*1$ i...X.'+:>:'. life ®Q&QOQ®QGQ®QjQClO'3QQCi O W Surgeon General's Office z7eCU&7l, .................€7eUlp ......V- h No PRESENTED BY 12^ 4, iy:Jx-,k*As, n SS^OyQO^C11 ^pff^vf QfoiJu.' A COMPENDIUM OF THE A N A T O MY OF THB HUMAN BODY. INTENDED PRINCIPALLY FOR THE USE OF STUDENTS. " BY ANDREW J^YFE. IN TWO VOLUMES. —~«-.::- VOL. II. This Edition is prefixed with A Compendious History of Anatomy^ And the Ruyschian Art and Method Of making Preparations to exhibit the Structure of the Human Body, illujirated with a Reprefcntation of the Quicksilver Tray and its Appendages, k JVb'tch are not in the London Ed PRINTED AND SOLD BY JAMES At the N.W. Corner of Walnut and Dock-ftreets. ISO J, A COMPENDIUM ANATOMY HUMAN BODY. • <3>< INTENDED PRINCIPALLY FOR THE USE OF STUDENTS. By ANDREW FYFE IN TWO VOLUMES pfiilafcelpfiia: PRINTED AND SOLD BY JAMES HUMPHREYS, At the N. W. Corner of Walnut and Dock-ftreets. 1802. PART IV. ■O' OF THE VISCERA, AND ORGANS OF THE SENSES. ----«0»>--- OF THE COMMON INTEGUMENTS. " The Cuticle. THE Cuticle, Epidermis, or Skarf-Skin, is a thin femitranf- parent infenfible Membrane, which covers the Skin, and adheres to it by fmall Vafcular Filaments. The Cuticle is readily feparated from the Cutis by boiling water, or by putrefaction, and in the living body, by the appli-. cation of bliiiers. It is not every where of the fame denfity, being even in the Foetus, thickeft in the Palms and Soles; in which parts, the thicknds is afterwards much increafed by peeiTure. The External Surface is marked by Furroivs, which corref- pond with thpfe in the Cutis Vera. Upon the Surface of the Body it is perforated by the termina- tion cf the Exhalent VefTels,—which thiow out the Perfpirable Muter, and which, when increafed, is confidered by moftofthe modern Phyllologilrs, as forming the Sweat ;—by the ends of the Excretory Duc^s, which are found in particular parts of the Skin ;—by the beginnings of the Abforbents, which take in certain Subftances applied to the Surface of the Skin ; and—by the different Hairs. 4 The Perforations, or Pores, are moft evident upon the Palms and Soles, and upon the Nofe, Ears, and external parts ot Ge- neration. The Cuticle covers the Skin through its whole extent,.excep- ting under the Nails. From the External Surface of the Body, it is refleSed in- njuards, to line the large Paflages; as the Alimentary Canal, the Trachea, the Urethra, Vagina, &c. In thefe Paflages, however, the Cuticle becomes lefs uniform in its texture 3 and in fome of them, as in the Stc?/iacb, is either awanting, or is fo much changed in ftrucluie, as to have the ap- pearance of being fo. From the Surface of the Cuticle, certain Proccffes are fent into the Skin, which line the Paflages by which the Cutis is per- forated. Many opinions have been advanced concerning the origin of the Cuticle :—the lateft and moft probable is, that it is formed by a condenfction of the Corpus Mucofum, or by the Extremi- ties of Excretory Veflels;—its denfity, however, is fuch, that no veflels can be traced in it, either by the Eye or by the aflift- ance of glafles. The Cuticle ferves to proteft the fenfible parts under it; and to regulate the proportion of the Fluids thrown out or taken in by the Surface of the Skin ;—particularly to prevent too great a degree of evaporation. Corpus Mucosum. The Corpus Mucofum has been commonly called Rete Mucofum, from the fuppofuion that it is formed of a Mucous Net ivork, and is htuated under the Cuticle which it connects to the Cutis Vera. It is compofedol the terminations of extremely minute Veflels psflim, between the Cutis and Cuticle, which are Anroundtd by al.ucilaginous 01 Vifcid Subftance, properly culled Corpus Mu- cofum. . It is the chief caufe of th3t variety of colour which character- ifes the natives of different climates, and different people of the fame climate, beinf: white, or rather of a,light-grey femi-trans- parent colour in the European, black iifthe Ethiopian, brown in the Aliatic, &c. It is thicker and Jlronger in the Negro than in the white per- fon, and ca*n be readily eparated in the foimer into two Lajers. It covers every part, of the Surface of the Cutis, exceptng below the Nails, where it is awanting ; and is of fuch a light colo. r in the P.ums and Soles of tie Negro, as to have been fup- pofed by fome authors to be deficient there alfo. 5 Its origin has not yet been fufficiently afcertained, nor is it fully determined what particular purpofes it ferves. Among other purpofes, however, it contributes to preferve the ftru&ure of the tender Veflels, Dufts, and Papillae, placed between the Cutis and Cuticle ; and in the Negro, it is fup- pofed to ferve as a defence againft the heat ofv$he climate, by preventing the rays of the Sun from penetrating the Skin. Cutis Vera. The Cutis Vera, or Skin, properly fo called, lies immediately under the Corpus Mucofum, and gives a general covering to the whole Body. It is formed of Fibres intimately interwoven, and runn'ng in every direction, and is fo plentifully fupplied with Nerves and Blood-Veffels, that the fmalleft puncture cannot be made in any part of it, without occafioning pain and bringing Blood. The Blood-Veffels of the Cutis are fo numerous, as to appear to form almoft the whole of its Subftance, and are of fuch a fize as to be readily injected. It is ftrong and elaftic, and may be elongated in every direc- tion, after which it recovers its former dimenfions. It forms the body of the Skin, and is that part in Quadrupeds of which Leather is made. The outer part of it is denfe and firm, the inner loofe, and gradually degenerating into the common Cellular Subfbnce.! It is thicker and loofer on the pouerior than on the anterior part of the Body, and thicker and firmer in the Palms and Soles than in the other parts of the extremities. The colour of the Cutis alfo differs -in different parts of the body, in proportion to the quantity of Blood in the extreme Vef- fels, and to the thinnefs of the Cuticle. At the edge of the Eye-lids, the red part of the Lips, and mar- gin of the Anus, the Cutis becomes fo immediately and remarka- bly thin, as to appear to be loft. Upon the Surface of the Cutis, fmall Eminences are obferved, called Papilla;, Papilla Nervofa, and Papilla Pyramidales; ike term being borrowed from the Papillae of the Tongue, which were firft difcovered, and to which the name is moft applicable. They are confidered as forming the Organ of Touch, from their being extremely fcnhble; and i^m their being very Vaf- cular, they are alfo regarded a^'furnilhing a paflage to p .it of the Perlpirable Matter. The Papilla are moft evident in the Palms and Soles, where they are placed in double rows upon the ridges, which on the points of the Fingers and Toes, generally run in a femewhat fpiral and parallel direction. * -Vol. II. A 2 D The Ridges are fuppofed to defend the Papillae, and to increale the Su, face for Perfpiration. In fome places, as in the red part of the Lips, the Papilla? arc termed Villi, from their refemblance to the pile of Velvet. Various kinds of folds are obferved in the Skin ; fome depend- ing upon the form of the Cellular Subftance, as in the Hips ; others on Mufcular Contraction, a<; in the Fore-head ; and others on Articular Motion, as at the Joints of the extremities, —particularly thofe of the Fingers and Toes;—and thefe folds are thinner than the reft of the Skin, to allow eafy motion. In an inflamed Skin, as in the cafe of Small-pox, a Reticular Texture of Veflels is obferved, which can be eatily injected, and has been confidered by fome as the Corpus Mucofum, and by otherg as an additional Cuticle;—but no fuch appearance is to be met with in the found Skin. The Cutis Vera ferves to cover and give form to the Body, it unites the different parts, and defends them from injury. It forms the External Organs of Senfation or of Touch, and gives pafliige to the Fluids which are Perfpired or Abforbed. APPENDAGES OF THE SKIN. Nails. The Nails were formerly regarded as a continuation of the Papilla; of the Cutis, but are now more generally confidered as a continuation of theCu'icle, They are removed along with it by boiling water, or by ma. ceration. Like the Cuticle alfo, they are infenfible, are renewable after having been ieparated, and have no evident Vtffels. They differ from it, however, in (tincture, being formed of Pl.ihs, and thefe of Longitudinal Fibres, which are clofely com- pacted. They begin by a fquare root, a little before the laft Joint of the Fingers and Toes. When feparated from the Skin, they are tranfjarent like Ho;n, but are .coloured in the living Body by the Vcffeis of the Cuti.-, to which they adhere, and from which they derive their nourifhment. They are fixed at their roots to a femilunar fold of the Cutis, nnd aie there covered by a reflection of the Cuticle, which firmly adheres to thtm. They growTrom the roots, and not from the points. The nails ftrengthen and defend the ends of the. Fingers and Toes, and thereby ferve as Buttreffts. 7 In the Fingers they increafe the power of apprehenfion, being ufeful inlaying hold of minute objects. Hairs. " The Hairs arife by roots or bulbs, which are fituated in the Cellular Subfcance under the Skin. The Bulbs are of various,fhap$s in. different parts of the Bedy, and have Blood-Veffels difperfed upon them for their nourifh- roent. Each of the Bulbs has tnvo Membranes, or Capfules, contain- ing an Oily Fluid between them, which ^ives colour to the Hair, and for want of which, as in advanced life, or in certain diTeales, the Hair is fiippofed to change its colour, and become white. It may be remarked, however, that the Hair, after being cut off, continues uniformly to preferve its colour. The body of the.Hair coniifts of fmaller hairs inclofed in a Membrane, and is fomewhat of the nature of the Nails. Like them alfo, it grows only from .the root. The ufe of the Hair is not yet fully known.—It ferves in general for the ornament, warmth, or protection of the different parts on or near which it is placed. Sebaceous Ducts or Follicles, and Miliary Glands. The Sebaceous Follicles derive their name from the Fluid they contain becoming like Suet, after acquiring a certain degree of confiftency^^or being infpiffated by ftagnation. They are feated under the Cutis, and are found in greateft abundance in thole parts which are expofed to the air, or to at- trition ; as in the Nofe, Ears, Nipples, Groins, and external Parts of Generation. The Sebaceous, or Miliary Glands, are fo called from their contents, and from their refemblance to Millet Seeds, and are feated in the Axilla. Other Miliary Glands are defcribed by Authors as being placed under the Skin over the whole Surface ot the Body, and as ferving for the fecretion of Perfpirable Matter ;—but they are not demonftrable to fuch a genera! extent;. and the Sweat is con- fidered as being derived from another fouice. Thefe Follicles and Glar.us lecrete a fluid which ferves to lu- bricate the Skin, and defend it from the inclemency of the weather, or from the effects of friction. Miimbrana Cellularis, or Tela Cellulosa, or Reticular, or Cellular Substance This is p;en''rally confidered as one of the; Ir.teguments, thorn?': common to thefe and to j.he other parts or '.he Bou/. 8 It is compofedoia fine web, formed of many Membranes join- ed irregularly together, and thefe made up of Cells, which com- municate freely with each other wherever they are found. It is very elaftic, may be drawn out to a confiderable extent, after which it fuddenly recoils, and may be condenfed or com- pacted to a great degree. It lines the Skin, covers the Mufcles in general, and enters in between their different Fibres;—is an univerfal covering to all the other parts, and even enters into the compofition of almoft every one of them. It is thicker): where the parts are moftexpofed to preflure, as in the Hips, Palms, and Soles. The different Cells of which it is compofod, are conftantly moiftened by an Interftitial Fluid, and in many parts of the Body are filled with Fat. It has little or no fenfibility, can be handled freely, or cut or punctured without giving pain. It ferves to connect parts to each other,—but fo as to prevent them from growing together;—it covers them, fupplies them with (heaths to move in, and contains the Fat. Corpus Adiposum, Adeps, Pinguedo, or Fat. The Fat is lodged in the common Cellular Subftance, but with- out communicating with it, and is made up of Maffes compofed of fmall Veiicles containing the Fat, and thefe are furrounded by a net work of Blood-Veffels, from which the Fat is fuppofed to be fecieted, without the intervention of Glands. The Veficles are not found to have any communication with each other, nor have any Excretory Ducts yet been perceived in them,—the Fat being fuppofed to tranfude from the Cells. It is of different confifiency in different parts of the Body : In the living Body-it is generally fluid, though in fome parts it ap- proaches to a folid, and is altogether of this nature in the dead Body. In the Bones it forms the Marrow, whch has been formerly defcnbed. The Fat is chiefly fituated immediately under the Skin, and covers almoft the whole Sui face of the Body. It is alfo found between the different Mufcles and Fibres of Mufcles,—within the Orbits, and in the Cheeks,—in the Subftance of the Mam- mae, and about the Heart. It abounds in the Abdomen, about the Kidneys, Loins, Omen- tum, and Mefentery ;—and in the Joints it forms the Subftan- ces called Glands of the Joints, already mentioned. The Fat is aiuanting in the Scrotum, Penis, and Eye-Lids, and is found only in fmall quantity in the Fore-head, or about the Joints, where, from its bulk, it would have been inconveni- LI ent.—Tt isaiio awanting in the Subftance of the Vifcera fituated m the great Cavities of the Body; as the Brain, Lungs, Liver, Spleen, Kidneys, &c. The Fat ferves to lubricate every part of the Body to which it is connected, and facilitates the action of the Mufcles. It fills (he Interftices, fo as to give form and fmoothnefs, and guard againft preflure. It ferves alfo as a refervoir of nouriihmtnt. Panmculus Carnosus, Defcribed by the Ancients as an Additional Covering. This is a general Covering found in the Quadruped, and formed by a thin Subcutaneous Mufcle, which ferves to agitate the Skin. It is found only in certain parts of the Human Body; as in the Fore-head, where it is formed by the Occipito-Frontalis Mufcle ; and in. the Neck, where it is formed by the Platyfma Myoides. 00000000®00000000' OF THE BRAIN. o THE term Brain is applied to the whole of that Mafs which, with its furrounding Membranes, fills the Cavity of the Crani- um ; and is larger in Man, in proportion to the fize of the body, ti.a;i in any other animal. The Membranes of the Brain were called Meninges and Ma- ters by the Ancients, from an idea that they gave birth or ori- gin to all the other Membranes of the Body. They comiil of the Dura Mater, Tunica Arachnoidea, and Pia Mater. The Dura Mater, named from its being of a firmer tex- ture than the oiher two Membranes, inclofes the Brain and all its Appendages, am! lines the different parts of the Cranium. It is compofed -p between its Convolutions, is of a foft confiftence, and t»mpofed of numerous fmall Vt.ffls carrying red Blood ; but it is uniform, and without any appearance of a Fibrous texture. The inner Subftance is termed White or Medullary, and is con- fidered as giving origin to the different Nerves. It has been by fome called Excretory, having been fuppofed to be formed of hol- low TuIks continued fiom the Vtffels of the Coi tical part;— but no Cavit es have ever been obferved in the foft Fibres of which it is compofed. It is greater in quantity, and fomewhat firmer in texture, than the Cinerilious Subftance, and is fo intimately connected as to appear to be a continuation of it.—The foft Fibres or ftreaks of the Medullary Matter, run in general in a parallel and tranfverfe direction. In many parts of the Cineritious Subftance, Medullary Mat- ter appears ; and, on the cc ntraiy, in diffeient parts of the Me- dullary Subftance, Cineritious Matter is found ; the two being frequently blended together in the form of ftreaks. See Monro en Nervous Syjfew. The Centrum Ovale of Vieussens. This is the Medullary Subftance of the Brain, forming a kind of Nucleus, which is feen after removing the Cineritious Subftance, and all the Me- dullary parts mixed with it, which be between the Cortical Con- volutions. .*> To obtain a proper view of the Centrum Ovale, the Nucleus ought to be cut in fuch a manner as to pieferve the Corpus Cal- lofum, and the fame convexity with that of the general convexity of the Brain. The Centrum Ovale forms an arch or rooj'ovar the two Lateral Ventricles ; and the under part of this root, which is fmooth and uniform, conftitutes the upper part of thefe Ventricles. Vieussi':ns Confidered the Centrum Ovale as the great Dif- penfatory of the Animal Spirits. The Ventricles of the Brain are four in number, two of wh cli aie called Lateral. The four Veniiicles have th;ir (ides contiguous to each other, are chiefly foimed of Medullary Matter, and are lined with a continuation of the Pia Mater, which differs from that covering the exterior Surface of the Brain, in having fewer Veflels dif- pcifed upon it. They are conftantly moiftened by a Fluid, which prevents their oppofite fides from adhering to each other. The «/>of tlie Ventricles, like many other parts cf the Brain, is (till unknown. The Lateral, formerly called Superior Ventricles, are fituated in the Hemifpheres, one in each, and run Horizontally in the fame direction with the Hemifpheres theml'elves. They are of an irregular form, lying under the Centrum Ovale, and have each three winding corners, compared to Ram's Horns, which are therefore called Comua. The Anterior Comua are feparated only by the Septum Luci- dum. The Pojlerior Comua, called alfo Digital Cavities, are at a confiderable diftance from each other, but approach nearer at their pointed extremities ; while the inferior Cornua, the begin- ning of which is feen, run downwards and forwards, and termi- nate in the Lateral Lobes of the Brain. In each of the Pofterior Cornua there is an Elongation, which terminates in a point, and is called Ergot by the French, from its refemblance to the Spur of a Cock; or, Hippocampus Minor, from i's fimilarity to, and connection with, the fubftance termed Hippocampus Major. In the fore-part of the bottom of the Lateral Ventricles, are two large Eminences, called Corpora Striata, which become gradually narrower, and recede from each other at their pofterior extiemities. The Struflure of thefe is Cineritious externally, and mixed with Medullary Stria? within, fome or which form large Tranl- verfe Medullary Arches, and others run more in a ftraight direc- tion. Between the pofterior parts of the Corpora Striata, are fituated the Thalami Nervorum Opticorum, which have a roundifh form and Medullary Surface, and are of a Suiated appearance within, bu; the Striae are lei's diftinct than in the Corpora Striata.' IS "Upon the Sui face of thefe Bodie=, there are fmall Eminences or Tubercles, fome of which aie placed upon their iupei ior, and others upon their inferior extremit ts. The inner pans of the Thalaini are flat and contiguous, aid above they aie foclofelv connected as to form one continued Sur- face, called Ccmmiffura Mollis of the Optic Thalami. The pofterior parts of the Thalami turn downwards and out- wards, after which they aie elongated, to form the two white Cords, called Traclus Optici. In theGioove between the Corpora Striata and Thalami, there is a Meduil'iy Band on each fide, called Centrum Semicirculare Ccmii-um cj V ieuss e n s, or Tania Semicircularis oj HALL t r, or fimply Taenia. Over the Thalami is placed the Choroid Plexus,—named fiom its being compofed of a Chorus of Veflels and Membranes. It is a fine Vafcular Web, confifting of tmall ramifications of Ai tents and Veins, comucted by the Pia Mater, and lpie;>d upon the Surface of the Thalami. and fome of the adjacent parts. The Choroid Plexus frequently contains numerous round Globules, refembling Hydatids, which have been confidered by fome Authors as Lymphatic Glands. Under the Raphe of the Corpus Callofum, is placed the Septum Lucidum, which, when viewed laterally, is obferved to be bioad bef< re, curved at its edge, and to become gradually narrower to- wards its pofterior exiiemity. It is connected above to the Corpus Callofum, below to the Fornix, and foims a dillinct partition between the lateral Ventri- cles. It is formed of two Cineritious and Medullary Laminae, more or lets feparated from each other at tluir fore-part, by a fmall Cavity, called Fiffure, or 1'cffa of Sylvius or Sinus of the Sep- tum Lucidum, winch, however, doe. not communicate with lue Lateral Ventricles^ though in lome fubjtcls ir reaches a confider- able way backwards, and, as well as the other Ci. uies of the Brain, has been found full of water in Hydioccpiialous cafes. Under the Septum Lucidum is placed the Subitance which has been compared in fhape to a Vault by the Ancients, and fix in that htis obtained the name of Fornix. ■■*' The Fcr/tix is merely a continuation of the Corpus Callofum, and forms a fort of hoMow Ceiling, with four Pillars call.d Cru- ra, or Cornua, from their winding diitction, cf which theic are two anterior aid£two pofterior. The tivo Anterior Crura r.re fliort, run clofe together, and become enlarged at their inferior parts. ,The t-ivo Po/le/ior Cru- ra are Ion i in a communication between the back part of the thud Ventric.e and Lateral Ventricks; but it is complete- ly ftiut up by the Tehi Choroidea, and alio by the Fornix, which adheres clo.ely to ih s Membrane. The Third Ventricle is infoim of a deep Fiffurc, placed between the inner ends of the Thalami Optici, having the Coni- miflura Mollis of thefe rhr.laim li uated above, the Crura C'ere- bii below, and the bodes of the Thalami on each fide. i he Infu n DiEUI.UM is a paffage of confiderable iizc, of a Cineritious and Medulla, i ftructure, which leads downwards and forwards, gradually contracting, and becoming i'olid at its under end, where ;t terminates in the Glandula tituitaria and t!ins, contrary to the opinion of the Anci< ins, pieventing the paf- f.igeof nny Pituitous Fluid fiom it to the Nofe. The Glandula PiTuitaria is of an oval form, about the Ihi' of field-Bean, lodged in the Sella Turcica, and fur- rounded by a doubling of the Dura Mater. On the oi'tlide it is of a brownifh colour, being formed of Ci- neritious Matter ; it is whiter within, wheie it is m.xed with Medullaiy Subftan e. 3Whe Gl n lula Pituitaiia was formerly fuppofed to abforb a Fluid from me Infundibulum, and ranfmit it to the Nol'e. It has heen already mentoned, however, that the Infundihulum is impervious; and the real ufe of this Glafid, as well fls of the other Tubercles of the Brain, feen;. ftill uriknown. At the fore part of the third Ven'.ricle, and immediately be- foie the Ai.ierior Crura of the Fornix, there is a white Medul- lary Cord, whth runs tranfverfely through the Corpora Striata, and has the*iame of Commissura Cerebri Anteriou. At the back-part of the child Ventricl , and under the root of the'Pineal Gland, there is another Cord fitnilar to the former, but fhorter, cabed Commissura Cerebri Posterior. The Commiffura Ce-ebri afl;lt in uniting the two fides of the Brain to which they are fijjjtd From the under and back-part of the third Ventricle, there is a.P.ffage which leads to the fourth, under the name of Iter ad Quartum Ventriculum, Canalis Medius, or Aquaduc- tks Sylvii. 19 After the pofterior part of the Fornix, and the Tela Choroidea to which it adheres, have been removed, there appear at the back part of the third Ventricle, behind the Thalami, and over the Iter a Tertio ad Quartum Ventriculum, the Nates and Tes- tes, or Tubercula Quadrigemina, and Pineal Gland. The Nates, or Tubercula Quadrigemina Anteriora, are placed uppermoft, and are ot a rounder form than the '1 tSTEs, or Tuber- cula S^iiadrigemina Poflerioru,—winch lie immedia ely below the former.— Tne Teftes are broader from one lide to the other than from top to bottom, and of a white colour. A longitudinal Section fhews the Tubercula to be covered ex- ternally with a thin Medullary Lamina, and to be Cineritious w, thin. In Man they are more nearly of an equal fize than in Quad- rupeds, as in the Ox, Sheep, Sec. in which the Nates are large, round, and of a brown colour, and the Teftes fmall and long. ~^. Over the Nates, and under the back-part of the Fornix, is placed a fmall body, of a Cineritious nature, about the fize of a Garden-Pea, and of a Conoid figure, called Glandula Pi- ne alis, from its refemblance in fhape to a Pine, or Fir Cone. In confequence of being always prefent, and feldom found in a difeafed ftate, it has been celebrated by Des Cartes, as be- ing, according to his fuppofition, the Seat of the Soul. Tue i'ineal Gland is fixed at its root to the Commiffura Cere- bri Pofterior, an'd fends out tvjo long Medullary- Peduncles, or Footflalks, to be fixed to the upper and inner lide of the Thaiami and to the Anterior Crura of the Fornix. Ne..r, or in the Subftance of the Pineal Gland, fmall Calcare- ous Concretions are fometimes found, called by Soemmering, Acervulus Cerebri, from their being generally found collected in a heap. They*do not appear to be the effects of difcife ; nor are they met with till after the age of Puberty. Cerebellum. The Cerebejlum is fituated in the Inferior Foflae of the Occi- pital Bone, under the Pofterior Lobes of the Brain, and is fepa- rated from thefe Lobes by the Tentorium. It is fomewhat of a roundifh fSrm, though a little broader from one lide to the other than from before backwards. It is only about a filth or lixth pait of trie fize of the Cerebrum, and much limpjer. It is divided behind by the Falx Minor into two L.bes or He- mifpheres, but has no reparation above like the Brain. Its Surface is divided into numerous Circumvolutions, which from arches, decuflating each otner in m;.ny parts, at fliarp an- gles. * 20 The Circumvolutions run chiefly in a Lateral direction, ami are formed of Laminae, with deep Sulci between them, into which as in the Brain, the Piaf Mater infinuates itfelf, which may be readily feen by making a puncture into the Arachnoid CMR, and blowing in air till it diftend the Cellular Subftance, and feparate^the Coats from each other. It has two middle Eminences, called Appendices Vermifor- mes, from their, refemblance to Earth Worms, one of which is fituated anteriorly and fuperiorly, the other inferiorly and pof- teriorly. Each of the Lobes of the Cerebellum is again divided into Montivuli, or Lobules, which have different names according to their relative fituations, connections with other parts, &c. They vary a little in the different Subjects, but are beft diftinguifhed from the direction of their Convolutions. » The Subftance of the Cerebellum confifts of. Cineritious and Medullary Matter, as in the Cerebrum ; but the Cineritious bears a greater proportion to the Medullary in the former than in the latter. When the Cerebellum is cut in a vertical direction, the Me- dullary part is then found to bear a ftriking refemblance to the branching of the fh ub called Arbor Vita, from which circumftance it has obtained trie name of this fhrub. When cut in flices nearly parallel to the Bale of ihe Brain, the Medullary Subftance appears in Laminae, correfponding to thole of the Surface of the Cerebellum ; and when cut to a confidera- ble depth, there is a Centrum Medullare uniting the Lateral Lobes as in the Brain. Between the Ceiebellum; the under part of the Tuber Annu- lare, ar.d upper part of the Medulla Oblongata, the Fourth Ven- tricle is fituated, which extends from the tniintnees called Tefles to the pofterior inferior Notch of the Ceiebtlluin. 4 A little lower than the Teftes, the Ventricle becomes wider, and forms an angle * ehind, from which again it contracts, and becoming narrower and pouted below like a writing-pen, is cal- led Calamus Scriptorius. Over the under end of the Aquaeductus Syivii, and upper part of the fourth Ventricle, time is a itiin Medullary Lami- na, cailed Valvula, hut properly Velum Vieussenii. At the fides of th'i Velum Vieullcnii there are two Medullary iracts, called Proceffus ad lejtes, or Colu/u,:uValvula: Vieus- semi. The under end of the Ventricle is found to be flint Uj> by its Choroid Plexus, which p-events any communication octvvieu this Cavity and that of the Spine. ci UNDER SURFACE OF THE BRAIN. Near the middle of the Bafe of the Brain, and between its La- teral Lobes, there are two fmall, round, white bodies, termed Eminentiae Mammilares, or Corpora Albicantia, Medullary without, Cineritious within, mittaken by fome Authors for Glands. In the Corpora Albicantia, various Medulkiry Strata termi- nate,, which come from different parts of the Brain. Immediately before the Corpora Albicantia, two large white Cords are obferved, called Crura, or Pedunculi Cerebri, or Cru- ra Anteriora Medulla? Oblongata*, which arile from the Medul- lary Subftance of the Br.iin, and gradually approach each other in their courfe, till they unite with the Tuber Annulare. Their Sui face is flat, and compofed of diitinct Medullary Fibres ; internally they are compofed of a Mixtuie of Lineriti- ousand Medullary Matter, the former of which being of a darker colour at one paiticular part than in any other of the Brain, has been termed Locus Niger Crurum Cerebri. Between the Crura Cerebri and Corpora Albicantia, there is a Cinertious Subftance, called Pons Tarini, which joins ihefe two bodies of the oppofite fides together, and aflifts in forming the bottom of the third Ventricle. From the Medullary part of the Cerebellum, which forms the trunk of the Arbor Vitas two white cords arile, under the name of Crura Cerebelli, or Crura Pofleriora, or Pedunculi Cerebelli, which unite with the Crura Cerebri, to compofe the Tuber An- nulare, or Pons Varolii, fo named from forming a Ring or Bridge over the Ciura. This ring is intimately incorporated w:th, and formed by thefe Crura. fiie Tuber Annulare is fituated over the back part of the body of the Sphenoid and Cuneiform Procefs of the Occip.tal Bone. Many tranfverfe ftreaks run on its Surface, and it is divided into two lateral parts by a longitudinal deprefiion, occafioned by the fituation of the Vertebral Artery, At the fore and b.ick parts of the Tuber, are the Foramina Cceca A.iterius et Poflerius, the former placed between the third, and the latter between the lix.h Pair of Nerves : Thefe two Fora- mina penetrate only a little way at the edges of the Tuber, and receive a Plexus of Veflels. In the Subft:mce of the Tuber, there is much Cortical Matter, which is formed into Stria, imining in different directions. Continued fV.iin the Tuber, the.eisa laige Subftance in form of an inverted Cone, which extends to the Foramen Magnum of the Occipital B. no, under ihe n-nu of Medulla Oblongata. Upon ihe Surface of the Medulla Oblongata, two fmall Emi- nences appear, which run Ioi.Jtudinally and contiguous to each • t» 22 •ther and from their fhape have the name of Corpora Pyramida- lia, or Eminentia Pyramidalcs. Between ihe Corpora Pyr..midalia, there is a deep Fiflnre, into which the Pia Miter penetrates, and where Blood veflels pafs into the interior part of the Medulla. At theousfide of the former Eninences, are two othen, fome- what of the form of Olives, fi\ m which they are termed Corpora Olivaria, or Eminentia Olivares. More externally than thefe, are two other Eminences, lefs evident* than the former, which have been defcribed by fome Au- thors by the name of Corpora Pyramidalia Lateralia. The Medulla Oblongata is divided into twolateial portions, by an anterior and poii.iioi Fiffuie, and the two portions are formed of Medullaiy Matter without, and a larye piopcrtion of Cineiitious Matter internally, and joined together by Medullary Fibres. The Brain is the Gra.id and Primary Organ of Senfe, with which the Mind is fuppofed to be moft immediately and intimate- ly connected, and from which the Nervous Influence is found, by experiment, to be communicated to all the other parts of the Body. Origin of the Nerves. The Nerves arife from the Medullary parts of the Brain, fome in fol;d Curds, others in feparate Threads which afterwards unite into Cords ; and have their name in numerical fucceffion, accord- ing to their fituations, beginning anteriorly. The Firfl, or Olfactory Pair of Nerves, arife from the back- part of the pofterior lobes of the Brain, and run towards the Crifta Galli of the Ethmoid Bone, over which each forms a brownifh- coloured Bulb, from whence numerous fmall Nerves are fent off. The Second Pair, or Optic Nerves, are the continuations of the Thalami Optici. They are united immediately before Hie Infundibulum, and form an intimate intermixture of parts, and again feparate previous to their palling into the Orbits. The Third Pair arife by numerous Threads, wh.ch are foon collected into Trunks. The Fourth Pair, which are the fmalleft Nerves of the Body, arife behind the Teftes, and have a long and winding courfe. The Fifth Pair, which are the largeft Nerves in the Brain, have each an anterior fmall, and a pofterior large Fatciculus, which arifes from the fide of the Tuber Annulare. The Sixth Pair aiife from the beginning of the Me lulla Ob- longata, where it joins the Tuber Annulare. Each of the Nerves of this Pair has a fmall Thread at its inner part. -3 The SevAitb Pair arife from the beginning of the lateral parts of the Medullary Oblongata, and are divided on each fide into a Portia Mollis, and Portio Dura. The Eighth Pair arile by fmall Fafciculi from the Corpora Oli- varia. The Ninth Pair of Nerves alfo arife by fmall Fafciculi, a lit- tle below the former, from the Corpora Pyramidalia. The Origin of the Nerves will be defcribed at greater length, in a fwbfequeht part of the Volume. OOOOOOCO~:>00000000' OF THE EYE. •Q The Eyes, which conftitute the Organ of Virion, are fituated in the Cavities of the Orbits, and are lurround.d by feveral parts, fome of which protect them from injury, and others affift in the peifoimance of their various motions. The Orbits are formed of two Cones, fituated in the fore-part of the Cranium, with their Apices behind, their Axes in an horizontal fituation, and their Bafes turned obliquely ou'wards. Each of the Orb;ts is formed of different Procefl'es of the fol- lowing Bones, viz. The upper part -f each Oi hit, by the Orb'tar Plate of the Frontal Bone;—the inferior, by the Oibitar Plates of the fuperi- or Maxillary and Malar Bones ;—the internal, chiefly by the Ortiittr part of the Os Unguis and Pars Piana of the Ethmoid Bone;—the external, by the Orbitai Plates of the Sphenoid and Malar B nes;—thr pofterior, by the Sphenoid and Palate Bones; —and the anterior edsje of the Orbit, by the Frontal, fuperior Maxiliary, and Malar Bones. The Cavities of the Orbits are lined with Productions of the Dur.i Mater, which pafs out at the Foramina Optica and Lacera and, at the anterior edges of the Orbits, join the Periofteum of the Face, where they lupply the place of Ligaments to the Pal- pebral. Supercilia. The Supercilia, or Eye-Brovjs, which are peculiar to the Hu- man fpecies, are the arches of Hair fituated upon the Supercilia- 2^ ry Ridges of the Frontal Bone. T'ie Hairs are placed obliquely, with their roots towards the Nofe, and the Arches elevated a lit- tle above the left of the Fore-head, by a confiderable quantity of Cellular Subftance lying under the Skin. They a.e moved in diffeient diiect ons by the acl: m of the Frontal Corru:ator, and Oibicular.s Palpebiarum Mulcles. They are intended pi.rtlv for ornamem, and paitly as fnr.dcs over trie Eves thereby pieventing them from being injured by t::„antoiis Mattel, or by too great a quantity of light. They alfo aflilt in expi Tiling the paflion* of the Mmd. Palpebrje- The Palpebra, or Eye-lids, are chiefly compofed of a doubling of ihe Skin, mcl« lint; pait of the Orbicularis Palpebrarum Mufcle, and the Cartilages called Tarfi, and forming angles at therou.erand inner extremities, termed Canthi, or Corners of the Eye. The Upper Fje-lid is the one which moves principally in clo- fing or opening ihe Eye, the under moving only when the Eye-lids are fliut with uncommon foice. The n">ticns of the Eye-lids are performed by the action of the Oib-culans nnd Lev'tor Palpebrarum Mufcles. The Eve-lids feive an Curtains or Veils, to defend the Eyes during Ueep : They likewife pi event them from being injured by extianeoiis obj its, or by too much light. By their frequent motion they increafe the fecreiion of the Tears, apply them pro- peily to the Surface of the Eye, and conduct what remains, after waflnng the Eye, to the Pin.eta Lacrymaha. Tarsus. This is a thin Cartilaginous Arch, fitintel in the cif-t of each Eye-bd, that in the upper one being confiderably broader than the one below, and each broader at its middle than towards its extremities. Their edges are fo placed, that when the Eye-lids are fliut, a groove is left next the Eye. by which the Tears are conveyed to- wards the Nofc—They terminate at a little dillance from the in- ner angle of the Kye. They ferve to keep the Eyelids extended, allow them to be ac- curately applied to each other, and prevent them from being col- lected into folds. Glandule Sebaceae, Ciliares,-or Meiboitianve,— the laft term obtained from their being dtferibed by Mlieo.mi- vs,-—are placed between the Tarfus and lining of the Eye-lids, and are formed of a fl-ries of white lines or Follicles, miming in ferpentine directions, which, when viewed through a magnifier, appear like rows of Pearls, from which an Oily or Sebaceous Matter, refembling little worms, miy be readily fqueezed out 2.3 through the Foramina or pun eta Cilaria', placed upon the edges of the Eye-lids. The Matter of the Sebaceous Glands facilitates the motion of the Eye-lids, and prevents their accretion during fteep. Cilia. The Cilia, or Eye-lafhes, are ftiff Hairs placed in the edges of the Eye-lids. Thofe of the upper Eye-lid are bent upwards, and are confiderably longer than thofe of the under Eye-lid, which are bent in the oppofite direction. In both Eye-lids, they are awanting near the inner Angle. The Cilia prevent duft, infects, &c. from getting into the Eye, aflift in moderating the quantity of light fent into it, and add to the beauty of the Face. Glandula Lacrymalis. The Glandula Lacrymalis, called, till of late years, the Glan- dula Innominata Galeni, is fituated upon the upper and outer part of the Eye, in a hollow behind the outer end of the Superci- liary Ridge of the Frontal Bone.—It is a Gland of the Conglo- merate kind, of a yellowifli colour, of an oblong form, and a little flattened, with one end pointing to the Nofe, the other to the outer angle of the Eye. Befides this, there is a chain of Smaller Glands, lying between the principal Gland and upper Eye-lid, and connecting them to- gether. In the direction of the Smaller Glands, there are feveral Ex- cretory Ducts,—defcribed by Dr. Monro, 1758,—which run nearly parallel to, but do not communicate with each other. The Excretory Ducts, on account ot their fmallnefs, are not often fcen, and are difficult of injection. They terminate on the inner fide of the upper Eye-lid, near the outer angle of the Eye, and upper edge of the Tarfus. The ufe of this gland is to fecrete the Tears, which arefpread ever the Surface of the Eye by their own weight, and by the motion of the Eye-lids, for the purpofe of preferving the delicacy of the Eye, and particularly the tranfparency of the Cornea. Puncta Lacrymalia. The Pun3a Lacrymalia are two fmall Orifices placed near the inner angle of the Eye, one in the upper, the other in the under Eye-lid, at the extremity of the Tarfus, and oppofite to each other. Each Punctum is feated obliquely upon a fmall eminence, and is furrounded with a Cartilaginous Circle, which keeps it con- ftantly open, The Puncta Lacrymalia are the Orifices of two fmall Canal", wlr'chrun in the direction of the edges of the Eye-lids towards Vol. II. C the fide of the Nofe, where they approach each other, and termi- nate together in the, Lacrymal Sac. The Tears which remain after moiftening the Eye are abforbed by the Puncta, after the manner of Capillary attraction, and are conveyed through their Ducts into the Lacrymal Sac by th« im- pulfe of the Eye-lids. Caruncula Lacrymalis. The Caruncula Lacrymalis is a fmall Gland of a rcddiih colour, of the Conglomarate kind, fituated between the inner angle of the Eye-lids and Ball of the Eye, which fupplies Sebaceous .Matter to this part of the Eye-lids, and ferves in particular to feparate the Puncta Lacrymalia, and to direct the Teais to them while the Eye-lids are fliut. Minute Hairs are found upon the Sui face of this body, ferving to entangle fmall objects which get into the Eye. Valvula Semilunaris. The Valvula Semilunaris is a fmall doubling of the Tunica Conjunctiva, which lies between the Caruncula Lacrymalis and Ball of the Eye. It is larger in the Ape and other Quadrupeds than in the Hu- man fpecies, and (till larger in Birds, in which, as well as in Quadrupeds, it is called membrana NitTitans. It is in form of a Crefcent, the horns of which are turned to- wards the Puncta Lacrymalia, and aflifts the Caruncula in con- ducting the Tears to the Puncta. , THE BALL OF THE EYE. The Ball, Globe, or Bulb of the Eye, is of a fphe/ical form, to collect the rays of light into a proper Focus, and is furrounded behind by a quantity of foft Fat, to allow the Eye and its Muf- cles to move with facility. The Bali of the Eye is compofed of C.ais, Humours, Veffels, and Nerves, to be next dtferibed. COATS. Tunica Adnata. The Tunica Adnata, or Cnjunilive, named from its connec- t'ng the Eye to the Orbit, is a reflection of the Skin continued from the Eye-lids over the whole fore-part of the Bull of the Eye. * It adheres flightly fry means of Cellular Subftance to the White of the Eye, but fo firmly to the Cornea, as to be feparated from it with difficulty. It is fo remarkably thin, that the colour of the fubjacent parts mine readily through it. Between this Coat and the white part of the Eye, there is,a quantity of loofe Cellular Subftance, which is veiy Vafcular, and is the common feat ,f Ophthalmia. 27 The Tunica Adnata fuppcrts the Ball of the Eye, prevents extraneous bodies from getting to the back-part of it, and forms a l.nboth covering to left-en the friction between the Eye and Eye- lids. Cornea. The Cornea, fo called from its refemblance to Horn, is termed by many Authors Cornea Luiida, to diftinguiih it from the Scle- rotica, named Cornea Opaca. It forms the antcr or Pellucid Covering of the Eye, is more convex than the reft of the Ball, and is joined to the Tunica Sclerotica, like the Segment of a fmall Sphere to that of a lar- ger one. The convexity, however, varies in d fit rent perfons, fo as to form a fliort or long lighted Eye, according as the Cor- nea is more or lefs prominent. In a recent fub^d, it is lnrd, denfe, and tranfparent ; but after maceration in water, it becomes foft and opaque, and may be readdy feparated, efpecially in young Animals, into differ- ent Lamellae, the anterior of which is the continuation of the Tunica Adnata. By a (light degree of putrefaction, it may alfo be feparated from the Tunica Sclerotica. In the Whale, the edge of the Cornea is received into a diftinct Groove formed by the Sclerotica. In a found ftate, it has no Veflels which carry red Blood, though fuch are frequently feen on it when the Eye is inflamed. Its nerves are too fmall to be traced; yet it poflefles exquifit: fenlibility. It collefls the rays of light, and tranfmits them to the Eye, protects the tender parts within it, and contains the Aqueous Humour. Iris. The Iris, which is named frort) be;ng in fome perfons of dif- ferent colours, is the only Coat which pofTeffes motion. It was confidered as a continuation of the Choio.d Coat, until defcribed b\ Z nn, who fliews that it is only connected to this Coat by the medium of the Ciliuiy Circle. It is place ! at a lit;lc diftance from the Cornea, begins a fmall way behind the junction < f that Coat with the Sclerotica, and running acrofs, it forms a Septum, a little convex anteriorly, and peiforatcd in the middle by a HoIeV called the Pup.I, or light of the Eye. The term Pupil is applied, beeaufe it reprefents objects no lar- ger than a Pupilla or Puppet. In the Foetus, the Pupil is cove; ed with a Vafcular Membrane, termed Membrana Pupillaris, which generally difappears between the fever.th and ninth month of geftaiion. 2S Upon the back-part of the Iris, there is a dark-coloured Pig- ment, confidered by the Ancients as a pofterior Layer of the Iris, called by thtm Uvea, from its refemblance in colour to the Grape. When the Paint is waflied off, the Iris exhibits two fcts of Fibres,—concerning which Authors have entertained various opinions,—one in the foim of Radii, tht different colours of which give the diverfity of colour to the Eye ; the other circular, and furrounding the inner edge of the Iris, and confidered by Dr. Monro as the Sphincter Mufcle of the Pupil. The Iris has alfo many Blood-\tflels, which can be readily injected ; and has a greater proportion of Nerves than almoft any other part of the Body. It floats in the Aqueous Humour, and is of fuch a nature, that upon expofure to a ftrong light, or when the Eye looks upon a near object, the diameter of the Pupil is diminifhed; and vice verfa. The different motions of the Iris are fuppofed to be excited by the fenlibility of the Retina, and the quantity of light falling upon that Nerve. The Iris ferves to regulate the quantity of light fent to the bottom of the Eye. Tunica Sclerotica. The Tunica Sclerotica, which is named from its hnrdnefs, is the largeft and ftrongeft Coat of the Eye, covering the whole Ball, excepting the parts occupied by the entrance of the Optic Nerve behind, and by the Cornea before. It is fo firmly fixed to the edge of the Cornea, as to have been confidered by many Anatomilis as a continuation of the fame fubftance; but it differs from the Cornea in the following parti- culars ; it is of a pure white colour, i foimed of Fibres running in every direction, and clofely interwoven with each other, is not divifible into Layers, and may be feparated fi.-m it by art, as has been already mentioned. It is tlnckeft pofteriorly, and receives a little time on the inner Surface, from the Choroid Coat, with which it is in con- taa. It gives form and ftrength to the Eye, and fupports the tender parts within it. The Tendons of the four Recti Mufcles of the Eye are fixed to the fore p^irt of the Tunica Sclerotica ; and thefe, or the Cel- lular Vaeinx covering them, have been fuppofed to give an ad- ditional v\ hitenefs to the Eye; and thenar! giving this whitenefs has been termed Tunica Albuginea:—But the Sclerotic Coat is every whereof a puie white, and can receive little additional bright in. fa from any fuch coverings. 29 Tunica Choroides. This Coat derives its name from the Veffels with which it abounds, forming" a Chorus; or from its fuppofed refemblance to the Membrane called Chorion, which furrounds the Foetus in Utero. The Choroides lies under the Sclerotica, and is connected to it by the Trunks of Veffels and Nerves which pafs from the one Coat to the other, and alfo by a tender Cellular Subftance, of a brown colour, with which the inn?r Surface of the Sclerotica is tinged. It begins at the entrance of the Optic Nerve into the Eye, runs between the Sclerotica and Retina, nearly to the Cryftaliinc Lens, where it is more firmly connected to the Sclerotic Coat than it is elfewhere, by means of the Ciliary Circle. The Ciliary Circle, or Ciliary Ligament as it is called, is com- pofed of a quantity of condenfed Ihining Cellular Subftance, which forms a white Ring connecting the fore-part of the Choroides, and the root or outer Margin of the Iris, to the Sclerotica." The Choroid Coat is much thinner and more tender than the Sclerot'c, and is one of the moft Vafcular parts of the Body, feeming at fiift fi-Jit to be entirely compofed of Veffels.—The gna;.er number of thofe on the out tide run in whirls ; while thofe on the infuie, running nearly parallel to each other, gave rife to the fuppoled exiftence of the Membruna Ruyfchiana. It is alfo fumifhed.with numerous Nerves, which are united with its Veffels by a fine Cellular Texture. In the human Eye, the Choroides is of a dufky brown colour, both externally and internally ; Out the colour varies con fid era - bly in the eyes of different annuals. I he inner Suiface of this Coat, which is Villous, was defciib-. ed by Kuvsch as a dijlinS Lamin,z, and h s been termed by many Amu^nifts Tunica Ruyfchiana ;—Haller however, and ZlNN, and many others who fo.lowed them, have dcmoiiltratcd this Coat to con lift of only one Lamina ; though in Sheep, ar,d n fome other animals, it appears to be double. Upon the inner lide of the Choroides, there is a daik-culoured Mucus, called Pigmentum Nigrum,—fuppofed to be produ. cd from the Veffels of this Coat,—wtveh is bla::keft and thickeft at the fore-put of the Eye, where it adhercf fo tcnacioully as to be removed with difficulty ; but behind it is thinner, more fluid, and more ealily removed ; becoming gradually lefs evident, and almoft difappearing round the Optic Nerve. In advanced a^e, the Pigmentum Nigrum becomes more di- luted, and of a 1 .titer colour; fo that the Vcffeis of tf- Cho- roid Coat may be feen ihining through the Vit.eous Humour. Vol. II. C2 30 Though HaLLER denies that the Membrana Ruyfchiana can ever be feparated, in the Human Eye, f.oin the Choro de«,—he retains the name, to denote the black Suiface of this Coat. In grimeniverous animals, in fifties, and in ihofe animals which rro in queft of prey in the nighf, the Paint is of a light jmd fluning colour in the bottom of the Eye, and is called Tapetum.— In an entiiely wlvte Rabbit, the Paint is awantiner, and tht Eye has a red cof.ur from the Veffels of the Choroid Coat ; but the. lv.icefs dilip, ears when the animal is dead. A the fore-part of the Choroid Coat, and oppofite to the Cili- ary Circle, there is a black radiated Ring, called Corpus Ciliare, which is about the fixth part of an inch in breadth towards the Temple, b.it fomewhat narrower towards the Ncd'e. In the pofterior portion of the Corpus Ciliare, there are nu- merous pale radiated Ciliary Stria, but fo covered with the P'g- mentum Nigrum, as not to be diftinctly feen till the Paint is re- moved. Near disconnection of the Corpus Ciliare with the root of the Iris, thefe Striae become gradually broader and more ele\ ated, and form about feventy white Plica or Folds, termed Proctffus ( iliares, the intervals of which are alfo covered with Pigmentum Ni- grum. The Proccffus Ciliares, which obtain their name from their re- femblance to the Cilia of the Eye-lids, are commonly formed each of two or more Striae, are not all of an equal fize, and many of them forked at their extremities. The Corpus Ciliare, formed of the Ciliaiy Stria; and C liary Proceffes, has no appearance of Mufcularity, though the contrary has been fuppofed by fome Authors. A fine Injection fhew, it to be chiefly formed of a continuation of the Blood-veflels of the Choro'd coat, the branches of which divideinto fuchm nute partf, as to give the whoie a Villous appearance. The Corpus Ciliare is glued to the Retina, at the fore-part of the Vitreous Humour, and a' little behind the edge of the Cry- stalline Lens ; but the Ciliary Proceffes float in the Aqueous Hu- mour in the pofterior chamber of the Eye, at the inner fide of the root of the Iris, and may be readily turned back behind the edge cf the Lens, to which they are contiguous, but do not adhere. The Choroid Coat, with its dark Pa'nt, ferves to fuffocate the rays of light which pals through the Retina, and thereby to al- low a diftinct image to be formed upon the bottom of the Eye, and to prevent the rays from being reflected fo as to form a fecond im '•.:/-. In thefe animals in which this Coat or its Paint is of a bright eolour, it acts as a minor to reflect light, and make the impreflion ftronger. 31 Optic Nerve and Retina. The Optic Nerve, in its paffage through the Orbitr is cover- ed by a continuation of the Membranes which furround the Brain. At the Foramen Opticum, the Dura Mater is divided into tvjo Lamina, one of which affifts in forming the Periofteum of the Onm; the other, which is again divided into two Laminae, furnifhes a fheatli to the Nerve, and accompanies it to the Tuni- ca Sclerotica, to which it is fo firmly connected by Cellular Sub- ftance, as to hav; induced fome Authors to defcribe the Sclero- tica as a continuation of the Dura Mater The Boay of the Nerve is ftill more clofely inverted by the Pia Mater, which alfo forms (heaths round the Neivous Fafci- culi, and accompanies the Nerve into the E)e. At the back-part of the Ball of the Eye, and a little removed from the Axis, towards the Nofe, the Fafciculi of the Optic Nerve pafs through a Cribriform part of the Sclerotic Coat. The Nerve is contracted at its entrance through the Sclerotic - Coat, but immediately^ after its ingrefs, it expands to form the Retina,—lb called from its fuppofed Reticular appearance. In the middle of the en_rance of the Optic Ne, ve, the Artery is i'een dividing into branches, which are difpeifed upon the in- ner Surface of the Retina. The Retina advances between the Choroid Coat and Capfule of the Vitreous Humour, to the fore-part of the Eye, and ter- minates or difappears upon the anterior part of the edge, or great- - eft diameter of the Capfule of the Cryftalline Lens. The Retina is contiguous to the Choroid Coa and Capfule of the Vitreous Humour, but does not adheie to either, by Blood- vcffels or otherwil'e, till it reach the Corpus Cii are. Under the Corpus Ciliare, the Retina is lb cove.ed externally, with the Pigmentum Nigrum, and adheres internally fo cJofely to the Capfule of the Vitreous Humour, as to be prevented fiom being feen till the black Paint be waftied off, orti-1 all the Coats be removed poftei iorly, and the Eye viewed through the medium oi the Vitieous Humour. The Retina is compofed of a tender and Pulpy-like Subftance, isfemi-tranfparent, and of a light-grey colour, refembling that ofgiouhd glafs. From the entrance of the Optic Nerve, to the e-djrc of the Cor- pus Ciliare, the Retina is of an equal and uniform Subftance, and is fo eafily torn and feparated from the edge of that body, as to be defcribed by many Authois as terminating there. _ Undei the Striae and Pioceffes of the Corpus Ci lare, the Re- tina is thinner than in the pofterior part of the Eye, and is fo im- 3:2 preffed by thefe bodies, as alfo to have the appearance of Striae, vhich terminate in numerous minute Fibres, like Nerves in other parts of the Body. The Retina is the ll it of Vifion, and therefore the primary partot the Eye, to which all the other parts within the Orbit are fubfervient. HUMOURS. Aqueous Humour. The Aqueous Humour is lodged in the fpace between the Cor- nea and Cryftalline Lens. This fpace is divided into two Cavities, called Chambers, the anterior of which -s fituated between the Cornea and Iris, and is the larger of the two. The pofterior is placed between the Iris and Cryftalline Lens, and is fo much fmaller than the former, that its exiftence has been denied by fome Authors, though it is a diftinct Cavity, de- monftrable, m,t only in the Adult, where the Pupil is open, but in the Foetus before the Pupil is formed. The Aqucjus Humour is clear as the pure ft Water, but is fomewhat heavier, pofl'elTes a fmall degree of vifcidity, contains a little Salt, and is about five grains in weight. In the Foetus, and for the firft month after birth, it is reddifh and turbid. When evacuated, it is qtrckly renewed ; for within forty- eight hours after it has been let out by a puncture, the Cornea is obferved to be again reiftcliy diftended. It is fuppofed to be fecreted from the neighbouring Arteries, particularly fiom thole on the feie-pai: of the Iris and Ciliary Proceffes. I ferves to keep the Cornea diftended, and, by its roundifh form and pell .cidity, it col Lets and tranfmits the rays of light to the inner parts of the Eye. It likewife guaids the Ins and Lens, and ud/mits of the'm.tions of the forme.. Crys i alline Lens. The Cryflalline Lens, wh.ch has its name from its refemblance to Cryftal, and fiom it-* Lenticular form,—th.ugha foiid body, which may be moulded into various fhapes,—has always been ckflVd among the Humours of the Eye. It is fituated behind the Aqueous Humour, oppofite to the Pupil, and the whole of its pofterior pai; is received into a de- prtflion on the forepart of ihe Vitreous M irnour. Like a common Lens, 01 magnifying Glafs, it has two convex Surfaces, the anterior of which is in general lefs convex than the pofterior, the two being formed of fegments of fpheres of an un- equal fize. 33 The anterior Suiface, according to the experiments of Petit, forms the fegment of a fphere, the diameter of which is between i't\en or eight lines, or twelfths of an inch ; while the pofterior Surface is only equal to the fegment of a fphere of about five lines in diameter. It has been obferved by Zinn,—that the figure of the Lens varies at different periods, being in the Foetus almoft of a fpheri- cal form, but becoming gradually flatter on the anterior and pof- terior Surfaces, till about the age of thirty, after which its form does not appear to vary. As the figure, fo alfo the colour and confiftency are found to change at different times of life—In the Foetus, not only the Capfule, but the Lens alfo is of a reddifli colour ; but, imme- diately after birth, they become perfectly tranfparent.—In a per- fon confiderably advanced in years, the Lens is obferved to ac- quire a certain degree of yellownefs, which appears firft in the centre, and afterwards extends gradually to the circumference; and in extreme old age, this yellow tinge becomes fo deep as to refemble Amber. An Aqueous Fluid is defcribed as betig fituated between the Cryftalline Lamellae, which is fuppofed to decreafe in quantity, and to become yellowifli, the Lens at the fame time increafing in folid ty as the perfon advances in life.—This difference however, of convexity, colour, and confidence, according to the difference of age, is not uniformly met with. The Lens becomes opaque foon after death, and acquires an additional opacity when put into fpirit of wine. It is compofed of cancentric Lamellse, laid over each other like the coats of an Onion. Thefe Lamellae are connected by a fine Cellular Subftance, and are more clofely compacted the near- er they are to the centre. Th's lamellated ftructure may be readily obfeived in the Eye of an Ox, or any other large animal, but is moft evident when the Lens has been macerated in Water or Vinegar. When the maceration is continued for fome time, the Lamel- lae put on a radiated appearance, the Radii running in a vertical manner, or iflfuin - from the centre to the circumference, dividing the Surface into Ilofcular Triangles. The Lamellae were difcovered by LEUWENHOECK, to be of a Fibrous ftructure. By a late writer, thefe Fibres have been con- fidered as Mufcular,—hut this opinion of the Mufcularity of the Lens, feems to have ained very few profelytes. The fubftance of the Lens fomewhat refembles half-melted Gum, is very loft and tender on the outlide, but becomes gra- dually firmer and tougher towards the centre, wiur. it forms a Nucleus. The Lens is furrounded by a very pellucid proper Capfule, called Tunica Aranca, or Cryflallina, which is much thicker and 34 more elaftic than the Capfule of the Vitreous Humour, but ad- heres fo flightly, and is fo eafily lacerated, that after a finally puncture is'made in it, the Lens ttarts out, upon applying gen- tle preffuie to the Capfule. The pofterior part of the Capfule is much thinner, fofter, and weaker than the anterior ; but is quite a dijlincl Membrane from the Tunica Vitrca ; yet fo fit inly connected to it by Celiulai Sub- ftance, that it is d.fficult to feparate them whhoi.t lacerating both the Vitreous Coat and its Humour. Some Authors defcribe an Aqueous Humour as feated between the Lens and its Capfule; while others, of no fmall refpe6>abili- ty, deny the exiftence of this Humour, as well as of that which is faid to be fituated between the Lamelhe of the Lens. The Vcfftls of the Lens are not to be feen in the Eye of nn Adult; but in that of a Foetus, Petit found Veflels pafling jf from the Corpus Ciliare, over the fore-part of the Capfule of the Lens. Winslow afterwards obferved, that in the Foetus, and in new- born children, a fine injection fucceeued fo well as to difcover the Veffels of the Membrana Cryftalina and Vitrea ;—and in a Foe- tus of about fix months, the injected liquor feemed to him to have penetrated a part of the Cryftalline and Vitreous Humours. Albinus derives thefe veflels from a double fouice.