div^y ti - . .Tf . 1:^- ;^. y j jv^ rS* i-rl: M iiiiii .ciiti ^Ij uxJjjt^ MUNTINOTON COLLCGTlOW ^ Columbia ?Hnibers;itp in tf)e Citp of iSeto |?orfe College o! $i)p£(ictan£^ anb ^urgeonsi ILibrarp ^ Digitized by the Internet Archive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/compendiumofanatOOheis Dr. H E I S T E R's COM PEN DIU M O F ANATOMY. COMPENDIUM OF A N ATO M Y. In vvhieh all the PARTS of the HUMAN BODY Are fuccirxciily and clearly defcribed ; AND Their USES explained. By L A U R E N C E H E I S T E R, M. D. ProfeiTor of Physick and Surgery in the Unlverfity of Helmstadt, and Fellow of the Royal Societies of London and Paris. Trandated from the laft Edition of the original L::tin : Greatly augmented and improved by the Author. To which are Added, NOTES by M. Renault, and the Editor. Iliuftrated with Eight large Copper Plates. LONDON: Printed for W. Tinny s and J. Richardson, in Faternofter- Pvow J C, Davis, in Holborn ; J. Clarke, under the Royal Exchange ; R. Manby, on Ludgate-hill; J. Whis- TON and B. White, in Fleet-iheet ; j. and J. Rivingt:n, in St. Paul's C hurch-yard ; and H.S, Cox, inPatcrnofter- Row. MDCCLIL >^/ ^-^t- W>f/ 4^ A/7 %^V^ THE PREFACE O F T H E TRANSLATOR. TH E great utility of an accurate and perfedt Compendium of Anatomy, cannot but be allowed by every €)ne who has at all thought upon that fub- jecS ; and the reception which this in particu- lar has met with, for fo many years, feems to evince, that it has been regarded as approaching very nearly to that cha- rafter. ti r^^ PREFACE radler. The author, who has lived to fee feveral editions of it, has liberally added the fruits of his fucceeding obferva- tions to each of them ; and, wherever there has feemed a deficiency, the tranflatcr has attempted, on the fame plan on which him- felf had proceeded, to fupply it. The author profefTes to have fearched into the anatomical books publiihed in the interme- diate time between his feveral editions, and to have collected from each of them their principal difcoveries, with which he has im- proved the laft edition of this work : what books of credit have appeared in this fcience fince his laft edition, have been examined with this intent, the very late one of Verdier ruot excepted ; and fome things, of no little con- fequence, added from it. Senac's animad- verfions have been carefully examined alfo, and feveral additions made from them ; which Dr. Heifter, though he had met with that work, without knowing its au- thor, had omitted : nor has his other and more valuable method of addition to his own obfervations been negledted, where difficulties, undetermined by him, have been hitherto left as defiderata. In this cafe, in- fpedlion into the parts themfelves, with the help of microfcopes, and the affiftance of the preparations of fome of our moft emi- nent anatomifts, fuperior to thofe of any former ones, have been the means of at- 2 tempting of ^& Tr'AN $L AT OR. Vii tempting farther certainty. Where, with thefe helps, the difcovery has been clearly made out, it is added \ where ever but the leaft doubt remained, every thing is left as it was. Whatever is done of this kind is added in the notes. The author's text is every where preferved facred : and his notes, which are printed feparately at the end of this work, make a great part of the comment on the whole. The pains this Compendium has coft its author, may be feen in the accuracy Avith which he has iiniihed it, efpecially in the latter impteffions ; and the difficulties that attended the executing it, are obvious. It was of confequence to the extenfive charadler of Dr. Heifter to convince the world, that it was not a trivial thing he was publifhing : he is, therefore, to be excufed for having taken fome pains to prove it. The neceffity of fuch a Vv'ork could only be lliewn, by pointing out the deficiencies of authors, highly efleemed at the time when he wrote it ; and it is in this fenfe that we are to underftand his remarking fo many inftances of it. The many editions this work has gone through in the original, fufficiently fhew its demand to have arofe from its general ufe- fulnefs to all who profefs this fcience j and we viii The ? KEF AC E, &c. we doubt not but it will be as acceptable and ufeful to all gentlemen of the profeffion, as his General Syftem of Surgery has appeared to be, fince its tranflation into the Englifh language. A C O M- A COM PE N DI U OF ANATOMY. BOOK! CHAP. I. Of Anatomy in general, I. j4 NATO my is aii arc which teaches Anatomy ZjL the fituation, figure, connedions, fa- <^efined. JL ^ brick, anions, and ufes of the feveral parts of the body. 2. The primary obje(St of anatomy is the Its cb-^ human body : the fecondary ones are, the bodiesi^*^^- of other animal^. Thefe ferve for the more ac- curate diftindions of feveral parts, and fupply the defe6l of human fubjeds : this pare of it is called comparative anatomy, or the anatomy of beafls ; fometimes zootomy*. 3* The perfon who is fkilled in the art of dif- fedting human and other bodies, and of clearly * See on this fubjeft Severinus's Zootomia, BIafius*s Ana- tome Animali'im, Collinses Anatomy, the difledions of vari- ous animals by the academy of Paris, and Valentini's Amphi- theatrum Zootomicum. B demon- 2 !/f C M P E N D I U M demonftrating their nature, fo that, from his m- ftrudlions, the hearers may learn the pofition, communication, ftrudure, adlions, and ufes of the feveral parts, is called an anatomiil. Its means. 4. The means by which the anatomift performs this, are principally fedtion, or the opening the body, and feparating its parts ; and the affiftance of microicopes, and of injedions; with fome others to be treated of hereafter, in their places. The means by which the young fludent is to qiiahfy himfelf, in the fcience, are, i. Diligent at- tention while the anatomift is diffediing. 2. Imi- tation of what he has been doing, as well in human fubjedls as in brutes. 3. A careful perufal of the auihors, who have written well on the fubjefl. The bell 5. The principal and moft neceflary to be con- writers on fulted, among the earlier writers, are Galen, Ve- ^^' falius, C. Stephanus, Euftachius, Ingralfias, Co- lumbus, Faliopius, Coiterus, Vidius, Varolius, Valverda, Fabricius ab Aquapendente, Bauhine, Spigelius, CafTerius, Laurentius, Afellius, Lau- rembergius, Pavius, Cafp. Bartholine the elder^ M. A. Severinus, and C. Hoffman. 6. Among the after- writers, the moft necefTary to be con fulted are Harvey, Veflingius, Riolanus the fon, Wharton, Gliftbn, Pecquet,Willis, Lower, Highmore, Needham, Marchett, Moliner, Die- nierbrock, Kerkringius, Blafius, Steno, Malpighi, Bellini, Rolfinch, Schneider, Hornius, De Graaf, Swammerdam, T. Bartholine, Liferus, Gagliar- dus, Peyerus, Bourdonus, Drehncurt, Nuck, and Havers. 7. And finally, among the moderns, Ruyfch, Bid loo, Du Verney, Bohn, Bruner, VieufTens, Ortlobius, Verheyen, Schelhamer, J. Maurice Hoffman, Dionis, Cowper, Ridley^ C. Bartholine th« eTANATOMY. ^ the younger, Keil, How, Morgagni, Valfalva, Fanton, Pacchionus, Bianchus, Drake, Vercello nius, Chefelden, Arent. Cant, Noguez, and San- torini. To thefe might be added a number of others •, but it is not necelTary to make this lift too Jong : Magnet's Bibliotheca and Theatrum Anatomicum, will give an accountof many of them ; and we are to add, that the difcoveries and new ob* fervations in anatomy, recorded in the wcrks of the royal fccieties of France, England, Italy, Germany, and other parts of the world, are by no means to be pafled over. The ftudent, who wifhes to be ac- quainted with more of the aoatomical writers, may turn to Goelickius's Hidory of Anatomy^ Dr. James Douglas's Specimen of a Bibliographia Anatomica, and to our author's oration de Incre- mentis Anatomes, publifhed at Helmftadt in the year 1720. 8. The intent and ends of anatomy are various : Its end the primary one is an acquaintance with, and an ^"^ '"^ admiration of, the work of the Greater in the^^^'^"' human frame : a ferious contemplation of the ftrudure of this amazing fabrick, of the appro- priated figure of the feveral parts of it, their con- jiedlions, communications, adions and ufes, is one of the ftrongeft of all arguments againft atheifm : it carries a proof not only of the exiftence of a Deity, but at the fame time of his amazing great- nefs and wifdom •, and leads the obferver imme- diately to the adoration, as well as the acknowledg- ment, of a God. The glory of the Creator may, therefore, be very juftly declared to be the great and primary end of anatomy. The fcience, treated m this light, may therefore be called philofophical, phyfical, or theological anatomy, and is highly ufe- ful to everyone who ftudies true wifdom and theology. B 2 9^ A Compendium 9. The fecondary ends of anatomy are many. Oi thefe, the firft is health : this is the greateft good we can know in this life -, and nothing cart lead us more immediately to the knowledge of the means of preferving it, or of reftoring ic when impaired by difeafes, or even preventing the accefs of them, than a true knowledge of the ftru6lure of that frame which is injured by them. Anatomy, in this fenfe, is (tiled medical ; and many eftablifh this as the firft ipecies of it, and the preferving and reftoring health as its primary objed:. 10. Another of the fecondary ends of this fcicnce, is the determining the caufe of fufpicious deaths. If the bodies of perfons newly dead be expofed for enquiry into the caufe of their dying, and are ordered to be opened, that, from the in- fpedlion of the parts, a true relation of. the occa- fion of the violent or fufpedled death may be deli- vered, and a proper judgment formed on that, whether a blow, a wound, or poifon, or any other violence, have occafioned the death of the perfon, or whether it were owing to fome other more- common or natural caufe, whether internal or ex- ternal ; nothing can enable a perfon to execute this with juftice and truth, but a knowledge of anatomy. The fcience, in this light, is called juridical anatomy. There are, befide thefe, alfo a number of other cafes, which concern a court of judicature, in which a knowledge of anatomy is equally neceflfary. Impotency, barrennefs, and caufcs of divorce, can only be properly adjudged by means of a fkill in this fcience : nor can difputes about the true times of pregnancy and delivery, abortions, pretended parturition, the vitality of the child, the caufes of its death, the mortality of wounds, and a multitude of other medico- legal &/ ANATOMY. 5 legal cafes, of as great importance as thefe, be any way rationally adjuiled or determined, but by means of a knowledge of this fcience *. 1 1. A third and very great end of anatomy, is the determining the caufe and manner of the' death of difeafed perfons, from a fubfequent dif- fedlion of the body. This is called pradical anatomy, as of the utmoft ufe in the pradice of phyfick. The latent caiifes of multitudes of dif- cafes, have been long fince difcovered by means of thefe difTe^lions; and, to this time, the fame means continue to furnifh us with dill other difco- veries of a like kind, of what the anatomifts themfelves, of all ages before, had been ignoranc of-f. The knowledge of the real caufes of a difeafe, is the firll rational flep towards its cure ; and, without the afTiftance of difTedlions, how was the world to have been truly informed of the nature of the done in the bladder, of an em- pyema, an afcites, hernias, catarafls, glaucomas, and a number of others. 12. Anatomy, therefore, from its various in- Anatomy tents and ends, may be faid to be of four kinds : of ^onr 1. The philofophick, phyfiologick, or theological. ^^^^• 2. The juridical, or medico-legal. 3. The medi* cal, or that leading immediately to the cure of dif- eafes ; and, 4. The fpeculative or theoretick. The fpeculative or theoretick anatomift is one, who, without ever having difledted himfelf, has acquired fuch a degree of knowledge in the flruc- ture of the body, as concents him, from reading the befl aiithors on the fubjedt, and attending to the difTedlions made by others. Many people are * The author has treated this fubjeft much more largely in an academical oration, de Medicinae & cumprimis Ana- tomes utilitate in Jurifprudentia. f See Bonet's Sepulchretum Anatomicum» B 3 faid 6 -^Compendium faid to underffand anatomy in this fenfe, who have never been at the pains of going thro' the laborious part of [ he means neceflary to the acquiring a know- ledge of it. In contradifl:in6lion from thefe fpecula- tive anatomids, he who employs himfelf in difledling bodies, in leparating, making preparations of, and enquiiing nicely into the {tru6lure of the parts, is called the pradical anatomift ; and the fcience it- felf is, in this light, called practical anatomy. Its utility. 1 3 . Upon the whole it appears, that the ufe of anatomy is very great, nor is confined to the bounds of medicine alone. The theologift, and the philofopher, ought to know it; and the magif- trate, or the feveral members of a court of judi- cature, are under a necefTicy of having informa- tion from it : the phyfician and the furgeon, however, are the people to whom it is moil im- mediately necefTary, and who cannot do juflice to the world in their profefTions without a know- ledge of it. What the needle is to the mariner, that is anatomy to both thefe. Whatever the ig- norant or malevolent may fay againft it, there is no doubt but both thefe mod ufeful fciences would be rather detrimental than beneficial to mankind, without the afTiftance of anatomy to diredl them. CHAP. II. Of Anatomical Inftruments, Indra- 14.^"!^ HE anatomift mud necelTarily be fur- inents. J^ nifFied with his apparatus and inftru- ments : without thefe, difiedlions, feparation of the parts, and inveftigations of their fabrick and ufes, cannot be performed. The anatomifts of feveral ages have invented a multitude of them 5 but of ANATOMY. but a much fmaller number than they defcribe, will do all that is necefTary. 15. The firft article of the anatomift's appa- ratus muft be a table, for the laying the body to be diffedled upon. He muft alfo have a fecond table, appropriated to the difre6tions of living animals, with cords for the fixing them down. He muit have a number of difleding knives, which are to be ftrait, and to have an edge only on one fide. Knives with two edges, crooked ones, and a multitude of others, devifed for this purpofe, are fuperfluous, and of lefs convenient ufe than thefe plain and fimple ones. Of thcfe, however, fome muft be larger, fome fmaller; feme more delicate, and others more robuft. Befide thefe, he muft have forceps, forfex's, volfclla's, hooks, and ftyles of different fizes, with briftles and hairs of different ftrength and finenefs, for the invefti- gation of the duds in fome parts ; ftrait and crooked needles, of various fizes, muft alfo be in readinefs for various purpofes ; and thread, finer and coarfer, and pins, large and robuft, as well as fmaller. He muft alfo have faws, fcalpra, clavse, and mallei, and an elevatory for opening the fkull : and, finally, tubes of various apertures and dimenfions for the inflating the duds and vefTels, and alfo the inteftines, ftomach, and urinary blad- der : the lungs are moft commodioufly inflated by means of bellows, with proper nozels. 16. Finally, microfcopes are necefTary for the examination of the fmaller and finer parts. And fyringes of brafs, or other materials, are as necef- fary as any thing already mentioned. There mufl: be, at leaft, two of thefe for injedions : the one for throwing in waxy, or other vifcous, thick, or folid matter-, the other, for only injeding fluids. Thefe muft have tubes of different diameters B 4 fitted $ ^Compendium fitted to them, according to the different pur* pofes they are to ferve for. Befide thefe alio, a tube of iron is necefiary for the introducing crude iTjercury into the veffels. Spunges muft always be in resdinefs for the abforbing extravafatcd hu» mcurs, and the cleaning the parts ; a hone and ilrap, for giving of an edge to the knives ; and borers of various fizes, for perforating the bones. Brafs wire muft not be wanting, for the connect- ing the bones of a f]vhich are covered with a vafculo-nervous mem- brane *, and the foraminula, or little holes in the roots of them, ferving for the ingrefs of the vef- fels, which afford them nutrition and fenfation. We are to enquire into the origin and accretion of the teeth in infants, the change and regenera- tion of them at about feven years old, and fome- times over again in very old people -, and, finally, the collapfing and coalefcence of the alveoli in old people, after the teeth are fallen out f, ^6. There are alfo fome Angularities, in regard to the teeth, by no means to be overlooked : fuch are their Handing too diftant, or their coalefcing with one another, or with their alveoli in their growth :|: •, and, finally, their appearing fometimes from the palate, or out of their natural place. * Defcribed by Ruyfch in his Thef. Anat. i. p. 4S. f See Ruyfch's Obferv. p. 17. Our author had alfa the fkull of an old perfon of the fame kind : in both jaws of it all the teeth were wanting ;. and the whole alveoli, fo far as they had touched the teeth, were con fumed and deftroyed. 4^ Columbus de re Anatomica. I 57. ^/ANATOMY. 25 97. The ufes of the teeth are, id, to break our food ; 2d, to be of aflfi (lance to us in fpeak- ing ; 3d, to add to the beauty of the face. ^8, The foramina in the cranium are numerous^ Foramina and their ufes important : they will be the better °' ^^^ retained in the memory of the young ftudentj ^'^^^^^^' from our treating of them together. They are to be divided into external and inter- nal : by the external, we mean thofe which are cafieft difcovered on the external furface of the fkull : by the internal, thofe which are mod ob- vious in the internal furface. gg. Of the larger internal foramina, we count eleven pair affording paflage to the arteries, veins, and nerves of the brain : and befide thefe, we are to remark one which is fingle, namely, the great foramen of the occipital bone, v^hich gives paf- fage to the medulla fpinalis, and with it to the acceffory fpinal nerves, and to the vertebral ar*^ tcries. 100. We are to pay a particular regard to the firft pair of thefe foramina, (which may, indeed, be more properly called a congeries of the fora- mina of the OS cribrofum :) thefe give paffage to the filaments of the firfl pair of nerves, called the olfadlory nerves. The fecond pair are in the fphenoidal bones, and give paffage to the optic nerves. The third pair are called the unequal and lacerated foramina, and give paflage to the third and fourth pair of nerves, to the firft branch of the fifth pair, and to the fixth pair -, as alfo to the emiffary of the receptacles of the dura mater *. The fourth pair are in the fphenoidal bone, and give pafTage to the fecond branch of the fifth pair of nerves, which is diftributed to the feveral parts of the upper jaw. The fifth or oval * Santorini Obf. Anat. p. 75. D 2 fora* 36 5 -^Compendium foramina, give paffage to the third branch of the fifth pair, and to the cmiflfary of the dura mater *, The fixth is a very fmall foramen, and admits an artery, which is diftributed over the dura mater, and is that which forms the impreffions of little fhrubs or trees on the parietal bones. The feventh is placed between the fclJa equina and petrofe apo- phyfis, and it tranfmits no velTds, but is Ihut Up by the dura mater. The eighth pair of foramina give pafiage to the carotid arteries, whence it is called the carotic foramen ; and the intercoftal nerve has its egrefs alfo at this opening. Thro' the ninth, which is in the os petrofum, pafTes the auditory nerve : thro' the tenth, which is between the OS petrofum and the occipital bone, pafs the par vagum, and the lateral finufes of the dura mater, together with the fpinal nerve. The eleventh is in the os occipitis, near the edge of the foramen magnum -, and thro' this pafs the ninth pair of nerves, called the linguale. loi. Befide thefe foramina, there alfo are a number of little ones in the os petrofum, often very fairly vifible. One of thefe carries back a branch of the auditory nerve to the dura mater ; and the other principal one tranfmits the fangui- ferous velTels to the labyrinth, or internal organ of hearing. 102. Of the external foramina of the cranium, there arc two proper ones of the os frontis, a little above the orbits. Thefe arc, from their fitua- tion, called fupraorbitalia : they give paflage to the opthalmick nerve of Willis ; but, in their place, we often meet with only a fuperficial in- cifure. Befide thefe, there are four other fora- mina, common to the os frontis, and to the plane * Santorini Obf. Anat. p. 75. or ^/ANATOMY, 37 or papyraceous bones of the orbit : two of thefe are placed on each fide, and they tranfmit little nerves and veffels to the finus of the ethmoidal bone. In the parietal bone, there is one which ferves for the pafTage of a vein from the cutis of the cranium into the fagittal finus of the dura mater, or from the fagittal finus to the external veins of the head : this, however, is often wanting ; and many anatomifts, therefore, do not mention it. In each of the ofla temporum there are three common foramina : the firft of thefe is the fora- men jugale, which ferves for the pafiage of the Cfotaphite mufcle : a fecond is large, in which is the finus of the jugular vein ; and the third is the dudlus euftachii, already mentioned, fituated be* tween the petrofum and fphenoides, and leading from the mouth into the internal ear. Befide thefe common foramina of the ofla temporum, there are alfo three proper ones: i. The meatus auditorius, or auditory paflage. 2. The aquse- du6i: of Fallopius, fituate between the mafloide and ftyloide procefs, and tranfmiting the hard portion of the auditory nerve. 3. A foramen behind the maftoide procefs, ferving for the in- grefs of a vein into the lateral finus ; or for the egrefs of one from the lateral finus ro the veins of the occiput *. In the occipital bone there are two foramina, fituate behind the condyloide apophyfes, and ferving to give paflfage to the vertebral veins into the lateral finufes of the dura mater : thefe fora- mina, however, are wanting in many fkulls. * Bartholine obferves, that Lyferus was the firft who ob- ferved the communication between this finus and the external veinsv V3 In ^8 ^Compendium In the fphenoides, befide the internal ones al- ready defcribed, and the apertures of the finufes into the noftiils common to them, with the bones of the palate, and which are the apertures of the nares and fauces •, there is another canal in the upper part of the pterygoide procefles, ferving for the paiTage of the novum emiflarium of the dura mater*. In the OS ethmoides there are, i. Thofe com- mon to this bone with the os frontis, fituated in the interior fide of the orbir, and already de- fcribed -, and, 2. The apertures of the ethmoidal finufes into the noflrils. Foramina 103. The foramina in the os maxillaris of the [^p upper jaw, are, i. One called the foramen pala- tinum anticum, fituate behind the foremofl dentes incifores, and opening into the noflrils ; but this is ufually fo clofed up in living, and even in dead fubjeds, by the membrane of the palate, that no- thing of its aperture is diftinguiihable within the mouth ; nor is it certainly known that any thing is tranfmitted thro' it f. It is alfo to be obferved, that as the membrane of the mouth is evidently joined to that of the noftrils, by means of this canal, a very fufficient ufe of it may be the making the union between that membrane and that of the palate, the more ftrong. The fecond foramen of the maxillaris of the upper jaw, is the infraorbital. The name of this * Santorini Obf. Anat. p. 75. -f- Moil of the anatomical writers alledge, that a liquid is tranfmitted from the nofe into the mouth thro' this opening ; and hence they ufually call it Steno's pafTage from the nofe to the palate. This, indeed, in a dried Ikull, is obvious and open enough ; but, otherwife, it is fo fmall, that our au- thor alledges, he never could find that it opened into the inouth at all ; or ever could pafs a briflle, or any other the fqi^lleft thing, thro' it. declares of ANATOMY. 39 declares its fituation. Its ufe is to give paflage to the fifth pair of nerves. Thirdly, there are other foramina behind the pofterior molares, thro' which the veffels and nerves pafs to the maxillary fmufes. Fourthly, there is an incifure in the exterior fide of the bottom of the orbit, common to this and to the fphenoidal bone, and ferving to give pafTage to the vefTels going to the eyes and nofe. The ^{t\i is the nafal canal, common to this bone and the os unguis. The fixth are the apertures of the finufes into the noftrils. And the feventh is the pofterior palatine fora- men, common to this bone, with that of the palate, and ferving to convey the nerves to the palate. In the OS jugale there are, i. The jugale, or common foramen. 2. The proper foramen of the jugale, which is fometimes fingle, fometimes double, and ferves for the paflage of a nerve. • In the OS palati, bcfide the foramen common to that, with the adjoining bone, there is a proper one, fituate near where it is joined to the pcery- goide procefTes, and ferving for the paflage of nerves to the palate. . 104. In the maxilla inferior, there are two foramina in the internal furface, ferving for the paflage of an artery, a vein, and a nerve, into the very fubftance of the maxilla, for its nutrition, and that of the teeth ; and there are alfo two in its external furface, which ferve to give egrefs to the fame veflels, which are thence diftributed to the gums and the chin. 105. In the examination of different fkulls. Other foramina, befide thefe, will occafionally be found in different places. Thefe are either extra- D4 ordinary. oides. d^o ^Compendium ordinary, and lufus natura^ as is often the cafe } or they are otherwife fuch as ferve only to give paflage to velTels, ferving for the nutrition of the bones in v^hich they Hand. 106. There is yet another bone to be men- tioned in this place, as it is ufually referred to thofe of the head : this adheres to the bafe of the tongue, and has hence been called by fome os lin- guale ; and by others, from its refemblance to the Greek letter (t;), os hyoides and hypfiloides : others alfo have called it from its fhape, os bicorne. In young fubje6ls the os hyoides is compofed of three bones, or fruft^, a bafe, occupying its mid- dle part, and two lateral ones, called its horns : it is to thefe that the tongue is conneded. In adults there are often, at the jundlures of thefe with the bafe, two other fruftae, very fmall, and thence overlooked by moil writers. Thefe are rearly of the fhape of a wheat-corn, and may thence be called ofia triticea : there are ligaments sffixed ro thefe, by means of which they adhere to the ftyloide procefTes.' And, finally, in thefe ligaments thenifeives fometimes, tho' very rarely, there are found fome other little bones. Vefalius alfo, occafionally, had met with fix of thefe ; and fome others, after him, have reckoned eleven bones to the formation of the os hyoides. The ufe of the os hyoides is to give a firm bafis to the tongue ; and feveral mufcles of the tongue, and of the larynx, ferving to the neeeflary motions of both, are inferted into it. 107. As four o^ the cartilages of the larynx ^? larynx, ^j-e fubjed to olfify in old people, many have reckoned them among the number of the bones ; they are called the thyroide, the cricode, and the two arytasnoides. The nature and ufe of thefe parts, however^ are mych better underftood wheo they Eor.es of ^/ANATOMY. 41 they are examined recent, than when in the fkele- ton J of which, at bed, they make but an impro- per part. We fhail fay nothing more of them here ; but referve our account of them to the chapter in which we treat of the lungs : from the bones of the head, we fhall now proceed to mention thofe of the trunk. CHAP. III. Of the Bones of the ^runk, 108. ^T^ HE trunk, which makes the fecond X P^^^ of ^^^ fkeleton, confifts of the fpine of the back, the bones of the breaft, and the ofla innominata. 109. The fpina dorfi, 'called by the Greeks Spina rachis, is the boney column reaching from the^°^^^- head down to the anus, and containing the me- dulla fpinalis, or fpinal marrow. no. We (hall confider the fpine firfl: in a ge- neral view, and afterwards in regard to its feveral parts. 111. In the general view of the fpine, we are firfl: to obferve its name; its figure, which is nearly pyramidal *, and bent fomewhac like the letter S ; and to enquire into the reafon and ufe of this figure. 112. When we confider the fpine, according Vertebras^ to its parts, there occurs, firft, its divifion into the neckj the back, the loins, and the os facrum and coccigis. 113. The neck, the back, and the loins, con- fifl: of vertebrae and fpondyli ; and, in regard to thefe, we fhall have occafion to obferve fome * See, on this fubjeft, Winflow in Ad. Reg. Par. 1720. things 42' ^Compendium things in the general, fome more particularly of the feveral parts. 114. In the- general confideration of the ver- tebrae, we are to obferve their number, which is twenty-four : and in the examination of them fingly, there will readily occur in each the body or bafis *, feven apophyfes, one of them fpinofe, two tranfverfe, two fuperior, two inferior: and af er thefe, we are to obferve the cartilaginous epiphyfes. The articulation, by which every one receives another of them, and is again received itfelf by another, in the fame manner : the foramina, of which there is ooe proper and large one, for the paflage of the fpinal marrow 5 and four common or half foramina, two on each fide; which, toge- ther, form twenty-four apertures on each fide of the column, thro' which the nerves of the medulla pafs out of the fpine. Befide thefe, there are alfo feveral fmaller foramina vifible in the verte- brae, which ferve for the entrance of vefTels de- ftined to the nutrition of the bone. 115. In adults the vertebrae confift each of a fingle bone ; but, in infants, each is compofed of three fruftas : the body, and the two fides of the bone in thefe, are three diftind bones ; and the fpinofe apophyfes are not found at that time. 116. The neck confifts of feven vertebrae; and in thefe, as in the others, we are to obferve fome things in general ; and afterwards, others of the vertebrse in particular. Vertebra 1 1 7. The Vertebras of the neck are fmaller neck.^ than thofe of the back ; but they are of a firmer confidence, and harder: their body is more com- prefi^d than in the others, and is finuated on the upper part, and convex below. Moft e two inferior, the legs and feet. denomination of this ligament, whether it fliould be called teres or planum. It is certain, that difle6tion always Ihews it plane, not rounded; b^it cuftom has eflablilhed the other same for it- E 2 I42» 52 -/^Compendium Thearms. 142. Under the term fupcrior extremities, in the fkeleton, we comprehend the fcapula, the cla- vicles, the OS humeri, the cubit, and the hand. The fca- 143. In the examination of ihe fcapula, called pula. by i\i^ Greeks homoplata, we are to confider the figure, connexion, and fuua:iog : we are to ob- ferve the head of the bone, with its glenoide cavity, tho' fome call it the acetabulum of the fcapula •, its neck -, its bafe ; its two angles, the fuperior and inferior; its fuperior and inferior coftce ; its anterior furface, which lies upon the ribs, and is fmooth and concave ; and its pode- rior, which is uneven. After thefe we are to ob- ferve its fpine, its creft, and its acromion j its fupra and infra fpinate cavity •, its coracoide pro- eels, and its two incifures, the one between the neck and the acromion, the other behind the co- racoide procefs ; and the robuft ligament which joins the acromion and coracoide procefs, and prevents the laxation of the os humeri upwards; The ufes of the fcapula are, id, to fuftain the arms, and join them to the body ; 2d, to ferve for the infertion of feveral mufcles ; 3d, t6 add fomewhat to the necefiary defence of the parts contained v/ithin the thorax. The acromion and the coracoide procefles, arc but carriages in infants : afterwards they become epiphyfes ; and after this, about the age of fix- teen, they are to be perceived feparate bones, and fo to the twentieth year. This is more particu- larly the cafe of the acromion. 144. In the confideration of the clavicles, we are to obferve the number, the tranfverfe fitua- tion, and the conne(5lions with the fternum and acromium ; their figure, which is fomewhat like that of the letter S -, their fubflance, which is fpongy and brittle j their body, which is a fixed point Bf ANATOMY. 53 point for the deltoide, maftoide, perioral, and iomt oiher mufcles ; and their protuberance for the fubclavian miifcle ; their two extremities, the rounder of which is articulated with the flernum, and with the firfl: rib •, and the fiaiter, which is articulated with the acromion. The ufes of the clavicles are, i . To keep the arms, that they do not fall too forward upon the breaft : feveral of the motions of the arm are alib facilitated by thi?. 2. To ferve for the place of origin for feveral mufcles. 3. For the defence of the great fubcla- vian veflels, which run under them. 145. In the e>iamination of the os humeri, orOs ha- OS brachii, as ic is otherwife called, we are to ob-^'^^ii- ferve its fituation, its articulation, and its fize : its body, into which a great number of mufcles are inferted, and which is, in its upper part, thicker and rounder -, in its under part, thinner, and fome- what comprefTed. After this, we are to obferve its rough protuberance about the middle, ferving for the infertion of the deltoide and perioral ffiuf-^ cles; its external and internal fpine, which termi- nate in two condyles ; its remarkably large cavity, containing the marrow ; and, finally, irs motion, which is evidendy the moft free and extenfive of that, of any bone in the human body. 146. In its upper extremity, we are to obferve its head and its neck, into which a ligament, and feveral mufcles, are inferted ; and its fulcus, re- ceiving one of the heads of the biceps mufcle. 147. In its inferior extremity, we are to ob- ferve the figure, and the articulation with the bones of the cubit, by means of three heads and two cavities ; its two condyles or tubercles, of which the external affords a fixed point for the extenfors of the carpus, and the internal for the flexors ; its two cavities, the anterior and pollerior, which, E3 ia 54 y^CoMi^ENbi^M in the extenfion and flexion of the cubitus, alter- nately receive two procefles of the ulna. Cubitus. 148. In the cubitus we are to obferve, in ge- neral, Its fituation, the binary number of the bones it is compofed of, for the fake of the more eafy and varied motion : thcle are the ulna, or cubitus, properly fo called, and the radius. We are to obferve their fize, their difFtirent thicknefs, and their jundlures, as well with one another at their extremities, as with the os humeri and the carpus. And, finally, the robuft ligament, by which the bodies of both are conneded : this ferves, firft, for their more firm union ; and, fecondly, for the commodious infertiorl of a number of muf- cles there. 149. In the ulna, while the hand is difpofed in a fupme pofture, we are to obferve its interior fituation, and its length, which is greater thait that of the radius ; its three angles or fpines, to the exterior of which the ligament juft mentioned is fixed ; and to the two internal ones, there ar^ a^xed feveral mufcles. This bone has a motion of flexion and extenfion. Ulna. 150. In the fuperior extremity we are to re^ mark, ifl:, a remarkable depreflion, called thefigr rnoidal or femi- lunar cavity, with an emihence in its n^iddle, correfponding to the ertiinences and cavities of the os humeri 5 and, idly, a fmall cavity in the external fide, ferving for the at-ticu- lation with the crifta of the radius. We are then 10 obferve its two proceflTts, the anterior or coro- noide, and the pofteriot* or anconeus, or olecra-? num, and their ufes ; and, finally, the tubercle, which ferves for the infertion of the brathialis in* ternus mufcle, and of the flexor cubiti. 3 of ANATOMY. 55 151. In the inferior extremity we are to obferve the head, which forms a kind of malleolus, in which there is, ift, a cavity of little depth, fcrving for its articulation with the carpus ; and, 2dly, a fmall flyloide apophyfis, ferving to ftrengthen the articulation juft mentioned •, and, 3dly, a creft, ferving for its articulation with the radius. 152. In the radius, we are to obferve its fitua- Radius, tion, which is exterior ; and its length, which is lefs than that of the ulna ; its fpine, to which the ligament already mentioned (148) is affixed; and its motions of pronation and fupination *. 153. In its upper extremity, we fee a head with a glenoide cavity, ferving for its articulation with the head of the humerus ; a creft, by means of which it is articulated with the ulna ; its neck ; and, finally, its tubercle, ferving for the infertion of the biceps mufcle. 154. In the lower extremity, we find ahead thicker, and more angular in its figure, than that of the other, with a very large hollow at the ex- tremity for its articulation with the wrift : in the interior fide, there is a cavity formed to give way to the rotation of the creft of the ulna •, and on the exterior fide is a fhort apophyfis, but confi- derably thick, which ferves to ftrengthen the beforementioned articulation of the carpus : in the poftcrior face there are fomc flight incifures, and in thefe are placed tendons of the extenfor muf- cles of the fingers, but particularly of that ferving to the cxtenfion of the thumb. * In quadrupeds, the radius is firmly united with the ulna-; as is alfo the fibula with the tibia : they have no occafion for a powCT of pronation and fupination in thefe parts ; therefore the mechanifm of the human arm was unnecefTary to them. Sci\clham Ap^lea. diff. 78. E4 "i^SS^ 5? yfCOMPENDIUM Thehand. 155. After our examination of the bones of the arm, thofe of the hand offer themfelves to our confideration. Thefe are divided, by anato- mills, into thofe of the carpus, metacarpus, fin- ' gers, and the ofla fefamoidea \ of e^ch of which in their order, parpus. 156. In the carpus we are to confider fituatioii and name, the eight bones of which it is com- pofed, their irregular figure, their connexion one with another; their back, which is convex, and the oppofite fide, which is hollowed for the more commodious palfage of the tendons and blood- vefie Is to the fingers : then the double order in which they are arranged -, the firft, or fuperior, forms a kind of head for the articulation with the radius ; and the inferior forms a cavity for the furnifhing a moveable articuladon with the infer rior ftries, which is joined to the bones of the metacarpus *. The articulation of the bones of the carpus, therefore, is triple : ifl:, with one another ; 2dly, with the bones of the metacarpus -[ ; S^ly, with the cubitus. Kfetacar- 1 57- In the metacarpus there are four bones to ^^^ be examined ; and thefe alfo have a triple articur lation, I ft, with one another*, 2dly, with the carpus ; and, 3dly, with the fingers. In each of thefe bones, we are to examine the body, and the extremities. In the bodies of thefe bones, we are to obferve the figure, which is nearly cylindrick ; the cavities for the lodgment of the mar^row; and * The fame Schelhammer obferves, that himfelf was the firfl who obferved this manifeft articulation in the carpus. f Many authors have given peculiar names to all the bones of the carpus ; bat it is unnecefTary : the names of firft, fe- (cond, and third, &c. ferve the fame purpofe, without burthen- jng the memory. We are now to proceed to the bones of the legs and feet. CHAP. VI. 0/ the Bones of the lower Extremities. 160. 1 1 ^HE lower extremities of the human X body, called by the Latins pedes, confift of fcveral bones -, the femur, tibia, patella, pes extremus, and ofTa fefamoidea. They fervc to fupport the weight of the whole body. i6ic D/ A N A T O M Y. 59 i6r. The femur is the largcft and ftrongeft Femur. boileof the whole human frame. In the examination of it, we are to remark its fituation and figure, its body, and its extremities, and to enquire into the ufes of each part of it. 162. In its upper extremity we fee, ift, a very large head, and in this a cavity, deftined for the ligament, commonly called the ligamentum ro- tundum, and ligamentum teres ; tho*, in reality, it is not round, but flat *. It is by means of this ligament that it is fixed in the acetabulum, and its laxation upwards is prevented. We are to obferve alfo the place where it adheres to the acetabulum, its oblique fituation, and its articulation with the Acetabulum, 2. Its neck, to which is affixed a robuft annular ligament f, which contains the head and neck of the bone, as it were, in a cap^ fiilaj or cafe : we are alfo to remark the progrefs of this neck, which is not ftrait, but oblique, llearly horizontal, but turning fomewhat outward : this is the contrivance of nature, for the keeping the thighs afurider, by means of which we tread the firmer ; and by this fituation of the neck of this bone alfo, feveral mufcles have a much more commodious infertlon than could otherwife have been pofllble. We are next to remark the fpon- gy cavernous ftfu^lure of this extremity of the bone, by reafon of Which it is liable to fra6lures, pilt-ticularly in this part : the apertures for the in- grefs of fe\^ral venels, are alfo obfervable ; and there are two apophyffes, called trochanters, a grfeattt artd a lelTerj which ferve for the infertion * The difputes about this ligament, are given at large by Atvip^, in his Exameh, p. 77. f See dfelihfeations ©f thefe in Bourdon, T. 5. fig. 51. Their veffels are 'elegantly figured by Ruyfch> Adverf, Anat. Deced. 2. T. 3, of 6o yfCOMPENDIUM of the mufcles of the thigh, and which, together with the head, become, before puberty, diftinct epiphyles *. 163. In the lower extremity of the femur, we obferve, ift, two head% with a cavity between them, for the articulation with the tibia ; 2dly, a pofterior cavity, intended to give fafe paflage to the veflcis of the tibia •, 3dly, an anterior cavity, for the placing of the patella •, 4thly, two con- dyles, or tubercles, placed near the heads, and feiving for a fixed point to the origin of the muf- cles which are 10 move the foot. In the exterior part of thefe we obferve a pecuUar depreffion, and often a fingle fefamoide bone ; and fometimes there is alfo found another of thefe, in the other tubercle : this ufually happens, however, only in very old fubjedls -f. This whole extremity of the femur is feen, quite to the age of puberty, a per- fedlly diftindt epiphyfis. 164. In the body of the thigh-bone, we are to obferve the anterior furface, which is convex, and the pofterior, which is fomewhat concave: The obliquity of this part of the bone is alfo fin- gular: its flrength and firmnefs are furprifingly great ; and we are to remark its fpine, or, as fome call it, the linea afpera, which ferves for the infer- tion of the triceps mufcle ; as alfo its great cavity for the containing the marrow. The ufe of the thigh-bone is to fupport and fuftain the weight of the whole body 5 and its moveable articuladon at the head, gives way to the eafy motion of the body, while the feet are unmoved. * Chefelden fpeaks of a very robuft ligament, difcovered by Dr. James Douglafs, in the upper part of the articulation of this bone ; but our author does not allow it. f See thefe delineated, T. i. fig. i, 2, 3, 4. 16^, «?/ ANATOMY. 6i 165. The patella, called alfo by fome rotula. Patella, comes nexc to be examined. In this bone we are to obferve the fnuation, number, figure, and fize ; its different thicknefs ; its anterior furface, which is convex ; and its pofterior one, which is un- equal, having an eminence and two depreffions. Its fubflance is fpungeous, and confequently it is brittle : it is connected by tendons and ligaments to the tibia and os femoris * : it has a motion of afcent and defcent in the flexion of the tibia. In infants, and even in children, for feveral years af- terwards, it is merely cartilaginous. 166. In the tibia, we are to remark the fitua- Tibia, tion, and the two bones v/hich are underftood to form it, viz. that properly and ftridlly called the tibia, and the fibula : we are to obferve the diflfe- rent fize and thicknefs of thefe two bones ; and the articulations of each, as well with one another as with the femur and the foot. 167. In the tibia, properly and diftindively fo called, we are to remark its fituation, its body, and its two extremities : in its upper extremity we are to obferve the thicknefs, the two glenoide ca- vities for its articulation with the femur, on which there are lodged two moveable femi-lunar carti- lages -f J the eminence that is between thefe, and is, as it were, bifid, ferving for the infertion of the nervous and cruciform ligaments, by which it is joined to the femur-, and the cavity behind that eminence, in which the mucofe glandule is lodged. In its anterior face, we are to obferve the tubercle, to which the extenfores tibiae, on * The ligament by which it is conneded to the thigh, fee in Ruyfch, Thef. Anat. 7. T. 3. fig. i. f See Morgagni, Adverf. 2. fig. 4, and 5. Winflow, in Aft. Paris, anno 1719, who has fpoke very juftly of their mechanical difpofition and ufe, &c, Cant. T. 5. fig. 4- I which 6z !/fC0MPENDIUM which the patella ftands, are inferred ^ and at its fides two tubercles, affording fixed points to fome of the niufcles of the foot, and to the exterior of which the fibula is firmly connedbed 5 but that iri fuch a manner, as to have nothing to do with the articulation with the femur, as it does not touch that bone. 168. In the lower extremity of the tibia, we are to remark an excavation, formed for its arti- culation with the tarfus ; and, in its exterior fide, another for its articulation with the fibula; and alfo on its internal fide, a thick and robuft apophyfis, called the internal malleojus, and ferving for the firmer articulation of the foot. 169. In its body we are to obferve three axJgles or fpines, to the exterior of which the ligamen- turn interoffeum is conne6ted, which joins the fibula to it : the anterior angle is the mod acute, and is indeed covered only by the fkin and periof- teum, whence there is often extremely violent pain attending its contufions. Thefe angles fcarcc appear at all in infants. Finally, we are to ob- ferve that this bone has a large cavity for the marrow. Fibi^la. lyo. In the fibula, which is called ailfo perone, we are to remark the fituation, the jun(flure, the. length, and the fmallnefs of it : its upper extre- mity, which does not reach to the os femoris, but J3 only joined to the external fide of the tibia j and its lower extremity, called the malleolus externus» which concurs to the articulation with the tarfus : its eminence gives a ftrength to that articulation, and renders a luxation of it lefs eafy. Its body is nearly of a triangular figure, and {lands diftant from the tibia : the ligamentum in- teroffeum is annexed to its acute fpine j and this, as well as the whole body of the fibula, ferves for the ^/ANATOMY. 63 the commodious infertion of feveral of the muf- clcs of the foot. The fibula folely follows the motion of the tibia : it has no peculiar motion of its own. 171. In our examination of the foot, we are The foot. to confider its length, which is greater in man than in any other animal, and ferves for his firmer treading; and its fituation: its upper part, or back, and its under part, or foal, called the planta, which is contrived hollow, left the veflels fhould be prcficd upon in walking, as we prefs with our whole weight there, while in this poflure : final- ly, wfi are to obferve its divifion into the tarfus, metatarfus, toes, and ofla fefamoidea. 172. In the tarfus, we are to obferve thefitua-The tar- tion smd the number of the bones, which are feven, ^^s- namely, the aftragalus, the calcaneum, the os naviculare, the os cuboides, and the three oflk cuneiformia ; their irregular figure, their articu- lations with the tibia, with one another, and with the bones of the metatarfus, and their conne6lions by very ftrong ligaments. 173. In the aftragalus, called alfo the talu?, we are particularly to obferve its fituation, its figure, articulation with the tibia and fibula, and with the calcaneum, and its head, formed for the articulation with the os naviculare. 174. In the calcaneum, or os calcis, we are to obferve the fituation and fize 5 the articulation with the aftragalus and os cuboides ; its apophyfis be- jrind., which ferves to prevent our falling back- ward, and on the pofterior furface of which is infertcd the tendo Achillis, which is the ftrongeft tendon of the whole body: in its interior Tide there is an excavation, intended to give fafe paf- «fage £0 the vefiels running to the metatarfus and toes. 64- ' ^COMPENDIl^M 175. In the OS naviculare, oros fcaphoides, v^e are to obferve the fituation, the articulation, the glenoide cavity for its articulation with the head of the aflragalus, and its three anterior faces, which receive the ofTa cuneiformia. J 76. In the OS cuboide?, we are to remark the fituation, which is in the external fide of the tar- fus, where it receives the outer bone of the meta- tarfus, which is articulated with the little toe •, and the bone of the metatarfus, which is next to it : af- ter this, we are to obferve its articulations with the neighbouring bones *, and the incifure in the lower part, in which there is often a fefamoide bone in the tendon of the mufculus peronasus pofticus. 177. In the three ofia cuneiformia, the fitua- tion, their different fize, and their articulations with the OS navifculare, and with three of the bones of the metatarfus, viz. thofe which fupport the great toe, the fecond, and the third. Metatar- 178. In the examination of the metatarfus, we *^2' are to remark the fituation, and the five bones, the bodies of which are nearly cylindrick, but convex above, and concave below ; their inter- ffices, which ferve for the placing of the mufcles ; their pofterior heads, which are joined with the tarfus, and are unequal -, and their anterior ones, which are round, and ferve for the articulations with the toes : thefe (land out a confiderable way, and by this means give great power to the muf- cles, ferving to move the toes. We are to re- mark alfo the different Xize of thefe bones 5 the large apophyfis in the pofterior head of the fifth or outer bone, on which the foot, and in confe- quence a great part of the weight of the body, refts. Bones of 179. In the bones of the toes there is a great ihe toes, refemblance to thofe of the fingers. They are gene- ^/ANATOMY. 