum The broad ligaments 843. The body, neck, and internal mouth of tlie uterus 844. The tubes of the uierus 845. The ovaries 846. The eggs in the ovaries 847. The round ligament of the u- terus 848. The arteries of the uterus 849. Its veins 850. The internal veflels of the ute- rus 851. The lymphatic veflels of the uterus 852. The uterine nerves 853, IN D 8^3. The age at which the racnfes begin to flow 854 The phenomena of the menfes The duration of the flux The periods at which they re- turn 855. That the menftrual blood flows from the vefTels of the ute- rus itfelf The nature of the menftrual blood That the uterus beingobftruft- ed, the blood flows out thro' the vagina, and through o- other parts 856. Whether the moon ferments, or the venereal defire, are the caufes of the menfes 857. The female body in general The pelvis and its vefl'els, in as far as they differ from the fabric of the fimilar parts in a man How the paflage of the blood through the uterus is thence affefted 859. The inferior limbs, pelvis, and uterus of afemale child new- ly born How the ftrufture of thefe is X 275. changed In the adult The effcdls of thefe changes ^60. That a plethora is generated in both fexes when the growth of the body ceafes That this, in males, goes off by the noflrils That in women it finds an ea- fier pafTage by the uterine velTels That there are other effects of this determination of the blood How the quantity of the men- fes is increafed or diminifh- ed 861. The quantity of the blood fent out The remifTion and return of the period Why the period is commonly fixed to a month Why the menfes ceafe to flow altogether Why brute animals have no menfes Why men want them 862. Why the breafts fwell out at. the fame time Chap. XXXI. CONCEPTION. 863. The difficulty of treating this fubjeft properly The order of treating It 864. The mofl fimple animals which have no fexes How they produce their young ones 865. Oviparous animals of one fex 866. 7. Animals of two fexes joined in one 866. What animals impregnate themfelves 867. Animals of this kind which ftand In need of one ano- ther's afllftance 868. Animals with two fexes divi- ded 869. Confequences which follow from what has been faid concerning the origin and fexes of animals 870. Caufes of the defire of venery 871. The vagina, and itsfituation The hymen The canmcula myrttformes 872. The ftrudtui-e of the vagina 873. The nymphas The clitoris 874. The conftridor mufcle of the mouth of the vagina 875. Coition What happens to women du» ring the time of coition 875^ INDEX. The fprings of the mucons li- quor thrown out m coition That the tubes itj coition are ercfted, and moved towards the ovarium 877,8. What changes take place in the ovarium at that time The corpus luteum 878. How it is proved that the tube prefTes out the egg, abforbs it, and carries it towards the uterus 879. The feehn2;s of the future mo- ther while thefe things are performed How it is proved that concep- tion takes place in the ova- rium Why the uterus is thought to be (liut after conception Whence the complaints after conception arife The origiiial {lamina of the new animal, whether they. are from both parents, and the mixture of feeds coming from all parts of the body Whether they are only from the male and feminal worms , Whether the foetus does not proceed rather from the mother Hypothefes concerning the for- mation of the new animal What can be more certainly known concerning this mat- ter 886. The ftate of the embryo before conception How it is changed by the male fern en 887. Objedlions from moles, of no weight 888. The change of the egg when brought into the uterus Its inofculation with the iite- rus S89. The contents of the t