—In the Eye of a Whale, he demonftrated Veffels pafling from the Cilia- ry Procefl'es to the Subftance of the Lens ;—and, at a later peri- J ,od, he injected in the human Eye, a fmall branch arifing from the Cential Artery of the Retina, which proceeded in a ftraight direction through the Vitreous Humour, and divided in the pofte- rior part of the Capfule into numerous branches, many twigs ct wh ch plunged into the Subftance of the Lens. This artery and its branches, have been frequently andfuccefs- fully injected by fucceeding Aiiutomifts. Vitreous Humour. The Vitreous Humour, fo called from its ief mbhnce to melted Ghfi, is fitu-.ted in the back-part of the Cavity of the Eye, which it occupies from the inferrioii of the Optic Nerve to'the Surface of the Ciyftaline Lens. It is round at the back-part r.nd fides, where it is covered by the R'-tina, but is concave before, wiieie it forms a bed for the Cryftalline Le i=. It is by much the largeft cf the three Humours, occupying upwards of n:ne-tenths of th"e whole E . .-, and has a Gelatinous appearance,—oi' is fomewhat like the ^ia;re c-t an Egg. In an Adult it is always very tranfparent, and in an Old Per- fon it does not like the Lens, degenerate into a yellow, or any o;her colour. In the Foetus, like the Aqueous Humour,^ it is of a reddifh colour. The liquor with which the Vitreous Humour, is filled, is fnnilar to the Aqueous,—very fluid, tranfpires readily through the Capfule, though that Coat be entire, and, like the Aqueous Humour, is fomewhat thicker, heavier, and more vifcid than Water. When this Humour is evacuated by puncture, in the living Bo- dy, it is very feldom, though fomelimes renewed. Upon the Surface of this Humour there is a Coat, termed Vi- trea, as tranfparent as the Humour itfelf, and fo thin and Cob- web-like, as to have the name of Aranea. The Tunica Vitrea is remarkably fmooth on its outer Surface; but within it fends Pro effes into the body of the Humour. Seme Authors, and among thefe WiNSLOW, have defcribed this Coat as confifting of two Laminae, but Sabatier, and other late writers, ftem fufliciently fatisfied that it is a fingle Layer ; and even this fingle Layer cannot be raifed but with dif- ficulty, though it is demonfti able by making a puncture to allow the Humour to efcape, and by afterwards diftending the part with air. The ftructure of the humour coniifts in a fet of delicate Cells, which contain the liquor within them, as may be feen by the affiftance of Acids, or by boiling Water, or by Congelation. The Cells of the Humour communicate freely with each other, as appears from the liquor oozing out by the fmalleft puncture made in the general Capfule. Under the Corpus Ciliare, the Capfule of the Vitreous Hu- mour fends ofF an external Lamina, which accompanies the Re- tina, aiid is inferred with it into the fore-part of the Capfule of the Lens, a little before its anterior edge. It is termed Mem- branula Corona Ciliaris, or Zomula Ciliaris, from its Striated appearance and Circular form, and affifts in fixing the Lens to the Vitreous humour. After fending off the Ciliary Zone, the Coat of the Vitreous Humour goesfeehind the Capfule of the Lens, to which it firmly adheres. Between the Ciliary Zone and part where the Capfule of the Vitreous Humour adheres to that of the Lens,—which is at the fame diftance behind the edge of the Lens with the diftance of the infantum of the Ciliary Zone before it,—a Paffage is formed, na- med Can.r/is Petitianus, after Petit, who difcovered it. The Membranes forming this Paffage are pervaded by tranf- verfe Fibres, in fuch a manner, that when air is-introduced, it trues fieely round the edge of the Lens; but the Paffage has a C'llular appearance, being contracted and dilated alternately, 36 V The Canal of Petit is nearly of the fame breadth with the Corpus Ciliare, is always empty and has no communication with the Gapfules of the Vitreous or Cryftalline Humours. No Veffels are to he feen in the Vitreous Humour of an Adulr, but in the *Eye of a Fretus, an artery is obferved to arife from the central one of the Retina, which paries through the middle of the Vitreous Humour, fending twigs to the Cellular Texture of this Humour while the principal Trunk is continued to the Cap- fule of the Cryftalline Lens, as has been already obferved. The Vitreous Humour ferves to give fliape to the Eye, to keep the Coats properly expanded, to preferve the due diftance of the Lens, and direct the rays of light to the Retina. MUSCLES OF THE BALL OF THE EYE. The Ball of the Eye is moved by fix Mufcles, which are divi- ded, on account of their drection, into Jour ftraight and Ivjq oblique Mufcles, obtaining their refpective names from their fize, fituation, direction, or ufe. Of the ftiaight Mufcles, one is fituated above the Eye, ano- ther helow it, and one on each fide. Of the oblique, one is placed at the upper and inner, and the other at the under and outer part of the Eye. The RecliMufcles are not ftiaight, as the name implies ; for, on account of the fituation of the Eye and fliape of the Oibit, the internal, or that next the Nofe, is the only one which runs in a ftiaight direction. Neither are they all equally long, the internal being the fliort- eft, the external the longeft, and the other two nearly of the fame length. The four ftraight Mufcles, which bear a ftronj; rtilmblance to each other, arife by a narrow beginning, a little Tendinous and Flefhy, from tin edge of the Foramen Opticum, where they em- brace the Optic Nerve at its entrance into the Orbit. In their paffage foi wards, they form Flefhy Bellies, which fend off broad and very thin Tendons, to be inferted into the Sclerotic Coat, under the Tunica Adnata, about a quarter of an inch behind the edge of the Cc.::ea, and at equal diftances from each other. At the place of their infertion they are fo intimately connected with the Sclerotica, that they cannot be feparated from it, % be brought as far as the Cornea,, without evident laceration. The different Mufcles of the Ball, of the Eye, where thev lie upon the Ball, aie covered with a Cellular Sheath, which after- wards degenerates into that Cellular Subftance which is interpo? fed between -\x Sclerotica and Conjunctiva. « 37 Levator Oculi; Or Reel us Attollens, or Super bus. Origin : From the upper part of the Foramen Opticum, below the Levator Palpebral Superioris. Infertion: Into the upper and fore-part of the Tunica Sclero- tica. ABion : To raifethe fore-part of the Ball of the Eye. Depressor Oculi ; Or Retlus Deprimens, or Humilis. Origin : From the inferior part of the Foramen Opticum. Infertion: Op;>«.iie to the former. Ailion : To pull the fore-part of the Eye downwards. Adductor Oculi; Or ReJIus Adducens, or Bibitorius. Origin : From th': Foramen Opticum, between the Obliquus Superior and Depreffor. Infertion : Oppofite to the inner angle. Ailion : To turn the fore-part of the Eye towards theNofe. Aeducpor Oculi; Or Reelus Abducens, or Indignabundus. Origin : From the B jny Partition between the Foramen Opti- cum and Licerum. Infertion: Into the Ball of the Eye, oppofite to the outer Angle. Ailion : To turn the fore-part of the Eye towards the Temple. W:icn two of the oppofite Rjcti Mufcles, or all of tliem act together, they draw the Eye into the Orbit. When two of the adjicent Recti Mufcles act, they turn the fore-part of tli'j Eye obliquely in a direction towards their Ori- gins. Obliquus Superior; Or Obliquus Major, or Trocklearis. Origin: Lik.- the ftraight Mufcles, from the edge of the Fo- ramen Opticum, between the Levator and Adduit r Oculi. From thence it runs ft.aigh forward, fends oft" a long round fen- don, which paftes through a Cartil igmous Pulley fixed beh nd the Internal Angular Procefs of the Os Frontis : tro.n this it rundpi little downwards, and retui ns backwards and outwards, paffnv; under the Levator Oculi, to have its Infertion : By a Broad thin Tendon, into the Tun'ca Sclerotica, about half-way between the infertion of the Levator Oculi an I entrance of the Optic Nerve. Aefior. : To roll the Ban of the Eye, by turning the Pupil downwagds and outwards. Vol? II. D 3S Obliquus Inferior; Or Obliquus Minor. Oririn: By a narrow beginning, from the nntciior edge of the Orbitary Procefs of the Superior Maxillary How;, near the La- crymal Groove, from which it paffes obliquely outwards, back- waids and upwaids, round the Ball of the Eye. Infertion : By a broad thin Tendon, into the Sclerotic Coat, bctv.e^n the entrance of the Optic Nerve and infertion of the Ab- ductor Oculi, and oppofite to the iniei tion of the Superior Ob- lique Mufcle. Ailion : To roll the Ball of the Eye, by turning the Pupil up- wards, and inwaid*, and, with the affiftance of the Superior Oblique Mufcle, to pull the Eye forwards, thereby becoming an antagonilt to the Recti Mufcles. The two Oblique Mufcles, on account of rolling the Eye, and nflifting it in the ex predion of certain paflions, have been called Rotatores, or Amatores. VESSELS OF THE EYE. The Frontal, Fafcial, and Temporal Arteries, which are branches of the External and Internal Carotids, fupply the Pal- pebral, and communicate with thofe v.hich are difpeifed within the Orbit. Some fmall branches of the Internal Maxillary Artery pafs through the Inferior Orbitar Fiffure, to be difpeifed chiefly upon the Periofteum of the Orbit and Fat of the Eye. The Ocular Artery, which is a branch of the Internal Carotid, paffes though the Foiamen Opticum, in company with the Optic Nnve, and fupplies the Fat, Mufcles, and Ball of the Eye, and alfo the Laciymal Gland and Tunica Conjunctiva. The branches which belong to the Ball of the Eye, have the name of Ciliares :—They perforate the Sclerotica in different places, and are afterwards difperled chiefly upon the Choroid Coat and Iris. One branch of the Ocular Artery, called Centralis Retina, peifolates the Optic Nerve, and is difpeifed up n the Retina. The Veins which conefpond- with the Arteries cf the Eye, communicate freely with each othc, and pais partly to the Exter- nal Jugular Vein, by branches fituated about the fore-part of the Orbit, and partly to the Internal Jugular Vein by ihe Cavernous Sinus. NERVES OF THE EYE. Befides the Optic Nerve, already taken notice of, the Eye re- vives tiit Third and Fourth Pairs, and branches frorriythe firH 39 part of the Fifth Pair, together with the Sixth Pair, and branch- es from the Seventh. The parts about the fore-fide of the Orbit are fupplied by branches from the Fifth and Seventh Pairs;—the Ball of the Eye by Nerves called Ciliary, which come from the Third and Fifth Pairs ;—the fat, Mufcles, Lacrymal Gland, Sec. are fupplied by the Third, Fourth, Fifth, and Sixth Pairs. The ufe of the Eye is, to receive and collect the rays of lio-fit, in fuch a manner as to form upon the Retina the image or picture of the object which the Eye looks at; and the point where thefe different rays meet is called the Focus. The object is painred upon the Retina in an inverted manner, the rays from above falling upon its under, and thofe from be- low upon its upper pait; and it is fuppofed to be by habit, or rather by inftinct, that we judoe of the real fituation of any ob- jea. That the rays of light may terminate diftinctly on the Retina, it is neceffary that both the Cornea and Cryftalline Lens ftiould have a certain degree.of convexity. If either the one or the other be too prominent, the Focus will be formed before it reach the Retina, as is the cafe in fhort-fight- ed people, who require concave glaffes to enable them to fee ob- jects diftinctly, at the proper and ordinary diftance. If, on the contrary, the Cornea or Lens be too flat, or the refractive power of the Humours be in any way diminilhed, the Focus will then be imperfectly formed, till the object is viewed at a greater diftance than ordinary, as is the cafe with perfons ad- vanced in life, to whom the affiftance of convex piaffes becomei neceffary. How an object, viewed with bo;h Eyes, appears finale, has been afcribed by the generality of" Authors to cuftom and habit; and by others to inftinct, which regulates the uniform motion of the Eye, and the accurate application of both to one point. The Eye is enabled to judge of, or accommodate iifelf to ob- jects at different diftances, by the action cf its Mufcles increa- ling or dimiivftiing the length of its Axis, and by the nvtonr of the Iris allowing a grea.er or fmaller quantity oi' light to h* thrown into the Eye. 40 OF THE NOSE. The Nofe, which is the Organ of Smell, and contributes f« the general purpofe of Refpiration,, is divided into the External Prominent Pait, and the Internal Cavity, which is feparated by the Septum Narium into two fmaller Cavities^—or, it is divided into Hard and Soft parts. The External part, or Nofe, properly fo called, is cempofed '. fuperiorly of Bones, interiorly of Cartilages, and has a partial covering from the Mufcles, and a general one fiom the common Integuments. On theoutfideof the Nofe are obferved,—the Radix, or upper part;—i!-e Dorfum, or middle prominence ;—the Apex, or point ; - j —the Ala, or latnal moveable parts;—and Columna, or under part of the Partition next the Upper Lip. The Offcons part of the Nofe is formed by the Offa Nafi, pro- peily fo called, the Offa Maxillaria and Os Frontis, whieh con- ftitute the upper and fore-part : By the Os Ethmoides and Offa Unguis, which form the tipper, inner, and lateral parts : And by the Offa Maxillaria Superiority Offa Palati, Os Sphe- noides, Offa Spongiofa Inferiora, and Vomer, which form the un- der, inner, and back-part. The tivo Cavities, or Noftrils, terminate anteriorly in the Face, *J and pofteriorly in the Fauces, and are much enlarged by the dif- ferent Sinufes which communicate with them. The under and fore-part of the Nofe confifts of five Cartilages, of a fomewhat regular figuie, and of fome fmaller pieces, which are more irregular, and cf an in.letermina e number. Of the five Cait lages, one is fituated in the middle, and the ■ other four laterally. The middle Cartilage is the moft confiderable, ar.d fupports the relt : It conftitutes the Cartilaginous part of the Septum Nari- um, and is joined to the anterior ed .e of the Nafal Lamella of the Ethmoid Bone, to the anterior edge of the Vomer, and to the fore-part of the Spinous Procefs of the Superior Maxillary Bones. Of the lateral Cariihres, two are placed anterioily, form'ng by thci - curved union the I'ip of the Nofe ; ami two poftencrly, which form the Ai« Nafi. II Between the anterior and pofterior Cartilages, are fpaces filled with additional Cartilages, the number, fize, and figure, varying in different bodies. The ehfticity of the Cartilages contributes to the defence of the Nofe againft external injuries. The Nofe is covered by the common Integuments, and per- forated at its under and outer-part by the Ducts of Sebaceous Glands, the contents of which may be readily fqueezed out by the preffure of the Fingers. The Cartilages of the Nofe are moved in different directions, by the following Mufcles, which have been already defcribed, viz. the Compreffbr Narium, the Nafal part of the Frontal Mufcle, the Levator and* Depreffbr Labii Superioris Alaqtii Nafi.—The Nofe may alfo be moved by the neighbouring Mufcles, which, in many inftances, become afliftants to the others. The internal Nares or Cavities of the Nofe extend upwards to the Cribriform Plate of the Ethmoid, and to the Body of the; Sphenoid Bone. At the inner fide they are bounded by the feptum Narium, which is formed by the Nafal Lamella of the Ethmoid Bone, by the Vomer, and by the middle Cartilage of the Nafe. On the outfide, or that next the Cheek, the Offa Spongiofa project a confiderable way into their Cavities, and increafe the Surface of the Membrane of the Nofe, for enlarging the Organ of Smell. In animals which fmell acutely, the Offa Spongiofa are re- nin kably large and complex. * The bottom of the Noftrils runs directly backwards, fo that a ftraight probe may be paffed through either of them to the Throat. In the fore-part of the Noftrils there are ftiff Hairs, called Vibriffa, which pi-event the Mucus from conftantiy flowing out, and infects, or other extraneous matter from entering. The general Cavity of each Noftril is divided by the Offa Spon- giofa into three Meatus, or Paffages, which run fiom before back- wards, and are defoibed by Haller according to their fitua- tions, viz. ^ The Meatus Narium Superior, placed at the upper, inner, and back-part of the Superior Spongy Bone. The Meatus Medius, fuuated between the Superior and Infe- rior Spongy Bones. JThe Meatus Inferior, fituated between the Inferior Spongy Bone and bottom of the Nofe. Tiie in fide of the Nofe is lined with a thick Spongy Membrane, termed Mucofa, or Pituitaria of Schneider, or Schneideri- *>ia, which lines the whole internal Nares, and is alfo continued * Vol. II. ' *D2 * 42 to the different Sinufes, to the Lacrymal Sacs and Palatine Ducts, to the Pharynx, Palate, and Euftachian Tubes. This Membrane is very Vafcular and Nervous, and is the pri- mary Organ of Smelling. It is coniiantiy lubricated and pic- ferved in a proper degree of moiftuie by the Mucus of the Nofe, which is difcharged upon its Surface from numerous fmall Fol- licles. The different Sinufes of the Bones of the Hejd, after havirc,' run obliquely backwards in a fhorr winding direction, terminate by fmall openings in the Cavity of the Nofe. The Frontal Sinufes pafs downwards into the anterior Ethmoid Cells, w'.iich terminate in the upper part of the Nofe, behind the beginning of the Lacrymal Sacs. ' Befides the Paflages common to the Frontal Sinufes and ante- rior Ethmoid Cells, there are others proper to the Pofterior Eth- moid Cells, which terminate in the upper and back-pait of the Nofe, near the openings of the Sphenoid Sinufes. The SpbenoitLgSinufes open, behind the Cells of the Ethmoid Bone, into the upper and back-part of tiie Nofe. The Maxillary Sinufes open at their upper and inner fides, by flne, and fometimes two paflages, into the nvddle of the fpace "between the Superior and Inferior Spongy Bones, nearly oppo- fite to the under ed^e of the Orbit;. At the upper part of the Maxillary Smufes, Appendices, defcri- i-e.l by Haller, are fometimes found, which communicate with the Ethmoid Cells. % Ti.e Sides, or Walls of the Maxillary Sinufes, are formed of thin Plates of Bone, excepting where the Proceffes project and £ive them additional ftrength. Below, they have only thin Plates between them and the Dentes Molares, the roots of" which are fometimes found to perforate the Septum. The different Sinufjals are lined with a continuation of the Mem-* hrana Schneideriana ; but in thefe it is thinner, lefs Vafcular and Nervous, than that part of the Membrane which lines the gene- ral Cavity of the Nofe. They are conftantly moiftened, but not filled with a fluid. The Sinufes increafe and modulate the voice : Their hollow ■* ftructure renders the Bones lighter; but they do not appear to tonftitute part of the Organ of Smell. • ''-. Their paflages being direaed backwards, prevent any kind of extraneous matter from getting into them. The Lacrymal Sac is a Membranous Canal, fituated in the Lacrymal Groove, formed by the Superior, Maxillary, Lacry- mal, and Inferior Spongy Bones. The Offeous Duel, in its defcent, runs a little obliquely bnck- wards to the lower and lateral part of the Cavity of the Nofe where t terminates at the inher and fore-pp;t of the Antrum i'r« Hare, under flie Os Spongiofum Inferius, a little behind 43 the anterior extremity of that Bone, and in a direct line upwards from the fecond Dens Molaris. The ueip:r part of the Offeous Paffage forms only a femi-canal, the under end a complete one. ..■■ The Lacrymal Sac is fituated in the upper part of the Lacry- mal Groove, behind the Tendon of the Orbicularis Mufcle of the Eye-lids. About a fourth part of the Sac is fituated above the-Tendon, forming a kind of Intejlinum Cacum, and the reft is placed below. Towards the inner angle of the Eye, behind the Tendon of the Orbicularis Mufcle, the Sac is perforated by the Lacrymal Duas. The under part of the Sac becoming a Utile narrower, but without forming any Valve, paffes into the Nofe, under the name of Lacrymal Duel, Canalis Nafalis, or Duel us ad Nafum, and terminates at the^inferior extremity of the Offeous Canal. The fubftanee of the Lacrymal Sac and Dua is fimilar to that of the Membrana Schneideriana, is defended with the fame kind of Mucus with which this Membrane is lubricated, and is firmly conneaed to the Periofteum of the Offeous Canal. The ufe of this paffage is,—to convey the fuperfluous Tears to the Nofe, fo as to prevent them from raffing over the Cheek. The Duclus Incijivus, or NaJ'alo Palatinus of St^no, is a fmall Canal, which, as has heen already obferved in the defcrip- tion of the Bones, is only fometimes met with in the Human Body, though it is always to be found in the Ox, Horfe, Sheep, &c. When prefent, it takes its origin from a fmall Pit, formed in the fore-part of the b*f« The Veins go to t'ie External Jugulars ;—they likewife com- municate with the Ocular veins, and of courfe with the Lateral Sinufes and Internal Jugul is. The, Nerves with which the outer part of the Nofe is chiefly fupplied, come from the fecond branch of the Fifth, and from the Portio Dura of the Seventh Pair. The inner part is principally fupplied by the Firft, or Olfaaory Nerves, and by fome branches from the firft and fecond portions of the Fifth Pair. 44 OF THE EAR. The Ear, or Organ of Hearing, is divided into the External and Internal Ear. ' EXTERNAL EAR. The External Ear comprehends the Auricle, or Ear, properly fo called, and the Meatus Auditoiius Externus. It is again divided into the Pinnet, or Ala, which conftitutes by much the greater part of it j—and Ltbus, which is placed at its under end. The Pinna or Ala, is. chiefly compofed of Cartilage, and is divided, at its fo.e-part, into feveral Eminences and Cavities, which have obtained paiticular names, viz. The Helix, or outer B ir, or Margin, fo called from its wind- ing diic-a.on. it ariies behind at the Lobe of the Ear, furrounds its upper edge, and terminates below, nearly oppofite to its ori- gin, div dn •. the Concha into two paits. The Antihelix, Anthelix, or inner Bar or Margin, which is fituated with n the former, and is compofed fuperioily of two Ridges, un'ting together below. , The Tragus, fo -.ailed from the Hairs which frequently grow from it hav.ig a refemblance to the beard of a Goat. It is a fm 11 Em nmce which lies over the Meatus Externus, and is conneaed to the under and fore-part of the Helix. The Antitragus, fo named from it-, beinij oppofite to the Tra- gus, behw the pofterior ext.tmity of the Antihelix. The Cavitas Innominata, utuated between the Helix and An- tihelix. Tlie Scapha, ox Foffa \avicularis,—compared in fhape to thaju.* of aB,at,—fuua ed between the two I mbs of the Antihelix. Tne Concha, fo . .die I from its refemi lance to a Ffh-fliell of * that name. It is a la,ge Cavity under the Antihelix, divided • by the Helix nto two parts, the inferior of which leads to the Mea ue Amlitorius. The back-pait of the Externd Ear exhibits only one confi- derable Eminence, which is the convex Surface of the Concha. The Lobus, which is the inferior foft part of the Ear, is com- pofed of Ctilular Subftance, witrfa fmall quamity ct Fat. 43 The Ear is covered by a continuation of the common Integu- ments, which is thinner here than on the reft of the Body, and rs perforated in many parts by the mouths of Sebaceous Duas, which are placed immediately under the Skin. The motions of the Ear, which are very limited, are regulated by feveral Mufcles, fome of which are common to the Ear and Head, and others proper to the Ear itftlf. The common Muf- cles have been already defcribed. The Mufcles proper to the Ear lie clofe upon the Cartilage, and, in the -generality of fub- jeas, are fothin, wh'te, and indiftinct, as to receive from fome Authors the name of Mufcular Membra,us.—They are as follow. Helios Major. Origin: From the anterior acute part of the Helix, upon which it afcends. Infertion ■. Into the Helix. Ailion: To pull that part into which it is inferted a little downwards and forwards. Hflicis Minor. n Origin .- From the under and fore-part of the Helix. Infertion : Into the Helix, near the Fiffure in the Cartilage op- pofite to the Concha. Ailion: To contraa the Fiffure. Tragicus. Origin : From the middle and outer part of the Concha, at the root of the Tragus, along which it runs. Infertion : Into the*point of the Tragus. i Ailion : To pull, the point of the Tragus a little forwards. ANTITR AGICUS. Origin. From the internal part of the Antitragus, upon which it runs upwards. InJ'ertion : Into the tip of the Antitragus, as far as the in- ferior part of the Antihelix, where there is a Fiffure in the Car- tilage. A:lion: To turn the tip of the Antitraglis a little outwaids, and deprefs the extremity of the Antihelix u w^rds it. Transversus Auris. 0< igin From the prominent part of the Concha, on the Dor- fum, or back-part of the Ear. Injertion -. Into thcoutfide of the Antihelix. A'iion: To draw the parts to which it is conneaed towards each other, and to ftretch the Scapha and Concha. The uj'e of the External Ear is to a Ilea the found, and con- vcv it to the Meatus Externus,—the Mulcles giving tcnlion to it, fo as to render the founds more diftina. 4 (j The Cartilage of the External Ear is connected to the Tem- poral Bone by the common Integliments, and by its Mufcles; and is furnifhed with Ligamentous Membranes, which fix it to the roots of the Zj^ma and of the Mafto'd Procefs. The Meatus Audi's--;,,:. < Externus leads iuwaids, from the Concha, and in iis courfe proceeds forwards and upwards, turn- ing a little downwards at its faitheft exticmity, and terminating a? the Meinbrana I'vmpani.—The turns, however, are fo in- confiderablei that the bottom of the paffage can be readily feen in a clear light, upon pulling the ear backwards. It is fomewhat of an oval form, a l'.ttle contraaed iri the mid- dle, and upwards of an inch in length. Its outer end, which is a continuation of the Conc'ia, is C.r- .-.'.■ginous, and ha- twoorthice Interruptions or Fiffures in it. On the upper and back-part of its circumference, there is a Large Interruption*teiminating in an oblique M :.uin, which is fixed to the rough edge, at the under part of the Offeous poition o'. the Meatus. At the upper and back-part of the Meatus, the Cartilage has but little conneaion /.'.h the Bones, being there fixed by the Skin which lines the Canal. The Offeus Canal is continued from the Cartilage of the Mea- tus, and is the longer of the two, particularly at the upper and back-part of the Paffage. The Meatus is lined with a continuation of the Skin, which fills up the interruptions in the Cartilage, but is thinner than on the reft of the Body. Under the Skin of the Meatus, and near its outer end, there are numerous fmall glands, of a yellowifli colour, placed in a Reticular Subftance, formed of the Corpus Mucofum, and termed, Glandula Ceruminofa, which difcharge the Wax of the Ear through fmall Excretory Duas- The nrteries of the External Ear come anteriorly from the Temporal, and pofteriorly from the Occipital, both of which are blanches of the External Carotid Artery. The Veins pafs partly to the External, and partly to the In- ternal Ju5ulars. The fore-part of the Ear is fupplied with Nerves from the third of the Fifth, and from the Portio Dura of the Seventh Pair; the under and back-part, by branches from the firft'and fecond Cervicles. The Meatus Externus conveys the found from the Outer to- wards the Inner Ear, and is fuppofed to do this to greater ad- vantage, on account of the winding nature of'the Paffage. The Wax lubricates the Paffage, and defends it from the in- juries of the air, and being of a vilcid and bitter quality, aflift* in the exclufion of infeas. 47 In the Foetus, the Meatus is entirely Cartilaginous, and only adheres to an imperfea Bony Circle, in which the Membrana Tympani is fixed. At the innei end of the Meatus Externus, the Membrana Tympani is fituated, winch has its name from covering the outer part of the Tympanum or Drum of the Ear. It is firm, almoft tranfparent, and of an oval form. It is fixed in a Groove which divides the Mctus from the Tympanum. It is very tenfe, but has a fmall depreffion in the middle next the Meatus, with a correfponding convexity towards the Tym- panum, where the extremity of the Malleus is fixed to it. Its fituation is fomewat oblique, the upper part being turned outwards, and the under inwards, fo that the lower fide of the Meatus is a little longer than the upper. It forms a complete Septum, and h-s no hole in if, fuch as has been defcribed by fome Authors. It is formed partly of a continuation of the Lining of the Mea- tus, but chiefly of the Periofteum. The Membrana Tympani has numerous fmall Veffels from the Temporal and Stylo-maftoid Arteries, which run in a radiated manner, and which are moft abundant in the Foetus. It is the Conduaor of Sound from the Outer to the Inner Ear. In the Foetus, this Membrane is fixed in an imperfea Ring of Bone, and, along with the Meatus, is covered with a Mu- cus Membrane, which defends the parts from the too ftrong impulfe of Sound. THE INTERNAL EAR. The Internal Ear comprehends the Tympanum, Labyrinth, and certain Paffages leading into thefe. The Tympanum, or Drum of the Ear, is fituated at the inner lide of the Membrana Tympani, approaches to a hemifpherical figure, and is about half an inch in width. Btwecn the Tympanum and Cavity called Labyrinth, there is an Offeous Septum, which forms the bottom of the Tympanum, where there are feveral Eminences, viz. The Promontory, which forms the beginning of the Scala Tympani, and divides the Tympanum into anterior and pofterior regions. A Protuberance at the upper and back-part of the Tympanum, formed by the Aquaeduaus Fallopii. A Projetlion, called Eminentia Pyramidalis Tympani, fituated behind the Feneftra Ovalis, in which is the Paffage for the Sta- pedius Mufcl*. 43 An Eminence at the upper and fore-part of the Tympanum, containing a femi caaal, for lodging part of the Tcnfor Tym- pani Mufcle. In the Tympanum there are vaiious Paffages, which communi- cate* with the neighbouring parts, viz. The he.- a Palato ad Atticm, or Eujlachian Tube, which goes off from the upper and fore part of the Tympanum, and runs obliquely forwards and inwards to the pofterior opening of the Noftrii, and terminates at its outer edge, above the arch of the Palate The pofterior part of the Tube is formed in the Pars Petrofa, at the upper and outer part of the Canal tor the Carotid Artery. The anterior portion is formed above, by the Spinous Piocefs, and root of the Pterygoid Procefs of the Sphenoid Bone ;—and below, by Cartilage and Membrane. It is narrow next the Ear, where it can only admit the point of ri Surgeon's probe ; but becomes gradually wider towards the Noie, where it tei initiates by an oblique opening with prominent fides, fufficiently lar^e to admit a Goofc-quill. It is lined by a Membrane fimiiar to that of the Nofe, of which it appears to be a continuation ; and en the edge of the Mouth of the Tube, it is fo thick as to add confulerably to its prominency. The Euitachian Tube preferves the balance of Air between the Outer and Inner Ear, and prevents it fiom pr fling too tor ibly upon the different Membranes placed in the fides of the Tym- panum. It has been fuppofed to convey the found of a pet Ton's own Voice to the Inner Ear; but experiment does not favour this opinion, nor i it found to render Sound more diftina when the Mouth is open ;—thou h pcr.ons who are dull of heaiing are ob- ferved irequently to 1;den alte> this manner. The Cells of the Mafloid Procefs, wlvch open into the upper and lack-part of the Tympanum, oppofite to, but a little higher than the Euftachian Tube. They aie very irre; ular, and have many windings and turn- ings, which communicate treelv with each o'her, and are lined, l;ke th, Cells of other Bones, with the Puiolleum In- ternum. They afiifl the Tympanum in rifhaing the Sound. In O^u drupeds which he; r acutely, there are larc,t Cavities conneaed with the 1 ympanum, which lcem to fupply the place of Maftoid Cells. Above the Promontory, a Hole, called Fenefiftea of the two Canals of the Cochlea form, by their Tinion, the Membianous portion of the Lamina Spiralis, which, together with the Offeous part, completes the Septum between the two Scalae. The Periofteum of the Cochlea alfo affifts that of the Tym- panum, in forming the Membrane of the Feneftra Rotunda, and which is fometimes called Membrana Tympani Secundarii, from a refemblance to the Membrana Tympani, and from being, like it, a little concave on the outer, and convex on the inner Surface, or where it faces the Scala to which it belongs. Befides the Periofteum, the Veftible, Cochlea, and Semicir- cular Canals contain a Pulpy Membrane, upon which the Portio Mollis is irregularly difpeifed. In the Veftible, the Pulpy Membrane forms a Sac, in fhapc refembling that of the Ofleous Cavity which contains it, and which is defcribed and beautifully deliniated by Scarpa. 9 When the Sac is laid open upon the upper and outer-part, a Partition appears, of the nature of the Sac, termed by Dr. Meckel, Septum Veftibuli Nervofo ■ membranaceum. In the Cochlea, the Pulpy Membrane is in cont»a with the Periofteum, but can be feparated from that Membrane without much difficulty. In the Semicircular Canals, it is at fome diftance from the Periofteum of thefe Bones, and is confiderably fmaller, but, like them, it forms diftina Tubes, which communicate with the Veft ble. Like the Offeous Canals alfo, the Membranous Canals form Ampullae, or Elliptic Cavities at one end. The Arteries of the Labyrinth arife by one or two fmall branches, chiefly from the Veitebral Artery, and pafs through the Cribriform Plate, at the bottom of the Meatus Externus which belongs to the Labyrinth. From the Labyrinth one or two Veins return, and terminate in the end of the Later J Sinus. The Cavity of the Veftible contains no Air, but is conftantly illed with a Watery Fluid, fuppofed to be fecreted from the Ar- teries of the Periofteum, and which is found to referable the Aqueous Humour of the Eye. 55 The Aqueous Fluid fills the Veftible and Scalar of the Coch- lea, and likevvife furrounds the Membranous Semicircular Ca- nals. The Aqua Labyrinthi is confidered as a medium by wh ch founds are communicated from the Membrane filling the round and oval Holes, and from the Bafe of the Stapes to the Pulpy Membrane placed in it. The fuperfluous part of the Aqua Labyrinthi is fuppofed by Cotunnius to be carried off by two fmail Conical Duels, more particularly defcribed by him than by fome pieceding Anato- mifts, who were partly acquainted with them, bui confidered them as Blood-veflels. One of the Aqueduas of Cotunnius, called Aquaduilus Cochlea, begins at the under-part of the Scala Tympani, near the Feneftra Rotunda, and after pafling through the Pars Petro- fa, is feen, in the figures he gives of it, terminating by a wide triangular opening, upon the furface of the Dura Mater, be- tween the paflages of the Seventh and Eighth Pair of Nerves. The other Dua, called Aquaduilus Veftibuli, begins under the termination of the common Canal, in the Veftible, from which it defcends, and terminates by a triangular opening between the Layers of the Dura Mater, behind the Meatus Internus, and halfway between the upper edge of the Pars Petrofa and Diver- ticulum of the Internal Jugular Vein. For ajull account of thefe Duels, and of the other parts of the Labyrinth, fee a Defcription of them by Dr. Meckel of Berlin. The Nerves of the Labyrinth are derived entirely from the Seventh Pair. The Auditory Nerve is compofed of two branches, one of which is called Portio Dura, and is harder than the other, ter- med Portio Mollis. The Trunk of the Auditory Nerve paffes into the Meatus Ex- ternus, covered by the inverting Membrane of the Brain. The Portio Dura goes through the Canalis Fallopii, fending off, in its paftace, branches through Perforations in its fides, to the Stapedius Mufcle and Maftoid Cells. One■refle^ed branch paflingthrough the Foramen Innomina- tum, in the Pii» Petrofa, forms a conneaion between ihe Por- tio Dun and the fecond pait of the Fifth Pair. Anoiher, called Chorda Tympani, paffes aerofs the Cavity of the Tympanum,, between the inferior Crus of the Incus and handle of the Malleus, and at the outfide of the Euftachian Tub;- to join the Lingual '.nanch of the Fifth Pair. In its oaffa ^ it fupplies the Mufcles of the Malleus, and Membranes, Sec. of the Tympanum. Tha rem«-nder of t'ie Portio Dura is difperfed upon the Face. The Portia M-lr s divided into two principal parts,__one to the Cochlea, the oiher to the Veftible. 56 The branches of the Cochlea pafs through the Crib, if,; m Plates of the Modiolus, to the Pulpy Membrane lying in the Seals. The branches run between, and likewife on the out-fide of the Parti ions wh.ch devide the Cochleae into Gyri, and the Gyri into Scalae, and are large and numerous in proportion to the part they fupply. The largeft and moft numerous of thefe branches arc difperfcd upon the Lamina Spiralis, where they form an intricate Plexus, theThieads of which are at firft opaque, but are afterwards of the colour of the Retina of the Eye. The branches terminate, and appear alfo to meet upon that part of the Pulpy Membrane, which is moft diftant from the Mo- d olus. Through the Cribriform Plate, common to the Modiolus and Infundibulum, the laft branches of this portion of the Nerves pafs, to be fpread out upon the Membrane lying within tie In- fundibulum.—For a particular defcription oj' that part of the Portio Mollis diftributed to the Cochlea and oj the Cochlea it- felf, fee Dr. Monro's Treatife on the Ear. Of that part of the Portio Mollis deftined for the Veftible and Semcircular CanaK, one branch goes through the pofterior Hole in the upper-part of the Meatus Internus ; the reft pafs through the holes in the under and back-part of the Mc.tus, already pointed out in the defcription of that Paffage. After perforating the Foramina, the Nerves are feen firft in diftina Piexus, but become afteiwards tranfparent, and are loft upon the Sac contained in the Veftible and upon the Ampulla of the Membranous Semicircular Canals. The Portio Mollis is the primary part of the Organ of Hearing, to which all the other parts are fu. i.rvient, and nay be legard- ed as being of the lame fervicc to the Ear, as the Retina is to the Eye. 57 W THE MOUTH, Tongue, AND THROAT, WITH THEIR APPENDAGES. MOUTH. m The Offeous Paris of the mouth are,—the Offa Maxillaria Su- periora, the Offa Palati, the Maxilla Inferior, and the leeth ; —all of which have been alieady defcribed. The Sojt Parts of the Mouth confift of the Lips and Cheeks, the Gums, the Palate, the Velum Palati, the Uvula, the Tongue, the Membrane lining the Mouth and the Salivary Glands. The Lips and Cheeks are principally compofed of Mufcles, are covered on the outfide by the common Integuments, and lined within by the Membrane of the Mouth, under which there are numerous Mucous Glands, which obtain their names from their fituations. The intervening fpace between the Maffeter and Buccinator Mufcles is occupied by a large quantity of Fat, which gives form to the Face. The Membrane of the Mouth is covered with fine Villi; but thefe are moft confpicuous upon the edges of the Lips, as may be readily feen after a fine injeaion, or after macerating the parts till the Cuticle can be feparated. From the edges of the Lips, the Common Integuments (now become extremely thin) are converted into the Membrane which is continued into the Cavity of the Mouth, and which, oppofite to the Dentes Iucifores of the Upper and Under Jaws, forms a fmall Doubling or Franum, which fixes the Lips more firmly to the Jaws. The Lips are ferviceable in the general purpofes of Speaking, Eating, Drinking, &c. The Gums cover the fides of the Alveolar Border of both Jaws, pafs in between the different Teeth, and funound and adher* firmly to the Collar of each. The Subftance of the Gums is of a denfe natuie. very Vafcu- lar, and the Veffels united by a compaa Cellular Subftance. oS They may be faid to confift of the Common Membrane of the Mouth and the Peiiofteum of the Jaws intimately conneacd. They ferve as a covering to the Jaws and affift in the feciuity of the Teeth, The Arteries of the Lips, Cheeks, and Gums, are* from the Facial, Temporal, and Internal Maxiilaries, which are derived from the External Carotids. The Veins go chiefly to the External, and partly to the Inter- nal Jugulars. The Nerves come from the firft and fecond branches of tit Fifth Pair, and alfo from the Portio Dura of the Seventh Pair. The Palate 's divided into the Palatum Dure and Palatum Molle. The former is compofed of the Palate-plates of the Up- per Jaw, and is covered by the Peiiofteum and common Mem- brane of the Mouth, which prevent the Bones from being in- juied. The Membrane which covers the Bones of the Palate forms numerous Rug fituation ab.ive th^ Glottis, is of an oval form when furrounded by its Ligaments and Membianes, but, wi.cn diveiled of thtfe, it is fouul to be narrow below, broad above, and rounded at its upper exive- mty. It is qpnvex towards the Tongue, and Concave towards the Glottis, with its point refleaed a Intl.- forwards. It is placed behind the upper part of the Thyuid Cartilage, is fituated obliquely ovei the Glottis, and may be fetn and exami -- f-' i ypreffing down the root of the Tongue. Vol. II. I j 66 Its under end is fixed by a broad and fhort L'gament to the mid- dle Notch of the Thyroid Callage, and by two lateral Liga- ments to the whole length of the Arytenoid Cartilages. It is fixed to the roots of the Os Hyoides and Tongue by ano- ther Ligament, which is a doubling of the inner Membrane running along the middle of its anterior Sui face, and forming the Franum Epiglottidis. It is very elalbc, and is much more pliable than the other Car- tilages, being of a C.trtilago-ligamentous nature. It is foumf to have a number of Fiffures, in which Lacuna are placed, and to be perforated by numerous Foramina, which are the Mouths of fo many Mucous Follicles, and which are in a great meafure concealed by the Membrane which covers it. It breaks the current of the Air coming from the Mouth and Nofe, and prevents it from rufhing too forcibly into the Cavity of theLun,'s.—In fled and drawn down by the Tongue and by fmall Mufcles, it defends the Glottis, and ftiuts it com- pletely in the time of fwallowing.—After the action of fwallow- ing, it is railed by its own elafticity, and by the root of the Tongue to which it is fixed, returning to its former p> fition. Ligaments of the Glottis.—From the fore-part of the body of each of the Arytenoid Cartilages, a Ligamentous Cord paffes hori- zontally forwards, to be fixed by its other extremity to the infide of the anterior angle of the Thyroid Cartilage. The opening formed between thefe Ligaments is called Glottis, from the Greek: It is alfo called Mouth of the larynx, and Rima Glottidis, and is of a triangular figure, the Ligaments being at a greater diftance behind than at their anterior extre- mity. Under thefe two Ligaments there are two others, larger and more diftina than the former and which are commonly confidered us the proper Ligaments of the Glottis. They arife from the Bafe of the Arytenoid Cartilages, and run in the fame direaion with the former, to be fixed alfo to the Thyroid Cartilage. In the Interftice of the Superior and Inferior Ligaments, on each fide there is a Fiffure, which leads to a fmall Membranous Cavity or Deprcflion, with its bottom turned outwards. Thefe are the Ventricles of the Larynx of Galen.—They are chiefly formed by the inner Membrane of the Larynx. They differ in fize in different people, have Mucous Follicles opening into them, and are found to be ferviceable in the modula- tion of the Voice. On the anterior Suiface of the Arytenoid Cartilages, there is a fmall Depreflion filled by a Glandular Body, which not only covers the fore-part of thefe Cartilages, but is continued over the pofterior extremity of the Ligaments of the Glottis. The Arytenoid Glands are larger in fome fubjects than in others. They were difcovered, and are particularly defcribed and deline- ated, by Morgacm. 67 The Ligaments which connea the Epiglottis to the Notch of the Thyroid Cartilage, and to the under fide of the Os Hyoides, and one which ties the Bafe of the Os Hyoides, form a triangular fpace, which is alfo occupied by Cellular Subftance and by Mu- cous Glands. The Cavity of the Larynx is lined by a membrane which is extremely irritable, and is.every where perforated by the Mouths of fmall Mucous Glands, for the purpofe of moiftening it. The Larynx has a number of Mufcles, for its different mo- tions; all of which have been already defcribed. The Arteries of the Larynx are the two fuperior Laryngeals, which come from the External Carotids, and the two inferior Laryngeals, which are fent off from the Subclavian Arteries. The Veins return to the External Jugulars. The Nerves are chiefly the fuperior and inferior Laryngeals, which are branches of the Eighth Pair. The Larynx ferves the purpofe of Refpiration, forms and mo- dulates the Voice, and is alfo ufeful in Deglutition. It is the principal Organ of Voice;—for, if a hole be made in the Trachea, and the paffage of the Larynx flopped, the Air efcapes by that opening without producing Voice. Voice is formed by the Air, in its paffage through the Glottis, aaing upon the Ligaments of the Glottis and Cartilages of the Larynx and Trachea, and thus producing a Tremour;—and is different in different perfons, according to the Form and Struaure of the Larynx. The ftrength of Voice is in proportion to the quantity of Air expired, and the narrowntfs of the Glottis. A Tone is acute in proportion to the tenfion of the parts of the Larynx and Trachea in general, and of the Ligaments of the Glottis in particular. A Tone is grave in propostion to the reverfe of the above. Speech is performed chiefly by the different parts of the Mouth, aflifted by the Cavity of the Nofe,—the Larynx moving only in a fmall degree. When the Air paffes through the Larynx without producing a Tremour it occafions a Whifper. When a perfon fpeaks during infpiration, the voice is thereby very materially altered ; and, by praaice, may be made to ap- pear as cociing from o:her places than the mouth of the fpeaker j as is the cafe with thole who call thcmfelves Ventriloquifts. 6S OF THE THORAN. ---—o— — The Thorax, or Breaft, extends from the neck to the Dia- phragm, and is divided into External and Internal Parts. EXTERNAL PARTS OF THE THORAX. The External Parts of the Thorax, befides the common In- teguments and Mammae, are, The Mufcles, con! (Tug of the Peifcralrs, Subclavii, and un- der end of the Platyfma Moyodes on each fide, which aie fituated anteriorly. The Serati Magni, which are placed laterally. The Trapzii, Latiffimi Dorfi, and numerous other Mufcles on the Back, which are placed pofteriorly. The- Intercoftales and Sterno-Coftales, which are fituated, 'the former between, and the latter on the inner fide of the Ribs' The Bones, confifting of Sternum, Ribs, and Dorfal Vertebra. —All thefe Parts, excepting the Mammae, have been already defcribed. * Mammje. The Mamma are two Glandular Bodies, of a circular form, fituated on the anterior, and a little towards the lateral parts of the Thorax, adhering loofely by Cellular Subftance to the Sur- face of the large Peaoral Mufcles. The term Mamma is peculiar to the Breafts of Women.—In Men thefe parts are called Mammilla ;—and in the Brute-kind, Uberm. In the Ape, and a few other animals, they are placed, as in the Human body, upon the Thorax ;—but, in the ceneiality of Qu drupeds, they aie fituated under the Abdomen. The cor. mon number A the M mmae, in the Human fpecies, is well known to be two.—Barthcli.. e, however, mentions the cafe of a Woman, who had two Mammae on the left fide, and one on the ugh ; and another, where theie were two on each fide. Dr. Vaug::an narrates the cafe of a Woman he has examined, who nas a iupernum'.rary N:i,>le, at the ;n,der fide of the right Mamma, from wh-ch mdk flowed wnui the central one was preffed, and vice verfa. The Mamma? vary in fize in different Women, and in the fame Women at different periods of life. In ,Girls, previous to the age of Puberty, they are remarkably fmall. About the age of fourteen, at which time the Menfes, in this climate, moft commonly begin to appear, they evolve and become prominent. During Geftation they incrcafe in fize, and foon after Delivery they arrive at their greateft extent. After the age of forty-five, or from that to fifty,—the period when the Menfes generally difappear, they decreafe in fize, and become foft, pendulous, and flaccid. Under the Skin, there is a large quantity of Fat which confti- tutcs a confiderable portion of the bulk of the Mamma, and de- fends the Glandular Part, and is not found to pafs into, or com- municate with, the Laaiferoos Duas. The Glandular Part of the Mamma is of a whiiifti colour of the Conglomerate kind, and therefore irregular in its Sub- ftance. It is compofed of a number of fmaller Maffes or Glands, which are alfo feparated by Fat; and thefe agin are divided into ftill fmaller parts, in which the Milk is originally fecreted or formed. • Near the centre of the Mamma, is the Papilla or Nipple, which is of a Cylindrical form, and of a redder colour than the reft of the Skin of the Breaft. It is of different fizes in different ages and conftitutions, and is always larger in the time of Geftation, or of Nurfing. It is capable of diftention from titillation, or when influenced by the paflions of the Mind. It is compofed of a tough Cellular or Ligamentous Subftance, which inclofes the Laaiferous Tube?, and which is fo elaftic, ihat after the part is drawn out or diftended, it readily recovers its former dimenfion, when the caufe of diftenfion has ceafed to act. Upon the Apex of the Nipple, the Orifices of the Laaiferous Duas appear and are of the fame numbei w.th thofe which enter its Bafe. Around the Nipple, there is a Circle or Difk, called Areola, —of a different colour from the reft of the Skin of the Breaft. This Difk, however, varies in colour at different times of life, being florid in young G;rls, of a pale-brown in Women a lit- tle more advanced in life, and in old age, of a livid and dull colour. During Pregnancy, it is of a darker colour than at other times, in confequence of a change which takes place in the Corpus Mu- cofum which forms it. TO Under the Skin of the Areola, there are numerous Sebaceous Glands, or Follicles, the Orifices of wbich difcharge an oily Mu- cus, to defeuJ the N'ppleand Areola arou d it. The Arteries of the Mamma aie partly from the Internal, and partly from the External Marhmaries or Thorac cs, the former of which are fait off from the Subciav ac. and the latter from the Ax llary Artery,—the Branches entering the Mamma at many d.fferent places. The Veins accompany the Arteries, and are diftinguifhed by the fame names- The Abforbents of the Mamma are alfo numerous, the greater part of which pafs through the Axillary Glands, others penetrate the IrHerltices of the Ribs, near the Sternum, and enter the Glands which beljng to the Internal M .mmary Veffels. The Nerves are' chiefly from the Axillary Plexus, a few Blanches being alfo fent off from the Interc.dials. From the extremities of the Arteries in the Subftance of the Mamma, nuruiierlefs Tube.-> arife, called Duilus or Tubuli Lac- tij'eri, which gradually unite into Trunks, and run in a radiated manner tow,.ids the root of the Nipple. They become grealy enlarged in the time of Suckling, and ferve as Relet voir* in which the Milk is contained. The Laateroift Duas are accompanied, in iht Subftance of the Mamma, by a tough white elaftic Subftance, which follows them to the Nipple. At the root of the N-'pple, they become contraaed, and 3ie there from Twelve to Eighteen in number. Either from the want of uniformity, however, with refpea to their number in different fubje-as, or fiom the difficulty of ptr- ceivng them, they have been varioufly eftimated by different Authors. Near the root of the Nipple, they have been fuppofed by Dr. Meckel, to form a circle of communication ;—but this has Ken afcribed by ft II later Anatomifts, to a laceration of Vcffeis; and numerous preparations and experiments,—particulaily that of throwing in an injeaion at one Dua, and finding that it fills ore part only of the Mamma, with cut returning by any other Duct,—'ecm fufficientiy to indicate, that there is no fuch ciicu- lar communication. In the Subftance of the Nipple, the Laaiferous Tubes are at a little diftance from each other, and are coiled up in fuch a manner, that the fpontaneous flow of the Milk is prevented, un- lefs it be accumulated in a large quantity. But when the Nipple is drawn out and extended,—as by the application of the Child's Mouth,—the Duas become ftraight and parallel to eavh other, fo as to allow an uninterrupted flow of the Milk. 71 After the aaion of Sucking, the Nipple, and of eonftquence its Duas, immediately recover their former fituation. Sometimes one or more of the Laaiferous Duas terminate upon the Surface of the Areola, from which, Morgagni fup- pofed, that ihe Glands there were of t'.e Lactiferous kind. In Children of both fexes, the Mammx are merely Cutaneous Tubercles, and at the time of birth contain a Milky-like Fluid, which can be readily fqueezed outr This Fluid commonly disappears a fhort time after Birth •— but there are various examples on record, where Milk has been brought to the Breads, both of youngG rls and old Women, by the frequent application of a Child to the Nipples, and where there was no caufe for fufpicion of Impregnation be ng prefent. Nor are inftances awanting of Milk being brought to the Mam- millae of Men, by the fame apphcation. The Mamma: add much to the ornament of the perfon, but ferve in particular for furn fhing nourifhment to the Child, which is conveyed to it through the medium of the Nipple. The Secretion begins foon after Delivery, and continues to flow for many months, and even for fome years, if the Woman fuckle her Clvld ; and the more frequently the Milk is extraaed, the c reater is the quantity received in a given time. The operation of Sucking depends upon the principles of the ^ Air-pump.—The child embraces the Nipple clofely with its Lips, which prevents the external Air from entering, draws the Duas to a ftiaight line, and prepares a fpace for the Milk, which is forced from the Breaft by the preffure of the Atmofphere, and flows to the Mouth in the manner a Fluid follows the Piftern of a common Pump or Syringe. INTERNAL PARTS OF THE THORAX. The Mammae and Mufcles, covering the fore and lateral pails of the Thorax, being turned afide, and the Ribs afteiwards cut from the Sternum and turned back, the Internal Parts of the Thorax are brought into view. They eonfift of ihe Pleura, which lines the Thorax;__the Mediaftinum, which divides it into right and left Cavities, and contains feveral Veflels, Nerves, &c. between its Layers;—the Pericardium and Heart, which occupy the middle,—and the Lungs, which furround the Heart, and fill the greater part of the Thorax. The Pleura. The Pleura is a Membrane of confiderable ftrength, which lines the inner fide of the Thorax, and covers the moft of its contents. Its External Surface is Cellular, and adheres clofely to the parts which furround it. Tl Its Internal Suiface is fmooth andpohJheJ, being moiltened by a Sereus Fluid, which exfudes from its Arteries. It is divided into two lateral Sacs or Pleura, the form of which correfponds exaaiy with that of the furrouuding Bones of the Thorax. The Pleurae adhere to the Periofteum of the Ribs, line theln- tercoftal and Sterno Coital Mufcles, the Sternum, and Dorfal Vertebrae, and cover the Pericardium, Lungs, and Lateral or Flefhy parts of the Diaphragm. Behind the Sternum, the Pleurae are contiguous to each other, and form a Partition called Mediaftinum, which extends between the Sternum and Vertebrae, but is intercepted by the Heart and Root of the Lungs, and divides the'Thorax into two diftina Cavities, which have no communication with each other. The Arteries ot the Pleura are from thofe of the adjacent parts, viz. from the Intercoftal, Mammaries, Diaphragmatics, Bron- chial, and Efophageal. The Veins, which return the Blood, accompany the Arteries, and are diftinguifhed by the fame names. The Nerves are from the Inttrcoftals and Diaphragmatics, but too fmall to be traced without difficulty ; and the Membrane it- felf is not obferved to poffefs much fenlibility in the found un- inflamed ftate. The Pleura ferves to render the infide of the Thorax fmooth, for the eafy motion of the contiguous parts, to divide it into Ca- vities, and to ftrengthen the containing and contained parts of the Thorax. Mediastinum. The Mediaftinum, fo named from its fituation in the middle of the Thorax, is fo'med by a refleaion of the Pleura, and is of comfe double.—It contains between its Layers a confiderable quantity of Cellular Subftance, by which they are united. It is divided into Anterior and Pofterior Mediaftinum, the for- mer of which is fituated at the fore, an J the latter at the back- part of the Thorax. The Anterior Mediaftinum is conneaed before, to the Ster- num ; and behind, to the Pericardium and large Veffels of the Heart. The two Layers of the Anterior Mediaftinum are clo'Vly ap. plied to each other, excepting at the upper-put of the Thorax, where they are fepaiared by the remains of the Thymus Gland. At the upper-part of the Thorax, it lies e^aiy bthmd the middle of the Sternum ; but in its defcent, it inclines gradually to the left edge of that Bone. In confequence of its obliquity, a pointed inftrument, pufhed through the centre of the Sternum, is generally found to pafs into the right Cavity of the Thorax. 73 Frequent deviations, however, from this general rule, have been met with.—In particular, Lieutaud and Sabatier relate fe- veral inftanccs where the Anterior Mediaftinum wts found to defcend along the middle of the Sternum; and others, though rare, where it defcended even to the right fide of this Bone. The Pofterior Mediaftinum reaches from the root of the Lungs and back-part of the Heart, to the Dorfal Vertebrae. Between the Layers of the Pofterior Mediaftinum, a triangu- lar fpace is formed, in which are fituated the under end of the Trachea, the Efophagus, the Aorta Defcendens, the Vena Azy- goa,.and i horacic Dua, with the Eighth Pair of Nerves. The Blood-veffels of the Mediaftinum are from thofe of the neighbouring parts :'— The Anterior Mediaftinum is fupplied by Branches from the Subclavian, Internal Mammaries, and Dia- phragmatic->,—and the Pofterior Mediaftinum, by Branches from the Intercoitals and Efophageals. The Veins ccompany the Arteries, and have the fame names. The Mediaftinum divides the Thorax into two Cavities, fup- ports its general Contents, hinders one Lung from prefling upon the other, when the perfon lies on his fide, and prevents Fluids, ■—which, in conlequence ox accident or difeafe, may be contain- ed in the Cavity of the Thorax,—from palling from one fide to the other. 4 ^ PERICARDIUM. The Pericardium, Sac, or Capfule of the Heart, is one of the ftrongeft Membranes of the Body, and its fize fuch as to be pro- perly adapted to that of the Heart, which it contains. It is formed of tvoo Layers, the External of which is a conti- s nation of the Anterior Mediaftinum, which afterwards paffes to the Lun^s and lateral parts of the Diaphragm. The Internal Layer is fmooth, tendinous-like, and polifhed oa its inner Surface, and is ftronger than the other. It adheres fo firmly to the Tendinous part of the Diaphragm, as not to be feparated from it without much difficulty. The Pericardium extends a confiderable way beyond the Bafe of the Heart, and includes the large Blood-veffels, as far as the roots of their firft principal Branches, in confequence of which it forms feveral angles, which have been termed Comua of the Pericardium. While the External Layer is refleaed to cover the parts which furround it, the inner one is alfo refleaed, fit 11 over the roots of the large Blood-veffels, and then over the Heart, to form its proper covering, in the fame manner the Tunica Conjunaiva is refleaed from the Eye-lids to cover the fore-part of the Eye. From the ends of the Extreme Arteries, upon its Surface, a Fluid, called Liquor Pericardii, is difcharged, by which it is lu- bricated, and the effeas of Friaion diminifhed. Vol. TJ. G h," 74 The Liquor Pericardii is commonly found, after death, in the quantity of a few drachms, though not unfrequently of one or two ounces. Its colour is redder in a young fubject, than in a perfon ad- vanced in life, in whom it becomes paler, or more of a ftraw- colour. The Arteries of the fore-part of the Pericardium are from the Internal Mammaries and Diaphragmaties; thofe of its fore-part from the Bronchial and Efophageal. The Veins correfpond with the Arteries, and have the fame name. The Ufe of the Pericardium is, to preferve the Heart in fitu, to defend it from being injured by the parts which furround it, and to refhain its inordinate motions. OF THE HEART. The Heart is a hollow Mufcle, divided into different Cavi- ties, and inclofed in the Pericardium. It is fituated in the Cavity of the Thorax, behind*the Sternum, between the Right and Left Lungs. It is of a Conical figure, flattened at one fide, and is divided into Bafe, Body, and Apex, with a Superior and Inferior Surface, and a Right and Left Margin. The Bafe is placed backwards next the Spine, while the Body and Apex are turned forwards, and obliquely over to the left fide. In Quadrupeds, the Heart is placed upon a line with the Ster- num, the point only touching the Diaphragm :—In the Human Body, the Apex, or Point of the Heart, is but little lower than the Bafe, and projeas between the two lobes of the left Lung, behind the Cartilages of the Fifth and Sixth True Ribs of the left Side, or a little below the left Nipple, where the Pulfation may be felt.