65 generally but thirteen in adults, tho' fometimes they are fourteen -, much fmaller and flenderer, except that of the great toe, than thofe of the fingers. They have not nearly fo free a motion as thofe of the fingers. The bone of the great toe is the largell, tho' it have only two joints : the others are gradually fma'ler, all the way to the little toe ; which is not the cafe in the bones of the fingers. The bone of the little toe ufually, and often that of the toe which is next it, have, in old fubje6ls, only two bones ; the two extreme phalanges cfren growing together in old age, and forming only one continued bone : whence we find, in this cafe, a (till fmaller number than the thirteen before mentioned. 180. There remain now tobe confidered, theOiTafefa- ofifa fefamoidea. Thefe are fmail bones, and are i^oidea, mofl confpicuous in old fubjedls : they fomewhat refemble the feeds of the fefamum, whence they have their name. Their mod ufual fituation is, ifl, in the thumb, and great toe : in each of v/hich we often find two of them, though not unfrequently only one. 2. One in the jundure of the metacarpus v/ith the little finger : this is frequently lodged in the abdudl or mufcle of this finger*, 3. One frequently in each external condyle of the os femoris-f. 4. One under the os cuboides of the tarfus, in the tendon of the peronasus poftius. Thefe are ufjally found in adults, or in elderly people : fometimes, tho' more rarely, there is one alfo in the internal condyle of the OS femoris : and fometimes there is one in the ex- ternal furface of the os metacarpi, which fuflains the fore-finger, lodged in the tendon of the ad- * See its figure and fituation, tab. i. figv 5. t Tab. I. %. 2, 3,4. ^ F ductor SS yfCOMPENDIUM duflor mufcle of the index j and often, in the thumbs, there is one wanting. Upon the whole, there are very rarely found more than fixteen of them, often fewer. Thofe anatomifts, therefore, err greatly, who reckon more than forty of them, placing two at the articulation of each finger and toe: too many, however, have given into this error. All thefe bones, except thofe that are found in the condyles of the femur, adhere to the tendons of the mufcles : thofe excepted, are conneded to the origin of the mufcles. Their fize and fhape are various and irregular : they are cartilaginous in young fubjeds, but they grow hard and boney by age ; and 'tis therefore that they are fo much the more eafily found in old people. They ferve as a kind of trochlea to the mufcles, and increafe their power. CHAP. vir. Of the number of the Bones. The num- 1 8 1 . TT AV I N G thus gone thro* the enumera- ber of the jTx ^^^^ ^^ ^^' ^^^ bones of the human body, °""' it will be no great difficulty to inform ourfelves of their true number, tho' authors have not a lit- tle varied upon this fubje<5b. In old people, we find, at the utmofl, two hundred and fixty. In young fubjeds we find a greater number, but a very uncertain one •, becaufe feveral of thofe, which are at firft diitind and feparate, by degrees grow into one. The ^/ANATOMY. 67 The bones of the head are in number fixty- nine : of thefe, there are in the cranium, includ- ing the fix ofTiculaauditus, 14, In the maxilla fuperior, or upper jaw, 13 In the maxilla inferior, or lower jaw, i The teeth in the two jaws, are 32 In the OS hyoides there are properly 5 In the larynx 4 In the trunk there are fifty-three bones, viz. The vertebrse, 24 The ribs, 24 Thefternum, when not compofed of twofrufta, i The OS factum, i The OS coccygis, i The ofTa innominata, 2 In the extremities there are, in the whole, thirty- eight bones, viz. The feapulae, 2 The clavicles, z The ofTa humeri, 2 TheoITauln^, 2 The ofTa radii, 2 The bones of the carpus, of which there are eight in each hand, 16 The bones of the metacarpus, four in each hand, 8 The bones of the fingers, fifteen to each hand, 30 The ofla femoris, 2 The ofTa tibia?, 2 The ofla fibulse, • 2 The rotulse, or patellse^ 2 The bones in the tarfus of both feet, 14 The bones of the metatarfus, 10 The bones of the toes, 26 The ofla fefamoidea, which are rarely more than 1 6 Therefore the whole number of the bones in a human body is ufually 260 F 2 182. 68 yfCoMPENDlUM 182. The epiphyfes, (S. 5 1 .) in fubjefts arrived at the age of puberty, are about one hundred and twenty-four : if ihefe be added to the two hun- dred and fixty bones already enumerated, we in- creafe the nutliber to diree hundred and eighty- four, which is the true number, as nearly as can be determined, of the bones and epiphyfes s both which are often reckoned* up, under the general name of bones in the human body. CHAP. VIII. Of the Jun5lures^ or Articulations of the Bones, Junaures 183. Tk TO T H ING can be more neceffary of the J^^ J.Q j.|^g furgeon, than a perfedt ac- quaintance with the janftures of the bones. Ana- tomical writers have generally given this, there- fore, the firft place in their ofteological part : but it appears much more rational to make ic the laft arucle on this fubjedj fince, when the bones themfelves are firft known, their articulations are much the more eafily underilood. 184. TheGretk writers have given names, in that language, to the feveral articulations, expreff- ing their nature or elTendal chara6ler ^ but the later anatomical writers have varied greatly in their explication of them, and too many of them have written very confufedly on the fubjedl. On confulting Hippocrates and Galen carefully, it will appear, that the following explication is not repugnant to what they have eftablifhed on this head. 185. Synthefis, or fyntaxis ofTium, called by the Latins conjundio, exprefles, according to thefe authors, the jundlures of bones of all kinds, whether with or without motion. This large term of ANATOMY; ^9 term comprehends two diftin6l genera of junc- tures, the arthron, and the fymphyfis. Arthron tx^xt^ts 2i,x\ articulation, orjun6lure: under this come into confideration the conta6l of two bones, or the figure of their conjun6lion, without refpedl to their conneftipn : of this there are two kinds. I. The diarthrofis, in which there is a ma- nifeft motion, and which comprehends, 1. The enarthrofis, in which the head of one of the bones is received into a deep cavity in the other^ as in the articulation of the femur. 2. The arthrodia, in which the head of one of the bones is received into a llighcer ca- vity in the other, as in the jundure of the OS humeri with the fcapula. 3. The ginglymus, in which the bones mutually receive and are received by one another, as is the cafe in the articulation of the humerus and cubitus. To thefe Fallopius adds the trochoides, in which the motion is like that of a wheel about its axis, as is the cafe of the articu- lation of the firft vertebra of the neck with thefecond. ' And to all thefe, fome of the modern anato- mifts have added alfo the amphiarthrofis, a term under which they comprehend all thofe jundlures of bones which have a manifeft motion, and which differ from the feveral articulations now defcribed, either in regard to their figure, or the mo- tion they allow of. The fecond kind of the articulations exprelTed by the general term arthron, is i\iQ fjnarihra- fis : in this there is either, F3 I. 70 ifCOMPENDIUM 1, An obfcure motion, as in the bones of the carpus and metacarpus, tarfus and me- tatarfus. Or, 2. No motion at all, as in the futures, gomphofes, and junctures per harmoniam. The fecond general divifion of the jundures of the bones, ufed in contradiflindion to the arthron, is the Symphyfa^ or, as the Latins exprefs it, unio. This indicates a connexion of the bones, and is effedted either, 1. Without a medium, or the addition of any intermediate fubftance different from the bones, at leaft in adults ; as is the cafe in the jundlures of the os frontis, the maxilla fuperior, the ofla innominata, the vertebra?, &c. 2. By the intervention of a medium, or by the addition of a fubftance different from the bones themfelves. Of this divlfion there are three fpecies, and each with or without motion. 1. The fynchondrofis, which is feen in the offa pubis, vertebrae, &c. 2. The fynnearofis, which is feen in all the jundlures of the limbs, in the futures of the cranium, &c. 3. The fyfarchofis, as in the fcapula, os lingualis, the gums, &c. C H A Po If ANATOMY. 71 CHAP. IX. Of parts appertaining to the hones ; the periojleum^ marrow^ ligaments^ and cartilages, 186. rr^HE periofLCum is a nervous, vafcu-Perlof- X, lous membrane *, endued with a very ^^""^' quick fenfe ; immediately furrounding, in every part, both the internal and external furfaces of all the bones in the body ^ excepting only fo much of the teeth as iland above the gums, and the pecu- liar places on the bones in which the mufcles are inferted. It is hence divided into the external and the internal periofteum *, and where it exter- nally furrounds the bones of the flaill, ic is gene- rally called the pericranium. 187. This membrane ferves to conftitute the lirft rudiments of the bones in a foetus in utero : it is the organ of fecretion for the boney matter, as the membrana adipofa is for the fat , all the bones, during the time of their growth, receiving from it their matter of accretion, and afterwards their nutriment. The blood-velTels of the periof- teum penetrate, in innumerable places, into the bones themfelves ; as is evidently feen in the frefh bones of children. The fenfibility in the bones is wholly owing to this membrane ; for, when diverted of this, they may be fawed, cut, or burnt without pain. It gives alfo the determination and figure to the bones ; as is evident from this, that, when it is wounded, exoftofes, tophi, and caries arife in the part, * Ruyfch has very elegantly figured rhefe numerous' vefiels. F 4 Th^ 7* !/fCOMPENDrUM The periofteum is of different thickneffes in different parts; but, in general, the internal is vaftly thinner than the external, and ferves to nounfh that part of the bones. It receives alfo nerves and blood-veflels from the outfide, thro' certain canals in the fubftance of the bones, which it communicates to the marrow, in fuch as have any. It is generally faid to arife from the dura mater of the brain ; but this is fcarce right, as it is evi- dently formed at the fame time with it in the foetus. , The mar- i88. The medulla, or marrow of the bones, row. which anatomifts of many ages fuppofed to be a mere fhapelefs and irregular mafs of matter, is found, in reality, to confift of a fine fubtile, fat, oleaginous iubftance ; and of a number of minute veficles, of a membranaceous ftruflure, in which it is fecreted from the arterial blood, in the fame manner as the fat of the reft of the body. It is contained, in a greater or lefTer quantity, in the cavities of mofl of the cylindrick bones : in the cavernous ones there is not properly any marrovy, but a kind of red, fatty, medullary juice. The me- dullary veffels, found running here and there thro' their appropriated canals, penetrate into the inner cavity of the bones, and fecrete the medullary matter from the blood there : the blood being afterwards returned again by the veins. The nerves are diftributed to the fame places, for the fake of fenfe and motion *. It has been a common opi- nion, that the marrow increafed and decreafed in quantity, according to the increafe and decreafe of the moon ; but this is idle and erroneous. It * See the experiments of Du Verney, in the memoirs of theFrench academy, 1 7co. does. c/ ANATOMY. 73 does, indeed, increafe or decreafe in Its feveral cavities, according to the exercife or reft of the animal, or to its eating more or lefs, or better or worfe food. This fubtile oleaginous fubftance penetrates in between the fibres of the bones, and preferves them from drynefs, and from that brit- tlenefs which would be the confequence of it ; but it does not nourilh them, as was originally believed. 189. The ligaments are robuft and ftrongLiga- cords, as it were, of a membranaceous fubftance ments. in general : they furround the moveable articula- tions in form of a ring, and conned them toge- ther : they are very firmly fixed to the necks of the bones. Some of them alfo are cartilaginous, nervous, or tendinous, and ferve to faften the bones together in the articulation : thefe are ufual- ly round. There are, however, fome ligaments alfo which do not connedt the bones : thefe are always under- ftood to be membranaceous parts, conne6ling cer- tain other parts together: fuch are the ligaments of the tongue, of the uterus, of the penis, and of the mufcles. Of all thefe we fhall fpeak in their place. 190. Finally, to the bones belong alfo the car- Cartl- tilages : thefe, as already obferved, are pares of the lages. body very much emulating the appearance of bones, and are elaftick -, but they ufually have .. either nothing or very little of any medullary fub- ftance in them. 191. The cartilages are furrounded with their peri- chondrium, as the bones are with their periofteum. They ferve to feveral purpofes, i. For the join- ing the bones, as in the vertebrae. 2. For the forming the cavities of the articulations. And, 74 ^Compendium, tSc, 3. For the covering of the extremities of the bones, and rendering them fmooth and even, where there is required the means of motion. 4. They alfo ferve for the formation of feveral of the other parts ; as the afpera arteria, larynx, bronchia, noftiijs, ears, and edges of the eyelids: of all which in their places. A COM- 75 A COMPENDIUM O F ANATOMY. "^ BOOK III. Of Sarcology. C H A P, I. Of the common teguments of the human body, I92.TTTE have hitherto been treating of V/y the bones, which we have under- ftood as the fupports of the human frame ; and have gone thro' the examination of the parts belonging to them. We are now to proceed to the confideration of the fofter parts of the body, and enter on that branch of anatomy called Sarcology. 193. Sarcology may be divided into fix parts. 1. The do6trine of the teguments, or common coverings of the feveral parts of the body. 2. Splanchnology. 3. Angiology. 4. Neuro- ^ogy» 5- Myology. And, 6. Adenology. 194. In fplanchnology we are to confider, ifi:, the vifcera of the abdomen or chylopoea : thefe arq jS -^Compendium are deftined to the offices of digefting our food, &c. and are the flomach, the inteftines, the liver, the (pleen, and the pancreas. 2. The uropoea, or fuch as ferve for the fecretion of the urine : thefe are the kidneys, the ureters, the urinary bladder, and the urethra. 3. The parts deftined to gene- ration. 4. The organs of refpiraiion, and of the circulation of the blood, which are diftributed in the neck and bread, and are the lungs, the heart, the diaphragm, and the parts belonging to them. And finally, the brain and organs of fenfe, de- pofited in the head. 195. Before we proceed to the examination of the interior fofc parts, we are to confider the com- mon teguments furrounding the whole body. In the brutes thefe are more numerous ; but in man they are only three : they are, ift, the cuticle ; 2d, the fkin; and, 3d, the fat -, the cuticula, the cutis, and the pinguedo, or the membrana adipofa. Thefej and the reft of the parts of this divifion, we fhall lay down our obfervations on in form of tables, that the young difledler may have, as it were, at one view, before him, every thing that he is to remark in every part of the body. 196. The cuticle is a thin membrane, clofely lying upon the whole fkin, or cutis, of which it feems a part : it is called alfo by a Greek name. Epidermis. In this we are to obferve. Its adhefion to the cutis, which is very firm, and is affifted by the intervention of the corpus reticulare of Malpighi ; infomuch that, in diffec- tions, it cannot be feparated from the fkin by the knife •, but this is to be done by means of warm water. In living fubjedls we alfo fee it feparate from the cutis in burns, and by means of blifters. The colour is white in the Europeans, black in many other nations. We (?/ ANATOMY. 77 We are next to remark its flru6lure and fub- ftance : it is compofed of a multitude of very minute Jamellse, or fquammulse, which adhere firmly together, and are eafily diftinguifhed by the microfcope. In thefe there are very nume- rous foraminula, or apertures, which give pafTage to the hairs, to tranfpiration, and to the fweat : thefe lad are generally called pores of the fldn. Some authors fay there are valves to thefe, for the preventing the too copious effufion of the fweat ; but it is more probable, that this is done by the elaflick power of thefe vefTels. The thicknefs of the cuticle is very different in the different parts of the body : it is greateft in the foals of the feet, and in the palms of the hands : in other places, in general, it is very thin. Befide the pores and foraminula of the cuticle, there are a number of fulci, or linese, furrows or lines, called by Pliny incifurae. Thefe are fome deeper, fome (lighter, and are vifible in every part ; but no where. fo plainly as in the palms of the hands : on the tops of the fingers they are fpiral ; and they feem to be intended for the de- fence of the excretory dudls of the cutis, which are arranged in this part in a regular order. The regeneration of the cuticle, in a living fubjeifl, is eafy : but its origin is not, as was fuppofed by the earlier writers, from a condenfation of the exhala- tions of the body by the external air -, but rather, according to Lewenhoeck, from an expanfion of the nervous papillse of it, which form a multi- tude of fmall fquammulse, or lamells, cohering one with another j or, pofllbly, from both thefe caufes together. Even Ruyfch failed in his attempt to find blood-veffels in the cuticle ; neither has any body, fince his time, been able to diftinguifh any there. 5 From yS !/^C0MPENDlUM From the abfence of thefe it is, that it is without fenfation, and that no blood flows from it, when cut ; but it is certain, that it is nourifhed and re- generated by a fubtile fluid of fome kind. The ufe of the cuticle is to defend the cutis from injuries, from coming into contact with every thing, from drynefs, and from pain ,; and, 2dly, to afllft, and, at the fame time, to mode- rate the fenfe of feeling. 197. The corpus reticulare'of Malpighi, or the reticulum cutaneum, is a very fine membrane, perforated, in the manner of a net, with a multi- tude of foramina. It is placed immediately un- der the cuticle -, and where that is feparated from the cutis, whether by art or by accident, this ad- heres very firmly to it, and is fcarce poflible to be parted from it, feeming rather to be its inner fu- perficies than a diftind: fubftance. In regard to this, we are to obferve, firft, the places in which it is found, which are all thofe in which the fenfe of feeling is the moft acute ; as in the palms of the hands, at the extremities of the fingers, and on the foals of the feet. The tongue, however, is the part where it is moft accurately to be ob- ferved : it is more eafily diftinguifhable there than in any other part *, and its nature and ftrufture are moft evidently feen there. Its colour, in the Europeans, is white ; but in the negroes, and other black nations, it is black : in the tawny, it is yellowifh. The Ikin itfelf, in both, is white ; and the blacknefs and yellownefs depend altogether on the colour of this mem- brane *. The * See Ruyfch's obfervations on this fubjeft, Adverfar. Anat. Dec. 3. p. 26. This accurate anatomift feparated the cuticle from the cutis in a piece of the Ikin of a negroe, and found the (?/ A N A T O M Y. 79 The ufes of the corpus reticulare, are to pre- ferve the ftrudure of the other parts of the inte- guments, and keep them in their determinate form and fituation. Its apertures give paffage to the hairs, and let thro' the papillae, and excretory duds of the fkin : it retains thefe in a certain and determinate order, that they cannot be removed out of their places ; and has fome fhare in pre- ferving the foftnefs of the papillae, which renders them fit for the fenfe of feeling. 198. The cutis is a robuft membrane, as thick The cutis. as a piece of ftrong leather, and is extended over the furface of the whole body. In this we are to confider the connexion, which is double ; its up- per furface, adhering to the corpus reticulare, and the cuticula, and its under furface to the fat. In fome places this connexion is but lax, in others it is very firm. The thicknefs of the cutis is very different in the feveral parts of the body ; and as different in the Ikins of different animals, as appears from the leather made from it for common purpofes. It has a multitude of fulci, or Unes, which are com- mon to it with the cuticle. It has foramina of two kinds in it : the larger, fuch as thofe of the the cutis itfelf to be white, as in the Europeans ; but the ex- terior fuperlicies of the feparated part of the cuticle was blackifh ; and its interior furface, where the corpus reticulare came in view, of a deep black. It is evident, from this, that the feat of the blackneis in the Ikins of thefe people, is neither in the cuticle nor cutis, but in the corpus reticulare. Santo- rini obferves the fame thing in his Obf. Anat. p. 3 . He fays, that the colour of the fkins of the Europeans, is owing to that of the bile ; that it is yellow in the jaundice, black in its lalt ftages, and of a dead whitiih in the chlorofis, becaufe the bile itfelf is of thefe feveral colours in thefe difeafes. Malpighi de Taftus Organo, and Ruyfch, who has greatly impro'/ed upon his obfervations, are to be looked carefully into on this head. See Ruyfch's Epift, prim. iig. 4, 5i 6, 7. mouth. go yfCOMPENDIUM mouth, nofe, ears, and the like ; tho', in pro- priety, the cutis may rather be faid to be refle&ed than perforated in thefe parts ; and the fmalier, called pores : thefc again are of different fizes, fome larger, fome fmaller, and ferve to give paf- fage to the hairs, to the tranfpiration, and to the , fweat. The pores are very large in the nofe, where the naked eye may evidently perceive them : the fmaller ones are diftinguifhable by the help of microfcopes ; and the paffage of quickfilver thro' leather, fliews them alio. We are to examine the fubdance and ftrudlure alfo of the cutis, and fhall find it compofed of a multitude of tendinous fibres, fingle, tenacious, and interwoven in a furprifing manner together ; of a vaft number of blood- veiTels, firft fhewn by Ruyfch in his preparations, and defcribed at large in his works : and, laftly, of a great number of nerves, which conftitute the pyramidal papiilas, and raife themfelves thro' the pores of the corpus reticuiare. Thefe, when the cuticle is taken off, are very eafily diftinguifhable in the palms of the hands, and under the foals of the feet ; as alfo at the ends of the fingers, where they conftitute the primary organ of feehng *. After thefe we are to obferve the cutaneous miliary glands : thefe are faid to be very nume- rous ; and are allowed, fince the days of Steno and Malpighi, by all the anatomical writers, to be found in every part of the cutis, and to ferve for the excretion of the matter of perfpiration. We are to obferve that thefe, however, are not fo eafi- ly demonftrated as fpoken of: few of thofe, who have treated moft largely of thtm, have been able to (hew many of them ; and the office afligned to * See Ruyfch, Epift. T. ! 7; fig. 2. and his Adverfaro Anato Dec. 2. T. I. fig. 3o them ^/ANATOMY. 8i them may as well be performed by the little arte- ries of the cutis, without any farther affiftance *. Finally, we are to remark the folliculi, or re- ceptacula cutanea ♦, which are probably what have been defcribed by others, under the name of feba- ceous glands f. The ufes of the fkin are numerous: ift, to furround, cover, and defend the parts that lie un- derneath it. 2d, To be the organ of feeling. 3d, To be an univerfal emundtory to the body, cleanfing the blood of its redundancies, by the means of fweat and perfpiration ; while thefe, at the fame time, ferve to prevent the aridity of the cutis itfelf. 199. After the examination of the fkin, weTliekfr. are to fpeak of the hair, which isufually reckoned among the parts of it. When they grow on the body, they are called pili 5 when on the head, capilli : the laft are mod proper for examination. That part of them which is without the fkin, ap- pears cylindrick to the naked eye , but, when exa- mined by the help of glaffes, it is found to be un- equal and irregular, and often knotty. It is pel- lucid, but is not hollow; but the extremi- ties of them are often fplit into feveral parts^ fo as to refemble a pencil. The part of the hair, that is within the fkin, is called the root of it ; and, from its roundifh figure, the bulb. This part is hollow and vafcu- lous, in the manner of the bafes of the young feathers on birds : this vafculous part is inclofed in a follicle or cafe, and is mofl conveniently to be examined in the large hairs of a cat's whifkers, or of the beards of other animals. * Ruyfch, Dec. i. p. 9. ^f- Ruyfch, ibid. I See Lewenhoek, Adt. Erudit. 16 J3, p. ^11. G The 82 ^Compendium The origin of the hairs is in the cutis, and in the fat that lies underneath it * ; and probably from nerves, as there is a very acute pain felt in pulling them ofFf. The nutritious matter of the hairs is probably the fame with that of the other parts of the body; not merely excrementitious, as the old authors have fuppofed. It is a common affertion, that the hairs grow after the perfon is dead •, but unqueftionable experiments prove this to be of the number of vulgar errors, not at all the more true for being univerfally received as truth J. The colour of the hair is very different in the different people of the fame country y but there are alfo general differences of it, peculiar, in a manner, to the climates. In the hottefl countries it is very black ; in the more temperate ones, it is brown, or of a lefs deep black ; in the colder, it is yellowifh, redifh, or brown : but, in all places, it grows grey or white with age ; and in the la- bourers in copper mines, and others, who are continually receiving the effluvia of that metal, ic becomes greeniili. The length of the hair is, in the individual, very different. It is always much longer on the head than elfewhere. In general, it is fhort and curled under the torrid zone, arid gradually longer in the more temperate climates. Its confidence, to the touch, alfo varies greatly, I. In regard to the different climates and fubjedts. In general, it is harflier in the Ethiopian than in the European ; and harder and dryer in adults than in infants, whofe habit abounds more with * Chirac. Suppl. 2. Aft. Erudit. T, 8. f See Ruyfch, iLpift. i. j See Ruyfch, Thefaur. Anat. 10. p. 5, X See Ruyfch, A'dverfar. Anat. Decad, 2. p. 46. humidities. ^/ANATOMY. 85 humidities. 2. In regard to the parts of the body on which it grows : it is very harfh and hard un- der the arm-pits, and about the pudenda : on the head it is much fofter ; and on all other parts of the body it is greatly fofter than there, and very Ihort. As to the time of the origination of the hair^ that of fome parts of the body is of the fame date with the part3 it grows on ; fuch is that of the head, the eye-lafhes, and eye-brows. That of others begins to grow only at a certain time j fuch is that of the beard, of the arm-pits, and of the pudenda : and in the fame manner fome of the hair continues always increafing in length, while . other parts of it never grow after the birth of the infant. The ufe of the hair of the head is to keep that part warm, as well as to be an ornament to it : that of the reft of the hair, except only that of the eye-brows and eye-la(hes, is not fo eafily de- termined. 200. After the hair, we are to obferve the nails. The number, fituation, figure, fize, and colour of thefe, need no explanation : but we are to obferve, that the feveral parts of the nail have their feveral names, i. The extremity is called the apex ; the oppofite part to this is the root or bafe : the firft of thefe is thin and tender ; the lat- ter more thick and firm. And, finally, near the bafe there is a white part, called the lunula, from its figure, fomewhat refembling a fegmerft of a circle. As to the fubftance of the nails, they are com- pofed of the cutaneous papillae, elongated and in* durated, and firmly conneded to one another in a longitudinal direction ; for this reafon, they are very fenfible at the roots, where thefe papillae are G 2 yet A Compendium yet tender : but at the apex, where they are per- fedly indurated, they may be cut without pain. The papillae, of which the nails are formed, arife out of the fkin, not only at the root of the nail, but all over the greater part of its under fur- face. It is by this means that the nails are fo firmly connedled to the fkin ; and it is owing to the continual accefiion of more and more papillae, as they approach toward the apex, that they be- come harder and firmer in that part. They may be eafily feparated intire, from dead fubjeds, by hot water. We are next to enquire into the manner of their nutrition. As the refl of the papillas of the cutis have their veflels, by which they are nou- rifhed ; fo alfo thefe papilla, which form the nails, have their veflels for the conveying nouriihment to them at the bafe : but as thefe papillae do not, in their own form, conftitute the body of the nail, but become indurated as they are elongated, and feem only the roots or bafes of hard and rigid fibres, as is alfo the cafe in the hairs ; fo thefe in- durated parts of them have fewer than the more tender, but yet enough for their nutrition are con- tinued along them. Their growth is by means of thefe, and it continues as long as the perfon lives. It has been faid of the nails, as well as of the hair, that they grow after the perfon is dead j but this is evidently an error, as much as the other *. The ufes of the nails are, ill. To ftrengthen and defend the extremities of the fingers and toes, that they may not be fo eafily hurt by external ac- cidents, as they otherwife would have been; 2. To affifl: the fingers, in the laying hold of lit- tle things, the more readily, and in the holding * Sec Riiyfch. Adverfar. Anat. Dec. 2. p. 46. them bferve the veffels, which it has in common with the liver, and which in it are called vafa cyflica, or cyflick veffels * ; and the radices fellese of authors, which are eafily * Thefe are excellently delineated by Ruyfch, Ep. 5. difcO^ 112 A COMPEMDiUM dlfcoverable in oxen, and other large animals % but not fo in man. We are then to enquire into the manner in which the bile is carried into the cyftis, or gall- bladder : in human fubje6ts, the greater part of ic feems evidently to enter into it thro' the dudus cyfticus, from the duflus hepaticus, and dudus cholidocus 5 and part of it feems as evidently to be fecreted within the bladder itfelf. In oxen, be- fide both thefe ways, there is a great part carried in by the hepatico-cyftick dud, and th.e radices felleae *. The ufe of the liver is to fecrete the bile from the blood, brought thither by the vena porta. The antiencs fuppofed its ufe to be fanguification. The ufe of the gall-bladder is to colled the bile, firft fecreted in the liver, and mixing it with its own peculiar produce, to perfed it farther ; to retain it together a certain time, and then to ex- pel it. The ufe of the bile is to attenuate the chyle, to mix the oleaginous parts of the blood with the aqueous, to ftimulate the inteftines, and, in part, to change the acid of the chyle. The bile is properly of two kinds, and is dif* tinguifiied under them by the names of cyftick and hepatick. The hepatick bile is thin, almod jnlipid, and fcarce coloured. The cyflick bile is thicker, more coloured, and very bitter. The 218. The fpleen : lien, or fpleen, is a vifcus of fpleen. ^ ^^^p blackilh-red colour, fituated on the left fide of the ftomach, under the diaphragm, and near the ribs. It is ufually fingle, tho' fometimes there have been found feveral in the place of one f. * See Bohn, in the A6ta Erudit, 16S2, p.20. 1683, p. 126. and Verheyen, T. 11. fig. 6. f See Schelham. Analetfl. DifT. io> and ii. and Chefel- den'sAnat. p. lii. 4 lis of ANATOMY. ^ ^H Its figure is fomewhat uncertain ; but it i» ufualiy that of a tongue, it is hollow toward the llomach, and convex toward the diaphragm and ribs : often however it is irregular, and has in many parts filTures. It is connected with the flomach by the vafa brevia ; and with the pancreas omentum, the diaphragm, and the left kidney, by mem- branes. Its fize is various. Its length is ufually five or fix inches in the human body. In dogs, hogs, and many other animals, it is much longer and thinner. Its breadth is about three inches : its thicknefs about an inch j and its weight about twelve ounces. In human fubjedls the fpleen has but one mem- brane ; but in calves, and fome other animals, it has two : in this cafe the external one is robuft, common, and adheres but laxly, by means of the fanguiferous veflfels, to the inner, which is proper and very thin, and, when the outer one is taken off, tranfmits the breath. The vcfifels of the fpleen, confidering its fize, are remarkably large. Its artery is from the coeliac, and is called the fplenic artery : this, in human fubjedls, readily tranfmits water, air or mercury, thrown into it, into the veins. The fplenic vein, in calves, &c. is, foon after its ingrefs into the fpleen, tranformed into cells : but, in human fubjedts, it is, as in the other vifcera, very much ramified ; and its branches are carried throughout the whole fpleen *. In calves both veffels enter at one extremity; but in the human body they are divided into vari- ous branches, and run over the whole concave or * Ruyfch has demonftrated this, againll the opinion of moft of the modern writers, Epift. 4. T. 4., Moft other ana- tomifts have given their draughts of the fpleen from that of a calf, not from a human one. \ internal |!4 ^Compendium internal furface. The nerves of the fpleen are from the plexus fplenicus. The fpleen has no ex- cretory dud; but there are in it lymphacick vef- fels, running to the receptacle. The fubltance of the fpleen has been faid to be cellulofe and glandulofe. In calves, indeed, it is cellulofe ; but in man it is vafculous and fibrous. What authors have defcribed as glands in the fpleen, Ruyfch has proved to be only vefTels. There is, indeed, often found a lymphatick gland or two, of about the bignefs of a bean, without the fpleen, near where the veffels enter into it ; but the fubllance of the vifcus itfelf is not to be fuppofed glandulous for that reafon. The ufe of the fpleen has been much contro- verted by authors. The mod probable opinion feems, that it is to render more fluid the blood, out of which the bile is afterwards to be fecreted, which is naturally thick •, and that by this means obftrudions, which muft otherwife be frequent, are prevented, and the fecretion of the bile is promoted. The kid- 2 1 9. The kidneys, ref^es, are two red vifcera, ^^y^' of an oblong figure, refembling, in fome degree, that of a kidney-bean. They are fituated at the Joins, one on each fide •, and their hollowed fide is turned inward, their convex fide outward. They are fituated near the two loweft fpurious ribs : but this is not exadly regular •, for they are in fome fubjeds a little higher, and in others a little lower : and one of them is not unfrequendy placed a little above the other. Sometimes they are perfedly even : it is not always the fame kid- ney that is placed higheft ; but fometimes the right, fometimes the left is fo. The kidneys are conneded with the loins, the lower ribs, the colon, the fuccenturiaci, the renal vefTels, and the ureters. of ANATOMY. ii^ ureters. They have two membranes, the one robuft and common, called the adipofe mem- brane : this furrounds them but loofely, and is furnifhed with its own proper veliels. The other membrane is proper, and is very thin, and every where applied clofely to the fubftancc of the kidneys. The length of the kidneys is five or ^v^ fingers, the breadth three, and the thicknefs about a finger and a half. The fiirface is, in adults, fmooth and equal ; but in the foetus in human fubjedls, and in the grown animals of many other kinds, it is irregularly divided, as it were, into a number of lobes. The vefTels of the kidneys are included, as thofe of the liver, in a membrane, from the perito- naeum, or a kind of capfule. The arteries and veins are large, and are called emulgents and renal vefiels \ they are produced from the aorta and the vena cava. The nerves are from the plexus renalis ; and there is a large excretory duft called the ureter. There are alfo a number of lymphaticks, pafling to the receptaculum chyli. The fubftance of the kidneys is firm and hard, and is of two kinds, i . The exterior, or corti* , cal, which, according to Malpighi, is glandulousj but, according to the difcoveries of Rliyfch, is throughout elegantly vafculous *. 2. The interior, which is tubulous, and exprefied by the name of tubuli urinarii Bellini : this terminates in ten or twelve papillas, which open by a multitude of apertures into the pelvis "f* *, but thefe papillae arc not found in all fubjeds §. * See Ruyfch's Thefaur. Anat. 3. T. 4. fig. 2, and 3 -, and his Thef. 4. T. i . fig. i . t See Ruyfch's Thef. 3. fig. 3. and Thef. 3. T. t. fig. i* § See Schelham, Anal. Diff. 11. 1 2 The :ilj6 yfCOMPENDIUM The pelvis is a membranaceous cavity, fending out feveral procefTes, called the tubuli of the pel- vis, and furrounding the renal papillae. The ufe of the kidneys is to fecrete the urine from the blood into the pelvis, and fend it thence by the ureters into the bladder. Succentu- 220. The renes fuccenturiati, called alfo 'glan- riati. dulas renales, and by feme capfute atrabiliarise, were firft defcribed by Euftachius *. They are two yellowifh glands, of a compreflfed figure, lying on each fide of the upper part of the kid- neys. They have a very narrow cavity, imbued with a brownilh liquor of a fweetifh tafte. Their figure is irregular, between fquare, trian- gular, and oval : fometimes it is nearly one of thefe, fometimes very different from them all. Their fize alfo is various ; but in adults they are, in ge- neral, about the bignefs of large nux vomica. In the foetus they are larger, and often exceed the kidneys themfelves in fize. The membrane that furrounds them is very thin : it clofely involves ♦ their whole fubftance, and conneds them with the kidneys. Their blood- velfels are fometimes fent from the aorta and vena cava ; but more frequently they are from the cmulgents : their nerves are from the plexus renalis, and their lymphatick veffels are numerous. There is no excretory du6l difco- vered in them, and their ufe is therefore not cer- tainly known. By their great fize in the foetus^ they feem deftined rather to the fervice of that Hate than of any other. Theure- 221. The, ureters are two membranaceous tubes, or pipes, nearly cylindrick in figure, and of about the thicknefs of a quill ; but their dia- meter is very uncertain. They arife from the kid- * See EuHachJus, iib. de Renibus. neys. ters. ccllu- lofe tunic is rot always to be found. i See Santorini, p. 188. The 126 A CoMPENDtUM The penis is joined by fynchondrofis to the ofla pubis by means of a ligament, called ligamentum vefalii *, as alfo by its lateral ligaments. The mufcles of the penis are numerous : they ferve principally for the erecting it ; but thefe are to be treated of hereafter in the myologia. The vefTels of the penis are very numerous, and are diftributed thro' it in a very furprifmg and beautiful manner. See them delineated Tab. 5. The glans, called alfo the head, and the bala- nus of the penis, is its anterior extremity. Its furface is very fmooth and polite ; and it is very fenfible to the touch, which is owing to a multi- tude of nervous papillae diftributed all over it, and moft obvious when the penis is eredled. In the front of this is the aperture, or excremity of the urethra : this is fmaller than the reft of the cavity of the urethra *, and immediately under this is inferred the fraenum, or fraenulum of the penis. The pofterior extremity of the glans, with its neck behind, is diftinguifhed by the name of the corona. In this part fome authors fay they ha\?e difcovered a number of minute glands f \ but Santorini does not allow what they call fo to be glands : he fays, they are only the mouths of ex- cretory du6ls. The glans is compofed of the epidermis and the corpus cavernofum, which is continuous with the urethra ; and in this part is expanded, as it were, into a kind of bulb or globe §. The coat of the penis is alfo added to thefe j. * See Morgagni, Adverf. Anat. i. T. 4. fig. 4. f See Littrius Hift. Acad. Reg. Par. 1700. and Morgagni Adverf. i. T. 4. fig. 4. § See Ruyfch Obf. Anat. ico. X See Santorini, p. 191, The of ANATOMY. iQ,j The urethra is a membranaceous tube or cana., nearly of a cylindrick figure, continuous to the neck of the bladder, and extended to the extre- mity of the glans. Its office is to give paiTage to the femen and urine. The urethra is fituated in a kind of furrow, formed between the two corpora cavernofa, in the bottom or lower part of the penis. It does not run perfedlly flrait ; but is bent in a very lingular manner *, Its length is twelve or thirteen inches, from the neck of the bladder to the extremity of the glans. Its cavity is as large as that of a goofe- quill. It is compofed of two robufl membranes, an exterior and an interior : their fubftance is firm and tough ; and between them there is a fponge- ous or cavernous matter, in which fome authors pretend to have difcovered glands : but this is un- certain -j-. The bulb of the urethra is next to be exa- mined. This is that part of it which is next to the proftatas : it is much thicker than the refl of the tube, and is about an inch long, and in fome meafure refembles a wall- nut. It is of a thick and fpongy texture. The interior furface of the urethra is full of roundifh and oblong foraminiila and furrows, out of which there may often be prefled a thick, vif- cous fluid : the ufe of this is to lubricate the urethra, and to defend it from the acrimony of the urine f . 230. To the confideration of the penis, there yet alfo belong the glands, called, from their dif- * See Alghifius's Lithotom. andMorgagni Adv. 3. p. 2)2* where they are better e\'preired. f SeeTerran. lib. de Gland, p. 32. J See Mprgag. Adverf. i. T.4. fig. 4. c. See alfoLittr. nov. Urethra Defcriptio, coverer, 128 !/? Compendium Glandulae coverer.- glandulae Cowperi mucofe. He defcribes Cowperi. th^ee of thcQi * : two of them are fituated rcgu- gularly one on each fide the urethra, between the niufculi acceleratores and the bulb. They are faid to be of an oval figure, but fomewhat com- prefiTed, and are of the iize of a horfe-bean. They fecrlste a rnucous pellucid liquor, which each dif- charges at its own dudl into the urethra. Thefe duds are feparate and diflind:, and are about two fingers breadth long, and perforate at thdir extre- mities the coats of the urethra. The ufe of the fluid, which they fecrete, feems to be to lubricate the urethra, and to defend it from being hurt by the acrimony of the urine. Cowper is too accu- rate and faithful a writer, to have defcribed parts which he did not find : but anatomifts, fmce his time, have often failed of them ; fo that either there is fome error in the account, or they are not univerfa! in all fubjedls. The third of them, which is fingle, is in the an- gle of the curvature of the urethra, under the os pubis, and within the corpus fpongiofum, or ca- vernofum of the urethra. Such is the account of its fituation given by Cowper ; and he has figured it of the fize of a fmall pea : but this alfo is want- ing in bodies diffecled by our beft anatomifts. Glandula 23 1. Finally, we are to obferve the glandula Littrii. Littrii f . This is a gland fituated juft below the proftata, and lodged between the two membranes or coats of the urethra. It is of a dufky redifh colour, and is an inch broad, and about a fixth of an inch thick. It furrounds the interior mem- brane of the urethra, in the manner of a zone ; and, perforating it with feveral fmall foraminulas, it pours into it a mucous liquor ; the office of * See Cowper's Defer. Gland, nuper dete<^. 4(0, London. f See Tcrran. ^e Gland, p. 65. which of ANATOMY; 129 which is, like that of the other liquors of the fame kind already mentioned, to lubricate and defend the urethra. 232. The veflels of the penis, urethra, and thefe glands, are in common. Their arteries are from the hypogaftricks, and thofe of the pu- denda. The veins, which all have valves, carry back the blood to the veins of the fame parts ; bur, before they join them, they make various anaftomofes, and form a wonderful kind of re- ticulation in the body of the penis, and under the ofTa pubis. Santorini has well defcribed this won- derful implexity of them, and calls it the laby- rinth. The nerves come from the lafl of thofe of the OS facrum ; and the lymphatick vefTels are numerous, and are beautifully delineated by Cow- per and Drake f. 233. The ufes of the penis are two, a primary and fecondary. The primary ufe of it is to ferve in the office of generation : the fecondary, for the excretion of the urine. CHAP. IV. Of the 'parts '^of generation in women, 234. yj^ ROM the examination of the parts of Jj generation in men, we are to pafs to thofe of women. Thefe are divided into the ex- ternal and internal. The external parts, or thofe which may be leen without difieclion, are thefe : The pudendum, or vulva-, in the midft o^?^rtsoi which is an openino;, and the orifice of the vao;ina ;g-^'^r^- at the lower pare is the train uum, and the pen- ^^o^-P^en, naeum. * See Memoirs of the Paris Academy, 1700. -f See Cowper's Myotom. reform, fig. 10. and' Drake's Anthropolog. T. 6. K The tons. 130 yf Compendium The labia are two-, and over them is the mons veneris, which is tumid, from fome fat that is within it, and is covered with hair. The cli- The clitoris, or, as fome call it, mentula mulie- bris, is fituated in the upper part of the aperture, and, in its common (late, is almoft entirely buried under the fkin or prepuce. Its general fize is about that of the uvula, or fcarce lo much : its Ihape alfo much refembles that of that part *, but it fometimes is found of an extraordinary bignefs, as large as the penis * : but in this cafe it has no urethra. It has a glans, or apex, as the penis has ; but this is not perforated : it is ufually covered with a fcetid matter, like that of the glans of the penis f. The prepuce, cover- ing the glans of the clitoris, is formed of the cutis of the pudendum, and furnifhed with nervous papillas: hence it is of exquifite fen- fibility to the touch. It has alfo a ligament, by which it is conne6led to the ofTa pubis, in ihe fame manner as the penis is in men §. It has two crura, or legs, which run from the ofTa pubis, and are three times as long as the clitoris, in its natural ftate. It has alfo its two cavernous or fpongious bodies, with a feptum between them, which conititute its body, very much as in the penis, and thefe are furrounded with a nervous membrane. There are two eredlor mufcles alfo belonging to the clitoris, like thofe of the penis : thefe arile from the ofla ifchii, and are infcrted into the cor- pora cavernofa. The vefTcls are common to this, * See examples of this in Panarollus, Platerus, De Graaf, Tulpius, and others. -|- See Santorini, p. 191. § Sec De Graaf de Mulierum organis, cap, 3. and alfo Morgagni Adverf. p. 20. and of ANATOMY. 131 and to the other external pans. The arteries and veins come from the hypogaftricks, and thofe of the pudenda; and the nerves from the os facrum. Several very large ramifications of thefe run along the back of the clitoris; and hence it is, that it is all over of fuch exquifite fenfe. Its Life is to produce a titillation in the coitus, and to increafe the pleafure. The nymphs come next under confideration. The Thefe are two membranaceous parts, fituated on"^'"^?^^' each fide the rima. They are of a red colour, and cavernous ftruclure, and fomewhat refemble the wattles under a cock's throat. They are fomctimes fmaller, fometimes larger, and are con- tinuous to the prseputium of the clitoris, and joined to the interior fide of the labia. In thefe we are to obferve the nervous papillse, which are very copious, whence their quick fenfe ; and their fmall glands, which fecrete a fatty mat- ter *. The ufe of the nymphs is to increafe the pleafure in coition, and to direct the courfe of the urine. We are next to obferve the orifice cf the vagi- na, or the OS uteri externum. This is furrounded with a cavernous fubftance, which fwells in the. time of coition : It is very fmall in virgins, larger in thofe who have had commerce with man, and much larger ftill in fuch as have borne chil- dren. It is always, however, much fmaller than the reft of the vagina. The hymen is a membrane, fometimes of a circular, fometimes of a femi-lunar figure, and fometimes of a form different from both f. It is * See Morgagni Adverf. i. T. 3. let. ee. f See Morgagni Adverf, i. T. 3. in ggj and Santorki, T. 2. fig. I. e. Our author found it in a girl of fourteen, jull as there defcribad. K 2 always ^32 ^ Compendium always found in young fubjefts, and ftops a part of the pafTage of the vagina. It has a fmall aperture in girls, and a larger in adults, who have not converfed with men : After the firft coitus it is not to be found : it is always deflroyed by it ; and, if it have not been injured before, always fome blood follows the rupture of it. The caruncute myrdformes owe their origin to the breaking of the hymen : they are, therefore, not to be found in fubjedls in which that mem- brane exifts intire. They are two, three, or four in number, and are placed where the hymen was. The urethra, or urinary pafTage, is fituated flrait under the clitoris, and (hews itfelf by a lit- tle eminence. Its length is about two fingers breadth: its diameter is greater than in man; but fomewhat narrower at the end than elfewhcre : it IS capable of great dilatation. There are in it certain little du6ls, which convey to its inner fur- face a mucous humor, for lubricating and defend- ing it from the acrimony of the urine ; but their origin is uncertain *. Finally, we are to obferve the lacunae of De Graaf : thefe are certain little ofcula, vifible about the urethra ; and are du6h which ferve to excrete a mucous humour, to lubricate the vagina. Thefe arife from the corpus glandofum of the urethra f. Theva- 235. The internal parts of generation in wo- S^"^* men, are thefe : The vagina, which is a large canal, not unlike the inteftinum redum •, but more robuft and ftrong. It is extended from the orifice, already mentioned, to the uterus. It runs between the redtum and the urinary bladder, and adheres to * See Morgagni Adverf. i. S. 10. and 4. p. 44. Seealfo Terran. de Gland, p. 44. f See Morgagni Adverf. T. i. fig. 3. both I?/ A N A T O M Y, 133 both of them. Its natural length is about fix or fcven fingers breadth % but it is very diftenfible. Its diameter is naturally about equal to that of one of the fmall guts •, but it is capable of great dilar tation, efpecially in the time of delivery. Its ori- fice is narrower than any other part of it, and is clofed with a fphindler. Its fubftance is mem- branaceous ; and it is within rugofe, and furnifhed with abundance of nervous papillae : and to this is owing its quick fenfation. Externally it is mufcular, and by that is enabled to embrace the penis more clofcly in coitu. Its upper part is conne6led with the bladder, its lower with the redlum, and its hinder extre- mity with the uterus. The wrinkles of the vagina are not circular, but rather as in the gut jejunum. They are largeft and deepeft in maids, and efpe- dally in the anterior part of the vagina. In peo- ple who have been much addided to venery they are fainter, and feem as if worn down. In women who have borne children, they are alrnoft.intirely obliterated. Their ufe is to increafe the pleafure in coitu, both to the man and the woman, and to render the part capable of the necefTary dilatation in parr turition. There are found certain lacuna, or ofcula, about the orifice of the vagina ; fuch as there alfo are about that of the urethra. Thefe often arc fo Targe as to admit a briftle \ and they have their origin from the glandulae fubftratae, the proftatae of Bartholine. Their ufe is to fecrete a fluid for the lubricating the vagina, and for ftimulating ta venery ^. The fphindler, or contrading mufcle of the vagina, is compofed of a feries of mufcula? fibres, ? See Morgagni Adverf. prim. S. 31. T. 3,, K3 arifing 134 ^ Compendium arifing from the fphindler of the anus, and fur- rounding the orifice of the vagina ; after which it is inferted under the crura of the clitoris. The corpus cavernofum alfo furrounds the orifice in the fame place •, and this being liable to diftcn- tion, with the blood, at the time of the coitus, aflifts in preffing upon the penis. . The ufe of the vagina is to receive the penis and the femen, and to emit from the womb the menftrual difcharges, the foetus, the fecundines, and the lochia. 236. The uterus, called alfo the matrix, is a hollow body, of a form approaching to that of a pear, fituated between the bladder and the rec- tum, and deftined to the office of generation, for the containing the foetus. In this we are to ob- ferve, Irs connexions in the anterior part with the vagina •, and in its lateral part by the ligaments, which are of two kinds : its hinder part is loofe. Its two kinds of ligaments are the lata and ro- tunda. The ligamenta lata, or broad ligaments, are of a membranaceous ftru6lure : they are con- tinuous with the peritonasum ; and they join on each fide the uterus, and the vagina, to the pa- rietes of the pelvis. They confift of a double membrane, between which is lodged a cellular fubltance, as in the mefentery. This is eafily ihewn on inflation. The ligamenta rotunda have their origin from the upper part of the uterus : they pafs thro' the annules of the mufcles of the abdomen, and are terminated in the fat, near the groins. They are compofed of a double membrane, with a plexus of vefTeis *, and a multitude of irregular fibres, * See Morgagni Adverf. 4. p. 49, 50. Thefe • ^/ANATOMY. 135 Thefe are moft diftindly feen in women with child *. In women not with child, the length of the womb is about three inches : its breadth, in the upper part, is about two ; and in the lower, it is about one. Its thicknefs is about an inch and a half: in virgins it is often much fmaller than this; but in women with child, it is of a different fize, according to the different time. Anatomifts di- vide it into two parts: the upper and broader part they call the fundus uteri ; the lower, they call the cervix. In this it is the vagina opens. The orifice, or, as it is otherwife called, the internal mouth of the womb, opens into the va- gina, in form of the glans penis in man. It is very fmall in virgins ♦, but in women who have had children, or who are but with child, it is larger : and in the lafl, it is always clofed up with a gludnous humor. In the time of delivery it in a wonderful manner expands itfelf, foas to give paflage to the child. The fubflance of the womb is mufculous : it is compofed of a various plexus of flefhy fibres, with a great number of vefTels between. In wo- men not with child, it is compa6t and firm : in thofe who are with child, it is fpongy and finuous, and is capable of wonderful dilatation, without any diminution of its thicknefs. It is covered ex- ternally with a membrane from the peritonaeum : internally its cavity is lined with a porous and nervous membrane. This cavity is very fmall in virgins "f •, and in women with child, the inner membrane almoft intirely difappears §. * See Santorini, Obf. p. 200. f See Morgagni, Adverf. i. T. 3. § See the fame Adverf. 4. p. 47, K 4 Th§ l^S yfCoMPENDTUM The blood-vefiels of the uterus are tortuoas^ and make a thoufand anaftomofes with one ano- other : in women with child, they are dilated into a kind of finus's *. They open by a number of little mouths into the uterus and vagina, and are the fourcesof tlie menftrual difcharges in women. The arteries are of three kinds : i . Sperma- ticks from the aorta. 2. Very large ones from the hypogaflricks. And, 3. Others from the hemorrhoidal. Thefe all communicate, in a fur- prifing manner, with one another ; fothat, if they be but inflated, or mercury or wax beinjeded inta any one of them, they arc all filled in an inftant ; even thofe on the oppofite fide, as well as thofe of that on which the injedion is thrown in. The veins of the uterus are alfo of three kinds, and of the fame denominations : they have no valves, and are greatly larger than the arteries^ cfpecially in women with child. Air may often be thrown into the cavities of the uterus and vagina, by in^ flating thefe : and, on the contrary, thefe veflels may often be inflated alfo, by means of air thrown into the vagina and uterus f. The nerves of the womb are from the intercoftab, and thofe of the OS facrum. The vafa lympbatica have long fince been difcovered in brutes •, bur, of later years, Morgagni has found ihem alfo in human fubjedts, in the ftate of pregnancy %. The lymphaiicks, commonly figured in the womb by authors, are not from nature. In the cervix, or neck of the womb, there are a number of little openings, with folds or valves between them §. Thefe feem to be dudts, ferving * See Morgagni, Adverf. 4. p. 48. and Vater. deUtero. f See Fanton. Anat. corp. hum. p. 186, See alfo Vater. ^ See his Adverfar. 4. p. 76. § See his Adverfar. 1. T. 3. for \ ^/ANATOMY. 137 For the fecrction of a mucous fluid. There are alfo fometimes obferved in the orifice, and neck of the womb, certain veficles, or corpora glo- bofa*: thefe contain a mucous fluid, and have been taken by many for hydatidcs f. Some have fuppofed them glands J, and that they fecrete that mucous fluid, which, in women with child, clofes up the mouth of the womb. Others have given them a much nobkr office, calling them the new ■ difcovered and true ovaries, and fuppofing the foetus formed in them §. And fome will have them to be the veficute feminales of the female iex II ; and that a prolifick femen is difcharged from them in the time of coition. Thefe lafl: opinions are evidently farthefl: of all from truth ; but what their real ufe is, is yet doubtful. They are much more obvious in women with child, in whom they fl:and very clofe f . 237. The ovaria, called, by the earlier writers, Ovaria^ tefl:es muliebres, are two bodies of a fomewhat globofe figure, of a fmooth furface, and in colour whitifli : they are annexed, one on each fide, to the fundus of the womb. They are connedled, i. To the fundus uteri, by means of the ligamentum teres; a ligament of a cylindrick figure, which the earlier writers ufed * See them delineated in the fame place, -^ See the authors cited by Morgagni, Adverf. i. p. 32, And Ruyfch, Adverf. Anat. decad. p. 5. % See Morgagn in the fame place j and Verheyen, 1. c. cap. 32. 4 See Naboth's DifTertat. de Sterilitate ; and Fred. Hoff- man in Medic, rational. T. i. Againft the opinion, fee Goelick's Hift. Anat. p. 183 ; EtmuUer's Epift. de Ovar. and Hilfcher's de Generat. p. 2. II See Letters of Defnoves, p. 70 ; and Blegny's Zodiac, T. 1. p. 20. 4- SeeHeinrici's Differt. de Vefic. feminal, muiierum. ^ See Santorini, p. 213. to 138 A Compendium to fuppofe the vas deferens in women : but there is no palTage from it to the womb, ^o that this opinion is evidently groundlefs. 2. To the Fal- lopian tubes, and to the fides of the pelvis, by the ligamenta lata of the uterus, and the alse vef- perfilionum. And, 3. To many other parts, by means of the fpermatick vcflcls. Their fhape is nearly oval ; but gibbous on the upper furface, and flat below. Their fize differs, according to the age and tem- perament of the fubjcd:. They are largeft in perfons in the vigour of their age, and in fuch as are addicted to lufl : in fuch fubjedls they are found of two drams weight, and furnifhed vvith a number of prominent veficles. In old people they fcarce weigh fo much as half a dram -, and are dry, corrugated, and deformed with cicatrices. The alae vefpertilionum are membranes, placed between the tubas Faliopiance and the ovaries. The ovaries are furrounded by a ftrong white membrane from the peritonaeum ; and are of a membranaceous fubftance, fibrous, reticulated, and full of veifels varioufly interwoven. Among thefe there are a number of round veficles, with a yel- low fubftance difpofed under them : thefe are more or fewer in number, according to the age and temperament of the perfon ; and are filled with a fubftance, much refembling the white of an egg : and this humor acquires alfo, on boiling, the hardnefs and confiflence of the white of an egg boiled. From this analogy with the eggs of birds, thefe veficles were called by Hornius ova *, or ovuia. The largeft of them hardly equal a pea in bignefs. There are fometimes ten, fifteen, or twenty, or more than that, in one ovary: * Epill. de Genltalibus. fome 6 ^/ANATOMY. 139 fometimes there are only one or two of them. They are fuppofed to contain the firft rudiments of the fcetus *. There are often hydatides formed alfo in the ovaries ; but thefe are morbid, and are often the caufe of dropfies in women. The bodies called corpora lutea, are a kind of glandulous fubftances-f, of a yellow colour, con- torted in the manner of the fmall guts J, and dif- pofed under the ovula, which are contained, as it were, in their cavities. Thefe bodies may ufually be difcerned in virgins ; but in women with child they are much more obvious. Their ufe is un- certain §. 238. The Fallopian tubes are two canals, tor-TheFal- tuous in their figure, but approaching to a conic |°P^^" form. They are joined to the fundus of the uterus, one on each fide. They were difcovered by Fallopius, and named tubse, from their refem- blance to fome mufical wind-inftrument of the trumpet kind. They are conne6ted clofely and continuoufly to the uterus, and more laxly to the ovaries, by the ai^e vefpertilionum ; and, finally, to the ofTa ilei by the ligamenta lata. Their length is different : it is fix, feven, or eight fingers breadth ; fome- times more. Their thickoefs, about the middle, is equal to that of one's litde finger : their extre- mities are fmaller: that next the uterus is very fmall : it opens into its cavity, and may be in- flated by blowing into the uterus ; or a fmall flyle may be thruft up into ic. This fmall extremity * See Brendell de Embryone ; and Vallifneri de Generat. -f- According to De Graaf, Malpighi, Brendell, Berger, &c. + See Vallifneri, and Santorini, p. 121. § Morgagn. Adverf. Anat. 4. p. 51, and yS ; and alfo Vallifneri and Santorini. is 140 A Compendium is connedled to the uterus : the other is free, and fluduates about in the abdotnen. This is larger, and is ffimbriated or fringed round the edges \ and, when there is occafion, this excremity applies itfelf to the ovary, embracing it with thefe muf- cular fegments or fringes. See their figure T* j. Fig. 10, and 11, Their fubftance is membranaceous and cavera- ous. They are compofed of a double membrane : the exterior one feems to be continuous with the peritonaeum ; the interior, with the interior menr^- brane of the uterus. They are wrinkled on the inner furface, and are imbued with a lubricous humor \ but they are not cellulous in the human body, as in beads. They are furnifhed with a great number of vef- fels, and have a cavernous fubftance between their membranes, by means of which they are rendered rigid, on their applying their mouths to the ovary. They are alfo moiffcened, on their inner furface, by thefe veffels *. Their ufe in generation is very great. They become ereft in the time of the coitus, from the influx of blood and fpirits \ and at that time, by a natural motion, they apply their loofe fringed extremities to the ovaries, which arc furrounded and embraced by them : in this ftate they convey to them the prolifick matter of the male femen, injedled into the womb-f; and after one of the ovula is thus impregnated, they receive it, and convey it to the womb %. This is the regular courfe of nature in the firft effects of the coitus 5 *■ See Drake's Anthropolog. T. 10. fig. 2. t See Ruyfch's Thef. Anat. 5. T. 5. fig. i. and his Adv. Anat. dec. i. p. 3. X Fcerus's are often found in this tube, and elfewhere out of the uterus. See Note 35. bul of ANATOMY. 141 but accidents of a thoufand kinds may impede this. The Fallopian tubes are eafily difcovered in hens, and other birds, and are called oviduds. 239. The ufe of the uterus is to admit the male femen ; and afterwards to receive from the ovary, by means of the Fallopian tube, the ovu- lum impregnated by it. After this it retains the foetus nine months, affording it nourilhment ; and, at the end of that time, it, by means of its own mufcular force, expels it thro' the os uteri and vagina. 240. After the impregnation there is a new produ6tion of parts in the female, which con- tinues as long as the time of going with child. The principal of thefe is the foetus *. The others are the membranes it is enveloped in -, the pla- centa, the navel-ftring, the umbilical veflels, and the pellucid fluid contained in the membranes, in which the fcetus fwims. All thefe are fecondary to the great caufe, and are produced merely for the fake of the foetus. CHAP. V. Of a Fcetus^ and the parts appertaining to it, 241: TN the examination of the fcetus intire, X we are to obferve the membranes fur- rounding it in the uterus, as in an egg f. The exterior of thefe is the chorion: this is thick, fpongy, villofe, and furnifhed with a vaft appa* ratus of blood-veffels. It is contiguous to the uterus, and is feparable into two parts, or mem- branes. * See fmall embryo's delineated in Ruyfch's Thef. Anat. 6. T. 2. fig. 3. f See Ruyfch's Thef. 10. fig. 3. and T. 6. in this work. The 142 A CoMF^ENDIUM The interior or fecond membrane is called the amnios, and is very thin and pellucid. It is con- tiguous to the former \ and has either abfolutcly no veflels, or at the utmoft a very few, and thofe very fmall ones, are diffinguifhable in it. A pel- lucid and fomewhat glutinous liquor is contained in this, and in that ihe foetus. Both thefe mem- branes break at the time of delivery, and the liquor ihey contain flows out. A third membrane is the allantois, called alfo by fome membrana farciminalis. This is found in fome animals, particularly in cows, very perfed:, and continuous with the urachus, which is per- vious ; but it is not found in human fubjedls. It ferves in thofe animals for colledting the urine*. Its length in a cow is near twelve foot, and its diameter, when diflended by inflation, is more than a foot ; fo that it is an amazingly large and ftupendous part. Many authors affirm, that it is equally neceflary in the human frame as in that of the beafl:s in which we find it ; and hence they would conclude, that it alfo exifl:s in women, tho' we do not difcover it. Some of thefd authors fay it is fituated between the chorion and amnios ; and others will have it to be within the amnios -f-. But as the mofl: accurate of the modern anato- mifts have not been able to find it, and, added to this, as the urachus is not pervious in the humaa foetus, at leafl: is ufually clofed, and many orher fubftantial reafons might be alleged why provi- dence fliould relieve the human female from fo vafl: an additional burthen in child-bearing, there is great reafon to fuppofe, that there is no fuch membrane, except in quadrupeds. * See our author's obfervatlons on the allantois, in the Ephemerid. N. C. cent. 6. obf. 24. t See Phil. Tranf. N. 271. p. 835. Authors j very fubitance of the lips. Its fibres arc frequently of an arched figure *. The abdu6lores are two pair -, the zygomatick and buccinators. The zygomatick has its origin from the os zygomatis, whence its name : its ter- mination is at the angle of the lips. This, tho* ufually fingle, is fometimes double throughout; at other times it has a double head : fometimes its tail only is bifid, and it is varioufly interwovea with the adjoining ones. The origin of the buccinator is partly from the anterior and lower part of the coronoide procefs of the lower jaw *, and partly about the roots of the pofierior dentes molares of both jaws. Its progrefs, as the head is held ere6l, is nearly hori- zontal ; its termination, as that of the former. Its ufes are to bring the food into the way of the teeth, and the falival du6t of Steno perforates it about the middle. The elevatores are fome of them common toboth lips, fome peculiar to each. The common ones are only one pair, called the par caninum : thefe arife from the hollow on each fide, under the os jugalis, in the os maxillare, and are inferted into the angle of the lips. Thofe peculiar to the feparate lips are two pair, the inciforii and elevatores. The inciforius is peculiar to the upper lip : its origin is from the maxillary bone, jufl under the orbit : it pafTcs the ala of the nofe next it, and gives fome fibres to if ; and is inferted into the orbicularis, near the dentes incifores. * See Cant. T. i. and Santorini, T. i. f Santorini denies this ; but experience confirms it. The ^/ANATOMY. 255 The elevator is proper to the lower lip. Cow- per calls it elevator labii inferioris. It riles bdow the dentes incifores of the lower jaw, under the gums, and delcends into the cutis of the chin : hence it may be properly enough called the inci- forius interior, as the other is the inciforius fu- perior. The deprefifors of the lips are three : they are often wonderfully interwoven with fome of the beforementioned mufcles. They are the trian- gulares and quadratus. The triangulares are two : they arife each from the lateral and under-part of the lower jaw, about the middle ; from whence they afcend obliquely to the angle of the orbicularis. The quadratus is fingle : it is compofed of re- ticulated fibres ; and arifes, with a broad begin- ning, from the anterior part of the fame jaw, and terminates on the whole lower part of the orbi- cularis. 320. The mufcles of the nofe are three pair* 5 two of them dilatatores, and one conftridlor. The ' * Santorini gives a great many more mufcles than are here delcribed, to the nofe, the lips, and other parts of the face, many of which he has the honour of being the £rtt ob- ferver of; particularly he has given eight pair to the nofe, •all which he has figured in his iirft plate : but, in directions, very few of thefe new mufcles are to be difcovered. What ■are here defcribed are, in a great meafure, certain : fuch of his as ar£ additional, are often all wanting : fomecimesone or two of them, indeed, are found ; but they feem rather the fportings of nature than real and determinate conformations : they often hav^ neither the appearance of the fibres or mem- branes of mufcles. We are to add to this, that Cowper, • Morgagni, and Cant affirm, with great juftice, that the muf- cles of the face are- fo various, in different fubjefts, that, after difiedling a hundred faces, no two of them will be found perfe6lly ahke in this refpe^l ; and to this only is it to be at- tributed, that fo great and accurate men a. Cowper, Eafta- ch:u3. 256 -?fC0MPENDIUM The dilatatores, which lerve alfo to elevate the nofc) are very various in different fubjeds ; but, in general, they are however two on each fide ; tho', even in thi?, they vary extremely, and fome- times are fo thin and fine as fcarce to be percept tible. They are called the pyramidahs and myr- liformis. The pyramidalis arifes from the root of tke ^ nofe, and is ufually continuous with the frontalis: it defcends along the fide of the nofe, where it is by degrees a little expanded. It is inferred into the alae of the nofe, and often fends down its fibres as far as to the upper lip *. The myrtiformis, or dilatator, ftridlly fo called^ arifes near the inciforius of the upper lip, of which it frequently is but a part : it is inferted partly in the ate of the nofe, and partly in the upper lip. ' The conftridtor is but one : it is not orbiculaf in human fubjedls, as it is in many of the quadru- peds ; but is only a fmall mufcle, firfl: defcribed by Cowper -f. Properly there is, in the human frame, no fuch mufcle as the conftridor orbicula- ris of beads j but this ferves in fome degree in ics chius, Chefelden, and Santorini, differ fo greatly in their de- fcriptions of the parts. This difference is evidently owing to the variety of the real ftrufture in the feveral faces they had exa- mined ; and upon the whole it is very fairly to be concluded^ that little is to be faid with certainty, except of thofe men- tioned in our enumeration. What we call /u/us, or fportingg of nature, tho' they are the fource of confufion in thefe exa- minations, are not without their ufe, and that of the moll important kind : it is to them that the variety of human faces is in a great meafure owing. Santorini acknowledges, that feveral of his new ones were only to be fouTid in robuft fub- jccls. Our author acknowledges that tho* he had fought for them in fuch, there were many of j;hem which he could nevei* find as real mufcles. * See Drake's 17th Table; and Cowper, in fol. T. 25. f Scf Myotom, in 8vo. office. ^/ANATOMY. 257 office. It is alfo figured by Euftachiusj. It arifes above the denies incifores of the upper jaw, and terminates in the alae of the nofe. Santorini will have it, that it is double§,, which has been alio fometimes feen. The orbicularis of the lips affifts this very greatly in its adion. CHAP. VI. Of the mufcks of the lower jaw, 321. riTAHE mufcles of the lower jaw are fix J_ pair, two of depreffors, and four of elevators. The depreffors of the lower jaw are, iirft, the platyfma myoides •, 2dly, the biventer. The platyfma myoides arifes near the clavicle, from the pedoral and deltoide mufcles ; and alfo, as Galen, and after him Cowper, have obferved, from the vertebrae of the neck, and is infer ted into the lower jaw -, but that in fuch a manner, that it ufually fends out, in its courfe, fibres to the cheeks and lips, and ufually alfo to the ears j to the motions of ali which parts it is alfo affiftant. The biventer, called alio, from the Greek, the digaftrick, or two-bellied mufcle, has its origin in the incifure that is under the maftoide procefs. The tendon of it often paffes alfo the ftylo- hyoidaeus mufcle, and the membranaceous;) ring affixed to the os hyoides, in the manner of a pul- ley ; and is then inferted, by fynchondrofis, into the internal part of the chin. The mouth is opened, by means of this trochlea, in a mod won- derful and elegant manner !|. 4ip > :|: Tab. 41. fig. I. § Obf. Anatom. p. 2t. jl Sec our author's Diflertatio de Mafticatione. S The 25S A Compendium The foCir pair of elcvatores are, the crotaphitcs, the Qiafifeters, and the internal and external pte- rygoidsei. The crotaphites, called alfo the temporal muf- cle, has its origin in the whole region of the tem- ples, but more particularly in the ofla frontis, fin- cipiris, temporum, and fphenoides. It pafles under thejugum, and is inferted into the acute procefs of the jaw. The malTeter has its origin from the lower and interior part of thejugum, and its end at the ex- ternal fuperficies of the angle of the jaw. The du6tus Stenonianus, or falival dudl of Steno, paffes over this mufcle. The pterygoidasus internus, or internal ptery- goide mgfcle, has its origin in the cavity of the pterygoide procefs, and its termination in the in- terior and lower fuperficies of the angle of the jaw. The pterygoidasus externus has its origin from the exterior lamina of the juft mentioned procefs, and the neighbouring part of the fpheroidal bone; and its termination is a little above the infertion of the other *. CHAP. VII. Of the mufcles of the os hyoides and tongue^ 322. KTr\ H E mufcles of the os hyoides are five JL pain ; the mylo-hyoides, the coraco- hyoides, the genio-hyoides, the fterno-hyoides, and the ftylo-hyoides. The mylo-hyoides arifes, with a large bafe, from the bottom of the lower jaw, near the chin j and its termination is at the bafeof the os hyoides. * See Cowper's Myotom. nov. fol. T; 3 1 . The ^/ANATOMY. 259 The coraco-hyoidcs has its origin behind the coracoide procefs, from the upper coda of the fcapula. Cowper and Morgagni have accurately figured it ', and it is inferted into the bafis, and the horn of the os hyoides. The genio-hyoides arifes in the middle of the chin, above the mylo-hyoides, and near the fyn- chondrofis of the jaw : its termination is in the bafe of the os hyoides. The (lerno- hyoides arifes from the fternum and clavicle ufually ; fometimes only from the fler- num, and lometimes only from the clavicle : it is inferted into the bafe of the os hyoides, and is the antagonifl to the former. The ftylo-hyoides has its origin in the ftyloide procefs, and its termination in the horn and the bafe : this is often perforated by the digaftrick mufcle of the jaw. The ufes of thefe feveral mufcles will be eafily underftood from their fituation. Cowper has ex- cellent figures of them in his 27th Place. 323. The mufcles of the tongue are four pair, the genio-glolfi, ftylo-gloffi, cerato-gloiTi, and the bafio-gloffi. The genio-gloflus has its origin in the chin, above the genio-hyoidaeus : it enters the middle of the tongue, and moves ic forward. The Itylo-glofTus arifes from the apex of the flyloide proccls : it defcends obliquely to the fide and root of the tongue, and moves it fideways backwards and upwards. The cerato-glofllis arifes from the horn of the OS hyoides, and is inferted into the root of the tongue. The balio-gloiTus arifes from the bafe of the OS hyoides, and runs along the middle of the tongue toward its apex : it, with the afliftance of S 2 the 26o yf Compendium the precedent, draws the tongue backward, and makes it fliorter. Some authors add to thefe the name of a muf- cle called mylo-gloflus ; but what they call by this name is only a part of the mylo-hyoida^us, and there is therefore no neceffiry to increafe the num- ber of the mufcles by making one of it. CHAP. vin. Of the mufcles of the larynXy epiglottis^ and pharynx, 324. ^ I AHE mufcles of the larynx are gene- X rally accounted fevcn pair. They have their names from the places of their origin and infcrtion ; and the principal ufe of all of them is to afllft in modulating the voice *. Of thefe feven pair two are common, and have their origin out of the larynx : the other hvt are proper, and have both their origin and ter- mination in the larynx. The common ones arc the fterno-thyroides, and the hyo-thyroides. The fterno-thyroides draws the larynx down- ward, and at the fame time dilates the glottis f . The hyo-thyroides elevates the larynx, and conftringes the glottis j. The five proper mufcles of the larynx, arifing and terminating in it, are, I. The crico-thyroides, which ferves occa- fionally either to dilate or conftringe it §. * Santorinj dcfcribes feveral other?, and has figured them in his third Plate : he acknowledges, hov/ever, that they are only to be found in fome particular ftibjefts ; and our author acknowledges he never was able to find them at all. -j- See Cowper's Myol. nov. p. 45. j See Santorini, p, 103. ^ See the farae, p. 102. 2. of ANATOMY, 261 2. The crico-arytsnoides pollicum ; andj 9. The lateral crico-arytaenoides, which fervc to di~ late the glottis, 4. Ti\Q thyro arytsenoides, which, togethci: with the following, lerves to conftringe it. 5. The ary aryt^noides: this lad arifes fre- quently from one arytsenoide ' cartilage, and is inferted into the other ; this and the former mu- tually interkdlone another, and ftraiten the glot- tis*. Of(en there is only one mufcle f , and often it is different from what is here defcribed; for nature varies greatly in it if. Anatomifts, for a long time, alloved the muf- cles of the epiglottis only to brutes §, tho' Sylvius had defcribed very punctually two attollents, and as many depriments, in human fubjeds || ; but of late they have been reltored to the human frame again. One of the firft who has allowed them there is J. G. Paul ^, who declares that himfelf had found them ; and, after him, they wer? de- fcribed by feveral others. The attolents are two : they are confiderably long, and are extended frorn the bafe of the os hyoides to the hinder root of the epiglottis : thefe the author calls hyo-epiglottei. The depriments are two, and fmaller: they ex- tend, from the apices of the arytcenoide cartilages, obliquely forwards to the fides of the epiglottis : they are called ary-epiglottei **. 325- * See Morgagm*s Adverfar. T. \. fig. 2. -f See Cowper, p 46. X See Morgagni's Adverf. i. and Santorini, p. 104. % See Fabricius ab Aquapendente, and Caflerius de vod/S. organ. |( See his Ifagoge Anat. cap. 7. de Mufculis. €[ In his Preface to the Opuicula of Horn. ** Monf. Littre, in the Memoirs of the French Academy for the year 1718, defcnbes three mufcles of the epiglottis, S3 tWQ. ^^2 A Compendium 325. The mufcles of the pharynx * ^tx^t partly to dilate, and parrly to contract it. Of thofe which dilate it, there are fix pair: there is only one to contraci it. The fix which ferve to dilate it are, 1. The ftylo-pharyngaeus. This arifes from the beginning of the ftyloide procefs, and is in- ^ fcrted on bo.h fides into this and into the thyroide procefs. This and rhe following pair ferve as well to elevate as to dilate the pharynx. 2. The cephalo-pharyngaeus. This rifes from the anterior apophyfis of the occipital bone, and terminates in its poflerior part-f. 3. The ptery-pharyngasus, which arifes from the pterygoide procefles %, 4. The falpingo-pharyngaeiis, which arifes from the Euftachian tube §, two of them depriments, and one attollent ; but he is not punctual as to their origin, infertion, and other particulars. Santorini alfo defcribes not only one attollent, (fomething of which our author difcovered afterwards, and which is figured according to that obfervation in the eighth plate of this work, fig. 34, letter k ) but alfo four depreflbrs, two ary-epiglotti- daii, arid two larger thyro-epiglottidasi ; and even, befide thefe, he mentions two fmaller thyroepiglottidaei in the mid- dle part of the epiglottis : but thcfe himfelf confefTes are To extremely thin and delicate, efpecially the lafl: pair, that they are fcarce perceptible, unlefs in fubjefts of the moft robufl make. Our author alfo declares, that he never in any dif- feclion met with any thing more than membranes in the place of them : it does not, however, follow from this, that in fome they may not be larger and more diftindl. See Santo- rini, cap. 6. and Morgagni's Adverf. i. N. 28. * See Cant's figures, T. 3. andCowper's Myotom. T. 28 and 29. f See the fame ; as alfo Douglafs's Myograph. 41. San- torini calls this pair azygos, p. 121. Valfalva denies this origination of them; but all thefe authors join in affcrting it, and our author's experience confirmed it. X Morgagni's Adverfar. i . p. 4. 4 See Douglafb, Cant, and Santorini. (7/ A N A T O M Y. '263 5. The mylo pharyng^us, which arifes from the lower jaw, behind the laft of the dentes mo- Jares, and furrounds in great part the tonfils *. 6. The glofTo-pharyng^Eus, which arifes from the tongue. This, as well as all the others, ter- minates in the pofterior parts of the tongue, where a tendinous line is often very confpicuous f . The fingle mufcle, which ferves for the con- ftridlion of the pharynx, is the oefophagaeus, or, as it is otherwife called, the fphindler gula. This rifes on each fide from the os hyoides and the thyroide, and the cricoide of the larynx, and fur- rounds the hinder part of the guise. Valfalva, on occafion of the multiple origin of thefe muf- cles, has divided them into three pair ; and Douglafs, Canr, and Santorini have made yet more of them, and have given names to their divifions of them, from their origin and termi- nation ; as hyo pharyngjEus, thyro-pharyngseus, and crico-pharyngseus : but as the fibres of all thefe are, in reality, very intirnately connected and interwoven together, fo that they very rarely can be explicated, and fcarce ever in any thing like the regularicy and order Valfalva and others have defcribed, it feems beft to agree with Cow- per not to multiply parts without reafon, and to account all thefe as fo many parts only of one whole, which is the mufcle, called by the other writers the oefophagasus, or the fphin6ter gulae. The mufcle called by Cowper vaginalis gulne, has been already defcribed in what appears to be its proper place, under the name of tunica muf- culofa cefophagi. See Section 260. * Santorini thought this had not been defcribed ; bu^^Qow*'''^. per has a fine figure of it. - -*!^. J^^^^-L f Some deny the exillence of this line ;. arid 'it {bmeMmes*t\Xj%; _ indeed is wantins;. - - ' - - ' ' t'^- >* -- '> S Afri'^'---^ ' C H A V£siS:- • V, ■:■' -.«» ,•••'''■ • • .- •^•»», ♦■ • ^•"V »•-» oTii^:.^ . . • _ ^.^. . 264 A Compendium ■■'M C H A P.UlC. Of the mufcles of the Uvula. 326. rr^HE mufcles of the uvula, which, \^ together with the velum palatinum already defchbed, is a part of the pharynx, are fix pairs, and one fingle one. Thefe are, 1. The glofTo-ftaphylinus *, or gloflb-palatinus, arifing on each fide from the root of the tongue, and terminating in the vekjm palatinum. 2. The pharyngo-flaphylinus, which rifes on each fide from the fides of the pharynx, and ter- minates alfo in the velum ~f. 3. The thyro-ftaphylinus, which arifes from the lateral part of the thyroide cartilage, and, 4i%endi^g toj^ijrds^^^^ becomes larger 5 and is infertefl,' inliiianner of an arch, in the fide of the velum palatinum. . 4. The fpheno-ftaphylinus of Gowper, Cant, and others, tho' it might be more properly called the falpingq -ftaphylinus J, as the mod accurate cxaminatibns^prove that it has not its origin, or, at the utmaft, but in a very fmall part, from the OS fph^noides -, but principally from the pofterior part of the tube, and indeed partly from its mem- branaceous part§ : itdefcends from hence oblique- ly to the uva, and is inferted into its hinder and upper part; and hence, if both thefe ad together, they retradt or draw if back tl. * Valfalva de Ate hum. C. 2. •[ Ibid. '".' ;|: Valfalva, c. 2. ^ Poffibly however' this origin fometimes varies, as it does in many others. d See Cowper, T. 28. fig. 4. and our T. 8. fig. 38. 5- • "-••'• -"^'c r,?..„ ^ ;..^". _-■■ »•> . , ■ A 3 12 ^Compendium their very nature, fo they ought to be expreflld by words never confounded with one another. The vifcera, therefore, which are found, by in- fpedtion with the naked eye, by the more minute examitiaiion with the microfcope, and by injec- tiors, to be truly and merely vafcular ; and in which, in their natural and healthful ftate, there are no fpherical corpufcles found ; and which are inclofcd in a peculiar and appropriated membrane, are all to be called vafcular parts. There is no- thing of the appearance or ftrufture of glands in thefe, and they therefore are not to be called glandular ; but that term is to be appropriated to parts truly glands, or in which true and proper glands are found : by this means alone, a multi- tude of confufion, apparent in t!ie writings of the late writers on thefe fubje^ls, will h^ avoided *. 372. H\ after this, it be aflc.d what is truly glanduious, nr what is really a gland, it is to be anf.vered, thai as the lateft and btrft writers are not agreed in the definition of a gland, we are to enquire what ii truly and properly was that the aniients underftood by this term ; and, after this, what was their reafon for calling thefe parts by this name : by this means v/e fhali, at lead, keep up to that excellent rule of Morgagni's on this fui je6l, not td cuangc the names by which the old writers have called things, without reafon. We find, that they called by this name the pineal and pituitary glands, the paroiids, the maxiilariss, thejjgubrs, the thyroide, the thymus, the pan- creas, the mefenterick, the axillary, the inquinaJ, and fome other glands -f. We are therefore, in * Michelotti here departs from his coniipon opinioli, and declares vafculous and glanduious to be the fame thing. f See Hippocrates, Lib, de Glandulis ; and the other ^n- tients on the fame fubjccls. con- .-^^-r- €f ANATOMY. 313 conformity to their methods, \o call thefe, and luch other parts as have a like ftrudlure, figure, and appearance wirh thefe, by the name of glands, even tho' many of them were nor known to thefe writers. This is the way of naming new difco- vered things after old and known ones. 373. As to the lat:er part of the queftion, namely, why it was that they called thefe parts by the name of glands, we are certain, firil, that it was not from their being of a globofe or fpherical figure i becaufe, if it had been for this reafon, they would no: have called the pancreas and the thymus by ihis name : nor was it from their being of a foff, lax, and fpongy texture ; for then ihey would have excluded all the more firm, compad, and hard ones from the number, and would have taken into it the lungs, the far, and all the other parts of the human fabrick which are of that lax and fpongy flrudure : neither, thirdly, did they give the name of glands to thefe parts, becaufe of their ufe m the ftcretion of certain fluids ; for it is evidenc from tlieir writings, that they did not know that any fecretion at all was performiCd in the far greater part of what they called by this name, the difcovery of the offices of moft of the allowed glands of the antients not havi'^g been known Mil within the laft century. On the other hand we are alfo to obferve, that tho' they knew very well that fecretions, and thofe very large and important ones, were performed in feveral of the vifcera, as in the liver, the kidneys, and the td- ticles ; yet they never fjppofcd or called thefe glands :. they fuppofed that the fpleen alfo fecreted a black bile from the blood ; but tho' this was an etfablifned doctrine in their writings, they never called the fpleen a gland. Thofe 314 ^ Compendium Thofe writers, therefore, who are for calling all parts in which fecretions are performed, and only fuch parts, by the name of glands, diflent greatly from the opinion of the antients, who did nor limit the te^m to fuch parts. On this plan a number of pares mud be called glands, which the antients not only have not caljed by that name, but ^vhich they have h^^d ohir determinate names for; as th' t.rerus, the lungs, the cutis, and the inteftines: and, on the other hand, a great many pjrts, which th;ry cail-d gland,, mud no longer be receiv. d as lurh -, becaufe we do not know that they fccrcte any thing, or that they were not detlined by ihc Creator to a.ifwer fom^ other pur- pofts unknown to us, and very diffescut from thefe •, fuch are th. thyroide, the bronchial, rhe pituitary and ihe pineai gland, with feveral oth.r^. 374, It is evident, therefore, that the antients called certain parts of the human body glands, and ihat for no other reason, but becaufe they found them compofed of a peculiar kind of flelhy fubftance, of a peculiar habit, or of a peculiar external appearance, wiiiiout paying any the leaft regard cither to their internal rtnidure, their fpherical figure, or their ufe. Since, therefore, we cannot change the fenfe and fignification of the terms ufed by the antients, without confound- ing the things defcribed under them, we are not to do it without a fui^cicnt reafon ; which reafon we can never have, as to the glands, till we are much better acquainted with their true charaders, nature, and ufes than we can pretend to be at prefent. We are not to give the antient name gland to parts as different as pofTible from thofe to which the antients themfelves gave it ; nor ought any part, at this time, to be called a gland, unlefs c/ AN AT O MY. 315 unlefs it has that general external appearance, or peculiar habir, which the other glands, fo called by ihe antients, have -, and from which it was that they came to be fo called, notwichftanding that they fhould have a rm:iilar internal ftriidlure, or even, as appears to us, a fimilar ufe with lome of the genuine glands. Michelotti is againft this fyftem^ but his objeflions to it will be anfwered hereafter in their place. '^IS* ^^^ ^^^ ^^^ therefore, repeat in this place what a gland properly is, or how it is to be defined : wc have already afcenained, on thcfe principles, v/hat parts they are that are truly and properly called by this name (S. 33) •, and that in fuch a manner, that tho' there (liU v/ants a fuf- ficicntly accurate definition of a gland, yet an un- prejudiced perfon will not fail to know, at fight, what he ought to call by that name. '^^o. It will be afked, perhaps, why, in order to the diftinguifhing the glands, we have recourfe to this peculiar habit and general appearance in them. But we are to anfwer, that the necefTity is evident : there is, in the peculiar appearance of the gland, a diftinguifhing fingularity eafily per- ceived, tho' not eafily defcribed ; and that as no author has given, or has been able to give, tho' he attempted it, a proper, exprefijve, and punc- tual definition of a gland, we are to ufe this as it is, tho* lefs determinate than moft other charac- teriftick-s yet lefs apt to deceive than many. ' Tournefort and Ray, when they are defcribing the different genera of plants, often have recourfe to the habit, or peculiar external face of the plant, and find it necefTary to make this a diftindion •, where tho' the plants, they are defcribing, are evi- dently of different genera, yet the difference is npt eafily explained wiih accuracy. Every body will ^i6 A Compendium will allow thefe plants to be difFerenr, though no one fhoLild be able to fay in what the diOTerence confided, and tho' only the facies externa of ihe plant could be called in as ihe charaderiftickof it *. As this has been allowed to the botanical writers, why fhould it not be allowed to the ana- tomical ones, in a like cafe, where a perfect defi- nition or defcription has nor, nor can be given : we do nor, however, wifh to force this determination upon any body ; nor fhall we be againil retracing it, as foon as fome authors fhall find the v/ay to do what has not been done yet, that is, to give fuch a definition of a gland, without having re- courfe to its external habit, as fhall include ail the glands of the body, nothing but the glands, and Hiall fufHciendy diftinguifh them from the other parts. 377. If it be afl-ied what this particular habit in the glands is, or how we are to know it, when we meet with it ; we are to anf^er, that the pe- culiar complication and arrangement of the vef- fels, from which there arifes a form obvioufly dilTinguilhable at fight from the mufcles, the fat, the bones, the membranes, the vefTels, and, in fine, from every other part of the human fabrick, which gives a fufnciently certiin, determinate, * Tho' Ray and Tournefort were reduced to have re- courfe to this vague method of diftindion in fome cafes, we have fince found, that it was not necefihry. Nature has im- prelfed charafters fufnciently diftinftive and certain in the itamina, piftill, and other parts of the frudihcation of plants, to diUJr.guira all the really diilinft genera. Jt was only during the ignorance of the world, as to the nature of thefe parts, tij.-it fuch uncertain marks of diftinftion, as the habit of a plant, were called in. Linnseus has not found it ne- cefiary ; nor has any author in botany, fmce his excellent citablifnmeiit of generical diltindions, ever had recourfe to it. and c/ AN ATOM Y. 317 and {liiklng notice of it. This habit, arifing from the complication juft; mentioned, will alv/ays be known at fight -, and the' it is fuch as can never be deicribed by any determinate v/ords, yet it will never be mirtaken. Ray obferves, that it would be very difficult to give fuch a characler or definicicn of common mols, as fhould diftinguifh it fiom all Of her plants ; and ytt that its habit, or facies externa, will aKvays fufiiciently and inva- riably diPvinguifh it to the eye. Neither the (kil- ful nor the unflcilful will find it difiicuh to diflin- guifn it from other plants, tho' they can neither of them exprefs how it differs -, and jufl fo every body will, at fight, be able to diftinguifn the glands from the other parts of the body, tho' they cannot fay, in determ.inatc words, what it is that the difference, they fo obvioufly fee, confifts in *. 378. Whatever part, therefore, has been called by the antients a gland, or has the external habit and appearance of thofe parts which the antients have called glands, we are to acknowledge to be fuch : and whatever part wants or differs from this habii, or general external appearance, ought, to avoid confufion, t j be excluded from the num- ber of what we call glands. The antients, we are to obferve, not only acknowledged the large glands, which we have occafionally mentioned, * If our author's comparifon in this cafe be j aft, we may- hope to have fometime this great anatomical defideratam, a definition of a gland, fupplied.' That Ray could not dif- tinguifh common mofs by a fufiiciently accurate defcription, was owing to his not underftanding perfeilly the charac- ters and iruciilications of that plant. Dillenius has iince found ihe way to convey, in fufficiently diilinftive and accu- rate terms, a defcription of that plant ; by which its difre- rtnce not only from otner genera of plants, but from the other fpecics of the fame gen^s, is obvious ; tho' even Dille- nius was far from knowing all that he might have difcovered on this fubjedl, and 3i8 ^Compendium and others of confiderable magnitude for fuch, but they readily allowed the fame name to many very fmall ones, particularly to thofe of the me- fentery ; in which part there are a multitude of minute bodies, which every body who fees them, and who has before feen only a few of the other acknowledged glands, will immediately declare to be glands alfo. Where ever, therefore, there are found parts, whether larger or fmaller, that have this peculiar habit, v;hich is fecn in all thofe parts which the antients called glands, this part is alfo, without any regard to its fize or other quaUties, to be called a giand. 379. On this principle we are to exclude from the number of the glands, properly {o called, the cor.ical fubftance of the brain •, fince neither the naked eye, nor even the alTutance of a niicrofcope, can difli-.iguifli in it any thing that has that pecu- liar habit or appearance, which is the charadle- riftick of the bodies called^ glands by the antients ; and fince injedions have, on the contrary, fnewn us that it is truly vafculous, or a mere congeries of fine and elegant vefTcls. Hippocrates, in his book on the glands, fays, indeed, that the brain is like a gland -, but he does by no means afHrm in this, that the brain is a gland ; for, furely, what is like another thing, is not therefore to be eflabliflied as the fame. The fame has been faid of the liver, the fpleen, and the tefticles, namely, that they are like glands : but Ruyfch, Lewenhoeck, VieufTens, and Beiger, have all joined in a^iirming what experiments have abundantly coniirmed (ince ; namely, that thefe feveral parts have, in their natural ffate, nothing fhat at all rekmbles the figure or habit of a gland in them : but, on the contrary, that vellels in their ufual and natural dircdions, , and contained in one com- mon (unick. The glarlds differ alfo greatly in regard to their confidence. Some of them are confiderably hard and firm, and others of them are extremely foft and tender : of the latter kind, in pajrdcular, are the glands fituated in the articulations of the bones of the feveral parrs of the body. They differ alfo very confiderably in colour.' Some of them are of a pale whitifh red, or flefhy Colour ; others of a flrong, deep red 5 others yel- lowifh, or brownilh *, and fome evidently blackilh. Their differences in figure are as confiderable alfo as thofe in colour. Some of them are round, others oval, oihers oblong, and many others of figures as different as well can be from any one of thefe regular ones: the pancreas, the thyroide, and the thymus, are inftances of this. Some of them have obtained their names from their pecu- liar figure: of this number are the glandula pinealis, the milliares, and othc s. Their ufes are alfo as different as either their colours or figures. Some of them are falival, mucofe, and lymphatick : others are mucilaoinous, febaceous, and waxy ; others lachrymal, pituitary, y &c. 32L2 y^ C O M P 'E N D I U M &c, and from thefe, their feveral contents or fe- cretfons, they are named lachrymal, &c. Their fituation is alfo another article in which they differ, and from which many of them have their feveral names j fuch are the parotides, maxillares, linguales, thyroide, palatine, labial, jugular, cervical, axillary, inquinal, lumbary, inteftinal, mefenteric, renal, &c. And, finally, their fize is a thing in which they differ moll obviouQy and effeniially. CHAP. II. Of the glands in particular^ 381.