—The fituation, however, varies a little, according to the polition of the Body, and ftate of Refpiration. Though this be the common fituation of the Heart, a few rar« and fingular inftances have occurred, where it has been found (o occupy the light fide of the thorax; and a difplacement has fometimes happened, in confequence of different kinds of tu- mours n the left fide of the Thorax. The Superior or Anterior Surface of the Heart is convex, and is oppofed to the Pofterior Surface of the Sternum, the anterior ed^es of the Lungs intervening. The Inferior or Pofterior Surface is flat, and refts upon the Teidon of the Diajpnragm, which fupports it; the Heart is not 73 much affeaed, however, by the motions of that Mufcle in time of Refpnaion, its Tendon moving oniy in a fmall degree. The right fi.le of the Body of the Heart is fharp, and is cal- led Vlargo Acutus, ~ The left fide of the Body of the Heart is round, and is termed Mar go Obtufus. The Bii'e is formed of a right and left Auricle, and the Body of a right and left Ventricle. When the Heart is diftended, the right Auricle, and part of the correfpondmg Ventricle, occupy the right, and the reft of the Heart the left Cavity of the Thorax. The Heart is conneaed above and behind to the upper and back-part of the Thorax, through the med'um of the great Vef- fels wh.ch go into, or pafs out from it. , The other parts of the Heart are free, being merely contigu- ous to ihe infide of the Pericardium. The External Surface of the Heart is covered with a thin fmooth Membranous Coat, which is a lefkaion of the inner Layer of the Pericardium, and which gives additional ftrength to its Flefhy Fibres. * Between the Coat and Subftance of the Heart, th?re is com monly a confiderable quantity of Fat, which lubricates ?., and fc ibtates its motions. The Sundance of the Heart confifts of Mufcular Fibres, firm and more clofely conneaed than the generally of Fibres cf Muf- cles in other parts of the Body. The Fibres run in different direaions, longitudinal and tranf- verie, but moft of them oblique. Many of them run over the Point of the He:;;t from one Sur- face to the other, and the whole fo much twilled and folded, and fo varioufly intermixed, as to be difficult to be unravelled or de- icribod :—In general, however, their courfe is fuch as to leffen the Cavities of the Heart in all their dimenfions. The Civities cf the Heart are lined w:th a Membrane extreme- ly thin, but d-.-nfe and ftrong, to defend them againft the pref- ix re of the Blood. The Heart is formed of an anterior or right and a pofter'nr or left fide, or of a right and left Heart, joinetktogether by a Par- tition, which prevents the two fides from having any dirta com- munication with each other.— The terms Right and Lefr^TV w- ever, are moie applicable to the Heait of the Quadruped,* and tlioi'e of Anterior and P< ftcvior to the Humnn Heart. Ei.l- lide of the Heart is furnifiled wih a iet of Vet :s, with an Auricle, a Ventricle, and an Artery, and alfo with two fets of Calves,—one between the AuiiJe and Ventricle, the other be- tween the Ventricle and Aitery. At the ri. ht lide cf the Heart are two Veins, called from their large fize Vena Cav.e, the one Superior, the other InJ'e.-lrr. ki 76 The Superior Vena Cava, called alfo Vena Cava Defccndens, returns the Blood from the upper parts of the Bodv ; and the Injtrior Vena Cava, termed likewife Afcendens, returns it from the lower parts ; and both'terminate in the right Auricle. It is- prevented from returning by the fullnefs of the Veins, and by the preffure of the Blood a tergo. The Auricle is fituated upon-the right, and partly upon the back-part of the Heart, and is divided into the right Sinus Veno- fus and proper Auricle. The Sinus Venofus is formed by the union of the two Vena1 Cava?, which fweil out towards the anterior and left fide. It is notched at its anterior edge, is a Mufcular Bag of confiderable ftrength, aid is uniform and fmooth, both upon its outer and inner Suiface. At the upper and left fide of the Sinus, is the projection or Appendix, termed Proper Auricle, from its fuppofed refemblance to the Ear of a Quadruped -.—It is formed by a blind Sac, which is ferrated and notched on its pofterior edge, and convex or rounded on the other, and terminates obliquely in an obtufe point. The Sinus and proper Auricle form one common Cavity, have no Valve between them, and are therefore fillad and emptied at the fame time. Where the t^vo Cavities meet in the Hearts of Quadrupeds, there is a Projeaion feen in the Sinus Venofus, called Tuberculum LowERl, which is fuppofed to prevent the Blood of the one Ca- va from rufhing upon that of the other, and to direa it into the Auricle. At the meeting of the two Cavoe in the Human Heart, an an- gle is formed, which alfo has fiequently got the name of Tuber- -culum Loweri :—That fubftance, however, is peculiar to the Hearts of Brute-Animals. Under th's Angle, < r joining of the Vena; Cava*, there is the Vcft-ge of the Foramen Ovale, which, in the Foetus, forms a communication between the right and left Auricles ; but, in the Adult, is filled up by its Membrane, and forms the Fofa Ova- lis. The Foff'a Ovalis has thick and ftrong fides, called Column* Foaminis Ovalis, lfthmus Vieussenii, or Annulus ilcff^ Ova- lis. At the left fide of the Mouth of the Inferior Cava, where it joins the Sinu-, is the Valve of Eustachius. It s in form of a Crefcent, with the convex edge fixed to the union f ihe Sinus and Cava, and the concave edge turned ob- liquely upwards, reaching about half way ovei the Mouth of the Cava.—Its fize and appearance, however, vary much in dif- feient Subjeas. 7? Its porcriov Cornu is continued with the left fide of the Ifth- mus of the Foramen Ovale; the other end vanifhes in the oppo- fite fide of the Sinus. It is equally diftina in the Adult as in the Fcetus ; but in the former it is frequently found reticulated, or Cribriform, which appearance is feldom, though fometimes, met with in the latter. In the Adult^ it is fuppofed to prevent the Blood of the Au- ricle from pafling into the Inferior Cava; and in the Fcetus, to direft the Blood of the Inferior Cava to the Foramen Ovale. Upon the left lide of the Valve of Eustachius, in the under part of the Auricle, is the Orifice or Termination of the g.eat Coronary Vein of the-Heart. Over the Orifice of this Vein, there is a Semilunar Valve, to prevent the Blood in the Auricle from paffing into the Vein. The inner fide *jf the proper Auricle is readily d itimuifhed from the Sinus, by having a number of Columna Carnea, or FleJ1;; P'dlars in it, which, from their fuppoied refembh'ice to the T'-uh of a Comb, femctimes obtain the name of Mufcult- Auricula Petlinati. The Mulculi PecVnati have fmaller Columns running in d f- ferent direaions, giving the whole a reticulated appeararce. Between the Columnae Carneas, are Depreffions or Furrovjs, in which the fides of the Auricle are thin, and lemi tranfparent, being chiefly formed by the outer and iiiwti- Membrane of the Aunclj. At the under and kit fide of the Sinus Venofus, and oppofite • to a Groove, fituated externally between \\\c: Auricle and Ventri- v, cle, ther,e is a Hole, above an inch in diameter, which opens in- to the upper and right part of the correfnoiiding Vcn ricle. The right A uicle receives the Blood from the Vena; Cavae and Coronary Veins, and, by i's Mufcular contraai n, difchar- ges it into the correfponding Ventricle, out of wh.ee. t is pre- vented from returning by a Valve, called Tricufpid, placed.with- i.i the Ventricle. The Right or Pulmonary Ventricle, is fituated on the fore-fide cf the Heart, is of a tiiangular form, and much thieiter and ivrongcr than the corivfponding Auricle. It has many ftrong Eminences, Columns, Lacertuli,or Cords, called Columna Carnea. The Columna run in different direaions, but the ftronreft^pf tiiem longitudinally, and are of various fize9, foimin fo many diltina Mufcles, which are extremely compaa in their ftruc- ture, and coinpofe a beautiful, intricate, and irregular Net- work. In general, they adlv.-re through their whole length to each o- ther, or to the fides of the Ventricle ; but many or' them arc icofe in their middle, ai.d maybe raifcd by a p.'jbe put under than. Vol. II. G 2 4 73 Thes a ;,ia>- Vein, which, after making a turn from the left lide, and running between the Left Auiicle and Ventrch-, teiminates in the under part of the Right Auricle, where it i, cow.red by its Semilunar Valve. Other Coronary Veins, mn h fmaller than the former, termi nate in different parts of the right fide of the Heart. 83 The Abforbents of the Heart go to the neighbouring Lympha- tic Glands. The Nerves are from the great Sympathetics and Eighth Pair. With refpea to the Circulation in general :—The Ve ns re- turn the Blood from II ti.e different parts of the Body by a flow and equal motion, and without pulfation, to the Au.icle , which on account of the quantity and ftimulatmg quality of the Blood, contraa fuddenly and at the fame time, and fend it to the Ven- tricles. The Ventricles, from the fame caufe which ft'mulates the Au- ricles, and from the ftroke they receive from them, contraa con- vulfively, with a force proportioned to the thicknefs of their fides, and fend the Blood to the Arteries ; and, du. ing their contraaion, they are thiown by the dilatating Aur cks againft h*. il bs, where the ftroke occ.fioned by the Pulfe of the Heuit m..y be felt. The Arteries, by their contradlile power and eiafticity, feud the Blood fuddenly to the Veins, through which, by the united force of the Ventricles and Arteries, and bkewife, as is fuppofed by fome, by a contraaiie power of the Veii^ and preffureof the furrounding parts, 'it is driven agrin to the Auricles. Initscouife the Blood peiforms a double Circulation,—one called the Lefler or that through the Lungs ;—the other called the Greater, er that through the Body. In the former it paffes from the Right Ventricle to the Lungs, and returns to the Left Auricle.—In the latter, it goes from the left Ventricle to the different parts of the Body, and returns to the Right Auricle. During this Circulation, the Auricles and Arteries, and the Ventricles and Veins, aa in concert, contraaing and dilating at the fame time. Ufe of the Heart.——The Heart is the centre of the Vafcu- lar Syltem, and thafl#rincipal agent in the Circulation of the Blood. The right fide of he Heart receives the Blood, which is con- taminated in pafling through the Body, and/ends it to the Lungs, where it is purified through the medium of the Air. From the Lungs, the Blood, now puiified, is returned to the left fide of the Heart to be circulated through all the other parts of 'he Body, thereby imparting Noui ilhment, Growth, and Strength to the general S.ftem ; being found alfo to be the fource of Senlibility, Irritability, and Motion, and likewife of the Ani- mal Heat. <^ ! OF 7HE LUNGS. The Lungs are two foft fpongy bodies, which occupy by much the greater part of the Cavty of the Thorax. They completely fill the two bags of the Pleura, and are every wherein contaa with the parts adjacent; no Air intervening be- tween them and the Thorax. In figure, they have been compared to that of the Foot of an Ox, with the back part turned forwards ;—or, their fhape cor- refponds exaaiy with the nfide of the Tho ax, being rounded next the Ribs, hollow towards the Diaphragm, and irregu- larly flattened and depreffed next the Mediaftinum and Heart. They are of a reddifti or pink colour in Children, of a light blue or greyifh colour in Adults, and more of a purple and li- vid colour in Old A^e, at which period they are alfo obferved to be tinged with black fpots, proceeding from a matter fecreted in the r Subftance. They are joined to the Neck, by the Trachea; to the Spine, by the two Layers of the Mediaftinum, which ferve them as Ligaments; and to the Hc.ut, by the Pulmonary Veffels;—the reft of them being free and unconneaed, unlefs an adhefion has taken place in confequence of inflammation. They are divided into Right and Lejt Portions, or Lungs, which are feparated from each Other by the Heart and Medialti- rum and which have no communication, excepting through the Medium of the Trachea. Each of the Lungs is again divided into large portions, called Lobes, which facilitates their motion and the dilatations of their Cells. $"• Of thefe Lobes, three belong to the Right Lung, ennefpond- ing with the larger Bag of the Pleuia, and tvjo to the left, be- tween which there is a Notch or Sinus, occupied by the Point of the Heart Each of the Lobes is fubdivided into many fmaller parts, termed Lobules, which are of different iizes, and of an irregular an/ular form. The Lobules diminifh in fize, and degenerate at laft intofinall Veficles or Cells, which conftitute a large fhare of the Lungs, and which are merely viiible to the naked Eye. The Cells of the Lungs are purely Membranous, of an irregu- lar figuie, compreffed and clofely conneaed, and have 3 free communication with each other. Between the different Lobes, Lobules, and Cells, a large quantity of common Cellular Subftance, deftitute of Fat, is in- $5 terpofed, which unites and ftrengthens them, and allows the Blood-veffels to be minutely difperled over them. The Cells of the Lungs have no communication with this common Cellular Subftance; for when Air is blown into it, the Lobules are compreffed ; but when the Air is blown in through a Branch of.the Trachea, the Cells are again diftended, and the Lobules lecover their former dimenfions. In the Foetus, the Cells are empty and in a collapfed ftate; —but as icon as Refpiration begins, they become diftended, and continue fo during life, and in every ftate of Refpiration, and even in the recently dead Body :—But if an opening be made into the Cavity of .the Thorax, whether in the living or dead Body,—and the Air in this or in any other way admitted, they immediately collapfe by their own weight and eiafticity, the prefTure of the air being then the fame on the outer Surface of theLuiujs, and inner Suiface of the Trachea. The Lungs are covered by tvuo Coats, an External or Com- mon, and an Internal or Proper one. The External or Common Coat \> a continuation or refleaion of the Pleura, is extremely thin, but denfe, and, like the other parts of the Pleura, is found to poffefs little Senlibility, It forms a general covering to the Lungs, but does not enter between their different Lobules. The Internal or Proper Coat adheres fo firm!*.- to the former, as to appear to conftitute part cf its Subftance. It not only co- vers the Lungs, but inlinu lies ufelf ber-ween their Lobules, and is intimately conneaed with their Cellular Subftance. Befides the Cells, various kinds of Veffels, viz. the Air vef- fels or Branches of the Trachea, Bhod-veffcls and Abforbents, to- gether with fmall Branches ot Nerves, enter into the compolition of the Lungs. Trachea. The Trachea, or Ajpera Arteri.?, fo called from the inequali- ty of its Surface, and from its conveying At, begins at the un*- dec part of the Cricoid Cartilage, and defcends in the fore part of the Neck, between and behind the Sterno-hyoid and Sterno- thyroid Mufcles. From the Neck, it paffes into the Thorax, where it is fituated betvreen the Layers of the upper-part of the pofterior Media- ftinum. Behind the Curvature of the Aorta, and oppofite to the third Vertebra of the Thwiax, the Trachea divides into two Lateral Branches, tenmd Bronchi, from the Greek, one of which goes to the Right, and the other, which is the longer of the two, to the Left Lung. Vol. [I. H 86 The Bronchi are divided into Branches, which by degrees be- come fmaller, and at laft terminate in the Cells of the Lungs, which communicate fo freely with each other, that, upon intro- ducing Air into any of thefe Branches, a large portion of the Lungs may be inflated. The Trachea confifts of Cartilaginous Rings, about fixteen or eighteen in numbei, which give ftrength and firmnefs to it, and preferve it conftantly open for the tranlmiflion of Air. They are incomplete behind, where the Trachea is foimed of a foft Flefhy Subftance, which yields to the Efophagus in the time of Deglu- tition. Each Cartilage forms a large fegment of a circle, about a line, or one-twelfth of an inch in breadth, and one-fourth of a line in thicknefs. The Cartilages are fituntcd horizontally, with their edges op- I pofied to each other, fmall fpaccs intervening between them. They are united to each other, by a Ligamentous Subftance, which is fo elaftic, that when the Lungs are taken out of the Body, it draws the Caitilages clolely together. At the upper end of the Trachea, two or three of the Cartila- ge- arc frequently joined by an union of Subftance ; but below rhis, they are peift-aiy difttia from each other. The beginnings of the Bronchi have the fame kind of Cartila- ges with the Trachea ; but after they enter the Lungs, they ai* \ oken no two or ihree pieces, which go completely round the Bronchi, and are fo conneaed to each other, as to keep the Paf- fage open and fiee from compitflion. The Tiachea ha6 feveral Coats entering into its compofition, feme for llrengthening it, others for giving it a certain degree of motion, viz. A Cellular Coat, which, in the Thorax, is covered by the Me- d:aftinum. An Elaftic Ligamentous Coat, which paffes along the Trachea, and alio upon the different Branches in the fubftance of the Lungs, adding much to the elafticity of thefe. A M'.fcular Coat, placed between the Cartilages, and in the back-pait of the trachea, and compofed of Circular Fibies ! without, and Longitudinal Fibres within ;—the former for ftraitening, the- other for ftiorteiiing the general Paffage, The Longitudinal Fibres arecolleaed into bundles, wihich are diftir.aiy fcen through the inner Coat, and may be traced the adjacent parts. The ficond Coat Is Mufeular, and is fometimes termed Vagi- nalis Gula.—\t confifts of two Layen- ; the external of whch has thick, ftrong, longitudinal F bres ; the internal is formed of c rcnlar and tranfverfe Fibres, and is thinner than the former. —The outer Layer is fined for fhorten.ng and relaxing, and the 'inner for contraaing the Canal, during Deglutition. The third Coat is termed Nervous, but is properly Cellular, being formed of loofe Cellular Subftance, which conneas the Mufeular to the Inner Coat. The Inner Coat is continued from the Lining of the Mouth : It confifts of many longitudinal Plica or Folds, which are f'.arcely vifible when the Efophagus is dilated, and is furnifhed •vi' h numerous Foramina, which difcharge a Mucus for lubri- cating the paffage, and facilitating Deglutition. The Arteries of the Efophagus are Branches of tht Inferior Laryngeals, which fupply the Cervical part of it, and Efopha- geals and Branches of the Bronchials, which are derived from the Aorta Defcendens, and fupply the Thoracic part of it. The Veins go to the Inferior Laryngeals, to the Vena Azygos, and left Superior Intercoftal Vein. The Abforbents are numerous, and intermix with thofe of the Heart and Lungs. The Nerves are chiefly from the Eighth Pair. The ufe of the Efophagus is, to receive the Aliments from the Pharynx, and convey them to the Stomach. Thoracic Duct. The Thoracic Duct is a fmall Membranous-like Canal, fituated in the back-pait of the Thorax, and is the principal Trunk of the Abforbent Syftem. It begins upon the third Vertebra of the Loins,* and paffes be- hind the Aorta, croffing obliquely from left to right, till it gets to the right fide of that Artery. Upon the firft Lumbar Veitebra, it forms an Oval Sac, term- ed Receptaculum Chyli, which is placed behind the Right Crus of the Diaphragm, and a little higher than the Right Renal Arttry. The Dua afterwards paffes between the Crura of the Dia- phragm, and afcends in the Thorax, on the anterior part of the Spine, between the Layers of the Pofterior Mediaftinum, on the right fide of the Aorta, and between it and the Vena Azygos. It croffes behind the upper part of the defcending Aorta, and emerges fiom the Thorax, to reach the under part of 'the Neck. In the Neck, it paffes behind the Internal Jugular Vein, and a little higher than the Subclavian. 91 It then turns downwards, forming an Arch, which termi- nates in the upper pari of the Angle, between the Internal Jugu- lar and Subclavian of the Left Sde. The Thoracic Dua rccivcs the Chyle from the Laaeals, and Lymph from the Lymphatics, and difcharges thefe into the red Veins. OOOOOOOO €I>00O0O000 OF THE ABDOMEN. --- — Q«l--- The Abdomen or Belly extends from the Thorax to the under part of the Trunk. It is bounded above, by the Diaphragm, and the Bones to which that Mufcle is fixed; below, by the Pelvis; behind, by the Lumbai Vertebra? and Mufcles of the Loins; anteriorly, by its Proper Mufcles ; and laterally, by the Falfe Ribs, Offa Hii, and Mufcles conneaed with thefe;—all of which have been de- fcribed in their places. It is diftin^uiflied into three Divifions or Regions, termed Up- per, Middle, and Under Region ; each of which is fubdivided into three others. The Upper Region begins oppofite to the Cartilag-o Enfiformis, at a fmall depreflion called Scrobiculus Cordis, or Pit of the Sto- mach, and extends to about a hand-breadth from the Umbilicus or Navel. The middle of this Region is termed Epigaftrium, or under part of the Belly, and the two lateral pairs Hypochondria, from their lying under the Cartilages of the Falfe Ribs. The Middle Region occupies an equal diftance above and be- low the Umbilicus.— Fhe middle part of it is called the Umbilical and itsjateral parts the Lumbar Regions or Loins. The Under Region begins where the m'ddle one terminates, or at a line drawn between the fuperior anterior Spinous Proceffes cf the Oila Ilii, and forms in the middle, the Hypogaftrium or bottom of the Belly ; and at the fides, the Iliac Regions. The Abdomen is covered on the outfide by the common Integu- ments, and lined within by the Peritoneum, in the manner the Thorax is lined by the Pleura, but without being divided by the intervention ef a Partition. The Abdomen contains the Chylopoetic and Affiftant Cbylopoetic Vifcera or Organs of Digeftion,—the Organs of Urine, and part of 92 thofe of Generation, with the Veffels and Nerves which belong, fome of them to thefe Vifcera, and others to the lower parts of the Body. The Ghylopoetic Vifcera comprehend the Stomach, which is fi- tuated in the Upper and left part of the Abdomen,—the Intefiines, which fill the greater part of it,—and the Membranes, termed Omenta and Mefentery, which are conneaed with thefe. The Affiftant Lhytopoetic Vifcera conlift of the Liver, which is placed in the upper and right; of the Spleen, which is fituated in the upper and left fide of the Abdomen ;—and of the Pancre- as, which lies urn ei the Stomach. Of the Organs of Urine, the Kidneys are placed in the back- part of the Abdomen, and the Bladder, with fome of the Organs •f Generation in the Pelvis. Peritoneum. The Peritoneum, named from its being ftretched or fpread a- round the Bowels, is a firm but fimple Membiane, by which the Abdominal Vifcera are furrounded, and partly fupported. Its External Surface is rough and Ceilular, and clofely con- neaed with the parts to which it belongs. The Internal Surface is remarkably fmooth, and lubricated by a Liquor which is exhaled from its own Veffels. It is very elaftic, and admits of great extenfion, as happens in Geftation, Corpulency, or Afcitesj but, upon the caufes, of extenfion he"ing removed, it returns to its former dimenfion^. It Ines the Diaphragm, paffes downwards, adhering firmly to the Abdominal Mufcles,—lines the containing, and covers the con.ained parts of the Pelvis, from which it is refleaed in the back-part of the Abdomen, lining its Mu.cles, and, by its re- duplications, covering the Bowels and great Blood-veflels of that Cavity ;—though, ftrictly /peaking, the Abdominal Vifcera may be faid to lie on the outfide of it. In its paffa. e fiom one Bowel to another, it forms doublings which ferve as Ligaments to fix them to each other, and like- wife to the Body. It gives a general covering to moft of the Bowels, a partial one to a few, and to thofe which are deep-feattd, and project leaft, a ftill more partial covering. # It forms a large Sac, the pofterior part of which adheres firm- \ Jy to the different Vdcera, and the anterior to the Abdominal Mufcles ;— he part lining the Abdomen being merely in contaa with its cdtents, and allowing a fmall degree of motion. The Cellular Subftance, on the External Suiface of this Mem- brane, is not every wheie of equal thicknefs, being in fome parts, a> upon the Bowels, remarkably thin ; in others, as over the Kidney*, filled with a confiderable quantity of Fat. 93 The Cellular Subftance forms various Proceffes or produaions, fome of which, as thofe on the Spermatic Cords, pafs through Foramina, to be conneaed with the neighbouring parts ; and the Proceffes are fent off, without affeaing the Internal Membrane, the one not accompanying the other. The Veflels and Nerves of the Peritoneum are from thofe which fupply the contiguous parts; its Veffels, however, are not very numerous ; neither does it poff-fs much Senlibility when free from difeafe. The Arteries come from the Internal Mammary, Epigaftric, Lfer or Intei coftal, Lumbar, Sacral, and Ueo-lumbar Arteries, and from thofe which fupply the Abdominal Vifcera. The Veins have the fame courfe, bear the fame names, and in "general pafs to the Inferior Cava. The Abforbents are numerous, and run chiefly to the Iliac and Lumbar Plexus. The Nerves, which are few in number and fmall, are from the Inferior Dorfal, the Lumbar, the Great Sympathetic and Sacral Nerves. The ufe of the Peritoneum is to line and ftrengthen the Cavity of the Abdomen ; to inclofe and affift in fupporting its different Vifcera; to furnifh moft of them with an External Coat; to con- nca them to the Body, and, by its fmoothnefs and flippeiinefs, to prevent the effeas of Friaion. Upon the outfide of the Peritoneum are Four White Lines, or fmall Cords, three of which are Veffels in the Foetus,—one of them a Vein, and two of them Arteries; the fourth is the Ura- chus.—In the Adult, they are fhrivelled up, and ferve as Liga- ments, the Vein forming the round Ligament of the Liver, the ■hree other Cords, forming Ligaments of the Bladder. STOMACH. The Stomach is a lar^e Bag or Refervoir, fituated obliquely acrofs the upper and left part of the Abdomen, in the left Hy- pochondriac and Epigaftric Regions. It is turned downwards and fo, wards, fo as to form an angle with the Efophagus, the angle becoming more conipicuous, ac- cording to the diftenfion of the Stomach. The right part of the Stomach is fituated under the left part of the Liver, the reft of it is placed immediately under the Dia- phragm, its extiemity being in contaa with the Spleen. The Stomach is long, round, and tapering, and has been i compared in fhape to the Bag of a Bagpipe. 91 The fize is in proportion to the quantity of Aliment it has been accuftomed to receive, and therefore is commonly l.rger in Jvlen than in Women. It has a Large and Small Extremity, an Upper and Under Sur- face, a Great and Small Curvature, a Lejt and Right Orifice, and confifts of feveral Layers or Coats. The Large, called alfo the Lejt Extremity, is fituated in the left fide of the Abdomen, and is confiderably higher than the Right. The Upper Surface is turned towards the Diaphragm, the Un- der towards the Interlines; hut when the Abdomen is laid o- pen,—unlefs the Stom ch be confideiabiy diftended,—the Supe- rior Surface becomes anterior, and the Inferior Suiface pofterior. The Large Curvature is turned obliquely forwards and down- wards towards the Abdominal Mufcles, and extends from one Orifice to the other. The Small Curvature is oppofed to the other, and turned backwards and upwards, towards the Spine, extending alfo be- tween the two Orifices. The Orifices are next the Small Curvature. The left is termed Cardia, or Os Ventriculi, or Upper Orifice of the Stomach.—It is oppofed to the Spine, at a little diftance from it, and is for- med by the termination of the Efophagus.—It allows a free Paf- fage for the Food into the Stomach, the return of which is pre- vented by the Angle formed by this part of the Stomach, and by the Flefhy Parts of the Cardia, and of the Diaphragm in which it is fituated. The Right, or Inferior Orifice, is commonly termed Pylorus from its office as a Porter. It is fituated under the fmall Lobe of the Liver, a little to the right fide of the Spine,—is turned more forwards than the Cardia, and is confiderably lower, but rifes in proportion to the diftenfion of the Stomach. ,.- The Stomrxh is conneaed by the Cardia to the Efophagus,— by the Pylorus to the beginning of the Inteftines,—by the Peri- toneum and Blood-veffels to the Spleen,—and by a refleaion of the Peritoneum to the root of the Liver and to the great Intef- tines. The StruSlure of the Stomach is in general fimilar to that of the Efophagus, of which it is a kind vf Expanfion. The Coats of the Stomach are four in number. The firft or External Coat, called alfo Peritoneal, is a Refleai- on of that part of the Peritoneum which comes from the root of the Liver. It ftrengthens the Stomach ; by its fmoothnefs it diminifhes the effea of Friaien, and paffefling few Nerves or Blood-veffels, it is not very fufccptible of pain or inflammation. 96 The Cellular Subftance under the Peritoneal Covering, is def- cribed by fome Authors as a diftina Coat, called Tunica Celln- lofa Ruyfcbiana ;—but ought not to be numbered among the Coats of the Stomach. The Second or Mufeular Coat is compofed chiefly of two Planes of Fibres varioufly difpofed. The External Plane is lonDitudinal, extends from the longi- tudinal Fibres of the Efophagus, and follows the fame general courfe with that of the Stomach from the Great to the Small Ex- tremity. Upon each fide of the Small Curvature, the longitudinal Fi- bres form a thick, ftrong, Mufeular Band. The fecond Plane is chiefly tranfverfe or circular, and confi- derably thicker and ftronger than the other. Its Fibres are interfeaed by many fmall, white, Tendinous- like Lines ;—thefe, however, are in a gieat mealure formed of that Cellular Subftance by which the two Coats are united. The Mufeular Coat affifts in the Digeftion of the Food, by giving a gentle motion to the Stomach, accoi din to the direction of its Fibies, the one fet fhortenin», the other rendering it nar- rower. The Pylorus is formed by a doubling of the two inner Coats, which projea into the Paffa e between the Stomach and Intef- tine, and contain a Ring of Mufeular Fibres, which form a Sphinaer, called Sphiniler Pylori. This fubftance, by contraaing, prevents the greffer ind gefted parts of the Aliment from efcaping, and, by dilating, allows the Pulpy digetted part to pafs to the Inteftmes. The Third Coat, commonly called Nervous, but properly Cel- lular, confifts of a large quantty of fine Cellular Subftance, without Fat, and is intermixed with, and fupported by fmall Aponeurotic like Filaments, which crofs each other obliquely, bur which are alfo of a Cellular nature. This Coat ftrengthens the Stomach, and allows the Veffels to be diftributed to the Inner Coat, with which it is intimately con- neaed. The Fourth or Inner Coat, called alfo Villous, from its refem- blance to Velvet, is continued from the Inner Coat of the Efo- phagus, but is much more Villous.—It is formed of fine, fhort, prominent Villi, which are crowded with Small Veffels, fome for furnifhing a Mucous Liquor to the Stomach, others for abfoi bing a portion of the thinner part of the Food. The two laft Coats are more extenfive than the reft, and form, upon the inner part of the Stomach, many doublings, termed Ruga, the greater number of which run in a waving tianfveife direaion, and are afterwards divided into a fort of Net-ivork. * 96 Near the Orifices, however efpecially towards the upper one, they run more in a longitudinal direaion, and have a radiated appear-* ance at the Cardia. The Rugae, like the Plicae of the Efophagus, are moft diftina when the Stomach is'empty ;—when full, they are much lefs evident. They admit of diftention without endangering the Veffels and Nerves difperled in them, and affift a little in detaining-the Ali- ment till properly digelted. From the Inner Surface of the Stomach a Liquor iffues, which is'found to approach to the nature of Saliva, and is termed Gaf- tric Juice.—This was formerly fuppofed to come from Glands feated in the Third Coat, but is now more fiequently confidered as a Secretion from the Arteries of the Stomach, no Glands be- ing evident there, at leaft in the found ftate of this Vifcus. The Arteries of the Stomach are derived from the Cceliac Arteiy. They confift of the Superior Gaftric, which fupplies the place next the fmall Curvature ; the Right Inferior Gaftric, which is a bianch of the Hepatic; the Pyloric Arter'es, which are fmall branches from the Gaftrics and from the Hepatic ; and of the Left Gaftric and Arteriae breves, which are branches of the Splenic Artery. The Veins have the fame names, and nearly the fame courfi with'the Arteries. The whole of them terminate in the Vena Porta?. The Abforbents of the Stomach are numerous and large. Th?y pafs through fmall Glands fituated upon the Curvatures, and go afterwards to the Thoracic Dua. They appear to cari*y Lymph only, no Chyle having been de- teaed in tli.n, even in cales where the Laaeals were found full of it. The Nerves are chiefly from the Eighth Pair, and partly from the Great Syinpathetics, and are moft numerous upon the Cl->jr- dia. The Stomach receives the Food from the Efophagus, and af- terwards prepares it, by digeltibh, for the Interlines. The d'geftion of the Food in the Stomach is found to be effec, ted,—by Triture, which is performed by the motions of the Stomach and furrounding Mufcles,—by dilution,—by a partial fermentation,—but chiefly by the aaion of the (' iftric Juice fer* ving as a Menftruum. 97 INTESTINES. The Inteftines eonfift of a long Cylindiical Canal, which be- gins at the Inferior Orifi:e of the Stomach, and, after winding in various direaions, terminates in the Anus. In general they are about fix times the length of the Body to which the*y belong ;" though, in a perfon of fhort ftature, the pro- portional len th of the Inteftines i, greater, and vice verfa. They occupy a large part of the Abdomen, and are conneaed to tie Body through their whole extent, by a doubling of the Perironeum. On account of the inequalities of their fize, they are divided in- to Small and Large Inteftines, and each of thefe is fubdivided in- to others. Small Intestines. The Small Inteftines are fmooth on their outer Suiface, and of a tapering form, becoming gradually lefs in their diameter from their upper to their under extremity, and are divided into the Duodenum, Jejunum, and Ilium. The Duodenum, fo called from its being about twelve fingers- bitadtii in length, begins at the Pylorus, and makes a fhort tijr'n upwards and backwards, by the Neck of the Gall-bladder, to which it is contiguous, hav ng the Anterior Layer of the Omentum fixed to its inferior part, and the Omentum Minus to its oppofite fide. It then paffes obliquely downwards and to the right fide, before the great Veffels which go into the Liver, and likewife before the Renal Artery and Vein, included in the Cellular Subftance of the Mefocolon. Oppofite to the under part of the Kidney, it makes a turn to the left iide, where it is lodged in the common root of the Me- focolon and Mefentery, and receives into its back-part the ends of the Biliary and PaucreaticDufts, and goe» over the Aorta and Vena C iva, oppofite the laft Vertebra of the Back. In pafling acrofs thefe Veffels, it is involved in the root of the Mefentery, and afcends a little till it gets to the left fida of the Spine, where it perforates the common root of the Mefentery and Mefocolon, and makes a turn forwards, where' it obtains tha name^-of Jejunum. The Jejunum fo named from its being commonly more empty than the other Inteftines, in confequence of the thinner parts of its Contents being fooner abforbed, begins at the laft turn of the Duodenum, and forms numerous Convolutions, which run in nil direaions, and are fituated in the upper part of the Umbili- cal Region. Vol. II. I * 98 The Ilium, named from its numerous Turns, begins where the Jejunum terminates, or where the Internal Plicae become lefs confpicuous, and is diftinguifhed externally from that Gut, by being fmaller, thinner in its Coats, and paler, and from its forming about three-fifths of the length of the two Inteftines. The Ilium, like the Jejunum, forms many Convolutions, which are fituated on the under part of the Umbilical Region, and extend as far as the Hypogaftric and Iliac Regions, and not un- frequently, efpecially in Women, into the Cavity of the Pelvis. Iffurrounds the lateral parts of the Jejunum, and is fupport- (ed by the Offa Ilia; and, the laft turn of the Gut paffing acrofs towards the upper edge of the Right Os Ilium, it terminates by a Valve in the left fid; of the beginning of the Colon. Through the whole of this courfe, the Jejunum and Ilium are fixed to the Spine by a continuation of the Mefentery. Great Intestines. The Great Inteftines, like the Small, form one continued Ca- nal, which tapers from its upper to near its under extremity; but differ from them in being confiderably larger, fhorter, and iliaighter, and in being irregular in their Outer Suiface, and tacked up into Cells, having befides many Proceffes depending from them, termed Appeudicula Pinguidenofa. Like the Small Inteftines, alfo, they are divided into three parts, termed Caen/;;, Colon, and Reilum. The Intcftinjim Cacum, or Blind Gut, forms a round fhort Bag, only about three or four Fingers-breadth in length, and nearly the fame in diameter. The Caecum, properly fo called, is that part of the Inteftine which lies under the Infertion of the Ilium, through frequently the dilated beginning of the Colon is diftin- guifhed by the fame name. It is fituated in the Right Iliac Region, refting on the Cavity of the correfponding Os Ilium, at the under end of the Right Kidney, and'is concealed by the laft Convolutions of the Ilium. The bottom of it is turned downwards, end forms a fliut Sac, the mouth of which is turned towaids the Colon, and may be confidered as foiming the Cacum Caput Coli. At the pofterior and left fide of the Caecum, there is a fmall Procefs, about the fame length with the Caecum itfelf, but the diameter not larger than that of a Goofe-quill,—termed Appen- dix Vermijbrtn^s, from its refemblance to an Earth-worm, and Appendix Caci, from its conneaion with the Ca?cum. It is convoluted, and fixed by its fides to the Caecum. It has two extremities, one of which it impervious, the other opens obliquely into the back-part of the Caecum. The Colon, fo called from the Gieek, is by much the'longeft of the Large Inteftines. It encircles the Small Guts, and is con- tiguous to mofl of the Abdominal Vifcera. # 93 It is a continuation of the Caecum, beginning at the termina- tion of the Ilium. It afcends in the Right Lumbar Region, over the Kidney of that fide to which it is conneaed. From the rlid'.ey, it paffes forwards, and croffes the Abdo- men in the Epigaftric and Hypochondriac Regions, conneaed to the Duodenum, under the name of Great Arch of the Colon. Fiie ri_;ht portion of the Great Arch is fituated under the Li- ver and Gall-bladder, wh-ch, after death, commonly iicges part of it and of the Duodenum with Bile. The left portion is fitua.ed under the Stomach; and immedi- ately below the Arch are the Convolutions of the Jejunum. In the Left Hypochonrlrium, it turns backwards under the Spleen, and Lfcends in the Lie Lumbar Region, on the fore- fide of the K'dney, to which alfo it is clofely conneaed. In the Left Iliac Region, it forms two Convolutions, com- pared in fliape to the Greek Sigma, and hence called Sigmoid Flexwe of the Colon, which afteiwards conltitutes the Return. The Sigmoid Flexure varies confiderably in length in different perfons, extending frequently into the Hypogaftric Region, and in fome inftances, as far as the Inteftinum C iefleaion upwards. After the Omentum M nus teaches the Stomach, its two L-yers fepante from tach other, inclofe that Vncus, and form its Extemal Cot. At the great Curvature of the Stomach, they rejoin, and form the Anterior, then the refleaed or pofterior part of the Omentum Maju*. The pofterior part feparates again into two Layers, which inclofe the Cole n, and form its External Coat. At the oppofite fide of the Colon, the Layers re-unite, and form the Me fo colon. ]'v the M.mbrane thus continued, a large irregular Bpg is founcd, of wheh the Omentum Minus, Stomach, and anterior portion of the Omentum Majus, conftitute the anterior, and the, refleaion of the Large Omentum, the Colon, and Mefo-colon, the pofterior part. , At the upper and right fide of the Sac, there is a Paffage large i. enough to admit a Finder, termed Foramen Winslowi. It i- fituated immediately behind the Coid.of the great Veffels which lead to the Liver, and is of a Semicircular form. It is compofed of the Peritoneum, under the appearance of two Ligaments which connea the furrtounding parts to each other. The Foramen of Winslow maintains a communication be- tween the Large Sac of the Omentum and common Cavity of the Abdomen, from which circumftance, Fluids generated by dif- cafe iriay readily pafs from one of thefe Cawies to th« other. ■ The Omentum, by its Fatty nature, ferves^ro lubricate the Vif- cera, and prevent them from being injured by friaion. Structure of the Small Intestines in General. The Structure of the Small Inteft nes is nearly fimilar to that of the Stomach, and the number of their Coats the fame. The Extemal Coat, exeepting in a portion of the Duodenum, is a continuation of that part ofthe Peritoneum which forms the' Mefen'.ery. It clofely furrounds the Inteftines, adheiing to them by fine Cellular Subftance. The Second, or Mufeular Coat, as in the Stomach, is compo- fed of two Planes of Fibres, the External or Longitudinal of which are more minute than the Internal. The Circular Fibres are diftina and numerous : They confift of Segments of Circles, which unite at different diftances, fo as to furround the Canal. The Longitudinal Fibres fhorten, and the Circular contraa the Inteftiues j and upon the alternate relaxation" and contraction of 103 thefe Fibres, depends that Vermicular motion, called Periftaltic, by which the Contents are pufhed th.ough the Canal. Twe Third commonly called Nervous Coat, like that in the Stomach, is white and firm and compofed of Cellular Subftance, without Fat ;—its firmnefs givin ftrength to the Inteftines. The Fourth, or Villous Coat, differs from that of the Stomach, in forming, with the Cellular Coat, numerous tranfverfe F tds, termed Valvula Qpjfniventes, from their fervmg, as a kind of Valves, to retard the motion of the Food. One edje of theie Valves is fixed to the Inteftine, the other is loofe.—[hey are much deeper than the Rugae of the Stomach, and placed oppofite to the Interllices of each other, and are of different lengths, not forming entire Circles. The Villi of the Inner Coat are much more confpicuous than in the Stomach, being compofed not only of the extremities of Arteries, Veins, and Nerves, but particularly of the Mouths of Laaeal Veffels, the Origins of which are extremely fmall, and have a fungous appearance. Numerous Duels of Simple and Compound Glands terminate on this Coat, for the fecretion of Mucus. The former are called Solitary, and the latter Congregate ;— an I, form their defcribers, Glandula Peyeri, and Glandula Brunneri. They are in the form of Papillae, but fo minute as feldom to be feen, excepting in the dtfeafed ftate,—though they are fup- pofed to be difpeifed over the whole of the Canal. Structure of the Small Intestines in Particular. The Duodenum is the laxeft and ftraighteft of the Small Intef- tines, and fo large as to have been confidered as a Ventriculus Succenturiatus, or secondary Stomach. ■— m It is of a redder colour than the reft, has a thicker Mufeular Coat, receives only a partial covering from the Peritoneum, and is fixed more clofely to the Body, without floating like the other Inteftines. ■>. It is perforated at the diftance of three or four fingei s-breadth from the Pylorus, by the enls of the B.liary and Pancreatic Duas, for the reception of Bile nd Pancreatic Juice. In the Duodenum, the L iaeai Veffels begin to make their ap- pearance, and numerous Mucous Giands are found in itefpeci- ally near the Py ,01 us The ufe of lie Duodenum ii to receive the Food from the Sto- mach, and detain it till mixed with the Bile and Pancreatic D«a. The Jejunum d'ffers from the Duodenum in deriving it^ com- mon Coat wh lly ti m the Peiitoneum, 1:1 being fin.Tier,—in having a weaker M if ula Cat, the xternai Fibres of which are extremely minu e,—in the Valvui.t Connivences, being larger 104 and more numerous,—and in the Villi and Laaeals which pro- ceed from them bctiit, much more confpicuous. The Ilium d Hers from the former in being lefs in diameter, and it-. Co its thinner and of a paler colour, and in having fewer and fmailer Laatal Velu-is.—In this Inte, ine the Valvula? Con- nivc-ntes gradually decreale in fize and number, and at length en- tirely difupear.—At its under end, the Mucous Glands are diftina and numerous. The ufe of the Small Inteftines in general is,—to promote tha forma ion ol the Chyle,—to allow it to be abforbed, and—to propel the remains of the Food into the Large Inteftines. Structure of the Great Intestines in General. The Great have the fame number of Coats with the Small In- teftines, hut differ from them in being thicker and ftronger.—The Valvulae Connivenies are deep, and placed oipoi.te to each other, and, as in the Sm.-il Inteftines, diminifh m number and in fizj towards the under extrenvty.—The Villous appearance is much lefs diftina.—The Mucous Glands are larger, but Ampler than thofe of the Small Inteftines. Structure of the Great Intestines in Particular. The Inteftinum Cacum is of the fame general flruaure with the reft of the Great Inteftines. lis Villi are very fhort ; and it has a number of folitary Mucous Glands, broader than thofe of the • Small Inteftines, which, when difeafed, fometimes appear like fmall-pox, with a perforation in ea< h. The Appendix Vermijormis is of ihe fame flruaure with the other Intttines, contains no i';e.es, but is fuiryflicd with nume- rous Glands finilar to thofe of the Duoderiun?, the contents of which pafs into the Caecum, a little below the Valve of the Co- ^Jon, and affift in lubricating that Inteftine, and in facilitating the cxpulfion of the iaeculent Matter. In the Caecum, and beginnin ; of the Colon, the Food coming from the Ilium is retained for fome time, and, in'confequencc of abforption, acquires a gfea.er degree of confiltency, and rtce.vcs a fceiid fmall. The Valvula Colt, fometimes called Valvula-llei, and aflifts the proper Sphincter in preventing the in- voluntary difcharge of the Fieces. The Verge of the Anus is furrounded with deep Follicles, the contents of which prevent the teftder Skin of the Anus from be- inj> excoriated by hard or acrid Fie es. The Anus is alfo furrounded \ ith a : reat deal of Fat, which admits of the dilatation of the Reaum, and facilitates the dif- char.e of the Faeces. The Reaum receives the Fares from the Colon, retains them for a certain time, till, by their weight and Acrid nature, it is flimulatcd to difcharge them ; which it does by the powsr of its 106 I Mufeular Coat, and of the Levator Ani, aflifted by the aaion of the Diaphragmat c and Abdominal-Mufcles. The Blood-veffels of the Inteftines are large and numerous, and are derived fiem different fources. The Duodenum receives Branches from the Splenic and Hepa- tic Arteries. The Jejunum, Ilium, and right half of the Colon, are fup- plied by ihe Superior Mefentric Aitery ; and the left half of the Colon with the Reaum, by the Inferior Mefejitric Artery. The Veins of all the Inteftines fend iheir Blood to the Vena Portae. The Abforben'.s of the Ttv'dines are large and numerous.— They aide from the inner Surface of the Inteftines, run in the Mefentery and Mefo-colon, pafling through their numerous Glands.—'I he Abforbents of the Small Inteftines terminate in the receptacle of the Chyle ; thofe of the Large Inteftines, which are final ler than the former, go partly to the Thoracic Dua, and paitly to the Lymphatics of the Loins- The Nerves of the Inteftines are fmall, but numerous, and are derived partly from the Eighth Pair, but chiefly from the Great Sympathetics. The Veflels and Nerves of the Omenta are Branches of thofe which fupply the Stomach, and have the name of Gaftro- Epiploic. LIVER. The L/tw is a large folic! Mafs, of a duller red colour, fitu- ated immediately under the Diaphragm, extending downwards to the margin of the Thorax, but not going bc-yond it. It is pl'ced partly in the Right Hypochondiium, which it in a great meafure fills, and partly in the Epigaftrium, reaching over a little way into the Left Hypochondiium. It is convex m.d \ery fmooth on the upper Surface, where it is oppofed to the Diaphragm, though a l.ttle flattened on the up- per part of its left fule, where it is placed oppofite to the Heart. It is irregularly concave on the under fide, where it refts upon the Stomach and Inteftines, and is perforated by feveral large Blood-veffels. It is thick on its right and pofterior part, and becomes gradu- ally thinner towards the left fide ; \& obtufe or blunt ■ n its p iter,or, and acute orJharp en its anterior edge,—and conilaerably broad-' er from one lide to the other, than from before backv c.i ^ . 107 It is divided into Prominences or Lobes, two of which, called Great *no\ Small, or Right and Left Lobes, are fo confiderable as to form the Body and whole upper part of the Liver—The others are fmall, and are placed upon the under fide of the for- mer. The Great Lobe is placed obliquely in the Right Hypochondriac Region, following the Curve of the Diaphragm, and rells upon the Pylorus, Colon, and top of the Ri ,ht Kidney. The Small Lobe, diftingu-fhed from the Great one by a broad Ligament, is placed almolt horizontally, chiefly in the Hepeaftic, and reaching only a little way into the Hypochondriac Region. —-The other Lobes are,— The Lobules Spigelii, which is fmall when compared with the two former Lobes, but is the principal one below. It is fituated near the Spine, upon the left fide of the Great Lobe, and is of a Pyramidal form, projeaing like a Nipple, at the fmall Curvature of the Stomach. The Lobulus Cuudatus, which is merely the root, or one of the angles of the Lohulus Spigelii, advancing towards the middle of the lower fide of the Great Lobe. The Lobulus Anonymus, or S^uadratus, which is placed between the paffage of the round Ligament and the Gall-bladder, and is lefs prominent, but broader than the former Lobule. From the Lobulus Anonymus, a bridge called Pons, or Ifth- mus Hepatis, runs acrofs the Paffage for the Round Ligament, to be joined to the Left Lobe -.—It is fometimes aw3nting. Upon the under fide of the Liver, there are feveral Fiffures, of which the following are the principal. f The Great Fiffure, called Foffa Umbilicalis, between the Right and Left Lobes, at the under and tore-part of the Liver. This is terminated by a Notch at the fore-part of the Liver,— of different depths in different bodies,—and behind, it is com- monly covered with the Bridge above mentioned. The Principal Fiffure, termed Sulcus Tranjverfus, or Sinus Portarum, extending from right to lef, between the Great and Small Lobes, and bounded by thefe Lobes at its extremities, and by the Lobulus Anonymus before, and by the L >bulus Spigelii behind, the two latter forming parts compaied by the An- cients to a Gate, and therefore called Porta. The Depreffion between the Great Lobe and Lobulus Spigelii, for the paflage of the Inferior Vena Cava, which has frequently a bridge over it, forming it into a Canal. A Small Depreffion, called Foffa Duilus Venoft, between the L|ft Lobe and Lobulus Spigelii, running a little obliquely from right to left fide, and receiving a Ligament,—wivch is a Branch of the Umbilical Vein in the Fcetus. 10S The Ljyer is conneaed to the Body by different Proceff^, termed its Ligaments, all of which, excepting one, are formed by doublings of the Peritoneum, viz. The Ligamentum Latum, or Sufpenj'orium Hepatis, placed be- tween the Right and Left Lobes above, and extending below into the Foffa Umbilicalis. It is fixed obi 'que y to the Diaphragm and tip of the Enfiform Cartilage, and thrn defcends in the fame oblique direaion, ad- hering to the inner part of the V .gina of the Right Reaus Abdo- minis Mufcle, as far as the Umbilicus. The Ligamentum Rotundum,—which is the Umbilical Vein in the Fcetus, placed in a doubl.ng at the under part of the Liga- mentum Latum, and fixed to the Umbilicus. Thefe two Lig iments have been fuppofed to referable a Falx, with the edge turned uppermoft, from which circumftance the Ligamentum Latum is fometimes alfo called Falcijorme. The Ligamentum Dextrum, or Right Lateral Ligament, which is fhort, and conneas the back-part of the right extremity of the Gr-at Lol e to the Diaphragm. The Ligamentum Siniftrum, or Left Lateral Ligament, which is longer than the former, and conneas the left extremity of the Small Lobe to the Diaphragm. The Ligamentum Coronarium, confidered by fome as merely Cellular Su'iftance, and by others as a refleaion of the Peritone- um, or both.—It unites the root of the Liver to the Tendinous Portion of the Diaphragm. Befides the Ligaments already mentioned, two others are de- fcribed by Hallkr ; one called Hepatico-colicum, which paffes from the Gall-bladder and contiguous Sinus Portarum, acrofs the Duodenum, to the Colon; another called Hcpatico-renale, which defcends from the root of the Liver to the Kidney.— Thefe, as well as the oti er Ligaments of the Liver in gene- ral, are produaions of the Peritoneum. The Ligaments of the Liver preferve it in its proper fituation, and of courfe prevent it from inclining too much in any direaion. The Stomach and Inteftines ftippoit it'when the Body is upright and the Diaphragm, when the Body is inverted. Tie Liver has a fimple Coat adhering clofely to it which it de- rives from the Peritoneum, and is every where covered by this Membiane, except-ngbehind, where itadheies to the Diaphragm by Cellular Subftance. The Subftance of the Liver is com-cfed cf feveral kinds of Vcffeis, the extreme Branches of which are intermixed in fuch a manner, as to form numberlefs Pulpy Corpufcles, named Acini, from a refemblance to fmall Stones or Kernels of Fiuit, wrrtch when minutely examined, are obferved to be compofed of Veffels in the form of radiated Villi or Penicilli. 109 The Veffels of the Liver are, the Hepatic Artery, Vena Porta- rum, Vena Hepatica, Abforbents, and Biliary Duels.—It has likewife numerous Nerves. The trunks of the Hepatic Artery, Vena Porta;, Biliary Di^s, and Nerves, with the Abforbents and Lymphatic Glands of the Liver, form a large Cord at its under part. The Arteiy is fituated in the left pirt of the Cord, the Vein in the right, with the Trunk of the Biliary Duas before it ;— the Nerves and Lymphatics furrounding the great Veffels. The Coid of Veffels and Nerves is intermixe^ with much Cel- lular Suhftance and covered externally by a refleaion of the Pe- ritoneum, which has obtained the name of Capfule o/"Glisson. The Branches of Veffels and Nerves accompany each other through the fubftanceof the Liver, forming fmall Fafciculi, in a manner fomewhat fimilar to that by which the Cord is formed by their Trunks. In their courfe through the Liver, the Branches of the different Veflels and Nerves, but particularly thofe of the Vena Portx, are inclofed in a large portion of Cellular Subftance, which is alfo frequently called Capfule o/Glisson, from that Author fuppo- fing it to be a continuation of the Capfule which covers the Vef- fels before they enter the Liver. The Hepatic Artery is derived from the Caeliac, and is difperfed throughout the whole fubftance'of the Liver, and alfo upon the Coat which covers it, and is fo fmall when compared with the bulk of the Liver, as to have been generally fuppofed to be def- ined for the nourifhment merely of that Vifcus; but from in- jea ons pafling from the Artery to the Biliary Duas, and from other caufes, it has been fuppofed by fome Anatomilis, that the Hepatic Artery is not only intended to nourifh the Liver, but is capable of fecretiug parted7 the Bile ;—and this fuppofuion is farther confirmed from the Vena Porta? having, in a recent cafe,» been found awanting, while, at the fame time, the Hcpaic Ar- tery was larger than ufual, and the Veins which commonly form the Vena Porta?, terminated in the Vena Cava. The Vena Porta is named from its fituation with refpea to the Porta of the Liver. It partakes of the nature of an Artery and a Vein :__Like the former it carries the Blood from the Trunk to the Branches, and, like the latter, it carries it to the Heart;—or it is peculiar in the Blood, in one part flowing from the Branches to the Trunk, and in another from the Tiunkto the Branches. It is formed by the Veins of the Stomach and Inteftines, joined to thofe of the Spleen, Omentum, and Pancreas, and ap- proaches to the nature of an artery in the thicknefs of its Coats, though it his no pulfation. It paffes to the Po ta, where, from its great fize, it is named Sinus of the Vena Porta?, and divides into Branches which ac- Vol. II. K no company thofe of the Artery in their coui fe through the fubftance m noi the Liver, termin .t.ng at laft in the Pulpy Corpufcles. 'The /-ena Porta ferves to carry Venous Blood to the Liver, for the l'ecretion of the B le. The Vena Hepatic* are numerous. They are refleaed partly fiom the extremities of the Artery, and part.y from thofe of the Vena Porta?. They unite by degiees, and accompany the other two fets of Veffels ; but at the roo. of the Liver they form two or three large Tiunks which term nate in the Vena Cava, where it is about to peiforate the Diaphragm.—They likewife fend off fome fmall Branches which terminate in the Cava, where that Vein iies behind the Liver. The Ve re Hepatica? receive the Blood from the Hepatic Ar- tery and Vena Portse, after the liile has bren fecreted, and return it to the Vena Cava, to be conveyed by it to the Heart. The lymphatics of the Liver are fo numerous as to cover al- moft the whole of its outer Surface. They difcharge their con- tents, partly into the beginning of the Thoracic Dua, and partly to a Plexus fituated in the fore-part of the Thorax. The Nerves of the Liver are alfo numerous. They arife from the Great Sympathetics and Eighth Pair, and accompany the Blood-veffels. The Biliary Duels arife by extremely minute Branches, termed Pori Bilarii or Tubuli Bilijeri, chiefly from the extremities of the Vena Porta?, in the Suoftance of the Corpufcles, through the whole of the Liver. The Pon Bilarii run in company with the Branches of the Ar- tery and Veins, and unite into larger and larger Branches, which afterwards go into two, and thefe again into a fingle Tiunk in the Sinus Portarum, called Duilus Hepaticus. 41 The Duilus Hepaticus ferves to carry the Gall or Bile, which K of a yellow green colour, from ihe Liver,—and to convey it by the power of the Heart, Hepatic Artery, and Vena Portae, -iffidtd by the preffnre of the i'unounding Mufcles, to the Duo- denum, and partiy to the Veficula Fullis. The Veficula, or Cyftis Fellis, or Gall-bladder, is a fmall ob- long, Pynform Bag, confifting of a Bottom, Body, and Neck, fituated upon the concave fide of the Great Lobe of the Liver, and placed in a tranfverfe direaion from behind forwards. It extends from the Sinus Portatum, where the Neck is fitu- ated, to the anterior edge of the Liver, and when full advances beyond the edge of the Liver, fb as fometimes to have its Fun- dus oppofed to the foft parts of the Abdomen, under the edge of the Falfe Ribs. The bottom is a little lower than the Neck, when the Body is in the erea pofture. It inclines alfo a little to the right fide, a.d refts upon the Colon at the beginning of the Duo- denum. 111 It is compofed of feveral Coats, the external of which is a continuation of the Membrane of the Lntr: 1 his however, is only a partial Coatcoveiing that part of the Gail-bladder, which projcas beyond the Surface of the L ver.