^ yl FTER we have thus been at the £\^ pains of diflinguifhing what parts of the human body properly are, and what, though called fo by fome, properly are not glands, we are to proceed to defcribe fuch as are truly and properly of this denomination. In the firft place, we are to examine what are the glands of ihe head. If any one is for affirm- ing, on fhe dodrine already examined, that the whole cerebrum is one gland, becaufe Hippo- crates, from fome fimilitude which he thought he faw between the brain and the glands, called it, as before obferved, a body refembling a gland * ; we fhall not be at any trouble in confuting the opinion, tho' the reft of the antients are all of them againft it : but that the cortical part of the brain is, as Bidloo f has figured it, a mere con- 1^ geries of fmall glands \ or is, in its natural Hate, compofed of innumerable minute globular bodies, we can never agree. Hippocrates himfelf, tho', * Lib. de Glandulis. •j" Anatom. T. 10. fig. 2; he of ANAtOMY. 323 he compares the reft of the brain to a gland, is againft this ; and nothing is more evident, from experimenr, than that it is wholly falfe. In ihe finus's of the dura mater, and out of them at the fides, there are indeed found a num- ber of the fmall glands defcribed by Pacchonius * ; and there are fometimes others vifible in the foveas of the OS frontis, and about the divifions of the ^yefleis, between the dura mater and the arach- noides, as defcribed by Santorini. Something, however, there is in his account of thelJb laft, that is perplexing : he fays exprefly, that they are fiaiated about the trunks of the vefifels, be- tween the dura mater and the arachnoides ; but ^s there are no confpicuous vefTcls in the tunica jarachnoides, it is not eafy to underftand what he means by the place of their fituarion. We fome- (times find fome of them about the divifions of the larger vefifels of the pia mater ; but whether thefe are the fame with thofe of Santorini, is ^ *■•>,. ^ 'I ,point not eafily decided : it rather appears, that they are not. Sometimes alfo we meet with clufters, as it were, .of the lame fort of glands, in the hollows of the OS fincipitis, which are frequent, not far from the longitudinal finus ; and thefe, in the fame manner as thofe of Santorini, in the hollows of the os frontis, were not covered ; but the dura mater was deficient, and, as it were, perforated in that part. Thefe glands feem defined for the fecreting of a fluid, to moiften the dura mater. The glanduia pinealis already defcribed in its place, is alio to be eftcemed a gland of the brain; and the glanduia pituitaria is alfo to be mentioned : * De Gland. Conglob- Dur. Matr. Y 2 this 324 A Compendium fills IS placed under the brain in the fella equina, and has alfo been defcribed in its place. The ufes of thefe glands are very little known : we have but conjcdure for it ; and that, in general, but very inditFerently agreeing with reafon. Not only difiedion, with the afliftance of microfcopes, but even careful and very fuccef^ful injedlionSj join to (hew us that there are no glands 5 nor, in a natural ilate, any round bodies in the pltxus choroides. 382. In the exterior part of the head, that is, out of the cavity of the fkull, we have the paro- tids, the maxillary glands, the fublinguals, the linguals, the labials, the palatine, and the buc- cal es, which are diftributed here and there about the membrane of the mouth, and have been al- ready defcribed in their place. 1 n the orbit alio there is the glandula lachrymalis, long called glandula innominata, which we have alfo already defcribed in the enumeration of thofe parts. Un- der the eyelids alfo there are the glandulse cera- ceae, or fcbaceie of Meibom •, but in the uvea of the eye, where many authors have eftabliOied them, upon the erroneous principle that there can be no fecretion without glands, experience fhews that there are none •, and that thofe who have pre- tended that there were, have only faid fo, becaufe they thought there muft be fuch •, not becaufe they had ever feen any there. The tonfiis in the fauces, the mucofe glands in the pituitary mem- brane of the noftrils, and the ceruminofe glands of the ears, arc alfo to be mentioned here, tho' all defcribed already in their places. 383. The principal gland of the neck is the thyroides : this is very large, and has been very indifferently figured, and as ill defcribed, by Ver- heyen. In the feventh century of the German Ephemerides it is defcribed at large, and figured, togethec of ANATOMY. J25 togeiher with. the bronchial glands, in its natural fize. As much as we could have room for, in a compendium of this kind, has alfo been faid of it in its place, in the courfe of this work. We may add, in this place, that this gland in human fubjedls is fmgle, not double : it refembles the figure of a new moon, or crefcent, the horns running on each fide upwards, not downwards, as Verheyen has figured them, and adhering to the thyroide and cricoide cartilages, as well as to the celbphagus: its middle part, which is called by authors its ifthmus, is joined to the upper carti- lages of the afpera arteria*. 384. In the memoir referred to, on the fubjedt of this gland, in the Ephemerides, the new ufe which Vercellonius -f has afcribed to it is confi- dered : he makes it a kind of nidus for what he calls ovula verminofa; and fuppofes that thefe ovula, which are generated in this gland, are dif- charged chro' pafTages, which howeyer neither himfelf nor any body elfe have ever been able to find, into the oefophagus, and thence into the ftomach; where their Uufinefs is, as he.exprefTts it, to imprefs a vital character on the chyle, and to promote digeftion. Thefe ovula, he fays, alfo often, by accident, hatch into a kind of little worms in the fubftance of the gland itfelf s but that this is not the natural courfe. 385. Frequent examinations of this part in human .fubjefts, have not been able to c.oniirni the anatomift in the truth of the alTertions ori which this ftrarge dodtrine of yercellonius is founded : there are found, indeed, fibres manifefl enough, by which it adheres to the osfophagus, * See Morgagni's Adverf. T. i. and Cant's Fijura Cordis, T. 4. but difie n';t under!! anding what was meant by our term peculiar habit Gid b' fore. He agrers alfo witn the do61:rines eHablifhed here in this, that h.. cdiows all the fecreiions or reparations of fluids in an animal body, are^not perfoimed by mtans of glands, with vcficles or follicles in them, as the more rigid fo'lowers of Malpighi pretend: he exorefly fays ; '* i agree with Hcifter, tha' the. feparations of fluids ia animal bodies may be and are, in many of the *' parts, acloally made without the intervention *' of foHicies or veficles ;'' but he proceeds to affirm, that the eflfential and peculiar fecret ftruc- ture of the glands, and particularly of the more * Noguez Anatom. de Corps humaine^ Paris 1723- {Binute of ANATOMY. 343 minute ones, is not to be diftinguifhed by any peculiar external appearance or habic, but by their peculiar vafcular ftrudure and compages, which is contrived in a (ingular manner, a[)prc'pnated to their neceflary offices : and from hence he con- cludes, that the cortical fubltance of the brain, and the ultimate vafculous parrs of the liver, the fpleen, and the tcfticjes, ought to be referred to the number of what are propt-rly called glands. This, however fpecious it may appear, we can- not but obferve has been alieady fairly ai fwered in the courfe of this part of this compendium, where it has been fhewn, that an inexplicable con- fufion of the different parts of the body would be the confequence of the taking away that long eftabHfhed diftindion between the vafculous and the glmdul ais parts, which has exifted. fo many ages, ferved to fomany diilinclions with fufficienc accuracy, and is obvious to the very {^^i^^^ in the infpedion of the parts. Every part of the body may be called a gland, if fo large and vague a charaderifticii of glands be eftabiifhed : while we wnuld fpeak intelligibly and diftindly, we muft call every thing by its difi:in6live name. Micheloiti, from his idea of a gland, which he makes to confifl in the being merely a vafcular parr, does not blame thofe who afferr, that where- ever th^.-re is a fecretion performed, there muft be a gland : but this, befide bebg in itfelf a perfectly erroneous affertion, le^ds, and has at all timicsled, the afferrers of it in o fuch a feries of errors, that it is not caiy to fay what could be a more unlucky maxim in anatomy. The chyle is evidently fe- creted in the intellines, without the afTiftance of glands. The fat is alfo fecreted without them ; and fo is as evidently the mucus in the pkuitary finus's, the femen in the vafculous compages of -J ■ Z4 the 344 ^ Compendium the teflicles, and the menftrual blood in the ut^^ rus. Al: the membianes, nay, in fhort, every part almuft A the body, would be intitled to the name oi a gland upon this plan \ which can neither agree wuh the fenfe of the antients, with the flrudlure of the parts, or with the opinion that the generality of the world, as well thofe who have ftudicd ai atomy as thofc who have not, have edablifhed wiihin themfelves of what a gland really iv All the world agrees in certain general ideas of what a gland, what a mufcle, what a membrane, what a vcffcl, what fat, or what an intrfline is, and by thefe ideas they can diflin- guifh thefe parts when they fee them ; but all this means of diftindion would be taken away, by thus confounding vafcular and glandular parts. The ten Latin lines made occafionally in honour of a yoL-ng phyfician fuftaining a thefis on this fubj(6V, fome time ago, are yet too juftly appli- cable to the fubjed : Dicer e difficile eft medicis, qua glanduh pars Jit ; Nondum do5lores baud docuere fat is. Corporis bine omm^ mire con/under e partes Cceperunt^ ^ pars glandula qua^vis erat, J^imc quivisp'exus vaforum glandula di^us ; Nunc membrana o?nms glandula faBafuit, Mox cerebrum^ fplen^ pulmo^ jecur^ renejq^ vocatl Glandula ; nunc quavis bullula talis erat, ^ft qui diftinguit partes^ quas vifus & ufus Piftin^uunt prifcus, reiiius iUe docet. Wherefore, tho' it is eftablilhed in the dodrine of a gland here delivered, that its inmoft ftruc- tpre is truly vafcular ; yet as there are a multitude of parrs that are truly vafcular, which cannot be called glandsj without making too free with the ef AN AT MO Y. 345 diftinflions nature has hcrlelf eftablifhed, and mankind in general, 'till the time of Malpig^ii, had acquiefced i i ; it has been a principal point eftablifhtd here, that for a part to be veficulofe and vafcular does not conftitute it a gland : and as neither the office of fecretio'-, nor any other chara61:er hitherto difo'vered, is fufficient to dif- ■ tinguifh accusatrly, and wi h certainty, thofe parts I which the antients called glands, and which the generality of writers fince their time have a.fo agreed in calling lb, it appears necejGTary, as well jas proper, 'till fjffjcicnt diltindlions of a more ac- curate kind can be eftabliihed, o call in, as is he e done, that pecular external appearance and habic of" a g'and, which has always hitherto ferved to ti ftinguifh them ffom other parts. And upcn thefe principle- it probably is that Nicolai, in his differtation De Dir.dione Vaforum, has ventured to afferr, that Miche.o^.ti's hypothefis of the glands is precarious. V 959. Boerhaave, in a long eplftle to Ruyfch, \§s aid a great deal in favour of the Maliighian fyftfm ot the glands, and which confcquently ni-^kc-s againft what is advanced on the fubjed: in this work -, but even the name of Boerhaave can- not, injjftice, be fuppofed to overthrow reafons, *till better reafons are eftablilhed in the place of them. Ruyfch and Boerhaave had many argu- ments on the fubje6l of the glands, managed with a friendly moderation, and yet carried to the ex- adeft fcrutiny : Ruyfch was pnfitive in his own opinions, Boerhaave favoured thofe of Maipighi; and it was, in fine, agreed between them, that this epiflle of Boerhaave's fbould contain all that its author had to urge in favour of the Mal- pighian fyftem ; and that, after this, Ruyfch was to publifh his reafons againft it, to urge all that he 34^ A Compendium could to overthrow the fyftem, and to fiipport his own. Both thefe treacifes were afterwards publifhed under the tide of an Opufculum Ana- tomicum de fabrica glandularum in Corpore hu- mano*. In the firtl, Boerhaave, with all that Hrength of reafoning he was mafter of, produced all the arguments that could be alledged in favour of the Malpighian fyftern ; tho', as himfclf can- didly confelTes, he, in many things, differs much lefs in his real fentiments from Ruyfch than the neceflary form of argument makes his words fee rn to import. Ruyfch has anfwered all thefe argu- ments in a nervous and (Irong manner \ but as it appears, that, befide all that Ruyfch ha^ ad- vanced, the;e are ilill many arguments behiisd, that greatly make againft the Malpighian fyftem, it is not proper they fbouid be pafifcd over in filence. What Ruyfch, therefore, irom his great age, his many avocations, and a thuufand other reafons, omitted, we (liall, with all due deference to fo honoured and lo truly honourable a name as that of Boerhaave, (not for the fake of diipute or cavil, but in the honeft puriuit of truth) venture to give here. Malpighi and his followers, not excepting even Michelotti, have eftabliflied it as a ftanding maxim, that every gland has a follicle or veficlc within it : but Boerhaave, who has att. mpted, with more labour and fbrength of genius than any other author ever did, or probably ever will do, to fupport the Malpighian hypothefis, if fuppjrt- able, feems in this eifential point todifagtee with the author of the fyftem, and with all his fol- lowers ; for he defines a gland to be a very fimple part, which properly forms an involucrum, or cafe, with the fimple apparatus of a pnembrane, * Publifiied at Lcyden in 1722, iii 4to. within if ANATOMY. 347 within which a peculiar liquor is fecreted. An in- voluc rum or caie is, a-; all the world muft agree, noihing more rhan a covering-, and it n^.uft be as rea<;.i!y allowed, that the integument of a part is not the part itfdf, as the integument or involu- crum ot the ivcr is nc-t the liver itlelf-, and, in the flimr iYianner, the invoiucrum of a gland is not tha gknd itfelh nor cm this invoiucrum or inte-,umi:nt, t rming the cafe or a gland, be fup- pof.d (.r underfto'd as the thing itfclf, without maniiefT onfufion. U it ne al'edgcd, that Boerhaave in this place ufes the 'Aord ir.volucrum in a new and appro- pri.rcd fenlV, and means by it to expreis the vcfic e or f Hide of the Ma pighians, we are only to oou ive, ha. he < fm^ the wor.i n v .iuuum as fynonym-.;us -^ith veficula or foUicuius; and as the term p txpufs a gland is giving a (c^nfe to ir, different from that under wmch it nas been received at all times by the antienrs, and by the rno.^ern>, and indeed giving i( a w-olly u known fig ifi.aii n, by means of whl h g^eat cnfufion mu be bro.ght into al! writings in which it is neceiTary to ule the terms. We would be glad to know, what anti^^nt Greek or Latin writers^ or indeed what author of any age or nation before Malpighi, ever took a veficl" or a follicle for a gland, or ever cailed fuch a pan by fuch a name ? It is evident, that no one ever did ; nor is it lefs evident, that this fort of innovation, in regard to the fenfe of words, cannot be brought into ufe without the utmolt confufion among the things before underftood by thofe words. This is evidently a new way of underftanding the two words veficiila and glan- dula, which is not only incongruous to thef ideas before affixed to them, but alfp quite unne- ' ' ■ ccffary. '348 A Compendium ceflary. We arc ready to agree with thefe great authors, that there are veficulas or folhculi in fevera) parts of the human body, within the ca- vities of which fluids of various kinds are lecreted, contained, retained, changed, and, in fine, from out of the cavity, of which they are difcharged by a proper pafTage ; but there is no reafon for calling thefe parts glands. The urinary bladder, the gall-bladder, the veficulas feminaies, and the veficul^ in the finus's of the bones of the fkul), are indifputably hollow parts, within which pecu- liar liquors are fecreted, contained, retained, and changed, and from which they are afterwards excreted ; and they have, therefore, all the requi- fites for the efxablifhing them glands, according to even Boerhaave's deiinition ; but no author of any time, new or old, antient or modern, ever fuppofed thrfe feveral parts to be glands, or ever called or defircd others to call tht:m fo; but at all times they have been c.dled by their proper, ex- preffive, and diflincl names of veficse, or veficulse. From this therefore it is evident, that tho' ve- ficuls be clearly demonftrated to exifl: in certairk parts of the body, whether they are neceflarily and naturally there, as in the cutis ; or whether they are found only under certain circumftances, and appear rather to be the efl^edt of diflemperatures of the part, not of its natural (late : and tho' in thefe feveral veficuiss a peculiar appropriated i^uid be proved to be fecreted there, retained, changed, and finally excreted ; yet furely it is not proved from all thi-s that thefe veficulas are glands, or that there are any glands in the part where they are found •, and therefore the parts where they are found fhould not be called, as they ulually are, glandulous parts, but veficulous parts. Thefe v^sficul^ are Bot, nor dp they indeed at all tct femblii 0/ ANATOMY. 349 femble glands ; but they are perfeclly like the veficul^, or vefic^, already mentioned, as always called by that name ; and therefore they ought always to be called by the fame name, unlefs we are defirous of introducing into medical writings endlefs confufion and difputes about words, which will always lead into errors about things, accord- ing to the Latin adage, Errorum genitrix eft aquivccatio fem'per. Where therefore only veficls are found, let thofe parts be called vafcular ; where only veficas or veficulse are found, let thofe parts be called ve- ficular : but where glands are found, let thofe be called glandular, or glands. Thus, in various parts of the fkin, there are found foiliculi or ^t^i- culs, in which an unduous liquid is formed, which is always either vifcous or febaceous, particularly in the nofe, the ears, &c. as before obferved : thefe veficulse or foiliculi are truly veficul^, and have no appearance of the nature, ftruclure, or peculiar habit of a gland \ they are therefore very improperly called by the name of glands : they may be much more properly called foiliculi re- Ceptacula, or crypta, as fome have called them, and moil properly of all veficul^ cutancs. They have all the requifites of the vefic^ before men- tioned, and indeed fcarce differ at all from them, except in bignefs. Why, therefore, Malpighi and his followers fnould deny the name of veGcles to thefe, and fhould impofe on them another new, improper, and foreign one, nor expreffing their nature, but cccafioning endlefs confufion, by joining them to another fet of bodies of a different flrudure, does not appear. W^ t50 A C O M P £ KT b I U M We have already obferved, that if there were; in reality, veficles found in the brain, liver, kid- neys, &c. in their natural and healthful ftate^ which yet is a thing much to be difputed, ic would not foJlov/, that thefc vifcera were to be called glandulous in their ftrudure, but veficulous or vcficular. Where, indeed, fuch veficles a^e flirrdunded by or inclofed in a quantity of a glandulous fiefh, or of fuch a fubftance as ihe bodies allowed by all people of all ages to be glands are c mpofed of^ and which, at firfl: fight, fhews thar peculiar face and habit which charaderifes a gland ; in that cafe, as this is ^he cafe in regard to the glands of the lips*, thofe ot the afpera arteria-f, and thofe of the palate, the pharynx, the in:eftines, and particularly ot the duodenum and redum, then thefe bodies, tho' veficular, are to be acknow- ledged to be true and proper glands. Bat they are not charadered as glands by the veficas within, as the Malpighians affert, much lefs by the invd- lucrum, but by their peculiar fleOiy matter fur- rounding the veficles ; for it was from this pecu- liar flefhy matter alone, not for any other caufes^ as has been evinced in the preceding parts of this work, that iheantients called certain par's of the body glands, or glandular parts. Th ir names of parts ought by no means to be changed by iiSj iinlefs with very fufficient reaf^n ; and confe- quently 'till abfolute and difhindive charaders of. what a gland is fliall be eftablifhcd, and fhall be found to exclude fome of th^ fe bodies univerfaliy received as glands, or to take in lome others not fo received. Thefe parts, and no other parts but ihefe, ought to have the name of glands with * See T. 8. fig. 36. d d. 'j- Morgagni, Adverf. i. T. 2. 00. of ANATOMY, 35 j us* otherwife, as has been abundantly proved al- ready, equivocations, and from them confufions of the feveral parts, will be let in upon us, and nunnberlefs errors are the nectflary confequence ; all which will be avoided in this cafe, if we will only agree with the antients in caUing the bodies which they called glands, and thofe only, by that name. 400. Finally, we are to add, that thofe tumors which Boerhaave and Malpighi have declared to be fituat::d in the follicles or veficles of the cutis, as the athcromata, fteatomata, talps, and the like, do not, in our opinion, arife in the cutis, but under the cutis : for, in the extirpation of thele tumors, they do not only appear very evi- dently, before the operation, to lie under the cutis 5 but, in the operation itlelf, the cutis muft always be cut quite thru' before the tumor or its follicle can be got at. Nay, the fame appears evidently even from the very accounts thefe authors them- felves give of thefe tumors, which had fallen un- der their own obfcrvation. It will appear to every one, from this, how very litde all that has been alledged, in regard to thefe encyfted tumors, proves in favour of the dodlrine of the cutaneous glands ; and how equal- ly little all the other morbid cafes they have re- cited on this occafion, tend to prove that there are, in the parts where they have been produced, any fuch glands as the authors hav?- brought them to fhew that there were there. In all rhefe cafes, the parrs have receded too much from their natural llruclure, to give any grounds for forming a judgment of what is that flrudure from them : and this argument is alfo of infinite- ly the lefs weight, toward the proving what thele authors intended to prove by it> as the true 2 and 35^ A CoMPENDtUM, ^C, and genuine glands are fcarce ever changed inrd hydatides or veficulse \ but, on the other hand^ the vafculous parts are extremely fubjed: to Rich changes. Nothing can be a flronger inftance of the trnth of this obfervation than that fingular cafe, recited in another part of this work, of the whole liver being transformed into a multitude of hydatides^ in fuch a manner, that there remained not the leafb vefbige of the vena portje, or vena cava; A very ftriking inftance of how great changes may be made in the parts by diflemperatures \ S C H O L I O N. It feems very evident, that Hippocrates * prin- cipaliy hid regard to the general habit of the glands, fo flrongly infifted upon in this treatife as their great and obvious charadleriftick, in his de- fcriptions of them ; fince he fays, their ftrudlure is fpongy ^ that they are lax in their texture and fatty ; that they are not compofed of a flelh, like that of the reft of the body ; nor have, indeed, in them any thing like any other part of the body^ but a friable matter, full of a multitude of veffels* * See his Liber de Glandulis. N O t E S, 2S^ ADDITIONAL NOTES. NOTE 76. THE epidermis, or cuticula, Is formed merely by the produdlioii of the integuments which are under it. The cutis has a number of wrinkles and furrows, furni(hed with their fecretory and excretory vefTels, and with clufters of nerves. Thefe three produ6tions, as they dry, form a kind of fcales or fquammse, and are lodged one upon another. The fluid matter, which exhales by rrieans of the heat from them, then leaves them harder, dryer, and more rigid than they were before 5 and, under this transformatioil, they make what we call the epidermis. This fyftem of the origin of the cuticle Is perfecSlly analogous to what the microfcope fhews us in it; for whatever part of it we examine, with the affiftance of that inftrument, we find it compofed of thefe fquammae or fcales ', or whatever part of the furface of the body be examined, in its healthful ftate, it is always found thus covered. When any violent attack is made upon *the furface of the body, thefe fquamiiiae are the firfl: thing that feel it ; and, if not too fevere, often they are the only part affected by it. Their fofter part, which remains yet attached to the under intieguments, ioofes its connection, and the whole feries of fqudmmae come off together, in form of a thin fkin, which is properly the epidermis. As foon as this outer integument is off, the furrows and excretory veflels of the cutis appear : they immediately protrude themfelves again at their extremities, and form a new feries of thefe fquam- mae ; that is, they conftitute a new coverir^ for them- (elves, a frefti epidermis, like the firft. If this neW- iformed epidermis be feparated again from the under A a iiitcgu* 154 NOTES. integuments, a third will be formed in its place, and fa on, almoft without end. From this account of the formation of the cuticle, we may underftand the nature and origin of callofities ; which are, in reality, no more than a number of feries of thefe fcales, or feveral diftin6t epidermis's, laid one upon another. In order to the formation of thefe cal- lofities it is not neceflary, however, that the epidermij feparatc itfelf entirely from the fkin ; for, in this cafe, the effect would be different, and the matter of tranfpi- lation or fweat would raife it into blifters, as we fee in burns : in which cafe the adtion of the fire hardens the epidermis, and feparates it entirely from the fkin, after which the matter of perfpiration not being able ta make its way thro' its altered fubftance, and at the fame time nothing fixing it down to the fkin, the fluid, which (hould have been exhaled, is collected in drops, and raifes the cuticle, lodging itfelf between it and the cutis, and forms the blifters, which are the confequences of fuch accidents. ■ Theveficles which are formed in exanthemata, with- out the afliftance of external agents, may alfo be ac- counted for on the fame principle. That part of the epidermis, which is naturally immerfed in the larger cavities of the cutis, feparates itfelf from the internal fides of thefe cavities which it before covered, and raifes itfelf outward, as the fluids from within prefs it that way. As it does not give pafTage fo readily to thefe fluids as their excretion requires, they cannot but be retained under it, or between it and the cutis, and they muft there form a kind of blifters or elevations, which muft rife above the level of the furface of the fkin ; and when the blood is urged, by the nature of the dif- order, into thefe cavities of the cutis, thefe elevations muft appear red. Immediately under this membrane, called the cuticula and epidermis, hes the corpus reticulare. To form ta ourfelves an idea of the nature and origin of this, we are to remember, that under the fkin, and on the furface of the membrana adipofa, there are certain feries of jaerves which form a kind of membrane, accompanied- with arteries, veins, and lymphaticks. Thefe nerves- 2 elevate' NOTES. blevate themfelves in form of pyramids, and with their heads pierce thro' the cutis ; and, when they are arrived at the epidermis, they put off the membrane with which they were before covered : this membr;:ne, or covering of the extremities of the nervous pyramids, when fepa- rated from them, divides into a number of lobes, which apply themfelves to the cutis ; and there uniting with thofe others, which are thrown off from the other cluf- ters of nerves, by this union of the lobes, formed by thefe different feparations, there is formed this membrane, called the corpus reticulare. "The clatters of nerves pafs thro' the apertures of this membrane, and run to the two fides of every one of the furrows of the cutis, where they are arr4nged into parallel feries, in a longi- tudinal direiSiion, and are the organs of fenfation ; which is more or lefs ftrong, according to the more or lefs flfong m^otion that is excited in thefe clufters of nerves. The foul, which is prefent in every part, feels '/the flighteft fignal from them ; and her fenfations are imore or lefs fl-rohg and lively, as the motion given to thefe nerves is more or \e{s violent ; and in confequence', if anv part of this ftru^lure is hardened by external accidents, or otherwife, fhe has no more communica- tion or connection with that part, becaufe there cannot any longer be any fenfations excited in thofe clufters of nerves. Befide this reticular fubffance there is another, which may be called properly enough the rete cutaneum, or rete of the cutis. This is formed by the vefTels which are difperfed all over the fkin : thefe veffeis receive, irl ■ general, no other fluid but lymph ; and to this it is owing, that the whole furface of the body with us is white. It has been fuppofed, that in negroes this reti- cular fubftance was formed of larger tubes t, and from hence authors have argued, that in confequence of their larger fize, thefe veffeis may have received blood into them in thofe fubjefts , and that this bipod, divefted of its lymph and other aqueous matter by tranfpiration, became black in them, and was the occafion of their black colour. Tnis has a fhevv of reafon ; but v^e are at prefent very well affured, that the black colour of shefe people is foldy and entirely owing to a black a:at- A a 2 tjer. '356 356 NOTES. ttr, of a peculiar kind, lodged in the corpus reticulare^ tho* we are not acquainted with its origin. There are people always of a florid red colour, frorii the blood in the veflels of the fkin not being divefted of its lymph ; and in general, according to the nature of the blood and other liquors which eriter thefe vefTels, the fkin is diiierently col lured. We are not to fuppofe it wonderful, that the veflels of the fkin are not exactly of the fame fize in all people ; for we find that they vary extremely, in this particular, in the different parts of the body in the fame perfon. In the cheeks they are naturally very large, whence there is in general a florid colour there ; and the blood being capable of rufhing more forcibly into them on any occafion, it is in them that flufhings of red are firfl feen from exercife, or a thoufand other occafions. In many of our paffions the nervous fluid being forced violently along its pafTages, they prefs upon the arteries, and force the blood into the lateral tubercles which form this reticular fubflance : hence it is, that We grow red with thefe paflions. If the paflion be more violent flill, and the nervous fluid urged on with greater force, the arteries may be fo prefixed upon as to prevent the blood's pafling at all along its own little channels ; and to this it is owing that we turn pale with extreme anger, and with many other very violent paflions. The fame confequence will happen alfo, tho* on another principle, if, on the Contrary, the nervous fluid is not propelled at all, for want of force in the nerves ; in this cafe the heart will not fend the blood at all into thefe minute vefTels, and confec^uently We become pale, as in the other cafe. This is the origin of that palenefs which feizes us in terror. Under the fquammae, or fcales ©f the epidermis, we difcover, by means of the microfcope, a vafl number of holes or apertures : Lewenhoek tells us, that he reckoned not lefs than a hundred and twenty-five thou- fand of thefe, within the fpace that a grain of fand Would have covered. He fuppofed thefe to be the ex- cretory apertures deflined for perfpiration ; but, on the nicefl view, it is hard to determine whether what he called holes and apertures were all truly fuch, and whether NOTES, o,si vvhether many of them were not extremities of vefTels. We fee clearly and diftin£tly enough, however, a num- ber of tubercles on the furface, which are of confider- able fize, and which we can diftinguifli to come from certain glandulous bodies, fituated on the internal fur- face of the cutis. When we examine thefe tubercles on the extremities of the fingers, with the affiftance of good glafles, we difcover that their inner furface is pundlulated all over with little dots, which are the aper^ tures of other fmall tubercles. All thefe little aper- tures, doubtlefs, difcharge their contents into the gene- ral tubercle : thefe contents are the matter of perfpi- ration and fweatj and what we had been ufed to efteem the excretory du6ls for it, and think very fmall ones too, appear truly to be only the refervoirs of it, run- ning from millions of others ftill more minute. N O T £ 77„ Gagllardi obferves that the bones, befide their hard matter, have a fpongy, and, as he expreffes it, a reticular fubftance : there is a membrane alfo, which forms the veficles in their interfllces, as we {halj fee more at large below. The hard matter of the bones is compofed of a mul- titude of lamellae, or flakes, laid in feveral feries ever one another ; and, in the long bones^ the external feries of thefe lamellae feparates iifelf from the others at their extremities : the next feries alfo feparates itfelf in the Jame manner ; but it is fhorter than the former ; and the fame is to be obferved in fuccefiion of all the reft. The heads of thefe bones, when cut longitudinally, refemble a battledore. We fee by this ftrudiure eafily and naturally, what it is that occafions the protuberance of the heads of the bones. The fpongy fubftance of the bones is only an aflem^ blage of a multitude of boney lamellae, which are not difpofed evenly over one another, as thofe of the hard parts, but crofs and interfeii one another at various angles, and have fpaces or cellules between them. It is evidently no other than the hard lamellae, which, by iheir different pofition and diftance, form the fpongy matter ; and hence it is, that we find it in the heads of ihe lojig bones. A a 3 The B5^ NOTE S The reticulation, or reticular part, is compofed of fibres, which crofs and i'nterfeft one another : thefe fibres or filaments proceed from the fpongy fubftance among which they are intermingled : they are placed in the cavities of many of the bones, to fupport the me- dullary matter in its place. The interftices, which are found between the fibres of thefe reticulations, are lined with a membrane which forms veficles -, and it is within thefe veficles, which in many of the bones refemble cluflers of grapes in form, that the blood -vcilels depofite that fatty or oleaginous fubftance, which we call marrow. In the long bones we meet with the three fubflances jufl mentioned, the hard, the fpongy, and the reticu- jar ; but in the flat ones we meet with only the t'.vo. firfl, a hard external matter, and a fpongy one be- tween : this fpongy fubflance, in the crar^ium, is what we call the diploe. There is not, in reality, any of that great difference that there appears at fight to be, between the hard and the fpongy fubfl:ance of the bones; for, on calcining the very "firmeft bones, we find that their hardeft and mbfl folid parts are, in reality, no more than an arrange- ment of cellules : the whole difference between them therefore is, that in the hard parts an indurated or folid matter fills up the cellules ; and in the fpongy parts a fofter matter is depofited, which leaves the cavities dif- tiniSIy vifible. The fame fatty fubftance, which oc- cupies the interftices of the reticidar part of the bones, is alfo lodged in the cells of the fpongy part. NOTE 78. Malpighi has very accurately explained the flruc- ture of the teeth in thofe of oxen ; but we are not fo well informed of the flradure of thofe of the human body. They have externally a white matter, harder than the reit, which is compofed of per- pendicular fibres, raifed from the furface of the internal fubftance. This is only a fl-ries of little vefl'els, in which there is lodged a firm white matter : thefe har- dened velTels are fometimes continued into the internal fubftance of the tooth, which feems to be an arrange- ment of cells, in which the bleod, which is fent from 'the NOTES. tli€ root of the tooth, circulates : it is eafy to fee from this, that the teeth muft become black, when robbed of this white matter ; and they may be. divefted of this either by external accidents or force, or by the ftagna- tion of the blood which ought to circulate within, which, after this iiagnation, grows corrupt, and cor- rodes the enamel of the teeth. The part of the tooth, which forms what we call the root, is truly honey, ac- cording to the obfervations of Dr. Havers : it is com- pofed of lamellae of a boney matter, in the manner of the other bones ; and it was a]fo neceflary, for the ufe of the teeth in the comminuting our food, that the enamel or external covering of them fhould be harder than the reft. The teeth have a membrane covering their roots : this is produced from the membrane which covers the gum.s, and lines the infide of the mouth. We alfo fometimes find at the root of a tooth a fleftiy matter, like that of the gums, which ferves to keep it firmly in its place. The periofteum, which covers the maxillary bones, runs down into the alveoli, or fockets of the teeth ; and on one fide it adheres to the bone of the alveolus, on the other to the root of the tooth : when there is no fleftiy matter in the way, it joins itfelf in fo firm and perfect a manner to the membrane that covers the roots of the teeth, that it concretes, as it were, into one fub^ jftance with it. The nerves which enter the jaws fend ramifications alfo to the teeth, in the fame manner as the blood- veflels of the fame bones do. The aperture in which thefe enter is often vifible in the tooth, Vv'Ithout the help of the microfcope ; but it is not always in the fame part of it. Sometimes it is at the very point of the root, fometimes on one fide of it. It is evident from this, that the teeth are capable of pain; and that odd fenfation, exprefTed by us by the iphr^(Q fetthig the teeth on edge^ by biting certain fubftances, is alfo eafily explained by underftanding the communication we have mentioned, between the membrane of the gums, the perjofteum of the maxillae, and the roots of the teeth. A ^ 4 The 559 s6o NOTES. The microfcope difcovers pores of two kinds in th® bones, lonc^itudinal and tranfverfe ones. Thefe are not intended u give palFage to blood- veflels ; but, i^ccordirg^ to Dr. Havers, the tranfverfe ones are deflined for the primary reception of the medullary juice, and for the diftributing it to the longitudinal ones. NOTE I. Dr. Trew of Nuremberg, who had attended the author's courfes of anatomy, and difle£ted with him for four or five years, defired him to commu- nicate to the authors of the German Ephemerides fome anatomical obfervations, which fland in the publications pf that body for the year 17 17, on the fubjedt of fome fefatnoide bones, which he had difcovered by his own indefatigable obfervations in bodies dille^ted by the author, in the anatomy- fchool at Altoilf. Thefe bones are defcribed arjd delineated as new difcovered ones in the account, and the author had communicated them as the difcQvery of Dr. T^ew, and fent them in his name. The publifhqrs of thofp v^orks, however, without his knowle^'ge, printed the paper, with fome few altera- tions, in his name, not in Dr. Trew's : the author of this treatife thinks it incumbent on him to take this pub- lick opportunity of fetiing this matter right, that neither Dr. Trew nor his friends may fuppofe him guilty of any attempt to take any thing from the merit of fo inge- nious a man, or of intending to do himfelf honour from the difcoveries of another : and to give the praife where it is due, he here declares, that every thing contained in that account does of light belong to Dr, Trew. He confcfTes alfo, that he did not I^now of thefe bones 'till they were fhewn him by Trew, efpecially thofe of the ofTa femorum, and then confidered them as new-difcovered ones. Ravius, who had been long pre- ceptor to our author in anatomy? and efpecially in the pfteologlcal part, had never, as he obfcrves, mentioned them in his le the hepatico-cyflick, and the cyftico-hepatigk ; and has given very pompous figures of them : h )W the fucceed* ing anatomifts will find them, time will (hew us. Added to the weight of his own obfervations, he brings the teftimony of Cajetanus Taconis, a phyfician and philo- fopher of Bononia, who, in a letter to hin), accom-^ panied with fome figures, takes a great deal of pains to prove the exiftence of fuch dudis, running from the liver to the gall-bladder; and gives the conformation of the parts, and courfe of thefe dudls, as he fays he obferved them in a morbid fubjeft. Soon after the pub- lication of this, however, there appeared a letter pC J. Pozzus, profeflbr of anatomy at Bononia, to Plan- cus : this was publifhed in 1726; and in this letter, and Plancus's anfwer, the matter is fet in a new light. All Taconis's obfervations are faid to be erroneous and falfe ; and it is afierted, that he was deceived by taking the arteriolie of the cyftis for fuch dudls as all this pains had been taken to eftablifh. NOTES. Our author,, who never omitted the utmoft pains in his difle tells us, that, after all thefe alterca- tions about it, he at length thought he had found it to be a truth, that there were fuch du<3s. He difcovered, before a numerous affemhly, what appeared to be a dudl of this kind, or a true hepatico-cyftick du(ft. Its fize was fuch as might countenance the opinion ; its colour ycl- low, and its fituation was near the hinder part of the peck of the cyftis, or gall-bladder : but others fhould be informed, from his conduft, how to treat what apr pear to them in the light of new difcoverles. He exa- mined this vefTel along it§ progrefs 5 and, finally, making a fmall aperture in it, and inflating it, he found it was diftributed over the cyftis in the manner of the ramifi- cations of a (hrub, or little tree ; and, in fine, that its trunk was a blood-vefiel of the cyftis, and thefe its ramifications ; tho' its colour and fituation, which wa5 much the fame with that of fome of the hepatico- cyftick du61s in oxen, would have led many people to have aflerted, with great boldnefs, that it v^as truly fuch a du6t as we know there is in that animal, and ss had been fo long fought in man in vain. Upon the whole it appears, that it is eafy to be de- ceived unto an opinion of thefe du£ts bsing found where they are not ; and that, from the ill fuccefs of the gene- |*ality of anatomifts in their fearches after them, it ap- pears, that if there are fuch in human fubjeirs, as fomt' anatomies who feem to be worthy credit, affirm ^ that they axe not univerfal, but are very rare. -NOTE 19. Thofe authors, who have faid that the fubftance of the liver is glandulous, have been led to it principally from the obfervation, that in morbid fubjedts, particu- larly in fuch as have died in dropfies and atrophies, there have been a multitude of fpheroidal bodies found in it : but, as it appears by repeated and continual obfervation that no fuch things are found in the livers of perfons who die without thefe difeafes, it is to be inferred that they are, when found, not glands, but morbid tumors and tubercles. If 379 3So NOTES. If the liver of a horfc or ox arc examined, tho* they are very large, and all the parts arc very vifible and diftind in them ; yet the niceft enquiry will not be able to difcover in them any peculiar and diftin6l bodies wrapped up in their membranes : and, on the contrary, if the tubercles that are found in the livers of morbid perfons be ftridly examined, they v^^ill not be difficultly found to be morbid, and quite out of the courfe of nature. Our author mentions an inftance of what would have deceived manv people, of fanguine imagina- tions, ipto an opinion of their having found thefe glands, tho' without any real foundation. This was in a body he opened, in company with Boyer : in this the furface of the liver fhewed a prodigious number of round white bodies of various fizzes, which appeared perfectly like what many have defcribed as glands : the fubjedl was a woman, who had died dropfical ; and when thefe tubercles were opened, and their contents examined, it was found that they were filled with a matter as different as well could be from that of the liver, and much like that contained fometimes in the harder encyfled tumors, like fuet or fat. The liver, in this fubje£l, was grown to twice Its natural dirnenfions; and, on opening it, a multitude of the fame tubercles were found in its fubftance : fome of thefe were as big as an egg, others fmaller ; many of the fize of a nutmeg. The colour and whole appear- ance of all thefe was like that of thofe on the furface, very cJifFerent from th/it of the liver ; and it eafily ap- peared that thefe tubercles, tho' they were of a roundifh iigure, wer- not glands, but morbid tumors, which acidentally refembled the figure of glatids. After this he proceeded to examine carefully the like bodies, which he found emulating the appearance of pjands in the livers of diftempcred human fubje<5ts, as well as quadrupeds, and he a'.v/ays found them of the rature of encyfted tumors ; which kind of tumors will rife in the internal as well as on the external parts, and in both have fo much of the appearance of glands, that it is eafv for the un«.vary to be deceived by them. There have not been wanting others, who, having found OiOf bid veficles in the iiver, have fuppofed them NOTES. 38^ to be glandsJ ; but we fhall have occafion to fpeajc aft large on a fubjeil of this kind hereafter, fee Ncte 75, and need therefore only obferve here, that this opinion is equally erroneous with the other. NOTE 19. Palfinus, in his Anatomy, p. 184, blsmcs our author for having aflerted the ingrefs and egrefs of the bile, contrary to the opinion of Verheyen : its ingrefs, thro* the cyftick du6l into the cyftis ; and its egrefs, thro' tke fame dui£i into the ductus cholidocus. He calls in, to the fupport of his cenfure, the names of a great many very eminent anatomifls who utterly reject this fuppo- fuion, and agree with Verheyen ; who declares it as his opinion, that it is impofTible that the bile ihould, by the fame ducSt, run into the cyftis, and run out of it again. But Bohn * and Ortlobius f have advanced this opinion, and that on the teftimony of infallible experiments, which experiments our author has re- peated, and found to be juft. and the concluTion cer- tain. Cole J alfo, and Maur. Hoffman §, i^nd a multi- tude of others, join in our author's opinion j and Bianchus 1| has abundantly confirmed the truth and cer- tainty of it. It is to be added alfo, that whatever may be faid by fome, as to the improbabiliry of it, we Ixave all the reafon in ihe world to bel/eve it may bej fince we fee the very fame thing evidently happen in the veficul^e feminales. NOTE 20. As many have found round bodies in the liver, which they have fuppofed to be glands -, fo fome alfo have met with fuch in the fpleen, and have in the fame manner fuppofed thofe to be glands alfo : but as, in regard to thofe imaginary glands of the liver, it appears that they have alwnys been found in morbid bodies ; fo a'fo, thefe of the fpleen have been found in fuch only. What- ever has been faid againft the opinion of thefe tubercles in the liver being real glands, is of equal force here : * See Aft. Erudit. Leipf. 1682 and i6?3, "f- See Hift. Part. p. 135. X See De Secret. Animal, p. 133, 4 See Idea Machin. Corp. hum, p. 5^. }l Sc« Hill. Hepat. c. 13, nav. 3S2 NOTES. ftay, th^efe round bodies in this part have ftill hfs title to be fuppofed glands, than they might appear to have in the liver, fince there is no fecretion performed in the liver, nor has it any excretory du6t ; fo that there can» not appear fo much as a reafon why nature {hould have placed glands there. There can, indeed, be no ufe of glands where there h no fecretioft ; and nothing is a more certain truth, than that nature never made any thing in vain. To this it may be added, that Ruyfch, in feveral of his works, has proved, to demonftration, that thefe vifcera are of a vafcular ftru£)ure, and that there are no true glands in them : and Schelbammer * has proved, that what Malpighi has figured and defcribed as the glands of the fpleen, hanging together like cluf- ters of grapes, is a mere fidliOn. See the Adenologia, S. 365. NOTE 21, There is no one of the vifcera tire ufe of which is fo obfcure as that of the fpleen, and, confequently, there i? none which has given rife to fo many different opi- tii>t\s of authors on the occafion. Many, who have fou^xd that it may b^e taken out from a living aniinal, without its receiving any hurt by the lofs of it, have joined with Erafiftratus f in fuppofing it a perfeiftly uftlefs and fuperfluous part of the frame, and have even accufed nature of an error in putting it there. >> Others fuppofe that it is placed, as we fee it, to keep up the equilibrium of the body, and with no other intent or purpofe. Some have joined in the old opinion of Hippocrates and Ariftotle, that it ferved to draw off the watery matter from the ftomach J : but the greater part of the antients have been of the opinion of Galen, that it was deflined as the receptacle of the humour they called atra bilis, or melancholy. Some hav€ fup- pofed that a kind of ferment or menftruum, neceffary for the operations of the ftomach in digeftion, was fccreted in the fpleen, and thence conveyed into the * See Ana!cif>. Anat. DlfTert. 10. No. 22, f See Galen, de Ufu Part. 1. 4. c. 15. X Ice Calp. Hoffman dc Ufu Lionis, ftomach* N © T E S. 3 {lomadt. Some have fappofed it the origin of laughter, accord iftjg to the old Latin adage : Spttn ridere faclat y cogit amare he-par^ Othferi hate advanced that its ufe is ^o ihTpifTate the blood : Havers ^ was Of opinion, that its office was the preparation of that mucus which is fecreted in the mii- cous glands of the articulationis. S'chelhamm'er -j-, anel ^*ith him Lilier +, and fome of the kte lEngiifti anato- mifts befide, as Purcell §, 5cc. fuppofe it to be a kind of diverticulum for the blood in the more violent com- fnotions : and to this Purceil adds, that it inTpHFates the blood ; and, by means of an acid of fonie kind or otlier, |)rodu'ces a precipitation, which ferves for the better fetretibn of the bile. Others have found out othet imaginary ufes for it ; ah enumeration of which would take up more room than the reader would think it worth. The opinion of our author is, that its oilice is to fupply a particularly thin and fluid blood to the liver; by means of which the other thicker blood conveyed to it from the other parts, and from which a fecretion of fo much importance as that of the bile, is to bfe formed in this denfe vifcus, is rendered more fluid ; and by this means the fecretion of the bile is greatly promoted, and at the fame time the obftrudions in the liver, which would otherwife probably be very frequent, and muft be of bad confequence, are prevented. In confirmation of this opinion, if the fplenic vein be opened in a dog, or other living animal, a thin and florid blood always runs out of it ; not a thicker than that of the other vfeins, as the aflerters of the opinions inoft received, as to the ufe of this vifcus, Would infer. NOTE 22. As the liver and fpleen have been declared by many to be glandular in th'6ir ftrufture, fo the kidneys alfo have been judged to be fo, and ±at from the fame erro- neous obfarvations. Tubercles, Which have the ap- |/earance of glands, are fometirijes foUrid in the kid- * Sfefe bis Gfteologia, f- "Artaleft. Diflert. Anat. lo, S.-4.C. X Traft. dc Humoribus. § Traa, de ChoIic«, neys^ ;e4 NOTE S. neys ; and thence, as in regard to the two other vifceraiji the whole fubftance of the kidneys has been judged to be glandulous. The bodies fuppofed to be glands in the kidneys, are not univerfal, or found in all; and where they arc found, they are always mere morbid tumors. Sometimes veficles alfo are found in the kid- neys, and from thefe alfo they have been fuppofed to be of a glandular ftru<5lure : but what is truly the ftate, in regard to thefe, will be explained hereafter in note 75- NOTE 23. Scarce any thing has been more obfcure and uncer- tain than the ufe of thefe glands. The academy of Bourdeaux very laudably propofed their prize to the perfon who (houM difcover what was their true ufe 5 hut, unfortunately, there appeared no body to claim the rev/ard. Some time after this, however, Valfalva*, a very eminent anatomift of Bononia, wrote to many people, that he had found their real ufe, and had difco- vered certain duds paffing from them, in men, to the epididymides; and, in women, to the ovaria. He took care to have the notice of this difcovery printed, and promifed a diftin6l treatife on the fubjedt ; but, tho' the author lived fome years after this promife, the treatife never appeared : and we are to add to this, that no man fince has ever been able to find the du6ls he fpeaks of. There appears fufficient reafon, from this, to doubt the reality of thefe duds ; and adding to this, that thefe glands are very large in the foetus, and gradually be- come fmaller, as the child grows towards maturity, there appears very little reafon to fuppofe them of ufe in generation. Malpighi has given an accurate and elegant account of their ftrudure. NOTE 24. Author?, in general, fay there arc only three tunics or coats to the urinary bladder ; but as Wharton mentions a tunica cellulofa in the mefentery, and Ruyfch and others defcribe a cellulous one alfo in the inteftines, we art to allow t'le fame reafons of force, and even greater, ^re to be urged for the eftablifliing the dodrine of a cellulous coat in the bladder. It is evident, that be- • See Vallifnerrs Hiftor. Generat, p. 353. twcen NOTES. tween the outer and mufcular coat there is ufually, if not unlverfally, a quantity of fat, and that often pretty confiderabie ; and that this is fecreted in peculiar adi- pofe cells, and properly colle(?ted and preferved in them, as in the other allowed membranes of this kind ; fo that, properly, we are to allow four membranes to the bladder. In dogs, and fome other quadrupeds, indeed, this cellular membrane fcarce comes in fight at all ; but in the human bladder it is often confiderabie enough to be very obvious. Its ufe feems to be to defend the bladder itfelf from the acrimony of the fluid contained in it. NOTE 25. Many things more there are to be pointed out, in regard to the tefticles : tho' they would fvvell the enu- meration of their parts too much to be inferted in the text, we may have permiflion to mention them here. Morgagni obferves, that the firft among the earlier writers, who difcovered the fubftance of the tefticles to be truly vafcular, were Arantiu?, Cabrolius, and the accurate and difcerning Riolanus ; but that De Graaf firft demonftrated the connections and ufes of thefe veffels. The vafcular fubftance is extreme clearly dif- tinguiftiable in the tefticles of the tortoife *, the boar f , the ram J, and the dormoufe §. We are to obferve alfo, that the fpermatick arteries do not always arife from the aorta ; but the left fome- times from the emulgent, and not unfrequently both from the hypogaft ricks 1|. This feems not to have been difcovered by thofe who tell us, that the fpermatick arteries have been found wholly wanting in fome fub- jeS:s. De Graaf juftly calls thefe triflers on fuch fub- je6ts ^. Lealis and Schrader** alfo are of opinion, that the fpermatick arteries, before they reach the tef- * See Ruyfch's Adverf. Anat. 4. f See Schelhammer's Analedt. Difl*. ij. X See Lealis de Part. Generat. § See De Graaf and Chefelden, P See Nicolaus's Diredt. Vafor. ^ See De Viror. Org. Generat, «* See Obferv. Anat. C c tides, 385 385 NOTE S. tides, communicate by anaftomofes j but no botJy, bc- iide themfelves, have been able to make this out *. The firft defcription of thefe arteries we feem ta owe to Andromachus f . Morgagni obferves, that the tunica albuginea of the tefticles may be eafily feparated into two ; and Teichmeir declares, that it truly confifts of three, namely, a tendinous one, a vafcular one, and a nervous one t. NOTE 26. The difpofition of the tefticles and epididymides is not always regular or certain. Our author obferved a very peculiar manner of it, in a fuhjedt publickly dif- fered at Helmftadt: in this fubjecl the left tefticle was not in the fcrotum, but in the abdomen ; but that not in the pelvis at the fide of the bladder, where other anatomifts have ufually found it on this occafion, but in that part where, in other fubjed^s, the fpermatlck veflels pafs out of the abdomen. It was alfo much fmaller than the other, and had no epididymis. See its figure in Tab. 6. Fig. 25. m. The epididymis made its way thro' the mufcles of the abdomen, where the fpermatick veflels ufually pafs out toward the fcrotum, and extended itfelf thro' the left groin, as far as to the upper part of the fcrotum. From the end of the epi- didymis the vas deferens was again turned upwards, and entered the belly near the epididymis, palling thro' th& groin, and then thro' the mufcles of the abdomen, whence it pafTed in the ufual way to the left veficulae feminales. This difpofition of the parts, and the Angu- lar divifion of the veflTcls, are carefully exprefled in the iigure. NOTE 27. Lealis has figured the veficulas feminales as termi- nating in the urethra, by one common duel ; and Boer- haave takes this upon credit from him § : and fome of the French anatomifts have done the fame, obferving in their writings, that the veficulae have more frequent- ly only one fuch paifage th^n two. But our author, on * See Heucher's Diflertat. •j- See Inflitut. Anitom. p. 37, j See Anthropology, p. 171. § See Inflitut, ivied, Ed, alter, S, 148, the J NOTES. -^g; the contrary, afierts, that in all the bodies he difle£led, he always found them two. He kept by hun feveral preparations alfo, fome injeents made in concert with Mr. De Buffon of Paris, as well as feveral others of his own attempts, has endeavoured to prove the impoflibility of the generation of the human frame from thefe animalcules, by proving that they do not exift as ani-- malcules in the femen, while in the veffels of the male, or in the due courfe of impregnation ; but that they are produced in that fluid, in confequence of its being e>;- pofed to the air, lofing its texture, and undergoing the iame fort of alteration that happens in the infufions of feeds and plants, in which animalcules of the fame kind with thofe in the femen mafculinum of animals are af- terwards found. He obferves, that the produdion of thefe animalcules in the male femen is very fudden, and in thefe infufions is longer about ; but that the anima's exift in neither before the expofure to the air, and the alteration of their texture. This account is publiflied in a late number of the Philofophical Tranfadiions : its author eftablifhes a very extenhve fyftem, a point which does not at all fall under our confideration here ; but if there be certainty in the facSi which he afTerts, it evi- dently ferves the purpofe of this quotation, that is, to prove that the animalculae in the femen do not become the foetus afterwards. NOTE 34. Drake's figure of the Fallopian rube is taken into our Plate 3. Fig. 10. But as our author in the year 17 19, in a pubiick difledion of a female fubjcct, afcer * See Adverf. Anat. variis in locis. •j- See Obferv. Anatom. X See his Confider. intorn. della Generat. ^ See THiftor. dc Generat. 1| Sec Difcor. della Generat, ^ having 393 '394- NOTES. having thrown Tome crude mercury into the right fper- matick vein, the lower part of the Fallopian tube, with the ligamentum latum, being tied, to prevent the mer- cury making its way into the other velTels of the ute» rus, found, and demonftrated to his audience, a multi- tude of velTels, elegantly and diftincStly purfuing very different courfes from thofe laid down by authors ; a figure of the whole part, as feen on this occafionj'is alfo given in the fame Plate, Fig. ii. It was obferve* ^ble, that after the mercury had, in this beautiful man- ner, filled the veflels which thus beautifully and copi^ oufly furrounded the Fallopian tube, it made its way into the cavity of the tube itfelf 3 whence it is evident, that thefe vefTels communicate with the cavity of the tube, and are deftined to fecrete a liquor for the lubri- cating its inner furface. NOTE 35. The uterus is the part deftined by nature for the re^ caption of the fcetjs, and in which it is to take its growth and nourifnment, 'till the time of its birth j but there have been many inftances of foetus's receiving Fiourifhrnent and growth out of the uterus : thefe are unqueftionable; and one firfl thing that is evinced by them is the abfurdity of the old doctrine, that the child was formed in the womb of a mixture of the male and female feminal fluids made there. This was an opinion originally of the antients ; but too many of the moderns had given into it, till obfervations like thefe, and other fuch reafons convinced them. Voglius, in his Anthropogenia, is of opinion, that the foetus is formed of the very fubl^ance of the womb, by a kin^» of elongation : this is alfo equally refuted by the fame pbfervation^ and it is fufHcicntly and plainly proved that the true beginning of the formation of the foetus is in the ovary; that it is there impregnated by the more fine or volatile part of the femen mafculinum ; and that, after this, its natural courfe is down into the ute^ rus, which is the place allotted for its reception and nutrition ; hut that, from different caufes, it may hap^ pen, and fometimes cioes, fo that the impregnated em- bryo flays in its place, or flops in its pafiage to the llterus ; in this cafe the fcetu^ femetifiies cannot extri- cate NOTES. cate itfelf out of the ovary j but fometimes, and that more frequently, it flops in the Fallopian tube, where it receives nutrition, and grows to its due period, or nearly fo : but, in this cafe it is impoflible it fhould be born in the natural way. Magnetus * has given hifto- ries of cafes of both thefe kinds ; and as to the foetus's found in the Fallopian tube, Dionis f and Anellus J give feveral cafes of them: and experience is continually furniihing us with more cafes, in which the foetus has been retained in the ovary. We have the fame alfo, in VieufTens §, Littri ||, and others; and StraufKus^, Bayle **, Saviard ff , Courtial J;]:, Bianchus §§, and Calvus III, give inftances of the foetus's in the cavity of the abdomen, as well from themfelves as from the writings of others; but, in moft of thefe. there is fome miftalce t<) be fufpe^ted. The French alfo have publiCbed fome cafes of this kind in the year 1722. To the lift of thofe who mention foetus's receiving their growth in the Fallopian tubes, we are to add Riola- rus^^, Elfho]tzius*f, Buiriere*J, Littre*§, Du V'er- ney *||, and Cyprianus ^ff ; and a famous example of it alfo from Santorini ,^*, and another from Paiton. Moft of the extra-uterine foetus's are, indeed, lodged in the Fallopian tube ; and it is highly probable, that Came- rarius's ftory of a foetus retained forty-fix years in the mother, and a multitude of others of a like kind, all have this accident for their origin. The fa£l: is indif- putable, that the foetus may, and frequently does, receive its growth and nourifhment out of the womb. Vailifneri has written a treatife on generation in the Italian, that is very worthy the careful perufal of every body who would enquire into this fubje6t. * Tbeatr. Anat. T. 2. p. 140. and Bibl. Chirurg. T. 2. p. 131. where the whole is repeated, ■f- DifTertation fur Ja Generation de 4'Homme. X Suite de Ja nouvelle Method de guerir fiftules lachrymal. § DifTert. de Strucl. & ufu uteri. II Memoirs, Paris 1701. fl Hiftor. Foetus Mu/T. ** Hift. Anat. Gravid. ft Obferv. Chirurg. Jt Obf.Anat. §§ Theatr. Angt. nil Antl. loco citato. %^ Anthropcgraph. *t De Conceptu tubario. *| See Philof. Tranf. 1694. *§ Paris Memoirs, igoz, *ll Epift. de Foetu. *f Obferv. Anat, "' ^* Difc. della Gener. NOTE 39: 396 NOTES. N O T E 3^. It is a queftion much difputed among the anatomical writers, whether there be a reciprocal circulation of the blood between the mother and the foetus. Moft of them either deny, or at leaft doubt it : but it is to be obferved, that Cowper, after inje6ting crude mercury* into the umbilical arteries of the foetus, faw it enter into the veins of the uterus of the mother. And Vie- ufTens, on the other hand, found the mercury, which he had thrown into the carotid arteries of a bitch big with puppies, not only made its way into all the limbs, and all the vifcera of the creature, but reached to the puppies in her uterus ; and that all their internal as well as external parts, and even the very cutis itfelf, fhewed, in a very beautiful manner, the mercury thrown into the veffels of the parent animal -j-. Mery alfo confirms this reciprocal circulation, by a very fmgular inftance in the human frame : it is of a woman who was inftanta- neoufly killed by a fall, in the laft month of her time. In the difle6lion of the body, the cavity of the abdo- men was found full of blood ; and the blood- vefleis, as well thofe belonging to the woman as thofe of the foetus, which was dead alfo, were all empty. The placenta, all this while, was whole and unhurt, and adhered to the uterus ; and there was not the leaft ef- fufion of blood in the^ cavity of the uterus ;{:. It were much to be wiilied, that the author of this fmgular hiftory had told us what vefTels they were in the abdo- men that were broken, and made the efFufion of tha blood. To all this we are to add an obfervatlon of our author's own, which tends not a little to the fetting this in a proper light. In a difTedion of a body in pub- lick, before Dr. Wagner and the reft of the college at Helmftadt, which was of a woman, who had been bis: with two children : one of thefe had been brought forth D* • Anatomy of the Human Body, T. 54. See alfo Aft. Erudit. Lipf. 1699. f Manget's Theatr. Anat. T. 2. p. 139. The author gives no reafon for his chufmg to throw in the mercury at the carotids. X See Memoirs of the Paris Acad. 1708. See alfo Mery's ac- touni of a fcetus without a heart, 1720, alive j NOTES. alive ; but a violent haemorrhage of the uterus coming on, the woman had died in a quarter of an hour, not delivered of the other. On the opening the body, at the diftance of a few hours from the death, the blood- vefTels were found empty ; and, on opening the womb, the placenta, which had belonged to the child that was born, was found in great part loofened from the uterus ; but that of the other foetus, yet in the womb, faft and uninjured : from the feparation of the former had doubt- lefs proceeded the haemorrhage, which had killed the woman. After examination of the tunics, or mem- branes of the foetus left in the womb, which were yet whole and unhurt, our author proceeded to open the foetus, to fhew to his audience the parts different in that ftate from what they are in an adult ; and on open- ing it, he found no blood in it, either in the heart, or in the larger vefTels : whence he urges, that the blood of this foetus had pafTed thro' the umbilical velTels to the placenta and uterus of the parent, and had been evacuated, together with the mother's blood, from the uterus. Rauholt* and Morgagni :|: are alfo on the fide of this reciprocal circulation of the blood, between the mother and the foetus. It appears highly probable, that, in cafes of twins, the vefTels of the placenta do not communicate with one another ; tho' the placenta are grown into one, as is often the cafe. Our author prepared two of thefe placenta, thus growing together, into the vefTels of one of which he had thrown a wax injection : thefe were perfectly filled by it ; but no part of it had made its way into the vefTels of the other placenta. NOTE 37. That the foetus, while in the womb, does really re- ceive nutrition by the mouth, is evident from an obfer- vation made twice fuccefT:vely in the publ ck fchools at AltoffF. The author had received a perfe61: foetus, taken from a cow in the winter- feafon : the-membranes were unhurt, and the uterus of the cow was brought with it. The liquor amnii all about the fcetus was frozen ; and the fame liquor, in the fame congealed or frozen flate, was * See Memoirs of the Paris Academy, 1714. I See Adverf. Anat. 4. p. 82. fuund 397 J98 NOTES. found alfo in the mouth, the oefophagus, and the iflo- mach of the calf, forming one continued quantity of ice with that formed of the circumambient fluid, and was about the thicknefs of a finger in the oefophagus. The fame obfervation he alfo made publick another winter on another fcetus, brought to him at the fame period, with its membranes and the uterus about it. In this alfo the congealed fluid made one continued bodyj from the external mafs to the ftomach of the creature ; fo that there remains no doubt of the liquor, found in the {fomach of a foetus about its full period, being the fame with the liquor amnii ; but it is evident that there is communication between them. Nor is it, indeed, probable, that fo large a quantity of this liquor, as is ufually found in the ftomach of a fcetus at its full timcj (hould be fecreted in that part, as moli authors for a long time fuppofed. It appears much more probable^ (even to reafon alone, that it muft have been brought from elfe where ; and it is evident from this fmgular ob- fervation, from whence it is brought ; as indeed mightj withowt this circumftance, have been guefled from the fimilarity of that found in the ftomach with the reftj Which furrounds the fcetus^ all the qualities of which it evidently has. P>ed. Hoffman^ in his Difl'ertation de Pinguedine, has alfo an obfervation that joins flrongly with this of our author's, in evincing this truth. He telis us of a child born at its full time, and in perfect health, the funiculus umbilicalis of which was wholly corrupted and putrid : it is very evident from this, that the foetus could not have continued alive, if, as is by the gene- rality of writers fuppofed, it had received or could re- ceive no nourifliment, except by the funiculus or navel- firing. Petit alfo has an obfervation of a child born perfedl, and in health, tho' there was a knot in the navel-firing, very clofe, and v;bich had evidently been there long before the delivery. This would have prevented nou- riOiment, as ufually, to flow to the child thro' this part ; and it is plain, that unlefs it had received, as well as the foetus in the former inflance, nutrition by the mouth, it could not have been kept alive. The method 2 Bel- NOTES. Bellinger has laid down for the nutrition of the foetus this way, by the afliflance of the gland thymus, we have already mentioned ; and there are feme obferva- tions on the fubjeft worthy notice, in the A6la Erudi- tor of the year 171 8, NOTE 38. The ufe of the foramen ovale in the foetus has been a fubjeft of very great and very warm debate among the anatomical writers, panicu'ariy between Mcry, who, againft the common opinion, afierts that the blood pafles thro' it from the left auricle of the heart to the right, and Du Verney, Tauvrius, Buffiere, Sylvefler^ Lifter, and Verheyen, who all eftablilh the contrary,- and adhere to the received opinion. The Memoirs of the French Academy for the year 1699, give the argu- ments on both fides much at large, and tend moftly in favour of the received opinion ; but in the fame works, in the year 17 17, we find Window bearing ftrongly toward the opinion of Mery. NOTE 39, Many anabomical writers of great credit abfolutely deny that there is any fuch interftice of the mediafti- num as this : they declare it imaginary, and afTert, that, if any fuch is feen, it can only arife from a violent ele- vation of the fternum. But our author does not give up the fubje^l : he aflerts, that he always finds this in- terftice, in his diftedtions, in the part near the dia- phragm ; and that tho' the fternum be elevated as gen- tly, and as little as pofiible only, fo as to feparate the diaphragm from it, by fuch a gentle elevation as will' anfwer this purpofe, he is cleat that no change is or cark be made in the parts, nor any thing new, or that was not in the parts before, can be produced in them. It i& to be added, that a great many authors of the fir^i cre- dit give us inftances oi matter and abfceftes formM there j and Maier affirms, that he has frequently found a ferourf humor in it *. NOTE 40. Maier, an author quoted in the laft note, produces, from Mura1tus*s experiments, an obfervation, that he had found in the thymus a great number of cryftalhner * Ses his Colieg. Anat, Vc^Ct. ^to, p. 99, vafcula. 399 40® NOTES. vafcula, running to the mediaftinum, and to the peri- cardium ; and alfo a du6l running from it to the tonfiJs, of a membranaceous ftrudure, and naturally hard *. But it does not appear that there is any fuch obferva- tion as this in Muraltus : whether Maier midook his quotation, or purpofely deceives his readers, is not fo eafy to determine. There is an appearance of candour in his manner, which would induce one to give it on the more fivourable lide. N O T E 41. It has been a matter of much enquiry why the pul- monary artery (hould be larger than the pulmonary vein, whereas, in all the other parts, the veins are larger than the arteries. Some have fuppofed that this is on occafion of the blood's being more diflblved in the artery ; and that, as it is condenfated again by the efFe6t of refpiration, it requires a lefs fpace, in propor- tion, to return by, than the blood of any other veflel of the body : but this is but a loofc and vague way of reafonir^g. It feems rather, that the artery is larger than might be expe6led here, becaufe the blood, brought back to the heart, finds it difficult, from its thicknefs, to make its way thro' the fine reticulations of the vefTels of the lungs ; and the retardation or re- fiftance in this part, may naturally occafion the trunk of the artery to become dirtended. On the other hand, the blood in the pulmonary vein has no obflacle, in a manner, to refifl or impede its motion, but flows freely and eafily to the heart ; whence a narrower vefTel may fcrve for the paflage of it, and that veflel will be in fcarce any danger of being dillended beyond its natural dimenfions f . NOTE 42. Our author acknowledges, that he had very often fought in vain for the bronchial veins in human fubjedts; but that he, at length, faw them clearly and diftin£lly in a female fubjed: : in this he found feveral branches running from the intercoilals to the bronchia, three of * See Colleg. Anat. Praft. p. 109. •f- See Memoirs of the French Academy, 1718. See alfo Miche- lottus and Santorini, which NOTES. wliich were particularly obfervable, and were of the thicknefs of a ftraw. In many other fubjedls, in which he afterwards fought carefully after them, he did not find them ; and obferves upon the whole, that thev do not occur in all, nor are at all dettrminate in their (itua- tion when they do. Covvper obferves, that he had fre- quently met with one or more of them, running to the fubclavians *. NOTE 43. The auricles and ventricles of the heart have not always the fame fize and capacity; the different acres, ftatures, and other circumftances in the perfon, making a very confiderable ditverencco The right auricle and right ventricle are however, in genera!, larger than the left ; as is confirmed by numerous obfervations of Hel- vetius, Salzman, Michelotti, and Morgagni. Nicolaus has carefully collected the facl:s from thefe authors ; and Santormi has fmce added feveral obfervations on this fubject, all which join with the others in eftablifhing this as a general truth. NOTE 44. Lower is the firft author who has defcribed this tubercle: it is eafily feen in the hearts of oxen and calves, in form of a ileihy mafs or eminence; but in the human heart it is not found. Ojr author, at the fame time that he acknowledges, however, that he never could find it there, gives a very good account of its having been pretended to be found by otiiers, who would not be fuppofed to mifs any thing, whether it exifted or not. He tells us of a demonftrator, to whom, in. his younger davs, he had been pupil ; who, having fearched the proper part of the heart of his fubjecSl for it, and opened the vena cava, when he found no pro- tuberance where he expected it, took hold of the part wht;re it (hould have flood, and, pulling it up with his forceps, called out to his audience, " Behold, here is the tuberculum cordis of Lower." Our author de- clares, that, tho' he f{:ri61:ly examined the heart, he was not able to find any tubercle, or the leaft eminence, either before his pulling up the part, or afterwards; and that afterwards, having fought carefully after it in * See Anat, of Human Bodies. D d a great 401 402 NOTE S* a great number of hearts, it was never his fortune to find it. PofTibly, like to this may be the hiftory o£ many parts difcovered by particular anatomifts, which, tho* demonflrated to their audiences, no body was ever able to find afterwards. Nicolaus, indeed, very boldly afTerts, that this eminence or tubercle is larger in man than in the quadrupeds ; but there appears nothing to countenance thig, on examination. Our author kept many human hearts preferved in fpirits purpofely, to Ihew the place allotted to this tubercle ; in all which it was evident, that there never was any fiich part. To which we are to add, that there is no figure of it in Cowper's elegant and accurate tables of the heart ; but, on the contrary, the concourfe of the afcendant and defcendent vein is made plain there, as it is indeed al- ways found on diflecStion in human fubjefts. The author, with fufficient reafon, from all this, omitted the mention of this part, as of one that had no exift- ence, in the firft editions of this work : he feems to have added it in this, by way of fliewing that it was not thro' inaccuracy that he omitted it before ; but he very juftly does not let it pafs as a reality, notwith- Handing all the great names which appear in fupport of its exiftence. NOTE 45. Lower, in his account of the iiru£l:ure of the heart, defcribes a feries of ffrait mufcular fibres, which in- volve the others under them. Nothing is fo evident as that there . are fuch in quadrupeds ; but there are not wanting anatomifts, of the very firft rank, who deny their exiftence in the human heart. Our author takes a middle courfe : he acknowledges, in confequence of a multitude of experiments, that they are not nearly fo numerous in the human heart as in that of many of the quadruped kind ; but he declares, that he has always found fome, and was always ready to fhew them in his lectures, and that particularly on the furface of the left ventricle. To this purpofe, he had a way of macerating a hvjman heart in water, fo long as till the external mc-mbrane was eafily feparated ; after which the fibres, fo much in difpute, appear very obvioufly and evi- dently. A heart thus prepared, he always kept alfo in fpirit?.. NOTE S. fplrits, to fhew them at all times to fuch as doubted their exiftence. NOTE 46. Anatomifts are by no means agreed about the fitua- tion of the osfophagus, in refpe^l to the afpera arteria, Moft of the writers on the fubject have faid that it runs ftrait behind it, between it and the vertebrae of the neck. Morgagni has figured it as inchning a little to the right of the trachea ; and, on the other hand. Win- flow will have it fituated to the left of it. Cant ac- cufes Vefalius of an error, in having placed the gula behind the trachea ; and, at the fame time, falls upon, Morgagni, for having made the cefophagus incline to the right of the afpera arteria, and refers to the plates of Euftachius. Our author finds an eafy way of re- conciling thefe jarring authors, by obferving, that every one of them may have fairly defcribed what himfelf faw, in fome particular difTecStion made for that purpofe; but that nature varies in the fituation of this part, in regard to the afpera arteria, and that it is by no means the fame in all fubjefls. He afferts, that in fome bodies, publickly difle^led in the fchools, he has Ihewn it im- mediately under the other ; in others inclining to the right, as Morgagni has figured it ; and in others in- clining to the left, inftead of the right. Cant, tho' he refers to the tables of Euftachius, has not mentioned either the number or figure -, but whoever will examine them, will find that Euftachius has placed the cefo- phagus behind the trachea : for in T 41. Fig. 8 and 9.* where he has given the trachea, with the gula lying on the right fide. The gula can fcarce any otherwife ap- pear than as if it inclined to the left, tho' placed behind the trachea. But in his 42d Tab. Fig. 4 and 6. the gula and trachea are figured lying, as plainly as poffible, on one another. NOTE 47. Vercellonius, in his book intitled A Medico-anatomi- cal DiiTertation on the Conglomerate Glands of the Oefophagus, defcribes fome new excretory du(5fs, ter- minating in the cefophagus : they are numerous, and, according to his account of them, not verv difficult to be difcovered, on a proper examination* He afierts, in D d 2 this 403 404*> NOTES. this treatlfe, that the bufinefs of digeftlon had never yet been truly explained or underftood by the medical writers ; and that, becaufe they never had found out the true digefting fluid ; and this, he aflerts, is poured into the ftomach and the cefophagus by a multitude of very fine dudts : ift, from conglomerate glands, fituated on the left of the ftomach ; 2d, from the dor- fal ; and, 3d, from the bronchial and tracheal. But from the thyroide gland, vv'hich is to be fuppofed a nidus of the ova verminofa, he alleges thefe ovula ver- minofa are tranfmitted to the ftomach and cefophagus, and give a vital power and character to the chyle. Of all this the author of this v^^ork treats at large in the Adenologia. It may be fufficient to mention it here. NOTE 48. The author has already obferved, that nature varies greatly in the finus's of the dura mater, and that the fourth is often vi^anting. It is to be obferved alfo, that the left lateral fmus, according to the obfervations of Morgagni, frequently begins from the right, not from the longitudinal one, as is ufually fuppofed *. The fmus falcis, which is by many called the inferior finus, appears to have the leaft of all the title to the name of a linus : its coats are thin as thofe of the other veins, and its figure is not angular as that of the other is. Morgagni has obferved alfo, that he had found the late- ral fmus's communicating with one another by means of a tranfverfe canal f. Our author joins in the afler- tion, and obferves, that himfelf had found fuch a canal of communication ; and it is figured here in Tab. 7, Fig. 3?- Rivinus alfo, in his treatife on the defe£ls of hearing, mentions a tranfverfe finus, which is evidently the fame with this of Morgagni and our author. NOTE 49. There are not wanting authors who deny the exift- ence of the rete mirabile in the human frame : Nicolaus has collected their fentiments :|:. But nothing of this kind is more wonderful than that Ruyfch, who had * Adverfar. Anar. 6. p, 2, •f Advcrf. Anat, 6. p. 3. i Diircriat. dc Dire^. Vaf. JL before NOTES. before found defcribed, and even figured this *, (hould, in his later writings, treat it as an imaginary part f . Our author is confident, from repeated expe- riments, that if the dura mater be carefully opened with a fcaipel each way, near the pituitary gland, the rete mirabile, however much its exiitence mny be doubted by very great men, will appear obvioufly and evidently enough to every body. NOTE 50. The old writers have given i? as their opinion, that the cryftalline humor of the eye was the primary or- gan of vifion ; but of later times the nervous tunic, called the retina, has been univerfally allowed to be fo. This opinion agrees perfectly with all the optical ex- periments, advanced as the teft of truth in this difqui- fition ; and moft of the med cal as well as mathemati- cal writers, after the days of Des Cartes, have agreed to it. Marriot, however, a very celebrated mathema- tician, difients from this univerfally received opinion ; and will have the choroides to be the primary and prin- cipal organ of this fenfe % : he brings a multitude of ex- periments in fupport of his opinion, and argues with great regularity and exadlnefs Irom them. Mery falls into this opinion alfo, and has brought a number of additional experiments to the fupport of it § : and with him alfo De Mayranll, and Mr. de St. Yves ^, a ce- lebrated occulift, add their tef^imonies of fads, and their reafons in fupport of the new dc6i;rine. But, in oppofition to all this, it is to oe urged, that In all the other fenfes the primary organ of perception is a nerve ; nor does there appear any reafon why na- ture fhould depart from her couife in this, which is the moft delicate of all the fenfes. Now the retina is merely an expanfion of the optick nerve in the eye ; and it fecms fomething rail) to thruft this part, fo well calculated for the purpofe, out of its office j and to ^ive * Epift. Problem, la. T. 15, -}• Adverfar. Anatom. 2. p. 45. ^ Nouvelle Decouvertes touchant la V-uc, § Memoirs of :he Paris Academy, 1704. {I Diflertat. de Caufa lucis Phofphor. ^ Traite des Ma,ladies des Yeux. 405 4o6 NOTES (o great a power to membranes^ much lefs likely to be endued with the exquihte fenfe neceffary on fuch an occalion. NOTE 51. Our author has been attacked on, account of his doftrine of the eye, and particularly on his opinions as to the glaucoma and catara(5l by feveral of hs cotem- poraries. The grand puint to be determined was, whether there is more of the aqueous humor in the an- terior or in the pofteril)r part of the camera ; that is, whether there be a greater quantity of the aqueous hu- mour between the cornea and uvea, or between the uvea and cryftalline lens. The people who were againft our author's fyftem, advanced that there was more of it in the hinder part j but the author, that there is more in the anterior camera. It appears, on a candid and impartial enquiry into the cafe, that the principal of our author's adverfaries had taken up his notions of the eye, not from ciffettion and obfervation, but from the figures in books ; and, indeed, to the fup- port of fuch an hypothefis, fuch a condudl was necef- fary enough : but it is to be obferved, in regard to this, that moft of the anatomical as well as of the optical v/rlters, have made the fpace between the uvea and cryftalline much larger than it is in nature. They have often figured it larger than that which is between the uvea and cornea ; and very fev/ of them, indeed, have made it lefs * than equ^l to it in magnitude. But our author, whofe great character it is to have been determined by his own obfervations, not by the writings of any body, tho' he had long before aflured himfelf by a great number of experiments and obfervations, that there was a larger quantity of the aqueous humour in the anterior than in the poft:erior camera ; yet, on the occafion of this difpute, determined to enter a-new on the difquifition, and to make difleclions with the utmoft precifion ; and to have draughts taken from them, which fhould bi more to be depended on than * See Stephanus'sDifTeft. Part. Corp. Hum, p, 303. Des Cartes in hisDioptricks j Scheiner in his Fund. Optic. Newton's Opticks j Hartfeker's Dioptrickii j ^nd Verhtyen, T. 27. fig. 5. See alfo Kohaulfs Phyficks. fuch NOTES. 407 {uch as were already extant, and had evidently led people into errors ; and this he judged the more necef- fary, as not only tending to put a final end to the con- troverfy he was engaged in, but to eftabliih the truth in a point where it was much wanted, as few authors had come near the giving the true fituation, proportion, &c. of the humors of the eye *. But as in recent, and not conglaciated eyes, the efflux of the aqueous humor in the difleding, and the confequent collapfion of the coats or tunics, render the fituation of the humors impoflible to be accurately feen, and make it impoflible therefore to form an accurate judgment of them, he thought it a neceffary precaution to expofe the eyes, to be difTedted, firfl: to the cold air of winter's nights, that they might be frozen. In eyes thus prepared for opening, on going carefully and regu- larly thro' the diffedion, the parts will all be found in their juft and natural fituation, and dimenfions. The author began his own experiments, which were very numerous on this cccafion, on the eyes of qua- drupeds ; and engaged correfpondents at Nuremberg, AltorfF, and other places, to difledt the fame parts with the fame cautions, in concert with him. In all the eyes they experimented upon, after cutting them thro' the axis, the crjftalline was found to come very nesr the uvea, and a very fmall and fcarce perceptible quan- tity of the aqueous humor was found between the cry- flalline and uvea : but, on the other hand, there v/as always found, between the uvea and cornea, a much larger quantity of the aqueous humor ; in general, at lead four times as much as in the other cavity, l^his was generally the cafe in all the experiments made on this occafion. The figure in T. 4. Fig. 18. is from the eye of a hog : it fhews the real fituation of the parts, and evidently enough proves the truth of this doctrine. Our author was very intent upon examining the human eye, under the fame circumflances ; but not having the opportunity of a fubjeft, during the fhort time of the frofl of the winter, when he had intended * See Fabricius ab Aquapendente de Vifus Organo, c. 8. See a!fo Mariot's de Vifu, fig. 3 j and Bidloo de Oculis & Vifu, p. 3. D 4 .Cj 4o8 NOTES. it, be wrote to Morgagni, who had always bodies at command, and requefted him to experiment, and to give him the refult of his obfervations, and a figure of the parts a.s he found them. Moigagni's anfwer was, that he always, without one exception, had found a much greater quantity of the aqueous humor between the cornea and the iris, than betwetn that and the cry- ftalline. The draught he made of the parts, as he found them in a frozen human eye, is given in our 4th Plate, Fig. 19. After this our author had himfelf an opportunity of cxpofmg to the frofty air an eye of a human fubjedl, who had died a violent death. OndiiTe^ling this after- wards in the publick fchools, he dcmonOrated^ to a large audience, that there was fcarce any of the aqueous humor between the iris and cryftalline, tho' there was a confiderable quantity of it between the iris and the cornea. The difTedlion of this eye agreed in all refpci^s with the account and the figure fent by Morgagni ; and after this, both the author and others taking the oppor- tunity of frofly weather, when they had human fubjeds before them, demonftrated the fame thing many times to diiterent audiences. Figures were taken from the-^ author's difiections of thefe eyes; but he prudently chufes to preferve, in this work, thofe he was favoured with by Morgagni, as a perfon, at once, o^'" unquef- tioned judgment, and not engaged in any difpute on the fubjefl:. What our author has faid farther on tlie fub- jt6k^ is to be feen in the Ephemerides, Cent. 7 & 8. Evident as what has been delivered on this fubjecS: appeared, however, to the candid world, Wolhufius, in a very fevcre and harfh manner, has raifed objedions againft it in feveral of his v^ritings ; and has not even fpared ill language, when his reafonings are not of force enough. Our author has not omitted t(» anfwer his objrdions, and, in that znrvver, occa(:onally to charge him with errors and phgiarifms, in fuch a manner as he was nota-le to acquit himfelf of : nor, indeed, were the world i.iclined to think well of him, from the coaife and abufive manner in v^hich he attacked both t\m author, and many others of errabliilied reputation *. Our * Sec Memoir. Trevolt. 1725. authpr's NOTES. author's apology is a fuiFicient anfwer to every objedlon fuch a writing as this could be able to ftart ; nor, in- deed, was it worth his while farther to attack an adver- fary of this ftamp, while Winflow, Morgagni, Petit, Renaunie, St. Yves, Morand, and Senac, who tranf- lated tliis author's work into French, and commented la/i^ely upon it, all join in his opinion. It may not be improper, however, to give a fpecimen or two of the (nanner of reafoning of this wild author. His firft and great argument is. That the globe of the eye in- creafes in bulk, all the way from the convex part of the cornea to the centre of the eye ; and that, therefore, the pofterior camera oi' the eye muft be larger than the anterior. But all that zhz judicious reader will be able to make out by this is, that the perfon v/ho fays it is but very ill informed of the llrucSture of the eye. The argument v.^ould indeed be true, if the eye were a hol- low fphere, filled only with a fluid ; or, if the ciliary ligament were longer, or more remote from the cornea : but as, in reality, this, with the cryR-al'me, is placed as a wall or inclofure, and allows but a very li-tle room to the poilerior camera, as is evident from Morgagni's figure given here, T. 4. Fig. 19. it is clear enough, that this argument does not prove all that its author would have it ; but, on the contrary, it appears from the knowledge of this true fituation of the uvea, the ciliary ligament, the cryftalline, and the vitrous humor, that the polkrior camera is not augmented in fize, nor does become larger than the anterior, altho' the eye do increafe in its dimenfions toward the centre. He attempts to ftrengthen his argument by the ob- fervation of the quantity of matter, which is fometimes found behind the uvea in a hypopion ; but this is of all arguments the mod fallacious and uncertain. Every body knows how much a part, in a d; tempered ftate, may differ from the fame part in its natural one; and add to this, that there is no diilempered ftate which will alter and diftend the parts it afFe6ls fo much 2s a lodgment of matter in them. This, indeed, the ob- j^6lor is» in another place, obliged to acknowledge hlm- i'i^K) and from this, and fome other fuch initances, which ii:)!ghtbe quoted, it appears plainly enough, what credit . 409 ^lo NOTE S. credit ought to be given to the obfervations on the itructure of the eye made in morbid cafes, and in con- fequence of chirurgical operations. It would be as eafy to anfwer all the other arguments of this author, and moft of them in the very manner of this, but it is not our bufmefs here to enter into the difpute. Thus much it was not improper to fay, in regard to fo heavy and at the fame time fo unreafonable an attack upon the author's reputation. After this the decifion may be left to the reader's judgment ; or, if he want farther argu- ment in favour of our fide of the queftion, he may turn to a paper of Winllow's on the fubje6t, in the Memoirs of the Paris Academy for the Year 1721. NOTE 52. How, in his treatife on the circular motion of the fliiids of the eye, has defcribed, under the new name of nervo-lymphatica, certain very fmall blood-veflels in the eye, which do not carry a red but a lymphatick blood, and which Ruyfch has long fmce alfo defcribed and delineated. But where is the neceflity of a new name for thefe veiTels was, is not eafy to difcover, any more than, if it had been judged necefTary, why the term nerve iliould be ufed in the formation of it ; fmce nothing is more evident, than that thefe vefiels are all produced from veins and arteries, and have been called accordingly by others lymphatick arteries and lympha- tick veins, or arteriofo-lymphatick vefiels. Our author, very judicioiifly, excepts agceircs and ciliary ligament : he thinks what are ufually cilcemed fuch, are vefiels; but to this we are to anfwer, that the greateft anatomills of this tiir.e are NOTES. 