—It fcives to give ftrength to the Gall-bladder, and to fix it to the Liver. Under the former Coat, a few pale fcattered Fibres, running in various direaums, are fometimes obferved, which have been confidered as a Mufeular Coat ; and under this is a fmall quanti- ty of Cellular Subftance, which has obtained the name of Ner- vous Coat. The Inner Coat, fometimes called Villous, is full of fmall Re- ticular Rugae or Folds, which become extremely minute towards the Ceivcx, where they run in a longitudinal direction. The Su. face of th s Coat i, every where pen-rated by the Duas of fmall Follicies, which difcharge a lifcid Mucus, to de- fend the Surface of the Inner Coat from the Stimulant nature of the Biie. The Gall-Bladder is conneaed through its whole length to the Liver by Cellular Subihiiice, Blood-veffels, ;i..d Abloibents, among which the Hepato-cyftic Duel, fimilar to thofe found in many Animals, were in former times defciibed, and fuppofed to carry the Bile found in the Gall-bladder immed.ntely from the Liver. It i; now fufficiently afcertamed,—that no fuch Duas efift in the Hum in Body The Gall-Bladder has Blood-vcfl'-ls, abforbents, and Nerves, in common with thoi'e of the Liver.—Its Veins pafs into the Vena Porta;. The Neck of the Gall-bladder is twilled and folded againft k- felf, and afterwards con.raas and fends out a Duct called Cyfiicus, which runs near the Ductus Hepatieus, and then joins it, to form the Duilus Communis Choledochus. The Dui~lus Cifticus is fmaller than the Duilus Hepatieus, and differs from i: alio in having a number cf .niperfea Paititions or Plica, running in a fomewhat fpiral direaion, and forming it in- to Cells which retard the flow of the Bile. The Gall-bladder ferves as a leceptacie for the Bile, when the Stomach and Inteftines are empty anddiave no need of it, and ic- tains it till wanted for the purpofe of digeftion.—It is aherwaidi discharged from the Gill-bladder, when the Stomach is full in- to the Duaus Communis, and from that to the Duodenum, chiefly by the preffure of the furrounding Vifcera, and partly as fome Anatomilis fuppui'e, by a contractile power in the Gali-olad- der itfclf. The whole of the Bile contained in the Gall-bladder is found, by experiment, to pafs from the Liver through the Hepatic Dua to the Duaus Communis, and from that by the Cyftic Dua into the Gall-bladder. The Bile returning from the Gall-bladder isobfeived, from the thinner parts being abloibed, tube thicker, moieaciid and 112 bitter, and cf a deeper colour, than that which flows from the Liver. The Duilus Communis Choledochus, called Choledochus from its conveying Bile, is about the fize of a Goofe-quill, and is con- fiderably larger than either of the Duas which open into it. It defcends at the pofterior and left part of the Duodenum, and pafl'es for fome way obliquely between the Mufeular and Inner Cons of that Gut,—the obliquity anfwering the purpofe of a Valve. It terminates in the left, pofterior, and near to the under part of the fecond Turn of the Inteftine, by a projeaing Orifice, which is rounded above, and pointed belovx. The Struaure of the Duaus Choledochus and of the Biliary Duas in general, is of the fame nature be'ng entirely Membra- nous : The Inner Surface of the Duas alfo agree in being per- forated by numberlefs pores, wh.ch are the Mouths of Mucous Follicles, fimilar to thofe upon the infide of the Gall-Bladder. The Bile ferves to mix the different parts of the Food properly together, for the formation of the Chyle,—to correa too great a dilpofition to acidity,—and to excite the Periftalic motion of the inteftines, SPLEEN. The Spleen is a foft and very Vafcular Subftance, and of a purple colour. It is fomewhat depreffed, is of a long oval form, and of a con- fiderable fize, but varying in this refpea in different fubjeas. It is fituated in the Left Hypochondriac Region, between the large extremity of the Stomach and correfponding Falfe Ribs;— Its under end lying behind the Colon, and over the top of the Left Kidney. The fitintion of the Spleen varies a little, according to the ftate of Refpir;.tion, and to the ftillnefs or emptinefs of the Sto- mach ;—riling or falling as the Lungs are lefs or more dilated, and becoming more oblique in its fituation,—with its inferior ex- tremity turned more forwards,—in proportion as the Stomach becomes more diftended. Its External Surface is convex and unifoim, like that of the Ribs, &c. to which it is oppofed. Its Internal Su.rj'ace, or that next the Spine, is irregulatly concave; and is divided into an Anterior and Pofterior Plane, by a longitudinal Groove or Fiffure, where the Veffels and Neives enter. The Anterior Plane is more concave than the Pofterior, cor- refponding to the contiguous convexity of the Stomach. The Spleen has frequently deep Fiffiires upon its edges;—fome- times it has fmall Appendages attached to it, and not unfrequent- ly there is one or more Small Spleens conneaed with it. At the under fide, it is fixed to the Omentum, and, by means of that and Blood-veffels, to the Stomach and Pancreas.—Be- hind, it is conneaed to the Diaphragm ; and below, to the Left Kidney and Colon, by refleaions of the Peritoneum, and by Cellular Subftance. It is covered by a double Membrane, one Layer of which is a produaion of the Peritoneum, the other proper to the Spleen it- feVf ; but fo clofely conneaed to the common Coat, that they ap- pear to be one and the fame Membrane. The fubllance of the Spleen is remarkably foft, and is by much the moft tender of the Abdominal Vifcera. It Confifts of a Congeries of Blood-veffels, Lymphatics, and Nerves, joined together and fupportedby a larae quantity of Cel- lular Subftance. The extreme Branches of the Blood-veffels put on the appear- ance of Penicilli, or fmall Brujkes, which huvc been miftaken tor Glands. Thefe Veflels are fo tender, th.it when an injeaion is forcibly thrown into either Arteiy or Vein, it burlls into the common Cellular Subftance, and gives the appearance of Follicles or Cells. The Blood-veffels of the Spleen are among the l.irgeil of the Body, in proportion to the Vifcus on which they are dilperfed. The Artery is a principal Branch of the Caeluc.—It run-, in a ferpentine direaion, and, after fending Branches to the Pancre- as, &c. and the Arteria Breves to the It ft end of the Stomach, it goes into the fubllance of the Sple.n, wiie'ie it is fubdivided in- to Branches, which are crowded together, and run in every direc- tion, forming at length Plexus and Penictili, winch terminate in the Branches of the coriefponding Vein. The Vein, like that in moft other Vifcera, is larger thun the Arteiy :—Ft receives the Blood immediately from the termi- nations of the Artery, without the intervention of Cells. The Spienic Vein receives the Vena Breves of the Stomach, tlu*- P.increatic Veins, &c. and forms one of the principal Branches of the Vena Poi tar. The Lymphatics from the fupei ficitd p-rts of the Spleen juiu the; deep L\:\.cd Abforbents at the Fiflure where the Blood-veffels enter, and afterwards p.'.fs thiougli feveral Conglobate Glands lying over the Splenic Artery. Tney intermix with lymphatics belonging to fV/erul other Vifcera, and terminate in tho Thoracic Duel. The Nerves of the Spleen, which are fmall, but coiTiderabls in number, are Branches of the Great Sympathetic and Eiuhch Pair, and form an irregular Plexus which furpunds the Veflels. No Exciet jry Duct has bc;n found to proceed from the Spleen, in confequence of which very various opinions hive been enter- tained with icfp.a to the ul'c of that Organ. Vol.'II. K s2 114 Mmy of the ancients were of opinion,—that befides the Bile of the Liver, there was an Atra Bilis, or Black Bile, and that 4 the Spleen was the receptacle of the latter. Others have thought a particular Menftruum\va% fecreted in it, and conveyed to the Stomach for the purpofe of digeftion. Others again,—that the Blood of the Spleen promotes the flug- gifh circulation of the Blood of the Vena Porta?. The late Mr. Hewson, who has written particularly on the Spleen, was of opinion it concurred with the Thymus and Lym- phatic Glamh, in forming the led Globules of the Blood, and that thefe Globules were rendered complete in the Spleen. It has been alfo fuppofed,—that as the Stomach becomes full, the Spleen is compreffed by it, in confequence of which a greater quantity of Blood is fent to the Pancreas, for the Secretion of the Pancreatic Juice. But the prefent moft prevalent opinion is,—that the Blood un- dergoes fome change in it, which renders it ufeful in the fe- cretion of the Bile ;—and the opinion is fupported from the great quantity of blood with which this Organ is known to be fupplied, and from its Vein, not only in Man, but in other ani- mals, paffing to the Vena Porta?. PANCREAS. The Pancreas, i. e. AllFlefh, or the Sweat Bread, is a long flat Gland of the Conglomerate kind, and of the fame nature with the Salivary Glands, of which it may be reckoned the largefl. It is fituated in the Epigaftric Region, and is placed tranfverfe- ly in the back-part of the Abdomen, between the Stomach and Spine. It has a large or Right Extremity, and a fmall or Left one, an Anterior and Pofterior Surfaee, and an Upper and Under Edge. The Right Extremity is attached to the left fide of the fecond Turn of the Duodenum, or to that part where the Inteftine is about to go acrofs the Spine. From the under part of the Right Extremity, the Pancreas fends down an Elongation or Procefs, which adheres clofely to the Duodenum. This Procefs was difcovered by Winslow, and termed by him Pancreas Minus.—It is alfo called Head of the Pancreas. The Body of the Pancreas paffts before the upper part of the tranfverfe portion of the Duodenum, and over the Aorta, Vena Cava, and part of the Splenic Veffels, to all of which it is at- tached. The fmall extremity, which is rounded, is fixed to the Spleen, through the medium of the large Omentum. The Pancreas is covered anteriorly by the two Layers of the root of the Mefo-colon ;—pofteriorly, it is only covered with Cellular Subftance, which connefts it to the Vertebra?. I 15 It is compofed of Acini, which form fmall Glands or Lobes 5 and thefe are conneaed loofely by Cellular Subftance, in fuch a manner as to give an appearance of uniformity and fmoothnefs to the External Surface. The Arteries of the Pancreas are derived, partly from the He- patic, but chiefly from the Splenic, by feveral fmall Branches, which pafs at various places into its Subftance, in a tranfverfe direaion. The Veins correfpond in name and courfe with the Arteries, and affift in forming the Vena Portae. The Lymphatics run to the Splenic Plexus, and terminate in the Thoracic Dua. The Nerves of the Pancreas are fmall : Like thofe of the o- ther Vifcera of the Abdomen, they are derived from the Great Sympathetic and Eighth Pair. From the different Acini of the Pancreas, fmall Duas arife, which join into larger ones running tranfverfely in the Subftance of the Pancreas, and forming a common Dua, called Duilus Pancreaticus. The Pancreatic Duel, termed alfo Duilus Wirtsungi, after the difcoverer of it in the Human Body, is remarkably thin, of a white colour, and femi-tranfparent. It begins at the Left Extiemity of the Pancreas, runs in the fubftance of the Gland, a little below its middle height, and be- comes gradually larger in confequence of receiving the different Branches which compofe it,—and is at laft about the fize of a Raven's-quill. At the Right Extremity of the Pancreas, it receives the Prin- cipal Dua of the Pancreas Minus, and terminates obliquely in the Duodenum along with the Duaus Communis Choledochus. —In fome rare cafes, however, it terminates at a little diftance from the Biliary Duct; and fometimes alfo, the Dua of the Pan- creas Minus ends feparately in the Duodenum. The Pancreas fecretes a Liquid or Juice, refembling Saliva in quality and appearance, and difcharges it by its Excretory Dua into the Duodenum. The Pancreatic Juice incorporates the B !e with the Alimen- tary Mafs, and may be faid alfo to anfwer the fame purpofe to the contents of the Inteftines, which the Gaftric Juice doe* to thofe of the Stomach ;—or, it finifhes that digeftive Procefs in the In teftines which was be^un iii the Stomach. 11G OF THE ORGANS OF URINE AND GENERATION IN THE MALE. -i--«^BO«»--- KIDNEYS. THb Kidneys are two Glandular bodies, of a pale red colour, fituated in the upper and back-part of the Abdomen, in the Lum- bar Region. They are placed one on each fide of the Spine, extending from the Eleventh Pair of Ribs to near the Offa Ilia; and reft upon the Diaphragm, large Pfoa?, Quadrati Lumborum, and Tranf- ver'fales Abdominis Mufcles. The Right Kidney is fituated at the under and back-part of the large Lobe of the Liver, behind the Colon, and is common- ly a very little lower than the left. The left Kidney is placid at the under and back-part of the Spleen, and behind the left parts of the Stomach, Pancreas, and Colon. The Kidney is about five or fix fingers-breadth in length, but confiderably lefs from the outer to the inner fide, and lei's than that ftill from before backwards; or, it is compaied in fhape to a French or Kidney bean. It is rounded anteriorly, flattened pofteriorly, convex and uni- form at its outer margin, and has a deep depreffion or Sinus to- wards the Vertebra?, furrounded with unequal edges, where the ivtnal Veffels and Nerves enter. it is a little broader behind than before, and a little broader and more curved above than below, from which circumftance, but more particularly from the difpolition of the Veffels to be af- terwards mentioned, it is ealy to diftin.uifti the Right fiom the Left Kidney when taken out of the Body. The .Ritrht Kidney is conneaed to the Liver and Duodenum, the Ltfi. to the hpleen, and both to the Mufcles on which they arc placed, and.to the Renal Glai.ds and Colon, by Cellular Subftance and by the Peritoneum. Tiny arc alio cor neaed to the Aorta and Vena Cava by the t- • „*-„.., .,..Jt0 tht gladder ot- Urine by the Urdus.— in They accompany the motions of the Liver and Spleen, in the dif- ferent ftates of Refpiration. Each Kidney is furrounded by loofe Cellular Subftance, which commonly contains a confiderable quantity of Fat, from which it is termed Tunica Adipofa. The Tunica Adipofa covers not only the Kidney, but large Veffels, and defends them from the preffure of the furrounding Vifcera. Under the Tunica Adipofa, there is a Membrane compofed of the original proper Coat and Cellular Subftance incorporated, which adheres clofely to the Kidney, and is refleaed over the ed.es of the Sinus, to be joined to the Pelvis and large Veffels. The fubllance of the Kidney is commonly fmooth and uni- form, though fometimes it is irregular, in confequ-.ucc of the Lobes which originally form it not being completely incorpora- ted.—It confifts of an outer part called Cortical, and an inner termed Medullary. The»£ortical Subftance, termed alfo Secerning, furrounds the Kidney, and forms about a third of its breadth;—it likewife fends in Proceffes or Partitions, wiiich feparate the Medullary parts from each other. The Medullary, termed alfo Uriniferous Subftance, is of a red- der colour than the former, and is divided into a number of dif- tina Columns, each ot which terminates in a projeaion called Papilla, or Proceffus Mammillaris. The Papilla are merely the continuation of the Uriniferous part j though frequently confidered as a third divilion of the fub- llance of the Kidney. Each Kidney has one, and fometimes more Arteries, which run tranfverfely from the Aorta, and a Vein ftill larger, which terminates in the Cava.— They enter at the Sinus of the Kidney, and aie included in Cellular Subftance, which accompanies them throughout their courfe. The Right Renal Arteiy is longer than the Left, in confe- quence of the Vena Cava, behind which it paiies, being placed upon the Rip.ht Side of the Aorta. The Artery, as it approaches the Kidney, is divided into Branches, which are afterwards minutely diftributed through the Coitical Subftance, forming Arches and Anaftomofes;—-but t'u-fj are found to be much lefs frequent than are commonly de- fcribed. The fmall Branches, after turning and winding in varous di- reaions, pafs partly towards the Suiface of the Kidney, where they form irregular Stars, fome of which fupply the proper Mem- brane. % Others turn inwards in a waving direaion, and form Corpuf- cles, which are difpofed fomewhat after the manner of Clufters of fmall Berries, which can only be feen diftinaiy by the affiftance of Glaffes, after a minute injeaion. I 18 The Corpufcles wete confidered by Dr. Nichols as the Glo- bular-termination of Blood-veffels, and termed by him Globuli Arteriarum Termini;—but thefe Globuli were afterwards ob- ferved by Mr. Hewson to conlift of fmall Veffels intimately in- termixed. The Veins returning from the extremities of the Arteries unite in the Cortical Subftance of the Kidney. The Branches of the Renal Vein are much larger than thofe ■of the Artery, but correfpond with them in their courfe.— They form a large Trunk on each fide,, which lies antciior to the cor- refponding Arteiy, and runs tranfverfely to the Cava ;—the left, which is the laiger of the two, pafling acrofs the fore-part of the Aoria, The Lymphatics of the Kidney run from without inwaids, and terminate in the Lumbar Glands, and afteiwards in the Thora- cic Dua.—The Superficial Lymphatics are fo fmall, as ieidem to be feen, exctptin in the difeafed ftate of the Kidney. The Neivts are from the Semilunar Ganglion formed by the great Sympathetic and Eighih Pair. I hey form a Plexus which furrounds theBlood-veflcls, and accompanies them in the Kidney. From the minute Extremities of the Renal Artery, in the Cor- pufcles feated in theCoitical Subflance, the Urinijerous Tubes arife. They are mixed with fome extremely fmall Blood-veffels. and conftitute the Medullary Subftance of the Kidney. By degrees they unite into larger Tubes, which run in a ra* diated manner, the direction being from the outer idge or ciicum- ference, towards the inner put or Cavity of the Kidney. The radiated Tubes, becoming ftill larger in their paflVge, ter- minate in ihe Papilla, which are of a comprefled conical form, and are at a little diftance from each other. The Papilla are twelve or more in each Kidney, the number varying accoi ding to that of the original Lobes of which the Kidney is compofed, and likewife from lime of the Papillae be- ing incorporated with each other. Upon the po.nts of the Papiiirr are the terminations of the Ui i- nTeroiis Tubes,—large enough to be dillinguiflied by the naked Eye,—through which the Urine diftils fiom the Subftance of the K'dney. Round the root of each Papilla, a Membranous Tube arifes, termed Injundibulum or Calix, which receives the Urine from the Papilla?. The Infundibula are commonly the fame in number with the Papilla? ; the number, however, varying in different fubjeas, two or more of the Papilla? fometimes opening into the fame Infundi- bulum. The Infundibula join into two or three larger Trunks, which afteiwards fonn a Dilatation of confiderable hze, of the fhape of an inverted Cone, and termed Pelvis of the Kidney. 119 The Pelvis is placed partly within, but the greateft part of it without the body of the Kidney, and contraas into a long Tube, about the fize of a Writing-pen, called Ureter. The Ureters are commonly one to each Kidney, though in fome r-.re inftances they are double on one or on both fides. The Artery of the Kidney is placed uppeimoft,—the Vein in the middle and lore part,—and the Pelvis and beginning of the Ureters at the under and back-part of the Blood-veflels. The Ureters defcend obliquely inwards behind the Perito- neum, and go over the great Pfoa? Mufcles and Iliac Veffels, op- pofite to the anteiior and lateral parts of the Os Sacrum. They pafs afterwards into the Pelvis, and terminate in the un- der, outer, and back-part of the Bladder. In their defcent, they are not ftraight, but form turns which are commonly compared to the Italic f;—~neither are they cylin- drical, as they form flight dilatations and contraaions in their courfe, two of which contraaions ae more obfervable in their paflage/>yer the Pfoa? Mufcles, and at their infertion into the BladdeW The Ureters are covered anteriorly by the Peritoneum, and compofed of an External Membranous Coat, a middle Mufeular one, formed chiefly of circular Fibres, and an Internal Coat, fometimes called Villous. The Inner Coat is very Vafcular, and is perforated by the Mouths of fmall Ducts, which line it with a Mucus to defend it from the Urine. The Veffels and Nerves of the Ureters are from thofe of the contiguous parts. The Ufe of the Kidneys is to fecrete the Urine from the Blood, and convey it by means of the Ureters to the Bladder. RENAL GLANDS. The Renal Glands, termed alfo Capfula Atrabilaria, Capfula Renales, Renes Succenturiati, and Glandula Suprarenale.', are two fmall, flat, Glandular-like bodies of a dark-yellow-colour, ly- ing in the upper and back-part of the Abdomen. They are fituated at the upper, inner, and fore-part of the Kidneys, over the large Pfoa; Mufcles and Diaphragm, and high- er than the Renal Veffels. * They are of an irregular figure, and are about a couple of fin- gers-breadth in length, but much lar.ei, proportionally, in the Foetus than in the Adult. The Right one is conneaed to the Liver, the Left to the Spleen and Pancreas, and both to the fmall Mufcle of the Diaphragm, and to the Pfoa? Mufcles and Kidneys, by Cellular Subftance. They are likewife retained by numerous Veffels and Nerves which are fpread over them. 120 They are furrounded by Cellular Subftance, which is part of the Tunica Adipofa of the Kidneys, and have a thin proper Coat, wh'di adheres firmly to them. They are frequently obierved to be hollow, and to contain a dark-coloured Bilious-like matter, which is confidered by many Anatomilis as the Internal, very Vafcular and tender parts melted down by pc-trefaaion. Thei< Aiteries come from thofe of the adjacent parts, particu- larly fiom the Renal, and alfo from the Aorta, and Diaphrag- matic Artepes. Of the principal Veins, the Right goes to the Vena Cava, and the Left to the Renal Vein. The Lymphatics go chiefly to thofe of the Kidneys. The Nerves come principally from the Renal Plexus. Tluy have no Excretory Du6ls. The Renal Glands have been fuppofed to furnifh Lymph for the dilution of the Blood leturning in the Renal Veins, after the fecretiun of the Urine ; Or,—to reltore to the Blood of the Vena Cava the irritable parts which it lofes in the fecretion of the Urine and Bile ; Or,—to convey fomething ufeful to the Thoracic Dua ; Or, in the Fcetus,—to divert the Blood from the Kidneys, and thereby ltffen the quantity of Urine. But their ufe is (till undiscovered ; though it is fuppofed from theii vicinity to the Kidneys, not only in Man, but in many o- tht-r animals, that they are fubfervient to thefe Organs, and par- ticularly to thofe of the Foetus. VESICA URINARIA. fc THE Vefica Urinaria, or Bladder of Urine, is a large Sac fitu- ated in the Pelvis of the Abdomen, in the bottom of the Hypo- gaftric Region. It is placed in the fore-part of the Pelvis, behind the Offa, Pu- bis, and before the upper, and above the under portion of the In- ternum Reaum. When empty, it is contiaaed into a fmall fize, which occupies the under and forepart of the Pelvis; but, when fully diftended, it rifes above the brin. < f that jCavity, and fometimes afcends to within a little d fiance of the Umbilicus. ,. When moderately dilated, it is of a loundiih, or irregular ob- long form, but a little flattened before, more convex behind, and broader at its anterior and polttiioi, than towards its.hueral parts,—a little more capacious, alfo, below than above, efpecially at its pofterior part. It is diftingirfhed into Fundus, Body, and Cervix, the firft of which is placed {fpvards and a little forwards;—the laft at the un- der and fore-part. * :_•! It is conneaed-below to the Reaum, and at the fides to the PeivisJsy the refleaed Peritoneum and Cellular Subftance, the former of which, when the Bladder is empty, has the appearance of lateral Ligaments. It is attached, at the fore-part of its Body, by Cellular Sub- ftance, to the Offa Pubis, without the intervention of the Perito- neum. It is alfo fixed to the Umbilicus by three Ligaments fituated between the Peritoneum and Abdominal Mufcles.—They are formed of the Urachus running upwards from the Fundus, and the ihrivelled Umbilical Arteries pafling obliquely from the fides of the Bladder. The firmed connection is by means of a Ligamentous expan- fion, which runs from each fide of the Neck of the Bladder and Proftate Gland, to be fixed to the infide of the Arch of the Offa Pubis.—It is conneaed, alfo, at this pjacc, to the Penis, by the Urethra, It is compofed of different Coats joined together by Cellular Subftance, the firft of which is only a partial one continued from the Peritoneum. The Peritoneal or Common Coat, recedes from the Abdominal Mufcles at the top of th$,Pubes, and paftes over the fuperior, and down upon the pofterior and lateral parts of the Bladder, to near the termination of the Ureters, where it is about a finger's-length from the Anus,—and is there refleaed upon the Reaum and back pait of the Pelvis. When the bladder i j much diftended, it carries the Peritoneum with it, and leaves a fpace between that Membrane and the Pubes, of fuchiength, that an incifion has frequently been made here, and large Calculi extraaed from the Bladder, without pe- netrating into the Abdomen, or wounding the Peritoneum. The fecond Coat is termed Mufeular.—It is compofed of dif- tina Flefhy Fibres, interwoven with each other, and forming Fafciculi. ■The External Fibres run chisfly in a longitudinal direaion, and are conneaed, at the under and fore-part of the Bladder, with the OfTa Pubis. More internally, are Fibres which run in all direaions, and are intermixed with each other in the form of Net-work. The Mufeular Fibres are contraaed about the Neck of the Bladder, and form what has been termed Sphincter Vefica ;— ihefe, however, are meiely the continuation of the other Fibres. The Mufeular Coat, by its contraaion, occafions the complete evacuation of the Bladdtr.— The Fibres about the Neck of the Bladder, by aaing feparately from the reft of thj Mufeular Coat, prevent the involuntary difcharge of the Urine. The Cellular Subftance, under the Mufeular Fibres, U fre- f; if ntly ternjad Nervous Coat. Vol. U. I 122 The Inner Coat, though often called Villous, is fmooth like the infide of the Peritoneum, and, though thin, is fo denfe as to pre- vent the exfud^tion of the Urine. This Coat is rendered fomewhat unequal by the projeaing of the Fafciculi of the Mufeular Fibres ; and when the Bladder is emptfl| it forms large wrinkles or Ruga?. The infide of the Bladder is very irritable, in confequence of which a defire to expel the Urine is occafionally excited. It is lined, however, by a Mueus, difcharged from its Arteries, which prevents it from being conftantly iiritated by that Fluid. The under part of the Bladder is perforated by three Openings, of which one is placed anteriorly, and two pofteriorly. The Anterior Opening is the beginning of the Paffage called Urethra, and is furrounded by the Neck of the Bladder. It comes off almoft at a right angle from the lower part of the Bladder, without any tapering of that Vifcus. The other two openings are formed by the termination of the Ureters, which run obliquely foi vards and inwards, between the Mufeular and Inner Coat of the Bladder. They terminate in the Bladder at a little diftance from each other, and at the fame diftance behind the beginning of the Ure- thra, each by a fomewhat oval Opening, which is more contraa- ed than the Ureter is immediately above it. The Arteries of the Bladder come from various fources, but chiefly from the Umbilical and Pudenda Communis. The Veins return to the Internal Iliacs :—They form a Plex- us of confiderable fize upon each fu\e of the Bladder. The Lymphatics accompany the principal Veins on the Blad- der, and, at the under part and fides, pafs into the Iliac Glands. The Nerves are Branches*of the Great Sympathetic and Sa- cral Nerves. The Bladder receives the Urine from the Ureters by drops, and fometimes by fmall thread-like ftreams or fquirts, till by its ac- cumulated quantity and acrimony, it forces that Vifcus to con- traa and expel it. The Urine is expelled, partly by the contraaion of the Blad- der itfelf, and partly by the aaion of the Abdominal Mufcles and Diaphragm prtfling the Inteftines againft the Bladder. The frequency of the evacuation depends upon the fize and fenfibdity of the Bladder, upon the quantity of Urine fecieted, and the degree of acrimony it pcfteffes. TESTES. The Teftes, formerly termed Didymi or Gemini, are two Glan- dular Bodies fituated in the Cavity of the Scrotum. The Scrotum, which furnifhes an external covering to the Teftes, is a continuation of the common Integuments, has the * 121 fi.me Stru6""tu'T with the Skin in general, but is more plentifully fupplied with Sebaceous Follicles, has no fat in its Cellular Sub- ftance, and isoccafionally relaxed and corru, ated in a greater de- gree than t»e Skin in the other parts of the Body. Upon the Surface of the Scrotum, there is a fuperficial, longi- tudinal projeaing Line, which divides it into two equal parts, and has the name of Raphe. Tin- inner Surface of the Scrotum is lined with Cellular Sub- ftance, wh ch is firmer and more Vafcular than in other places. The Cellul r Subfttuice of the Scrotum, in confequence of its rednels, Fibrous appearance, and fuppofed power of contrac- tion^ has, by many Auatomift-., been confidered as a Mufcle, and called Dartos.—This opinion, however, has of late years been re - jeaed. The Cellular Subftance of the Scr turn involves each Tefti- cle fingly, and forms a Septum or Partition "beiween the two, which prevents A'r or Water from pafling readily from one fide of the Scrotum to the other. The Veffels and Nerves of the Scrotum are chiefly from thofe of the neighbouring parts. The Blood-vefllls are Branches of the Pudendal and Fe- moral. The Lymphatics go moftiy to the Inguinal,—but fome of them accompany thofe of the Teftes to the Lumbar Glands. The anterior part of the Scrotum derives Nerves from the Lumbar, and the* pofterior fiom the Pudendal Nerves. The Scrotum affifts in fupporting and pruteamg the Teftes. Under the Scrotum are two Membranes or Coats, proper to each of the Teltes, the one termed Vaginalis, the other Albuginea. The Tunica Vaginalis, named from its forming a (heath, is of the fame nature with the Peritoneum, being originally a Procefs of that Membrane, which in the Fcetus defcends with the Teftti- cle from the Abdomen. It forms a fliut Sac, which has no communication with any o- ther part. It inclofes the Tefticle, as the Pericardium does the Heart, and lies loofe every where, excepting behind, where it is continuous with the Albuginea. It is confiderably larger than the Teftis which it inclofes, reaching as far above and below it as to allow it a certain degree of motion. It is conneaed by its external Surface to the Cremafter Muf- cle, and partly, by means of that, to the inner Surface of the Scrotum. It affifts the Cremafter in fupporting the Teftis, and, by being conftantly moiftened within by a Fiu:d exhaled fiom its Surface, and from that of the Tunica Albuginea, it allows the Tefticle to move eafily. U4 The Tunica Albuginea, fo called from its u lie colour, «; like the former Coat, a continuation of the Peritoneum, and invet'^ the Body of the Tefticle clofely. It is a thick, ftrong, denfe, and inelaftic Membrane, of a glif- tening appearance. It is remarkably fmooth on the outfide, but internally it is rough and unequal, adherinsr'every where fiimly to the Body of the Teftis. H It covers both the Teftis and Epididymis, conneas them to each other, gives ftrtnjgth to them, and conduas their Vcffeis in the manner the Mcftntery does thofe of the Inteftines. The Body of the Teftis is of a yellowifli colour, and has a Pul- py appearance,—is of an oval form, a little flattened at its outer end inner Suiface ;—and frequently one Tefticle is a little larger than the other. The Teftes are placed obliquely, with one end upwards and forwaids, and the other end backwnids and downwards. At the outer and back-part of the Teftis, there is an Appen- dix named Epididymis, from its fituation upon the Teftis or Di- dymis, which is inclofed in the fame covering with the Tefti. itfelf. The Epididymis begins at the upper part of the Tefticle, im- mediately above the entry of the Blood-veffels ; and this part of it being hire and of a round form, is termed Globus Major, or Head of the Epididymis. In its defcent, it oecomes fomewhat fmaller and flatter, and is attached behind to the Body of the Tefticle, where the Blood- velfels go in ; but forwaids it is loofe, the Tunica Albuginea dipping in this place, and forming a Cavity or Pouch. The under parr of it becomes more firmly attached to the Bo- dy of the Tefticle, and foims the Cauda, or Globus Minor ; it is then turned backwards upon itfelf, after which it fends out the Excretory Duct of the Tefticle. The Body of the Teftis has numerous Arteries, Veins, Abfor- bents, and Nerves ; but is principally compofed of a colhaion of minute, tenrier, elaftic Filaments, intricately convoluted, tci til- ed Tubuli Seminiferi, or Vafa Seminalia. The Tubuli Seminijeri are difpofed in Fafciculi or Bundles* between Partitions, which are formed of Blood-veffels ar.d Cel- lular Subftance. Thefe Septula? begun at the root or Nucleus, fituated at the back-part of the Tefticle, fometimes termed Corpus Highmori- anutn, and extend in a radiated manner to the Tunica Albu- ginea. TP The Titlis is fixed behind by its Veffels, which are colkaed into a Cord termed Spermatic, but is loofe and free before, to prevent it from being pinched. 125 The Spermatic Cord, properly fo called, extends from the Ring of the External dblique Mufcle to the Body of the Teftis, and is compofed of the Trunks of the different Veffels belonging to the Tefticle, and of a quantity of Cellular Su fiance.—The Cord is covered by the Cremafter Mufcle; and within thu», by ihe f.me Piocefs of the Peritoneum which forms the Tunica Vaginalis Teftis. This part of the Procefs, however, is fo incorporated with the common Cellular Subftance of the Cord, as to appear to form part of it. The under part of the Vagina of the Cord is feparated by a Partition formed by the upper end of the* Vaginal Co.it of the Tefticle, and by condenfed Cellular Subftance, fo that no liquor can pafs eafily from the Cord to the Tefticle, and vice verfix. The Arteries of the Teftes, termed A^teria Spermatica, and Arteria Preparantes, arife, one on each fide, from the fore-part of the Aorta, a little beloV the Renal Arteries. The Spermatic Artery croffes over the Pfoas Mufcle and Uieter, and defcends, behind the Peritoneum to the under part of the Abdomen. At the lower part of the Abdomen, it perforates the Ring of the Extern d Oblique Mufcle, and paffes in the Spermatic Cord to the Tefticle. In its defcent, it gives branches to the adjacent parts, and is fo intei laced with thofe of the correlponding Vein, as to have been fuppofed by the Ancients to have large lateral communications with them. After palling the Ring, it divides into Branches which go to the Teftis at its pofteiior edge. They are partly difpeifed upon the Epididymis, but the larger Branches run in aicrpentine di- reaion into the Subftance of the Teftis, where they are minutely diftnbuted upon the Surface of the Seminal Tubes. Befides the Spermatic Artery, there is a fmaller one from the Hypogaftric, which accompanies the Vas Deferens, and is dif- perfed along with the other Artery. 'The Veins are much larger than the correfponding Arte- ries, and have feveral Valves in them, efpecially without the Ab- domt-ii. They form a Plexus, which accompanies the Artery on each fide, and -is fometimes called Corpus Pampynijorme, being com- paied to the fhoots of the Vine, or Corpus Pyramidale, from giv- ii^f a Pyramidal form to the Cord. The Plexus afcends in the Abdomen, and upon the Suiface of the Pfoas Mufcle ; and about the part where it recedes from the Artery, it forms a fingle Trunk, which, in the tight lide, termi iates in the Vena'Cava, nearly oppofite to the Arteiy, and, in the left fide, goes into the Renal Vein. There is alfo a fmall inferior Spermatic Vein, which accompa- nies its Artery, and ends io the Hypogaftric Vein. Vol. II. „ L2 126 The Tubuli Seminiferi in the Body of the Tefticle confift of numbei Ids txtremeiy minute Luas, which are of a Cylindrical fonn, have no divifion into Branches, and when drawn out, aie found to be feveral feet in leng h. They are firft collected into Bundles, between the Septula? of the TeiicJe, r>nd thefe again into others ftill fmaller, each of the fmaller being formed of'a fimple Tube, coiled up into a Conical foim, with its Bafe forwards) and its Apex towards the pofterior edge ef the Tefticle. From the convoluted Seminal Tubes, an equal number of ftraight Vcffeis are lent out at the back-part of the Tefticle, under the name of Vafa Reila. At the upper and l>avk-part of the Tefticle, the Vafa Reaa communicate, and form an inegular Plexus or Net-Work, called Rete Vafculofum Teftis. The Rete Teftis fends out from twelve to eighteen ftiaight Tubes, teimed Vaffa Efferentia, which carry the Semen from the Telticle to the Epididymis. The Vafta Lflt'entia foon become convoluted, and form Coni- cal Bundles, teimed Coni Vafculofi. The Coni Vafculofi aie fiimly conneaed by Cellular Subftance, and aie obferved by Dr. Monro, in his Treatife De Tefiibus, to compofe lomewh^t more than a third part of the Epididymis. The Vafcular Cofies gradually unite into a fingle Tube, which conftituies The reft of the Epididymis, and though only about the fze of a Hog's Bnftle, tranfmits the whole of the Semen. The fingle Tube becomes larger in its courfe and lefs convolu- ted, and at laft, expanding its convolutions, it comes out greatly increafed in fize, and almoft in a ftraight direaion, under the name of Vas Deferens. _ Befides the Duas already defcribed, a Vas Aberrans is fome- times obferved, which is one cf the Vafcular Cones, wandering off, and terminating in the Epididymis lower than ufual. At other times, the fame kind of Vefl'el forms a Proceffus Cacus, or blind Dua, with a dilated Extremity which does not com- municate with any other part. o VESICUL^E SEMINALES AND PROSTATE GLAND. The Veficula Seminales are two fmall Pyriform Receptacles, fituated between the under and late.al parts of the Bladder and the Inteftinum Reaum,—about three fim-eis-bieadth in length, and the third part of that in breadth, and a little flattened. ' 127 They are at a confiderable diftance from each other behind, but anteriorly they converge, and become contiguous;, forming a fliarp angle. Each of them is compofed of a convoluted Tube, with irregu- lar Proceffes, and furrounded by a quantity of tough Cellular Subftance, and by many Veffels and Nerves. Internally, they have a Villous appe^-a'iee and are formed of irregular Cells which correfpond with the irregulai ities on their External Surface, and communicate freely with e&ch other.— Their fhape, fize, and ^eneml appearance, however, vary in dif- ferent fubjeas, and not unfrequently in the fame peifon. Between the Veficula? Seminales, the ends of the Vafa De- ferentia, now become larger and Cellular, pafs forwards till they arrive at the Proftrate Gland, where each Vas Deferens joins the Veficula ot that fide, and communicates fo fieely wiih it, that injeaed Fluids readily pafs from the one to the other. From each. Veficula Semmalis and Vas Deferens of the fame fide, a fmall Canal, about a Finger's breadth :n length, paffes out which is fiimly conneaed to its fellow, without communicating with it, and becomes gradually fmaller, piercing, obliquely, the Proftate Gland, and terminating in the under part of the Neck of the Bladder. The Orifices of thefe Canals are feparated from each other by a Caruncula, or round Projeaion of the Membrane" of the Ure- thra, termed Veru montanum ;—■ r, from being broad behind and roftriform before, it is compared to the Head and beak of the Wood cock, and called Caput Gallinaginis. The Veficula; Seminales are commonly confidered as Refrrvoira of the Semen, receiving it from the Vafa Deferentia, and after- waids,—by a power inherent in themfelves, affifted by the aaion of the neighbouring Mufcles, particularly of the Levatores Ani, —propelling it to Jie Urethra. The Semen is prevented from pafling into the Bladder, the opening from it being fliut while that Fluid is expelled. Various experiments 11uvt* been made on the Veficula? Semi- nales by the late Mr.. Hun i er, from which he was of opi- nion, that they are not Refcrvoirs of Semen, but Glands, fe- creting a particular Mucus ;—that, with other parts, ihey are fubfervient to the purpofes of Generation ;—and that the Bulb of the U'vihra is the re.epticle ot the Semen in which it is ac- cumulated previous to its ejeaLn. The Proftate Gland, named trom its fiuiation before the Vefi- cula?. Sein mlcs, lies mmediately beh nd the under end cf the Sympnyfio of ih Pubis, ;n 1 refts upon ihe Lutftnum R.-flnm, It furrounds and clsiely ?mb ace-* the Nf-ck of the Bladder, or beginning of ihe U\ethi a; but tiie gr-uer p.:r it it i*. placed pofteriorly and iaiduli^, navmj a Lobe projranig on each nde. 1 C-c? It ig about the fize of a Walnut, and of the figure of a Spanifh Chefnut,—or it refemhlesa Heart as commonly painted op Play- ing-cards,, with the Bafe towards the Bladder, and the Point towards the Penis. I. has a Spungy Subftance, but is one of the firmed Glands of the Body, and generally fends out ten or tiuelve Duds, which open obliquely at the beginning of the Urethra, at the fides of the Caput Gallinaginis, and near the teinunation of the Seminal Duas. From the Duas of the Proftate Gland, a thin white Liquor is difcharged,—i om the fame caufes, and at the fame time with the Semen,—into the Uiethra, and is fuppofed to be ufeful in the procefs of Generation ;—or, accordn g to fome Authors, this Fluid facilitates the pafl^ge of the SeuKn through the Uiethia. The Blood veffels, Abforbents, and Nerves of the Veficula? Seminales and Proftate G and, aie in common w,.h thofe of the parts which furround them. PENIS. The Pent', which has obtained a variety of other names, fuch as Membrum Virile. Mentula, &c. coniins of three S ongy Subftances, two of whicii foi m the upper part and lid. s, 01 Body of the Penis and aie teimed Corpora CavemoJ'a Penis, the third funounds the Urethra, and has the name ot Corpus Jptn- giofum Urethra. The Penis is covered with a continuation of the common Inte- guments, which are thinner than elfewhere, and, nltead of Fat, there is as in the Scrotum, a Reticular Subftance only under the Skin. At the anterior extremity of the Penis, the Integuments form a loofe fold, temed Prepuce, which is conneaed to the anterior and undei part, or Glans of the Penis, by a triangular fold, called Franum P>eputii. The Corpora Cavernofa Penis refemble two equal but irregular Cylinders, (clofely applied to t.ie ,ut- of each other, and each coveied by a (long, elaftic, Ligamentous Sheath, the Fibres of which run in a tranfveife, and p itly n. an oblique direaion. Thev anfe one on each fide, by two bind Conical extremities, called then Crura, from the inner part of the Crura of the Ofla Ifchia and Offa Pubis, to both of wh.ch they are very firmly conneaed by Ligamentous Subftances. At the under part of the Symphyfis ,l the Pubis, they are uni- ted to each other, and continue lb till tr.ey ;each the Gl nds where -hey tei cinate in a rounded extumity. At the u(pei pait,p> by Fal- LOPius, to that of a Trumpet, aie two Conical and Vermiform Canals, attached to the Corneis of the Uterus, and terminating in it, each by a fmall Opening which foarcely admits the entrance of a Bridle. They become gradually larger in their pafl'a e towards the fices of the Pelvis : Near their outer extremity, they are convoluted and confiderably dilated, but are afterwards fuddenly contraaed, and terminate by open Mouths-fu&Lcitnily large to admit the point of a-Goofe-quill. iJ'i Their outer ends are free and fluauating in the Pelvis, and ex- pand into many irregvlar jagged or pointed extremities, called Fimbria, which are confiderably longer at one fide of the Tube than-the other. They are commonly upwards of a hand-breadth in length, and contained in a Doubling of the Ligamenta Lata.—In their natural fituation, they lie near the Ovaria ; but when drawn out andextended, are a Finper's-breadth diftant from them. The flruaure of the Tubes is nearly the fame with that of the Uterus, and, like it, they are capable of dilatation and contraaion: Their inner fide, however, has a'different appearance, being fur- nifhed with many fmall longitudinal Plica?, which are moft con- fpicuous Kwards the outer extremities. The Tubes are fuppofed to con\ey the prolific part of the Male Semen from the Uterus to the Ovar a, in order to fecundate the Ova ; and by grafptng that part of the Ovarium where the iip«.ft Ovum is fituated, to carry the Ovum, according to fome Au- thors, or its contents only according to others, to be mixed with the Male Semen, and to be lodged in the Cavity of the Uterus. The Vagina is a Membranous Canal, which extends from the Neck of the Uterus to the opening of the Pudendum. It is fituated behind the Bladder- and Uiethra, and before fhe under part of the IntefJtiium Reaum, to each of which it is clofely connected by Cellular Subftance. It begins a little above the Internal Orifice of the Uterus, but reaches higher at the pofterior than anterior part j from which circumftance, together with a flight Curvature it has backwards, the Canal is found to be longer in its pofterior than anterior Surface. From the Os Tinra?, it paffes downwards and forwards, and terminates between the Labia Pudendi, the Axis of the Vagina forming a confiderable Aiule with that of the Uterus. The dimenfions of the Vagina correfpond with the fize cf the Ptnis in the Male ; but vary according to the temperament cf the Body, and become larger in Women who have borne Chil- dren. t The Body of the Vagina is compofed of thick, ftrong, Mem- branous parts, and furr.ifhed internally with humeious intgular Ruga or Wrinkles, and Nervous Papilla, the former ot which confiderably diminifh the capacity of the Canal, and the latter add to its fenfibility. ^ The Ruga run in a tranfverfe direaion, and are fo difpofed as to divide the Vagina into anterior and pofterior Columns, which jcin together laterally, and produce a Raphe or Suture at the right and left fides. They are deepeft, largeft, and moft crowded upon the anteror and towards the outer part of the Vagina; are molt confpicuous 137 in Virgins, lefs fo in married Women, and become more and more effaced in thofe who have borne Children.—The Ruga? facilitate the diftenfion of the Vagina during Child-birth. The whole extent of the Vagina, particularly towards its outer extremity, is furnifhed with fmall Follicles, the orifices of which can frequently be feen. They fupply a Mucus, with which the Canal is always rubri- cated, and which is difcharged, in time of Coition, in fuch abun- dance, as to have;been formerly confidered as an emiflion of Fe- male Semen. ' The outer end of the Vagina is covered, on each fide, by a Subftance compofed of Blood-veffels and Cells fimilar to thole of the Penis, and defcribed by De Graaf under the name of Plex- us Reieformis, and by later Anatomifts under that of Corpus Ga- vernofum Vagina. 1 ' The Corpora Cavernofa are covered by the Sphiinaer Vagina; Mufcle, the aaion of whxh, joined to the Dilatation of thefe Bodies, ferves to contraa the entry of the Vagiua in the time of Coition. ^ The Ufe of the Vagina is to receive the Penis and Semen, and to convey from the Uterus the Menitrual Flux, the Foetus, the Secundines, and the Lochia. • The Uterus, with its Ligaments, Ovaria, and Uterine Tubes, aie fupplied with Blood from the Spermatic and Uterine Ar- teries. The Spermatic Arteries arife from the Aorta, as in the Male, and run in the Ligamenta Lata, to be difpepfc* upon the Ovaria and Uterine Tubes, and afterwards upon the Uterus itfelf. The Uterine Arteries are derived from the Internal lliacs, and are much larger than the Spermatics. They dnea their courfe,, firft to the under part of the Uieru6, after which they afcend along its edircs, and near its upper part join the Spermatic Arteries. From the Uterine chiefly, and partly from the Spermatic Ar- teries, many fmall Branches are furnifhed, which run in a Ter- pentine manner, and communicatewith their fellows in the oppo- fite fides of the Uteius. The Vagina is fupplied with an Artery on^ach fide,—termed Vaginal,—from the Uterine, and with fmall Branches from the Umbilical, Middle H&morrhoidal, and Pudenda? Communes. The Spermatic Veins have the fame termiimtion as in the Male, but aie confideiably larger.—The other Veins run into the Inter- nal Iliac. The Lymphatics, like the Blood veffels, run alfo in two Sets. Thofe of the one let accompany'the Spermatic Blood-veffels, and, like the Abforbents of ihe Teftes in the M de, go to the Lumbar Glupds. Thofe of thtjMther correfpond with the Hypogastric B|pod-ve'flcK, and terminate in the Glands at the lateral pans of the Pelvis. Vol. II. M 1 1.^ The Nerves are from the Sacral and Great Sympathetica The Ufe of the Uterus is,—to receive from the Ovaria, by means of the Fallopian Tubes, the Rudiments of the Foetus,— to nourifh it, and, after bringing it to maturity,—to expel it through the Os Internum Uteri and Vagina.—From the Inner Surface ot the Uterus, the Menftrual Evacuation is alfo dif- charged. External Parts. The External Parts, called Pudendum ot Vulva, are formed of two prominent fides, termed Labia Pudendi, Labia Externa, or Ala Majores. Thefe are contiguous, when the Limbs are not much feparated, thereby preventing the accefs of Air to the Internal Parts, which they at the fame time protea and con- ceal. The upper part of the Pudendum, named Pubes or Mons Ve- neris, is fituated on the fore-fide of the Offa Pubis, and is cover- ed with Hair fimilar to that in the Male, and beginning to grow about the fame period of life. The Pubes is compofed of the Common Integaments, under which a confiderable quantity of Fat is fituated, rendering it thick, foft, and prominent. The Labia Pudendi extend from the Pubes to within about an inch of the Anus, the fpace between the Pudendum and Anus obtaining the taame of Perineum, from a moifture fuppofed to flow about this part of the Skin.—It is fometimes alfo called An- terior Perineum, to diftinguifh it from that part which extends from the Anus to' the Coccyx, termed by fome Anatomifts Po- fterior Perineum. The opening between the two Labia has the name of Foffa Magna ;—it increafes a little in fize and depth as it defcends, and forms a fmall boat-like Cavity at its under extremity, termed Foffa Navicularis. • The Labia are thickeft above, become thinner below, and ter-, mhiate in a tranfverfe fold of the Skin, named Franum, Furcula, or Fourchette, which is frequently lacerated in the firft Child- birth. The Labia are compofed of the Skin elevated by a large quan- tity of Cellular Subftance and fome Fat, and lined by a very Vafcular Membrane, which is thin, tender, and red like the in- fide of the Lips, ami is furnifhed with numerous Sebaceous Fol- licles', fecreting a Liquor, whereby the parts are preferved fmooth and moift. Between the upper ends of the Labia, is tho Subftance named Clitoris, and by fome Mentula Muliebris,—not exceeding an inch in length, and little more than the third part of that in thicknefs, and tied down to the fore-part of the Symphyfis Pubis. U9 It is extremely Vafcular and Nervous» ancWs compofed, like the Penis in the Male, of two Crura and Corpora Cavernofa% contained in a Ligamentous Sheath, with a Septum betweeu them. ^ The Crura are upwards of twice the length of the Body of tire Clitoris, and, together with Mufcles belonging to them, arife, as the Crura of the Penis do in the Male, from the Crura of the Ofla Ifchia and Pubis. The Clitoris is alfo provided with a Ligamentum Sufpenforium, by which it is connected to the Ofla Pubis, and with a Glans, which, like that of the Penis, is extremely fenfible, but has no perforation in it for the paffage of the Urine. It is covered by a continuation of the Skin of the Labia, which at its inferior extiemity, forms a Semilunar Fold, termed Prepu- tium Clitorilis. * The Prepuce is furnifhed with Glandula Odorifera upon its inner Surface, and with a fmall Fraenum which fixes it to the Glans. In the time of Coition, the Glans Ciitoridw is fuppofed to pro- duce nearly the fame fenfation in the Female, as the Glans Penis does in the Male. At the under and outer part of the Clitoris are two Bodies, called Nympha, from their being fuppofed to prefide over and di- rea the courfe of the Water proceeding from theBladder. The Nympha arife narrow from the Prepuce and Glans, and run obliquely downwards and outwards along the infide of the Labia, increafing in breadth, but fuddenly contraaing again at their lewer extremity. They are chiefly formed by a production of the infide of the Labia, have the fame florid colour with them, and in their natu- ral ftate are contiguous, and cover the Orifice of the Uiethra. They are fometimes of unequal fize, and not unfrequently, particularly in warm climates, they pfojea beyond the edges of the Labia. Their Internal Struaure confifts of Cellular Subftance, with a large proportion of Blood-veffels. Th*y have alfo many Ner- vous Papillae, which render them very fenfible, and Sebaceous Follicles, the contents of which prevent them from being injured by the Urine. The Nympha? affift in direaing the courfe of the Urine from the Urethra, and in preventing the Air from entering the Vagina. —They alfo tend to enlarge the Paffage for the Child in the time of Parturition. Between the Perineum and Nympha?, there is a fmooth Cavity or Veftibulum, which is moft complete in Virgins, and leids to two Paflages, viz. to the .Urethra above, and to the Vagina be- low. «140 The Orifice of the Utetbra is placed a little below the Glans of theVClitoris, and between the two Nympha?, and is furround- ed by a Spongy Eminence, which projects at its* under part,— called by fome Authors Corpus Glandulofum, or Glandula Pro- ftata Mulierum. ■' The Corpus Glandulofum is perforated by Lacuna, fome of which are of confiderable depth, and difcharge a Vifcid Matter round the Orfice of the Urethra. The Orifice of the Vagina termed likewife Os Externum Uteri, is placed immediately under that of the Urethra, and is natural- ly ftraiter than the reft of the Canal, but in the Virgin ftalejs ftillmorecontraaedbytheSubftar.ee called Hymen, or Circuits Membranofus, which partly furrounds it. The Hjrntn approaches to a Circular Figure, but the Circle is frequently incomplete next the orifice dt" the Urethra, the broad part being fuelled towards the Perineum. When the Hymen is ruptured, it degenerates into fmall Coni- cal Papillae, termed Caruncula Mj/rtiftrmes, from their fuppofed refemblance to Myrtle-berries. The Hymen has been confidered as a Teft of Virginity ;__ but neither the prefence nor abfence of this Mttmbrane can De depended upon as a certain Criterion. About the Orifice cf the Vagina are feveral Mucous Follicles, fimilar to thofe round the Opening of the Urethra. The Blood-veffels and Nerves of the External Parts are from the Pudic Branches, and are difpeifed in numerous Ramificati- ons upon the end of .the Vagina, Labia Externa, and Clitoris. The Abforbents pafs partly to the Inguinal Glands, and partly to thofe placed at the fides of the Pelvis, or upon the Lumbar Vertebra. 00000000*00000000' OF THE GRAVID UTERUS. V f \^HEN the Rudiments of the Fcetus have been conveyed from one of the Ovaria into the Cavity of the Uterus, through the medium of the -.oireiponding UwiuefTube, whether in the ftate of a Fund oi-'.y, ''■. of a complete Ovum, lmpiegnation is fuicPto have tiken place. * 141 Some days after Impregnation has commenced, an Ovum, con- fiftiqg of a Veficle filled with a limpid Fluid, is found in the Ca- vity of the Uterus. The Ovum, when firft vifible, is obferved to have a fmooth Surface, but in a fhort time thereafter it fends off flocculent Branches, the greater part of which are by degrees converted in- to a Placenta at that part of the. Uterus where the Ovum happens to be firft attached. The Rudiments of the Fcetus,^ however, are not always conveyed to the Uterus after Impregnation, for fometimes a Foe- tus is fouiiel in the Ovarium ; at other times in one of the Uterine Tubes ; and fome rare Inllance* have occurred, where the Em- bryo has dropped from one of the Ovaria or Tubes, into the Ca- vity of the Abdomen, where a Placenta has been formed, by which it has been nouriflied. The Ovum, at an early period of Geftation, confifts of athin Membranous Capfule, which inclofes the Embryo or Germ with the Umbilical Cord and Waters ; and the Capfule, again, con- fifts of an internal Membrane called Annios, on the outfide of which is the True Chorion, which is covered with a Filamentous and Spongy Subftance, termed by Ruysch Tunica Filamentofa, and by more modern Authors, Falfe or Spongy Chorion. The Spongy Chorion is defcribed by Dr. Hunter as confift- ing, in early Geftation, of tvjo Layers, ^B|ie lining the Cavity of the Uterus, and termed by him Membrana Decidua, from being fuppofed to be caft off from the^Uterus: The other, covering that part of the Ovum which does not adhere to the Uterus, he terms Decidua Reftexa. The Decidua is leaft diftina between the Uterus and Placenta. Near the edge of the Placenta, both it and that part of it called Reftexa, are thickeftand ftrongeft, and decreafe in thicknefs tow- aids the other end cf the UterUs and Ovum, in proportion as thefe become more expanded. The Decidua and Decidua Reflexa unite into one Membrane in advanced Geftition. They have been fuppofed to be formed originally by an efil jrefcence thrown out upon the parts on which they are placed, in the manner it is thrown out upon inflamed for faces. Between the Amnios and Chorion, a Gelatinous Fluid is con- tained in the early Months, at which period a fmall Bag, filled with a milky-It-ke Fluid, isobfeivcu on the Ammos, near the Umbilical Cord, and is termed Veficula Umbilicalis or Alba. The Veficula Umbilicalis is conneaed to the Cord by a Fila- ment confifting of an artery and Vein, which, with the Fluid and B.i_r, foon diinppcar. The ufe of this Velicie, which has fome- times been miftaken for an Allantois, is not yet undcrftood. In early Geftation, the Ovum is Luge in proportion to the Embryo; but towards the latter period of Pregnancy, the propor- tion is reverfed, as appears from the fallowing Obfervations. No well authenticated account has been yet received, of the Embryo being obfervable till near the end of the thud Week, when it is found to appear like'an oblong Veficle floating in the limped Liquor of the Ovum. In the fourth Week, the Ovum is about the fize of a Pigeon's Egg, and the Embryo not larger than that of a common Fly. About the end of the thinTMonth, the Ovum is the fize of a Goofe's Egg, and weighs eipft ounces, while the Embryo is be- tween two and three ounces in weight, and thiee inches in length ; —and the Head and Extremities being now diftinaiy obfervable, it obtains the name ot Fcetus, which it retains, fiom ibis lime till the end of Geftation. In the fixth Month the Placenta and Membranes weigh feven or eight ounces, the Foetus, twelve or thiiteen, and is eight or nine Inches in length, and puricct in all its external parts. AtBiith, the Secundines weigh only between one and two pounds, the Fcetus fix 01 feven,'and is from eighteen to twenty- two inches in length. Still however, from the difficulty of afcertaining when Pi te- nancy commences,—from ihe^differences of Ftetufesof the fame age in different Women, and in the fame Woman in different Pregnancies, and—from the Fcetus being frequently retained in the Uterus fome time after it is dead, as well as from the fmall dependance to be placed upon many of the Figures given of thefe Paits,—the above Obfervaiions are not altogether to be de- pended upon. Changes Prodvced in the Uterine System by Impregnation. Immediately after Impregnation, a large Orifice is conftrmtly oblervcd in the Ovarium, leading to a Cavity in that part ot it from whence the Rudiments of the Fee.us have been derived. This Cavity appe.us fiift lijcculent, and is afterwards rilled up with a Grai.ulous Suhftunce, which has the name of Corpus Lu- teum, from the yellow appearance it aflumes, efpecially in Quadrupeds. The Corpus Luteum, confifts of an outer Vafcular, and an in- ner Inorganic-looking Subftance, w hich has been confidered by fome Authors as the remains of the Ovum. ' The Corpus Luteum is not found till after Impregnation. It contines during P; gnancy, and for fome time after Delivery, when it gradually vanifhes, but leaves a Scar in the Qvarium, which continues for life.