4n are all agreed, that all mufcular fibres are hollow or vafcular ; (o that, by the fame argument, he may prove that there are no mufcular fibres in the whole body, which, we are apt to believe even himfelf will allow, would be fomewhat abfurd. The natural ftrudure of a mufcle does not argue at all againfl this vafcular ftruc- ture : the great ufe is in contraction and dilatation. The adions of contraftion and dilatation are evident in the pupil ; and nothing is more certain, than that wc fee in the ciliary procefTes fibres, in all refpedls agreeing with mufcular ones, which have loft the office of vef- fels as well as the habit and appearance of them ; and there can be no doubt, therefore, that thefc truly and properly are and ought to be efteemed mufcular fibres. In another place the author calls the fubftance of the uvea mufculofo-membranaceous ; and afterwards he af- ferts, that the vafa adducentia of the eyes come from one and the fame origin, namely, from a branch of the internal carotid ; but that not admitted into the cra- nium, as Nuck afierts, but beftowed on the orbit of the eye. To this we are to anfwer, that in human fubje^ls thefe veflcls do really and truly run out of the cranium to the eye. He afterwards afferts, that the dudus arteriofus of Nuck, coming out of the cranium, is not the fource of the aqueous dudts ; for that it is too fmall. To which we are to anfwer, that it is not, in- deed, the only fource of them ', for that it communi- cates by anaftomofis with other of the branches that run to the eye. He agrees with Mariott and others, that the tunica choroides is produced from the pia mater ; but he does not prove this : and, on the contrary fide, it may be alledged, that this tunic is of a colour, figure, con- fiftence, and nature wholly different from that mem- brane; and that nothing is more evident, than that the pther membranes of the body were formed at the fame time with the pia mater, but do not owe their origin to it. He afterwards fays, that the cryftalline confiRs of pellucid nerves ; but, in regard to this affertion, one would afk, why he may not as well join with other writers in faying that it is compofed of pellucid veiTels ? in 4iz ^ NOTES. In another place he tells us, that the gluten in the blood cannot be reitored without the affiftance of a new acid, ^rid that this necefiary acid is only fecreted in the glands ; but this is a bare aiTertion : he has done nothing towards proving it ; nor probably had he attempted to prove it, would he have founJ it in his power. He afterwards obferves, that the conglomerate glands have no inferent veiTels : but this is an aflertion that flies in the face of all reafon, and all experience ; for nothing is more certain than that there are inferent vefTels to them ; and it is equally certain, that, if there were not, nothing could be fecreted in them. In another plac« he tells us, that the circulus venofus is fix or feven lines diftant from the ciliary ligament : but, unluckily for this afiertion, the whole body of the eye is but about feven lines in diameter ; and this circulus is as near as is well poffible to the ligamentum ciliare. He has ex- preiTed bimfelf, as he thinks, very circumflantially, by adding the epithet mathematical to his term line. If he means bv the word that part of an inch which mathe- maticians mean^ when they ufe the term line as a deno- tative of meafure, which is as we have underltood it, it is certain that he knew nothing of the fituation of the parts : if he means by it the mathematiral (]?finition of a line) which has neither breadth nor thicknefs, it is not eafy to underfland what he could intend by exprelT- ing the diilance of two bodies by meafures which are of no diaoicter, nor exprefs any meafure at all. It is rnoft probable, that he did not underftand what a line was. He, in many places, afFe6tS to call the arteries fontes oculi ; but what neceility could there appear to him for a new name on this occafion ? Or, to what purpofe is it to multiply things, when there is not a dif- tintlion to be preferved by it ? He, in another place, calls the internal angle of the eye the canthus minor, or lefTer canthus ; which is at once contrary to fa6l and reafon, and to the joint confent of all the authors that ever v/rote upon the fubjsdl. So much notice would not have been taken here of the errors of an author of this flamp, were it not a kind of debt to fu eminent a writer as Ruyfch. This author has written very feverely againft Ruyfch, at the fame timq NOTES. time that he has borrowed, or, to fpeak morcjuftly, flolen what is of value in his book principally from him ; and, according to the cuftom of the authors of this ilanip, he very modeftly teils us, that he had never read his works. How much probability there is in this, when the author himfelf is a Dutchman, and his work evidently founded on that of Ruyfch, every rea- der will determine for himfcL. NOTE 53, In regard to the infertion of the optick nerve. It may be proper to obfcrve, thar tho', to a perfon who cur- forily views the eye taken out of its 01 bit, and cleared from the mufcles and far, it appears as if inferred di- redlly into the middle or centre of the pofttrior part of the eye ; yet it does not enter the eye, as Brigs aflerts in his Opbthalmographia, dire£tly oppofite to the pupil, but on each fide, nearer the nofe : and this is a very obvious precaution of nature, or otherv/ife the rays of light would, in their pafTage from the ohje6ts5 fall im- mediately upon the nerves, with which the arteries are joined. The pupils of the two eyes are, in general, nearly three inches diftant from one another; but the for^^mina of the cranium, thrvj' which the nerves pafs to the orbits, are fcarce fo much as one inch difiant*. The part of the eye where the optick neive enters is perfedt'y dark and blind, as Mariott has very evidently proved by experiment f : anJ it is an evident confe- quence of this, that if the nerve entered the eye direct- ly oppofite to the pupil, at which the rays from illumi-, nated objects enter, many of thofe objects would fall immediately on it, and confequently would not be feen ; but the precaution of inferting the nerve rather laterally toward the nofe, wholly prevents that dc-fedl. N O T E 54. There are fufficiently numerous proofs, from chl''ur- gical obfervations, that a very large quantity of faliva * See Boerhaave's Inftitut. cap. deVifu. Alfo Winflow, in ths Memoirs of the French Academy, 1721. f See Nouv. Decouvert. touchant la Vue. See alfo De la Hire, Boerhaave, and Stancarius, who all confirm what this author ad- vances. Our author alfo tried the experiment, he tells us, in the night with a candlC; and found the place, when the candle itfclf dif- appeared, is 413 414 NOTES. is difcharged from this duct, and that particularly during the time of chewing. Fabricius ab Aquapendente ob- ferved, firft, that in wounds of the cheek, toward the ear, there appeared a little aperture, fcarce diftinguifli- able to the naked eye ; out at which, efpecially while the patient was eating, there iflued a great quantity of a limpid fluid, in the manner of tears : but he acknow- ledges, that what it is, or how or whence it flows, he is ignorant ;. nor is this wonderful, as the falival dudis were not difcovered in his time. Helvetius afterwards affirms, that the quantity of this fluid fecreted in this gland is fo great, that a foldier having received a wound in his cheek, in which the falival du6t was cut, he for a long time wetted feveral cloaths, at every meal, with the quantity that was difcharged from it while he was eating f . Our author tells us, that himfelf had alfo met with feveral of the like cafes, as have alfo many others; in all which, if this duft have been cut thro', the confe- quence has been the fame. It appears from this, how erroneouny they talk who deny that the motion of the jaw, in chewing:, has any efFe£l in the fecretion and difcharge of the faliva ; and would give all the merit of that neceflary fupply to what they defcribe under the name of the anima. It is furely much more philofo- phical, as well as anatomical, to find out the material caufes of the efFccSts we fee produced, where that may be done. NOTE 55. Steno:|: was the firft author who difcovered that the glandulce fublinguales had, on each fide of the tongue, excretory veflels, very fhort and very flender, placed parallel to one another, and fcarce diftinguifiiable, un- lefs they were prefled or fqueezed : he obferved them in quadrupeds. After him Verheyen§ took the liberty of ufing the very words of Steno on the fame occafion, defcribing the fame vefil^ls, but without mentioning Steno's name. Our author, who had followed fome of • See his Chirurg. de Genarum Vulncr. -j- See Memoirs of the Paris Academy, ijig* j See his Obf. Anat. de Gland, oiis, ^ Anat. Tra<5l. 4. c. 20, the NOTES, 4,5 *he greateft men in this way in his ftudies, and had feen them fearch after thefe excretory vefiels in vain, and who had afterwards fought after them in vain alfo in human fubjects, had at one time perfuaded himfelf that they were pecuHar to quadrupeds, and were indeed not to be met with in the human frame at all ; but he was after- wards convinced, that they are really to be found in the human tongue, by Morgagni, who not only wrote to him on the fubjeil, but afterwards printed his difcovery of them, afTerting, that there are, in reality, a great number of thefe vefieis on each fide, which arife from the exterior fides of the fublingual glands, and do not bend their courfe forward, but tranfverfely toward the gums ; and that, at a fmall diftance from the glands, they have little ofcula or openings of a peculiar form, fome of them large enough to admit a fine briftle into them. Our author, who is never above owning that he has been miftaken, and has amended of it, adds, that, after this clear and accurate defcription, he fought for them again in human fubje6fs, and, after feme dif- ficulty, found them. In the mean time alfo Walther, phyfician to his Polifh majefty, and a profelFor of anatomy at Leipfick *, wrote a treatife exprefly on the fubje6i: of thefe dudls, in which he defcribes them at large, and figures them from a human fubje6l : he is the firft author that has done fo. He mentions eight of them. It is not in all fubje(fts that thefe minute obje(fls of the anatomifts refearches are equally to be found : in fome they are fcarce poiTible to be difcovered, in others it is hardly poflible to mifs them. Our author, who had fo long been fearching in vain for them, when he found them, examined many fubjedts afterwards, in which it was difficult to trace them 5 but, at length, he met with a fubje(St, in which they were much larger and more numerous than he had ever before feen them. He made a careful preparation of the part, and caufed a figure to be engraved of them, exhibiting thofe of one fide perfect, with the tongue yet cohering with the lower jaw. See Tab. 7. Fig. 33. * fixercitat, de lingua, Lipf. 1724, NOTE 4i6 NOTES. N O T E 56. The foramen coecum of the tongue, which is ufually fmall, is fubje6t to great variation in its fize. Our au- thor, in the fame fubje61: in which he found the duds mentioned in the former note fo very obvious, found alfo this foramen fo large and deep, that he, without difficulty, introduced into it a tube fo large, that he had been ufed to prefs it into the ureters, for the inflation of them, and even for the inflation of the bladder. On blowing into the tube, when introduced into the fora- men, in order to difcover the du6l mentioned by Vater, he found that the pofterior part of the tongue was very remarkably diftended by it. Not Succeeding fo well in this, however, as he had expedled, he threw in an in- jedtion of a waxy matter, coloured red, in order to fee its true fituation, form, and courfe. This fucceeded fo well, that afterwards, on opening the foramen ccecum in the tongue, fee Tab. 8. Fig. 34. he immediately dif- covered the begmnings of two very remarkable du6ts, not defcribed by any writer : thefe continued their courfe about a line depth, under the teguments of the tongue. After carefully removing thefe teguments, he found thefe dudls continued, one on the right fide, and the other on the left, running on, as exprefled in the figure. The left duel, marked by the letter b in that figure, continued its courfe to the tubercle c c, which was a pellucid veficle full of a clear liquor, looking like the faliva. Our author judges, with great probability^^ that this liquor was protruded into the veficle by the force of the matter of the injection ; and that the veficle is not a natural appearance in the part, but was merely the end of the du£t, forcibly diftended by the liquor thus protruded, which, having no way out, and being thus pufhed into it with a force it could not refift, dilated its fides, and formed the pofterior part into the appearance of a diftended bladder. In the other du6l there was only a little of the injedion found, in the be- ginning ; but on taking this out, and introducing a pipe, and blowing into it, the inflation reached as far as the part marked with the letter e in the figure : fo that, from the letter d to e, the du6l fhewed irfelf to be ©f the fame nature and fubftance with the dudlus falivalis Whar- NOTES. Whartonianus; and at the end of this there was n.o Veficle, like that of the other fide; which tends alfo greatly to corroborate the opinion, that the veficle there was not natural, but formed as already fuggef E e 3 St, 422 notes; St. Andre, of a man in whom the whole membrane tympari wasdeftroyed by an ulcer, and the ollicula au- ditus ihrovi/n out -, and yet, that the man did not lofe his hearing by it. It is eaiy to conceive, that, if this accident had hap- pened to one of the petfon's ears only, he might con- tinue to hear with the other ; and, by the account, we are not informed whether it was to one or to both ears that it had happened. Our author aflerts exadiy the contrary of what this inftance is cited by Mr. Che- felden to prove ; and declares, from his own know- ledge, a Cbfe, in which a perfon having loft thefe bones or oflicles abfolutely and entirely, loft his hearing with them. We are to add, that Munnicks, in his Liber de re Anatomica, and Valfaiva in his Account of the hu- man Ear, aflcrt, that they have fometimes met with the foramen Rivini; but the latter of them afligns it a different place from that given it by Rivinus. Our author, whofe rare and accuracy are not to be queftioned, is not afnamed to confefs, that tho' he had often, fought for this foramen, he never could certainly fay that he had fout d Ir, either in the human ear, or in that of any quadruped^ tho' he had fearched aftef it in both with the utmoft diligence and care. He kept among his preparations feveral of thefe membranes, taken intire from the human ear. and in their natural fituation j but all thefe, he aflbres us, were perfectly intire; nor was there the leaft appearance of an aper- ture in an] of them, either in the place affigned to this foramen by JRavinus, or that by Chefelden. He alfo adds, that he was well aflured that Ruyfch, and f )me others of the moft eminent anatomifls of his time, had fought for this foramen with no better fucccTs than he had done, nor had at all a better opinion of its exiftence. Our author, as well as Mr. Chefelden, had met with a man who could difcharge, out at his ears, the fmoak. of tobacco taken in at his mouth ; but the man was deaf, and had received that injury by blows given hun when young : and it was very reafonable to fuppofe, that both thedeafnefs, and the povi^er of difcharging the tobacco-fmoak this v»ay, vyeie owing to the membranes having NOTES. 423 having been abfolutely broken by thefe violences. He fays, that he never had met v/ith, or fairly heard of a perfon who could do this, and who enjoyed his hearing in any degree of perfedlion ; and that he had many among his pupils who fmoaked much, and who had at- tempted to do this often, but without the lead appear- ance of fucceeding in it. From all this it is to be con- cluded, that this foramen, if it be found fometimes, as Rivinus and others defcribe it, yet is not natural or uni- verfal, but that the generality of men and of quadru- peds have it not. The effeds related in confequence of there being fuch a meatus or aperture, can indeed only be accounted for, by allowing that there is fuch a one ; fo that our author recommends it to all future anatomifts to fearch carefully after it, and by their joint obfervations to convince the world whether, and whe- ther more or lefs frequently, it be found in human and in quadruped fubje6i:s. Rivinus's pupils, with feveral of whom our author had been acquainted, all joined in telling him, that Rivinus ufed to demonftrate this foramen in his diflec- tions, by placing a briflle on the part of the membrane where he fays it is fituated, and, in their prefence, letting it thro' ; but that he did not pretend to be able always to expofe it to the eye. Our author tells u^, that he tried this method, and that he could make the briftlepafs; but he always has had a fufpicion that the briflle makes its own way by forcing a hole in this ten- der membrane, rather than finds a natural aperture to pafs thro' at. The experiment never fucceeded with him, unU'fs he thruft the brittle forward with fome force 5 and he obferves. that the fame degree of force would make it pierce this tender and fine membrane in ariy other place as well as in this. Waltherus, in his Difiertation on the Membrana Tympani *, after a multitude of experiments made for this purpofe, declares himfelf of our author's opinion, that there is naturally no fuch aperture as this defcribed by Rivinus, Chefelden, and others. On the contrary, Teichmeyer not only aflerts that this aperture is con- ftant and univerfal in the membrane in the ears of aU * Publifhed at^-eipfick in 1725, 410, . -^\* E e 4 ^^■^^r' V 424 N O T E S. creatures, but he gives a method of finding it with greaj^ eafe and certainty in the ear of a calf. He has defcribed his method at large, and has not omitted the aiTiftance of figures to exprei;? it *. Our author, after carefully perufmg him, declares that he never could be To happy, in repeating his experiments, as to pafs the Ityle thro' this aperture with that eafe and readinefs that he did, or afTerts that he did : and he obferves, fomewhat un- luckily for Teichmyer too, that the place he has afligned this aperture is not the fame that Rivinus has defcribed it in. The figi^re which he has given of it in his An- thropologia, agrees very well with Rivinus's, as the opening is reprcfented in what is called the greater area of the tympanum ; but in his feventh figure, given in the works jufl alluded to, it is placed in the fmaller area of the tympanum. Now if there were fuch an aper- ture always, or but frequently in this part in men, it is impoilible to fay why we do not meet with numerous in' ftances of men, who can difcharge the fmoak of tobac- co at their ears : or how it happens that the inflances of people who can do this are fo few, as the thing muft be eafy on this principle. There are many other ob- vious arguments againft the exiilence, or at leaft the univerfal exiltence, of this aperture in this membrane \ but thefe are fuiiicient. NOTE 6i. In regard to the number of the ofTicula auditus, it may be proper to obferve here, that Teichmyer, in his Anthropologia, enumerates fix of them in each ear ; and, befide thofe four ufualiy reckoned, defcribes and figures two new ones, which he had difcovered in the ear of a calf. The iirft of thefe, which he calls os lenticulare, he tells us is placed between the malleus and incus, in the manner of a fefamoide bonej and that it is joined to them both by ligaments, and ferves to ftrengtheh the articulation, in the manner of a pa- tella. The other, or hxth bone of the ear, he tells us, adheres to the extremity of the tendon of the muf- culus ftapedis ; and he adds, that this mufcle is not in- ferted into the head of the Ihpes, as has been ufualiy ; /uppofed; but is inferted into this bone, vi^hich is of an i!^ Vjndiclae quorundam inventorum fuoium, Lenae 1727. oval NOTES. pval figure, and is conne6^ed laterally to the ftapes. And, finally, he adds, that this bone had been obferved before by Veflingius ; but that the other had never been difcovered by any body. That which adheres to the fide of the ftapes is very eafily fo'^nd in the ears of calves, and Cowper has figured t ; and our author never omitted, in his courfes, to ftiev it to his auditors : but in this work he omitted the ff'.ention of it, becaufe, thd' fo general in the calf, he Vad never met with it in an human fubje6t. Schel- Ji^'nmer tells us, that he had found fuch bones in the firs of quadrupeds ; but he adds alfo, that he never had /met with any of them in the human ear. As to the other bone, called by this author the fourth, we have already declared our opinion of it ; for if the epiphyfes of the bones are to be enumerated as fo many diftindl bones, it will be eafy to add to the number in other parts as well as this. The os femoris, at this rate, is not to be called one bone, but five. The author who had added this, is not however con- tent with what he did at firft, but has of late added a feventh to the number of the oflicula auditus, which, from its figure, he calls os triangulare. This alfo, he tells us, he met with in the ears of calves ; and adds, that it ftands on the paries of the finuofity of the os maftoidseus, on which the thicker and fhorter leg of the incus is placed, as on a bafe. He adds, that this bone is very difficult to be found, and indeed fcarce at ail fo, unlefs after the organs of hearing have been boiled. Finally, Dr. Douglafs mentions yet another ofliculum auditus t, which has been obferved in the tendon of the mufcle of the malleus, called the intei'nal one of Euftachius : but himfclf fuppofes this not a natural and pniverfally feparate part, but to be found by a breaking of another part, and therefore not to be univerfally found. NOTE 62. The work In which this very fingular courfe of tlie auditory nerve is defcribed, is not frequent in this part of the world ; nor indeed any where, except in Italy : * See his Vindiciae before quoted, p. 22. I -f See his Myograph, p. 27, ' Magnet 42, 426 NOTE S; Magnet has even omitted to mention it in his Thea* truni Anatomicum. Our author has, therefore, been at the pains of tranflating the pafTage, in which it is defcribed at length, from the author; and of giving a copy of his figure in a vacant corner of one of the plates of this work. See Tab. 2. Fig. 2r. The title of the book is Letters of Defnoves, pro- feflbr of anatomy and furgery at the academy at Bo- logna, and of Mr. Gulielmini, profefTor of medicine and mathematicks at Padua, and of other eminent per- fons, on the fubje(£t of certain new difcoveries. In this work we have a defcription of the auditory nerve, in the following manner, giveri by Maftichelli, a phy- fician at Rome. The pair of auditory nerves coming from the me- dulla oblongata, enter the foramen of the os petrofum ; 9nd after the harder portion is feparated from the fofter, this laft pafTes thro' a fmall foramen, which forms the central line of the cochlea, and thence goes out at a little aperture, which, from a ftrait bafe, runs dire61:ly upwards. Afterwards, in the upper part, there are difcovered not only thofe little and fcarce vifible fora- mina, which Valfalva has defcribed, but befide thefe another meatus, into which a briftle may be intro- duced : thro' this there is a free paflage to the fofter portion of the nerve, which has now the form of a fnnple filament, and which is increafed in its beginning as its centre, and is elongated in its progrefs, and bends itfelf about, fo as to run thro' the cavities which form fpirales in the cochlea. After it has defcended by the end of the bafe, it pafTes thro' a fmall foramen into the veftibulum. In this place, this foft and nervous part is covered, as it were, with a kind of mucous humour ; and hence it is carried gradually, by divers inflexions, to the very arcus of the labyrinth ; when, afl'uming again the form of a foft and nervous filament, it enters again the narrow cavity of a very fmall canal ; and palling thro' its cavity, returns again thro' the proper orifice of the fmall canal ; and after it has pafTed thro' this cavity, comes out at the large orifice of the arch : hence it en- ters the proper orifice of the fmall canal, and pafies out again at the common orifice of this arch, thro' which it NOTES. 1 1 finally enters into the great canal, and thence again pafles out at its proper oritice ; and, finally, pafTes out of the OS petrofum by one of thofe foramina, which open tranfverfely into the veftibulum ; and returning into the inner cavity of the fkuU again, infinuates itfelf into the fubftance of the brain, where, as it makes its way in, it becomes divided into a number of branches, and joins itfelf to feveral of the little branches, in the manner that the little ramifications of the veins and ar- teries do in other places in the dura mater, in the fupe- rior furface of the brain, and about the pineal gland. That the intricate circuit of this nerve may be the better underftood. we are to refer to the figure, which exhibits it feparated from the bones, that it may be feen in what manner it is that it makes its way thro' thefe feveral pafTages. This is the wonderful courfe of this nerve, which Maftichelli, who relates it, tells us was difcovered by Simoncellus, a furgeon and anatomift at Rome. What he would principally attempt to demonflrate from it is, thct the foft portion of the auditory nerve does not make its way thro' the cavities of the cochlea and la- byrinth in form of a membrane, as has been the com- mon opinion ; nor in form of zones, as Valfalva would have it, but in the form of a foft and delicate nervous filament, which, after all this circuit, makes its way tack to the brain again. He tells us alfo, that the dif- coverer Simoncellius intended, in a fhort time, to pub- li(h this and a number of other curious obfervations in a treatife, with the advantage of a number of very ac- curate figures. Our author has taken, as himfelf pro- feffes, a great deal of pains to render the defcription of the courfe of this nerve intelligible, in his tranflation from the original ; nor have we been carelefs in the ren- dering it into Englilh ; yet we join with him in opi- nion, that it will appear obfcure to the generality, at leaft, of readers. Our author pleads for himfelf, that it is fo obfcure in the original, that fcarce any body could be expected perfedly to underftand the author's meaning. It was not proper to omit what has the ap- pearance, at leafl, of fo very remarkable a difcovery in anatomy 3 but v/e are to obferve, that Camerarius, in 4 - -his 42^ 428 NOTES. his tenth dlflertatfon, has taken fome pains to refuter this (yilem of Simonceliius's ; nor do we find that any body has been fince able to follow the nerve thro' all the meanders, thro' which he has traced it in this de- icriptijn. NOTE 63. : In the firfl editions of this book the author mentions only three coats of the arteries, as it had been the cuftom to allow no more ; but be afterwards found, by more ftri61: examination, that the coats of the arteries are in reality five in number 5 and that, in the larger arteries, they are evident enough, and may eafily be diftino-uifhed in the order in which he has mentioned them here. In the outer membrane there are a great number of blood-veffels. The fecond is formed of re- ticular plexus's, and may be divided into lamelias or flakes. The third is a membrane, firm, tough, and approaching to the nature of the tendons in its fubftance : when this is taken ofF, there appears a thick denfe coat, formed of a great number of evident mufcular fibres, which furround the artery in manner of circles or rings ; and this tunic alfo is eafily divifible into feveral lamellae. Finally, the fifth or inner tunic, which is placed within the ilefhy annular fibre, is called the nervous one. In regard to the mufcular tunic, there have not been wanting authors who have denied that there properly was any fuch. In a work publifhed at Hall in Saxony, under the name of Bibliotheca Mifcellanea, in the Ger- man language, our author's Compendium being men- tioned, the author denies the exiftence of a mufcular coat of the arteries, partly on the authority of Pcchlin and Schelhammer, and partly from obfervation that there were not what could properly be called mufcles there, and that the arteries fometimes offified, which they declare to be quite contrarv to the nature of any thing mufcular. The author adds alfo, that Schelham- mer has aiTerted that the arteries were not conftringed by any external force, or by means of any mufcular ftruclure ; but' that this change happened in them by mere fubfidence. But NOTES. But as It Is evident, that in the inteftines, and feveral other parts, fibres much fmaller and finer than thefe do compofe a mufcular tunic; and the motion and con- ftriiSlion of the inteftines is univerfally agreed, by the anatomifts of all times fince its difcovery, to be owing to this tunic, it is fomewhat unreafonable that it fhould be denied that this coat of the arteries is mufcular, or that it ferves for their conftri(Stion ; fince the fibres of it are much larger, and more confpicuous, and, in their annular or circular courfe round the veflels, form a mul- titude of evidently flefliy pale red lamellae, v^hich are fo obvious and diftin(51:, that there is no miffing them on difle£lion : and as to the ufe of them, the conftric- tion and motion in propelling the blood is vaftly greater than in the other cafes in vi^hich they are allowed. The requifites of a mufcle are a manifeft fibrous fubftance, and a povv^er of conftriclioji and motion : thefe arc pro- perties of this coat of the arteries ; and it is hard, that with thefe, and every other chara6ler of what diilin- guiflies mufcles in other parts of the body, they Ihould be denied to be mufcles here. As to the objection ralfed agalnft the opinion of this coat being truly mufcular, from the arteries fometimes offifying, we are to anfv^er, that the afl'ertion that muf- cles are not capable of offification, is not true. The ofTa fefamoidea, which are found here and there in the extremities of feveral of the mufcles, are a proof that it is poflible ; and the dura mater, which, by the com- mon ccnfent of anatomifts, is mufcular ; nay^ and the inteftines themfelves, in the fubfiance of which there are fometimes found oflifications, abundantly evince, that an offification, where there Is true and proper muf- cular matter, is not Impoffible, tho' uncommon. As to the authority 'of Pechlin and Schelhammer, v/e may oppofe to it that of Morgagni : many others might be brought in on the occafion, but this name alone is fufficient. This author, in his Adverf. 2. Animadv. 38. not only declares that the arteries have a mufcular coat or tunic, but enters fo far into the difquifition as to eftablifti the doi^irine of the fibres of it being annular, ggainft Magnet's opinion of their being fpiral. 429 ^30 NOTE S. A multitude of other authorities might be produced to fupport this fyftem ; but the greateft fupport it can have is obfervation, and an examination of the parts themfelves. Whoever will enquire into the merits of the difpute in this way, will allow, that the arteries have certainly a mufcular coat. NOTE 64. The greater number of the anatomical and phyfiolo- gical writers divide the great artery, into what they call its afccndent and defcendent trunk, in the fame man- ner as the vena cava is divided. But this artery, in human fubjedls, runs in a manner that might have given origin to a better divifion * ; for after it has arifen with a fmgle trunk about three fingers breadth, it be- comes inflected or bent in the manner of an arch, and takes its courfe thro' the thorax into the abdomen. This arch, as it defcends from the bafis of the heart, according to the obfervations of Morgagni f , is about feven fingers breadth long ; and is called, from the place of its inflexion tov/ard the lower parts of the body, the truncus aortas defcendens, or the defcendent trunk of the aorta ; and from this part of it are derived all the arteries of the lower parts of the body. From the upper part of the arch there are ufually, in human fubje(fls, three remarkable branches running upwards : of thefe the right branch, fometimes nearer the trunk, fometimes more remote from it, becomes divided into two parts, which are called the right fub- clavian and the right carotid arteries. The middle branch is the left carotid, and the other or left branch :s the left fubclavian : there are afterwards diftributed throughout the head and the arms. Our author obferves, that he has fometimes, tho' rarely, found in female fubjeds four afcendent branches. Of thefe the two outer ones have furnifhed the two fubclavians, and the two middle ones the two carotids ;{:. A heart of this kind, with the arteries injected, the author always kept in his mufaeum, among his nume- ♦ See an excellent figure of it in Drake's Anthropolog. T. zo, •f- SeeMichelotti de Separat. Fluid, p. 104. t Berger has figured and defcribed four branches. Aft. Erudit, 16S9 j but they differ from thofe of ow author, rous NOTES. 43t Tous preparations. It is but very rarely, if ever, tliat in hunnan fubjeds there are only two afcendent branches; much lefs are we to exped: ever to find but one : whence it is very evident, that the aorta ought by no means to be divided, as it ufually is, into the afcendent and de- fcendent trunk ; terms that may cafily give very wrong ideas of this veffel to thofe who have only read ana- tomy, without feeing difle6tions. Comparative anatomy feems to have given origin to this error. When human fubje(Sls were lefs frequently differed than at prefent, and moft of the figures and defcriptions of the parts were taken from thofe of quadrupeds, it is not fo won- derful that the terms of afcendent and defcendent trunk of the aorta were int'oduced ; fince, in quadrupeds in general, there is ufually only one large afcendent branch, dividing afterwards into the vefleis of the head, fore- legs, &c. But in mofi quadrupeds this afcendent branch, tho' it appears fingle, is not truly fo 5 but there ufually is another fmaller one very near it. The new delineations of thefe veilcls by Cant *, do not at all agree with the ufual and ordinary ftate of them. He gives, as it were, only two afcendent branches : the one larger than ordinary ; from whick afterwards proceed the right fubclaviac, and the two carotids ; and the other at a great diftance from it, from which rifes the left fubclavian. Our author af- ferts, that among the great numbers of bodies he had publickly and privately diire6i:ed, and examined with due care, as to the formation of thefe parts, he never met with one in which the vefiTels anfwered to this de- fcription. or to the figures given by this author. The branch which forms the left carotid, ufually begins from a very diftinct part from the other two, nearly in the middle, between them ; fo that it is but juftice to allow the figures of Ruyfch, Verheyen, and Drake, to be more accurate than thefe new ones. Drake, indeed, has figured the divifion of the fubclavian and right carotid feme what too near the trunk ; but otherwife his figures are excellent. Nicolai fays, that he has given four branches ; but this is not juft : he has really given only three; for it is evident, both from Drake's * See Impet, Anatora. T, 4, 43^ NOTES. figure and explication, that he makes the right carotid arife from the fubcUvian. N O T E 65. The author juft mentioned, Cant, in his firft plate and fecond figure, has given new draughts of the divi- fions of the carotids ; and, in his explanation of it, he falls foul upon all the writers who had gone before him, as to this matter. He declares all their accounts of thefe divifions of thefe vefTels to be imperfe6i, and gives his new fvrtem, which he feems to have fuppofed perfeft, in their place : but perfons, who have been accuftomed to examine thefe veiTels, after injedlion with a coloured •waxy matter, will very eafily difcover that this gentle- man's plan of them is not quite perfe(5l neither. He has given them terminations which they have not ; and every one, who has but feen the experiment of injecting them, muft recolledt that their branches run much farther in the face, and about the temples, than thefe imaginary terminations allow. The temporal ramifi- cations in particular, infliead of terminating where he would make them, run all over the upper part of the head in various ramifications, which form a kind of re- ticular plexus, and are conne6^ed on each part by anaf- tomofes with the arteries of the other fide. In the fame manner the artery which runs up to the cheek, and is figured by this author as if terminating about its middle in fmall ramifications, does in reality not terminate there, or in that manner ; but its principal branch runs over the cheek obliquely toward the larger canthus of the eye : it partly enters the orbit, where it divides into a multitude of ramifications, and partly runs up to the forehead in numerous others. Another confiderably large branch of this Artery alfo, after a fub-divifion near the lips, runs into each of them, and has many anaftomofes alfo with the artery of the other fide ; and thefe are the vefiels which bleed fo largely under the operation for the hare-lip, or other occalions, in which it is necefi^ary to make an incifion there. It is to be remarked, that this author, with all his pompous pretences to perfe£tion and accuracy, has allowed no arteries to the lips at all, in his figure. it NOTES, It would be eafy to point out, to the judicious ob- lervcr, a great many other defe£ls of this kind in his figure, particularly in leeard to the variations of the Tirft dix'ifion of the carotids i but it is not neceflary : the obferver will find them, on comparifon, very obvi- oufly. The author, in 'eed, feems to havt- been but very little a mafter of the art of filling th^ vcllcls by folid iiijedlions : if he had, he would have been able to have thrown his injedlion much farther, and filled the velTels of the face much rriore perfectly 3 and if he had examined the carotids in a variety of fubjedts, he would not fo pofitively have alTerted that their flexions and fituation were always exactly as he has given them, perhaps from only a fingie fubjedl:. We find them, on difTedtion, fometimes indeed nearly as this author has figured them ; fometimes alfo nearly as Drake has given them, and fometimes their flexions are quite different from what are laid down by either. All this will ap- pear, very familiarly and cbvioufly, to any one who will take the pains to injedl them often, with good inatter and good fyringes. N O T £ 66. The anatomical writers, almoft without one excep- tion, tell us, that the vertebral arteries, arifing from the fubclavians, afcend up to the cranium, thro' the foramina formed by nature for that purpofe, in the apo- phyies of the vertebrae of the neck ; and by this feem to lay it down as a fa6l, that thefe arteries pafs thro' thefe foramina in all the vertebrae of the neck. Our author obferves, that in a number of obfervations which he had made on them, In difFerent fubje6ls, by injec- tion, he has conftantly found that thefe arteries do not enter thefe foramina in the feventh or loweft vertebra, but in the lovveft except one, that is, the fixth. This is an obfervation not made by any body before him ; tho' it might have been made out by the obferving that the vertebral veins, in reality, pafs thro' the foramina of the feventh and loweft vertebra. The intent of nature in not faffering the arteries which pafs thro" thefe narrow paflages in the others, to go thro' thofe ill particular v/here the veins rhuft pafs, feems to be to prevent the arteries, in their dilatation, from compreflins; F f thofe 433 434 NOTES. tbofe veins, and thus preventing the free paflage of the blood. It feems to be for the fame reafon alfo, that in the cranium the veins and arteries do not pafs thro' the fame, but thro' different foramina. N O T E 67. Our author has obferved before, that the arteries of the oefophagus have been defcribed but by few writers. Nicolai * quotes only Drake and Ruyfch, on the occa- fion of them ; and the latter cf thefe only knew of a few paffing to the gula from the aorta : but in many diiiedlions he has obferved, he tells us, two or three fuch arteries, arifmg by diftindl beginnings from the aorta. He ufed to fhew thefe to his pupils, and has been fo lucky as to fucceed to admiration in his injec- tions of them, with a waxy matter coloured. NOTE 68. Nicolai, mentioned in the laft and fome of our pre- ceding notes, fuftains it, with Willis and Fallopius, againll Vefalius, Ridley, and our author, that the ver- tebral veins do not go up int© the cranium, nor reach the lateral fmus's f. It is to be allowed, that this is always the cafe in thofe peculiar fubje£ls, in which thofe foramina or canals behind the condyloide apophyfes of the OS occipitis are obliterated or clofed, as is frequently the cafe : but as in many bodies we find thefe foramina open, and manifeflly terminating in the lateral finus's, in thefe nature is to be fuppofed to perform her more regular courfe, and thefe are therefore to be looked on as the ftandards of truth. In thefe, if the other finus's of the dura mater be injected with a waxy matter, thro' the longitudinal one, and the veins arifmg from them filled at the fame time, it will be very obvious, that the vertebral veins enter the cranium by thefe foramina, and infert themfelves into the lateral finus's, near their exit out of the -cranium. Our author often found it very fairly made out by this method of injection, and makes no doubt but whoever (liall • find a fubje£l fo formed, and go to work upon it in that manner, will fucceed in the difcovery. It may not be improper alfo to afk of thofe authors, who deny the communication * See his DifTertat. de Direft. Vafor. p. 64, •f See the fame work, p. 4. NOTES. 4J5 of the vertebral veins with the lateral iinus^s, by means of thcfe foramina in the cranium, to whatpurpofe they fuppofe thefe foramina to have been formed ? NOTE 69. Mr.Chefelden, in the firft edition of his Anatomy, pub- lifhed in the year 17 13, iirft mentioned the remarkable valve in the inferior trunk of the vena cava, near the heart, called the valvula Euftachii ; and in his ninth plate in that edition gave a figure of it, tho' not fo perfect a one as might have been willied : he afcribes the difcovery of it to Dr. Douglafs, and calls it the valvula nobilis cavse afcendentis, by which name he means the inferior trunk of the cava ; but in the third edition of his book, he has left out the plate in which this figure Hands. It is probable, that the fixth figure in the eighth plate of Euftachius, in his Opufcula Ana- tomica, firft publifhed at Venice in 1564, and after- wards at Leyden, under the care of Boerhaave, in 1707, gave Douglafs the hint for this. But Euftachius does not call it a valve, but a membrane of a wonderful flrucSlure, which is placed before the foramen of the vena cava, afcending from the liver, as foon as it dege- nerates into the right auricle ; occupying its anterior half, and then forming a kind of reticulation *. Such are the exprefs words of Euftachius ; and, as to its ufe, he does not fo much as give his opinion f , But Lan- - cifi, in the late publifhed plates of Euftachius, which were fuppofed to have been lofl, particularly in his ex- plication of the third figure of the fixteenth plate, calls this a valve ; and telis us, that he is of opinion that it prevents the blood, defcending from the jugulars thro* the upper trunk of the cava, from meeting with too much violence, with the blood afcending by the lower trunk of that vein. ButWinllov/ is the author who has beft of all defcribed this valve, and explained its nature : he calls it the reticulated valve of Euftachius %^ * In his book on the "Vena fine pari, he has given a fuller defcrip- tion of this valve. ■f Bauhine, in his Appendix to theTheatrum Anatomicum, T. 8. fig. £. gives the fame figure from Euftachius j but he fays nothing of the ufe of the membrane, nor indeed does he call it a valve. % See Memoirs of the Paris Academy, 1717, F f 2 He 43G NOTES. He has given an elegant figure of it, lunated and reti- culated ; and has defcribed its fituation and conne6lions much more accurately than any body who had gone before him. He obferves, that its hollow part is turned upward, and its ■ccRyex:.(iart downward ; and has ob- ferved, that, in looking for if, in :di(re(Stions, the poile- rior part of the cava, not the anterior, is to be opened, other wife that it will hardly be found. He obferves alfo, that m adults, in whom the foramen ovale of the heart is clofed, this valve is often wholly wanting ; but that in new-born infants, or in any fubje6t in which the foramen ovale is open, it may be eafily found, efpecially on firft plunging the vein under water for fome time. After many other judicious remarks he adds, that, befide the ufe which Lancifi afcribes to it, it is evidently of great fervice in thofe young fubje6ts in which it is moft obvious and remarkable, in prevent- ing the blood from making its way from the right auricle, or from the upper trunk of the cava, into the lower. Winflow's v/hole dilTertation on this fubje6t is worthy the author, and efpecially worthy a careful read- ing : he fpeaks very judicioufly in it of the nature and .ufe of the foramen ovale ; and maintains, againft the common opinion, with Meyer, that the membrane placed oppofite to it is not a valve. NOTE 70. Anatomifls agree, that the nerves arife from the medulla oblongata of the brain, or from the fpinal mar- row ; but they do not at all agree about v/hat particular parts of the medulla they arife from. Whoever examines Willis and V^ieufTens on the fubje6l of the nerves, Du Verney on the organ of hearing, T. 11. Ridley on the brain, and after thefe Morgagni and Santorini in various peaces, v/ill fee this. Others alfo, who have abfolutely written from their own obfervation, differ as greatly from thefe, as they from one another. It is eafy to fee where an author's candour and accu- racy are to be depended upon, and where not. We find thefe differences in the defcription of the places of the origin of the nerves in authors, all of whom are to be fo depended upon ; and we are to determine, in con- /cquence, that it is not only one of them, but perhaps every NOTES. 437 every one that Is in the right ; and that nature herfelf varies, in this particular, as much as their def^Tiptions do. Morgagni has obferved, that in the origin, and even in the dif^.ribution and plexus's of the nerves, the anatomift will find great differences, in regard to the fame pair, in different fubje<^s ; and he argues very juflly from it, that nature does not tie herfelf dov^^n to thofe ftri£t laws, in this particular, that fhe does in many other cafes, but is very uncertain and various *. Santorini alfo, who had beftowed more time and pains than any man ever did, or probably ever will, in tracing the nerves from their origin ; yet confeffes, after all his attempts, that it is impofiible to arrive at any degree of certainty in laying down the places of them ; for that the origin of the nerves of the brain are not con- fiant, but vary greatly f. To defcend more to particulars, there is fcarce any thing about which the accurate anatomifls of late have fo much differed as about the true origin of the inter- coflal nerve. Moft of the late writers agree with Willis, that it arifes from both the fifth and fixth pair ; and fome afcribe fome certain branches, others different ones to it. Euflachius, as appears evidently from his tables, deduces it wholly from the fixth pair] and Mor- gagni in general agrees with him : he fays, that he has o''ten found it taking its origin from one, fometimes from two, fometimes from three branches of the fixth ; but that he never v/as able to find it fairly and clearly arifmg in any part from the fifth p Lancifi differs from all thefe : he will not have it deduced either from the fifth or fixth pair ; but gives it a peculiar and diftin61: origin from the protuberances of the brain, where thev are conne6led with the peduncles of the glanduls pineaiis §. Cowper will affirm nothing as to the certain and conflant origin of this nerve, but leaves it variable and uncertain 1|. And, finally, Santo- * Adverfar. Anat. 2. p. 75 and 76. and Adverf, 6. in various places. ■f Obfervat. Anatom. p. 63 to 67, % Adverf. Anat. 6. p. 30. § Morgagni, Adverf. 5. p. 105. i| As Morgagni obferves^ p. 30. Adverf. 6». F f 3 rini 4*S^ _ NOTE S; jtni agrees with Vieuflens and Ridley, and gives its origin conjuncStly from the fifth and fixth pairs, declaring that he has feen it fo *. Our author, whofe accuracy is by no means to be queftioned, reconciles all this va- riety of opinions, by obferving, that, in different fub- je6ls, he has feen it fometimes riling conjun6lly from the fiith and fixth pair, fometimes from the fixth pair only. From this our firft aflertion is very evidently proved, that nature is herfelf various and uncertain in this matter ; and nothing is more certain, than that not only thefe but other of the nerves vary extremely in. the places of their origin. And we are to add to this, that accurate obfervations are very difficultly made on this fubje^t ; for that the extreme fmallnefs and foftnefs of the nervcF, about their origin, renders them liable to fo many injuries, on taking out the brain, and making other neceflary preparations for their obfervation, that it is cdfy they fhouid be difplaced^ injured, or even de- ftroyed in this part, in the very attempt to examine them. N O T E 71. All the medical and anatomical writers, almoft with- out exception, have followed Willis in allowing ten pair of nerves to the brain ; but our author is of opi- nion, that the tenth or laft pair of thefe is very impro- perly added to the number of the nerves of the brain. It has not its origin from the brain, or the medulla oblongata, but from the fpinal marrow ; which reafon alone, if there were no other, one would think, might determine in favour of his opinion, that this pair is not to be called a pair of nerves of the brain ; but that they ought to be referred for the future to the nerves of the fpiiial marrow, of which they are the genuine and pro- per offspring : but this is not all that pleads againft it. We are to obferye, that this pair of nerves does not pafs thro' any foramen in the cranium, as all the pairs of nerves of the brain do ; nor, indeed, does it come fo near this as to pafs between the cranium and firft vertebra of the neck, tho' Willis has affirmed this, and people have followed him in it : but, in reality, it pafles between the firft and fecond vertebrx of the neck. t Sec Ad vetf. Anat. 6. p. 39 and 4.0, This NOTES. This is an obfervation which our author has the honour of being the firft perfon who made j but it has been confirmed by the moft accurate anatomifts fmce. This author very pofitively afTerts, that he never, in any one diflecSion, found any nerve palling between the cra- nium and the firft vertebra of the neck : and it is plain, from the words of Wilhs himfelf, on whom all the reft who affirm it depend, as their authority, that he was in doubt about it. He does not fpeak with that air of cer- tainty, on this fubject, that is ufual v»/ith him on many occafions ; but leaves us room to fufpedt, from his very manner of delivering it, that he rather conjedlured than ever fairly or clearly faw what he defcribes. According to our author's more certain obfervations, this pair of nerves are by no means to be faid to belong to the brain- They have their origin and egrefs both quite out of the limits of the cranium, and are evidently to be re- ferred to the nerves of the fpinal marrow, and are pro- perly the firft pair of thofe. Morgagni readily agrees with our author's fentiments, as to this pair of nerves not arifing from the brain or medulla oblongata, nor pafling thro' any foramen of the cranium* : but he obferves, with Ridley, that they difFer from all the other nerves of the fpinal marrow, in that they do not, like them, arife from an anterior and pofterior origin; and therefore he is not for allowing them to be properly one pair of that ferles, al' of which befide agree in a chara6ter in which they differ from thefe. But in an- fwer to this, we are to obferve, that Santorini agrees wholly with our author in opinion f ; and has fhewn, by an uncommon accuracy in refearches to this purpofe, that this pair, as well as the others of the fpinal mar- row, do actually take their origin both from the an- ' terior and the pofterior furface of the fpinal marrow. No one will call in queftion the au-hority of fo judicious and accurate a writer as Santorini, on this fubjeCt; and it follows, therefore, that as this pair of nerves have all the properties, and all the charaders, of the nerves of the fpinal marrow, and not of thofe of the brain, they are, from the time of thefe difcoveries, to be added to the number of the fpinal nerves, of which 439 44P NOTES. tbey are the firft pair ; and that, agreeing with Willis's account in other rerpe6ls, we are to allow only nine pair of nerves to the brain. NOTE 72. While our author was employed in obfervlng, under feveral fubfequent djliectlons, the uvula and its mufcles, he often obferved, from the root of the fmall apophyfis of the pterygoide procefTes, which Santorini, not im- properly, calls the horn of thefe procefTes, a feries of flefhy fibres, very confpicuous in their origin there ; which, afterwards joining, form a very minute mufcle, "whofe tendinous expanfion terminates in the velum pa- latinum, tc'ward the upper part of the uvula, which part, by the aff fiance of other mufcles alfo, it draws upward. Thi.s little mufcle our author has given the name o^" cerato-ftaphylinus to ; and tl;e reader will find a figure of it in our eighih plate, figure 38, Letters //. That It is a mufcular part is evident, beyond a doubt ; as alfo, that it ferves in the ofiice cf a mufcle, with others. It is fmall, indeed 5 but it is feparate from the others, a:id has a:~ good a title to be allowed a diltindt mufcle as many of the others of the fame part. NOTE 73. Schelhammer accufes the generality of writers 01^ anatomic?.' fubje6ts, of his time, for allowing, with Drelincourt, foity four intercoftal mufcles. He adds, that the intercoftal fibres are not fo difpofed as that they can feparately form mufcles ; but that they are mixed together, that they may decuilate with one another in their courfe. He fays, that one order of them runs obliquely from the inferior external part of the upper rib to the fuperior and internal part of the lower; and another feries or order, on the contrary, runs from the inferior internal part of the upper rib to the fuperior and external part of the. inferior rib, and that in the lame oblique direiS^fdftV;,-"T}ie,r.eafon of this fabrick, he fays, is, that the ribs may'be liaisle.to be moved, not only upwards, but outwards ; by which ^ the cavity of the thorax might be 'the more enlarged-; .and, on this plan, he fays, the thorax forms a kind of fellows, fuch as never have been, or probably ever will -be,' rii'adt by i*, any artificer. ^ •;;,•. '!^,^*;r NOTES. 44, In Gonfequence of this fyftem, Scheihammer allov.'s ^he intercoltal mufcles to be only twenty- two, or ha'f ^he number received by authors ; and to thefe twenty- two alone, with the alTiftance of the fubclavians, he attributes the elevation of the thorax. Govey goea much farther in the reduction of the number of thcfe mufcles than ti)is author : he f;.iys, that all the inter- coftals together form only one mufcle, which is divided into feveral bellies *. He ufes a very fingular experi- ment to prove this ; which is, he takes one whole f\dQ of the thorax of a human fuhjecf, or of a quadruped, and boils it in water 'till the flefh be ready to fcparate from the bones : after this, on carefully fepj rating and extending the flefhy matter, it is all found to be con- tinuous, and not formed of a number of different parts. This is an experiment that will not fail to pleafe thofe who are not fond of multiplying the number of the mufcles. N O T E 74. It is not withput fufEcient reafon that Winflow ob- ferves, that even the moft careful of the anatomical writers had not, v/ith a proper accuracy,' given accounts of the interofleous rnufcles : he gives a very natural reafon for the neglect, by obferving, that they are the jaft that are demonftrated iri the courfe of Myology ; and the anatomift, by that time he comes to them, is tired and fatigued, and longs to get to an end of his bufmefs.' It is hence, he obferyes, that thefe mufcles have feldom been fo thoroughly examined as thev oudit, but are generally mentioned in a tranfitorv manner. Even Cowper, he obferves juflly enough, tho' a very diligent enquirer into the nature of the other mufcles, has defcribed thefe but very imperfe6lly. Winilow, for this reafon, determined to give a better and more accu- rate defer! ption of them : he continues the old divifioa of them into the Internal and the external ; and he agrees, that their number is, as authors havf. laid it down, fix 3 but he does not at all agree with the others as to their infertions, or their ufes. Some of the writers before him, he obferves, have determined all the exter- * See his Veritable Chirur^erie, p. 1S9. 1 S?? Memoirs of the Paris Acad. 1702. p. 114. nal 442 NOTE S. nal ones to perfe£l: the office of abductors, and all the internal ones of addudlors ; and that others of them have eftablifhed exadly the contrary. Winflow agrees with neither ; but eftablifties it, that the two prior of the external ones, that is, the two which are neareft to the index, are inferted only into the middle finger, on each fide 5 and that they ferve as addu6lors and abduc- tors to that finger only : the third, he fays, belongs to the digitus annularis, and is anabduftor; and by nume- rous obfervations he thus proves, that the external in- terofiei, tho' appropriated by others to fuch different purpofes, do really belong only to two of the fingers, the middle and the annular. The firft of the internal ones, he (hews, belongs to the index; the fecond, to the annular ; and the third, to the little finger, acting as an abducent mufcle to that finger : and thus he proves that the internal inter- ofiei have nothing to do with the middle finger, but belong to the other three. But, with all due deference to the character of fo excellent a writer, we may ob- ferve, that it is not eafy to conceive how the internal interofieus, which he fays is an abducent to the little finger, if we confider its fituation, what anatomifts mean by abducents of the fingers, are fuch mufcles as feparate them farther from the thumb ; but how a mufcle thus fituated can perform this, is a thing not fo eafily underftood as Mr. Winflow would have it. Dr. James Douglafs, in his Myographia, defcribes thefe fix mufcles in much the fame manner as Winflow has done in this Memoir ; but he is more prolix. It is but juflice to this excellent anatomift to acknowledge, that no man appears to have underftood the mufcles better ; and to add, that his Myographia was publilhed in 17C7, Mr. Winflow's Paper not till 1720. Winflow, who is a very candid writer, and has too much merit of his own to be in any necefilty of bor- rowing pralfe at the cxpence of another, feems not to b'^ve met with this excellent work of Douglafs*s. This author agrees to the divifion of thefe mufcles into internal and external : the external ones, he obferves, fill the whole fpace between the bones of the metacar- pus, on the back of the hand ; thefe he therefore al- Jqws NOTES, 44J lows are very properly called interoflei : but the internal ones, he obferves, have lefs title to that name, as they arife from the anterior part of the bones of the meta- carpus, toward the palm of the hand, and are vifible ©nly in the palm of the hand, not at all on the back of it ; whereas the external ones appear on both fides. The firft of the internal interoffei, he fays, arifcs partly tendinous, partly flefhy, from the whole anterior part of the metacarpus bone of the index, between the head and the condyle ; as alfo from the fuperior part of the metacarpal bone of the middle linger, and is in- ferted into that fide of the fore finger which is next to the middle finger. The fecond of the interoflei, which is the firfl of the external ones, arifes from the greateft part of the external fide of the metacarpal bone, which fupports the middle finger ; and, in fome degree, tendinous from its inner part, nearly under its head ; and thence extends itfelf along the fide of the middle finger which is near- eft the index *. The third of the interofl^ei, which is the fecond of the external ones, according to the general divifion, is extended along the other fide of the middle finger, and fills all that fpace which is between the metacarpal bones of this and of the annular finger, from which it has its origin. The fourth interofiTcus, which is the fecond of the internal ones, runs along that fide of the annular finger which is next to the middle one : it arifes from the whole anterior face of that bone of the metacarpus, tp which the annular finger is afiixed. The fifth, which is the third of the external ones, runs along the other fide of this finger, and fills up the whole interftice between the metacarpal bones of the annular and little finger, from which it has its origin. The fixth of the interoflei, which is the third of the internal ones, is extended along that fide of the little finger which is next to the annular one ; and has its * The author's method would have been lefs obfcure, if he had firft defcribed alJ the external, and afterwards all the internal ones ; feut we have no right to change it, origin. 444 NOTES. origin, partly tendinous, and partly flefhy, from the whole anterior face of that metacarpal bone. All thefe mufcles, both the internal and external, pafs under a certain tranfverfe cartilaginous ligament ; and, after this, each forms tv/o tendons ; the one of which is prefcntly inferted into the upper and lateral part of the firft internodium ; and the other expands it- felf fo much as to coyer the greater part of the firft juncture, to which the tendon of the extenfor adheres : after this it becomes fomewhat narrower again, as it approaches t'ne fecond internodium, where the laft named mufcle is terminated ; and runs obliquely along this bone, and there is terminated itfelf in the upper part of the laft joint, after it has joined the fellow of it on the other fide. As to the ufe of thefe mufcles, Dr.Douglafs gives it as his opinion, that when the long tendons at?!:, the laft joint of the finger is extended ; and that they thus fup- ply the place of an extenfor m^gnus, which is wanting in this part; but that, when the fhort ones a6f, the fingers are moved fideways : that is, they either are (drawn towards the thumb, or are feparated farther from it. Such is the opinion of Douglafs, as to the nature and ufe of thefe mufcles. Winflow, who certainly had not met with his work, agrees in every material point with him ; and our author, who took no common pains in following them in their obfervations, in a number of difTc^tions, agrees alio perfectly with thein in all the e/Tential matters. As perfedly eftabliflied, however, a^ thcdotTlrine of thefe mufcles might feem from fuch concurrent tcfti- monies. Dr. Stockhuhus, a phyfician of Magdeburg, who had formerly been a pupil of our author's, arid who had acquitted himfelf fo well in his fludies 2s to Jeave no common reputation behind him when he left the fchools ; after all thefe difcoveries and obfervations, undertook to examine thefe mufcles himfelf, in a mpre than ordinarily accurate manner ; and, in confequence of his obfervations, fini filed urawins's of them with his own hand; which? with a new defcription of them, formed on the fame fubjeds, he communicated firft to hh okl mafter, ancj afterwards to the Academy of Ber- lin i NOTES. lin ; and explained the whole by a human hand, pre- pared for the purpofe, and exliibited with his paper before the Academy of Berhn. This author fets out with declaring, that the inter- ofTei, tho' generally faid to be only fix, are in reality nine^ fix of which are internal ones : and he adds, that they are to bediftinguifiied, without difficulty, in all fubje6ls, as he has figured them. Every one of the three inter- offei of authors, he fays, is diftingulfhed into two, in a very evident manner, by a divifion in its middle, by a quantity of fat, and a Vv'hite line; and even has tv/o feparate bellies, which may be very eafily parted from one another ; and, which fets the matter beyond all dif- pute, each of thefe bellies has its feparate and proper tendon, and each of thefe is inferted in a peculiar part^ nay, in a peculiar finger. This he alJedges as the flrongeft of all proofs of their being each really two diftin6l and perfect mufcles ; and, in confequence, that, inftead of three, the ufual number allowed, the internal interofTei are truly and properly fix. The originations of thefe mufcles the author has not thought it neceflary to enter into the defcription of: his figure fhevvs, that he agrees with Dr. Douglafs in this, and his defcriptions therefore need not to be added to or altered ; but, in regard to their extremities, he differs extremely both from Douslafs and all the other writers ; and has very elegantly figured, and very punctually defcribed them. The firfl of them, he fays, which is nearefl the index or fore finger, applies its tendon to the internal fide of that linger. The third is afSxed by it to the external fide of the middle finger, that is, to that fide of it which is neareft the index. The third is fixed to the internal fide of the fame middle finger ; the fourthj to the external fide of the annular finger; the fifth, to the internal fide of the fame finger ; and, finally, the fixth and Igft, to the internal fide of the little finger. He is of opinion, that thofe, the tendons of which are in- ferted into the infides of the fingers, ferve to draw the fingers back from the thumb ; and that thofe, v/hofe tendons are affixed to the external fides of the finger?, ferve to draw thofe fingers toward the thumb ; and con-* fequently that, as only the one, or only the others aft, the 44S 446 NOTES. the fingers are drawn towards the thumb, or are fepa- rated from it ; but that, when they all a£l together, they ferve to draw the fingers clofe to one another ; and that, additionally to all this, they are of ufe in the bending of the fingers. This author agrees with the reft of the world, in- deed, that the external interoflei are three in number ; but he obferves, that they aie of a different ftructure from what liad ufually been fuppofed. He fays, that they are all bicipitous, or double, at their origin ; and that one of their heads arifes from one bone of the me- tacarpus, the other from another ; and that thefe two bones are always thofe, between which the mufcle hes : from this part, on each fide, he fays, there run mufcu- lar fibres, arifing from the bones, which defcend obliquely toward the fingers ; and that they join, and form, as it were, a body like a feather, (whence he de- clares them to belong to the penniform mufcles) about the middle of the interfiice between the two bones, and afterwards form a fingle tendon each ; the firft of which, that which lies between the metacarpal bones of the fore and middle finder, is inferted into the internal fide of the index * ; that which lies between the bones of the middle and annular finger, to the internal fide of the middle one; and that which lies between the middle and annular finger, to the internal fide of the annular finger. From this it appears, that, according to Stockhu- fius^s opinion, the little finger has no aflirtance from the external interofiei ; and that thefe interoff-i ferve for the drawing av/ay the three other fingers, viz. the fore finger, the middle, and the annular finger, from the thumb ; and confequently that all the external in- terofiei arc abductors. The author concludes with great modefiy, not defiring this fyftem of his to be re- ceived as certain fronn his own obfervations, but fub- mi.ting it to the examination of other anatomifts. We are apt to believe there is great truth and accuracy in his figures and dcfcriptions ; but we are to obferve, with * In this particular the author differs both from WinHow and Douglafs, who both fay that this tendon is inferted intQ the exterior fide of tlie middle finger. Mor- NOTES. Morgagni *, that there is fo much variation in nature, in the conftru(Stion of the mufcles of the fingers, that it is impoffible to give any certain and conftant defcrip- tion of them, v^^hich fhall fuit what is met with in every fubje(Si:. NOTE 75. Littre, in the Memoirs of the Paris Academy for the year 1705, has given an account of a difle^tion of si foetus, in which the kidneys appeared to be of a vefi- culous ftru(Sture : from this fingle inftance many have inferred, that the natural ftate of the kidneys is ve- ficulous j but this is arguing much too haftily. We are to obferve, in the iirfl place, that thefe kid- neys were, according to the author's own account, in a kind of monftrous ftate, very different from their na- tural one in a healthful and properly formed fubje<5l. This is evident from the ftate of the ureters, which he defcribes to us : thefe were, for near an inch from the kidneys, not only folid, or ciofed up, but the very fides of the pelvis were found alfo concreted, or grown toge- ther : nothing can be more evident than that they were, therefore, in a diftempered or unnatural ftate; and therefore no general conclufion, as to the ftrudure of the parts, could properly be made from them. We are to obferve alfo, that tho' the author deduces, from this ftrudlure of the kidneys of this particular foetus, no lefs than eight conclufive arguments, as he efteems them, for proving the fubftance of the kidneys, in general, to be glandulous ; he has omitted one ob- fervation, and that the very capital one of all that might have fallen in his way ; and which, however fairly the reft are deducible from the cafe, very cer- tainly and obvioufly is f o ; which is, that the human foetus is not in abfolute necellity of having a fecretion of urine, while in the uterus ; and confequently is not under a neceflity of having the tunica ailantoides, which quadrupeds have, and which many have fuppofed of ab- folute neceflity to the human foetus alfo, tho' they have not been fo lucky to find it. This foetus of Mr, Littre's was at its full period of nine months, and was killed in the birth > fo that it is • See his Adverf, An at. 2» p. 40, plain 447 44S NOTE S. plain it hav^ lived to that period without any fecr^tion of urine ; and, as the foetus had lived fo, it is evident that others may, as well as rational to fuppofe that ail others do. The author e;cprefly tells us, that the ureters and pelvis were fo perfectly coalefced, that not a drop of the (ubtleft fluid could be infinuated between them j nor even air be forced in by inflation ; much lefs was it poffible, that fo thick a fluid as the urine ever had made its way between them. It is evident, therefore, that no urine in this fubjed: could have been conveyed from thefe ureters and kidneys to the bladder, to be thence fent to the u'^achus and al'antois. Littre is (j far from having fallen upon this impor- tant obfervation, however, that he concludes, from the veficles of thefe kidneys being fiUed with a liquor rc- fjinbling urine, that therefore there is always a fecretioa of urine in the fttrtus, during the time of its being retained in the womb ; and confequently that the fostus mufl either difcharge this urine by the common pallages, or by the urachus into an allantois. It does not appear, however, that either of thefe propofitions are fairly deducible /rem the hS.s. It is very necelTary to be allowed, that there is fome fccretion performed in the kidneys of the foetus ; but it has never yet been proved, that the urine thus fecreted is Co confiderable in quantity that it can- iiot be contained in the bladder, kidneys, and ureters, without a necelTity of a difcharge of any of it, till after the birth. If we examine the condition of the kidneys in this foetus of Littre's, it will appear, that all the liquor con- tained in the whole feries of the veficles, was not fo much as an ounce, tho* the foetus was at its full period for exclufion. And it is evident, that no larger a quan- tity of this ^iuid could have been, during the whole time of geftation, fecreted in this fcetus ; becaufe the ureters and kidneys were clofed up, and no urine could have been fent from theni into the bladder for exclufion. As it appears very evident, that a human fcetus, in the ordinary courfe of nature, has the bladder confiderably large, in proportion to its bulk ; and may have, in th.st and in th^ ureters, and in the pelvis of the kidneys, a vaftly largei* quantity of fluid than that found in this 2 foetui'i NOTES. fetus's Veficulous kidneys, without any neceffity of ex- clufion : and as this foetus, otherwife well formed and healthy to all appearance, had only (o fmall a quantity as about an ounce of it fecreted, it appears that theie could have been no more neceffity of emptying this little quantity into an allintois, than there was poflibi- lity of doing it; and hence, if the impoffibili y of thus difcharging urine in this fbetus wa^ attended with no ill confequcnce to its healih, it was not neceflary to it j and if not neceflary to it, it is not necefrdry in any. Upon the whole, therefore, 'tdl the urachus in the human foetus fhall be found to be mach more frequently pervious than it is, and 'till the allantois has been much plainer demonftra(ed to exift than has been done at pre- sent, we are not rationally to fuppofe it a necefTary or ordinary part. If it be necefTary to fuppofe that a much greater quantity of urine than can be conveniently contained in the blaJiJer, ki'^neys, and ureters, mufl be fecreted in the foetus; it follows therefore, that there muR have been alfo fuch a qi 'amity fecreted in this cf iVIr. Littre's. It evi- dently appears, 'hat but a fmall qu^-'tity was found in this foetus; and therefore, if *^ ,ic had been a larger, fome of it muil have been, uiicharged. This difcharge could not have oeen made in the ordinary way, as eftaolifhed by autiiors, thro' the urethra, or the urachus, into the all-ntois, fmce the paiTdges to thefe parts were wholly ftopt up; and if it be allowed that there muft have been other pafTages for the difchargin^g it in this foetus, it follows that there are fuch other paflages alfo in other f(]ecub's ; and, confequently, that an allantois, and the apparatus for the difcharge of the urine into it, is not neceffary in a human fcetus. The quantity of urine voided by the foetus's of many quadrupeds, during geftation, particularly in cows, is vaftly great. A woman, who f^^ands only on two legs, could not walk with fuch a load, without conti- nually falling, tho' a quadruped may : nature feems, therefore, to have provided againft it, by conveying out the urine of the fcetus, together with the blood, thro' the umbilical arteries, to the blood of the parent, to be voided with her urine in the ordinary way ; and this G g feem$ 449 450 NOTE S. feems evinced, not only by the foregoing reafons, but by the very coalition of the ureters, &c. in this foetus *. Finally, we are to obferve, that the peculiar ftate of the kidneys in this foetus did not appear, in all the par- ticulars, fo plain as the author's defcription vv^ould lead us to believe. Fontenelle, the fecretary of the Aca- demy, tells us t, that tho* the kidneys, which he de- fcribed, were indeed very tumid, yet he was not able to difcover, without the afliftance of a microfcope, the greater part of the fingular circumftances which he men- tions of them. He quotes, however, in confirmation of this ftru£ture in the foetus's kidneys, an obfervation from Mayer, of the whole fubftance of the kidneys being found veficulous in an adult. * See MoUnett's Diflert. Anatom. Patholog. lib. 6. c. 7. p. 304.' •f- See Hift. Acad. Reg. Sclent, Anno 1705, p, 58. Ed, Amftelod. % Colleg. Anat. 173. NOTE 451 vX NOTE 79. AFTER the moft perfect acquaintance with the bones, as preferved and exhibited in the fkeleton, there is ftill fomething wanting to a perFe6l knowledge of the ofteology of the human frame. The bones, in order to their being arranged into a fke- leton, in a firm manner, clean and dry, lofe many parts "which they had, while in the body, efpecially at their ex- tremities; which parts it is of the utmofi: importance to us to know that they have, while in the body. Thefe are only to be feen by laying bare and examining the bones in a dead fubje6l, while quite frefli ; for, in the natural drying of them only, many would be loft and obhte- rated in the boiling, in order to the forming into that artificial compages which we call a fkeleton. Moft of thefe parts are diflblved, and leave no veftige of them- felves on the parts of the bones where they were fituated. In the dried fkeleton, the utmoft we can fee of the bones is their figure, their fituation in the body, and the parts at which they are connected to one another : but how, or by what means, that conne6lion is performed in the body, we can only learn by examining them in their connedled ftate, while the body is yet in the con^ xiltion (life alone excepted) in which it was while they were ufed. In this ftate only it is, that we can per- fef^ly underftand the nature of their articulations * their connedlions at thefe parts, by means of cartilages and ligaments, ftiew us what is truly their ftate in nature ; and we find that, in the dried fkeleton, thefe very arti- culations often wear a verv different face from what they do in this ftate, which is the only ftate in which we have any real concern with them, or with accidents happening to them in the body. Several of the cotyloide cavities, which are demon- . ftrated to us in the dried bones, are not hollowed in this manner in the natural ftate in the bodv, but are ale- noide : their cavities naturally are filled up with fi.rm cartilages ; but thefe are difTolved and difappear in boil- Gg2 ing. 452 NOTES. ing. Other of the cavities, on the contrary, appear much deeper in the natural ftate of the bones than in the flcelcton. Thefe are only glenoide in the dried bones ; and iheir cavity, in the boney matter, has never been any deeper : bur, while in their natural ftate, they have been furrounded with cartilages, forming a kind of riling rim about their edges, and making the cavity in the whole much greater. The boiling neceffary to the reducing the bones to the ftate in which they are preferved in the fkeleton, divefts them alfo of many other of their eflential parts. Their psriofteum. for inftance, the mucilaginous fub- ftance of the joints, and the marrow, all which have their feveral qualities and properties neceflary to be known, in order to the making anatomy of its due ufe, and bringing it to the fervice of the parts when diftem- pered. I he bufinefs of the furgeon, in reducing frac- tures, and luxations alfo, is eminently aflifted by this knowle ;ge of the bones in the ftate of nature, or in that in which only they become the fubje6ls of his pro- fcfiion. EvQiy anatomift, in his courfes, ought there- fore to demonftrate, befide the bones of the fkeleton, thofe of the recent body, cleaned from the mufcles and other parts that furround them. Riolan has the honour to be the firft anatomift who faw the utility, not to fay the nccelFity, of this double courfe of OHeology. He alw.iys ufed it in his courfcs ; but the trouble and diffi- culty of obtaining bodies rendered it neglected after his time ; nobo !y, after him, having been at the pains of doing ir, 'till the accurate and indefatigable Winflow. Riolan, who recounts the advantages of it, before re- marked, alwavs went carefully thro' it at the end of his courfe : Window, ftill more judicious, ufed to make the demonftration of the recent bones the article that immediately followed his common odeology, by the fkeleton : by this means his pupils, immediately after they had obtained a general knowledge of the names, terms, and fituations of the bones out of the body, were acquainted with their true ftate and fituation in it ; and the remembrance of what they had heard before, was by this rooted in them, and ferved as the bafis of the NOTES. -453 the whole fuperftru£^ure, the mufcles being afterwards vaftly better underitood in their fituations. NOTE 80. What it is that determines the efforts of the foetus, toward its delivery, from the prifon of the womb, which it had before fo long patiently fuffered, at the period of nine months, is a queftion that has perplexed people in all ages. One of the firft affertions, in regard to it, was, that the foetus found a want of food : this, as wild and extravagant as it is, has no kfs a name than that of Hippocrates as its eftablifher and d<.fender. It is not eafy to fee, however, how the foetus (hould either want nourifliment at this particular period, or fhould be actuated by fuch a fcnfe, if it were true that it had it to attempt making its way out. The mother, we find, is ver,y well able to afford nourifhment to two foetus's : how then are we to fuppofe VnQ can, juft at this period, become wanting in regard to one ? We find moft women of robuft habits, after delivery, having milk enough for the nourifhment of two chil- dren : why then fhould the fame vi^ofnan be fuppofed, jufl at the period of nine ijionths, to want nourifhment for one ? Others have advanced, that the foetus feparates itfelf from the womb, at its due period, in the fame manner that fruits do from the tree, when ripe : this might found prettily enough from a poet ; but, from the mouth of an anatomifl, it is not quite fo creditable. Fruits, when ripe, are arrived at their perfection and utmoft period of growth ; but this is not the cafe in the foetus. Befide, to make out any analogy in the circumftances, thefe authors fhould find a parity of reafon for the dropping off of both. The reafon why fruits, when thoroughly ripe, fall from the tree, is, that their flalk, hav^ing now done its full office, dries up and withers, and confequently no more juices are conveyed to the fruit thro' it : but, on the contrary, the placenta con- tinues to be fully and perfectly fupplied with blood and juices to the lafl ; and is indeed affixed as firmly, and in a llate to perform all its offices as perfeC^ly, at the very period of delivery as at any other time. ' G g 3 Others 454 NOTE S: Others have faid, that the great incrcafe of the liquor amnii makes the foetus uneafy, and is the occafion of its moving about, and endeavouring to efcape : but, before people build reafonings on things, they fnould be aflured that they are facSls. Now the truth is, that there is not any fuch peculiar increafe of tbefe waters at this time ; and that, if there were, there could be no reafonforfuppofing that the foetus would be intommoded in this manner by them. The foetus, having not yet breathed, would be no more difturbed by an irxcreafe of thefe fluids, than a iifh, by being put out of a fmall quantity of water info a larger : and as to their quality, there is no change in that to occafion any uneafmefs in it j for, to the laft, they are infipid to the tafle. The apparent infufficiency of all thefe reafons has put many people, fince the time when they were ad- vanced, upon finding a better. An author of very con- fiderable fame, lays the whole force upon the urine and excrements : thefe, he fays, incrcafe by degrees, 'till, toward the time of the delivery, they form a quantity that is troublefome to the foetus, both in regard to its bulk and its weight : this makes it reftlefs, and it begins to move about, its ftrength at this time enabling it. In its motions its head naturally gets downward, and falls againft the orifice of the uterus, with its face towards the coccygis : in this fituation of the foetus, its urine and excrements become more troublefome to it than they were before. This occafions more and more mo- tions in it ; and, in ccnfequence of thefe, it gets lower and lower. In this fituation it brings on a tenefmus iq the mother: the mufcles of the abdomen are put in motion by this, and the efFedt of their motion is the forcing the foetus ftill lower down : this increafes the tenefmus in the mother, and confequently the mufcles ,of the abdomen are flill more and more forcibly put in a61i()n. The confequence of this additional preflure upon the foetus, and of it againft the orifice of the womb, is, that it opens, and the membranes are prefl'ed upon 'till they break ; the liquid contained in them is let out, and it ferves to lubricate the parts, and difpofe them to diftend and give way the more readily.^ In fine, the head of the f(Etus prefents itfelf at the orifice 4 : ^ 'of NOTES. of the uterus : the a£lion of the mother's mufcles, and her efForts, prefs it downward into the vagina, which has not only been moiftened by the Hquors from the membranes of the foetus, but its own lacunae and fe- baceous glands continually, on this occafion, difcharge their lubricating contents ; and it is by this means ren- dered capable of diftention, and the foetus comes forth I After it the navel-ftring, the membranes, and the pla- centa follow, and the whole is fucceeded by a greater or lefTer haemorrhage. Courvee, among the French, was the author of this fyftem ; and Drelincourt and fome others have been at great pains to fupport it. Drelincourt, in particular, obferves, that, at the period of nine months, the in- teftines are naturally full of the meconium ; and that, in confequence of this, the ftomach begins to retain fome of it, and would fill with it alfo, but that the firft attempts toward this bring on a kind of cholicky or griping pains in the foetus ; and that thefe pains are what difturb it, and give rife to the motions that are the means of its being difcharged out of the uterus. Pechlin and Bohn declared themfelvcs difldtisfied, however, with this account. They have attempted to prove, that it is not in confequence of the foetus's feel- ing pain that it is thrown into efforts, the confequence of which is delivery ; but that it is an attempt to re- fpire that directs its head, at length, to vard the orifice of the uterus. But it remains upon the favourers of this opinion to prove, that the foetus is in this iroubls and diftrefs about breathing; which is not fo eafy to conceive, when we conf;der that it has no occafion for it. Berger advances yet another opinion, which is, that the pofture the foetus is placed in, during the v/hole time of geftation, is a very une2i(y one ; that, as it grows larger and more vigorous, it is more fenfible of this ; and that, in fine, "when ftrong enough to move freely, it makes efforts to put itfelf out of (o confined a fituation ; and that, at length, it fucceeds in thefe j the confequence of this is its gettins: into that pof- ture, by means of which it afiifts itfelf in the ex- dufion. G g4 The 455 '45S NOTES. The foetus, while acquiring its growth in the uterus, is placed in fuch a fituation as to take up the leaft pofliblc room. It is contracted into a clofe form : its head is placed upwards, and its back againft the lumbar vertebrae of the mother : its knees touch its face, and the hands are placed upon them, with the nofe between them. This curled ftate tho' it fufFers, while very fmall, yet, as it grows larger and ftronger, it tiies tq alter it ; and, in its attempts of this kind, its head gets downward, and prefents itfelf at the orifice of the womb for delivery. 1 h .= has a face of reafon : but if the author were to be aflied, why it is that the foetus grows fo particularly uneafy at its cur'ed fruation, juft ac the end of nine months, ann fucceeds juft at that time fo happ Iv in the freeing itfelf from it, he would £nd it very difficult to give any folid anfv/er to it. Another fyftem, which gained great ground at one time in France, was, that the menftrual difcharge?, and the changes in the courfe of nature, in regard to them in pregnancy, did the whole. The mcnfes, he fays, floA' monthly at their period, merely from pleni- tude : as foon as a woman is with child, thefe ceafe ; becaufe the matter of this plenitude is taken oft in af- fording nourilhment to the fcetus. There is, however, ftill a little of the blood, that would otherwife have been thos difcharged, diredled toward thofe vefiels at which it ufed to be difcharged : this becomes accumu- lated there, and diftends them, tho' it is not able to force its way out. The roots of the placenta flop up the orifices at which it ihould be difcharged, and its fmall quantity is not able to overcome the refiftance : this quantity is, however, always increafing ; and by degrees it becomes fo confiderablf, that, at the period of nine months, there is enough of it to force its way out by the vefFels of the uterus ; but this can only be done by diflodging the roots of the placenta. The efforts toward this, he fays, give many motions to the uterus, and thefe arc communicated to the fcetus: it begins to move itfelf forcibly, and, in confcquence of it, changes fituation, and its head falls againft the orifice of the uterus : the confequencc of this fituation of the head of the fcetus is N>@ T E S. 457. Is a tenefmus in the rftother ; and tbe'confequence oF that is a motion of the abdominal mufcles, greatly: aflifling the exclufion; of the foetus, as. already .obferved.' At the fame time alfo the mother feels pains in; her loins, about the rectum, and about the bladdci*^. occa- fioned by the compreffion of the parts ^by the uterus ;• and the itools and urine are not eva^cu-ated but witH^ciif- iiculty. The motions of the foetus, which are at this perrtk^^" very ftrong,v ferye to burft the membranes^ it i&.inbloYcd- in, and the.waters are then difcharged out of them': th^ orifice of t^^jyomb opens; a glutinous huinory which had clofed itSis the firft thing difcharged ; .and'sjter tliis" .r.-V, the liquors ofr the men^branes, and the patts^ are lubri-*.- va- cated by this ; and t^ruterus, being at ,the fame tin^u :, irritated by it, prefle^ ^forward its contents. .■.T.h'&.mb^ ■. ..:■' tions of the foetus, which finds, itfelf imuch lefs-atr'^ar^ ft** after the difcharge of the -waters than before, 'occaffon*' / motions in tjbe uterus alfo, and thefe more and more enlarge the.,-orifice of the uterus ; and the head of the foetus pi effing all this time againft it, by degrees it opens to a due di?gree for the giving pafl*ao;e, on a ftrong pref- fure, to the head of the infant.. This prefTure is given by the diaphragm and. mufcles of the abdomen of the mother, and by the contra(5iing power < f the uterus it- felf; and,~ in confequence, the foetus aiTiiting by its own motion?, it is excluded. There is an appearance of great fagaclty and fubtility in this ; but, when examined ferioufly, it will be found to want weight. The accumulation of the menftrual blood is not to be allowed in the fenfe this author men- tions it in ; and, as this is the bafis of the whole, the fuperftruclure muft needs fall with it. Such have been the various judgments of philofopbical and anatomical genius's, as to the occafion of our firft being thrown into this breathing world. They have been puzzled to find the caufe that, at the end of nine months, delivers us out of the prifon nature had inclofed us in at our firft exiflencc ; but it ftiOuld firft have hem proved, that this exact period of nine months is the time allotted for it. This has been eftablilhed by every body as a principle to reafon from ; but this is not true, in fad. It is often impolTible to determine, with any degree 45S NOTE S: degree of certainty, the real time of impregnation; and inftances, in fufficient number, prove to us, that this is fo far from being the punctual and exa£l period, that delivery happens at all the intermediate times be- tv/een feven months and eleven. It is evident, from a great number of inflances, that vv'omen do fall in labour at different periods between thefe ; and at the end of the tenth month, in parcicular, feems to be a critical period, as well as the end of the ninth, tho* notfo fre- quently. We are therefore, in the eye of reafon, to fee many caufes operating at once toward this important end ; not one principal only, as thefe feveral authors have fet out with fuppofmg, the reft feeming to t! em but as collateral and accidental afTiilances to it. The growth or increafe of bulk in the infant, ihe fcecal matter, or meconium contained in the inteftines, the fize of the body, grown over- proportioned to the cavity it is lodged in, and the more than ufually violent and continued motions ; all thefe may confp:re toward the great end, the exclufion ; all may tend to determine the uterus to open its orifice: and to all thefe we are to add, the effe6l of the new mufcle of Ruyfch, and of the other mufcular fibres of the uterus, or perhaps of the whole uterus itfelf, con- fiJered as a Angle mufcle ; and we fhall have a great number of co-efficient caufes, all powerful, all dire«Sted to the fame end. The mufcuiar fibres are flretched and forced out of their natural fituation by the dilatation of the fundus of the uterus ; for it is the fundus that almoft alone dilates above the ligaments: when this dilatation of the uterus is pufiied to a certain point, we may confider the muf- cles and mufcular fibres as now at a period, beyond which they cannot be dilated, and as hurt by it In fuch a manner, that they naturally are to contra6l. The period of the contra£lIng of. thefe mufcles is, that when they can bear n j farther dilatation, and when that which they have borne has become painful and Irritating to them : but this Is a time not fo exactly regulated as Ihould feem from what thefe authors have advanced ; hut it varies in regard to the ft-ate of the fibres them- iclvcs, whicl) differ in different fubjeCts j and in regard to NOTES. 459 to the bulk of the child, which alfo is different in dif» ferent women, and in the fame at different geftations. Thus, in fome, thefe mufcles are dilated to their ut- moft pitch ii; the eighth month ; and in feme, this does not happen 'till the tenth : whenever it does happen, labour comes on, and the fcetus is protruded. The in- termediate period between the two extremes is that of nine months : it is not wonderful, therefore, that this is the moft ufual time. On this then depends dehvery, and this is the true fyflem of it, and cccalion that brin2:s it on. The Creator has made the mufcular fibres of the uterus of fuch a kind, that they can bear diftention up to a certain point, but no farther : when they are thus far diftended, they will have a re-adion ; and the confequence will be an expulfive power, tend- ing to difcharge the thing that diftends them. In this fyftem there is no occafion for fuppofing fuch great effeds to be produced by the infants changing its pof- ture : nothing is more certain than that, during the time of geftation, it is changing its poffure continually at times, without any fymptoms of labour being brought on by it ; and, even in the time of labour, it is not al- ways found in this particular fituation, with its head at the orifice of the uterus : but labours are too com.mon, in which its being in other very different poftures is of great difficulty to the hand employed, and pain and danger to the patient. Harvey is of opinion, that the membranes ought not jto burft in a kindly labour ; nor does he allow any to be natural, unlefs the membranes come forth whole and intire with the foetus, and with their liquors in them. When the membranes have been broken, and their con- tents difcharged, it appears to him that things have gone contrary to the intent of nature -, but we are to obferve, th^t, if this be the cafe, there are but very few deli- veries that arc in this courfe of nature ; the burfting of the membranes, and the difcharge of the fluids con- tained in them, almoft always preceding the birth of the child. On the contrary, nature feems never to have meant any other than what we ufually fee ; and v/e are to admire her contrivance, in that (lie makes the iarae thing ferve at different periods to different pur- pofes. 46o NOTES. pofes. The liquor amnii, which at one time fervcd for the nutrition of the fcaetus, jvhen that intent is over, and the foetus is to be excluded, ferves to relax and lubricate the parts which are to be fo wonderfully dif- tended, in order to give way for its birth. NOTE 8i. This aflertion is not fuigular in our author : * he is fupported in it by feyeral of the moft eminent anato- mifts, both before his writing, and by the opinions of others at this time 5 yet it feems ftill very queftionable, whether it really is the cafe. Paree is the firft author we meet with affirming it ; but he fpeaks it rather of his opinion than his knowledge. The great thing urged in favour of it by others is, that there is in fome wo- men fo large a cavity in the place, that a finger will fmk into it ; but this may be a mere depreffion of that part of the bone, not a feparation. That it is poflibie fuch an accident as an a£lual feparation may happen, we do not deny ; but that it very rarely does happen, feems alfo certain. E X P L A- 4^1 ' M i m . — <»»»t, indicate the fame parts as th6 fmaller letters of the fame denomination in the other figure. It may not be improper to remark in this place, that this apophyfis, or procefTus Ravianus, has often been found, in diflecSlion, in fuch a condition as to render it fufpedted of not being a real bone. It is often flexile and elaftick, in the manner of the lefTer bones of fifhes; and, if prefled any way upon the head, it will bend or give way a little ; and, on the removing the prefTure, or leaving it to itfelf, it will recover its true form again. This flexile and elaflick quality is not found, how- ever, in any of the other genuine bones, if we except the ribs. It may alfo in its recent fiate, or even after it is a little indurated, be divided by means of a needle, or any other pointed inftrument, at its top, into a multi- tude of fibrillse, or capillary parts, as if it were indeed no more than an indurated tendon. Ruyfch was the firfl anatomift in whofe le6lures this Angular texture of this part was demonftrated. It appears from the expe- riment to be rather of the nature of the fpines of filhes, or to be the indurated tendon of the mufcle, which is inferted in that part, than a real and genuine bone. Some other procefl^es of the fame nature, examined by the microfcope, and fituated about the angle marked by the letter £", are perfectly cartilaginous ; but the reff, from this angle E to the part marked Z), is found, on a nice examination, to be much more boney in its nature, and indeed to be a kind of peculiar bone, or epiphyfis ; and from thence it probably is, that this part is fo eafily broken, in the taking out the malleus : which is, in- deed, fo general a cafe, that the very accurateft anato- mifls of fome years ago, and particularly thofe who had profeiTcdly treated of the human ear, as Du Verney, Schelh'immer, Valfalva, Vieuflfens, and even Mange- tus in his Theatrum Anatpmicum, have omitted this apophyfis, or epiphyfis, by which ever of thofe names it may be mofi: proper to call it, in their figures. This, however, is the more obfervable; fince not only Cceci- lius Folius, in his Schedifma, entitled, Nova Auris in- ternee dclineatio, publifhed at Venice in 1645, (a work that Explanation of the Figures. j^n that fell into our hands fince the firft edition of this Compendium) defcribes and jfigures it, tho* not with the moft perfect accuracy ; but even Bartholine gives it in his Anatomia Reformata, p. 713. As the firft figures of this bone arc, however, given at Tab. i . Fig. i . larger than the life, it has been judged not improper to add another figure of a malleus, with this procefs, taken from the ear of an infant newly horn, in its natural fize, as at that period of life. This is figured in two views, and fhews feme variation in this procefTus Folianus. Fig. 2. Reprefents the lower part of the os femorls, with two fefamoide bones, not defcribed by other authors. jfy The OS femoris. By The internal condyle. Cy The external condvle. D, The larger of the two new fefamoide bones, fituated in a confiderable cavity in the external condyle. This, however, in fome fubjeds, is much larger than it is reprefented here. E, The lefTer of the two new fefamoide bones, fituated in the internal condyle. This is but very fel- dom met with in difre, Its left tendon, which is the fhorter. E jS", The tendinous part, or centrum tendineum, to the upper part of which the pericardium adheres, in which there are tendinous fibres, which, as Santorini obferves, are wonderfully interwoven with one another, for the fake of flrength. F^ A tranfverfe foramen, or hole in the tendinous part, of an elliptick figure, thro* which the vena cava pafies. G, A foramen of an oblong fhape in the flefhy part, thro' which the cefophagus makes its way to the flomach. //, The interflice, a place between the two heads of the lower mufcle, where the aorta defcends from the thorax into the abdomen ; and thro' this pafTage alfo the du61:us thoracicus, and the vena azygos, often afcend out of the abdomen up into the thorax. /, A flefhy part of the diaphragm, which, in fome fubjecSis, is tendinous. K, Two mufcular appendages, which arc of very various fhape in different fubjeits ; and in fome are ab- folutely wanting, in others very confpicuous, Explana- pi.m .p.4-'j0. Z.»Ml//tt/^ jc Ti.nr ■p.4- '70. /.,Mi/t^^^ JC. Explanation of the Figures. 471 Explanation of the Fourth Plate, Fig. 14. Reprefents the gland thymus, taken from a foetus juft born. . A Af The heart, wrapped in its pericardium, to which the thymus in great part adheres. B B^ The thymus, as it appeared in this foetus, bifid, as it were, in its lower, and trifid in its upper part : the lower parts, marked a a^ adhere to the upper part of the pericardium 5 the middle part, marked b h, to the trunk of the aorta ; and the upper parts, c c Cy lie upon the beginnings of the afcending branches of the aorta. C C C, The three afcending branches of the aorta. Fig. 15. Exhibits the fame gland taken from another foetus, and differing from the former in many par- ticulars. This gland is, indeed, extremely fubjedt to vary ; and is fcarce found of the fame fize, or any thing exactly of the fame {hape, in any two foetus's. A A, The upper part of the heart, furrounded with its pericardium. B By The gland thymus, divided in the upper part into two portions, a a ; and in the lewer part only lightly finuated, not divided to any depth, b» CCCy The three afcendent branches of the aorta, as ki the preceding figure. Fig. 16. Reprefents the human cerebellum, exhibiting its divifion into lobes ; a circumftance which the anatomifts have been ufed to overlook. aaaOy The human cerebellum, divided perpendi- cularly, and into equal parts, in the middle. B B By The interior cortical and medullary part. c c Cy The medullary tr^ds, not fo thick or fhort as they are ufually reprefented by authors. d d dy The divifions of the cortical fubfiance, firfl, into larger lobes ; and from ihefe, into others much fmaller ; and, finally, into a gre.it number of very minuts lobuli, beautifully difpofed in fuch a manner, H h 4 that ;^72 Explanation of the Figures i' that every larger lobe has its own proper medullary branch ; and every fmaller, nay, every minute lobulaeof the laft divifion, has its own little branch of the medul- laiy iubilance, every one diltincSt and feparate from all the reft ; but all of them at length uniting near the medulla oblongata, and forming one trunk. It would not be eafy to mark all thefe Icbes and divifions by let- ters in the figure ; but the drawing is fo diftindt, that they will De eafily underftocd by it. e e^ The medulia oblongata. yy, The beginning of the fpinal marrow. In the fifth century of the German Ephemerides there is a method laid down of preparing this part, and keeping it in fpirits, fo that all the ftrudure and fabrick of it may be plainly feen. Fig. 17. Reprefents the cerebellum of a calf. This Is alfo vertically divided in the middle, with fome of the parts annexed, that a comparative view may be given of the lobuli of the cerebellum in this animal. aaaaaaa. Shew the larger or principal lobules of the cerebellum of this animal. bbbbbb^i Exhibit the principal divifions of the lo- bules of the cerebellum, which have been generally fuppofed to form only one continued fubftance. c r, The principal medullary trafts ; from which the fmaller ones are propagated, and divaricated in the man- ner of the branches from the trunk of a tree. d d. The crura of the cerebrum cut off. ^, A fifTure or chink at the infundibulum. f-i The gland ula pinealis, gg^ The nates. hh^ The teftes. i iy The fourth ventricle of the brain, or calamu^ fcriptorius, in the middle of which there is a de^Sor deprefiion in the upper part. \-W / ky The anus, of the prifice at the aquaeduct of Sylvius. fig. 1 8. Exhibits a recent eye of a hog, which has been expofcd to the winter's air, and frozeii, in order to Explamlion of the Figuresl 473 to keep the humors in their proper fituation. It is vertically cut thro*, to ihew the fituation of what are called the three humors of the eye, and of the uvea. a <7, The cornea. bbb^ The circumference of the fclerotica, and of the choroides and retina underneath it. Cy The uvea, in the centre of which is the pupil. ddy The ciliary ligament, inferted near the cryftal- line humor. e e e^ The vitreous humor, occupying the hinder part of the eye. ^^^" /, The cryftalllne humor lodged in the fmus of the vitreous one, included in a mcmbrai^e, and, as it Virere, fufpended by the ciliary ligament. g^ The aqueous humor, fituated between the Cornea and the cryftalline ; where it is evident that thequan- 'tity of the aqueous humor between the cornea a^nd the uvea, that ii, in the anterior camera, is much greatet than that in the pofterior camera, or between the uvea 'ancljcryftallinej where indeed there is but a very fmall ^•^^rtidn,^ and^'as it were, at their flake only vifible. tfig. 19. Exhibits a like view of a^ human eye," frozen, and laid open in the fam'e* manner : in this the quantity of the aqueous humor, lodged behind the uvea,-is ftill lefs,^ in proportion to the large portioa of it that is* before the uvea, than in the. former fubje£l. There is, befide this, no other difference 'very obfervable, except that the cryftalline /is much fmaller in'huma^fifcibjeifts than in hogs, dogs, calves, fheep, and other quadrupeds in general, as appears from a difleftion of a great number of eyes of different fpecies of them. jFig. 20. Exhibits the human tongue, with i(s three "^ teguments, which the anatomifts in general have omitted to remark. Bourdon, indeed, has figured them, but thicker than the life. A A A^ The upper fuperficies of the tongue, on ^Which there are vifible, in every part, a multitude of papillary and pyramidal eminences. 