—The number of Corpora Lutea cor- refponds with that of the Ova impregnated. After the Embryo is received into the Cavity of the Uterus, the Os Tine* is fliut up by a Ropy Mucus fccreled from the Fol- 14.0 licles in the Cervix Uteri ; the Menftrua ceafe to flovj,—ana\ the Uutfusby degrees is changed from a triangular to an oval form. From the influx of Blood, and the growth of the Ovum, the Cavity of the Uterus gradually enlarges from a fize capable on- ly of admitting an Almond, to that which contains the full- grown Fcetus, the Secundines and Waters ; compofing together a Mafs equal to nine or ten pounds weight. Some time after impregnation,', the Fundus and Body of the Uterus, being fofter and loofer than the Cervix, firft yield to the parts which it contains. For the two firft Months, the Uterus increafes fo little as to remain in the Cavity of the Pelvis, and it is generally after the third month, before the Tumour formed by it can be felt above the Symphyfis of the Pubis. During the firft three Months, the Os Tinea? remains fmooth and even, and its Oiihce is nearly as in the un-impregnated ftate; but between the third and fifth Month, the Cervix and Orifice begin to be dilated, the former becoming fofter, and the latter changing its common appearance, and projeaing more into the Cavity of the Vagina. The Uterus continues to rife through the whole period of Gef- tation, but frequently inclines a little to one fide.—In the feventh Month, it reaches the Umbilicus, and at laft touches the Scro- biculus Cordis, Stomach and Colon, occupying the whole of the Umbilical Epigaftric Regions. In the progrefs of Geftation, the whole Uterus becomes fofter, loofer, and more Vafcular, and the Veffels are greatly enlarged, the proportional increafe being nearly fimilar to that of the Ute- rus. The courfe of the Arteries is remarkably convoluted,—fully as much fo as they are previous to Conception,—and greatly moie fo than that of the correfponding Veins. The Veins are much larger than the Arten'es, their diameters being fuch as to have diftinguifhed them by the name of Sinufes ; —and to them the great bulk-of the Uterus is chiefly owing. The fubllance of the Uterus wa* itt-merly fuppofed by fome to be thicker, and by others to be thinner in the Gravid, than in the unimpregnated ftate ; but the generality of Anatomifts feern now fufficiently fiuisfied, that it is nearly of the fame thicknefs in both ftates, and during (he whole term of Pregnancy. In the latter Months, the Tubercle of the Os Uteri is confi- derably enlarged, and the firmnefs of its texture converted to tfte Spongy loftnefs of the Body of the Uterus. The tranfveife Rima or Orifice is changed into an oval Ptt, and in Women who have borne feveral children, it is confiderably dilated near the end of Geftation. The fituation of the Appendages of the Uterus is alfo confide- rably altered. The Ovaria, with the Tubes and Ligaments of 14 1 the Uterus,, are lower fituated, in refpea to the Fundus Ulcri, in proportion 3S it afcends ; and at the full time, the Broad Li- gaments, by aflifting in forming a covering to the Uteius, are nearly obliterated. In the enlarged ftate of the Uterus, the Mufeular Fibres are diftinaiy feen.—They form Fafciculi which run in various di« reaions, but cannot be traced) Jar without interruption. A defcription is given by Ruysch of a Circular Mufcle in the bottom of the Uterus, for the expulfion of the Placenta;—but the Placenta is found to adheieto other parts befides the Fundus Uteri j nor has fuch a Mufcle been obferved by later Anato- mifts. The Mufeular Fibres of the Uterus aflifl in the delivery of the Child and expulfion of the Placenta ; and in a few days after- wards, the Uterus, partly by the contraaile power of thefe Fi- bres, and partly by that of the Blood-veflels, is reftored to near its former d menfions. Contents of the Uterus about the- end of Pregnancy. The Contents of the Uterus, towards the end of Pregnancy, con lift of the Fatus, the Umbilical Cord Placenta, Membranes, and Waters. The Cord, Placenta, and Membranes, are named the Secun- dines, or After-birth, with which fome include the Waters though thefe are difcharged previous to the expulfion of the Child. The Cird\i fixed by one end to the Umbilicus of the Foetus, and by the other it is attached to the Placenta at a little diftance from jts middle, from which circumftance the extraaion of the Placenta is more eafily tfteaed. It is commonly about two feet lon^,—in fome inftances mere, in others lefs ; but in general it is of fufficient length to allow thu Birth of the Child, while the Placenta adheres to the Uterus of the Mother. It> thicknefs is nearly equal to that of ones Finger, but fmal- ler and weaker at the extiemity next the Placentt.—It is feldoni of a cylindrical form, being marked with Sulci coiiefponding to the courfe of its Veflels. It is compofed of one Vein and tvuo Arteries, which twift about each other in a fpiral direaion, and are covered by a fmooth Coat deiived from the Membranes. The Trunks of the Veffels are inclofed in a Gelatinous Cellular Subftance, which adds to the ftrength and elafticity of the Cord, and allows the Blood to pafs freely between the Fcetus and Pla- centa, without being in danger of interruption from preffure. 145 The Vein is much larger than the Arteries; it is deftitute of Valves, and fends off no Branches till it reaches the Fcetus. It arifes from the fubftance of the Placenta, and, after perfo- rating the Umbilicus, it paffes in the inferior part of the Li. a- mentum Sufpenforium, to the under fide of the Liver. The Arteries arife from the Iliac Arteries of the Foetus, per- forate the Umbilicus, and run to the Placenta, in the fubftance of which they divide into their ultimate Branches, where the Ramifications of one Artery frequently form large Anaftomofes with th )fe of the other, and both communicate with the Branches of the Vein, in the manner Arteries and Veins do in other parts of the Body. The Ufe of the Cord is, by means of the Vein, to convey pure Blood from the Placenta for the nourifhment of the Fcetus, and, through the medium of the Arteries, to return what is not ufed in Nutrition, again to be mixed with the Blood of the Uterus.— By the intervention of the Cord alfo, the Placenta is more readi- ly extraaed. The Placenta fo called from its refemblance to a broad Cake, is a fpongy mafs, of a round form, occupying near a fourth part of the Ovum. It is about (even or eight inches in breadth, and upwards of one inch in thicknefs, but is thinner at the edges where the Mem- branes go off. The external furfiice, or that next the Uterus, is divided into Lobules with deep Fiffures, while the internal, or that next the Fcetus, forms a regular Mafs, which has numerous large Branch- es of the Umbilical Veflels difpeifed upon it. In the Placenta are to be obferved,—on the fide next the Child the ramifications uf the Umbilical Veffels forming the principal p.ut of its fubftance,—on the fide next the Mother, Branches of the Uterine Arteries, almoft of the fize of Crow-quills, paffinrr in a convoluted manner between the Uterus and Placenta, and terminating! in the latter ;—Veins correfponding with thefe Ar- iel ies but flat and of great fize, running obliquely to the Ute- rus,—and, in the fubftance of the Placenta, an Appearance which has been fuppofed by many Authors to be the common Cellular Membrane, of a tender nature, and eafily ruptured by injeaion, but which is confidered by late Authors as a regular Spongy Subftance, fimilar to that in the Body of the Penis. The Placenta is conneaed to the Uterus on one fide, by Blood- veffels and by the Decidua, and to the Fcetus on the other, by means of the Umbilical Cord. The common place of attachment is near the Fundus Uteri though it is found at different times adhering to all the other parts of the Uterus, not even the Os Tinea? excepted. In ihe cafe of Twins, there is fometimes only one, but moft frequently two diftina Placenta?, adhering together by the in Vol. II. N 116 * fr-.vntion of a Membrane in which the Veffels of the two Pla- centae occafionally communicate with each other. There are in thefe cafes alfo, twodiftma Apartments feparated by a Paitition, each Apartment containing its own Waters and Cord. The Ufe of the Placenta is, t® receive Blood from the Uterus, and, according to the opinion of modern Anatomifts, to purify it, (as the Lungs do in the Adult), for the nourifliment of the Feel us. The Membranes confift of the Spongy Chorion, the True Chorion, and the Amnios. They form a complete but flender Bag, which line-- the Ca- vity of the Uterus, and inclofes the Fcetus, Umbilical Cord, and Waters. The Spongy Chorion is a thick opaque fubftance, which adheres t« the Uterus, and forms the outer Layer of the Ovum, but fcarce- ly penetrates between the Lobules of the Placenta. Between the Uterus and Placenta, it is lefs diftina than elfe- where, being perforated there, and in fome degree concealed by the Blood-veffels proceeding from the infide of the Uterus. It has a Spongy and Villous appearance, and is full of fmall Blood-veifels, which can be readily injeaed from thofe of the Uterus. The True Chorion,—the term derived from Chorus a Company, numerous Vcffeis being found to exift in it in the Quadruped,__ is thinner, fmoothcr, and much denfer than the former. It is conneaed with the Spongy Chorion as far as the edge of the Placcntu, where it fepaiates from it, is refleaed over the Sur- face of the Plt.centa, which is oppofed to the Fcetus, and is af- terwards continued over the whole cf the Cord. It is uniform in its texture, has a tranfparent appearance, ad- heres to the Spongy Chorion and fur face of the Placenta, by a de- licate Cellular Subftance, and has no Veffels vifible to the naked 11;. e, or which can be injeaed. The Amnios,—fo oiled, according to fome Authors,''from its fupp< led lefemblance to a Veifel ufed by the Ancients for the re- ception of Blood in Sacrifice,—lines the Surface of the True Cho- rion, and, with it, is refleaed from the Plccenta upon the Cord which it fupplies with an externa! covering. It is thinner, more denfe, and tranfparent, than the Chorion, to which it adheres every whereby a Je^iy. It is fmooth and polifhed on the fide next the Fcetus, and is deftitute of Blood-veffels. t . . The Membianes, befides containing the Child and Waters give origin to the latter, and, in the time cf Labour, affift in open- ing" the Orifice of the Uterus. The Waters, called Liq^.ur Amnii, are thinned- and cleared in the firft Months, after which they acquire fij.ne degree of colour and ropinefs. 147 The Liquor Amnii is chiefly compofed of the Serum of the Blood. l,i its natural ftate, it has all the Characters of the Li- quor ^Pericardii, or of the Liqucrs exhaled from the Sui faces of other Membranes fimilar to the Pericardium.—It is fuppofed to be derived from the Exhalent Arteries of the Amnios. It is proportionally greater in quantity in the fiul than in the laft Months, but the proportion and quantity vary confiderably in different Women, and in the fame Woman in different Preg- nancies. Between the Amnios and Choron, Water is frequently col- Jeaed, but in much fmaller quantity than in the Amnic.s, and is termed Falfe Water, or Falfe Delivery.—It is frequently dis- charged fome time previous to the B rth ot the Child, without any danger. The Liquor Amnii defends the Child and Umbilical Veffels from the preffure of the.Uteru = , aflids ;n. diftendinz the Uterus during Geftation, and ...Lws the Foetus a cer.ain degree of mo- tion. In the time cf T..:;'.oui, it alfo afli/ls in dilating the Mouth °f the Uterus, and, by lubricating the Vagina, facilitates Delivery. PECULIARITIES OF THE FceTUS. All the Bones of the Body, excepting a few, arc foj't,yield- ing, and imperfect, and many of them entirely in a ftate of Car- tilage. The Head is large in proportion to the red of the Body» and the Bones of the Cranium are united by Membrane, which allows the fize of the Head to be diminifhed, whereby its Paffage is facilita- ted in the time of De'ivery. ■ Between the Fronta"! and Parietal Bones, is the M.mbrane caUed Bregma, formed by the Du.ti Mater and Pericranium, which,commonly difappears before the Child is two years of age, the margins of the Bones being then united. —The other peculiarities of the Bones oj the Foetus are taken no- tice oj in the Defcription of ihe Bones of the Adult.— There is a large proportion of fluids, and the Solids are gene- rail y fofter than in the Adult. The Skin is of a bi ight red colour, in confequence of its greater degiee of Vafcularity. That part, chiefly of the Cellular Membrane is Adipofe, which is upon the Surface of the Body ; frarcely any Fat being found in the interior parts, where it gradually accumulates as the per- fon grows older. The Brain, Spinal Marrow, and Nervous Syftcm, are propor- tionally larger, hut fofter. The Sanguiferous Syftein, and Glandular Organs, are larger. In the Eye is the Membrana f ■/Maris, which ariies from the inner margin of the Iris, and completely covers the Pupil. 148 It feparates the Camera? from each other, and is very Vafcular. According to Blumenbach, it keeps the his expanded, during theiapid iiicreafe of the Ball of the Eye. The Cryftalline Lens is almoft Spherical, and has numerous Veffels difpeifed upon its Capfule. The Meatus Auditorius is wholly Cartilaginous, and adheres by its extremity to an imperfea Bony Circle, in which the Mem- brana Tympani is placed. The Meatus Externus, and Membrana Tympani, are lined by a Mucous Membrane, which is caft off after Birth. The Thymus Glai.d, in the Fcetus, is a large Subftance, fitu- ated in the upper part of the Thorax, between the Layers of the Anterior Mediaftinum. It lies over the Pericardium, and occupies the fpace where the Aorta fends off the Carotid and Subclavian Branches, and ex- tends a fhort way into* the fore-part of the Neck. It has tvjo long Cornua above, and tvuo broad Lobes below, is of a pale-red colour, and becomes afterwards of a darker hue. A ixihite ferous liquor can frequently be fqueezed from its fub- ftance ; but it has no Excretoiy Dua ; nor is the ufe of the Fluid, or of the Gland itfelf, yet afcertained. Some Anatomifts are of opinion, that the white Fluid is Chyle fent by a retrogade motion from the Thoracic Dua, and that the Thymus Gland is a Diverticulum to the Chyle, when too great a quantity of Lymph is fent to the Subclavian Vein. In the Adult, the Thymus Gland is fo completely abfoibed, that fcaicely any thing but Cellular Subftance remains in its place. The Blood-veffels of the Thymus are Branches of the Sub- clavian and Internal Mammary ; the Neives come from the Great Sympathetics and Eighth Pair. Its Lymphatics have not yet been very accurately traced. The Lungs are fmall, firm, and of a dark-red Coloui, and fink when tin wn into water, in confequence of the Bronchial Cells having not vet received Air. Bui if Air be admitted to them by putrefaaion or otherwife, they fwirn in Water, in the fame niamer as if Air had been con- veyed to them in confequence of Refpiration. The Valve of Eufbchius is diftinil in the Fcetus, but frequent- ly Cr.biiioim in the Adult, is larger in proportion, and is fup- p ud to d'uect ihe Blood of th^ Inferior Cava, immediately thiough the Foramen Ovale to the^Left Auricle. In the back-part cf the Septum, between the Right and Left Auricles, is the Foramen Ovale, ne.rly equal in fize to the Mouth of the Interior C<;va, bounded by a thick Mufculai u!< c, teintud Airmdus FuaminisCvalis. U; on the left lice of the Foramen Ovale, a Membranous Valve is pheed, which allows pait of the Blood of the Right Auricle 141) to pafs through the Foramen Ovale immediately to the left one, but which completely prevents its return. The Blood g. ing through the Foramen Ovale, affifts in keep- ing up the balance of Ciiculation between the two fides of the Heart, till the Lungs be rer.dy to receive it. ThePulmonary Artery divides into three Branches, the r-ght and left of which run to the Lungs, while the middle one, called Duilus Arterioles, larger than both the other Branches, and its Area nearly equal to that of the Foramen Ovale, paffes in an ob- lique direaion to the beginning of the defcending Aoi ta. The Duaus, or Canalis Arteriofus, forms nearly one half of the Aorta, carries part of the Blood of the RUTit Ventricle nto that Artery, without allowing it to pafs to the Lungs ; and the Aorta, formed in this manner, receives the foice of both Ventri- cles, by which it is more enabled to fend Blood through the Um- bil'cal Arteries to the Placenta. The Stomach is of a rounder form than in the Adult,and com- monly contains a fmall quantity of a Gelatinous Matter. The Appendix Vermiformi3 is larger in proportion, and is in- feited into the extremity of the Colon, which, at this time, does net projea to form a proper Caecum. The Colon, and frequently alfo the end of the Ilium, are filled with a greenifh black Feces, of a vifcid confidence, termed Meconium. The Liver is fo large as to occupy both Hypochondriac Re- gions. The Umbilical Vein paffes from the Umbilicus, in a duplicature of the Peritoneum, to the left Branch of the Vena Portae, and carries the Blood from the Placenta to the Liver. From the Trunk of the Umbilical Vein, where it terminates in the Liver, a Branch, called Duilus, or Canalis Venojus, runs in a fomewhat waving direaion, and joins the Left Vena Hepatica,- where that Vein enters the Cava. Ti c Duaus Venofus is much fmaller than the Trunk of the Umbiltcal Vein, and.carries part of the Blood of the Vein direa- ly to the Heart, without allowing it to enter ths Circulation in the Liver. V' The Umbilical Vein fends Branches to the Right Lobe of the Liver, but is principally diftribu'ed through the Left LobeN; while the Right Branch of the Vena Porta? carries the Blood of the Splenic and Mefentcric Arteries to the R Jit Lobe of the Liver. J After Birth, the Left Lobe of the Liver, which was formerly mi ire particularly fuppiiedb'y the Umbilical Wn, receives an ad- ditional proportion of Blood from the Vena Portarum. The reafon why the Umbilical Vein goes partly to the Cava, and not entirely1 to the Heart, is not underftood. \ OL. II. I\ 2 150 The K;dneys are irregular on their Suiface, being formed of Lobes, each i hi ch con lifts of a Conic;-), a Medullary part, and a Papilla, and U covered by aPioper Membrane. The Glandula Renalis is alm.lt as large as the Kidney, but af- terwards rathe, dnmn.flies than increafes in fize. The Bi.Kidc.rof Urine is of a long form, and extends almoft to the Umbilicus. The gicater part of it is above the Pelvis, and is more pnrticulnilv coveied by the Peritoneum than in the Adult. The Urachus, which i> of a Conical form, afcends from the bottom of the Bltdder, between the Umbilical Arteries, and be- tween the Peritoneum and Linea Alba, to the Umbilicus, and vanifhts by degrees in the Umbilical Cord. It is tuimcd by a production of the Fundus Vefica?, and in the litimtm Bcdy is generally folid, foiming a Sufpenfory Liga- ment < f the Bladder. It has been fometimes found hollow at its beginning and has been faid to be fo, in one or two inftances, throughout its whole lengih. In the Fcetal Quadruped, it is a large Tube, which tranfmits Ur ne from the Bladder to a Bag between the Amnios and Chorion, called Allantois. The common Iliac Arteries divide, on each fide, into a fmall External, and large Internal Branch. The principal part of the Internal Iliac is occupied in forming the Umbilical Arteries, wh.ch mount by the fides of the Bladder, on the outfide of the Peritoneum, and perforate the Umbilicus in their progrefs to the Umbilical Cord. Soonaft.-r Delivery, the Foramen Ovale, Duaus Arteriofus, and Venofus, with the Umbilical Vein and Arteries, begin to contr: a, and are, in general, completely clofed, and the Veffels fhnveiled into Ligaments within a year after Birth. This obliteration is produced by a contraaile power in the parts, by a preffure in the fuirounding Vifcera, and by the Blood being direaed through other channels. The Pelvis of the Fcetus is commonly fo fmall, that the prin- cipal parts of its Vifcera are contained in the open cavity of" the Abdomen. The Prepuce of the Clitoris is proportionally fo much larger in a young Fcetus than it is afterwards, that, in an Abortion, a Fe- male 1'cetus has been frequently miflaken tor a Male. The Teftes arehx'.ged during the greater part of Geftation, in the Caviiv of the A'>domen, over the Pfoae Mufcles, and a lit- tle below the Ki-'neys. They ' en coi ftitu ea part of the Abdominal Vifcera, and, in a fmi'ar manner v i.-h hem, are conneaed to the Body by a pro- duect o.i of the Pemoncum, which forms their Tunica Albu- g nea. 151 Between the Tefticle and Scrotum, a Fibrous and Vafcular Subftance, of a conical form, is extended,—called by Mr. Hunter, Gubernaculum, or Ligamentum Teftis, which hecon- fiders as a principal agent in dirtair.g the courfe of the Tefticle, and in making way for it in its defcent. About th,e eighth month of Pregnancy, the Teftis, by means not yet completely afcertiined, paffes gradually along to the Scrotum, a Procefs of the Peritoneum preceding it, which af- terwards forms its Vaginal Coat. The Teftis through the whole of its courfe, continues to be covered by the Peritoneum, is conneaed to the parts on which it refts, and has its Veffels paffing to it from behind forwards, the fame as when fituated in the Abdomen. While the tefticle is pafling through the Ring of the Abdomi- nal Mufcle, the Ligamentum Teftis is found to be in fome mea- fure inverted, and to form the under and fore-part of the Vaginal Coat, on which the Cremafter Mufcle is expanded. After the defcent of the Tefticle,, the Peritoneal Procefs, which defcends along with it, begins to contraa at the Ring, and a firm adhefion of its fides, to* within a little diftance of the Tefticle, is commonly found to be produced by the time of Birth. Position of the Fcetus. In the firft Months, the Embryo fwims in the Liquor Amnii, free from the preffure of the furrounding parts ;—and from many diffeaions and obfervations made by the lateft Anatomifts, it is afcertained,—that the Head preponderates, and in general con- tinues undermoft till the Child is delivered. Formerly it was fuppofed that the Embryo, in the firft Months, was fituated with the Head uppermoft, and that, in the latter Months, the attitude of the Fcetus was inverted. The Fcetus is obferved to be coiled up into as round a figure as poflible, fo as to be properly adapted to the Cavity of the Uterus. The Head is bent towards the Thorax, and the arms are folded : —The Knees are drawn towards the Abdomen, and the Heels towards the Nates. The Spine is bent into an Arch, and one fide of the Body of the Fcetus is frequently turned forwards. The Head is placed diagonally, with its long Diameter corre- fponding to that of the Pelvis, and the Occiput oppofed to the Os Tincae. Circulation of the Blood in the Fcctus. The Blood is fenr by the Arteries of the Utdus to the Sub- ftance of the Placenta, from which according to iruft r rhe ancient Anatomifts, i' pafl'.s to the Umbilical Vein 'e>y a di- rea communication of Branches ; cr, according t tiif pinion of the greater part of modern Anatomifts,—b\ Ablbrbhon. 152 By tha Umbilical Vein it goes principally to be circulated in the Liver, and by the Duaus Venofus, a fmall portion of it goes to the right Auricle of the Heart. The Blood fent from the Inferior Cava is tranfmitted by the Foramen Ovale to the left Auricle, and that fent by the Superior Cava is tranfmitted to the right Auricle and Ventricle, and from thence to the Pulmonary Artery. From the Pulmonary Aiteiy, one portion of it paffes through the Circulation of the Lungs, and another goes by the Duc- tus Arterioles lo the Ao ta Defcendens. From the Lungs it >s returned by the Pulmonary Veins to the Left Auricle, where it nnxes with that coming from the right Auricle by the Foramen Ovale, and is fent by the Aorta to the different parts of the Body. From the Iliac Aiteries, it is conveyed by the Umbilical Branches to the Subftance of the Placenta, where one portion of it returns by correfponding Veins to the Fcetus, the reft going to the Uterus in the manner it was difcharged from the Uterine Arteries to the Branches of the Umbilical Vein. 153 PART V. of The ABSORBENT STSTEM. & Of the Absorbents in General. THE Abforbent Syftem confifts of the Abforbent Veffels and Conglobate Glands, the former of which are divided into Lym- phatic,and Lacteal Veffels. The Abforbents are fmall pellucid Tubes, which have been dif- covered in moft parts of the Body, and are fuppofed to exift in all. They begin by numberlefs open Mouths, too minute to be vifi- ble to the naked Eye; though, by the affiftance of Glaffes, the Orifices of the Laaeals have been feen in the Human Body by Mr. Cruickshank, and thofe of the Lymphatics, in certain kinds of Fiflies, by Dr. Momro.—See their Treatijes upon this Subjea. They arife from the external Suiface of the Body, from the Cellular Subftance, from the Surfaces of the large Cavities, and fiom the Surface and Subftance of the different Vifcera;—but have not yet been obferved in the Cavity of the Cranium, or in the Placenta and its Membranes. In the dflerent parts of the body in general they run in two fets, one fupeifitial and very numerous, the other accompanying the Arteries, and at leaft double then number. The Laaeals are of the fame nature with the other Abfoibents. They begin from the miide of the Inteftines, and, when thefe conain Alitaeiu.ry matter, they carry a white Fluid, called Chyle, and at other times a Clear Fluid or Lymph, to be mixed with the contents of the Lvmphatics. 151- Moft of the Lymphatics, and all the Laaeals, terminate in the Thoracic Dua, by which the Lymph and Chyle are conveyed to the Red Veins, to be mixed with the Blood. The common j lace of termination is in the large Veins in the bottom of the N\ck;—to Faas or obfervations having been yet eftablifhed of their terminating in any otlur part of the Venous Syftem. The Coats of the Abforbents are thinner and more tranfparent, but ftrongerJh3n thofe of the Red Veins, being ab.e to fupport a Column of'Mercury of confiderable weight; but from their thinnel, they cannot be enumerated. They are geneially fuppofed howev'Li to be formed of different Membranous Layers, like the Blood-veffels. Fibres can be feen in them, and their Mufcul.uity is rendered pr-bable by the Con- traaile power which they are obfuved to poffefs in a living or moribund Anim il. By this contiaaility they convey their contents from their Ori- gins towaids their terminations, in which they are aflifted by the motions of the fun ou.uling parts, imlependent of fuch a Vis a tergo as contributes to propel the Blood through the Veins. They arc furnifhed with Blood-veffels for their nourimment, as is fometimes obferved by penetrating injeaions ; and this is ren- dered ftill more evident by their being fufceptible of inflamma- tion and pain. Theprefence of Nerves alfo appears probable from the acute- nefs of their feeling when in a ftate of inflammation. In general, they form an irregular Net-vjork) having frequent communications with each other ; and thefe aie rnoft numerous in the vicinity of their Glands. Through their whole extent, they are intercepted by Valves, which are placed in pairs, and are of a femicircular form, having one edge of each Valve fixed to the fide of the Veffel, and the other ed e loofe acrofs its cavity, but turned towards the general terminations. The Wives are found, in fome parts, to be fituated at equal diftr.nces ; in others, more irregularly.—Their number alfo is very uncertain, amount:ng in ('.me parts to thiee or four, and in others to feven or eight, or upwards, in the length of an inch ; —hut varying ftill more with refpea to numbei, in different Bodies, and in diffeient parts of the fame Body. When the Abloi bents are diftended, they appear largeft on the fi le of the Valves towards their general terminatior, and the en- largements are fuch as to give the Lymphatics a jointed, and the Laaeals frequently a veficular appearance. In the termination of the Abforbents, whether in the Thora- cic Dua, or in the Red Veins, there is alway* one nnd common- ly two Valves, to prevent the contents of the Duel or of the Veins from pafling into them. 155 The Ufe of the V.dves is to promote the general courfe of the Lymph and Chyle, and to prevent the retrograde motion of thefe Fluids within their Veffels. Ufe of the Abforbents ■. The Lymphatics take in the Fluids ap- plied to their Orifices by Capillary Attraaion, and by a power inherent in themfelves, and by their contraaile nature condua them into the Mafs of Blood, whereby they pi event morbid ac- cumulations.—The Laaeals, in like manner, receive the Chyle from the Inteftines for the nourifhment cf the Body. The Conglobate Glands, or Glands of the Abforbent Veffels, are found in various parts of the Body, and are fituated in the Cellular Subftance under the Skin, or over the Trunks of the Blood-veffels belonging to the different Vifcera :—They are of a round or oval form, and frequently a little flattened. They are of different fizes, from that of a Millet-feed to that of a Subftance near an inch in diameter ; and fometimes feveral are colleaed into one mafs. Their colour alfo varies in different parts of the Body, and at different times of life. In young fubjeas, they are generally largeft, and of a reddifh or brown colour, but become fmaller and paler with increafing age; and immediately under the Skin, they are redder and firmer than within the large Cavities. They have a fmooth, denfe, Membranous Covering, which gives them a fhining appearance, and are conneaed to the fur- rounding parts by loofe Cellular Subftance. Their Coat is conneaed to the Glandular part by a Cellular Membrane, which, .according to Dr. Haller, is pervaded by a Succus proprius full of Globules, which, Mr. Hewsqn fup- pofed, afterwards form the Red Globules of the Blood. L ke other Glands, they have Aiteries, Veins, and Neives, entering their compofition. They are defcribed by fome Anatomifts, as being compofed of Cells internally, while others conlider them as heing a Congeries of convoluted Abforbent Veffels.—Moft of the Glands have much of the former, but many of them of the latter appearance. The Abforbents entering into the Glands, are calied Vafa In- j'erentia. When they approach, or come in contaa with the Gland, they fplit into radiated Branches, which, after fpreading over ir, penetrate into its Sublt nee. The greater part of the Abforbents, approaching a Gland, terminate in it in this manner, while otheis turn afide, or go over it, and terminate in other Abforbents or in other Glands. From the oppofite fide of theGlands, Veffels j;c oat in theman- ncr they entered it, and are .termed Vafa Efferentia. They are frequently, though by no means always, fewer m number, but larger than the Vafa Infcrentia. 15G Moft of the Abforbents go through feveral Glands, but in fome parts through one only, before they reach their general termina- tions. The Lymph and Chyle are ftrained through the Glands, by which they are fuppofed to undergo certain changes,—but the na- ture of thefe changes has not yet been afcertained. Of the Particular Absorbents. The Superficial Abforbents of the Lovoer Extremities, confift of numerous Veffels, which lie between the Skin and Mufcles. They belong to the Integuments in general, and are much more numerous than the Subcutaneous Red Veins. They can be traced from the Toes, round which they form a Plexus. From the Toes, feveral Branches, likewife forming a Plexus, run over the top of the Foot, to the inner part of the Leg, and from that along the correfpondng part of the Knee. From the ou.er part of the Foot, another Plexus arifes, which runs along the outfide of the Leg, where it fplits into two Divi- fions, one of which croffes obliquely over the fore-part of the Tibia, to the Lymphatics at the inner fide of the Knee. The other Divifion paffes partly to the Popliteal Glands, fome afcending upon the outer and back-part of the Thish. The Popliteal Glands are commonly two or three in number and are fituated near the Artery of the fame name, but frequent- ly thi y are fo fmail and fo much buried in Fat, as to be dilcover- ed with difficulty. From the Sole, another Plexus of Lymphatics arifes, and joins thofe upon the Leg already defcribed. From the infide of the Knee a Plexrn runs up, confifting of from twelve to twenty Trunks, which pafs afterwards on the fore and inner-part of the 'Thigh to the Groin. The greater part of the Trunks of the laft Plexus, accompa- ny the Vein called Saphena Major, and in their paffage they re- ceive many fma 1 Branches from the outer and back-part of th* Thigh. v In the Groin, they fplit into Branches which penetrate the In- guinal Glands. The Inguinal Glands are generally from fix or eight to a do7en in number, and are of very different fizes; but fometimes the number is fmaller, in confequence of two or more of them beiiv united into one large Gland. ° Of the Inguinal Glands, fome lie in the angle between the Thigh and Abdomen, and others a few inches faither down on the fore-part of the Thigh. The greater number are placed upon the outer part of the Ten- dinous Aponeurofis, the reft deeper, being in contaa with th<> great B!ood--veffels. 157 The juperficial Lymphatics of the thigh enter the lowed of thefe Glands ; one or more of them, however, frequently pafs by the firft Glands they meet with, and penetrate others higher in the Groin, and fometimes a few do not enter any Glands till they go into the Abdomen. Into the Inguinal Glands enter likewife the fuperficial Lym- phatics of the upper and back-part of the Thigh, with thofe of the Nates and of the Abdomen and Loins. The deep-feated Lymphatics of the Loiver Extremity are fitua- ted among the Mufcles,—they accompany the BU?od-veffels, and are few in number when compared with the Subcutaneous fet- In feveral places, one only has been yet obferved on each fide of the Trunks of the Arteries, though, in others, they are fomewhat more numerous, forming a Plexus over the Blood- veflels. They arife from the fides of the Toes, and from the deep parts of the Sole, accompanying the Plantar Arteries ; and after reach- ing the Leg, they run up with the pofterior Tibial Arteiy to the Ham. In the Ham, they lie cl fe upon the Trunk of the Artery, and enter the Popliteal Glands. Befides thefe, there are fimilar but fmaller Lymphatics, which begin upon the upper part of the Foot, and afterwards accom- pany the anterior Tibial, and the Fibular Arteries, receiving Branches from the deep parts of the fore and outer-fide of the Leg. The anterior Tibial and the Fibular Lymphatics, terminate with the pofterior Tibial in the Glands of the Ham. From the Popliteal Glands, two and fometimes more Trunks of confiderable iize are fent out, which accompany the Femoral Artery, and, at different diftances, communicate with each other, by Branches which pafs obliquely acrofs the Arteiy. At the upper part of the Thigh, they enter the undermoft of the Inguinal Glands, where the Lymph of the fuperficial and deep-feated Abforbents of the Limb is mixed and incorporated. The fuperficial Lymphatics of th» Scrotum enter the upper and inner Inguinal Glands, thofe deeper feated pafling with the Lym- phatics of the Tefticle into the Abdomen. The fuperficial Lymphatics of the Penis begin at the Prepuce, and form a few Trunks which run principally upon the Dorfum Penis, receiving in their paflage Branches which turn round from its interior furface. In fome Subjeas, they unite into Trunks in the middle of the Doifum Penis, which afterwards feparate into right and left parts. In others, they are more unconneaed, and in all they appear to divide at the root of the Penis into right and left Branches, Vol. II. O 15S r fling into the correfponding Inguinal Glands, which lie next the Symphyfis of the Pubis. The deep-feated Lymphatics of the Penis arife from the Glans, ai.d from the Body of the Penis, and accompany the Arteries into the under part of the Pelvis. The Lymphatics oj' the Tefticle are numerous, and are among the largeft of the Body, fome ot them exceeding the fize of a Crow-quill. They arife from the Coats and Body of the Tefticle, and from the Epididymis, and run with the Spermatic Cord thiough the Ring of the Abdominal Mufcle, to terminate in the Lumbar Gland-..—In their paflage, they have few communications with each other. The Lymphatics of the External Parts oj Generation in Women, go partly to the Inguinal Glands of each fide, and partly through the Rings of the external oblique Mufcles, in company with the round Ligaments of the Uterus, and terminate in the Iliac or in the Lumbar Glands. The Superficial Lymphatics of the under part of the Abdomen, thofe of the Loins, Nates, and verge of the Anus, pafs into the In- guinal (ilands, each let terminating in fuch of the Glands as lie neareft the parts to which the Veflels belong. The Inguinal Glands, having received the Lymphatics of the Inferior Extremity, and likewife the Supeificiai Lymphatics of ihe Fxternal Parts of Generation, lend out Trunks fewer in number, but confiderably larger than thofe which entered the Glands. The Vaffi T.fierentia of the Inguinal Glands enter the Abdo- men under Pol part's Ligament, in company with theTnguinal .nd Iliac Ai toy. ' Some ,oi ur.fiequently, Vol. II. 0 2 162 theie Veffels, inftead of perforating the Diaphragm, inn down- wtud, and terminate in ihe Thoracic Duel, within the Abdo- men. In their courfe upon the Diaphragm, they often fend Branches backwaids, which terminate in Glands upon the Elophagus ; —in other inftanc.s, thefe Branches are obferved to go direaiy into the Thoracic DucL They receiv. Branches from the Subftance of the Diaphragm, and, after perforating two or three Gland; upon its Surface; they join the Trunks from the Ligamentum Sufpenforium. The Lymphatics from the lateral Ligaments, joined by thofe from the Ligamentum Sufpenforium, form either a principal Trunk, or a Plexus, which runs up, fometimes between the Layers of the anterior Mediaftinum, and, at other times, in com- pany with the internal Mammary Blood-veffels on each fide. When this tiunk or Plexus runs in the anterior Mediaftinum, it moft frequently tei mirutes in the upper end of the Thoracic Duct;—fometimes, however, it communicates with the general :ci initiation in the right fide of the Neck. When they accompany the internal Mammary Veffels, they are obferved to terminate, the left in the Thoracic DucT, and the right in the general termination of that fide. The Lymphatics on the concave Surface of the Liver run to- wards the Poi ta, and join the deep-feated Set.—One part of them i(ocs over the under Suiface of the Gall-bladder, from which they receive numerous fmall Branches. The deep-feated Lymphatics accompany the Blood and Bil ary Veflels, and communicating with the Superficial Abforbents al- ready mentioned, they pafs through feveral Glands fituated ; bout the Trunk of the Vena Portte, and terminate in the Tho-, racic Dua, near the root of the fuperior Mefenteric Artery. The Superficial Lymphatics of the Spleen are remarkably fmall. They pafs from its convex to its concave Surface, where they j«in the deep-feated Lymphatics, which are very considera- ble in fize and number. The Splenic Plexus of-Lymphatics accompany the Splenic Ar- tery, and go though feveral Glands of a dark colour fcattered airng the Surface of that Veffel. The Lymphatics of the %pleen receive thofe of the Pancreas, which run into them in a tranfverfe direaion. In their courfe, they unite with the Lymphatics of the Stomach «nd thofe defcending from the under part of the Liver ; and the whole of them, near the head of the Pancreas, form a confidera- ble Plexus. From this Plexus, Branches are fent off, fome paf- fing over the Duodenum, and others under it, and all of them going into the Thoracic Duft near the termination of the Lac 163 The Lymphatics of the Kidney are feldom feen, excepting when it is enlarged or ulcerated, ,n which cafe they may fometimes be diftinaiy obferved. The Superficial Abforbents run from its outer towaids its in- ner edge, where, meeting with thofe deep feated, they commonly unite with them, and form a Plexus which accompanies the Renal Blood-veffels, after which they pafs through fome of the Lumbar Glands, and terminate in large Lymphatics near the Aorta. The Lymphatics of the Capfula Renalis, which are numerous in proportion to its fize, terminate in the Renai Plexus. All the Abforbents already defcribed, excepting ihofe from the convex Surface of the Liver, terminate in the Thoracic Dua near its beginning. The Thoracic Duel, at its under extremity, is formed by the union ot three, or fometimes of more principal Trunks, the firft of which is compofed of the Lymphatics of the right, and the fe- cond of thofe of the left Inferior Extremity:—the third Trunk, or fet of Trunks, belongs chiefly to the Laaeals. Thefe large Abforbents unite fo as to form the Dua over the th id Vertebra of the Loins. Sometimes they unite upon the fecond Vertebra of the Loins, where the Dua formed by them is twice or thrice as large in dia- meter as it is higher up. Commonly it enlarges again upon the fiift Vertebra of the Loins, where it has generally been called the Receptacle of the Chyle, and confidered as the beginning of the Dua, being often found forming an oval, or Pyriform ba^-, about the third of an inch in diameter. Thefe large Trunks which form the Thoracic Dua lie clofe upon the Spine, thofe of the right fide being placed below the Right Crus of the Diaphragm, and thofe of the left between the Aorta and Spine, while the Thoracic Dua itfelf lies at firft behind the Aorta, but afterwards pafles from it upwards, and a little to the right fide, till it gets before the firft Vertebra of the Loins. Here it is fituated behind the Right Crus of the Diaphragm, a little higher than the right Renal Artery, from whence it panes upwards, and afterwards appears in the Thorax, upon the fore and right fide of the Spine, between the Aorta and Vena Azygos, where it is fuppofed to be confiderably aflifted by the ftrokes of the Aorta in impelling its Fluids. In the middle of the Thorax, it is fmaller than elfewhere, be- ing only about a line in diameter. After this it gradually en- larges, and, near its termination, is about a.i eighth or tenth of an inch over. In the Thorax, it receives the Lymphatics of the Spatia In- tercoftalia, one or two of which accompanies each of ihe Inter- coftal Arteries, and the whole go through fmall Glands placed 16 J near thefe Arteries, but moft numerous about the fides of the Dor- fal Vertebrae, wheie they form a fort of chain. Hue, likewife, it receives Branches fiom the Efophagus and Lungs, the former of which is furrounded with a number of Glands, and with a remarkable and intricate Plexus of Lym- phatic Veffels. The Superficial Lymphatics of the Lungs form large Areola-, which have fmaller Areolae within them, the larger running chief- ly between the Lobules, and the firialler pafling over them in fuch a manner as to cover almoft the whole Surface of the Lungs. From the furface they go to the root of the Lungs, where they pafs through the Bronchial Glands, which have already been ta- ken notice of in the defcription of the Lungs. At this piace they are joined by the deep-feated Lymphatics which creep along the Branches of the Tiachea and of the Pul- monary Blood-veffels. Through the medium of the Bronchial Glands, the Lympha- tics of the two fides of the Lungs communicate freely with each other. Having left the Glands, thepiincipil part of thofe from the Left Lung form a Tiunk of conlideiable fize, which terminates in the Thoiacic Dua, behind the bifurcation of the Tiachea. • The reft of the Abforbents of the left Lung pafs through Glands behind the Aich of the Aorta, which are likewife com- mon to thofe of the Heait. They jun at laft by a princpal Trunk into the Thoracic Dua near its termination. After leaving the Bronchial Glrnds, the Abforbents of the right Lung form a few principal Trunks one of which common- ly afcends on the fore-part of the Vena Cava Superior, and, tun- ning in a convoluted mrmner, opens into the Trunk which termi- nates in the Veins in the right fide of the neck. , The reft of thefe Trunks go into the Thoracic Dua, near the bifurcation >f the I rachea. The Abforbents of the Heart are fmall, but numerous, and form principal Tumks which acctrnpiny the Coronary Arteries, and, like them, the large ft btlong to the left Ventricle. •From the fide of the right Coronary Artery, an Abforbei.t Trunk which conefponds with it, paffes over the Arch of the Aorta to a Gland commonly found behind the origin of the Ca- rotid Aiteries. From this Gland it goes afterwards to the general termination in the ride fide of the Neck. The Lymphatic Tiunk accompanying the left Coronary Arte- ry is formed of two pr'ncipal Branches, one of which runs in the Groove between the Ventricles on the fuperior Surf ice of the , Heart: The other runs i a fimdar Groove on the under fide' of the Heart, and having reached the fpace between the Auricles 165 and Ventricles, turns round to join the foimer Branch near its correfponding Artery. The Trunk runs next to a Gland placed behind the Pulmona- ry Arteiy, between the Arch of the Aorta and Root of the Tra- chea, which, with the others here fituated, is common to the Ab- forbents of the Heart and Lungs. This Trunk terminates at length in the upper end of the Tho- racic Dua. The Thoracic Dua, after receiving numerous Lymphatics within the Thorax, and having reached as high as the third or fourth Dorfal Vertebra, paffes obliqfcely over to the left fide of the Spine, behind the Efophagus and end" of the Arch of the Aorta, or beginning of the Aorta Defceiidens, till it reaches the left Carotid Artery. After this, it emerges from the Thorax, and runs between the Longus Colli Mufcle and Internal Jugular Vein, to about the fixth Veitebra of the Neck. It now makes a turn downwards, and, after defcending near an inch, terminates in the upper and back part cf the angle form- ed by the left Internal Jugular and Subclavian Vein. Throughout its whole courfe, it has a waving Appearance, and this becomes more confpicuous in proportion as it is diftended by injeaion. Near the middle of the Thorax, it,.not unfreqnently fplits into two or more branches, and fometimes forms a Plexus, the Branches of which again unite into a common Trunk a little higher up. After emerging from the Thorax, it commonly divides into two parts, which unite again previous to the termination of the Dua in the red Veins ; and where there is no divifion, there is gene- rally a Dilatation or Sac at the termination. Sometimes there is one termination in the angle formed by the red Veins, and one or two in the Subclavian Vein, and now and then, though more f'ddom, in the Internal Jugular, near the an- gle. In a few inftances, it has been found double through its whole length, one Dua going to the common place of termination in the left fide of the Neck, and the other in the coiiefponding part in the right. It has alfo, in a few rare inftances, been found terminati^ in the Veins in the right fide of the Neck, while a fhort Trunk, fi- milar to that commonly found there, has terminated in the left fide. The Superior, in a fimilar manner with the Inferior Extremi- ties, have two fets of Lymphatics, one l)ing immediately under the Integuments, and belonging to the Skin ami Leilular Sub- ftance under it, the other accompanying the principal Blood-vef- fels, and belonging to the parts deep-fetittd. The Superficial Lymphatics are numerous, and aie readily feen in emaciaied Subjeas. 16b' They arife from the fore and back-parts of the Fingers and hand, by a confiderable number of Branches, and form an ex- tenfive Plexus upon the correfponding fides of the Fore Arm. Thofe upon the anterior part of the Fore-arm run diiea.y up- wards to the Arm, wh le the Lymphatics on its back-part, fepa- rate into twofeis, one of which paffes obliquely over the- Muf- cles on the Radius, and the other over thofe on the Ulna, to join the Lymphatics on the anterior part of the Fore-Arm. The Lymphatics of the Fore-Arm mn over the bending of the Elbow, and afterw ards^afcend upon the fore and inner part of the Arm, the grea-ter number of t,;cm running near the Balilic Vein. Some of them frequently pafs through fmall Glands placed along the Humeral Arteiy, one of wh.ch is commonly found a little above the inner Condyle of the Os Humeri, o.hei s do not appear to enter any Glands till they reach thofe ot the Axilla. ■ A few Lymphatics accompany the Cephalic Vei ', and receive Branches frun the outer part of the Aim, and. after pafling be- tween the Pectoral and Deltoid Mufcles, penetrate Glands «t the under fide ofrthe Clavicle. Of the deep-feated Lymphatics, two commonly accompany < each principal Artery in the Fore-Arm, and thefe uniting at the j Elbow, form twb principal Lymphatics, which accompany the Trunk of the Humeral Artery. Having reached the upper part of the Arm, they enter the Ax- 1 illary Glands, where they are joined by Lymphatics which come J from the Mamma and lateral parts of the Thoiax, after pafling I through fmall Glands placed upon the under ed^e of the former 1 and of the large Peaoral Mufcle. The Axillary Glands vary in number and fize indifferent per- fons. Thejj arc fomewhat fmaller, and fewer in number than thole of the Groin. They are generally furrounded by a confi- derable quantity of Fat, and are fituated in the hollow between the large Peaoral and Latiflimus Dorfi Mufcles, adhering clofely to the Trunks of the Axillary Blood-veffels and Nerves. J From the Axillary Glands large Blanche* go under the Cla- vicle, and form a Trunk, which, in the left fide, commonly joins .ll33§r,horacic Duft n-ear its termination. In the r'ghr fide, they jojTrtiie fhort Trunk which forms the fecond genera] termination of the Abforbent Syftem. Sometimes this Trunk, proceeding f from the Superior Extremity, terminates in the Subclavian Vein, ' at a little d fiance from the general termination. The Axillary Glands receive alfo the Subcutaneous Lym- phatics from the back-part of the Thorax, and likewife the Lymphatics from the Integuments and Mufcles of the Scapula. The Lvmphatics on the outfide of the Head accompany the Blood-veffels, and pafi through Glands in their way to the Neck. J 167, Thofe pafling down with the Temporal Artery go through fmall Glands conneaed with the Parotid Gland, and alfothrough others fituated immediately under the rdot of the Zygoma. The Lymphatics which accompany the Occipital Blood-veffels penetrate one or two minute Glands placed a little behind the root of the Ear, over the Maftoid Procefs of the Temporal Bone. The Lymphatics proceeding from the different parts of the Face accompany the Branches and Trunk of the Facial Artery. Some of them pafs through Glands fituated upon the outfide of the Buccinator Mufcle, while the principal Trunks go through a number of large Glands placed upon the outer, and alfo at the under part of the Lower Jaw, at the anterior edge of the Maffe- ter Mufcle, and about the Inferior Maxillary Gland. The Lymphatics from the inner part of the Nofe run principal- ly with the internal Maxillary Arteiy, and pafs through Glands fituated behind the Angle of the Lower Jaw, where they are joined by thofe which belong to the inner parts of the Mouth. The Lymphatics of the Tongue, and likewife of the Mufcles and other parts obout the Os Hyoides, enter the Glands placed behind the angle of the Lower Jaw. Lymphatics have been frequently fearched for in the Brain, but their exiftence in that Organ is not yet fully afcertained, though rendeied highly probable,—from an appearance of Lym- phatics having been now and then obferved upon the Suiface of the Dura Mater, and between the Tunica Arachnoides and Pia Mater,;—from Lymphatics and Glands being occafionally found ia^'or' immediately on the outfide of the Paflages of the Blood- veflels of the Brain,—from fwellings in the Lymphatic Glands of the Neck, following difeafes of the Brain,—from the Ab- sorption of Water, which has fometimes happened in Hydroce- phalus cafes, and—from their having been found on the Brain of Fifties. From the Superficial and deep parts of the Head in general, the Lymphatics accompany the External and Internal Jugular Veins and the Carotid Arteries, receiving at the fame time Branch- es from the Mufcles and other parts of the Neck. The principal part of thefe Lymphatics go along with the In- ternal Jugular Vein and Carotid Artery, and in their paffage form a remarkable Plexus, which goes through the numerous Glands feated near the Blood-veflels, compofing a chain, from which they are termed Concatenata. The Glandula Concatenata are more numerous than any other fet of Glands in the Body, excepting thofe which belong to the Mefentery. The Cervical Plexus of Lymphatics having paffed through the Glandulse Concatenata, unite at the bottom of the Neck into a Trunk, which, in the left fide, enters the Thoracic Dua near i'$ termination, and in the right, goes into the Trunk, which forms the general termination of that fide. The Trunk which forms this general termination is only from a quarter to half an inch in length, but its fize not much lefs than that of the thoracic Dua. It is formed by Lymphatics from the right fide of the Liver, Diaphragm, Heart, and the right Lobe of the Lungs, by thofe of the right Aim, right fide of the Head, Neck, and Thyroid Gland; the Lymphatcs of the left fide of the Thyroid Gland forming a trunk which ends in the Thoracic Dua. Befides this common Termination, fome of thefe Lymphatics occafionally open^into the Internal Jugular, or into the Subcla- vian Vein, at a little diftance from the angle formed by thtfe tvo Veins. 16!* PART VI. OF THE BLOOD-VESSELS IN GENERAL. The Blood-Vessels are divided into Arteries and Veins. Arteries. The Arteries are elaftic Canals, which convey the Blood from the Heart to the different parts of the Body, and are diltinguifh- t-d from the Veins by their Pulfation. ,. , • They have obtained their name from the Ancients, fup^pfing that they carried the finer parts of the Blood mixed with Air,— forming what they confidered the Animal Spirits. The Original Trunks of the Arteries, or thofe which arife from the Heart, are two in number, viz. the Pulmonary Artery and Aorta,—all the others being derived from thefe. They are dilperfed over the whole Body, and are every where furrounded with Cellular Subftance. The principal Trunks run in the Centre of the Body, or of the Extremities, where they are leaft expofed to danger,—Jerivliur fupport or defence from the Bones along which they pafs. The Urged Arteries goto the Vifcera, within the great Cavi- ties, the fin tiler ones to the Skin and Mufcles, and thofe ftiU fmaller to the Bones,—and, in a few places, they become fo ex- tremely minute as altogether to exclude the red Blood, carrying a colourlefs Find only. ° The Arteries are diftinguifhed, in the Subjea, from the Veins by the lubitenefs of their Colour and thicknefs of their Coats. They are compofed of different Layers or Coats, which are rea- dily feparated by Diffeaion. Vol. II. P 170 In feveral parts of the Body, as in the Pofterior Mediaftinum, thc|| are furrounded by a Membrane, common to them and to the neighbouring Vifcera. In other parts cf the Bodv, efpecially in young Subjeas, they aie furrounded with fo much Cellular Subftance, as to give them the appeal ance vf bcin. inclofed in Sheaths. The firft of the proper Coats is the External Membranous, or Cellulr.r, called alio by fome Authors the Nervous Coat. In the large Arteries, this Coat is frequently furnifhed with Fat, and is of a very elaftic nature. Owing to this elafticity, the Arteries, in receiving the Blood from the Heart, become di- lated and elongated, and ft art from their place, in confequence of w!i ch they form the Pulfe, called alio the Diaftole of the Ar- tcrie-. The Second, or Middle Coat, is compofed of Fibres running in a tranfveife direaion,—of a pale red colour,—each Fibre ap- pearing to form only the Segment of a Circle, although the whole conftilute a Cylinder round the Artery. By the Contiaadity of this, and the elaftic nature of the for- mer Coat, the Arteries are enabled to drive the Blood to the Veins, in proportion as they receive it from the Heart ;—and this Contraaion is called the Syftole of the Arteries. The Third, or Inner Coat, is foimed of a tranfparent Mem- brane, rcmarkab'y thin, fmooth, and denf'e, by which the Blood is pi evented from tranftiding. The different Co?ts of the Aiteries are conneaed to each other hv fine Cellular Subftances, which fome Authors have confider- ed as fo many Lamellae. The ArteYies are lY-ppIied with their own Blood veffels, teimed VafaVaforum, which come from the neareft fmall Blanches, and are every wh-:re difperled upon their external Surface. They have alfo their Lymphatics, which, on the large Arte- ries, as the Aoita, aiefo numerous as fometimes to cover them. They are likewife furnifhed with fmall Nerves, forming, in fame parts of the Body, a Plexus, which vanifties in their ex- ternal Coat. There are no Valves belonging to the Arteries, excepting thofe which are placed at the mouihs of the Pulmonary Artery and Aorta. *Where the Arteries run a certain way without fending off Branches, they are obferved to be of a Cylindrical form ; but where Branches come off, their Capacity is diminifhed, and this in proportion to the number of then Rt.m.ficatior.s. Whenever an Artery divides into two Branches, the Arese of thefe two Branches, tak'Jb conjunaiy, are found to be nearly one half larger than that of ihe Trunk from which they iffue. When the Tiunk and Branches of an Anery aie regarded col- lectively, they appear evidently of a Conical figure, tne poirt of 171 the Cone being formed by the Trunk, and the Ba'is by the Branches of tne Artery. The Siaion of the Arteries is circular;—when empty, tbiey become flat, but recover their round form upon being diftended by injeaion. The angles at which the Branches go off from their Trunks are in general in proportion to their vicinity to the Hitut, and are fuch as are moft favourable to the parts they have to i'i.pply. In the Trunk of the Body, or where they belong to tender and delicate Vifcera, iheangel« are more btufe;—in the Extremities, they are m^re acute, the former circumftance tending to dimih.fh, and the la.tcr to increafe tiie force of the Bmod. The Arteries for.n miny Diviii ms and Subdivifions before they reach the.r Ter.ninJiti ms, a.ii. at 1 i.l become inviiibie to the naked eye. The Divifions fornved be any particular Artery have been va- rioufly enumerated "By difi rent Authors,—one reckoning them at forty, and another, of equal refpeaabtlity, at twenty only ;— the number of them, however, is fuch as to allow them to fup- ply the moft minute parts of the Body. The ftrength of the Aiteries depends upon the thicknefs of their Coats, which is found to v.ny in different Aneries.—In the Aorta, the Coats are thick and ftrong;—In the Arteries of the Brain '.Hid Spleen,' they" aie thin and tcndei ;—but the thic'.nefs and confequent ftrength are proportionably greater in the fmall Branches than in the lar e Tiunks. The Arteries run more or lefs in a wa\ ing direaion, which breaks the force of the blood in them, and p events them from being ftrained by the motions of the paits to which th.y belong. The, Flexions are moft frequent in Arteries belonging to parts the fize and fituation of which are changeable. The windings of many of the Ar eries are in proportion to the degree in wheh they are dillende.i, thofe which are nc.rly ft, aight in the r natural ftate, frequently becoming terpentine .vhen their diftenfion increafes. Several of the large Arteries form communications with eaah other, term id by Anatomifts Anaftomofes ; but the Anrulomofes are more fiequent among the fmall Blanches, whcie li.ey foun a Plexus which leifens the dancer of obftruaion. The Analtomole-t are moft frequent in the Skin and Membra- nous Parrs. In tin" fol id Vifcera, «he Arteries run in a diti'.r. nt manner, being in lomeciowdcd together in the form of Tr.--s or Bufhes, in otheis hiving ;\ ferpentiic appearance, and in feverd forming Penicilli, or little Brufhes, according to the difpclition of the part. The Arteries obtain their particular names from their fifci- tions, place of deftination, Sec. and tl.j term Capillary, as ex- prefllve of their fmallnefs, is apjlietd to their ininuceft Branched. The Diameters of the different Trunks and Branches of thr . Arteries, vary much in diffeient parts of the Body ; but thole of the Capillaries are more nearly equal to each other. The Aiteries teiminate in the following manner, viz. In red Veins, as is obferved by the affiftance of the Microfcope and by Injeaions : In Glands or Follicles by Secretory Duas, which feparate a Fluid frcm the general Mafs of Blood. r - , In Exli3lcntVtffels, which difcharge their contents into the internal Cavities, or upon the external Surface of the Body. In colourlcfs or Lymphatic Branches, which are afterwards continued to the ciiculating Veins, as in the Cartilages and Cornea. 'I he Ufe of the Arteries is : « To convey Blood fiom the Heart to the different parts of the Body : To affift in converting the Chyle into Blood : To nounfh the Body, and promote its growth : To affift in preferving the fluidity of the Blood, and the heat and life of the Body : *»■ To form the different Secretions : and To renew the growth of parts deftroyed by accident or difeafe. Veins. The Veins are elaftic flexible Tubes, returning the Blood from the different parts of the Body to the Heart,—and have no Pul- fation. The Coats of the Veins are the fame in number with thofe of the Arteries-, but are thinner, denfer, and lefs elaftic. In the large Veins, as the Vena Cava, the Coats can be fepa- rated fiom each other;—but in the fmall Branches their fepara- tion is difficult. The Mufeular Coat of the Veins being much thinner, loofe like Cellular Subftance, and more indiflir.a than that of the Ar- teries, has cccaficned its exiftence to be denied by many Au- thors. - 'The Veins are alfo furnifhed with their Vafa Vaforum, fimi- lar to and from the f.ime fource with thofe of the Ai terics. The Colour of the Veins is fomewhat blue, and when full of Blood they appear ot a purple tinge, in confequence of their hinnefs. Their Size is more than double that of the Arteries to which theybelonrr, excepting the Pulmonary Veins, the fize of which fcarcely furpi fl'es that < f their Correfponding Aiteries. In the fiefhv pa ts of the Body, part cularly in the Extremities, they con I'11 of Tvjo Sets, one deep-feated accompanying the Aiteries, the other running immediately under the Skin, and termed Subcutaneous. I To The Veins of the Thoracic and Abdominal Vifcera in general, accompany their Arteries; and the fame is obfervable in the fmall Branches belonging to Membranous parts. The Figure of the Veins is fimilar to that of the Arteries; and, upon comparing the Area of their Trunks with the colh-cuve Areae of their Branches, like them too, they are perceived to be Conical, the Bafe of the Cone being formed by the Branches, and the Ape» by the Trunks. The fize and number of the Veins is fo much greater than that of their correfponding Arteries, that when the Veffels of a Mem- branous part are diftended by an Injeaion of different colours, the Veins are obferved in a great meafure to conceal the Arteries : —In the Inteftines however, the number of the Arteries and Veins is nearly equal. There is much greater variety among the Trunks of Veins, with refpea to fituation and divilion into Blanches, than is oL>- fervable among the Arteries. The variety in Nature is fuch, that the Veins of every Sub- jea differ a little from thofe of another. The Veins are capable of fuffering greater iLTrenfion than the Arteries, yet aie more frequently ruptured. . The Anaftomofes are greater and more fiequent in Veins thin in Arteries, thofe of the former being frequently by laige Tiunks, whereas thofe of the latter, excepting in a few plates, are by fmall Branches only. Where the Veins are expofed to Mufeular iiaion, they are furnifhed wiih Valves, which are fern lunar Folds continued, from the inner fide of the Veffls, and placed in pairs at iuegul.ir distances, their nature being fimilar to thofe of the Abforbents. The Valves are concave towards the Hetut, mid when doled or applied to each other, reprefent a figure fomewhat like lhat of the fliut end of a thimble. Between the Valves and Sides of the.Vcins next the Heart, the Blood infinuates, and Cavities ure forme I, termed $i<;ufes of the Valves, which appear externally in the form of Varicef. The Valves are found in the flefhy parts of the Body in gene- ral, but are chiefly fituated in the Veins of the Extiermtic*. Tiie-y arc awantingin the Ve.ns of the deep-feated Vifcera, v'z. in thofe of the Cranium, Thorax, and Abdomci, excepting the Spermatic Veins, and fometimes the Internal M-unmary Veins, and the Branches of the Vena Azvgot. ■ The Valves dnea the Bloo.l towards tiic Heart, and prevent R eguigitaiion. Tlve Ufe of the Veins is :— To convey the Blood from the extrem't'es of the Arteries, with the Chyle and Lymph, from the A'tdbcbents to the lieait. V Coronaria Labiorum. Frequently one or both Coronary Arteries are larger than or- dinary, in which cafe thofe on the oppofite fide are proportionally fmal ice. After fending off the Coronary Branches, the Facial Artery runs near the wing and lide of the Nofe. From this part of the Artery Branches are fent inwards to the Nofe, and outwards to the Cheek. The Facial Artery is at laft loll upon the parts about the inner coiner ot the Eye, and middle of the Foie-head. 'The Pharyncea Inferior, wlvch is a fmall Artery arifmg ne.u the Lingual Aitery, and frequently from the root of the Oc- cipitalis. After afcending fome way, it divides into Branches, which are d fper fed upon the Pharynx, Fttuces, and Bafe of the Skull, where fi/me of them enter the large Foramina, and fupply part of the Dura Mater. The A. Occipitalis, which arifes from the back-part of the External Carotid, and at its oiigin is concealed by the other ori- ginal Branches fent off from that Artery. Hi It runs over the beginning of the Internal Jugular Vein, and afterwards paffes under the Maftoid Procefs, and pofterior Belly of the Digaftric Mufcle. -. It goes likewife under the upper ends of the Trachelo-maftoi- deus, Splenitis, and Complexus Muf les ; after which, it be- comes more fuperficial, where it runs near the middle of the Oc- ciput. In its courfe, it is very tortuous, and gives off different Bran- ches to the fuirounding Mufcles : viz. One which defcends" along the Sterno-maftoid Mufcle, and communicates with the Thyroid, Cervical, and Vertebral Arte- ries s Another which paffes, with the Jugular Vein, to the under and back-part of the Dura Mater •• A Twig, through the Foramen Stylo-mafloideum, to different parts of the Internal Eat : A Branch which proceeds to the back-part of the E-r, under the name of Auricularis Pofterior ;—and Another, of connderable fize, which defcends between the Tra- chelo-maftoideus and Complexus Mufcles, and, after bellowing Twigs upon feveral Mufcles of the Neck, communicates with the Cervical and Vertrebral Arteries. The Artery is at laft dfperfed upon the beginning of the Oc- ' cipito-frontalis Mufcle, and Skin of the Occiput, where it com- municates with its fellow, and with the Temporal Artery. Sometimes, a Twig of this Artery paffes to the Dura Mater, through i\\m\. s'.V.'iU Hole orrajignally found ne*r the Maftoid Procefs of the Temporal Bone. The A. Maxillaris Interna, which goes off from that part of the Trunk which is covered by the Par.itid Gland, and at its origin lies behind, the middle of the upright Plate which di- vides into the Condyloid and Coronoid Proceffes of the Lower Jaw. It paffes firft between the Jaw and Externa! Pterygoid Muf- cle, and afteiwards runs, in a very winding manner, towards the back-part of the Antrum Maxillare, fending numerous Branches to the Parts belonging to both Jaws. At its origin, it furnifhes Twigs to the fore-fide and adjacent parts of the outer Ear. It then fends off the A. Dura Matris Media Maxima, Menin- gea, or Spheno-fpinalis, which runs between the External and In- ternal Ctiro ids, pafl'es thiough the Foramen Spinale of the Spheno-d Bone, and fprcads over the furface of the Dura Mater and infide of the Par etal Bone, like the Branching of a Tree. The Inferior Maxillary Branch, which runs in the Inferior Maxillaiy Canal, fending Branches to the fubftance of the Bone, and to the Teeth ;—the remainder of it pafling out at the Ante- 179 rior Maxillary Foramen, and communicating upon the Chin with Branches of the Facial Artery. Branches to the Pterygoid, Maffeter, and inner part of the Temporal Mufcle, under the names of A. Pterygoidea, Maffe- terica, and lemporales Profunda -. The A. Buccales to the Buccinator Mufcle and other foft parts of the Cheek. The A. jtlveolares, which run behind the Antrum, and fend Branches to the foft parts fuirounding the Upper Jaw.—The Maxillary Artery fends other Branches which enter by fmall Holes to.the Antium, and to the Subftance and back-teeth of the Jaw ; one of which is larger than the reft, and is the Proper Alveolaris. The Inj'ra-orbitar, which paffes in the Canal under the Orbit, giving, at its entrance, Twigs to the foft parts in the bottom of the Orbit, a.d in its progiefs, other Twigs to the Antrum, Sub- ftance of the Jaw, and Fore-Teeth ; after which it goes out at the Foramen Infra-oibitarium, and terminates on the Cheek by fmall Branches which communicate with thofe of the Facial Ar- tery. The Palato-maxillary Branch, which paffes through the Fo- ramen Palatinum PoileTus, and runs between the Offeous and Flefhy parts of the Palate, fupplying thefe with Branches, and frequently proceeding through the Foramen Incifivum to the in- ner part of the Nofe. The Superior Pharyngeal, which is a fmallBranch terminating in and about the upper part of the Phaiynx. The Largs Lateral Nafal, which enters the Foramen Spheno- palatinum, and divides into many Branches which fupply the greater part ef the infide of the Nofe. A. Temporalis.—The Trunk of the External Carotid, having given off the Arteries already mentioned, paffes up be- tween the Meatus Auditorius and root of the Zygoma, and forms the Temporal Artery, named alfo Temporalis Externa, or Super- ficialis ;—from the icotof wh'ch are fent off, The 1 ranfverfalis Faciei, which proceeds forwards under the Zygoma, fupplying a large portion of the,Cheek, and communi- cating i-irh the Facial and infra-orbitar Arteries : Some fmall Branches to the Articulation of the Jaw : Several fmail Branches to the root of the Ear, part of which are difperled upon the External Meatus and Membrana Tym- pani,—tome Twigs penetrating as far as the inner Ear. A little above the root of the Zygoma, where the Puliation of the Temporal Artery can be feit, and frequently even feen, it divides into two large Branches, an Anterior, and Pofterior, which are placed fuperficially between the Integuments of the Head and Aponeurofis of the Temporal Mufcle. 180 The Anterior Branch proceeds forwards, in a terpentine direaion, to the fide and upper part of the Forehead, fupplying the Skin and Mufcles near it, and communicating with Branches of the Facial and Occubr Arteries, and with thofe of its Fellow on the oppofite fideot the Head. The Postlrior afcends obliquely backwards, giving a few Branches to the upper put of the Ear, but is chiefly dtfberfed on the Integuments and Mufcles upon the lateral part anoTiown of the Head, communicating with t is fellow of the fame and of the oppofite fide, and alfo w,th the Occipitalis, by numerous Ramifi- cations. Internal Carotid Artery. The Internal Carotid,—fometimes termed A. Cerebra- lis,—-is arched back tit its origin, and then afcends in a waving direaion on the fore-part of the Reaus Capitis Anterior Major Mufcle, as far as the Foramen Caroticum, without giving off any Branches. . At the Bafe of the Cranium, it makes a fudden turn forwards, and enters the Carotic Canal of the Temporal Bone : While in the Canal, it paffes upwards and forwards, like the Canal itfelf, and is furrounded by a confiderable quantity of Cellular Sub- ftance, and, by the Dura Mater, which form a Cufhion between it and the Bone. t After leaving the Canal, it again bends upwards and then for- wards, by the fide of the Sella Turcica; and perforating theDu. ra Mater, at the root of the Anterior Clinoid Procefs, it is fud- denly refleaed obliquely backwards and upwards, after which it divides into Branches. Through the whole of its courfe, it runs in a ferpentine mnn- ner, which prevents the Blood in it from rufhing too quickly and forcibly upon the tender Subftance of the Brain, and,—con- trary to the nature of other Aiteries,—it is of a Conical form, though it does not fend off any Branches, till it enters the Cra- nium While at the Side of the Sella Turcica, it turnifhes fmall Twigs to the Dura Mater and parts adjacent, one of which paffts through the Foramen Lacerum to the Oi bit, and another, accom- panied by a fimilar Twig from the Meningeal Artery, through the Pars Petrol":;, to the Tympanum. As focn as the Carotid perforates the Dura Mater, at the loot of the Clinoid Procefs, it tranfmits The Arteria Ophthalmica, which is the principal Ar- tery belonging to the Eye and its Appendages. The Ophthalmic, orOcular Artery, immediately after it comes off from the Carotid, enters the Foramen Opticum, and creeps under the Optic Nerve, included in the Dura Mater, towards the outer part of the Orbit. ISl After proceeding fome way through the Orbit, it traverfes it« Cavity, taking a Spiial direaion towards the 'J ie, between the Optic Nerve and Mufcles in the upper part of tie Orbit. In this courfe, it firft tranfmits Filaments to the Dura Mater .and Subftance of the Optic Nerve, and to the beginning of the Mufcles in the bottom of the Orbit, after which it gives off the following Branches, v z. The Arteria Lacrymalis, which runs at the outfide of the Or- bit, and is chiefly difperled upon the Lacrymal Gland, fome Threads advancing to he Eye-lids : The A. Centralis Retina, which penetrates the Optic Nerve a little behind the Ball ot the Eye,—runs in the centre of the Nerve, and fpreads out into many fmall Branches upon the inlidc of the Retina. When the Nerve is cut acrofs, the orifice of the divided Ai tery is obfervable, wh.ch, before its nature was underftood, was long known by the name of Porus Opticus. In the Adult, the Central Artery appears to terminate entirely upon the Retina ; but in the Fcetus, after furnifliing, at the bot- tom of the Orb.t, the Blanches proper to the Retina, the Trunk is continued forwards througfi the axis of the Vitreous Humour, fupplying its Cells and Meii'ibrane with delicate Filaments, and afterward* Ipreadiiig out upon the back-part of the Capfule of the Lens. Its Branches aredifperfed upon the Lens in a radiated manner, and after lurrounding it, fome of them are fent forwaids to the Membrana Pupill uis. The Arteria Ciliares,—two or fometimes more in number,—- which divi.ie into Branches running in a ferpentine direaion a- long the oppofite fides of the Opt c Nerve, and d viding into the Ciliares Breves, and Ciliares Longae. The Ciliares Bievd, or Pd-riores,—formed not only of Branch.s from the original Ciliary Trunk, but alfo of Twigs from the Mufeular Branches,—are numerous. They perforate the Sclerotica, near the infertion of the Optic Nerve, give Twigs to that Co.it, and dividin;, into ftill fmaller Branches, creep for- wards upon the Tunica Choruid-s,—foiming many Communica- tions with each other as they advance, and retiring gradually from the convex to the concave furfaCj of this Coat to fupply the Iris and Ciliary Procefles. The Ciliares Longa,—which feldom confift of mare than two Trunks,—perforate the Sclerotica a little farther forwards than the former, pafs alon., the Choroid Coat to its anterior part, and then feparate into Branches. Befides the Ciliares Breves et Longa;, there is another Set, termed Ciliares Anteriores, which are a few Arterious Filaments from the Mufeular Branches, enteiing the Eye where the Straight Mufcles are infeited. Vol. If. Q 1S2 At the root of the Iris, the different fets cf Ciliary Arteries unite into Aiches, which form an iiie,gular Circle, ct.lied Circulus Iridis. From this Circle, many Arteries inn upon the Iris, in a radia- ted feipentine mannn, towards the Pupil, near which feveral of them alfo unite into Arches ; and from thefe, Twigs are fent, along with the reft of the radiated Branches, to the inner edge cf the Iris.—In the Fcetus, they are continued to the Membrana Pupillaris. The Mufcularis Superior, and Inferior, which are difpeifed upon the Mufcles and Fat of the Eye. The OEthmoidalis Anterior, and Pofterior, two extremely fmall Twigs, efpecially the latter, which pafs through the Foramina Oibitaria Interna,—Anterius, et Pofterius,—to the Bones and Membranes of the Nofe. The Supra-orbitalis, or Frontalis, which, emerging from the Socket, paffes through the Foramen Supra-orbitarium, and is divided into two parts ;—one difperfed upon the Periofteum of the Fore-head, the other running to the Skin and Mufcles on the Fore-head and upper Eye-lid, and communicating with the an- terior Branch of the Temporal Arteiy. The remains of the Occular Artery are continued to the inner angle of the Eye, and are difpeifed upon the Eye-lids, Lacrymal Sac, fide of the Nofe, and Frontal Mufcle, communicating with the upper end of the Facial Artery. Arteries of the Brain. The Arteries of the Brain confift of the two Internal Carotids, and the two Verlebrals. Each Internal Carotid, after fending forwards the Ocular Ar- tery, gives a Branch backwards to the Vertebral, termed A. Corn- municans, and then divides into the A. Anterior, and A. Media ■'} Cerebri. The A. Anterior Cerebri, turns towards its fellow of the oppofite fide, and commonly (ends Filaments to the Firft and Second Pair of Nerves. A little before the union of the Optic Nerves, the right and left anteiior Cerebral Arteries become almoft contiguous, and anaftomofe by means of a fhort, but laqe tianfvtife Branch, which forms part of that Communication of Veffels termed Cir- cus Arteriofus Willisii. . From this tranfverie Branch, but more frequently from the Anterior Cerebral Artery ne?- it, a Branch is fent off, which paf- fes into the Third Vtntiicle, and turn.fhes Twi0s to the Septum Lucidum, and fore-part of the Fornix. The Anterior Cert-Mai Artery afcends upon the inner fide of j the anterior Lobe of the Brain, and fends off a principal Branch, 1 183 and commonly another foon after, both of which arch backwards upon the inner flat furface of the Hemifphere. The continuation of the Anterior Cerebral Artery is termed A. Corporis Callofi, and is refilled back upon the union of the Corpus Callofum and Hemifphere, as far as the pofterior Lobe of the Brain. The Branches of the Anterior Cerebral Artery are divided in- to minute Ramifications, which are firtl fpread out upon the flat furface ot the Jlemn'phere, and afterwards upon its upper part. The Ramifications form numberlefs Anaftomofes with each other upon the furface ot the Brain, and afterwards pal's, by mi- nute Filaments, into its Cortical and Medullary Subftance. Befides the Anaftomofes of the different Branches of this Ar- tery on the furface of tue Hemifphere, fmall Branches run acrofs the Corpus Callofum, and inofculate with thofe of the oppofite fide. The Arteria Media Cerebri,—which is larger th; n the former,—runs outwards in a lateral direaion through the Foffa of Sylvius, to the outer part of the Brain. It gives firft Filaments to ihe Glandula Pituitaria and parts adjacent to it, and then divides into principal Branches, of which one fet go to the Anterior, and the other to the Lateral and part of the Pofterior Lobe of the Brain. From this Artery, one or two Twigs run up into the anterior Cornu of the Lateral Ventricle, and affitt in forming the Choroid Plexus cf that Cavity. Upon the outer furface of the Brain, the Branches of this Ar- tery inofculate with each other, and with thofe of the Anterior Cerebral Artery, and then plun;e into the fubftance of the Brain, where they meet with the deep Branches of that Artery. Vertebral Arteries. The two Vertebral Arteries,—which are only a little fmaller than the Intern d Carotids,—arife from the Subclavian Arteries at the bottom of the Neck. Each of them, at a fmail diftance from its origin, enters the Canal formed for its reception by the fix uppermoft Cervical Ver- tebrae. It afcends through the Neck, nearly in a ftraight direaion, fending Twigs otuwards between the Vertebias to the deep Muf- cles of the Neck, and others which pafs inw.uds to the Spinal Marrow and its Membranes, by the Holes which tranfmit the Spi- nal Nerves. Immediately below the Head, it gives out more confiderable Branches to the deep Mufcles at the back-part of the Neck, which inofculate with the Occipital Artery. At the upper part of the Neck, it forms Contortions fomewhat finrlar to, and anfwering the fame purpofe with thofe of the In- ternal Carotid Artery. 184 One turn is formed upwards and outwards, in paffing from the third to the fecond Vertebra ; and another outwards and for* wards, in .going between the fecond Vertebra and Atlas. After pei (o.ating the Atlas, it bends fudden.y back, and runs in an horizontal direaion in a Notch upon that Bore. Having reached the Foiamen M gntim Occipiti<, it turns up- wards, perforates ihe Dura Mater, and enters the Cavity of the Cranium. After entering the Cranium, it paffes with the Medulla Ob- longata, upon the Cuneiform Procefs of the Occipital Bone, in- clining towards its fellow on the other fide, and at the beginning of ^he Medulla, the two Vertebrals unite into the Trunk called Bafilar Artery. > Up. n entering the Skull, each Vertebral Artery fends a fmall Branch, termed A. Meningea Pofterior,—to the pofterior part of the Dura Mater. It then difperfes Twigs to the Medulla Oblongata, and fre- quently gives off the fmall Branch which forms the Pofterior Ar- tery ot the Spinal Mariow. Near the part where ii unites with its fellow, it fends down the Anterior Art. ry e f the Spinal Marrow. From the Vertebral, or from the Bafilar, or f< metimes from each, a principal Branch is fent off, named A. Cerebelli Pofterior, or Inferior, which paffes between the Cerebellum and Medulla Oblongata, and furnifhes Branches to the under part of the Cerebellum, to the back-part of the Medulla Oblongata and Tuber Annulare, and forms the Choroid Plexus of the Fourth Ventricle. The Basilar Artery runs along the middle of the Tuber Annulare, which it flightly impreffes, and lies upon the Cunei- form Procefs of the Occ pttal Bone. From tie fides of this Artery, numerous Filaments run tranf- verfely, to be difperfed upon the Tuber and adjacent parts One Branch, larger than the reft, called Auditoria Interna, paf- fes between the two poitions of the Seventh Paii of Neives to the Internal Organ of Hearing. At the extremty of the Cuneiform or Bafilar Piocefs of the Occipital Bone, and at the upper and fore-part of the Tubar An- nulare, the Bafilar Artery divides into four principal Branches, two to each lide, and thefe go off almoft at light angles from the Trunk, viz. The A. Superior, or Superior Cerebelli, which turns round the Crura Cerebri, expands its Branches upon the upper part of the Cerebellum, ar.d finks into its fubftance, fupplying ailo the Nates, Teftes, and Parts near them. The Arteria Pofterior Profunda Cerebri, which fends Twigs to the Tuber and to the Cru a Ceiebri, und unites with the Internal Carotid by the Aiteria Conimunicans. Vi5 It fupplies alfo Parts lying near the Third Ventricle, and af- terwards turning round the Crura Cerebri, paffes back between the Cerebrum and Cerebellum. It diftributes its numerous Branches chiefly to the Pofterior Lobe of the Brain, one Branch in particular penetrating into the pofterior Cornu of the Lateral Ventricle, and with Branches of the Internal Carotid, forming the Arterious part of the Choroid Plexus. The Branches of this Artery anaftomofe with thofe of the an- terior part of the Internal Carotid, at the infide of the Hemif- phere,—and with thofe of the lateral part of that Artery, at the outfide of the Hemifphere, in the manner thefe do with each other in the other parts of the Brain. " The Arteria Communicans, wh'ch unites the pofterior Cerebral Branch of the Vertebral Arteiy to the Trunk of the Internal Carotid, and is nearly of the fame diameter, but longer than that tranfverfe Artery which conneas the anterior Branches of the Internal Carotid. It fends minute Threads to the Crura Ceiebri, &c. and con- tributes to the formation of the Circle of Willis,—or that kind of Communicatio.i by which the blood or Injeaed Matter can pafs readily acrofs from one Internal Caiotid to the other,—or from thefe backwards to the Bafilar Artery. Veins of the Head and of Part of the Neck. The Veins which return the Blood from the Arteries of the Head and Neck, unite into the following Trunks, viz. The Facial Vein, which is formed by the Frontal Vein, and. by an intricate Plexus of Branches upon the Face. It winds obliquely downwards and outwards, at a diftance from the Aitery ; but in crofting the Jaw, it goes clofe by the ourfideof it, and terminates in the External Jugular Ye''i. The Temporal Vein, formed by fuperficial and deep Branches from the fides and upper pait of the Head, and running down upon the Temple at fome diftance fiom the Aitery. • The Branches of the Temporal Vein form Urge Anaftomofes, before, with thofe of the Frontal Vein ; above, with their fel- lows on the other fide; and behind, with the Branches of the Occipital Vein. The Trunk defcends at the fore-part of the Ear, and, along with the Artery, is funk in the fubllance of the Paiotid Gland. In its defcent before the Meatus Auditorius Externus, it re- ceives Branches from the Ear, Parotid Gland, and Cheek, cor- icfpondin-; with the Arteries fent to thefe Parts from the Carotid or Temporal Artery. At the under part of the Lower Jaw, the Facial and Tempo ral Veins commonly unite and form the External Jugular. Vol. II. Q2 186 The External Jugular Vein receives the following branches at the uppei part of the Neck, viz. Branches of the Internal Maxillary Vein, the principal part terminating in the Internal Jugular. The Lingual Vein, one Branch of which, teimed Ranina from its complexion, is feen under the Tongue, and is that" Vein which i; opened in the Venefeaion ot this Organ. Branches of the Occipital Vein, the reft pafling to the Internal Jugular, and Vertebral Vein-, and fometimes alfo communica- ting by a F..r;.nien Maftoideum with the Lateral Sinus. The Trunk of the External Jugular Ve:n defcends in the Neck, between the Platyfma Myo.dcs and Sterno-maftoid Muf- cles, receives in its courfe Branches from the adjacent parts, and terminates in the Subclavian Vein. In the formation and termination of this Vein, there is great variety in different Subjeas. It frequently happens that moft of the Ramifications, which Commonly run from the Face and Throat into this Vein, go to the Internal Jugular. Often the Facial Vein goesinto the Internal Jugular, and the Temporal continued forms the External Jugular. Sometimes one of-the External Jugulars terminates in the ufual way, and the other in the Internal Jugular. In fome rare cafes, the External Jugulars have both been found tti minuting in one fide of the Neck. Anterior External Jugular Vein. Bi fides the Vein commonly called External Jugular, a fmall Subcutaneous Vein, termed Anterior External Jugular, defcends in the fore-part of the Neck, re eiving Branches from the adjacent parts, and termina- ting in the Subclavian Vein. Veins of the Eye and us Appendages. The Blood fent to the Contents of the O.bit is returned part- ly to tin Facial Vein at the inner corner of the Eye, but chiefly to the proper Ocular Vein, which terminates in the Cavernous Sims by the following Veins, viz. The Vma Centralis Retina, which is formed by many fmall Branches expanded upon the inner furface of the Retina alcng with thofe cf the correfponding Artery. The Vet a Centralis enters the Optic Nerve, where the Artery leaves it ; and <• 1, 'ie behind the Ball of the Eye, ittmer esfioin the Neive, and runs between it and the Sheath which covers it, rtce vinf many Twigs from the Nerve and its Membranes. Ir raffs afteiwards under the Fafciculus ot Nerves which be- lo"j*s to theEe, and teminates, fometimes in the Ocular Vein, bu , ;n g.iui I, direaiy in th- Cavernous Sinus. Fiom tlit Iris 'nd C oro c'. Coat, the Blood is returned by the Short or j.i.h.. wi Ciliary Veins, and by the Long or Pofterior 187 Ciliary Veins, and alfo by a principal fet of Ciliary Veins, termed Vafa Vorticofa. Small Veins return from the Iris, winch go under the Arteri- ous Circle to the Veins of the Chuoid Coat, and communicate with each other ;—but without forming any Circle, fuch as is found in the Eyes of Oxen, and which correfponds, in them, with the Arterious Circle. The Anterior Ciliary Veins pafs from the Iris through the Scle- rotic Coat, near thefitme part where the Anterior Ciliary Arte- ries enter. . The long Ciliary Veins are commonly two in number, like the Arteries, and of a fmaller fize than the Vorticofe Veins. They run from the Iris backwards along the Choroid Coat Communicate in their paffage by minute Branches with the Vorti- cofe Veins, and afterwards perforate the Tunica Sclerotica be- hind. The Vena Vorticofa, are numerous, and obtain their name from the Whirls compofed by their Branches, the courfe of which lias been compared to a Jet d^eau, or to the Spiral Ridges upon the points of the Fingers, &c. Ot thefe Veins, four, or fomet mes five, are by much the moft confpicuous, the reft being fmaller, and having lefs of the Vor- ticofe appearance. The Branches of each of the four principal Venae Vorticofae run in a clofe congeries, unite at acute .nwles into lar er Branch- es which have a curved direaion, and thefe proceeding from all fides, meet in a poin>, and form the Trunk of the Vein. The Trunks of thefe Venae Vort-cofae, thus placed n the cen- ter of their ref'peaive Whirls aie fituated at the oppofits fides of the Eye, and perforate the Sclerotic Coat obliquely near its mid- dle. The reft of the Vena Vorticofa, or fmaller Ciliary Veins, com- municate with the adjacent larger Vorticofe Veins upon the fur- face of the Choroid Coat, and alfo perforate the Sclerotica near its middle. After piercing the Sclerotica, the different Vorticofe Veins unite into four or five fmall CM ary Tru-.ks, receiving a number of minute Twi. s, which paint the Cellular Subftance covering the furface of the Sclerotica. The C iiry Veins run in a ferpentine dii .'lion at the oppo- fite files of the Eye, and pafs either feparutly or united with othe. fmall Veins in ti.e O.bit, into the tiunk of the Ocuiai Vein. The other Venous Branches within the Orbit, ecu refpond in great meaf re with their icf eaive Aiteiies ; inch as, Branches fiom the Palpebral and inner corner of the Eye. The La"-ymal Branch : . The 0Ethmoidal Branches: IS* Mufeular Branches,--'and Branches from the Fat in the Orbit, a«d from the Membranes lining it. The different Branches from the Eye and its Appendages form, by th< ir union, the Ocular Vein, which greatly exceeds the fize of the correfponding Artery. The Ocular Vein forms large Anaftomofes, at the inner cor- ner of the Eye, with the Facial Vein, and afterwards paffes back at the inner fide of the Orbit. From the inner, it goes acrofs to the outer fide of the Orbit, un- der the Attoll ns Mufcle; and after running back under the An- terior Clinoid P.ocefs, covered by the Third and Sixth Pair of Nerves, it terminates, under the Carotid Artery, in the Ca- vernous Sinus. Veins of the Dura Mater Corresponding with its Arteries. The Veins of the Dura Mater accompany their Arteries, and go partly through Perforations in the Bafe of the Cranium, to terminate in Branches of the External or Internal Jugular Veins ; —the reft go into the neareft Sinufes of the Brain. Veins of the Brain. The fmaller Veins of the Brain accompany the Arteries. Their Trunks run chiefly between the Ciicumvolutions of the Brain, at a diftance from the Trunks of the Arteries. They terminate in the differerent Sinufes of the Dura Mater, and generally in an oblique direaion, which prevents the Blood from retuining into them. The Sinufes moft commonly found are the following. The Superior Longitudinal Sinus, which begins at the under part of the Spine of the Fiontal Bone, runs along the upper edge of the Falx,—and becoming gradually wider, terminates upon the middle of the Occipital Bone, in the two Lateral Sinufes. It receives the Blood from the upper part of the Bra n, by feve- ral large Venous Trunks, which enter it obliquely foiwards. The Torcular Herophili, or Fourth Sinus of the Ancients, chiefly f rmed by tue Vena Galen , which returns the Blood from the Choioid Plexus, G rpora Striata, Septum Lucidum, and other Inte.nai paits of the Btain. The Torcular paffes back in the joining of ihe Falx and Ten- torium, and teiininates, along with the Superior Longitudinal Sinus, in the beginning of the Lateral Smufes. The Inferior Longitudinal Sinus, a lemarkably fmall one, fitu- ated in the under edge of ihe Falx.— It receives Branches from that Membrane, and from the C us Callofum and parts of the Brain near it, and terminates in me beginning of the Torcu- lar Herophili. The tvjo Lateral Sinufes, or Second and Third Sinufes of the *- -ents, formed by the Longitudinal and Torcular Sinus. s 189 'They run at the pofterior edge of the Tentorium, along th- I.iteral ridges of the Os Occipitis, as far as the Bafe of the Pe- tiofal Procefl'es of the Temporal Bones, from whence they wii d downwards, pafs through the Foramina Lacera common to the Occipital and Temporal Bones, and terminate in the Internal Jugular Veins. Frequently one of the Lateral Sinufes is formed by the Longitudinal, and the other by the Torcular Sinus ; in which cafe, the one is found larger than the other. The Lateral Sinufes receive Veins from the Cerebellum and from the under and back-part of the Cerebrum; they like- wife receive the Blood from the following finali Sinufes, fituated under the Brain, viz. The Circular Sinus of Ridley, which is placed about the Glandula Pituitaria, and frequently furrounds it completely, re- ceiving the Blood fiom it and from the adjacent Bones and Membranes, and terminating in the Cavernous Sitiufes : The Cavernous Sinufes, which are fituated at ihe fides cf the Sella Turcica, and receive Blood from Veins lying near the lateral B.anches of the Internal Carotid Arteries, from the Ocular Veins, and from the Circular Sinus of Ridley : The Cavernous Sinufes furiound the Carotid Arteries and Sixth pair of Nerves, and have a Cavernous flruaure within, fomewhat refembling that of the Penis : The Superior Petiofal Sinufes, fituated upon the Ridges of the Partes Petrofse. They receive fome fmall Veins from the Dura Mater and Bafe of the Brain, and communicate backwaids with the Lateral, and forwaids with the Cavernous Sinufes: The Inferior Pctrofal Sinufes, placed at the roots of the Partes Petrolae.—They receive the blood from the Cavernous, and dif- charge it into the ends of the Lateral Sinufes. Befides the Smufcs mentioned above, the following others are frequently met with, viz. A Perpendicular Occipital Sinus, fituated in th . Falx Cerebelli, wh'ch is fometimes fingle, fometimes double, and terminates in the Lateral Sinufes.—It receives Veins from the Dura Mater, ami communicates with the Vertebral Veins. Anterior Supe ior, and Anterior Inferior Occipital Sinufes, pla- ced over the Cuneiform Pro efs of the Occipital Bone, and com- municating with the Inferior Petiofal and Lateral Sinufes, and with the Vertebral Veins. I\ i'ernal Jugular Veins. The Lateral Sinufes, having received the Blood fent to the Biain from the Carotid and Vertebral Arteries, p, and to thofe at the outer part of the Elbow ;— nd one of them, defcending at the inner fide of the Arm, i fjincr.mes fo confiderable as to form— The Profunda InflRior or Minor. I his Artery is fre- quently a Branch of the Profunda Supciior, but mcie commonly 193 »n original Branch fent off from the Trunk of the Aitery, near the middle of the Arm. It gives Branches to the Mufcles and other parts it the infide of the Arm, and terminates about the inner part of the Os Hu- meri. The Ramus Anastomoticus Magnus, which comes off a little above the Eli'ow, and bellows Branches to the Brachials Interims, to the under end of the Triceps, and to the Parts in general about the Elbow-Joint. Befides thefe, there are feveral other Branches fent in fucceftion from the Trunk of the Humeral Artery into the Mufcles and o- ther parts adjacent.—Thefe are fhorter than the reft, and run more in a tranfverfe direaion, efpecially thofe to the Biceps Muf- cle.—One fmall Branch, termed Nutritia, or Medullaris, pene- trates the fubftance of the Bone by the paffage near its middle, and fupplies the Marrow and Parts which contain it. The Trunk of the Humeral Artery having fent of the differ- ent Branches which belong to the Arm, paffes to the middle of the bending of the Elbow, between the Aponeurofis and round Tendon of the'B ceps Mufcle. About an in. h below the Elbow, it commonly divides into two principal Arteries, the Radial and Ulnar. It happens, however, now and then, that this Divifion takes place about the middle of the Arm ; and in certain inftances, as hgh as the Axilla. The Radialis paffes over the Pronator Teres Mufcle, and follows the courfe of the Radm* through the whole length of that Bone At the upper part of the Fore-arm, it is covered by the Supi- nator Longus : In its defcent, it becomes more fuperficial, and, at the under part of the Fore-arm, it liesclofe upon the Radius, and immediately under the Skin, in confequence of which, the Pulfe is commonly felt in this place. The Recurrens Radialis, which is refleaed to the Muf- cles and Parts of the Joint near it, and anaftomofes freely with the Arteria Profunda Humeri at the outer part of the Elbow. Numerous Lateral Branches, in the defcent of the Artery, to the Mufcles and Integuments, and parts in general fituated about the Radius. A Branch at the Wrift, which goes over the root of the Thumb, and fometimes a principal Branch along one fide of it;__ at other times, it is difperfed upon the Palm of the Hand. Small Branches to the Ligaments, Bones and other parts about the Wrift. One, or fometimes two Branches, termed Dorfal, to the back- part of the Metacarpus and Fingers. At the under end of the Fore-arm, the Radial Artery turns back under the Tendons of the Extenfors of the Thuiab, and Vol. II. R ^ i 194 gets between the roots of the Metres pal Bones of the Thumb and Foie-finger, where it divides into three principal Blanches, viz. The A. Magna Pollicis, which runs along the fide of the Tumb next the Fingeis, and Jometimes divides at its root, into two Branches, which fupply both fides of it. The Radialis Indicis, which runs along the file of the Fore-finger nexi the Thumb. The Palmaris Profunda, which croftcs the Hand between the roots of the Metacaipal hones and Flexures of the Fingers, and foims an Arcus Profundus, from which Branches go off to the Interoffei Mufcles and other deep parts of the Palm. TheULNARis appears at firft as the Continuation of the Trunk of the Humeral Artery. At its upper part, it finks deep behind the Flexor Mufcles of the Hand, and paffes afterwards.for fome way between the Flex* or Sublimis and Profundus Digiiorum. Near the Wrift, it becomes more fuperficial, and runs between the 1 endons of the Flexor Carpi Ulnaris and Flexor Digitorum Profundus, to the Hand. In this courfe, it fends off many Branches to the Fore-arm, among which the following are the moft confiderable. The Recurrens Ulnaris, which runs deep among the Flex- or Mufcles, and foon divides into Branches which nfcend and fupply the Parts about the under and inner fide of the Elbow.— In the Gioove behind the inner Condyle of the Os Humeri, it communicates by diftina Anaftomofes with the Profunda Infe- rior, or with the R mus Anaftomoticus, fent down from the Hu- meral Artery.' The Interossea Posterior, which comes off at the upper end of the Interofl'eous Ligament, perforating it immediately at its origin, and going to the back-part of the Fore-arm. From this place, it fends upward.-< a Recurrent Branch, which communicates, upon the back-part of the Elbow, with ihe other Recurrent Arteries, and with the Branches fent down fiom the Humeral Artery, and foims along with thefe a Plexus of Veffels upon the, hick part ot the Joint. The Intcroffea is afterwards continued downwards, and is clvefly difperled upon the Bellies of the External Mufcles of the Hand and Fingers, being commonly exhaulted before it leach the Wrift. The Interossea Anterior, which comes off fi metimes immediately btlow the foimer, and ai other times in common with it. It is confiderably the larger of the two ; but only a- bout half the fize of the Ulnar Artery irom which it fprings. It runs clofe upon the Interofl'eous Ligament, and fuiiiihes Tranches to the Mufcles and deep Parts upon the anterior f.'le of the I wi.-arm. IV- Near the Wrift, it perforates the Ligament, and goes to the Pof- terior fide of the Carpus and back of the Hand, dividing into Branches Which inofculate with others of the Pofterior Interoffe- ous and Radial Arteries. The Ulnary Aitery, having given off its Recurrent Branch, and the Arteriae Interofllae, with many Lateral Branches to the inner fide of the Fore-arm, paries by the fide of the Os Pififorme, and then over the Annular Ligament into the Palm, where it forms the Arcus Volaris Superficialis. At the under end of the Fore-arm, it fends offa Dorfal Branch, which paffes under the Tendon of the Flexor Crpi Ulnaris to the back of the Hand, where joining with Branches of the An- terior Interoffeous and Ulnar Aiteries, it affifts in forming a Plexus which fupplies the back-part of the Wiift and of the Hand and Fingers with a number of Branches, which are fmall when compared with thofe in the Palm. The Arcus Voj.aris Sublimis, or Superficialis, is placed with its convex fide downwards, and exten.l = obliquely from the root of the Me i arpal Bone of the Little Finger to- w irds that of the Firft Bone cf the "I humb, being coveied by the expanfun termed Jp-aieurfis Pahiurii. From the Arcus Volaris, Branches ..re fent off in the follow- ing order, viz. Several Small Branches to the Integuments and other Superfi- cial parts of the Palm : A confiderable Branch which finks near the root of the Meta- carpal Bone of the Little Finger, and inofculating with the Pal- mar Branch of the Radial Aitery, affi.ls in forming the Arcus Profundus : A Branch to the inner fide of the Little Finger : Three large Digital Branches which run oppofite to the Inter- faces of the Mcacarpal Bodes, to the Roots of or Clefts between the Fingers. At thefe Clefts, each of the Three Digital Arteries is divided into two Branches, one of which Branches of each divifion runs along the Anterior Radial margin of one Finger, and the other along the Anterior Ulnar margin of the Finger next it ;—the Three Digital Arteries thus fupplying the margins of all the Fingers, excepting the inner margin of the Little Finger, and the outer margin of the Index. At the Roots of the Fingers, each of the Digital Arteries re- ceives a fmall Branch from the Arcus Profundus. ■ At the Roots and Joints, but more particularly at the Points of the Fingers, the Arteries communicate by crofs Arches, and fend Branches to the parts adjacent. The Supeificiai Arch of the Palm commonly fends off one of the Arteries of the Thumb, and ultimately communicates by a large Antiftoinofc* with the Root of the Arteria Magna Pollicis. I 9o VEINS of the SUPERIOR EXTREMITY and of PART of the NECK. The Veins of the Superior Extremities have numerous Valves, and are divided into a Superficial and a Deep Set ; the former lying immediately under the Integuments, the latter accompany- ing the Arteries, and taking their names from them. The Subcutaneous Veins have many large Anaftomofes with each other, particularly on the Fore-arm, where they unite, fe- parate, and re-unite feveral times, thus forming a Plexus by which it is furrot nded. The Supeificiai Veins from the back of the Hand (one of whick, belonging to the Little Finger, was teimed Salvatella by the Ancients) go chiefly to the Superficial Radial, and partly alio to the Ulnar Veins. The Superficial Radial Veins form the Vena Cephalica, and the Superficial Ulnar Veins the Vena Bafilica, at the Joint of the Elbow. The Superficial Veins on the Anterior part of ihe Fore-arm communicate laterally with the Radial and Ulnar Veins, and, in the'r afcent, from a Trunk termed Mediana Longa. The Mediana Longa, a little below the bending of the El- bow, is divided into Mediana Cephalica and Mediana Bafilica, which running obliquely upwards, terminate a little above the Elbow, the former in the Cephalic, and the latter, crofling over the Humeral Aitery, in the Bafilic Vein. Though this defcription correfponds with the general diftribu- tion of the Veins of the Fore-arm ; yet, fo great is the variety among them, that they are fcarcely found to agree exaaiy in any two Subjeas. The Basilica, in its afcent, forms the princ:pal Humeial Vein, which paffos alorg the fide of the Os Humeri, a little to the infide of the Humeral Aitery, and receiving Branches from the correfponding fide of the Arm, it luns into the Aim-pit, and forms the Vena Axillaris. The Cephalica afcends at the outfide of the Biceps Mufcle, receives Branches from the adjacent parts of the Arm, and com- municates''in feveral places with the Bafilic, and paffing in the Groove between the Large Pectoral and the Deltoid Mufcle, ter- minates in the Axillary Vein. The Deep Veins, termed alfo Vena Satellites, or Concomites run clofe by the fide of their refpeaive Arteries, one lying commonly on each fide of the Artery, and receiving the Blood from the ad- acent parts. In various places they anaftomofe with each other by fhort Branches, which crofs over the Arteries. 107 Near the Joint of the Elbow, the Deep Radial, Ulnar, and Interoffeous Veins, form a Plexus over the Bifurcation of the Hu- meral Artery. From this Plexus, a fhort but large Branch paffes outwards, and forms a Communication with one of the Subcutaneous Veins, and, in general, the Communication is with one of the Median Veins. „,. The Vena Axillaris, formed by the Trunks of the Superficial and Deep Humeral Veins, receives the Veins correfponding with the Circumflex Arteries, and the Internal, and the Inferior Dor- fal Veins of the Scapula. A little higher, it is joined by the Vena Thoracica Externa, and about this place, changes its name for that of Subclavian Vein. TheVEKA Subclavia paffes betwen the Clavicle and firft Rib, at the inner fide of the trunk of the Artery, and afterwards goes over the fore-part of the Anterior Scalenus Mufcle, at the under end of the Neck. After crofling the firft Rib, it receives the Vein correfponding with the Superior Dorfal Artery of the Scapula, others wh.ch fee- long to the Cervical Arteries, and alfo fmall Veins from the Skin and Mufcles on the back part of the Neck. While fituated in the Neck, it likewife receives the External, and then the Internal Jugular Veins ; and near this laft a Vein of confiderable fize, which correfponds with the Trunk of the Ver- tebral Artery. The Vertebral Vein communicates within the Cranium, by fmall branches, with the Inferior Petiofal Sinufes, or with Oc- cipital Sinufes ; but is chiefly formed by branches arifing from the Spinal Marrow and its Membrane:, and from the Bones and deep-feated Mufcles of the Neck. Behind the top of the Sternum, the Subclavian Vein frequent- ly receives the Inferior Laryngeal Vein, the Anterior External Jugular, and the Internal Mammary Vein.—Be fides thefe, the Left Subclavian receives alfo the Left Superior Litercoftal Vein; after which, it goes acrofs the Root of the Great Aiteries fent up from the Arch of the Aorta, and joins its fellow on the oppofite fide to form the Superior Ca\a. :0«W»----- BLOOD-VESSELS withim the THORAX. Of the Blood Veffels within the Thorax, the Pulmonary Ar- tery ^ and Veins, the Aorta, the Coronary Veffels, and the other Veffels conneaed with the Heart have been uiready noticed. Vol. If. U 1 195 The following are thofe which remain to be defcribed. The Mammaria Interna, whjch arifes from the Subcla- vian, oppofite to the Inferior Laryngeal, and defcends between the Pleura and Camiages of the True Ribs, at the edge of the Sternoin ;—fending off A Small Refieiled Branch to the Integuments and Mufcles ad- jacent to the Clavicle : One or two fmall Branches, termed Thymicte, to the Thymus Gland; and which, like the Gland itfelf, are moft confiderable ia the Young Subjea : A mini:te Branch, termed Comes Nervi Phrenici, which ac- companies the Phrenic Nerve, and after giving Twigs to the neighbouring Membranes, is diftributed upon the Diaphragm : Some fmall Branches, called Med.iajlime, and Pericardia, to the Mediaftinum and Pericardium : Several Branches outwards, to the Intercoftal Mufcles ; and ethers between the Cartilages of the True Ribs at the edge of the Sternum, to the Peaoral Mufcles, Mamma and Integuments, which communicate with thofe of the Thoracica? Externa? : A Large Branch, at the under end of the Thorax, which is difpeifed upon the Diaphragm. The Mammary Aitery afterwards emerges from the Thorax, commonly under the Cartilage of the feventh True Rib, and runs upon the back-part of the Reaus Abdominis Mufcle, upon the upper end of which it is difperled, after fending a Branch to the Oblique Mufcles of the Abdomen. The Intercostalis Superior, which comes off a little farther out than the Mammary, and defcending near the Spine, commonly divides into two or three Branches, which fupply an equal number of Intercoftal Spaces.—It alfo fends a Branch up- wards to the Deep Mufcles at the under and fore-part of ,hc Neck. The Arteri^e BrONCHIales, one in the right and two or three in the left fide of the Thoiax, which are difpeifed upon the conefponding fides of the Lungs. The Bronchialis Dextra, which arifes moft frequently from the uppermoft Intercoftal Artery of the Aorta ; and the Bronchialf.s Sinistra, which are of unequal fize, from the fore pait of the Aorta at a little diftance from each other. The Bronchial Arteries fend fmall Branches to the Efophagus, to the Pofterior Mediaftinum and Pericardium, and afterwards accompany thofe of the Trachea through the fubllance of the Lungs. The Arteri^; EsophagE.S, which are minute Branches arifing from the Aorta, and dffperfed upon the Efophagus, alfo fending Twigs to the Pofterior Mediaftinum. The Intercostales Inferiores, which are nine or ten pairs in number, arifing from the back-part of the Aorta, and « 199 running in the Grooves at the under edges of the Ribs, between the External and Internal Intercoftal Mufcles. They furnifh Branches to the Spine and Spinal Marrow, to the Intercoftal Mufcles, Pleura, &c. alfo numerous Branches to the Mufcles on the back of the Thorax, and communicate with thofe of the Internal and External Mammary Arteries. Veins. The Blood fent to the Thorax by the Arteriae Mammiriae In- terna?, Intercoftales, and Efophageae, is returned to the Heart by the following Veins, viz. The Mammary Interna, which accompany their corre- fponding Arteries, and terminate, the Left in the Subclavian, and the Right in this, or in the top of the Vena Cava. Some fmall Veins, as the Pericardiaco-Diaphragmatic, the Thytnic and'Pericardiac, which, in place of joining the Mamma- ry Trunk, commonly terminate, the Right in the Subclavian, or top of the Cava, and the Left in the correfponding Subclavian Vein. The Ven^e Intercostales, which are the fame in number with their Arteries, and accompany them along the edges of the Ribs. Several of the Lower Left Intercoftals unite into a trunk termed Vena Azygos, which croffes over the Spine about the mid- dle of the Thorax,—behind, but fometimes before the Trunk of the Aorta,—to the right fide. The Vesa Azygos, or Venafine Pari, thus originally form- ed by the Lower Left Intercoftals, afcends on the fore-part of the Spine over the Intercoftal Arteries, at the right fide of the Aorta. At its lower extremity, it generally communicates with one of the Lumbar Veins, or with the Vena Renalis ; and not unfre- quently with the Trunk of the Inferior Cava. Upon the Spine, it receives the Right Intercoftals, and the Right Bronchial Vein ; and turning forwards over the Root of the Great Pulmonary Veflels of that fide, it terminates in the Superior Cava. The Upper Left Intercostal Veins, or fuch as are not received by the Vena A7\'£os, terminate in a trunk on the left fide, improperly called Lejt Vena A~yg;-. t f The Left Vena Azygos, Ll V Bronchial, or Left Superior Intercostal Vein, befides the Superior Intercof- tal Branches, receives the Left Bronchial Veins and Branches from the Efophagus and other parts near it, and terminates in the Subclavian Vein. The Vena Cava Superior,—formed by the union of the Subclavian Veins, with the addition of the Vena Azygos,—paf- fes down at the right fide of the afcending Aorta, perforates the m 200 Pericardium, and terminates in the upper part of the Right Auricle. * Blood-Vessels of the Diaphragm. The Diaphrrgm is fupplied with Blood-veffels from va- rious fources, viz. thofe entering its upper part from the Inter- nal Mammary, already defcribed ; alfo fmall Branches from the Intercoftal and Lumbar Arteries. Its principal Branches, how- ever, are the Phrenic, or Diaphragmatic. TheARTERi/E Diaphragmatic^:, are two in number, one on each lide, which arife from the fore part of the Aorta as foon as it enters the Abdomen. In general, their originis diftina from each other, but fome- times by a common Trunk ; and now and then, one or both, originate from the root of the Cceliaca. They afterwards go obl'quely upwards and outwards over the Crura of the Diaphragm, fpread out into many Branches which are chiefly difpeifed upon its Flefhy fides, and inofculate with thofe which enter at its upper fuiftce. They likewife give fmall Branches to ihe Glandula? Renales, to the Cardia, and parts in general which lie near ihem. The Ven^e Diaphragmatic.*, like their correfponding Arteries, run upon the under part of the Diaphragm, and ternii -' nate in the Inferior Cava, behind the Liver,—the right being commonly a little lower than the left. •C' BLOOD-VESSELS of the CHYLOPOETIC, and ASSISTANT CHYLOPOETIC VISCERA. Arteries. The Arteries of thefe Vifcera, confift of the Ccrliac, and the Superior and Inferior Mefenterics; all of which are A"Zygous or fingle Arteries arifing from the tore part of the Aorta. Arteria Coeliaca. The Arteria Coeliaca, ariies from the Aorta, immedi- ately after it emeiges from between the Ciura of the Diaphragm into the Abdomen ; and is fituated at the upper edge of the Pan- creas. The Trunk of the Coeliac Artery is remaikably fhort, being little more than half an inch in length, before it divides into its three princ pal Branches, called from their dcftination, Superior Gaftric, Hepatic, and Splenic. 201 The Gastrica Superior, or Coronaria Ventriculi Superior, is the final left of the three. It goes upwards, and a I ttle towards the left, to reach the right fide of the upper Ori- fice of the Stomach. Here it fends Branches to the Cardia, which encircle it, and afcending fomeway upon the Efophagus, communicate with the Arteria: Efophagese. The Trunk of" the Artery afterwards divides upon the fmall Curvature of the Stomach, into principal Branches, feme of which run acrofs the upper and under Surfaces, and other* ob- liquely towards the right fide; fupplying a large portion of the Stomach, and fending Twigs to the Omentum Minus,—while the Trunk is frequently extended as far as the Pylorus. The Arteria Hepatica, the lai;geft of the tlnee, paffes ob- liquely upwards, towards the Pylorus,—before, and a litttle to the right fide of the Lobulus Spigelii,—till it arrives at the Ca- vity of the Liver called Porta. Where it approaches the Porta, it divides into the Gaftroica- Inferior Dextra, and the Proper Hepatic Artery. The Gastrica Dextra, or Gastrica Inferior Dex- tra, or Gastro-Epiploica Dextra, fends out— The Arteria Pylorica, which, however, is frequently produced immediately from the Hepatic Artery. It gives Branches to the Pylorus and other parts about the fmall end of the Stomach, and afterwards runs fome way along its fmall Curvature, inofcula- ting with the Superior Gaftric Artery. Befides this principal Branch, there are a few fmaller ones fent from the Gaftrica Inferior to the Pylorus. The Duodenalis, which is difperled upon the beginning and right portion of the Duodenum, along with other Branches com- ing from the fame fource, but of inferior fize. Rami Pancreatici, diftributed to the right end of the Pan- creas. After furnifhing the Branches already mentioned, the Inferi- or Gaftric Artery paffes under the Pylorus to the great Curva- ture of the Stomach, along which it runs; being included, to near its large extremity, in the Layers of the Anterior Portion of the Omentum. In this courfe, it fends oft— The Rami Epiploici, which are long and flender Branches dif- peifed upon the Epiploon or Omentum. The Rami Gaftrici, which pluiu-ing fuddenly into both fides of the Stomach, communicate with the Pyloric and Sup rior Gaftric Arteries. The Hepatic Artery, having given out the Inferior Gaftric, and frequently, the Pyloric Arteiy, foon divides into two prin- cipal Branches, a right and left, of unequal fize, which run 202 into the Porta;—the on-,—-nder the Hepatic Du** — © fupply the great, aad the other the liiall Lobe of the Liver. Frcm the Right Branch, before it plunges into the Liver, is fent off the drtericFCyjlica afterwards divid ng into two lmalier Branches, termed Gemella, which are difpeifed upon the Gall- bladder. Frequently, befides the Hepatic Artery fent of from the Coe- liac, there is another, coming fometimes fr. m the Superior Gaftric, at other times from the Superior Mcunteric Aiteiy, to be lent into the L'ver. In fuch cafes, the i runk which gives origin to this additional Artery is greater than ufual, and t!,« Hepatic Branch which it accompanies is proportionally fmaller. The Arteria Splenica, nearly equal in fize to the Trunk of the Hepatica, takes a long and ferpentine comfe acrofs the left fide of the Body ; running firft behind, then at ihe upper part of the Pancreas in its way to the Spleen. Its Branches arc. i he Rami Pancreatici, which are few in number and fma I. They run from the Splenic .Artery nearly at right angels, and fupply the greater part of the Pancreas. The Gaftrica Siniftra, Gaftrica Inferior Siniftra, or Gaftro- Epiploica Siniftra, which is confiderably inferior in length and fize te the Gaftrica Dcxt a. It communicates by its Branches with the Gaftrica Superior, and Inferior, while its Trunk runs a little way towards the right fide along the great Curvature of the Stomach. It fends feme Rami Pancrea ../, and Gaftro-Epiploici, am' Mefo-colici Suiiftri, to the Pancreas, left portions of the Omen- tum and Mefocolon; while its Tiunk fiequently forms a com- mon Arch widi the Gaftrica Dcxtia. Thiee or four confiderub.e Branches, termed Vafa Brevia, or Arteria Breves, which run to the left part of the great Curva- ture of the Stomach, to be diftributed upon its lat?.e xtcnity ; their Ramifications anallomofn*^ vri.h thofe of the Superior and of the Left Inferior Gaftric Arteries. The Rami Sp'enici, 1. vera I in number and of confiderable fize, which go at the concave fide of the Spleen, to be diftributed throughout the whole of its fubftance. Mesf.nterica Superior. The Mesenterica Superior arifes from the Aorta, im- mediately below tie Cceliac Artery, which it equ ds in fize ; and running under the Pancreas, and then over the Duodenum, it paffes between the Layers of the Mefentery towards the under fide of the Abdomen. In its defcent, it is bent a little to the left fide, its lower ex- tremity turning towards the beginning of the Colon. From the convex fide of the Artery, many large Branches are fent off to the fmall Inteftines; while others proceed in the oppo- fite direaion to the right fide of the Colon. 203 The Firft Arteries fent off from the Trunk are very inconfHe- rable, running to the Pancieas and to the left portion of the Du- odenum, and commun.cuting therewith Branches of the Cceliac Artery. The principal Branches from the left fide of the Trunk re difpeifed upon the Jejunum and Ilium, fupplying, in theircourfe, the Layers of the Mef. ntery with the parts it contains. The firft of thefe Branches arc fhort and fmall, thofe which fucceed gradually incieafe in length and fize to the middle of the Arch, after which they diminifh again fomewhat in the fame pro- portion towaids the lower part of the Ilium. In their courfe through the Mefentery, the principal Branch- es communicate, firll by reciprocal Arches, then by Areolae of diftcrent fi ures, winch incrcafe in number, but dimin.fh in fize as they approach the Inteftines. Fiom thefe Areolae, many Branches are detached, which take a ftraight courfe to the Inteftines, and are afterwards ramified through their fubftance, forming numberiefs Anaftomofes with each other. The Branches produced from the right or concave fide of the Trunk are fituated between the Layers of the Mefo colon,— their length being almoft equal to the breadth of that Membrane. Near the Inteftines, ihey communicate by large and then by fmaller Arches : Thefe laft, however, are lefs frequent than thofe which belong to the fmall Inteftines. The principal Branches are the following.— The Ileo-colica, which arifes near the under part of the Trunk, fupplies the end of the Ilium and beginning of the Colon, and communicates with the Branches fent from the extremity of the Trunk of the Artery. A Short Trunk, which divides into— The Colica Dextra, for fupplying the right fide of the Colon, —its Branches commun eating with thofe of the Ileo-colica : And The Colica-Media, or Media Anaftomotica, which proceeds to the great Arch of the Colon. Near the Colon, the Colica Media divides into two large Branches ; one formin.; an Arch with the Dextra, the other with a Branch of the Mel'enterica Inferior. From the oppofite fide of the Colon, Branches of this Artery run to the Omentum, and communicate with the Gaftro-Epiploic Aiteries. Befides the Colic Branches already defcribed, there is frequent- ly an additional one, which arifes from the beginning of the Su- perior Mefenteric Aitery, and in its Tifcent Fp I its into two others, one of which, uniting wiih ehe Colica Media, forms the lane Mefocolic Arch, and the other a fimilar Arch with the afcending Branch of the Inferior Mefenteric Artery. 