474 Explanation of the Figures: B, A piece of the exterior tunic, or coat of the tongue, feparated from the reft, and reclined. In this an innumerable multitude of nervous papillae come in view, adhering to its interior furface. C C, The fecond tunic, or coat of the tongue, called the corpus reticulare of Malpighi : thro' the foramina of this coat the nervous papillae, rifing from the third or inner one, make their way to the firii or outer one. jD, The corpus reticulare, feparated from the third involucrum, which is under it, and reclinate. E Ey The membrane, or « orpus paplllare nervofum ; in which there ftand numerous eminences, which pafs from this body thro' the corpus ret'cuiare to the outer membrane. F F, The glands of the tongue, glandulae linguales : thefe, as well as the papillae, are much larger and more dillinguifliable in the hinder than in the anterior part of the tongue. They are in fome fubje6ls much more numerous than in others. G, The foramen, ufually found in the hinder part of the tongue. Its figure is uncertain ; fometimes round, fometimes oval, fometimes nearly triangular. Fig. 21. Has already been explained in the account of' the fecond plate, in which it ftands. Explanation of the Fifth Plate, Fig. 22. Shews the human penis, on its upper part ; with its veins, and the cavernous fubftance, in- jected with crude quickfilver. Ay The trunk of the vena penis ; into which, after piercing its valve, the mercury is eafily thrown, in fuffi- cient quantity. B j8. The divifion of this vein, about the middle of J the penis, into two confiderable branches. ^ CC, The fub-divifions and diftributions of the fmaller Tamifications from thefe, over the corona, and adjacent parts of the penis. D /), The furprifmg and inextricable courfe of a multitude of extremely minute ramifications from the former vefTels, thro' the whole furface of the glans : they J ifC. -^i.w:a^7 4 f Explanation of the Figures. 475 they run here in tortuous and flexuous meanders, in the manner of the intcftines, or of feminal veflds in the tefticles ; and are fo extremely numerous, that the whole fuperficies of the glans feems intirely compofed of them. e e e e^ Veflels of various fizes ; fome very minute, others larger, fome very large, vi'hich creep along dif- • ferent parts of the penis, furrounding and running ovex and under ene another, jp. The termination or extremity of the urethra, where the urine is voided. G, A cord, with which, after the injedion, the hinder part of the penis is tied, that the mercury may not run out again, as it otherwife would eafily do. //, The hinder part of the penis cut off. Fig. 23. Reprefents the lower furface of the fame penis, in which the veins, thus filled with mercury, are ittn running in a ftrangely irregular and devari- cated manner, and making frequent anaftomofes one with another over this whole furface, and particularly over the urethra. They are extremely numerous in every part of this fur- face of the penis, but particularly about the frae- num \ where they are, indeed, too elegantly rami- fied to leave it in the power of an engraver to do them juftice ; but are beautifully {^tn. in the pre- ferved preparations of the part. A^ The fraenulum of the penis, fumifhed with a multitude of veflels finer than hairs. B B^ The corona and neck of the penis, furnifhed with a yet greater number of veflels of the fame ex- treme minutenefs. C C, The whole inferior fuperficies of the glans, iiill of extremely minute veflels like the other furface, and thefe fpreading and devaricating in the fame won- derful manner. D Z), The urethra, protuberating. The corpus cavernofum of this part, being filled with the quick- filver, extends it in this manner, and occafions a beau- tiful view of the minute and innumerable veflels which run over it, 6 EE, ^^^^ .Explanation of the Figures. E Ey The two corpora cavernofa of the penis, con- taining the urethra between them, filled alfo with the quicicfilver. Thefe, as' well as the urethra, are covered with a multitude of veiTels, fome of them confiderably large, which run with a number of flexuofities and anallornofes all over them, and are filled, as the reft, with quickfilver. jp. The end of the urethra. G, The cord with which the penis Is tied. i/, The hinder part of the penis cut off. It is not always that a penis can be thus completely and beautifully injected, tho* the fame caution be ufed in the operation. It frequently happens, that the mat- ter of the inje61:ion, thrown in at the vein of the back of the penis, makes its way out by the urinary paflage : but even mifcarriages of this kind are not without their ufe : we difcover by this the communication that there 15 between the urinary paflage and the veins of the penis, and may make a more natural guefs at the progreis of the venereal taint from it than any way elfe. Explanation of the Sixth Plate. Fig. 24. Exhibits a drawing of a human tefticlc, the feminal vefTeJs of which have been unfolded in the manner firft taught by Ruyfch. 7^5 The tunica albuginea of the teflicle, feparated from the feminal vefTels, and turned back. B B, The feminal vefTels of the teflicle unfolded : in thefe the matter of the femen is elaborated : they Jjang in the manner of hairs ; and the whole interior fubftance of the telticle may be feen to be compofed of them. Fig. 25. Reprefents a human teflicle of a very peculiar flru^ture, demonflrated in the publick fchools at Helmftadt. ^, The defccndent aort^. J^,. The vena cava inferior. C Cy The emuigents. Z), The origin of the fpermatick arteries from the tfunk of the aorta. I rx.y p..fy o. T.<.WYm/£. <^t t Pl.V/ft.m -2%- ^J. D \ T.-.lft/n^i •'<-. E^phnation of the Figures, ji^'j'j /, The right fpermatick vein, from the trunk of the vena cava. y, The left fpermatick vein, arifing from the left cmulgent. g. The right fpermatick vein and artery, folded to- gether in the ufual way, and running to the tefllcle. hy The right tefticle. iiy The epididymis, taken out of thefcrotum. k I, The vas deferens, or ejaculatory vefTel. All thefe three were in their natural condition and fituation on this fide. m^ The left tefticle, which had never defcended into thefcrotum; but remained in the abdomen, in that part where the fpermatick veflels ufually make their way out of the abdomen. This v/as much fmaller than the other, and had no epididymis. n Oy Reprefents the epididymis, which, in this fub- je(3:, was almoft intirely feparate from the tefticle : it only adhered to it at n. The reft of it, after palling thro* the place ufually deftined for the road of the fpermatick veflels among the mufcles of the abdomen, went out of the abdomen, and extended itfelf quite down to the fcrotum ; fo that the part marked <7, which is irs lower extremity, was fttuate in the upper part of thefcrotum, p. The dudlj.^oi: vas deferens,;' as if it had come from the tefticle/ih^ the fcrotum, afcending again into the abdomen,':'under the tefticle 7« ; whence going on to q. It emerged again ; and, in the ufual way, from the letter r, Pafled to the veficula feminalis of its own fide. i?, The place where the fpermatick veflels divided ; and part J, Went to the tefticle ; but part /, Alfo went to the epididymis. We have opportunity of obferving, in this lufus na-- iura^ in what an exad and regular manner a part, a little diff*erent from the ordinary ftate, may be formed. In this nothing was wanting ; but the parts which are ufually joined, namely, the tefticle and the epididymis, were feparated from one another ; yet all was provided for. As 473 Explanation of the Figures. As the teflicle, in the ufual courfe of nature, fhould have been in the fcrotum, but was accidentally lodged^ in this cafe, in the abdomen ; nature yet took care, that a part of the apparatus of it, namely, the epididymis^ with part of the ejaculatory vefiel, fnould pafs out of the abdomen toward its ufual place : and thus, tho' the fabrick of this teilicle was not of the ufual kind, yet, by this contrivance, it was rendered capable of perform- ing ail the necelTary offices of a teflicle, as much as if it had been conftruded exadly in the ufual manner. There is no qucftion but that, according to this fabrick^ the femen might pafs from the tefticle thro' the epidi- dymis to the vafa deferentia. Fig. 26. a a a^ Exhibits the right veflcula femlnalis opened, recent, but wafhed ; fo that not only its various cellules, but its internal reticulated furface, defcribed by Santorini, come in view. hbb^ The internal reticulated furface, appearing like a corpus reticulare ; and much refembling the interior furface of the gall-bladder, as Ruyfch has drawn it. In the cells of this reticulation, probably, the femen re- ceives a yet farther elaboration than it had had before* ^ The objed: itfelf, properly cleanfed, exhibits a view of this ftrudure, hovv'ever, much better than a figure can reprefent it. Fig. 27. Reprefents a human foetus of three months: an abortion included, in a beautiful manner, in its membranes, as it were, in an egg, and fwiming in its own liquor. Every thing is reprefentcd, in this figure, of the natural fize. -/^, The foetus, with its large head ; the eyes large^ protuberant and black, as they ufurllv are in this ftate, appearing thro' the liquor and membranes. B B By The exterior tunic of the chorion, which is very full of vefTels, which hang every where in great numbers, in the manner of fibrous roots. This is a circumftance moft of the anatomical writers had not hit upon, 'till this fubjeft occurred. C C C, Part of the pellucid tunics of the foetusj from the others of which this vafcular part is feparated, and a il cT^i 7>-47^. Tl.YI -?^^^ /■<^Mync/A Explanation of the Figures. 470 and drawn back, that it might be in view, together with the fcEtus in its liquor. The greater part of ihis ovum humanum, if we may be allowed the expreffion, is fur- nifhed with the fame kind of fine flender fluduating vefTels. D D, The funiculus umbillcalls, appearing but in an imperfect manner at this period. Fig. 27. a a a, Exhibits an ovulum from a woman, who was, as herfelf imagined, about a month gone with child : it was evacuated with great pain, and a large haemorrhage, from the uterus. It is al- moft pellucid, and exhibits in its circumference a great number of veflels, or radiculae of the cho- rion, like hairs. h, A little corpufcle vifibie in it, and feeming the imperfect fketch of the embryo. Fig. 28, aa a a^ Exhibits part of the anus and intefti- num re(ftum opened. hh^ Certain unequal and irregular eminences and rugae in the outer circumference of the anus ; where alfo there appeared, in this fubjed, a number of tumid livid veins. ccc^ The margin or verge of the anus, where, from the letters c c to a a on the under part, there ap- pear a kind of fimbriae ; when the fphin6ler and the reiSlum ufually differ in colour. d ddd, Exprefs a multitude of very minute apertures or ofcula, about the extremity ©f the inteftinum rec- tum, together v/ith a number of roundifti glands. e e e. Certain larger ofcula, or apertures, large enough indeed to admit a hair : thefe are fituate below the fimbriae of the re6tum, where the fphindler is placed. Explanation of the Seventh Plate, Fig. 29. Exhibits the ileum, colon, coecum, and its vermiform appendage, as they were found in a new-born infant ; diftended by inflation, and dried. jf A^ Part of the ileum, in which is Ihewn its in- grefs into the left fide of the colon. ;§0: Explanatioit of the Figtires, B B, Part of the colon. C, The coecum ; with its chai^ge into the procefliis vermiformis, which is peculiar and different in this ftate from what it is in adults. In infants of this period the coecum becomes gradually fmaller and fmaller, 'till it forms this procefs, fo as in the whole > to be of a fort of conic figure 5 v/hereas, in adults, it is much other- wife. D E^ The vermiform procefs of the coecum, which, in this fubje<3, was infle^^ed in a very firigular and ex- traordinary manner. It firfl pafTed under the ileum from (7, and afcended to D : after this it was again refleded above the ileum, and defcended to E, Fig. 30. The fame inteflines prefented in a back vitw., in order te the fhewing more diflindly in what manner it is that the coecum is transformed into the procefTus vermiformis, ufually in infants. jf J J The ileum, with its ingrefs into the colon, B B, The colon. C, The coecum. D, The beginning of the vermiform procefs. ' E E, The Angular inflexion of it, in this fubje^y/. The open part of the longitudinal finus. By The place where in this'fubjeJdl: it "divided, accu- rately and exactly, into two equal 'lateral ones i which is not the cafe indifctiminately in all rubjecSs. C Cy The beginnings of' the twolateral fmus's. D Dy The lateral finus's, cut off in their progrcfs. n.vn:/j..f<, ^. '^i^?t^/' jr . pi.va, J.My,,//^ lLy,pknation of the Figures, 48 j ^, The tranfverre finus, which made a communica- tion between the two lateral ones. FF, A thick ftyle, which pafTcd eafily thro' this tranfverfe fin us. The opening of this tranfverfe fmus was fmaller on the left fide than on the ri^ht. •&* Fig. 33. Exhibits a view of the tongue, with the lower jaw, to which it adheres. We fee in this the ofcula of the falival du6ls of the fublingual gland, as they appeared in the fubject, mentioned S. 278, of this Compendium. jf J^ The tongue, turned to the left fide. ^^^, The ofcula of the duels of the fublingual gland, feven of which appeared on this fide. c c c^ Brifes introduced into the ofcula of thefe parts. D D, The two elevator mufcles of the lower lip. The flrft or anterior of thefe ofcula in the left fide of the tongue in this fubje6l was fo large, that not only a bridle, but a fmall tube, was introduced into it, and an inflation might be made by it. The other ofcula in general were fmailer, efpecially two or three of them. Explanation of the Eighth Plate. Fig. 34. Exhibits a human tongue, in v/hich two re- itiarkable falival ducfts were difcovered in the fora^ men, commonly called coecum, from its fuppofcd clofing at the end. y^y The foramen coecum, which, in the fubje6t ex- amined on this cccafion, was remarkably large, opened. hy A falival du£l, running towards the root of the tongue, filled with a red injeftion. c c, A vehcle at the extremity of this duel, diftended with faliva. d^ The beginninf! of another duct in the left fide. This was not filled by the inje^lion ; but it was ealUv diftinguijfhed, as a diiii, from the reil: of the fubftance of the tongue by its v^'hitiili colour i and it was^pable ' ll 4^f .g2 E'^plmiation of the Figures , of being diftended by inflation, by means of a fine tube introduced into its orifice. ^, The place where this du£l difappeared. ff^ The fituation and courfe of thefe du6!s : it is obfervable that they do not run along the furface of the tongue, but at the depth of a line under the involucra of it, which are removed in this figure. The fabrick and flruclure of the ofcula, exprefled at b and d^ was fingular: they had the appearance of valves, or caruncles, which had collapfed ; and did not appear as reprefented in the figure, unlefs forced open by inflation. gg. Shew three other ofcula, or foraminula, which were fituated in the larger ; one in the anterior part, and one on the right ; the other on the left fide. Thefe admitted a brittle to a little depth, in an oblique direc- tion ; but it was impoffible to find whether their cavity penetrated any farther. From this it appears, that this foramen, in fubjc6ls that have it, (for it is not univerfal) ferves as a kind of common duel to various other fmaller falival du61:s of that part of the tongue : but, in all this, nature is by no means conftant, but varies greatly. /;, The epiglottis. 7, Its anterior ligament. ky Mufcular fibres arifing from the fubftance of the tongue, and inferted into this ligament, as if into a tendon. Thefe, when they are found, (for all fubjeds have them not) ferve for the raifing the epiglottis, ancj may be underftood to be properly a mufcle of the epi- glottis, and called glofib-epiglottideus. //, Two little officles of the os hyoides. m ;;/, The extremities of the horns of the os hyoides. n w. Glands and papillae of vaiious fhape, vifible on the furface of the tongue about its middle. <7, The apex of the tongue, bent downwards. Fig. 35. Exhibits the duels beforemehtioned, as taken out of the tongue, with the foramen coecum, which, in this figure, is not difle6led, but appears as a common dudt to fcveral fmaller ones. y/, The foramen coecum, very large, as it appeared in this fubject, with the canal formed by it, which v;as near Explanation of the Figures, 48 j hear three lines long, and eafily admitted a tolerably large tube. B B, The two new falival du6ls terminating in it, of the (hape and fize they appieared in this fubje^i. C C, The termination of thefe du6ls, or, at leaftj the place beyond which they did not appear to run. /), The place where the left diidt became expanded into a pellucid veficle, which was filled with a dear and colourlefs, but fomewhat vifcid fluid, having the appear^ ance of faliva, and which feemed to have been forced thither by the throwing in the matter of the injedtion, which was of coloured wax. Fig. 36. Exhibits feveral things that are obfervable in the palate, about the palate, and in the upper lip. a a^ The upper part of the palate, in which there appeared in this part no ofcula or openings. b h 9 —-Its fpine 1 09 - — The divifion of its fpine ibid. — Th§ vertebrae of no — The mufcles of 273 Du6ts adipofe 94 Duftus Bartholinianus 200 — Cholydocus communis III — Cyfiicus 1 1 2 — Hepaticus ibid. — Hepatico-cyfticus ibid. —Cy ft- hepaticus ibid. -'-Euftachii 24 Duds excretory, what 12 -—From the nofe into the mouth 212 —Lactiferous 154 — --Rivinian 278 -— Saliv^l of Cochfwitz, a vein ibid. — Stenonian 279 -—Mucus of the pharynx ibid* —-Thoracick 105 —Method of {hewing it 106 ---Ufe of its valve /Zi/V* — Whartonian 278 -—Lachrymal, their ori- fices 209 Duodenym 96 —Its arterieq 97 Dura mater 180 —-Its procefles ibid. -—Its arteries ibid, --Its fmus's ibid. j^« I N D E. EAR, fee Auricula 213 Ear-wax, fee Ceru- men 214 Elevators of the anus 287 Embryo 15^ Enarthrofis 69 Enfiform cartilage 4^ Epidermis 76 Epididymes 124 Epigaitrick region 10 Epiglottis 165 Epiphyfis of a bone 68 Epiploon 92 EpiUrophnsirs 43 Ethm.oides cs 27 -—Its cavernulse ibid, Eaftachian tube 28 Excretory duels 13 Extremities of the body 9 F F. ACE 9, 193 Falciform procefs 1 9 1 Fallopian tubes 134 FarciiTiinal membrane T42 Fafcia lata 290 Felleae radices 1 1 I Femur, or thigh lO, 59 -* -Its mufcles 2S'9 Feneftra ovalis 214 — Rotunda ibid. Fibre n •—Differences of ibid. Fibres mufcuiar, their di- verfity 244 Fibula 62 Fingers, fee Digitl manus 57 Fiftula fpiralis 163 Foetus 141 — Its membranes 1 42 — Its fituation in the uterus ibid. — Found out of the uterus 143 —Its articulations 156 — Bones of its fkull 1 50 — Its heart ibid. — Its teeth ibid. — Its canalis venofus ibid. — Its differences from an adult ibid. — Its nutrition 144 —Its nutrition by the mouth 147 — The circulation in it ib. Follicles cutaneous 80 Fons pulfatilis 23 Fontanella ibid. Foramen caecum of the tongue 20 t Foramen ovale . 150 — Its ufe ibid. Foramina ,—0^ the bones of the flmll 35 — Of the jaws 3S Fornix Vi^ Foff« figmoidales 2^ Fovea of the jugular veia ibid. Frenulum of the upper lip 204 — Of the tongue 205 — Of the prepuce 126 Frontis OS 22 Frontal fmus ibid. Funiculus umbjlicalis 146 G. 494 I N D G. G ALL-bladder, fee Cy- ftis feilea. Gallinaginis caput 126 Ganglia of the nerves 232 Generation, parts of, in men 119 ■^In women 129 Genu 10 Gingivje, or gums 204 Ginglymus 69 Glands 297 —Definition of them diffi- cult 298 ' — Boerhaave's definition examined 299 i— Moft definitions proved imperfect 300 *— A peculiar habit of them afierted 302 i — Hippocrates's opinion of them 314 i— What the antients called fo ii'id. —Many of them perform no fecretions ibid. —Their differences 315 — Not proved byfpheroide tubercles 317 — Arytasnoide 328 •^-Axillary ibid, —•Bronchial ibid. — -Brunners 99 — How beft feen ibid. • — Buccal 324 •^— Ceraceous of Melbom ibid. •~Cetvical 327 — Ceruminofe 324 — Compofite 298 E X. Glands conglobate 298 ■ — Conglomerate ibid, — Congregate ibid, — Cowper's 325 — Cutaneous 338 — Cyftick 328 — Dorfal 329 — Its morbid ftate ibid, — Of the epiglottis 325 — -Haverian 324 — Hepatick 329 — Iliac ibid. -^Of the ileum about its end ibid, —Inguinal 331 — Innominate 324 — Inteftinal of Brunner and Peyer 99 — Jugular 327 — Labial 324 ^Lachrymal ibid, ' — Of the larynx 327 — Of the tongue 324 — Littre's 330 — Lumbary 329 — Of the areolae of the breafts 328 • — Between the dura mater and arachnoides 323 — Maxillary 324 — Mefaraick 331 — Molare 321 — Mucilaginous 323 — Mucous ibid, — Of Cowper ibid* — Nuckiari 99 — Of the nymphae 335 —Occipital 324 — Odoriferous 333 —Of the oefophagus 330 — Vcrcellonius's duds from them ibid. Glands INDEX, 495 Glands of the omentum 332 • — Of the left orifice of the ftomach ibid. -—Of the foveae of the os frontis 324 - — Pacconius*s 323 — Palatine 324 — Parotides ibid. — Peyers 99 ^-Pineal 323 — Pituitary 324 — Of the placenta, whe- ther any 337 — -Proftatss 333 —-Renal ibid. — Sacrae ibid. — -Salival 326 •—Sebaceous 339 ' — Of the cutis ibid, —Rather receptacles 3 40 —Sebaceous of Meibom 339 — OfValfalva ibid. —Simple 296 —Of the finus's of the dura mater 323 —Solitary 297 —Subcutaneous 339 —Sublingual 324 — Their du£ls 325 — Thyroide 1 64 — Single in human fub- jedts 'ibid. ' — Its ifthmus ibid. ' — Wlvether a nidus of ovula 325 —Its real ufe doubtful 326 — Tonfils, fee Tonfils. — Of the trachea 163 * — Of the pituitary mem- brane 323 Glands of the ftomach 330 — Of the ureters 334 —Of the urethra ibid. — Of the bladder 332 — Of the gall-bladder ibid, — Of the veficulae femi- nales 331 —When known to the antients 334 — Of the uterus, whether any 335 — Of the uvula, fee Uvula. Glans of the penis 126 Glene Glottis Gula Gums, fee Gingivae Guftus, or tafte 20 163 173 204 200 —Its immediate organ ib, H. HArmonia, jun61ures by 69 Head, fee Caput 21 Heart, fee Cor 168 Hehx 213 Hemifphere of the brain 183 Hepar, the liver 109 ' — Large in a foetus 150 — Not a gland 1 09 — Porta of 1 10 — -Uterinum 144 Herophili torcular 179 Humerus 53 — Its bones ibid. —Its mufcles 286 Humours of the eye 198 Hydatidcs of the ovary 137 Hymen 12^ — Really exifls in young fubjedls 129 —In a feet us ibid, Hyoide* 49^ I N D E X. Hyoides os — Mufcles of Hypocondria I. 40 258 9 98 ibid. 54 9 29 290 158 ibid. 96 98 99 97 98 JEjunum ileum ■ — Bone Iliac region Incus Index, mufcles of Infundibulum. — FifTure at it Inguina Inteftines fmall — Larger Inteftinum duodenum — Coecum —Colon 99 ■ — Re£lum ibid, Inteftines, flruciure of ib. — Their annular fibres 97 —Their longitudinal fibres ibid. — Rugae of the finall ones ibid» — Albinus's new cellulous coat of them ibid. —Different from Ruyfch's -—Villous coat of ibid. — Is villo-papillofe ibid. Iris, fee Eye. Ifchiatica regio Ifchium OS Jugulum Jugalis apophyfis Jugalia ofla 9 9 24. V- Junctures of the bones 'j^ K. Knee, fee Genu L. LAbra, or lips 204 --Upper one, its fraenulum ibid. — Of the pudenda 129 Labyrinth of the ear 25 ---Its veftibule ibid. Lacerti cordis, fee Heart. Lachrymalis caruncula 1 95 ---Saccus ibid. Lachrymalia puncSla ibid. — OiHx ibid. Lachrymalium dudum ori- ficia tbld. La6leal vefTels 103 La^lilerous du6ls 104 Lacuna i 29 —-Of De Graaf 130 Larynx 164 —-Its cartilages ibid. — Its mufcles 286 -—Its ilnus's 164 -—Its bones 40 Lens cryftallina 196 Lien, the fpleen 92, 112 —Its ufe 93 Ligament 1 1 —-Annular of the thigh- bone, fee P'emur. — -Annular of the hand, fee Carpus. —-Ciliary, fee Eye. ---Interofleous, fee Carpus. -—Of the tongue, fee Tongue. — -Pouparti's 89 —Semicircular of the at- las, fee Atlas. — Round, whether fo 59 ---Of the ofla Innominata, fee OiTa incr. Liga- INDEX. Ligament of the uterus, fee uterus 59 — Involucra of them, fee uterus ibid, Linca alba, fee abdomen 201 Mediana Linguae ibid. Lingua, the tongue zco *— Its foramen caecum 202 — Its fraenulum 201 — Its ligaments ibid, —Its median line ibid. — Its mufcles 259 —Its nerves 201 —Its nervous papillae ibid» Liquor of the pericardium, fee heart, in which the fcctus fwims, fee foetus Loins, fee lumbi 9 Lumbi, the loins 9 ■—Their mufcles 266 —Their vertebras 49 Lunula 84 L} mphatick veflels 1 05 •—The firft difcoveries of them 107 M. Ala 9 Malleus ofhe ear . ?3 — Its apophyfes tbid, — Its mufcles 25 1 Malleoli 23 Miilpighi's corpus reticu- latura 127 Mammae, the breafls 152 — Their corpora globofa 153 —Glands of their areola »54 Mammillary apophyfis 23 Manus extrema Manus, the hand — Its back — Its palm — Its mufcles Mafloide apophyfes Mater dura '^n Matrix 56 ibid, ibid, 55 284 23 180 ibid» 136 Maxilla, 'the jaw,upper 29 — The lower Maxillary bones — Sinus's Meatus auditorius — In a foetus Meconium Mediaftinum — Its cellulous 33 29 3^ 23 125? 128 126 interftice 156 Medulla, the marrow 80 Oblongata — Its crura Spinalis — Its coat, 187 188 jgt ligamentous 7^ 124. muf- 95 Membrane — Adipofe — Allantoide — Common of the cles — Mucofe of the nofe i So — Semilunar of the eyei76 — Papillary of Helvetius 180 — Pituitary of Sehneidert i8z — Subpituitary 183 — Of the tympanum 184 — Its foramen 185 Membranes of the foetus Kk 142 'Cb- 498 INDEX. MembrancSjclofing the au- ditorypafragesinthemi43 Menftrua, their fource i8o Mentula virilis 125 — Muliebris 130 Mefaraeuni 102 Mefentery 102 Mefocolon 103 Metacarpus 56 Metatarfus 59 Mons veneris 130 Mufcles, what 241 —Their parts ibid. ' — Antagonifts ibid. — Aflbciates 242 — Their a6lion 241 —Different opinions as to it , ibid. —Of the abdomen 2 — Abdudors of the little finger 276 — of the thumb 279 —of the great toe 280 • — of the little toe ibid, —Accelerators 274 — of the urine 272 — Abdudors of the little finger 280 — of the femur 274 ' — of the fore-finger 280 — of the great toe ibid, — Anconaeus 276 — Of the anus 286 — Anifcalptor 275 — Annuens of Cowper 249 — Ary-arytasnoides 262 ■ — Antithcnar of the thumb 280 —Of the great toe ibid. — Of the external ear — Of the ear 251 256 Mufcles of the little finger 281 i — Azygosof Morgagni 722 1 — BafiogloiTus 26 1 — Bibitorius 276 J — Biceps ibid, " — Biceps tibiae 290 — Bicornis 289 ' — Biventer 290 — Brachialis, internal and external 275 — Brevis cubiti ibid. — Brevis radii ibid. — Buccinator 276 — Caninus 275 — Of the head 246 — Of the carpus 274 — Cerataglofii 261 — Cerato-ftaphylini ibid, — Ciphalopharyngaei ibid. — Coccygaeus 286 — Of the neck 263 — Complexus 262 — Conftridlor labiorum 261 — orbicular of the nofe ibid, — Coracobrachialis 252 — Coracohyoid.Tus ibid, — Of the cranium 246 • — Cremafter 285 — Crico-arytaenoides, late- ral 264 — Poflerior ibid, — Crico-pharyngaeus 265 — Crotaphites 264 — Cruralis 291 — Of the cubit 276 — CucuIIaris 274 — Deltoide 276 — Dentatus major anticus 275 INDEX. 499 Mufcles, dcntatus minor. -—DeprefTor of the '. eyelid — Detrufor of the lower 247 urine — Digaftrick "287 275 —Its trochlea 276 < — Of the fingers ■^Of the toes 279 ibid. — Of the little toe 280 —Dilatator of the nofe 253 — Pofterior of the ure- thra — Dorfi 264 286 — Longiflimus ibid. — Latiffimus ibid. Elevator fcapulae — Labri inferiorls 275 249 — Palpebrae fuperioris 247 — UrethrseSantorini285 —Of the epiglottis 264 — Erectors of the penis 284 little 279 the — -Extenfor of finger —Extenfor communis 279 -— Of the loins, &:c. 264 -—Long one of the toes 280 —Short of the toes 282 — Of thefore-finger28i — -Common of the loins 264 —Long of the great toe 282 — Short of the great toe ibid. -—Fafcia lata 3164 Mufcles of the femor -—Flexor longus of great toe — Frontals — Gaftrocnemius — Gemini ' — Genioglofli — -Genio-hyoides — -Glut3si -— Glollb- pharyngaei — Gioflb-ftaphylini — Graciies — Helicis — Of the humerus — -Humilis -— Hyo-thyroides — Of the OS hyoides — — hy ophary ngaeus — -hypothenar — -Iliacus — Inciforius fuperior — Inferior —Indicator —Of the index — Indignatorius — Infrafcapularis — Infrafpinatus -— Intexoftales — -InterofTei -—Of the toes — Interfpinales of the 290 the 282 246 249 265 264 26)^ 290 265 ibid, 274 251 278 248 264 ibid, ibid. -— Intertranfverfales — Intervertebrals 278 ibid, 277 ibid. 281 ibid, 249 277 ibid. 274 273 281 neck 272 ibid, ibid. -— Intercoftals of Verhey. 274 —Of the lips 254 —Of the larynx 285 — Levatorcs ani 286 —-Small ones of Dou- glafs 28 — Levatorescoftarum 274 K k 2 Muf- soo INDEX, Mufclcs, linguae 258 — Lividus 257 — Longus et brevis five bicornis 275 — Longus colli 274 "—Longus cubiti 275 — Radii ihid. -. -Of the loins 274 — Lumbrical, of the toes 281 — Of the malleus 25 1 — Of the hand 276 — Maffeter 257 — Maftoide ihid. — Of the lower jaw ii^id. — Membranofe 251 — Mylogloflus 264 — Mylo-hyoides ibid, — Mylo-pharyngaeus ibid, — Myrtiform of the nofe 254 •—Of the nofe ibid. —Oblique of the eye 249 — Larger of the head 246 —Smaller of the head 247 —Obturators, internal and external ibid. — Occipital 246 — Of the eye 248 — Septimus brutorum ibid. — Of the aefophagus 261 — Orbicular of the lips 254 — Of the eyelids 247 —Of the OS coccygis 287 — Palato-ftaphylinus 281 — Palmaris 280 • — Paticntiae 276 — Pe6tinaeus 274 — Pe£toralis, larger 374 Mufcles, pe£loralis, fmall- er 274 — Of the foot 281 — Of the penis 284 — Per forans of the toes294 — Perforatus of the toes ib, — Perforans of the fingers 280 —Perforatus of the fin- gers 281 — Peronaeus anterior 274 — pofterior 274 — Of the pharynx 265 — Pharyngo - flaphylinus ibid. — Plantaris 282 — Of the great toe exten- for ibid, — Flexor ibid, — Poplitaeus ibid, —Profundus 276 — Proje<^or urinae 286 — Oftheproftata 285 — Pfoas, larger 274 — fmaller ibid. — Pterygoide,external 276 — internal ibid, — Pterygo - pharyngaeus 265 — Pterygo- ftaphylinus ib. — Pyramidal of the nofe 254 — Pyriformis ibid. — Quadratus 278 — Of the thigh 277 —Of the loins 274 — Of the radius 282 — Radiaeus, external 275 —internal ibid. — Of the radius ibid. — Redtus lateralis ibid, — Redus major anticus 276 Mufcles, I N Mufclcs, rc£lus major po- fticus 276 —Minor anticus 275 — Pofticus ibid. — Rcdus tibiae 290 — Of refpiration 273 — Rhomboidal ibid. — Rotatores 264 — Rotundus major and mi- nor 262 — Rotundus of the radius 275 ' — Sacro lumbus 274 — Salpingo - pharyngaeus 265 •— Salplngo-flaphylinus ib. — Sartorius 290 ■ — Scalenus 287 —Scapulae 276 — Semimembranofus 264 — Seminervofus ibid. — Semifpinofus ibid. Serratus major anticus 272 ' — minor 27s — Pofticus inferior ibid. —Superior ibid. —Solaris 295 — Sphaeno ftaphylinus 265 — Sphincter ani 286 — vcficae ibid. — Splenius 1-jz Of the ftapes 252 — Sterno-hyoidaeus 266 — Stylo-glofTus 261 — Stylo-hyoidaeus ibid. -— Stylo-pharyngsus ibid. —Subclavian 275 — Sublimis 248 — Superbus ibid. — Superciliorum corruga- tor 248 — Supercoflales of Ver- heyen 268 — Supra-fpinatus 268 D E ' X. Mufcles, Tarfi 295 — Temporalis 246 — Teres, major and minor 264 —Thenar 274 — Of the great toe 298 — Thyro-arytaenoides 261 — Thyro-pharyngaeus ib, — Thyro- ftaphylinus ibid, — Tibiae 293 — Tibialis anticus ibid, — pofticus ibid, — Tragi et antitragi 248 —Tranfverfalis colli 264 — Tranfverfe of the ure- thra 284 — Trapezius 282 — Triangularis of the lips 254 — Of the fternum 268 — Of the urethra 284 — Triceps brachialis 270 — Trochlearis 268 — Tubae novus valsalvae — Vaginalis gulae 259 \ — Vaftus internus and ex- ternus 2 — Ulnaris, external and in- ternal 261 — Urethrae virilis 284 — Uteri novus orbicularis ibid, — Uvula 264 — Zygomaticus 282 — Their denomination248 — Number 244 —Common membrane 246 Mufcular fibres, divwlity of 242 Myology 240 — Order of it 241 Myrtiform caruncles 281 'K k 5 N. Naies $»t 502 INDEX. N. NAres,thenoftrils 210 Nafus, the nofe 209 ^-Its bones 210 —Its feptum ibid. — Its finus's ibid. — Its cartilages ibid. Narium foramina ibid. —Their mucous tunic 2 1 1 — Their fmus's ibid, — Whether they have a duct to the mouth ibid. Nates, of the brain 198 Naviculare os 64 Neck, fee collum Nervus, a nerve 229 t-^tivt^t their number 231 — Their origin uncer- tain 234 —Whether they are vef- fels 235 —Of the brain, nine pair 22g • — ^Of the neck 230 — Of the back 233 -—Of the loins ibid. —■Of the OS facrum 234 — Spinal 234 — Ganglia, of 232 — Plexus, of ibid. — Ufes 235 Nerve abducent 229 — AccefTory of Willis ibid. —Auditory 231 —Auditory, its canal 231 —Its hard and foft por- tions 231 — Its diftribution ibid. Nerves brachial 234 —Of the brain, Willis's tenth pair 230 •^Crural 231 ^-Diaphragmatick 234 — Guftatory 230 ^Its remarlcablc branches ibid, — Intercoftal 234 — Its ©rigin uncertain ibid, — Lingual 230 — Motory of the eyes ibid, — Divifion of ibid. — Olfadory 231 — Optick ibid^ — Its infer tion ibid. — Thalamus of ibid. — Pathetick 230 — Recurrent ibid. — Spinal accefTory 234 — Vagus, or par vagum 231 Nevrology 229 Nymphae i 3 i O. OCciput 26 — ^Its mufcles 246 Occulus, the eye 193 — Its angles, or canthi 194 — Its bulb 196 ■ — Its double camera ibid. — Its humors 198 — Its tunicks 196 — Its mufcles 248 — Its femilunar membrane 196 — Its arterial circle iq8 — Its nerves 199 Odoratus organum 209 GE>Tophagus 173 CEfophagus, its fituation Omentum 92 ■ — Its natural aperture 92 Orbit of t lie eye 32 Os, bone, what 15 CEfo- INDEX. 5^3 Os, Bafilare 26 • — Bicorne 40 — Brachii 5 2 — -Coccygis, or caudae 46 — Cribriforme 27 ■ — cuboides 5 2 — Cuneiforme 7 1 — Ethmoides ibid, — Its cavernulae ibid. — -Frontis 22 —Humeri 52 — Hyoides 40 — Ifchium 49 — Occipitis 26 — -Orbiculare auditus 25 —Pubis 49 Sacrum 45 ' — Scaphoides 71 — Sphenoides 26 —Vomer 29--3 2 • — Ypfiloides 40 Offa bregmatis 32 — Of a foetus 150 — Innominata 49 —Their ligaments 51 — Their difference in the two fex'es ^bid. r— Jugalia = — Lachrymalia — Malae — Maxillaria — Nafi — Palati — Petrofa *— Sefamoidea — Where to 29-30 ibid. ibid, 29 29-30 29-32 23 ■ 65 be found 66 Offa fincipitis 32 — Spongiofa fuperiora 29 -32 -— Squammofa 23 — Temporum ibid. •-•-Thoracis 46 OflaTrunci 41 — Turbinata 3 i — Their inequalities ibid. 30 20 ibid. 67 68 131 132 25 15 —Unguis — Cavitates — Differentiae — Number . — Junctures Os uteri externum — Internum Officula auditus Ofteology Oftiola of the cervix uteri 132 Ovarium 137 Ovaries, yellow bodies in — Their veiicleSi whether true ova 131 — Hydatides of 139 Ovula of women 139 P. Alate 205 Its clauftrum, or ve- lum ibid, Palpebrae, the eyelids 194 — Their tarii ibid. Pancreas loS ---Its du£l; ibid. Pancreas Afellii 102 Panniculus carnofus 87 Papillae 153 Papillae of the skin, fee cu- tis ibid, Paraftatae 124 Parotides 200 Patella 61 — To what it adheres ibid. Pes, the foot 63 — -Extremus ibid. —-Back of ibid. —Toes 46 Kk4 5^4 I N D Pedunculi cerebri 178 Pelvis 49 — Of the kidneys, fee kidneys Penis 125 —Its lateral ligaments 125 Pericranium 7 1 Pericardium 167 —Its liquor z^/t/. —Its connexion with the heart 167 — Whether it have glands ibid. Perichondrium 7 3 Periofteum 7 1 Peritonaeum 90 —Whether it have glands 91 Perone 62 Phalanges 6 3 Pharynx 173 Pia mater 182 Pilus, or hair 81 — Bulbs of ibid. Pingucdo 85 Pinna auriculae, fee ear Placenta 143 Planta pedis, fee foot Platyfma myoides 350 Pleura 1 57 —-Whether it have any glands 158 Plexus choroideus i 8 3 Plexus neivorum ibid, Pollex ' 57 — Itsmufcles 280 Pomum Adami 10 Pons Varolii 184 Porta of the liver no PrjECordia 16 Praepuce 126 —Its frsenulum ibid. E X. ProcefTes of bones 1 8 —Synonyms and ufes 16 ProcefTus anconeus 55 — Ciliaris 196 '— Condyloide and coro- noide 33 — Coracoide 33 ---Of the dura mater 184 —-falciform 185 —-Mamillary 23 -— Of the peritonscum 90 —The annulus for its paflage 90 --Vermiform of the brain J 49 — Of the caecum 150 Prominentia annularis of Willis 184 Proftata 1 24 Proftatae muliebres 1 30 Pterygoide apoph)'fis 26 Pubes 10 Pudendum muliebre 129 Pulmones, the lungs 161 — In a fcetus 150 Puncla lachrymalia 197 Pupilla 196 — Its fpbiucter 197 Pylorus 95 R. Adiccs felleae 1 1 1 Radius 54 Receptacle of the chyle 105 —If any, of what nature in human fubje6ls ibid, Renes, the kidneys 114 —Their pelvis 115 — Whether glandular ib, -—In a foetus's 150 — Succenturiati 1 1 6 6 Renes 1 N Renes in foetus's 150 —.Of what ufe ibid. Rete 93 Rete mirablle 186 —In human fubje£ts ibid. Rete vafculofum of the lungs, feepulmo Reticulum cutaneum^ 78 Retina tunica 196 — Whether the primary organ of fight 197 Rima of the infundibulum 189 Rugae of the fmall guts, fee inteftine —Of the vagina 131 S. SAccus fmgularis 226 Sacrum OS 194 Salival glands 200 —-Their d\i&s ibid, — Cofchwitz's duel, a vein ' 201 Sanguis, blood ibid. — Its circulation in the foetus 150 Sarcology 75 Scala tympani 214 Scapula ' 52 Sceleton 21 — Its divifion - 22 Sclerotica tunica, fee eye Scrobiculus cordis, fee heart Scrotum 1 20 — Its future and feptum ibid. Septum of the heart, fee cor -—lucidum, fee brain 178 —-Of the noftrils . ■ Z^Sil ^ E X. 50s. Septum tranfverfum, fee diaphragm * — Of the fcrotum 120 Sinciput ' ' ' 22 Sinus's of the bones of the head 26 -- Of the dura mater 180 — Of the bones of the head 26 —Of the dura mater 1 80 ---Of the larynx, fee la- rynx . ^ .. — Of the vena portae, fee vena portse Sphindler of the anus, fee - anus —Of the gula, fee gula —Of the pupil, fee eye —Of the vagina 133 ^ —Of the bladder, fee bladder -' Spina dorfi /^,:^-)C^(: — Its divifion ibidi^ T?; ' Splanchnology 75;- Spleen 112. Stapes, fee ear Stenonian du6l 200 Sternun> r 48^ Styloide apophyfis 26 Stomach 95"'i73 Sulci of the cutis, fee cu- tis Supercilia, eyebrows 196 Sutures of the fkull . 27 Suture of the fcrotum 120 Symphyfis 6q Synatthrofis 70 Syjiiiervofis . ib^d, Syfl^RCofis , • ' ibid, ' S jiit^xis of of the bones ib, : Syjitnefis 70 T. Tadusj 5^6 INDEX. T. TA(9;us, touch, organ of 218 Talus 63 Tarfus ibid, Tarfus of the eyelids 197 Teeth 33 Teguments, common of the body 75 Tendon 1 2 — Achillis 63 Tefticles » 2 1 —Are not glands ibid, —-Women's 131 Teftes of the brain, fee brain Tefticles, their fubftance, what 121 — Their albugineous tu- nic 132 Thalami of the optick nerves, fee brain 178 Thoracick du6i: 103 Thorax 151 —Its vertebrae 46 —Its feveral parts 152 Thymus 158 — -Of what kind in the foetus 150 -—Its cryflalline"' vefiels 158 Thyroide cartilage 164 Tibia 61 Tonfils 206 'lorcular of Herophilus 179 Tragus 214 Trochanter 51 Tubes Euftachian 214 --- Fallopian 139 —Their new corpus ca- vernofum 139 Tubercle of Lower 172 -—Denied to exift ibid. Tunica adnata, or albugi- nea 196 — Arachnoides 178 -—Of the eye 196 -— Choroides 196 —Whether the organ of fight^ ^ 197 — -Conjunctiva 196 — Cornea ibid, — Of the inteftines 100 -—Ligamentous and cellu- lous of the fpinal mar- row 192 —Retina 196 —The primary organ of vifion 126 — -Reticularis of the tongue 20/ --Papillaris nervofa of the tongue ibid. — Villofa of the inteftines 100 —Uvea 196 Tympanum 215 —Its cavity ibid. —-Its chord 216 —Its membrane ibid. —-Foramen of 215 —Its fcala 216 V. VAgina uteri 1 3 1 -—Its fphin£ter ibid. Valve, large one of the br?in 186 —-Of the colon 97 —Of the pyloris 95 --Semilunar of the tho- racick duft, fee tho- racick dudt — Oi the lower trunk of the cava, fee cava Valve I N D Vena, Retricularis of Eu- ftachius, fee cava — Remarkable in a foetus 150 — Conniventones of the colon 97 — Jejunum ibid. Valve, mitral and tricuf- pidated of the heart, fee heart — Of the cyftick du<£l, what, fee cyftick du6t — Semilunar of the aorta, fee aorta — Of the lacleals and tho- racick duct, feeth. du£t —Of the veins 229 -—wanting in which ibid. Vas deferens 126 —Of women 131 Vafa ladea 103 — Lymphatica 104 '— Adipofa 85 — Chylifera 1^3 — La6tea ibid. — Phrenia 160 -— Umbilicalla 150 Velum palati 205 Veins 295 —Three primary ones ib. —Their flrud^ure ibid. Vena axillaris 226 — Azygos ibid. — -Bafilica ibid. — -Bronchialis ibid. — Cava 225 — Cephalica 226 — Coronaria of th( I fto-. mach 227 — Cruralis 228 -— Diaphragmatica 227 -—Duodena ibid. -»'Epigaftrlca ibid. E X. — -Epiploica — -Gaftrica — Gaftrico-epiploica — Hsemorrhoidalis rior ---Interior -— Hepatica Vena Hypogaftrica — Jt-igularis — iVlammiria — Mediaftina — Mediana ---Mufcularis ---Pancreatica — -Poplitaea ---Portae —-Its branches -—Has no valves — Pudenda — -Pulmonalis — Has no valves — Sacra — Salvatclla — Saphaena — -Spermatica — Splenica — Subclavia — Suralis — Vertebral is Vens adipofae — Atrabilariae — Cerebri — Coronariae cordis — Cyfticae — Diaphragmaticae ores ■ — Hcpaticae — Iliacse — Intercoflales — Jugularis interna • — Its faccus — Lumbares — Mefaraicae 5^7 ibid, ibid, ibid. exte- ibid, ibid. 226 7.2J 226 ibid. 227 ibid, ibid. 228 ibid, zz^ ibid, ibid, 227 226 ibid. 228 226 227 ibid. ibid. 227 228 226 ibid. ibid, 227 226 228 inferi- ibid. ibid. 227 ibid. ibid. ibid. 228 ibid. Veins 5o8 INDEX. -^Mufcularcs — CEfophagae -— Pancreaticae — Raninae — Renales 227 ibid, ibid. 228 226 Vena fcapularis 228 —Triangulares, or fi nus*s 226 — ^Vertebrales ibid. Veins of the heart, their orifices ibid. Ventricles of the brain 179 — Of the heart, fee heart —Of the larynx, fee la- rynx Ventriculus of the ftomach 95 — Its fle(hy fibres 96 —Its villofe coat ibid. Vermiform appendix 97 Vertebrae 4 c —Of the back 43 —Of the neck 42 —Of the loins 44 Vefica, the bladder 1 1 7 • — Its mufcles 118 — Its cellulofe coat 1 1 8 —Its ftate in the fcetus 150 Veficula fellea 1 1 1 Veficulae of the neck of the uterus .'31 Seminales 130 —Of women 131 —Their duds into the urethra ibid. Veftibulum of the laby- rinth 214 VibrifTa 211 Vifus, fight, its primary organ 198 Vitreous humor of the eye 199 Ulna 5 4 Umbilicus 89 Umbilical vefTels 146 — Arteries, how long hol- low ibid. Umbilical! s funiculus ibid. Unguis 84 Vola of the hand 56 Vomer 29—32 Urachus 14b Ureters 1 1 5 Urethra 127 ---Its bulb in men ibid, —Its extremity ibid, —Of women 131 Uterus 134 —-Its OS externum 134 —-Its OS internum ibid. —-Its ligaments ibid, — The corpufcula glo- bofa of its neck 1 35 -—Its thicknefs in preg- tiancy 135 —Its new orbicular mufcle ibid. Uva, or uvula 205 Vulva cerebri, fee brain X. Xiphoide cartilage 48 Y. Ypriloide,or upfiloide bone 40 Z. ZOnae fonorae of Val- falva 217 Zootamy i Zygomatick procefs 23. FINIS. BOOKS printed for John Whiston and Benjamin White, at Mn Boyle s Head in Fleet'ftreet, In two Volumes, ^arto^ Price fifteen Shillings bound. I. ^ \^ H E Natural and Experimental Hiftory of the Mi* X neral Waters of England, particularly thofe of Scarboroughy Cheltenham, Ajiropy Ne'ville Holt, Latham^ Hartlepool^ Buxton, Harrigate, Matlockt Leeds, Knarejht- rough, &c. Wherein their Contents are carefully examined, difcovered and compared ; their Virtues and Ufes fhewn and explained, with the Difeafes they are efFedual in curing, and many aathentick Cafes recited. Together with the natural Hiftory of the Earths, Minerals and Foffils through, which they pafs. With Copper Plates. Puhlijhed nAjith the Appro- bation of the Royal Society, By Thomas Short, M, D» of Sheffield. OCTAVO. II. The Aphorifms of Hippocrates, and the Sentence* of Celsus : With Explanations and References to the moft confiderable Writeri in Phyfick, both ancient and modern : To which are added, Aphorisms upon feveral Diftemperf not well diftinguilhed by the Ancients. By Sir Conrad Spring ELL, Knt. M. D. The fecond Edition^ 'very much enlarged. Price fiv^e Shillings bound. III. M. Du VERNEY's'Treatifeof the Ear: Containing an exaft Defcription of the feveral Parts thereof, and their refpeQive Ufes ; with the Difeafes it is liable to, and their Cure. Illullrated vj'nhjixteen large Copper Plates, neatly en- graved. Price two Shillings, i27no. IV. New and extraordinary Obfervations concerning the Prediftions of various Crifes by the Pulfe, made by the long Experience of feveral eminent Phyficians, and illuftrated'with many new Cafes and Remarks. To which are added, fome general Hints on the Nature, the ancient Obfervance and modern Neglefl of Crifes. By James Nihell, M.D, Price two Shillings fevved. V. A Treatife of the Urinary Paffages, &c. Containing their Defcription, Power, and Ufes j together with the principal Diftempers that afFeft them ; in particular the5/fl«« of the Kidneys and Bladder. By Will ia m Ru tt y, M. D, Fellow of the College of Phyficians, and of the Royal Society : The fecond Edition correfted. Illuftrated 'with Copper Plates. Price one Shilling and Six-pence. VI. Health Preferv'd, in Two Treatifes. i. On the Difeafes of Artificers^ which by their particular Callings they 4rc are moft liable to. VVith the Method of avoiding them, and their Cure. By Bern. Ramazini, M. D. Chief Profefibr of Phyfick at Pauda. 2. On Diftempers which arife from particular Climates, Situations and Methods of Life. With Direftions for the Choice of a heahhy Jir, Soi/, and IVater^ By F R E D E R I c K Ho F F M A M , M. D. Phyfidan to the prefetit King of Pruffia. Translated and enlarged, with an Appen- dix. By R.James, M.D. The fecond Edition, Price bound, two Shillings and Six pence. In one Volume, izmo^ BOOKS printed for John and James RiviNGTON in St. Paul's Church-yard. I. A Hirtory of the Materia Medtca : Containing a De.- X\ fcriptJon of all the Subftances ufed in Medicine; their Origin, their Charac^lcrs when in Perfedion, the Signs of their Decay, their chymical Analyfis, and an Account of their Virtues, and of the feveral Preparations from them now ufed in the Shops. By John Hill, M. D. Member of the Royal Academy of Sciences at Bourdcaux. In one Vol. 4/0. Price \L i s. iJ. Dt. Boerhaave's Elements of Cbymiflry, faithfully abridged from the late genuine Edition, publifhed and iigned by himlelf at Levden, with all the Cuts and Explanations, contained in the Original : To which are added, curious and ufefui Notes, reflifying feveral Opinions, ^c. of the learned Author. By Edward St rot her, M. D. The third Edition, In one Volume, 8t.o. Price fix Shillings. ill. The Art of Surgery ; in which are laid down fuch a general Idea of the fame, as is founded upon Reafon, con- firmed by Priidice, and farther illuftratcd with many fn- gularand rare Cafes Medico-Chirurgical. By Dan. Turner M. D. In two Volmes, ^-vo. The fixihEdition, Price ten Shillings. IV. A Courfc of Le(5lures on the Rationale of Medicines, containing all that is neceifary for knowing the Virtues of Drugs already difcovered, or that may hereafter be found out ; in which are inferted all fnnple and compound Medi- cines now in Ufe, and their Operations, clearly flated, read to Pupils, and communicated to the Publick for the Ufe of young Priditioners. 'By Edward Strother, M. D. Coll. Chrijli Cantah. l^ Coll. Med. bond, Reg. Coll, In two Volumes S-v?. Price ten Shilling;:. BOOKS BOOKS printed for, and fold by C. Davis, R. Manby, and H. S. Cox, Bookfellers. I. A Trcatife on all the Difeafes Incident to Women ; ^/j^ containing an Acccant of their Caufes, DifFerences, Symptoms, DiagncilijC5, Prcgnoftic. , and Cure. By John AsTRUc, Phyfician to his prefent Majelty the King of France^ &c. Regius Profeffor at Parisy and Author of a Trca- tife on the Venereal Difeafe. Tranflated from a Manu- fcript Copy of the Author's Ledlures read at Paris^ i 740. II. A Treatife of the FofTiI, Vegetable, and Animal Sub- fiances, that are made ufe of in Phyfick. Containing the Hiftory and Defcription of them ; with an Account of their feveral Virtues and Preparations. To which is prefixed, an Enquiry into the conftituent Principles of mixed Bodies, and the proper Methods of difcovering the Nature of Medicines. By the late Steph. Fr.Geoffroy, M. D. Chemical Profeffor in the Royal Garden, Member of the Royal Aca- demy of Sciences, and F. R. S. 2>'uo. Iir. An Account of fome new Experiments and Obferva- tions„on Joanna Stephens's Medicine for the Stone : With fome Hints for reducing it from an empirical to a rational Ufe. With Remarks on Dr. Hales's Experiments on the fame Sub- je6l, and fome additional Experiments on the comparative Efficacy of divers other Medicines, as Lithontripticks. Pre- fented to the Royal Society, Jan.i^, 1741-2. By John Rutty, M. D. The fecond Edition, correded and en- larged, with divers new Experiments and pradtical Obferva- tions. Alfo an Account of feveral new Cafes. To which is fubjoined, an Account of the EfFe<51 of Soap Lees taken in- ternally, in the Cafe ^i James Jurin, M. D. With an Ap- pendix concerning a new Medicine for the Stone and Gra« vel. 8'X'(?. IV. L. Samuelis Dalei, M. L. Pharmacologia, feu Pvlan- duOio ad Materiam Medicam in qua xMedicamenta cfficina- lia fimplicia, hoc eft Mineralia, Vegetabiiia; Animalia eo- rumque Partes in Medicinae Oificinis ufitata, in Methodum natoralem digefta fuccindle & accurate defcribuntur. Cum Notis Generum Charafteriiiici':, Specierum Synonyniis Dif- ferentiis h Viribus. Opus Medicis, Philofophis, Pharma- copoeis, Chirurgis, &c. utHimmum. Ad Calcem adjicitur Index duplex: Generalis alter, Nominum, ^e. alter Anglico Latinus; in Gratiam Tyronum. Tertia Editio, muUis e- mendata &au6ta, ^ta. V. Mtdicina Britannica ; or, a Treatife on fuch phyli^al Plar.ts, as are generally to be found in the F\t\i'^ or Gardens Books printed for C. Davis, R. Manby, i^c. in G reat- Britain : Containing a particular Account of their Nature, Virtues and Ufes. Together with the Obfervations of the moil learned Phyficians, as well ancient as modern, communicated to the late ingenious Mr. Ray, and the learn- .ed Dr. Sim. Pauli; Adapted more efpecially to thofe, whofe Condition or Situation of Life deprives chem, in a great Meafure, of the Helps of the Learned. By Tho. Short, oi Sheffield, M. D. The fecond Edition. To which is added an Appendix ; containing the true Preparation Prefervation, Ufes and Dofes of molt Forms of Remedies ne, ceffary for private Families, '^•-uo. - VIL Biographia Britannica: Or, the Lives of the moft eminent Perfons, who have flourifhed in Great Britain and Ireland, from the earlieft Ages down to the prefent Times; Collefted from the beft Authorities both printed and Manu- fcript. Being a Supplement to Mr. Bayle's hiftorical and critical Didlionary. Folio. N. B. This Work ^ill male 5 Vols, in Folio, three &f nuhich are already publijhed^ the rejl ' 'MMM ■Mm