20 1- Mesenterica Inffrior, The Mesenterica Inferior arifes from the Aorta fome- what lowei than half way between the Superior Mefenteric and the Bifurcation of the Aorta. It defcends obliquely upon the left Pfoas Mufcle, and foon divides into pnncipal Branches. Thefe near the Inteftine join with each other, and form Arches, from which others go off compofing Aieolae in fome meafure fi- milar to thofe which belong to the right fide of the Colon.—The principal Branches are :— The Ramus Afcendens, which divides near the Inteftine, into two Branches ; one of which joins the Colica Media, to form the great Mefocolic Arch, the other is refleaed upon the left portion of the Colon. The Colica Siniftra, which is frequently double from its ori- gin, or at other times fplitting intwo two Branches, one joining the Ramus Afcendens, the other pafling down by the Sigiuo.d Flexure of the Colon. The Hemorrhoidalis Interna, which is the Trunk continued. It anaftomofes with the Col ca Siniftra, and afteiwaids defcends upon the back-part of the Reaum to near ills under extremity. Veins. The Veins which return the Blood from the Chylopoetic and Affiftant Chylopoetic Vifcera, accompany their refpeaive Arte- ries,.—the Hepatic Branch excepted.—They have, like their Ar- teries, large and fiequent Communications with each other, aie much fuperior irt fize, and, as well as the other Veins of the Vil- cera fituated in the great Cavities, are deltitute of Valves. The following are the Principal Trunks. The Mesenterica, or Mesaraica Minor, or He- morrhoidalis Interna. The Mesentlrica Minor, running up at the left fide of the Spint, receives— The Proper Vena Hjemorrhoidalis Interna, which returns the Blood from the Inteftinum Reaum;—the name ob- tained from the Vein being fuppofed to be conneaed with the Tumours called Hamorrhoids or Piles. The Vena Colica Siniftra, which return the Blood from the left portion or fide of the Colon. A Vena Duodenalis, which leturns the Blood from the left portion of the Duodenum. The Mefenteiica Minor commonly terminates in the Vena Splenica, though not unfrequently in the Mefenterica Superior. Vena Splenica.—The Vena Splenica, fituated at the under fide of its Artery and immediately behind the Pancreas, re- Cl'v; S--- L'05 The Rami Splenici, which return the Blood from the Spleen : The Rami Pancrealici, which pafs from the under end of the Pancreas : The Vena Breves, or Vafa Brevia, which come from the left or great end of the Stomach : The Vena Gaftrica Siniftra, or Epiploica Siniftra, which comes from part of the great Arch of the Stomach, and correfponding portion of the Omentum : The Gaftrica Superior, which comes from the fmall Curva- ture of the Stomach and Omentum Minus, and goes into the Splenic near its termination, or into the beginning of the Vena Porta?. The Splenic and Inferior Mefenteric Veins, after receiving their refpecbve Branches, form a fhort Trunk which joins the Superior Mefenteric. Vena Mesenterica Superior, or Major. The Great Mefenteric Vein, fituated at the under fide of the Artery, re- ceives— The Rami Mefenterici, which are very lar^e and numerous, re- turning the Blood from the Jejunum and Ilium,—-the Branches going into the left fide of the general Trunk. The Ileo-Colica, which comes from the end of the Ilium and beginning of the Colon. The Colica Dextra, which belongs to the right fide of the Co. Ion, and terminates in the right or concave fide of the Mefenteric Trunk. The Colica Media Anaftomotica, which comes from the riq;ht portion of the Great Arch of the Colon, forming, with the de- fcending Branch of the Mefenterica Minor, a largj Arch fimilar to that of the cotrel'pondmg Artery, and terminating alfo in the right fide of the Trunk. The Gafiro-Epiploica Dextra, which belongs to the right por- tions of the Stomach and Omentum, and frequently unites with the Veins from the fide of the Colon, forming a fhort common Trunk, which has the term of Gaftro-Colica applied to it. The Pylorica and Duodenalis, which f. metimss terminate in the Superior Mefenteric, at other times in the Gaftrica Dextra. The Great Meienteric Vein, formed by the Branches mention- e 1 above, paffes over the beginning ot the correfponding Artery, and joins the Vena Splenica. The Trunk formed by thefe Veins, runs under the head of the Pancreas, and here obtains the name of Vena Porta, or V. Port arum. Vena Porte. The Vena Port*., formed by the two Mefenteries, and by the Splenic Vein, returns the Blood from the Stomach and Intef- tines, and from the Spleen, Pancreas, and Omenta. Vol. If. S The under pirt cf the Venn Portar is termed by fome Authors / nn Porta Abdominalis, or Ventialis; while the upper part,— beiiiii of great fize, but without having any particular Dilatation it it,—-s cilled Sinus of the Vena Poriae. Tue Vena Potta?, at its beginning, frequently receives the Ve- na Gaftrica Dextra, the Gaftrica Superior, the Pylorica, and the Duodenali-;, which at oilier times terminate in one of the great Trunks which foim it. It p .lies upwards, inclining a little to the right in its courfe lo the L'Ve-r, having the Tiunks of the Biliary Duas before, and the Hepatic Aitery on the left fide of it,—and is about tince or four inches in length. When it reaches the Porta of the Liver, it receives the Ven» Cyfticae into its Tiunk, or into its right chrifion, either by two feparate Branches, or thefe united into a fingle Vein. In the Porta, it divides into two great Branches, a right and left, l'v metimes termed Vena Porta Hepatica, which go off nearly at right angles, to be difperled, through the fubftance of the li- ver, after trie manner of an Artery, the fubordinate Branches ac- companying thofe of the A. Hepatica. From the extremities of the Vena Portarum, and likewife from the extremities of the Hepatic Aitery, a fet ot Veins arife, term- ed Vena Hepatica, and fometimes Vena Cava Hepatica, which accompany the Branches of the Hepatic Aite.y and Vena Por- tarum. The Branches of the Venae Hepatica? afterwards unite into lar^e Tiunks, which iecede fiom the Hepatic Aitery and Vena Porta?, and terminate in the Inferior Cava. Their termination in the Cava is by two, and frequently by three Trunks, at the place where it perforates the Diaphragm ; but commonly, below this, a few fmall Hepatic Branches go into the Cava whtie it is fituated behind ihe Liver. BLOOD-VESSELS of the ORGANS of URINE and GENERATION. Arteria Renalis. The Arteria Renalis, called alfo A. Emulgens, arifes from the fide of the Aorta, a little below the rout •f the Superior Mefenteric Arteiy. It commonly comes off by one large Trunk, though frequent- ly by two or moie, in which cafe, each of thefe is fmaller than when the Aitery is fingle. It runs acrofs the Spine and Pfoas Mufcle, nearly in a tranf- verfe direaion. The Arteiy of the ri^ht fide goes behind the 207 Vena Cava, an 1 is longer than the left, in confequence of the Cava being fituated between the Aorta and the Right Kidney. At the concave edge of the Kidney, the Ariery divides into th ce or four Branches which fometimes fend Tw,oS to the Glandula Renalis and Tunica Adipofa of the Kidney. Tttt Renal Branches then plunge into the fubftance of the Kid- ney, furround its Pelvis, and afterwards ramify chiefly in its Cortical Subftance ;—forming Arches' with eaeh other, but few in number, at the i\;oN of the Pnpill*. The Vena Ren \Lis, or Emulgens, terminates in the In- ferior Cava; and is more fuperficial tiian its correfp-mdinrr Arte- ry. It is the 1 irgeft Vein received by the Cava from its origin to the part where it reaches the Lever. The left Renal Vein is the longer of the two ;— the Aorta, be- fore which it paffes, being fi;uaiea between lite Cava and Left Kidney. AitTERra: Capsularfs. The Arterire Cipfubres, or Ar- teries of the Renal Capfules or Clan.:*, are fmall but numerous. They are derived from the Renal and Diaphragm.it..- A't-rics ; and, in general, the left Renal Gland receives aud.tLnai Branches fiom the Trunk of the Aorta. The Ven^: Caisulares commonly unite in*) a large Trunk, which, in the left lide, terminates in that of the Kidney, while in the right it frequently goes into the Lava. Arterive Adipos^e. The Arteries which fupply the Tu- n'ca Adipofa of the Kifney are numerous Twigs proceeding from the Diaphragmatic, Capfular, and Renal Arteries, or from others near it. The Veins which return from the extremities of thefe Aiteries pafs into the Trunks adjacent. Arteria Sperm atica. The Spermatic Artery, the diame- ter of which is fmall when compared with its great length, arifes oppofite to its fello v, from the foic-part of the Aorta, a little below the Renal Arteries. Sometimes it aides from the A. Renalis, at other times a little higher from the Aorta, and in rarer inltances from the Diaphrag- matic Aitery. It defcends, in a waving direaion, on the furface of the Plba» Mufcle, covered by the Peritoneum ; the rL'ht pafling obliquely over the Cava, the left behind the Colic Arteries of the fame fide, and both befoie the Uieters to the un.ier part of the Abdo- men. After this, it perforates the R ng of the Obliquus Externus, and runs in the Spermatic Coni, where it divides into Blanches which are difi.erfed in a very convoluted manner upon the Tellicl? and Epididymis. ■ In the defcent of the A-tery it imparts— 7ve-igs to the Tunica Adipofa of the iv'dn y. To the Pc/iio.-.euin and Cellular SublLniec- near it;—and 208 To the Ureters,—wheh are alfo fupplied with other Arteries from the adjacent Veflels, viz. from the Renal and Capfular Ar- te: les, from the Aorta, the Iliacre and Veficales. The Vlna Spermatica is much larger than its correfpon- ding Aite.y, and is furnifhed with Valves within, but more par- ticularly without the Abdomen. It forms a Plexus which accompanies the Artery, and about the place where it recedes from it, which is nearly oppofite the under end of the Kidney, it forms a fingle Trunk, which in tho rirjht fide goes into the Cava a little below the Emulgent Vein, and in the left into the correfponding Vena Renalis. Befides the Arteiy commonly termed Speimatic, the Tefticle generally receives a Minute Branch, which arifes from the Hypo- gaftric, and accompanies the Vas Deferens to the Body of the Tefticle upon which it is difperftd,—communicating theie with the Branches of the Spermatic Arteiy. The Vein proper to this Arteiy, terminates in the Vena Hypo- gaftrica. The Spermatic Artery, in the Female, has the fame kind of Origin, and the fame courfe through the Abdomen as in the Male ;—but in place of perforating the Abdominal Rinr, as it does in the latter, it defcends into the Pelvis, between the Lamina of the Ligamentum Latum, to be difpeifed firft upon the Ova- rium and Uterine Tube, and then upon the Body of tiie Uterus itfelf,—paffing in at its corner, and communicating with the Ar- tery of the oppofite fide. The Spermatic Vein has the fame termination in the Female as in the Male,—but is confiderably larger. ARTERltft iLiACffi. The Iliac Arteries confift of the Tivo Common lliacs, which are formed by the Bifurcation of the Aor- ta ; and of the External and Internal lliacs of each fide, which are formed by the Bifurcation of the Iliacx- Communes. The External Iliac paffes out of the Abdomen behind the Li- gament &/POUPART ; the Internal, termed alfo A. Hypogafti ica, defcends obliquely into the Pelvis. At the fide of the Pelvis, the Internal di'.ides into many Blanches, feme of wh;ch belong to the Organs of Urine and Ge- neiation, the reft to other pai'ts of the Pelvis and adjacent p..its of the Thigh. The following are the Branches fent from the Hypogaftric Ar- tery to the Organs of Urine and Geneiat'on. Arteria UmbiL'CALIS. The Arteria Umbilicalis appcais in the Foetus as the continued 'Trunk of the Interna! Iliac ; but in the Adult, is fhrivelled in the form of a Ligament, excepting at its beginning or under part. The beginning of the Umbilical Artery gives off- One or more Arteria Vejicoles, which run to the m der pa> t of the Bladder, and extend itlos c, its fides as far as the fundus Vc- 2':r' fir ae. At their origin, they furnifh Twigs to the Veficuli: Semi- i. ales, Proftate Gland, and Redlum. In the Female, the Umbilical Artery fends minute Branches to the Uterus and Vagina. Arteria Uterina. The Arteria Uterina, termed alfo Ute- rina Hypogaftrica, is much larger than the Spermatic Artery. It arifes from the Hypogaftric, near the origin of the A. Pu- dica, and runs into the Uterus at its under extremity. It is afterwards refleaed upwards along the edge of" the Uterus, towards its Fundus or upper part, where it meets with the Sper- matic Artery, with which it forms frequent Anaftomofes, and afterwards many Communications with the Uterine Artery of the opp-.fife- fide. The (J erine Artery fends Branches downwards to the fub- ftance of the Vagina, and others forwards to be difpeifed upon the Bladder. Artkria Vaginalis. The Arteria Vaginalis is frequently awanting.—When prefent, it arifes from fome of the Branches of the Hypogaftric,—as that common to the hchiadic and Pu- dic,—or from the Haemorrhoidalis Med.a ; and is diilributed upon the under part of the Vagina. B.-fides this, there are other Vaginal Branches from the neigh- bouring Arteries ; a; from the Veficales, Uterina, and Pudica, which communicate with each other, and with the proper Vagina- lis, upon the fubftance of the Vagina. Arteria Pudica, or Pudenda Communis.—The> Arte- ria Pudica, named from its belonging to the Parts of Generation in both fexes, comes off either immediately from the Trunk of the Hypo.^afti ic, or from the A. Kchiatica. It paffes our of the Pelvis, ihrough the under part of the Notch of the Os Ilium, at the lower ed^e ef the Pyriform Muf- cle. It then turns between the Sacro-fciatic Ligament*, to get to the inner fide of the Tuber llchii, where it is lodged deep in the C:!lular Subftance. From the Tuner, it proceeds along the inn jr fide of the Cms of th ■ Os li'chium and of the Os Pubis, and behind the Crus of the Penis, tdl it approaches the Symp'iyiri of the Pubis. In it. counc, it fiends off many Brancues, of which the follow- ing are the principal, viz.— Branibes to the Veficulje Seminales, Prolt te Gland, Neck of the Bladder, and Reectutn. Branches to the Mufcles and parts adjacent to the Sncro-fcia- tic Ligaments ; fome of them extending ai far as the Joint of the Thiyh-bone. Branehesto the Mufcles, Membranes, and Fat about the Tu- ber of the Os Ifciuum. Vol. 11. S2 21t> The Arteria Hamorrhoidalis Externa, which foon divides into Branches, to fupply the Mufcles and Integuments about the verge of the Anus. The A. Perinei, which paffes under the Tranfverfilis Perlnei Mufcle, in the fpace between the Cms of the Penis and Bulb f the Urethra, and gives Branches to the Skin and Mufcles at the fore-part of the Anus and root of the Penis, and to the Scro- tum ; while the Artery itfelf terminates on the under fide of the Penis. After difperfing the Branches already mentioned, the Pudic Artery divides, at the root of the Penis, into three principal Branches, viz.— The Firft Branch, which pafl'es into the Bulb of the Urethra, and is continued forwards in the Corpus Spongiofum Urethrse, into ihe Cells of which many of its Branches open. The Second Bianch, termed Proj'unda Penis, which gees into the Crus Penis, anddireas its courfe in the Corpus Cavernofum ; its Branches communicating with the Aitery of the oppofite fide, and with the Cells of the Penis. ■The Third Branch, called Dorfalis Penis, which turns be- tween the Symphyfis of the Pubis and root of the Pen's, and pro- ceeds along'the Dorfum, as far as the Glans, adhering clofely to the L'gamentous Subftance which indoles the Corpora Caver- nofa, and fending Branches to it and to the Integument9. In the Female, the Pudic Artery has the fame general courfe as in the Male. After reaching the inner fide of the Tuber of the Os Ifchium, it is extended forwaids, and fends Branches to the Anus, Peri- neum, end of the Vagina, and Labia Externa, and terminates in the Clitoris, fomewhat in a fimilar manner as in the Penis. The Blood is returned from the Branches of the Hypogaftric Aitery difpeifed upon the Organs of Urine and Geneiation, by the following Veins, viz.— The Vena Veficalis, which returns the Blood from the Bladder. The Vena Uterina Hypogaftrica, which comes from the Uterus. The Vena Magna Ipfius Penis, which runs along the middle cf the Dorfum, and is often double to near the root ot the Pe- nis ; after which it paffes between this and the Arch ot the Pu- bes, forming a Piexus which furrounds the Neck of the Bladder, and fending out Branches which terminate in others at the lides of this Vifcus. The Vena Pudica, which communicates anteriorly with the Branches of the Vena Magna at the root of the Penis, and after- wards paffes back with the correfponding Artery. The Vena Tegmentorum Penis, which is formed by fmall Sub- cutaneous Branches, and ends in the top of the Femoral Vein. The Veins above-mentioned, the laft excepted, terminate in the Hypogaftrica, along with other Veins belonging to the Pelvis, to be afterwards defcribed. 211 BLOOD-VESSELS of the CONTAINING PARTS o» the ABDOMEN, and of the PELVIS and INFERIOR EXTREMITY. Arteri* Lumbares.—The Lumbar Arteries, which are commonly four in number on each fide, arife in pairs from the back-part of the Abdominal Aorta, in the fame manner as the In- tercoftals do from the Aorta in the Thorax. They run firll over the fore-part of the Bodies of the four up- permoft Lumbar Vertebraae, and afterwards go between them and the Pfoae Mufcles, in their way towards the fides of the Abdo- men. .» They give Branches to the Spine, to the Spinal Marrow and its Membtanes ; are particularly difpeifed upon the Lumbar Mufcles, and upon the Tranfverfus and Obliqui Abdominis; and perforating thefe, they alfo furnifh Branches to the large ITnfcles and the Integuments in the back-part of the Loins. Superiorly, they communicate with the lower Intercoftal and Diaphragmatic Arteries. Sacra Media. The Sacra Media is a fmall Azygos Ar- tery, which arifes from the under and back-part of the Aorta, immediately at its Bifurcation. It generally fends offa Branch over each fide of the laft Ver- tebra of the Loins, which takes nearly the fame courfe back- wards with the Arteria? Lumbares. The Sacral Artery afterwards defcends along the middle of t^e Sacrum, as far as the Os Coccygis, fending Branches to the Membranes and Subftance of thefe Bones, and to the back-part of the Reaum. Iliac* Communes. After giving off the Arteries of the Contents and of the containing parts of the Abdomen, the Aorta, upon the und-r part of the Fourth Lumbar Vertebra, divides into the Two Common Iliac Arteries, which are of equal fize. They pafs obliquely downwards and outwards ; and at the un- der au*l lateral pans of the laft Vertebra of the Loins, i. e. oppo- fite to the pofterior Symphyfis of the Pelvis, each divides into two others, an Anterior, termed Iliac a Externa, and a Pofterior, termed Iliaca Interna, or Hypogaftrica. Iliaca Externa. The Iliaca Externa, which appears in the Adult as the continuation of the common Trunk, defcends along the Brim of the Pelvis, taking a curved direaion by the fide of the Pfoas Mufcle, and afterwards paffes behind the Liga- ment o/Poupart, to form the Femoral Artery. In this courfe, it does not fend off any Branches, excepting fometime; a Twig or two to the Peritoneum, Pfoas Mufcle, &j. 21'2 till it is about to leave the Abdomen, where it gives rife to two principal Arteries,—the Epigaftrica, and Circumflexa Offis Ilii. The Arteria Epigastrica, obtaining its name from its fituation in the fore-parr of the Belly, goes off from the inner fide of the Femoral Artery, immediately before that Veffelgets behind the Ligament o/Poupart. At its origin, it is a little bent downwards, and about half an inch from the place where it firft comes off, it croffes obliquely upwards and inwards, behii d the Spermatic Cord in the Male, and round Ligament in the Female. It proceeds in this oblique manner behind the Tendon of the Tranfverfuf, till it reaches as high ns the point of the Pyramida- Iis, after which it takes a perpendicular direaion along the back- part cf the Reaus Abdominis Mufcle. It furnifhes Branches to the Mufcles, Integuments, and Mem- branes of the fore-part of the Abdomen, communicates in feve- ral places with the Lumbar Arteries, and terminates a little above the Umbilicus, where it foims feveral dillina though fmall Anaftomofes with the under end of theMammaiia Interna. Circumflexa Ossis Ilii.—The Circumflex Artery of the Ilium, almoft as large as the Epigaftric Artery, arifes nearly op- pofite to it, though frequently a little lower,—immediately be- hind the under end < f the Fallopian Ligament. Tt runs at the under edge of the Os Ilium, till it arrives near the Vertebra* of the Loins. It gives Branches to the Pfoas and Iliac Mufcle?, to the under end of theObliqui and Tianfverfus Abdominis, and at length communicUes with the Epigaftric, and wilh the Inferior Aite- ries of the Loins. Iliaca Inti rsa. The Iliaca Interna, or Hypogaftrica pafl'-s downwa.ds and backwards in the pofterior and lateral part of the Cavity of the Pelvis, for about a couple of Fingers- breadth, afte. which it generally divides into a Pofterior and*An- terior Set of Branches ; the former fupplying the parts neaieft the Sacrum and Ilium, the latter belonging more immediately to the paito about the Anterior region of the Pelvis. 1'i terior Branches? Ileo-lvmbarts, or Iliaca Interna Minor. The Ileo- lumbar is a fmall Arteiy, arifing fometimes from the e<-d ot the i.ypogaftric, at'other times from the beginning ot the Giutea. It paffes outwards under the Pfoas Mulcle,"and div des fud- denly into Branches, one of which frequently fotms a kind of Lumbalis lma. T'u other Blanches go to the Pfoas and Iliacus Internus MutJo, communicating there with the Lumbar Arteries and C rcumflex Brant lies of the Ilium;—a particular Twig cot. lt.tu- ing an A. Nutritia, or Medullaris ot the Os Ilium. 213 Sacr/e Laterales. Thefe are generally two or three in number, arifing from the common Tiunk, or frequently front th.-Gluteal Aitery ;—though fometimes, there is only a fingle Artery, which defcends by the fides of the Sacral Holes, giving Branches, which fupply the place of the Sacrae Laterales, ar.d fometimes alfo of the Sacra Media. They furnifh Branches to the Membranes on the furface of the Os Sacrum, and inofculate by crofs Twigs with the Sacra Me- dia. Their principal Trunks enter the Anterior Sacral Holes, to be diftributed upon the Cauda Equina and the Membranes and Bones inclofing it. Arteria Gi.utea.—This is fometimes teimed Iliaca Po- fterior, and is the largeft Branch of the Hypogaftric Artery. Soon after it arifes, it paffes through the upper part of the great Notch of the Os Ilium, and is refleaed over the edge of the Bone, in the manner of the Inferior Scapubry Artery. At the under edge of the Gluteus Medius, it is divided into two fc-ti of Branches, one of which runs in a rad ated direaion clofe upon the Bone, and is chiefly difpeifed upon the two fmaller Glutei, while Branches of inferior fize run fome of them down- wards to the Mufcles and Ligaments about the Joint of the Thigh, and others backwards to the parts about the Sacrum, communicating with the Lateral Sacral Arteries through the Po- fterior Foramina of the Os Sacrum. The other fet of Branches of the Gluteal Artery creeps in be- tween ihe Gluteous Medius- and Maxmus Mufcles, upon the latter of which it is chiefly difpeifed. Anterior Branches. Arttria Obturatoria, or Oeturatrix.—The Obturator Arteiy has its origin from the Trunk cf the Hypogallric, or from the Ileo-lumbar or from the Ilchiatic, and fometimes from the end of ihe Iliaca Externa. It defcends in the Pelvis by the fide of the Pfoas Mufcle, and afterwards paffes through the Hole at the upper part of the Ob- turat r Ligament. While in the Pelvis, it frequently gives Twigs to the Bladder and ether pni ts near it. After perforating the Ligament, it divides into Branches, one fet of which are difperled upon the parts about the Hip-joint, while another briong to the Obtmator Mclcle, and to the Muf- cles which are fituated at the upper and inner part of the Thigh, .—the two fets of Branches inefculatin; with each oiher. Art7ria Umbilicalis.—The Umbilical Arteiy fends < ft Rami Veficales fiom its under part or beginning ; the reft of it, in the Aduli, being Ihrivelled into Lirjainent, as alicady obTer.'cd. 2\4 VEsrcALis Ima of Haller.—This is a Ion* and (lender Branch which frequently comes off from the root of the Pudica, and runs to the under part of the Bladder, ;md to the Piollate Gland. Arteria Uterina. The Uterine or Uterine-Hypogaftiic Artery, is difperf-d upon the Uterus, as has been already de- fcribed. H/emorrhoidalis Media. The middle Hemorrhoidal Artery is fometimes fent -off from the original Tiunk, and at other times from fome of its Branches, jh the Pudic in the Male, or Umbilical in the Female. It is chiefly diftributed upon the lower end of the Reaum, where it anaftomofes with the Ha.-morrlioidalis Interna. It fre- quently fends Branches to the under part of the Bladder, to the Veficula: Seminales and Piotfate in the Male; and to the Va- gina and Bladder in ihe Female. Pudica Communis.—The Pudica Communis, termed by fome Authors FLemorrboidalis Externa, belongs to the p..its of Generation and Anus, as was tormeily liken notice ef. Arteria Sciatica. The Sciatic, or Ifchiatic Aitery is the largeft of the Uinc Branches, the Glutea excepted. It goes through the under part uf the Sciatic Notch, accom- panied by the Nerve of that nan-e having the Pyriform Mufcle between it and the Glut -A Artery. It afterwards defcends fonieway down the Thigh, in compa- ny with the Sciatic Nerve, in the hollow between the great Tro- chanter ct the Thi^h bone and Tuber of the llchium,—coveied by the Gluteus Masimus Mufcle. It fends an Artery backward?, termed A. Coccygea, which creeps along the Sacro-Sciatic Ligaments, fumifhing Branches to the parts about the Os Coccy is, and others which alcend from it, and anaftomofe with fome of the lateral Sacral Arteries through the Holes in the back-part of the Os Sacrum. The principal Branches of the Sciatic Arteiy, however, aie difperfed upon the under part of the Gluteus Maximus Mufck, and upon thofe at th» upper and bacR-part of the Thigh, where they communicate with the Ooturator and Pudic Arteries. Arteria Femoralis. The Femoral or Crural Artery,*—the continuation of the External Iliac,—pafl'es out of "the Abdomen between the Li- gament of I'ouPAR't and Brim or the Pelvis. "At its firft exit, it is fituated fuperficially over the Ball of .the Os Fcmoris, having the Fiexois of the Thigh between it and the Joint. Farther down, it is lodged deep in a hollow at the upper and inner, pait of the Thigh, having the Reclus and Sartorius upon th? outer, and the Adduaoies ietnoris upon the inner fide ot it. •15 Here, it is coveied by the Glands of the Groin, and by the general Aponeurofis and Fat ; and from this pait it defcends" at the inade ot the Thigh turning gradually backwards till it reach- es the Ham. From the top cf the Femoral Artery, a few fmall Branches are fent off to the Superficial Mufcles and Inguinal Glands, and to the common Integuments at the upper part of the Thigh ; alfo one or two others termed Pudica Externa, to the External Parts of Generation and Integuments of the infide of the Thigh. About two Fingers-breadth below the Ligament of Poupart, the Femoral Arteiy divides, fomewhat like the Common Iliac, into Anterior and Pofterior parts :—The former is,the Femoral Artery ftriaiy fo called, the latter is termed Profunda Femoris. Profunda Femoris. The Arteria Profunda, alfo called Vast a, Posterior, or Muscularis Femoris, immediately at its origin from the Fe- moral Artery, gives off two large Blanches,—the Circumflexa In- terna, and Cicumflexa Externa,—which run in oppofite direaions at the upper part of the Thigh. The Circumflexa Interna, though moft frequently com- ing off from the beginning of the Profunda, often arifes higher than it, fiom the top of the Femoral ; and there, are now and then two of them, one a little lower than the other. It paffes between the under end of the Pfoas, and the Peaina- lis Mufcle, and .afterwards turns round the inner part of the Joint of the Thigh. It fends off— Large Branches to that portion of the Adduaor Mufcles which belongs to the upper part of the Thigh. Small Branches to the Mufcles in the vicinity of the Trochan- ters. A Branch, termed Articularis Ace tabula to the Capfular Liga- ment of the Joint. A Tvjig, which enters the breach at the uflderand fore part of tlie Acetabulum, to be difpeifed upon the Ligamentum Rotun- dum and the fubftance called Gland of the Joint. A confiderable Branch, which-anaftoinoles with the Trunk of the Obturator Artery :—And Smaller Branches which communicate with the Aiteria Sci- atica, f. Circumflexa Externa.—The Circumflexa Externa arifes for the moft part nearly oppofite the former, but frequently a little lower.—Now and then this artery has a double Origin, one of the Tiunks coining off higher than the other. It paffes outwards between the upper ends of the Reaus, Ten- for Vu;inx Ferrioris, and Vaftus Externus Mufcles, and over the Great Trochanter of the Os Fenaoirs. 21 fi It fends Branches upwards to the under part of the Glutei and lo other Mufcles placed at the inferior and back part of the Pel- vis,-which anaftomofe with thofe running down from the Aite- ria Sciatica. Others which have more of a lateral direaion, and are diftri- buted upon the Mufcles at the upper and back part of the Thigh, and upon thofe more immediately about the Joint,—communica- ting with the Branches of the Circumflexa Interna. The largeft Branches defcend between the Reaus Femoris and Vaftus Externus ; one, longer than the reft, reaching almoft as far as the outer part of the Knee. The Profunda Femoris, having detached the Circumflex Ar- teries, finks deep behind the Trunk of the A. Femoralis, and is fituated upon the Adduaor Mufcles of the Thigh. In its defcent it is divided into principal Branches, termed Rami Perjbrantes, which, after fending off fmall Branches to the Triceps Mufcle, perforate it to be difpeifed upon the Flexors on the back part of the Thigh. The Pcrforantes come off in the following fucceflion, viz. The Perforans Prima, which arifes rear the Small Trochan- ter, perforates the Triceps a little farther down, and furniflies Blanches to the Mufcles in the upper and back part of the Thigh. It forms numerous Communications with the Circumflex Ar- teries, about the root of the Great Trochanter, and anaftomofes in particular with the under end of the Sciatica.- The Perforans Secunda or Magna, which comes off fome-way below the former, and is the largeft of the perforating Aiteries. It gives Branches to the Mufcles in general about the middle of the back-part of the Thigh, particularly to the Flexors of the Leg; and communicates above with Arteries ot the Perforans Prima, and with the Circumflex Arteries. Befides thefe, there is one, and fometimes two other perfora- ting Branches, which are gic-atly inferior in fize to the two for- mer, and are loft upon the Flexors at the under and back part of the Thi 4I1; one Twig fent off from thefe fometimes forming a Nutritta or Me dull arts of the Os Femoris. The Femoral Artery, after giving oft' the Profunda Femoris, paffes down between the Vaftus Internus and infertion of the Triceps, giving only fmall Blanches to the adjacent Mufcles and Integuments. ♦* About the middle of the infide of the Thigh, it is fituated be- hind the Sartorius Mufcle; and nearly two-third* down upon the Os Femoris, it perforates the 'Triceps, pafling between lhat Mufcle and the Bone, in its way to the Leg. Having pafled through the Triceps, it is found in the back- part ot the Thigh, wheie it fends Blanches, fometmie-. teimed 2H Perforantes, to the Flexors and Integuments, one Branch, the principal Medullaris, to the fubftance of the Bone, and others to each of the Vafti Mufcles, the Mufeular Branches communica- ting above with Branches defcending from the fuperior parts of the Thigh. In this part of the Thigh it lies clofe upon the Bone, and adheres firmiy to it, till it reaches the Ham, where it is termed A. Poplitea. Arteria Poplitea. The Arteria Poplitea is lodged deep in the hollow be- tween the Ham-firings, and between the Condyles of the Os Fe- moris, covered by its affociate Vein and Nerve, and generally by a great deal of Fat. It gives off feveral Brtnches, termed Articulares Superiores and Inferiores, to the Joint of the Knee. Four of thefe, fituated, two above and two below the Joint, are more regular and conftant than the reft, viz. The Articularis Superior Interna, which turns round the Os Femoris, above the Inner Condyle, paffes under the Semimem- branofus and Semitendinofus ; and, after perforating the Ten- don of the Triceps Mufcle, is difperfed upon the upper and inner part of the Knee, anaftomofing above with Branches fent down from the Femoral Artery. The Articularis Superior Externa, which arifes nearly oppofite to the former, paffes outwards between the Tendon of the Bi- ceps and Body of the Os Femoris, immediately above its outer Condyle, and is loll upon the upper and outer part of the Knee 5 its Branches anaftomofing with thofe of its fellow, and particu- larly with the long defcending Branch of the Circumflexa Ex- terna. The Articularis Inferior Interna, which arifes oppofite the bending of the Joint, paffes downwards, and then turns round the Tibia, immediately below its Inner Condyle. It fends Branches firft to the back-part, then to the inner fide of the Knee; fome of them infinuating by the Semilunar Car- tilages into the inner part of the Joint. Ii communicates above with the Branches of the Articularis Superior Interna. Ths Articularis Inferior Externa, which comes off near the former, and paffes firft downwards, then outwards, between the External Lateral and the Capfuiar Ligament, to be difperfed up- on the under and outer part of the Knee arid inner part of the Joint ; communicating with its fellow of the oppofite fide, and a- bove, with the Branches of the Articularis Superior Externa. The other lefs conftant Articular Branches are difperfed uoOn the Mufcles a little above the Joint. Vol. II. T SI* The Arteria Pophu ., having furnifhed Branches to the Joint of the Knee, gives others to the Mufcles at the upper and back part cf ihe Leg, two of wh.ch, termed Surales, more confidera- ble than the reft, pafs into the heads of theGaftrocnemius Ex- tern us.\ The Trunk < f the Arterv paffes afterwards between the heads of the external Galwoi mmius, and commonly from two to three inches below the bending of the Knee, and at the under and outer edge of the Popliteus dvides into two large Arteries, the Tibialis Antica, and Tibialis Poftica. 'Tibialis Antica.— The Tibialis Antica pafffts direaiy through the upper end of the Interofl'eous Ligament to the fore- part ot the Leg. In its defcent in the Leg, it adheres clofely to the anterior furface of the Interofl'eous Ligament ; and has the Tibialis An- ticus on the inner fide, and the Long Extenfors of the Toes on the outer. A little above the Ankle, it paffes upon the outer and fore-part of the Tibia, and getting under the Annular Ligament and Ex- tenfor Pollici.-, it goes along the convex furface of the Foot. It fupplies, in general, the Mufcles and Integuments, which belong to the outer and fore-part of the Foot, and ultimately paf- fes into the Deep Mufcles of the Sole. Its Branches come off in the following order, viz.— A. Small Branch fent off before the Tiunk perforates the In. teroffeous L'gament, to be difpei fed upon the parts near the Joint; the fuperior Twigs running in a retro, rade direction. The Recurrens Anterior, which ariies from the Artery after it lias perforated the Ligament, and is diftributed upon the Muf- cles at the upper part of the Leg, and upon the Ligaments at ihe under part of the Knee, anaftomofing therewith the Inferior Ar- ticular Arteries. Numerous Branches fent off in a lateral direaion to the Mufcles and Integuments on the outer and fore-part of the Leg. The Malleoli Interna, which comes off near the lower end of the Tib;a, and is difperfed on the parts about, the inner Ankle. The Malleoli Externa, which arifes a little lower than the former, and is d ftrihuted to the parts near the outer Ankle. The Arteria Tarfea, which takes its origin a little anterioil? to the bending of the Ankle-joint, and is more confiderable in f.zc than the Malleolar Branches. it paffes obliquely outwards and forwards under the Extenfor Brevis Digitorum, and fends Branches to the Joint of the Ankle, where it communicates with the Malleolar Arteries. It fupplies the greater part of the Mufcles, Integuments, &c. on the upper and outer part of the Foot, and fends Branches strned Interoffei, to the Mufcles between the Metatarfal Bones of lv19 the* mall Toes,—vluch, however, are frequently derived from the Metatarfal Artery. The Arterin- Mctatarfea, which goes off about the middle of the Dorfum Pedis, aad pafl'es obliquely towaids the root of the Little Toe, aflilltng the former Artery in furnifliing Branches to the upper part of the Foot and Toes, and fometime.;, in part 01* entirely, fupplying the place of that Artery. The remaining put of the Anterior Tibial Artery afterwards advances between the Extenfor of the gieat, and long Extenfor of the fmall Toes, fending Twigs to the adjacent pam, and di- vidiisg, be.ween the Metatarfal Bones of the Great Toe and that next k, into a Large Pojlerior and a Small Anterior Branch. ^ The Pofte-■ ior Branch, which may be confidered as the con- tinuation of the Trunk, finks between the Metatarfal Bones of the two firft Toes, and anaitoinofes with a deep Aitery in the Sole. The Anterior Branch runs forwards, under the name of Dor- Jalis Pollicis, to fee difperfed upon the Great and Second Toes. Tibiai is Postica—The Tibialis Poftica divides about a fingu-'i. breadth under the origin of the Tibialis Antica, into the Fibulans, and Tibialis Poftica itriclly fo called. The Fibularis, termed alfo Peronea, which is fmaller than either of the Tibial Arteries, runs down at the inner fide of the Fibula, for a confiderable way along the Leg, and is fituated, firft under the Soleus, and then under the Flexor Longus Pol- licis. Its Branches are diftributed to the Mufcles at the outer part of the Leg in the neighbourhood of the Fibula,—a (hull Medullary Branch alfo penetrating the fubftance of that Bone. A little above the inferior Articulation of the Tibia and Fi- bula, it fends a Branch forwards, termed Peronea Anterior, which perf.rates the Interoffeous Ligament, and is difperfed up- on the fore-part of the Ankle, where it anaftomofes wtth the Ex- ternal Branch of the Tibialis Antica. The continuation of the Trunk, fometimes termed Peronea Pofterior, defcends behind the Malleolus Externum, to the outer and back-part of the Foot, anaftomofing with the External Mal- leolar and Tarfal Branches of the Tibialis Antica. The Tibialis Postica, properly fo ca.led, paffes down at the back-part of the Tibia, and runs over the Tibialis Poflicus and Flexor Digitorum, and under the Gaftrocnemius Internus, in its defcent through the Le^. Behind the inner Ankle, it becomes more fuperficial, and has the Tibialis Pofticus and Flexor Digitorum Longus on the inner, and the Flexor Loir-us Pollicis on the outer fide of it. From the Ankle, it runs in the Hollow of the Os Calcis, and behind the Abduftor Pollicis, to the Sole of the Foot. 120 Its Brandies fupply the Mufcles at the back and inner part of the Leg, and the different parts of the Sole; forming many Inofculatioiis with the Branches of the anterior Tibial and the Fibular Artery. In its courfe along theLej, it gives off— Numerous Branches, fimilar to thofe of the Tibialis Antica, to the funounding Mufcles : The Arteria Nutritia Tibia, which begins a little below the upper end of the Trunk, defcends for fome way in the Leg, and gives Blanches to the deep Mufcles and Membranes near it, and one Branch ttrmed A. Medullaris, which enters the HAe neai the middle of the Bone. Several Branches to the parts behind, and at the inner fide of the Ar.kle and Htel, which communicate with others of ihe An- terior Tih:al Ai tery. The Trunk of the Arteiy divides in the Hollow of the Os Cal- c's, at the place where it is about to go behind the Abduaor Pollicis, into two princ pal Plantar Branches,—ihe Interna and Externa. The Plantar Arteries run forwards under the Aponeurofis Piantari'-, having the Flexors of ihe Toes between them. The Plantar is Interna pafl'es near the inner fide of the Sole, between the Aponeurofis Plantaiis and Abduaor Pollicis. It gives Branches which run in a retrogiade direaion to the back-part of ihe Ankle and adjacent parts of the Heel : Several Branches fiom each fide, which go forwards to the Mufcles and Integuments, and other parts at the concave edge of the Sole. At the root of the Great Toe, it fends a principal Branch to its inner fide; it then paffes under the Flexor Longus Pollicis, and after anaftomofing with the Arcus Plantaiis, gives off a laree Branch which fplits into two,—one to the outer fide of the Great Toe, and the other to the adjacent fide of the Toe next it. The Plantaris Externa,—which may be confidered as the continuation of the Trunk, being in general much larger than the Interna,—paffes obliquely outwards between the Flexor Bre- vis Digitorum, and Flexor Accefforius, till it reaches the Bafe of the Metatarfal Bone of the Little Toe. It is afteiwaids arched forwards between the Flexors of the Toes and Matataifal bones, the Trunk being continued to the root of the Great Toe, under the name 6f Arcus Plantaris. The External Plantar Aneiy fevids off— A Confiderable Branch, firft to the under, then to the outer part of the Heel, which communicates externally with Branches of ihe anterior Tibial and the Fibular Arteries : Several Branches to the Flexors of the Toes, and to other parts n he outer portion of the Sole, which communicate, on the '.n- 221 ner fide, with the Branches of the Plantaris Interna, and at the outer with thofe of the anterior Tibial Artery. The Arcus Plantaris gives out— Several Branches to the deep Mufcles of the Sole, particu- larly, Rami Interoffei to the Mufcles between the Metatarfal Bones : A Branch to the outer fide of the Little Toe : Three Large Digital Arteries, which are forked at the roots of the Toes, and run along the edges of thefe, in the manner the Di- gital Arteries do along the Fingers. Between the Metatarfal Bones of the Great Toe and the one next it, the Plantar Arch anaftomofes with the pofterior or per- forating Branch of the anterior Tibial Artery, forming a free communication between the Arteries of the upper and under fide of the Foot. Frequently it fends off here a Digital Artery,. which forks and runs along the outer fide of" the (Treat Toe, acd inner fide of the Toe next it, fo as to fupply the place of one of the Branches of the Internal Plantar Artery. At the roots of the Toes, the Interofl'eous Arteries of the up- per part of the Foot, alfo form diftina anaftomofes with the an- terior extremities of the Trunks of the Digital Arteries. VEINS. The Veins of the Inferior Extremities, like thofe of the Superior, confift of a Subcutaneous and Deep fet, and like them alfo, are furnifhed with numerous Valves. Subcutaneous Veins.—The Subcutaneous Veins .re fitu- ated between the Common Integuments and General Aponeuro- fis, and, in many pa.ts, are entirely concealed by the Fat. They a.iaftomol'e frequently with each other by lar^e Branches, and have feveral communications alfo with the deep Tea ted Ve-ns. 1 They form two pr nc pal Trunks, called Sapbana Major and Saphana Minor ;— the term Saphaana applied, from u»e Vun being fuppofed to be always vifible. The SapHj-ena Major begins upon the upper fide of the Foot, runs over 'he fore-part of the inner Ankie, and afcends in the Leg at the inner edge of the Tibia. From the Leg, it pafl'es up uy the mfide of the Knee, and af- terwards, from tlu inner to the 'u, per and toio-udit of ihe Thigh. It is at firft compofed of Veins, derived from the upper and in- ner pait of the Doiluin Pedis, wnich have frequent anaftomofes with each other, and are of confidtiable fize. Vol. II. T 1 I'l'l In its afcent it is joined by Branches from the fuperficial paits of the Leg, and is frequently fplit into a Plexus, fome way below the Knee. It receives Branches from the fuperficial parts of the Thigh, and fmall Twigs from the Inguinal Glands. It terminates in the top of the Femoral Vein, nearly oppofite to, ©r a little higher than, the origin of the Arteria Profunda. The Saph^ina Minor arifes upon the outer fide of the Foot, and afterwards paffes behind the Malleolus Externus. From this, it afieids in the back-part of the Leg, upon the furface of the Gaftrocnemius Externus, and goes imo the Ham. If is formed by the Veins of the upper and outer part of the Foot, and is joined to the Saphaena Major, over the MetArtarfal B nes, by one or more Arches, which receive a Plexus of Blan- ches into their lower or convex part. It is joined by the fuperficial Veins of the outer and back-part of ihe Leg, which have frequent anaftomofes with each other, and wiih the Branches of the Saphaena Major. It terminates in the Vena Poplitea, and communicates con- ftantly by a fmall Branch with the Saphxna Major, a little above the Knee. Deep Veins. The Deep Veins of the Leg, like thofe of the Fore-arm, run clofe at each fide of their Arteries, and are dou- ble the.r number, but differ a little from the Radial and Ulnar Veins, in being proportionally larger. The Tibial and Fibular Veins anaftomofe in fome places with each other, and alfo communicate with the Subcutaneous ( Veins. At the upper part of the Leg, they are united together, to form the We\\2k Poplitea, and the union is nearly at the fame place where the coiiefponding arteries come off The Vena Poplitea adheres clofely to the upper furface of the Artery, which it in a great meafure conceals, and is com- monly fingle, excepting a fmall Vein which fometimes accom- panies and communicates with it. The Popliteal Vein receive-, the Venae Surales and Articulares, and th^r Sajjhaena Minor; after which it forms the Femoral Vein. The VttiA Fr.MORALis receives the Veins which correfpond with the perforating Brunches of 'he Femoral Arteiy, and paff.-s in through the Triceps, whee&ed with them, that it has been con- fidered by fome Authors, as degenerating into condenfed Cellul. r Subftance, notwithllanding it lt.il retains the general appearance of the Dura Miter. Upon examining the Nerves, efpecially the fmall ones, in a living or recently deal animal, they are obferved to have nu.e- rous White Lines placed tranfverfely, or in a ferpentine dirtaion. —Obf. on Nerv. Syft. Tab. XIII. When the Nerves are moderately ftretched, this appearance becomes lefs evident; and when extended confiderably, or when macerated in water, it vanifhes entirely. Prochaska 'De Carne Mufeulari) fuppofes thefe Serpen- tine Lines to be owing to a decuffation ot Vcffeis and Fibres of Cellular Subftance ftraitening the Nerves. Dr. Monro contiders them as Folds or Joints allowing the Neives to accommodate themfelves to the various ftates of Flex- ion and Extenfion. The Nerves are fupplied with Arteries from the neighbouring Blood-veffels, to which they fend correfponding Veins. Thefe, however, are fmall, and difficult of injeaion, except- ing in the large Nerves, where the Veffels are more confiderable, and where, after a minute injeaion, the Nerve receives the colour of the matter injeaed. Upon dividing the Nerves, they are not found to poffefs much contractility ; while the Arteries, upon being cut are obferved to retraa very confiderably. They are generally lodged in the common Cellular Subftance and Fat, and in the Interftices of the Vifceia and Mufcles, where they are prevented from being compreffed ; though in feveral parts they ate expofed to the hardnefs of Bones, or to the aaion of Mufcles, over or through which they pafs. In their courfe bhrough the different parts of the Body, they generally run as ftiaight as is confiftent with the nature of the particular part over which they pafs, and their own fafety. In their progrefs, they divide into Branches, which become gradually fmaller, and wh ch, though taken colleaively, are in- ferior in fize to the Trunks from which they iffue. The Branches generally run off at acute angles ; but in feveral places th-ry have a retrograde direaion. Th; y have commonly the fame kind diftiibntion in the oppofite fides of the fame Subjc-a, and vary little in this refpea in diffe- rent Subjeas. 22G In fome parts of the Body, feveral Nerves unite together, and form a Plexus or Net -work ; in other?, they unite into a Common Trunk; and in many, by fuch an union, a hard knot, termed Ganglion, is formed. When the PUxvfts, 01 the Common Trunks, are minutely ex- amined by flitting open their coverings, it is found, that their Fibrillae are intermixed in fuch a manner, thai each of ihe Nerves pafling out from the p.cxus, or from the Commcn Tiunk, is compofed of Fibrillar from feveral, or from all the Nerves which entered it, in confequence of which, the Organs in gene- ral are turn flud with Nerves fiom various fources. Obf. on Nerv. Syft. The Ganglia differ from each other in fize aid figuie : They have thicker Coats and are more Vafcular ihan the N i ves ; and are larger than the whole of the Nerve:., taken conjunaiy, which enter into or go out from them.— 1 hey are fuppofed to feive as frefh four, es of Nervous Influence. They a e compofed of Neivous Fibrillar, env.-red by foinething like a Cineritious Mattei, and are f.■ divii.J, multiplied, and inteimixed, that each of die Nerves puffin, out from a Ganglu n is found to be compofed of Fibrilise deiived from the gieater part of the Neives which enter it.—Obf. on \erv. Syft. Where Neives pafs out from the fide of a Ganglion, they are compofed of Fibrillae which come offin contra.y direaions; —tne one fet from ihe beginning, the other frun the oppo- fite extremity of ihe Ganglion. The Nerves which go out from the different Ganglia have the fame flruaure with thofe which enter them, but are found, with only a few exception-, to be rather latger. In the Trunk of a Nerve, the Curds appear to run parallel to each other ; but when macerated in water, fo as to diflolve the Celluiar Subftance, or when otherwife accurately examined, they are feen evidently to intermix fomewhat after the manner of the Fibrillae in the Plexus, or in the Ganglia.—Obf. on Nerv. Syft em. The Termination of the Nerves is foft, pulpy, and pellucid, as is diftinftly feen in the Retina of the Eye or Ear ; the exter- nal Covering bein:-. entirely laid afide, while the Pia Mater, in particular, accompanies them throughout. The Nerves preferve the motion of the Mufeular Fibres. They conftitute the immediate Organs of Senfation, and con- vey Impreflions made upon them to the Mind. The manner in which thefe Impreflions are produced,—whe- ther by a Vibration communicated to the Nerves; or by a Liquid called Nervous Fluid, contained and moving in them ;—or by an elearic N\a\\tr common to them and many other fubflances ; or in what manner that power aas, termed Animal Electricity, 227 which has been la'ely difcovered to take place in the Animal Kingdom, upon the appli:ation of certain Metals; is not yet underftood. DISTRIBUTION OF THE NERVES. THE Nerves are diftinguifhed into two Claffes ; one arifing from the Biain, termed Cerebral; the other from the Spinal Mar- row, teimed Spinal Ner vets. The Cerebral Nerves are generally reckoned Nine or Ten Pairs in number, befides a particular Pair, which hafs the name of Sympathetic. ' They pafs through the Holes in the Bafe of the Cranium,-and receive their refpeaive Names according to their order ; or from their Functions; or from the Parts on which ihey are difpeifed, &c. The Spinal Nerves confift of Twenty-Nine or Thirty Pairs, which pafs out between the different Vertebise, befides a Pair called Acceffory, which enter the Cranium from the top of the Spinal Marrow, and afterwards pafs out with one of the Cei\bral Nerves. Nerves which pass through the Base of the Cranium. The First Pair, or Olfactory Nerves,—arife, on each fide of the Brain, by three feparate Striae, from the Cor- pora Striata, at the under and back-part of the Anterior Lobes, near where the Carotid Arteries enter the Fiffures ©/'Sylvius. They are more tender than the other Nerves, and alfo differ from them in not being compofed of Fafciculi. They run each in a Furrow, upon the under Surface of the Anterior Lobes of the Brain, converging a little and becoming fomewhat larger, till thej reach the Cribriform Plate of the OEthmoid Bone. Upon th s Plate, each forms an Oblong Bulb, which, in colour and confillence, ref'embles the Cortical part of the Brain, but is mixed with ftreaks of Medullary Matter. From this Bulb, numerous Nervous Filaments are fent off, which pafs through the Holes of the Cribriform Plate, and now become firm and ftrong like the other Neives, by receiving a co- vering from the Dura Mater. After entering the Nofe, they divide into two Portions or Planes,—one pafling on the Septum, the other upon the Offa Tur- binaia, and othei pans oppofite to the Septum, and both running at firft in Grooves of the Bones. 226 They form a beautiful Plexus, which is fpread out upon that fide of the Membrane of the Nofe which is contiguous to the Bones, and may be traced a confiderable way upon ir in diftina Threads, which becoming gradually fmaller, fink into the Mem- brane, and are fuppofed to terminate on the hit face next the Ca- vity of the Nofe, theie conftituting the Organ of Smell. The Second Pair, or Optic Nekvks,—which are of great fize, arife from the Thalami Optici, and are conneaed in their paffage to Tubercles at the root of the Infundibulum, which furnifh them with an addition of Medullary Subftance. They are of a purer white than other Nerves, having lefs Ci- neritious Matter entering their compofition, and differ alfo in the Pia Mater furn fhmg thtm with a geneial Covering, before it invefts the feveral Fafciculi of which they are formed. At the fore part of the Sella Turcica, they unite, and have their Medullary Parts intimately intermixed. From this union, they go obliquely outwards and forwards through the Foramina Optica into the Orbits ; and advancing in the OrbTs in a waving dirtaion,—to prevent them from bring over-ftretched in the motions of the Eye,—they perforate the Balls, to be expanded into the Retinae, which have been already defcribed. The Third Pair, or Motor f.s Oculorum,—fmaller than the Optic Nerves,—arife at the under, inner, and back-part of the Crura Cerebri, or between the Corpora Albicantia and Tu- ber Annulare, by numerous Threads which are foon colleaed into their refpeaive Trunks. They pafs outwards, peiforate the Dura Mater at the fides of the Pofterior Clinoid Procefs, and running along the upper part of the Cavernous Sinus, at the outfide of the Carotid Arterie>, they get thiough the Foramina Lacera into the Oibits. Upon entering the Oibits, they divide into feveral Branches, which fupply the greater number of the Mufcles of the Eye, in confequence of which the Neives have obtained their particular name. A Bianch runs to each of the Mufcles within the Orbit, ex- cepting the Trochlearis and Abduaor ; and the Nerve likewife affifts in forming a fmall Ganglion, termed Opthalmic, from which Twigs are fent off to fupply the Ball of the Eye. The Fourth Pair, or Pathetic—have their origin the higheft of the Cerebral Nerves, and aie the moft (lender of the Body, being generally formed of one Fafciculus only on each fide. They arife by a fingle, and fometimes by a double root, behind the Teftes, from the Medullary Expanfion which lies over the paffage to the Fourth Ventricle, and which unites the Pioceffui ad Titles to each other. $29 .They afterwards turn round the Crura Cerebri, and perforate the Dura Mater at ihe edges of the Tentorium, fome way behind the entrance of the Third Pair. They run afterwards along the Cavernous Sinufes, at the outer fide of the I hud Pair, then crofs over that Pair, and pafling out of the Cranium through the Foramina Lacera, they go ob- liquely over the Mufcles at he upper part of the Orbits, to be entirely difperfed upon the Pathetic or Trochlearis Mufcles. The Fifth Pair, or Par Frigeminum,—.vhich aie the largeft Nerves of the Brain, arife, each by an anterior fmall, and a poller or large Portion, from the fide of the Tuber Annulare, where the Crura Cerebelli join it. They enter the Dura Mater a little below the Tentorium, over the points of the Partes Petrofas of the Temporal Bones, and form a Plexus on each fide, in which upwaids of fifty Fafcicu- li have frequently been enumerated. The Plexus finks clofe by the outfide of the Cavernous Sinus, concealed by a doubling of the Dura Mater, and foims a Gang- lion fometimes called Gafferion, after Gasslr, who, if not the Difcovcrer, was the firft who illuftrated it. : The Ganglion is of a femdunar fotm, and placed tranfveifely with refpea to the Trunk of the Nerve. From the oppofite and curved edge of the Ganglion, three large Blanches come out; the fii ft and Anterim , termed Ophthalmic, ■—the fecond and Middle, the Superior Maxillary, and the third nd Pofterior, the Inferior Maxillary. The Firs r Branch of the Fifth Pair,—at the fide of the Sella Turcica, is fituated lower than the "Third Pair, and after- wards croffes over it, being previoufly conneaed by Nervous Matter to the Trunk of the Fourth Pair. It goes through the Foramen Tacerum into the Orbit, and is there divided into the following Branches, viz. Fhe Supra-Orbitar, which is the largeft of the whole, being a continuation of the Onhthulmic. It pafl'es immediately ender the Membrane which lines the up- per part of the Orbit, and fplits into two branches of unequal fize. The fmaller Branch termed Supratrochlearis, runs under the Superciliary Ridge to the Upper Eye-lid and Fore-head. The larger paffes through the Foramen Supri-Obitarium,—or over the Superciliary Ridge when the Foramen is awantiug,— fends Branches to the Upper Eye-lid, and divides into feveral others, which run back partly above, but chiefly under the Fron- tal Mufcle, to fupply the fore ai d upper part of the Head in ge- neral, while minute Fibres appear to penetrate the Bones. The Nafal Branch, which runs obliquely over the Optic Nerve, where it detaches a Filament or two to the Eye, then under the Levator Mufcles of the Eye-lid and Eye; and getting Vol, II. U 330 between the Abduclor Oculi and Trochlear!*, paffes to the infide of the Oib.t. It fends a Branch, which after'entering the Foramen Orbitai i- vni Internum Anterius, re-enters the cav.ty of the Cranium, and gets upon the Cribiifoim Plate of the OEihmoid Bone. From thenoe it paffes down throut h one of the anterior Holes of this Plate, and fends Twigs to the membrane at the anterior part of the Noilril, while the Nerve defcending at the foie part of :he Septum Narium, is difperfed upon the point and Wing of the Nofe. The continuation of the Nafal Branch, now called Infratroch- learis, paffes forwards to the inner Corner of the Eye, and is diftributed upon the Laciymal S*c and parts adjacent. The Lacrymal Branch, which runs along the Abduaor Oculi Mufcle, fends Twigs to the Membranes and Fat near it, likewife one or two thiough the Subftance of the Cheek-bone, and one in particular to the Subftance of the Lacrymal Gland, while ano- ther paffes over the Gland, and vaniflies in the neighbouring parts. A Branch to the Ophthalmic Ganglion, which is fometimes fint off fiom the Nafal, at other times from the Ophthalmic Trunk. The Ophthalmic Ganglion,—termed alfo Lenticular, from its Ihape, is foimed by this Branch from the Fifth, and by another from the Third Pair, and is commonly the fmalleft in the Body, It is of an oblong form and compreffed, is fituated at the out- fide of th« Optic Nerve a little before its entrance into the Orbit, and is concealed in Fat. Sometimes, though rarely, the Fila- jnents which form it take their origin entirely from the Third Pair. From the Ganglion, about a dozen of Filaments arife, termed Ciliary Nerves, colle6led into two Portions, which creep along the oppofite fides of the Optic Nerve, feparated a little from each other and running in company with the Ciliary Arteries. Befides the Ciliary Nerves from the Ga./glion, one and fome- times two Filaments arife from the E/amus Wafalis, and pafs along with the other Ciliary Branches. The Ciliary Neives, running with fcaicely any divifion, reach the back-part of the Eye ; and a little before the Infertion of the Optic Nerve, enter the Sclerotic Coat, pafs obliquely through it, and about the middle of the Ball, appear upon the Suiface of the Tunica Choroides. Upon this Coat, they run flat, and in a parallel direaion, fending very few evident Branches, either to it or to each other, till they reach the Ciliary Circle, where they divide into nume- rous minute Filaments. Upon the Choroides, five or fix ate larger than the reft, fome bun-To minute as almoft toefcape the naked Eye. 231 At the Ciliary Circle, each commonly divides into two Bran- ches, which arc covered by the Cellular Subftance of the Circle ; and thefe, at the root of the Ins, are fubdiv ded into ft 11 fmaller Branche;, which run in a radiated and waving direaion, the Ci- liai , Vefiris being interpof'ed. Near the inner edge of ihe Pupil, they are united into Arches, from wh.ch very minute Twigs run to the interio r margin of the Ins. The Slcond Branch, or Superior Maxillary Nerve, —is larger thai the Ophthalmic, and is principally difperfed upon the Parts belonging to the Upper Jaw, from which it has its name. It goes throu.h the Foramen Rotundum of the Sphenoid Bone, and at its exit divides into numerous Branches, viz. The Spheno- Palatine, or Lateral Nafal Nerve, which fends a reflea.-d Bianck through the Foramen Pttrvgoic.eum of the Sphe- noid B-j.ic, to join the Sympathetic Nerve in the Canalis Caroti- cus, and a Branch which enteis the Foramen Innominatum of the Pars Petrofa, to join the Portio Dura of the Seventh Pair. The Lateral Nafal Nerve goes afterwards into the Spheno- palatine Hole, to be difperfed upon the under and back-part of the Sepium, and oppofite fide of the Nofe, and upon the Membrane of the Sphenoidal Sinus and Eultachian Tuhe : One Branch in particular, after pafling along the Septus*, goes through the Fo- ramen Incifivum to the Roof of the Mouth. The Palato Maxillary, or Palatine Branch, which defcends through the Canal leading to the Foramen Palatinum Pofterius ; and running near the Alveoli with correfpondmc; Blood-veffels, fends Branches to the Velum Palati and Roof of the Mouth, and Minute Filaments which penetrate into the P.dt.tt-piate of the Superior Maxillary Bone. Small Branches, which '.al's round the Upper Jaw, and vanifli in the Chrek. A Tvjig, which goes through the lisle in the Os Malse, along with a Branch if the Ocu'ar Artery, to the Face. Small Filaments, which run down into the back part of the Su- perior Maxillary Bone, and fupply the fubftance of the Upper- Jaw, the large De ites Molares, and Membrane lining the An- trum M.ixillare. The Second Part of the Fifth Par after fending off thefe dif- ferent Branches, goes into the Canal under the O.bit, and forms the Infraorbital- Neive, which, while in the Canal, gives off Filaments pafling through minute Conduits in the Upper Jaw, to the Antrum, to the Subftance of the Bone, to the fmall Mo! ies, Caninus, Incifores, and Fore-Teeth ; and fometimes ;i Tw'g, the companion of a fmall Branch of the Interned Maxillary Ar- tery, to the Membrane lining the Orbit. The Infra-Orbitar Nerve paffes aftei wards out of the Foramea Infra-Orbitarium, and divides into many large branches, to be diftributed upon the Cheek, Under Eyc-iid, Upper Lip, and fide of the Nofe. The Third Branch, or Inferior Maxillary Nerve, goes though ihe Foram n Ovale of the Sphenoid Bene, and fup- plies the parts belonging to the Under Jaw, and the Mufcles fitu- ste.i between it and tlieOs Hyoides, by the following Branches, viz. One, or fometimes two Deep Temporal Branches, to the inner part of the Tcmioial Mufcle. Branches, to the Maffeter, Pterygoideus, and Buccinator Mufcles. A Branch wlvch paff:s behind the Cervix of the Lower Jaw, and i.ives oft' Filaments to the fore-part of the Ear, and after- wards accompan.es the Temporal Artery up^n the lide of the Head, where it terminates. A Branch, to the Buccinator Mufcle and other parts of the Cheek. A Nerve of confiderable fize, termed Lingual or Guftatorius, which paffes between the Ptery>:o'd Mufc es, to the inner of which it gives feme Filaments. It then fends off, from its un- der fide, a Gangl.oB which tranfmits Nerves to the Interior Max- illary Gland. The Lingual Nerve alfo tranfmits feveral Branches to die Sub- lingual Gland, and to the Mufcles of the Tongue. It terminates, at length, near the Point of the Tongue, by many Branches which belong chiefly to the Papillae ; in confe- quence of which this Bi anch is confidered as the principal Nerve of the Organ of Tafte. The Trunk of the Inferior Maxillary Nerve, having parted with the Lingual Nerve, direas its courfe between the Pterygoid Mufcles to the Pofterior Foramen of the Inferior Maxillary Canal. Before entering the Canal, it fends off a long and fltnder Branch, which is lodged at firft in a Fum.w of the Bone, and gees afterwards to be difpeifed chiefly upon the Mylo-hyoideus Mufcle and Sublingual Gland. The Trunk of ihe N rve is afterwards conduaed alonej the Canal of the Jaw under the Alveoli, where it diftributes Fila- ments to the different Teeth of the correfponding fide, and to the Subftance of ihe Bone : and coming out of the Canal by the Anterior Max.ilary Foiamen, fomewhat diminifhed in fize, it fcatters its remaining Branches upon the Chin and under Lip. The Sixth Pair, or Abducentls, arife from the begin- ning of the Medulla Oblongata, at the part common to the Tu- ber Annulare and Corpora Pyram dalia, and are the fmalleft of the Ceiebral Nerves, the Fourth Pair excepted. 23 3 They peiforate the Dura Mater at the inner fide of the,en- trance of the Fifth Pa;r, and run forwards within the Cells of the Cavernous Sinus ; but fo furrounded by Cellular S .lutance, as to feem to be proteaed from the Blood of that Receptacle. While in the Sinus Cavernofi, they are fituated between the Ophthalmic Nerves and Carotid Arteries, upon the furface of the latter of which they fend off two or thiee Filaments on each fide of the Head, to affift in forming the Great Sympathetic Nerves. The Trunks of the Sixth Pair afterwards go through the Fo- ramina Lacera, to be difperfed entirely upon the Abduaor Muf- cles of the Eyes. The Seventh Pair is compofed, on each fide, of two porti- ons,—the Nervus Auditorius, Nervus Acufticus, or Portio Mollis; and the Communicans Faciei, or Portio Dura. The Portio Mollis, is the fofteft of the Nerves, excepting theOlfaaory. It arifes by tranfverfe Medullary Striae from the anterior part of the Fourth Ventricle, and is feparated from its fellow of the oppofi e fide only by the Crena of the Calamus Scriptorius. The Striae, tinning round the Medulla Oblongata, apply themfelves to the Tuber Annulare, from which they receive an addition of fubftance, and then get to the fide of the Portia Dura. The Portio Dura, fometimes alfo called Sympatheticus Mi- nor, arifes f.oin that part of the Braui which is common to ine Pons Varolii, Crura Cerebelli, and Medulla Oblongata ; and at its origin, is fituated upon the inner ildo of the Poi tio M 1- lis. Between the origin of the Portio Dura and Trunk of the Por- tio Mollis, a fmall Nerve arife", termed by Wrisberg, Portio Media inter P. Duram et P. Mullein. It comes off by minute Fibrillae, which foon urite into a Trunk, from the pofterior part of the Pons Varolii, or from the adjoining part of the Medulla Oblongata, and ri an Acceflory Neive of the Portio Dura. The Portio Dura, confiderably fmaller than the P. M>'li% gets into the Meatus Aud tonus Internus and is there lod. e 1 in a kind of half-flieath, formed by that Nerve, to which it is conneaed by fine Cellular Subftance ; the.Dura Mater, which lines the Paffage, giving here a general Covering to both Me. ves. Portio Mollis.—The Puitiu Moths is famed of two Faf- ciculi, nearly of eqial fize, o e of which belongs to the Coc.ilc.i, the other to the Veftible and Sem.circular Canals. Each of thefe Fjfciculi paffes by numberlefs Fi'nHlx through the Cribriform Plate in the b ttom of the Meatus Auditoriu* In- ternus, to the inner parts of the Labyrinth. Vol. II. U J L'34 The Fib: iliac deftined for the Cochlea go throii"': the T'uri<- in the fiLs of the Mod o.us. Some pari between ihe Plates which for in the Septa of the Gy- ri ; G ncrsgo ihinu^h.Holes ' etween ihe Off hi* i\ ,.c> vf the LanTin.: t->,)iialis ; bu. bv much the ^.'lertteft ri in n:r uutorati the files -<1 ih. M >d,oius, between the Septum ot the Gyri and the Limma Spiralis. The larger F biillae run upon the Mem'ram' c vring tht La- mm.t >puaiis ; while the ima.ltr go from theMod.olus, between the Ofleou> S ,a i anil on the inner fides of the Gyri, to be dif- pcrf'd up.n the Membrane lining them. The lem.imtng Fibrillx peiforate the PI vc common to the Mo- di Jus an i Infundibulum, and vamfli upon the laft half-turn of the Lamina Spirali and the Cupola of the Cochlea. Upon the Olleaus part of the Lamina Spii. lis, the Nerves have the common appearance ; but upon the Membranous Portion, they are of ihe colour of the R> tina of the Eye. In the whole of iheir courfe upon the Lam na Spiralis, they form a red Retina; though the leticulated flruaure becomes much lefs appaient npon the outer part of this Lamina, and upon the loTitiiiuation of the Membrane lming the Gyri,—the Ner\ts feeinin^ to terminate in a fcmipellucid Pulpy Membrane relem- Liing the Retina of the Eye. The Membiane upon which the Nerves are expanded, is but fli;>htiy coin tcteu to the Periofteum which lines the nner fide of the Cochlea, a:;d which, though thin, may be readily percei- ved, being painted with Blooil-vefferi ,—nor does it differ lorn tl-.c Periofteum lining the Tympanum.—See Dr. Monro's Trea- ty e »nyfhe Ear. The Fafciculus which belongs to the Veftible and Semicircular Canals, forms at fiift a Plexus, then a Gangltform Enlargement, previous to ts entrance into ihe Labyrinth. The Nerves whi h belon:: *.o the Veftible and Semiciicular Ca- nals p Ts thiough tht Macula Ciibrofa, 01 Holes fubdivided into fmaller Holes by Ciibnfcrm Plates in the bottom of the Meatus Auditonus I ten us. Of thefe Bi ne es, fmall Filaments pafs thronph the Macula Cribrofa in the Inferior Foffula . f the Meatus Auduorius In tr- nus, to the Alveus Communis or Sacculus Veitibuli. A fmall Branch goes t1 rough another Ciibiifonn Hole in the Inferior Foffula, the Ampulla of the Pofteiioi Membranace- ous Semiciicular Ctu.al. ABiancii, b.rg-r ihan any of the farmer, enters the Pofterior ITle in th; upp-r Fofula tf the Me tus lnternus, to be difperfed upoi the Ampullx of the Supeiior and Exteriot Membranaceous Canals. 1 hr Neve.-., after reaching the Sacculus Veftibuli and the different Ampullae, are fpread out upon them, as in the Cochlea, £',& in the form of a Net-woik, the Fibres of which, by degrees be- coming pellucid, difappear upon the beginning of the Membra- naceous Canal i. P 'R i i -■ jJ'URA.— Th Por io Dura feparites from the Portio M./Iij, a. ne b..tiom ! f the M-u us Auditorius Into nus, .nd eru.i ^ th. L.niatts or Aquaduilus FaLLOPII, by the anterioi Hole in the- uppci Foffula at the bottom of the Meatus. Aher t.eting into the C mal, it receives the retrograde Nerve from ihe Second Ban h of the Fifth Pair, which enters by the Foramen Innominatum on the fore-fide of the Pars Petrofa. It lends Twigs through Foramina in the fides of the Aquedua, t... the Maftoid Cells and to the Muf.-le of the Stapes. A liltle befoie its ex'u from the Aquedua in tne Adult, but at the outer end of it in the Fcetus, it gives offa refleaed Branch, termed Chorda Tympani, which pafl'es between the long Pro- ceffes of the Mallews and Incus, and over the Membrana Tym- pani. The Chorda Tympani goes afterwards in a Fiffure at the outfide of the Euftachian Tube, and joins the Lingual Branch of the Fifth Pair, foon after that Nerve has got out of the Cra- nium. lx\ its paffage, it fupplies the Mufcles of the Malleus, and the Membranes, &c. of the Tympanum. The Portio Dura afterwards pafl'es out of the Aquedua by the Foramen Stylo-maftoideum, and is at firfl lodged deep, being fituated in a hollow behind the Parotid Gland. Here it gives a fmall Occipital Branch, which ft nds Twigs to the back part of the Ear, and terminates in the Oblique Mufcles of the .lead. It fends a Branch to the Digaftric, and another to the Stylo- hyoid Mufcle ; jcicts off a Filament which joins the Auricular Branch of the inferior Maxillary Nerve, and goes to the fore- part of the Ear; and is.conneaed by another fmall Filament at the under part of the Ear, with Branches of the Sympathetic Nerve which run along the External Carotid Aitery. It alfo furnifhes Filaments to the Parotid Gland, and then per- fora es it, dividing into Jarge Branches, which join, feparate, and rejoin, different times, oh ihe fide of the Face. This Plexus is expanded in fuch a manner as to conftitute what has been called by fome the Pes Anferinus, and is divided into the following fets of Branches, viz. The Temporal Branches, which afcen.i upon the fide of the Head, to be diftributed upon the I'emple ; iome running over, others under the Branches of the Temporal Artery, and forming feveral joinings with the Frontal Branches of the firft part of the Fifth Pair of Nerves : The Superior Facial Branches, which are difperfed upon the Orbicularis Oculi Mufcle, and the parts in general about the 236 outer angle of the Eye, communicating in various places above and below the Orbit, with the firft and fecond Branches of the Fifth Pair : T'he Middle Facial Branch, or the Great Facial Nerve, which runs acivfs the Maffeter Mufcle, and divides into many Branches, to be difperfed upon the Cheek, and fide of the Nofe and Lips. They are conneaed with the Branches of the Superior Facial, and iitM.i the corner of the Mouth, with others of the fecond and third parts of the Fifth Pair. They have likewife fome communications with deep Blanches of thelie two Nerves which pari ou.^rards between the M lilter and Buccinator Mufcles. T'he Injerior Facial Branches, which proceed alung ihe fide of the under Jaw, to be difpeifed upon the parts covering it, and up- on the Under Lip ; and connea themfelves with fome of the Middle Facial Branches, and with others belonging to the third part of the Fifth Pair : The Defcending, or Subcutaneous Cervical Branches, fome of which run forwards under the Lower Jaw, and others down- wards, near the External Jugular Vein, to the Supeificiai Muf- cles, and to the Inte. uments at the fide and upper part of the N-^k, where they foim communications with the Infeiior Facial Branches, and with different Branches of the upper Spinal Cer- vical Nerves. The Eighth Pair arifes from the Medulla Oblongata, at the fides of the Bafes of the Corpora Olivaria, and confift in each fide, of the Nervus Gloffo-pharyngeus, and Fars V aga. The GlossoPharyngeus is the fmaller of the two, being only a little fuperior in fize to one of the Neives of the Fourth Pair. The Pars Vaga comes off immediately under the former, and is compofed of feveral feparated Fafciculi, which arc foon col- leaed into a fingle Cord. The two Nerves, pafling outwards, go through the Bafe of the Cranium, immediately before the end of the Lateral Sinus, by the Hole common to the Occipital and Temporal Bone, and are feparated from each other and from the Sinus by fmall Proceffes of the Dura Mater. The Gloffo Pharyngeus, termed alfo Lingualis Lateralis, upon its exit from the Cranium, fends a Branch backwards, which joins the Digaftric Btanch of the Portio Dura. A little lower, it gives off Branches, which, with others from the Pharyngeal Branch of the Eighth Pair, and from the Great Sympathetic Nerve, form a Plexus which embraces the Internal Carotid Aitery, and afteiwards fends Branches along the Caro- tis Communis fo the Heart. Still lower, it gives Branches which communicate with others belonging to the Pharyngeal Nerve, and go to the upper part of the Pharynx and to the Stylo-Pharyn^eus Mufcle. 237 The GloTTo-Pharyngeus, after fending a Twig or two to the Tonfi , to th.- upper part of the Pharyn:, an I Membrane of the Ep riotti:,, divides int.; many Branches, which run partly to the margin and partly to the middle of the root of ihe Tongue, fup- plying, efpecially, thj Pap.Ha? Majores and the parts in ih.h" neighbourhood. The Pars Vaga,—upon emerging from the Cranium, frequent- ly becomes a l.tt.c increafed in dameter f ,x about an inch down- wards ; forming what fome authors have termed its GangliJ'orm Enlargement. It defcends in the Neck at the outer and back-part of the common Carotid Arteiy, to which it i; clofely unitec, being in- cluded along with it in the fame common fh.-ath of Cellular Sub- ftance. At the upper part of the Neck, it tranfmits a Branch to the Pharynx ; and immediately afterwards, a large one to the Larynx ; and near the top of the Thorax, it fends a Filament, and fometimes two, to the Heart. The Pharyngeus,—chiefly formed by the Pus Vaga, but partly alfo by a Branch from the Accefforius, is afterwards joined by Bi-indies from the Gloflb-Pharyngeus, and defcends obliquely over the Internal Carotid Artery. Near the origin of this Artery, it fends Filaments which join others from the upper part of the Great Sympathetic, and creep along the Common Carotid, to be united with the Carotid Ar- tery. Upon the middle of the Pharynx, it expands into a Gangli- form Plexus, from which many fmall Btattches are fent oir, to be diftributed upon the three Conflriaors of the correfponding fide of the Pharynx ; one or two Filaments uniting ab-.ve with the Gloft'o-Pharyn^ tui,and others below with the Laryngeus Su- perior. The Laryngeus Superior,—defcends obliquely forwaids be- tween the Carotid Arteiies and Pharynx ; and behind the origin of die Carotids, is divided into a large Internal or Superior, and a fmall External or Inferior Branch. The Internal Branch paffes forwards between the Os Hyoides and Superior Cornu of the Thyroid Cartilage. I: divide into numerous Branches, ion.c of which go to the Arytenoid Gland, and to the Oblique and "Tranfverfe Arytenoid Mufcles, and others to the Glandular Membrane of the Epiglot- tis ; while the greater numb.'r and the lar, eft of thel'e Benches are difperfed upju the Glandular M mbrane lining the upper portion of the Larynx and parts adjacent. The External Branch,—which Scarpa confiders as more pro- perly termed Pharyngo Laryngeus,—is originally compofed of a Branch from the Internal Laryngeal, and another from the Great 233 Sympathetic ; and is conneaed by a Filament to the Pharyngeal, and fometimes alfo by one to the Internal Laryngeal Nerve. It imparts Twigs to th. Middle and Lower Conftririors of the Pharynx, and afterwards terminates in the Thyroid Gland and inneV part of the Larynx. The Filament, fent from the Pars Vaga at the bottom of the Neik, joins the Great Caidiac Bianch of the Sympathetic Ni. ve in ihe upper part of the Thorax, to be difperfed upon the Heait. Tne Ninth Pair,—'ki; rently termed Linguales, and fome- times Linguales Medii,—arife from the under and lateral parts of the Corpora Py.am dd a, on the foie fide of the Medulla Ob- longata, by numerous Filaments which aie colleacd into Faf- ciculi. They pafs out at the Superior CondToid Foramina of the Oc- c'pital Bone, after which they adhere, for fome way, to the Eighth Pair, by Cellular Subftance. A little briow the Cranium, each of the Tiunks of this Pair of Nerves is conjoined by a crofs Bianch with the luhocciptal Nerve, or with an Arch which conneas that Nerve and the Firft Cervical together. The Trunk then defends between the Internal Jugular Vein and Internal Carotid Artery, and at the i oof of the Occipital Ar- tery crofies (Vu- bo.h Carotids to its place of deft nation. Where it be-ins to crofs over the Carotids, it fends downs Bianch of confiderable fize, termed Defceiidens Nuni. The Dejcendens Noni panes down a certain length along with the common Carotid Artery, and, in its courfe, turn fhes Branches to the upper ends of the Omo-hyoid and Sterno-thyroid Mufoles, after which it unites v/.ih Branches fr. m the Firft and Second, and with fmall Filaments from the Second and Third Ceivical Neives, forming t.n Arch, from which lm;; and llender Twigs go to t.ie under per; 10113 of the Stcino-thyro.d, and to the Omo-hyo'd and Sterno-hyoid Mufcles. The Ninth Pair paffss afterwards behind the Facial Trunk and Temporal Veins, or the Trunk formed by thefe, and over the root of the Facial Artery,—.'ending a Nervous'Twig to the Hyo- thyioid Mufcle. Upon the Hyo-gloffus Mufcle, the Trunk of the Nerve is fpread into a great number of Branches, which go to the middle of the 'Fongue, and terminate chiefly in its Flefliy parts ; a Twig extend ng as far as the Genio-hyoid Mufcie, and two or fome- times only one Filament anaftomofing with the Lingual Branch of the Fifth Pair. The Gxeat Sympathetic Nerve,—obtaining its name from its numerous Conneaions with moft of the other Nerves of the Body,—;s either formed originally by the refleaed Branch from the fecond of the Fifth Pair, and by one or two and fome- times three fmall Filaments, fent down from the Sixth Pair while 2*59 in the Cavernous Sinus ; or, according to the opinion of fome Authors, the Sympathetic fends off thefe fmall Nerves to join the Fifth and Sixth Pairs. Upon the Surface of the Internal Carotid Aitery, while in the Caiotic Canal, the Branches of the Fifth and Sixth Pairs and Great Sympathetic making this conneaion, arepwlj.y and tender, and foim a Plexus which furrounds the Carotid, and from which the Trunk of ihe Sympathetic is moft frequently confidered as bein_ ri.u out. After efcaping from the Carotic Canal, the Trunk which is of lmall fize, is clofely conneaed, for a fhort fpace, with the Trunks of the Eighth and Ninth Pairs; and, feparating from thefe, it expands into a large Ganglion,—termed Ganglion Cervi- cale Superius,—of a long oval form, and fituated oppolite to the Second Cervical Vertebra. From this Ganglion, the Nerve comes out very little increafed in fize,—and defcends on the anterior Vertebial Mufcles of the Neck,—behind the Eighth Pair of Nerves, with which, and with the Carotid Artery, it is conneaed by a Sheath of Cellular Subftance. At the under part of the Neck, and nearly where the Inferior Laryngeal Artery turns over towaids the Larynx, the Sympa- thetic forms another Ganglion, termed by fome Authors Cervi- cale Medium and by others Cervicale Inferius. The Ganglion Medium is fomewhat fimilar in fliape and fize to the Ganglion Superius ; though it varies confiderably in thefe refpeas in different Subjeas. From this Ganglion, principal Branches are fent down, one of which, larger than the reft, and confidered as the continuation of the Trunk, turns outwards between the Inferior Laryngeal and Vertebral Arteries to another Ganglion. This third Ganglion,—is placed at the head of the firft Rib, and is teimed by fome Authors Ganglion Cervicale Inferius, or Imum, while others coniider it as the firft of the Thoracic Gan- glia. The Cervical part of the Great Sympathetic is conneaed with other Nerves, and difperfed upon different parts by the following Branches, viz. One or two fhort, but thick Branches, which connea the be- ginning of the Superior Ganglion wiih the root of the Subocci- pital Nerve : One or two Pulpy Nerves, which run forwards behind the In ternal Carotid Aitery, and divide into many others. Thefe, to- gether with Filaments from the Gloflo-pharyngeus, form a Plexus which fends Branches to the Gangliform Expanfion of the Pharyngeus, and afterwards embraces the external Carotid Artery, fending Plexufts of Filaments along its different Branches : •40 One or two other foft Nerves, going behind the Internal Caro- tid, and with a Branch of the Laryngeus Interims of the Eighth Pair, forming the Laryngeus Externus : Thick flioi r Roots connecting the Firlt, or Conjugation of the Firft and Second Cervicals, with the fuperior Ganglion of the Spmpathetic Nerve. From the Siqierior Ganglion alfo, are fent off fmall Branches, which uniting with Fil nients from the Laryngeus Superior, form the Rumus Cardiacus Supremus, or Superficialis Cordis. The Superficial Cardiac Nerve of he Sympathetic, in the Right Side, d vides into Blanches at the bottom of the Neck, which fend a Filament or two along the Inferior Laryngeal Ar- tery to the Thyro d Gland and afterwards unite with the Supeifi- ciai Caidiac Neive of the Eighth Par before the Subclavian Ar- tery, and with the Laryngeal Nerve behind it.—In the left fide, it terminates in the Canliac Plexus of Neives. From the Second, Third, and Fourth Cervical Nerves, an equal number of Cords defcend behind the Scaleni and Ream Major Mufcle, to the middle Ganglion of the Great Sympa- thetic. From the oppofite fide of the Ganglion, Branches are fent down, which join and foim the .\ervous Magnus Projundus ; others aie fixed to the Superficial Cardiac and to the R current cf the Eighth Pair ;—-the reft go partly over and partly behind the Subclavian Arteiy, to the Inferior Cetvical, and to the firft Thoracic Ganglion. Nervi Accessorii ad Par Octavum.—The Acceffory Nerves arife by fmall Filaments from the lateral Parts ot the Medulla Oblongata and upper portion of the Spinal Marrow. The Filaments from the Spinal Marrow come off between the anterior and pofterior Bundles of the Cervical Nerves,—the firft of them frequently extending as far as the fpace between the Sixth and Seventh Pairs. The different Filaments unite by degrees into their refpeaive Trunks, and often have conneaioHS while within the Dura Mater, with one or two of the Bundles of the upppermoil Spinal Nerves. The Trunk of the Nerve paffes out, on each fide of the Cra- nium, in company with the Nerve of the Eighth Pair; but forms no part of that Nerve, being included in its own peculiar Sheath received from the Dura Mater. After perforating the Cranium, it feparates from the Eighth, and defcends obliquely outwards through ihe Sterno-maftoid Mufcle to the Shoulder. At its exit, it fends off a Branch, termed by fome Ramus Mi- nor, (the Trunk itfelf being then called Ramus Major), which affifts in forming the Pharyngeal Nerve ; and gives another, 241 fmaller than the former, to be conneaed to the Pars Vaea of the Eighth Pair. 6 At the fore-part of the Sterno-maftoid Mufcle, it is joined by an Arch to the Suboccipital, and frequently by another to the Firft Cervical Nerve. In its paffage through the Sterno-maftoideus, it fends feveral Branches to the fubftance of that Mufcle, and terminates at length in the Trapezius. OOOOOOOO-S'cOOOOOOOO' SPINAL MARROW, AND ORIGIN OF THE SPINAL NERVES. O' THE Spinal Marrow is the continuation of the Medulla Oblongata, and obtains its name from being contained in the Offeous Canal of the Spine. It is inverted by the fame Membranes which cover the Brain, and has an additional partial Involucrum from the Ligamentous Membrane which lines the Bodies of the Vertebrae, and which has been already taken notice of in the defcription of the Liga- ments. On the inner fide of the Ligamentous Lining, the Dura Mater is fituated, which paffes out of the Cranium by the Foramen Magnum Occipitis, and forms a Cylindrical Sheath which lojfe- ly envelopes the Spinal Marrow, and extends as far as thj Os Sacrum. It is more elaftic than the Dura Mater of the Brain, and there by admits more readily of the different motions of the Spine. At its egrefs from the Cranium, it is intimately conneaed to the beginning of the above-mentioned common Ligamentous Lining, and is alfo united with the Pericranium at the edge of the Foramen Magnum of the Occipital Bone. Below the Firft Vertebra of the Neck this intimate conneaion between the Dura Mater and inner Ligament of the Vertebras is difcontinued ; a Cellular Fatty, and Slimy Subftance, which fur- VOL. II. X 242 rounds the Dura Mater throughout the reft of the Canal, being interpofed between theMiinbrane and the Ligament. The Dura Mater is only in contaa w th the Tunic a Arachnoi- dea, and this alfo onlv in contact with the Pia Mater, and lying fo loofely over it as to be feparated from it with facility through the whole length ot the Spine. The Spinal Marrow, I ke the Brain, confifts of a cortical and Medullary Subftance, but d ffers in this refpea, that the Cineri- tious Mater is placed within the other. Upon the Suiface of the Spinal Marrow, while lying in its natural fituation, many tranfverfe Wrinkles or Folds are ob- ferved, which allow it to be extended in the motions of the Ver- tebiae. It is a little flattened on its anterior and pofterior Surfaces, and is larger near the under part of the Neck, and at the top ol the Loins where the great Nerves of the Extremities are fent off, than in the other parts of the Spine. It is divided into two lateral Portions or Cords, which are fepa- rated from each other externally by an anterior and pofterior Fif- fure continued from the Medulla Oblongata ; and each of the lateral Portions is in fome meafure fubdivided by a fuperficial Furrow into a larger anterior and fmall pofterior Cord. The lateral Portions are firmly united together by fine Cellu- lar Subftance, but may be fepirated from each other before at well as behind,—without lacerating either,—to near their mid- dle, where they are conneaed by a Layer of Cineritious Mat- ter which pafl'es from the one Cord into the other. When the Medulla Spinalis is divided tranfverfely, the Cine- ritious Subftance is obferved to have a Cruciform appearance, correfponding with the Cords of which it is compofed. The Bodyof the Spinal Marrow defcends as far as the Second Vertebra of the Loins, and terminates there by a Conical point, which is concealed by Fafculi of Nerves. Each of the lateral portions of the Spinal Marrow fends off from its anterior and pofterior parts, flat Fafciculi of Nervous Filaments, which are placed oppofite their fellows on the other fide. Several of the Fafciculi of the Cervical Nerves detach Fila- ments to thofe immediately above or below them ; and the fame thin? is occafionally obferved of fome of the Bundles of Dorfal Nerves. The anterior and pofterior Fafciculi peiforate the Dura Mater, from the inner part of which each Fafciculus is furnifhed with a proper Sheath, and is continued within it, the Sheaths conneaed by Cellular Subftance only, till they get between the Vertebrae. Between the anterior and pofterior Fafciculi or Spinal Nerves, and between the Tunica Arachnridea and Pia Mater, a fmall Ligamentous Cord termed Ligamentum Denticulatum, is fituated, > 213 which is attached to the Dura Mater, where that Membrane comes out from the Cranium and accompanies the Spinal Mar- row to its inferior exuemity. It adheres by Cellulai Subftance to the Pia Mater, and fends oft from its oppofite fide fmall Cords, in the form of Denticuli, which cirry the Tunica Arachnoidea along with them, and run- ning more or lefs in a tranfverfe diieaion, are fixed, each by minute Fibres to the Dura Mater, in the Interftices of the Fafci- culi. The Ligamentum Dent'culatum of the oppofite fides incorpo- rate with the Pia Mater at the inferior extremity, or Conical point of the Spinal Marrow, and forma Ligamentous Filament which perforates the under end of the Dura Mater, and is fixed by fmall Fibres to the Membranes covering the Os Coccygis, in the manner the Denticuli are fixed to the Dura Mater. It was termed by lome Authors Ligamentum Pia Matris. It was confidered by the Ancients as the Fortieth Pair of Nerves, and was alfo called Nervus Imparus Sacrus. It affifts in preventing the Spinal Marrow and the tender origin of the Neives from being overftretced. Having got between the Vertebiae, each of the pofterior Bun- dles forms a Ganglion, from the oppofite end of which a Nerve comes out, and is immediately joined by the anterior Bundle, thus conftituting the beginnings of the Trunks of the Spinal Nerves. The Nervous Cords fent out from the Spinal Marrow, after re- ceiving their coverings from the Dura Mater, become confidera- bly larger than the Fafciculi which form jltem ; as has been already obferved in the general defcription of the Nerves. As foon 3s the Spinal Nerves emerge from between the Verte- brae, each fends Branches backwards to the Mufcles near the Spine, and others forwards to join the Great Sympathetic Nerve, while the Trunk is continued outwards to its place of deftination. The Spinal Nerves ai. diltingmfhed on eti h fide, by numbers, accoi ding to the Bones under which they pafs ; Thirty Pairs are moft commonly enumerated.—One going under the iiead, and termed Suboccipital;—S .veil pifling under the Vertebrae of the Neck ;—Twelve under the Doifid ;—F.ve under the Lumbar Ver- tebrae ; and—Five undei the pieces winch originally compofed the O Sacrum. The Fafciculi which form the Cervical Nerves aie fiWr, run- ning nearly in a ftraight d'reaion fr >m tlu-ir oiigin to the Inter- vertebral Holes. 1 hole which form the Dorfal Neives are long- er than the former, and run more obliquely downwa.ds; and thofe which form the Lumbar and Sacral Nerves are veiy long and run ftill more obliquely downwards, tiil ai length the undcrmoft •f them become neaily longitudinal. 244 The fize of the Fafculi correfponds with that of the Nerves which they go to form.—The Fafcicnli of the four loweft Cervi- cal and firft Dorfal, are large and broad, giving origin to the Great Nerves which fupply the Superior Extremity.—Thofe of the Back are much more (lender, while the Fafciculi of the Loins and the two upper Sacral ones are of grea't fize, to form the very large Nuves which run to the Lower Extremity. ThxLnmbar and Sacral Fafciculi, while included in the Dura Matei\ form a Bundle of Cords, termed Cauda Equina, from the refemblance it has to the Tail of a Hoife; efpeoally when the Fibrillae of the Nerves are unravelled by feparating them from each other. The Fafciculi perfeiate the Dura Mater, nearly oppofite to the parts where they pafs thiough the Vertebrae,—of courfe the Neives of the ir.feiior pnrts of the Spinal Manow emerge from the Spine, confiderably lower than their different origins. Blood-Vessels of the Spinal Marrow.— The Arte- ries of the Spinal Marrow confift of Anterior and Pofterior Spi- nal Areries, and of many additional Branches communicating with o.hers from the adjacent Veffels. The Anterior Spinal Arteries arife, one on each fide, from the Vertebrals, near where thefeuom to form tht Bafilar Artery. Upon the beginning of the Spinal Manow, they generally unite into a common Trunk, which defcends in that depitflion on the Anterior Suiface of the Medulla, whereby it is diftin- guifhed into two Lateral Portions,—and the Arteiy continues nearly of the fame fize throu hout, in confequence of additions it receives from the neighbouring Arteries. In the Neck, it communicates with the Vertebral Thyroid, and Cervical Arteres, by Branches which pafs through the fame Holes with the Nerves. In the Back, it receives Branches from the Intercoftal, and in the Loins from the Lumbar Arteries; all of which alfo go through the Intervertebral Holes. It terminates at the under end of the Spinal Marrow; the Cauda Equina being fuppl.ed by Branches from the Internal Uiai Artery, which enter through the anterior and pofterior Holes of the Os Sacrum. The Pofterior Spinal Arteries,—arife commonly from ihe infe- rior Arteries of the Lercbclium, and frequently from the '1 runks of the Vertebral Arteries within the Cranium. They are eqiia. in leng h to the rofmer Artery, but confidera- bly r.fei ior to it in lize, and continue feparate through thtwhole of the r courfe. •► They have conftantly a Serpentine appearance, and form fre- quent Inofcuh.tions with each other, aid with Arteries, the Branches of which communicate with the anteirir S'pitta! Ar- tery. 245 The Arteries of the Spinal Marrow are divided into mi-iute Branches, which are difperfed upon its fubftance, upon the Mem- branes which inclofe it, and alfo upon the fubftance of the Verte- brae and upon the origins of the Nerves. The Veins of the Spinal Marrow accompany their Arteries, and afterwards terminate in the Sinus Venofi of the Spine. The Sinus Venofi confift of one on each fide, which runs exte- rior to the Dura Mater, being chiefly lodged in the Ligamen- tous Membrane which lines the fore and lateral parts of the Ver- tebral Canal. They extend from the Foramen Magnum of the Occipital Bone, to the under end of the Os Sacrum, and are fo inegul.ir on their furface, and fo much divided and fubdivided within by the openings of Veins, as in many parts to have the appearance of Cells. At the different Vertebrae, they are conjoined by crofs Branch- es, which have a Semilunar form, like the furface of the Bones which furround them. They communicate at their Superior extremity with the Occi- pital and Lateral Sinufes, and fend numberlefs Branches out- wards, wh.ch open into the Veins the Arteries of which analto- mofe with thofe of the Spinal Marrow. Nerves of the Neck and Superior Extremity. Nervus Accessorius.—The Acceffory Nerve belongs in fome refpeas to this Clafs of Nerves ;—but having part of its origin within the Head, and from its pafling out with one of the Cerebral Nerves, it has been already defcribed along with thefe. Suboccipital Nerves.—Thefe weteformerly called Tenth Pair of the Head, and by many at prefent are termed Firft of the Ntek. They arife, on each fide, from the beginning of he Spinal Marrow, by an Anterior and Pofterior Fafc icul.is, Ike the reft of the Spinal N'erves ; and, like thefe aifi>, they have then Gan- glia where they pafs out between the Bones. They perforate the Dura Mater immediately under the en- trance of the Vertebral Arteries and pafs forwards under them, and over the tranfverfe Proceffes of the A las. Tiiey afterwards appear in the fop-part of the Neck, and are each conneaed above by an Arch to the root of the Ninth Pair, and below by a fimilar Arch to .he Firft Cei vical Nerve. Anteriorly, they are joined by one or two Ihori Branches to the upper Gangl'a of the Great Sympathetic Nerve. They afterwards divide into Branches, wh ch are diftributed upon the Reai and Obliqui Capitis, and upon fome of the Deep Extenfor Mufcles of the Head. Vol. 11. X 2 21ti The First Cfrvical Nerve,—comes out, on each fide, be- tween the Atlas and Second Vertebra cf the Neck, and immedi- ately fplits into two parts ; the firft of which paffes forwaids un- der the tranfverfe Procefs of the Atlas, and is joined by an Arch with the Nervus Acccfforius, and by Branches with the Ninth Pair: It is alfo^cor.neaed by a foft Gangliform pellucid root with the upper Garghon of the Sympathetic Nerve, fending a Branch downwards, to be fixed to the fecond Cervical Nerve, and alfo fmall Branches to the Mufcles conneaed with the fore-part of the Vertebias. The othei, which is the principal part, goes backwards, and, after fending Branches to the Extenfor Mufcles of the Head and Neck, perforates thefe, and forms the Proper Occipital Nerve. The Occipital Nerve afcends upon the Head with the Artery of tint name, and terminates upon the Mufcles and Integuments on the upper and back-part of ihe Head; fome of its Filaments anallomoiing with others belonging to the Firft Branch ot the Fifth, and Portio Dura of the Seventh Pair. The Second Cervical Nerve,—after efcaping from be- tween the Bones, gives off a Branch, which perforates the Muf- cles connt-aed to the fore and lateral parts of the Vertebiae, and joins the middle Ganglion of the Sympathetic Nerve. It fends another Branch of confiderable fize downwards to the Trunk of the Third Pair. It fends feveral Branches to the Sterno-maftoid Mufcle, behind which it is conneaed by an Arch, and ftill farther out by a Fila- ment, with the Nervus Accefforius. It is afterwards divided into feveral Branches, one of which paffes downwards fome way upon the External Jugular Vein, and, together with a Branch from the Firft Cervical, forms an Arch with the Defceiidens of the Ninth Pair. It gives offa fmall root which is united with others in the for- mation cf the Diaphragmatic Nerve. A Large Branch comes out from it behind the Sterno-Maftoi- deus, which, turning over this Mufcle, fends off the following Nerves, viz. The Injerior Cutaneous Nerve of the Neck, which paffes for- wards to the parts under the Lower Jaw : The Middle Cutaneous Nerve, which runs towards the angle of the Jaw. The Great Pofterior Auricular Nerve, which furniflies an ante- rior Branch to the under part of the Ear, and a pofterior . Branch div.dmg into many others which go to the back-part of the Ear and Temple. The Cutaneous and Auricular Nerves are difperfed upon the Platyfma Myoides, Integuments of the fide of the Neck and Head, the Parotid Gland, and External In ; and have feveral Communications with the Portio Dura of the Seventh Pair. 2+7 The remainder of the Second Cervical is diftrbuted upon the Levator Scapulas, and the Extenfor Mufcles of the Neck and Head. The Third Cervical Nerve,—after emerging from be- tween the Vet tebrae, fends down a Branch to the Trunk of the Fourth Cervical, and another Branch which forms the principal root of the Diaphragmatic Nerve. A Third Branch perforates the Mufcles on the fide of the Vertebrae, and joins the middle Ganglion of the Sympathetic Nerve. A Small Filament conneas a Third Cervical wiih the De- fcendens of the Ninth Pair. The Nerve is afterwards divided into External and Internal Branches. The External Branches form Anaftomofes with the Nervus Accefforius, near the upper part of the Scapula ; wh le the In- terior, after furnifliing Twigs to the Jugular Glands, are dif- peifed by feveral large Branches upon the Mufcles and Integu- ments at the under part of the Neck, and upper part of the Shoulder. The Fourth Cervical,—fendfc a Branch behind the Muf- cles fituated on the fore and lateral parts of the Cervical Verte- bras, to the middle Ganglion of the Sympathetic Nerve. It is conneaed by one, and fometimes by two Filaments to the Diaphragmatic Nerve. It gives Twigs to the Jugular Glands and deep Mufcles of the Neck, and at the outer edge of the anterior Scalenus, joins the Fifh Cervical Nerve. The Fifth Cervical,—is united with the Fourth into a Common Trunk, which, after running a little farther out, joins the Sixth Cervical Nerve. The Sixth Cervical,—joins the Seventh behind the Clavi- cle ; and to the Seventh, the Firll Dorfal Nerve is added over the Firft Rib. The Four Inferior Cervical s and Firft Dorfal Nerve are of great fize,—efpecially the three n,termed ate#Nei ves. They pafs out between the Scrinus Amicus andMedius,— and afterwards run between the Subclavian Mufcle and Firll Rib, at the ou er fide of the Subclavian Arteiy, to the Axilla. In the Axdla, they fepaiaie, unite, and l'ep. ate gain, form- ing an irre. ular Piexas, termed Axillary or Brachial,—which furround* th Axillary Arr-.y. The Axillary Plexus feds Blanches to tht Subfcapularis, Te- res Major, and L.iffiinus Dv-ni, and furmfhes the "External Thoracic Neives wveh accompanv the Biiod-v.ff Is ol that name to tht Pea ral 'fun ie- and 1 e*rum< -us. The PI. x-is-if'e w< '- Jiv.'des in," Ne. »■■•, mi.t of wh ch are of [.in fi.-?, o ft.^iy-t. e-biij.eae'r Extremity — T..ey are as folio v- r 248 The Scapularis,—which commonly arifes from the com- bination of the Fourth and Fifth Pairs, and extending outwards, runs through the Semilunar Arch in the upper edge of the Sca- pula, afterwards defcending between the root of the Spine and Head of the Scapula. It fun.ifhes Blanches to the Supra-Spinatus, and is afterwards confumed upon the Infra-Spinatus Mufcle. The Articularis,—which arifes, like the former Nerve, from the Trunk common to the Fourth and Fifth Cervicals. It finks deep in the Axilla, and getting between the under edge of the Subfcapularis, and Infertions of the Teres Major and Latiffunus Doifi, it follows the courfe of the Pofterior Articular Artery round the Body of the Os Humeri, immediately below the Articulation. It fends Branches to the Teres M:nor, and fome Twigs to the Ligament of the Joint; but is chiefly difperfed upon the Deltoid Mufcle. The Nervus Cutaneus,—which arifes from the Trunk common to the laft Cervical and Fill Doifal Nerve; but is chiefly farmed by Fibrillae from the latter. It runs down at the inner and fore-part of the Arm, near the Radial Neive. It fometimes gives a finallBranch to the upper part of the Co- raco-brachialis and Biceps ; and, farther down, it gives others to the Integuments and Coats of the Blood-veffels. About the middle ot the Aim, it fplits into two Branches, an Internal and External. The Internal Branch, which is rather the fmaller of the two, paffes before the Bafilic Vein to the inner part of the Elbow, where it divides into Branches, two ot which, larger than the reft, turn obliquely over the Heads of the Flexor; of the Hand, to be difperled upon the inner and back-part of the fort-arm. The External Branch divides into feveral others, behind the Median Bafilic Vein, wh.ch defcend on the anterior and Ulnar fide of the Fore-arm, as far as the Wrift. They pafs partly over and partly under the Subcutaneous Veffels ; furnifliing Twigs to thefe, and vanifhing in the Integu- ments. B Tides the Nervus Cutaneus, there is another termed Cutane- us Minor Internus cf Wrisberg, which, like the reft of the Nerves of the Superior Extremity, takes its origin from the Ax- illaiy Plexus ; but is more particularly conneaed w th the Ul- nar Nerv .—It is confiderably inferior in fize to the Nervus Cu- taneus.' Ir foon fep rates from the Ulnar, lunning afterwards between it and the inner nde of the Arm. A little below the Axilla, it fplits into two Branches : 249 The fmaller, turning to the pofterior part of the Arm, is divi- ded into Filaments which are chiefly difpeifed upon the Triceps and its Integuments. The larger Branch defcends at the inner edge of the Triceps, and vanifhes upon the under end of that Mufcle and Skin of the Elbow. The Musculo-Cutaneus, called alio Perforans Caserii, —which contifts of Fibrillae from almoft all the Nerves entering the Plexus. The Cord formed bv thefe perforates, obliquely, the upper part of the Coraco-brachialis, to wh'ch it gives Branches. It afterwards paffes between the Biceps and Brachials Inter- nusv furnifliing Branches to both. At the Elbow, it gets to the outfide of the Tendon cf the Bi- ceps, and runs behind the Median Cephalic Vein. From thence it defcends in the Fore-aim, between the Supina- tor Longus and Integuments ; furnifliing Branches to the latter, as far as the root of the Thumb and back of ihe Hand. The Spiral, or Spiral-Muscular Nerve,—which is apparently fanned by all the Nerves entering into -he Axillary Plexus, and when the Sheaths of the Nerves are flit open, is found to be compofed of Fibrillae from each of the Trunks, excepting from that of ihe Firft Dorfal. It is rather larger than any other Nerve of the Superior Ex- tremity, and is diftingu.fhed by its Spiral direaion. Itis at firft fituated Detween the Axilltuy Artery and the Ul- nar Nerve, and pafles obliquely downwards between the two Heads of the Triceps Extenfor Cubiti, and afterwards behind the Os Humeri, to the outfide of the Elbow. From thence it p.oceeds*among the Mufcles of the Radial fide of the Fore-arm, as far as the Hand. While pafling behind the Os Humeri, it gives fevetal Branch- es of confiderable fize to the different Heads of the Triceps ; fome of them accompanying the Branches of the Arteria Spiralis, and terminating on the Heads of the Extenfors of the Hand. Immediately behind the body of theOs Humeri, it tranfmits a Subcutaneous Branch, which is diftributed upon the Mufcles and Integuments on the pofterior part of the Fore-aim, analtomo- fin2; at laft with the Nerves on the nack-part of the Hand. ^ The Tunnk of the Nerve having arrived at the Elbow, is lod- ged in a F. flu re between the Brachialis Intemus and Radial Ex- tcnf.irs of the Carpus, and there gives off other Branches to the Extenfors of the Hand, and to the Supinator Mufcles. At the Head of the Radius, the Trunk of the Nerve divides into two nearly equal Branches,—the Superficialis and Profun- dus. The Superficial:', continued almoft ftraight from the Trunk, immediately tranfmits a Bianch to the Exucrircs Radiaies and 250 Supinator Longus, and then defcends at the ncer edge of this Mufcle along with the Radial Arteiy. A little below the middle of the Radius, it croffes between the Tendon ef the Supinator and Ex-.er.lores Radiales, and is fubdivided into a Volar and Dorfal Branch. The Volar Branch, after fe: ding Twigs to the Annular Li- gament, is diftributed to the Mufcles and Integuments of the Thumb. The Dorfal Branch s again fubdivided into numerous other Branches, fome of which go to the Mufcles in the in erval of the M^etacaipal Bines of the Thumb and Fore finger, a few Fi- laments beinv, diftiibuted to the Annular Ligament, while prin- cipal Branches run one along each fide of the Foie and Mid-fin- gcr, and lkewife along the Radial fide of th.- Rin^-finger. The Ramus Profundus, after fending feveial Branches to ihe Extenfuies Radiales and Supinator Brevis, perforates the la ter, and gets to the back-part of the Fore-arm. After quitting the Supinator, it defcends under the Extenfor Primi Inteinodii Pollicis and Extenfor Digitoium to the back of the Hand. In this courfe, it fends Branches to the different Extenfors of the Thumb and Fingers, and at length degenerates into a (lender Branch, which, at the Wrift, adheres clofely to the Annular Ligament, where it has a G inglifurui appearance, and is difper- fed partly upon this Ligament and partly upon the Membianes on the back of the Mettcarpu . The Median or Radial Nerve,—which comes from the middle and lower part of the Plexus, is formed by Fafciculi from all the Nerves which enter the Plexus, and is nearly of a fimilar fize with the Spiral Nerve. It defcends in the Arm along the anter or furface of the Hu- meral Artery, to which, and to the Deep Veins, it adheres firm- ly by Cellular Subft ince. In this courfe, it does not give off any confiderable Branches ; —Twi^s, however, are fent from it to the Coats of the Adjacent Veffels. At the bending of the Elbow, it flips over the Tendon of the Brachialis Internus, and peiforites the back-part of the Pronator Teres Mufcle. It afteiwards paflls d wn between the Flexor Radialis and Mufculus Subbmis, and goes in the middle of the interval of the Radial and Ulnar Artery in its way to the Hand. V/hen it approaches the Forearm, it tranfmits Branches to the Pronator Teres and Integuments near that Mufcle. In the Flexure of the Arm, it fuinifhcs Branches to the Pro- nator, Flexor Radialis, and Flexor Sublimis, and an Interofl'e- ous Branch which, in fome Subjcas, receives an addition from ihe Spiral Nerve. f 51 The Interoffeous Nerve gives Branches to the Flexor Longus Pollicis, and to the Flexor Profundus Digitorum, defcends upon the Interoffeous Ligament with the Veffels of that name, and ter- minates in the Pronator Quadratus. Near the Hand, it fends a Branch dividing into others, which fupply the Mufcles and Integuments forming the Ball of the Thumb. The Trunk of the Nerve having given Branches to the Fore- arm, paffes under the Annular Ligament of the Wnft, where it divides into Brandies which are fituated behind the Aponeurofis Palmaris, and Supeificiai Arch of the Arteries. The principal Branches in the Palm come off in three divifions, from which feven Nerves of confiderable fize are diftributed to the Thumb and Fingers. Of thefe, two go to the Thumb, and one to the Radial fide of the Foie-fin.,er; the reft come off from two-forked Trunks, near the Heads of the Metacarpal-Bones, and fupply the adjacent fides of the Fore and Middle, and of the Middle and Ring-finszer. Thefe Branches fend Twigs through the Aponeurofis to the Integuments of the Palm, and others to the Mufculi Lumbri- cales ; after which they accompany the Arteries lent out from the Supeificiai Palmar Arch, bellowing Twigs to the adjacent parts of the Fingers, at the points of which they terminate by nume- rous Fibres. The Ulnar Nerve,—which, like the former, is of great fize, comes off chiefly fiom the laft Cervical and Firft Dorfal Nerve. It extends along the infide of the Triceps, frequently perfora- ting fome of its Flefliy Fibres, and, near the Elbow, flants a lit- tle backwards, to get into a Groove between the inner Condyle of the Os Humen and Olecranon of the Ulna. From thence it paffes to the Fore-Arm, where, after perfora- ting the Heads of the Flexor Mulcles, it joins the Ulnar Artery a little below its origin, and accompanies that veffel,—mnning behind it ajj the way'to the Hand. Under the Axilla, it fometimes receives a Branch from the Spiral Nerve; and from this conneaion, or font the Trunk of the Ulnar Nerve itfelf, a Subcutaneous Branch is fent off, which runs between the Triceps and Integuments, furnifliing Branches to the latter for a confiderable way along the Fore-arm. Near the under end of the Os Humeri, a Twig or two com- monly go to the inner edge of the Triceps. Under the bending of the Elbow, a Branch is given out to be diilributed upon the Belly of the Fiexc r Ulnaris. Immediately below the former, another Branch is produced, which is difperfed upon the Flexor Profundus Digitorum. About the middle of the Fore arm, a Filament is traBfmitted which adheres to the Ulnar Artery, furnifliing fmall Twigs to 2J2 the Coats and Sheath of the Artery, and terminating in the correfponding parts of the Wrift, and Integuments of the Palm. Near the end of the Ulna, a confiderable Branch, termed Dor- falis, is fent out, which turning between the Flexor Ulnaris and Ulna, is direaed to the back part of the Hand. The Dorfal Nerve fends Branches to the Integuments of the Wnft audi Metacarpus, which have various anaftomofes with others of the Spiral Nerve. It lends off a Branch which proceeds along the Ulnar fide of the Little Finger;—and at the Heads ot the Metacarpal Bones, another fplitting into two Branches which run along the adjacent fides of the Auricular and Rinz-fingers. The Trunk of the Nerve paffes with the correfponding Artery over the Annular Ligament into the Palm, where, like the Ra- dial Nerve, it is coveied with the Aponeurofis Palmai is. In the Palm, it divides into Supeificiai and Deep Branches ; the former deftined chiefly for the Fingers, the latter for the deep region of the Hand. The Superficial Palmar Nerves fends— Tiai dies to the fhort Mufcles of the Little Finger : A Branch to the Volar-umar fide of the Little Finger: and— Another, which,is foon fplit into two fmaller Branches ; one to the Radial fide of the Little Finger, the other to the Ulnar fide of the Ring-finger. The Deep Palmar Nerve finks in between the Abduaor and Flexor Parvus Digiti Minimi, or perforates the head of the latter, and f-rms an Arch which accompanies the Deep Arch of the Aiterie , under the tendon of ihe Flexors, and the Lumbricales Mufcles. The Deep Nerve gives— A Branch to the Abduaor Minimi Digity, and one to each of the Intei c.fi'ei : A Twig to each of the Lumbricales, which enters from be- hind : Branches to the Flexor Brevisand Adductor Pollicis. The Nerve terminates at length by feveral fhort Branches upon the Abduaor Indicis Mufcle. The Nerves on the Palm and correfponding parts of the Fin- gers, like the Arteries, are much larger than thofe of the oppo- fite fide of the Hand. The Digital Neives fends off many lateral Branches to the In- teguments and othtr parts of the Fingers, and terminate, each, by a Brufli of Fibres, at the Apices of the Fingers. Bttween the Branches of the Radial and Ulnar Nerve, differ- ent Anaftomofes are frequently found ; and the fame may be ob- ferved between the Neives of the Palmar and Dorfal fide of the Fingers. 25 S Inteixosto-Humerales.—Befides the Nerves of the Supe- rior Extremity fent fron the Brachial Plexus, there are others be- longing to it, which take their origin from the Intercoftal Nerves, and which may therefore be termed Intercofio-Humerales. The Intercofio-Humeral Nerves,-— confift of a Branch from the Second, and of another from the Thiid Intercoftal Nerves, both of which pafs out at the fore and lateral parts of the Thorax, the one under the Second, and the other under the Third Rib. The firft Nerve is joined by a fmall Branch with the Cutaneous Nerve, or with the Cutaneous Internus of Wrisberg, and is af- terwards difperfed by numerous Filaments upon the Axillary Glands, and upon the Integuments of the Axilla and of the in- ner part of the Arm. The Second Nerve is conneaed by one or more Branches with the Firft, and fends fome Twigs to the Axillary Glands ; but is chiefly diftributed upon the Integuments of the back-part of the Ann, which it fupplies with many Branches, fome of them ex- tending as far as the Elbow. >oooooooolum, ---callofum, — iliare, —• mucofum, INDEX. page. Corpus fpongiofum urethrae, 129 Cryftalline lens, portical fubftance of the brain, 14 Cutaneous nerve of the fupe Coftal neives, - 257 rior extremity, Cranium, nerves which pafs Cuticle, 227 65 through the bafe of the, Cricoid cartilage, f cerebri, > \ cerebelli, J Crura Cutis vera, Cyftic artery, Cyftis fellis, pap. 3* 248 3 5 202 * no Dartos, - - 123 Depreffor oculi, - 37 Diaphragm, blood-veffels ofthe 200 nerves of the Dorfal nerves, Drum of the ear, Duel, cyftic, *53 257 47 in Duct, hepatic, ■ , pancreatre, Duftus communis cholidochus Duodenum, Dura mater, ■» , blood-veffels of the 11.189 ' ■, proceffes of the, 10 no "5 112 97 9 Ear, ofthe, ——, fmall bones of the, , mufcles proper to the, Ear, external —, mufcles of the, vol. I. Ear, internal, ----, qjufcles of the, Eighth pair of nerves, f olivares, ~i Eminentiae< mammillares, >: {_ pyramidales, J Emulgent artery and vein, Epidermis, Epididymis, -* Epigaftric artery, 44 Epiglottis, 65. 49 Ergot, or Hippocampus minor, 15 45 Euftachian tribe, - ^.55 44 Extre 5 fuperior , fuperior 7 extre- 60 Tnity, l inferior •>" interior \ mity. 47 5° 236 207 3 124 212 Face, lymphatics of the, 167 ----, blood-veffels of the, 185 ----, nerves of the, - 235 Falx, or Sc turn cerebri, 10 ■ minor, or fepcum cerbelli, n Fat, ... 8 Femoral artery, —— vein, , or 1:rural nerve Fibular artery, v.1.1, nerve, 214 222 264 219 222 266 of the, ----, cdats of the, - 26 ——, humours of the, - 32 ——, veffels of the, - 38 ——, nerves of the, - 38.228 Eye and its appendages, arte- ries of the, . igc "Veins ofthe, 186 mufcles of the, 36 See alfo vol. I. 58 Fifth pair of nerves, or par tri^eminum, - - 229 Firft pair ot" nerves, or olfactory 227 Follicles, febaceous Fornix, - - f Foffa, or rima magna, - 13 FofTU nav cularis, - 1- —— Syl Helix, 44 Hemifpheres of the brain, 13 Hepatic arteries, - 201 Jejunum, , ladleals of the, 160 Iliac aiteries and veins, 208.212.223 Ilium, ihteftinum, - 80 Impregnation, changes produ- ced in the uterine fyftem by, 142 Incus, - 49 Infi rior cava, - 223 Inferior extremity, lymphatics of the, ■ , blood-vt ffels ofthe .--------, nerves ofthe Hepatic veins, Hippocampus major, - Hole between the right auricle and \entriele of the heart, — between the lateral ven- tricles of the brain, Humeral Attery, ■ vein, Hymen, Hypogaftric artery, vein, . ———— lymphatics, nerves, I & J 79 Infundibulum of the brain of th- cochlea, - of the kidneys, 206 17 76 17 192 196 140 212 223 *59 261 52 118 3 120 257 79 infra-OJ'itar artery, 156 211 262 179 Integuments, common, Intercoftal arteries and veins, ———— nerses, Intestines, ———— -, abforbents of the 159 Iris, - - 27 Ifthmus hepati;, - 108 ——— faucium, - 63 ...... Vitufftnii, - 76 11» D *. y.. Iter ad tertium ventriculum, ■quartum — Kid NEYS, page. page. 18 Jugular vein, external, 18; 18 ' ■ , internal, - 189 K. 116 Labia pudendi, Labial artery, Labyrinth of the ear, Lacrymal artery, Lacteals, Lactiferous ducts, Lamina fpiralis, Larynx, Laryngea fuperior, artciia, Laxaior tym;>ani, Leg,—fee Inferior extremity. Levator oculi, t • Clata. 7 Ligamenta, J rotu'nda>C uteri, Ligaments of the liver, Ligamentum fufpenforium penis, Lingual artery and vein, 176, ——— nerve, 177 51 181 '53 70 53 64 176 5° 37 134 107 128 186 23a Lips, - _ - - 57 Liquor a:nnii, - - 146 ■ pericardii, - 73 Liver. - - 106 —-—, lymphatics of the, 161 ■ 1, blood-veflels of the, 108 201 ——, nerves cf the, - 2C.9 Lobes of the brain, - 13 — of the liver, - 107 —— of the lungs, - 84 Locus niger crurum cerebri, 21 Lumbar arteries, - 211 ■ plexus of nerves, 263 Lungs, - - 84 ——, lymphatics of the, 164 ------, blood-veffels of the 88.174 nerves of the, M Malleus, Mammae, Mammary arteries and veins, 49 68 M.iffeteric arteries, Mater, < ." ' *P': Dura fee ... J Pia 198 199 lb. 179 Medulla fpinalis, Medullary fubftance of the brain, Membrana cellularis, pupillaris, 254 - 241 7 27.147 Membrana tympani, 47 -, fecundarii, 54 M.^t.ix, Maxillary artery, external, , internal, vein, • nerve C fuperior, ' \ inferior, Meatus auditorius externus, ,_______1, internn*, Median vein, i. nerve, Mediaftinum, M:Julia oblongata, 133 '77 178 186 231 231 46 5' 196 250 72 21 Meningeal artery, P.lefcnteric blood-veffels N Nails, 6 Neck, blood-veffels ofthe 175.189 , neives of the - 245 ------1---nerves, Mefentery, Mefocolon, MeforeCtum, Metatarfal artery, Modiolus, Motores oculoruin, or third pair of nerves, Mouth, of the, Mufculo-cutaneous nerve of the fuperior extre.nity, Nerves, of the, -, cerebral, ■ 1 -, fpinal, 178 202 260 100 ib. ib. 219 53 228 57 249 224 227 245 IXDEX. Ninth pair of nerves, Nipple, or papilla, Noni defcendens nervus, page. 238 69 2*8 Noss, of the, Nymphae, /-"i1 ■ 40 139 nir i. C fuperior, 7 Obliquus oculi, -J . I . ' > 1 ' (_ inferior, } Obturator artery, O Occ pital artery, 11 vein, 213 264 177 186 OLf pha^eal arteries and vcins^ ic,S ————— nerves, - 255 Ofcior-hagus, - 89 OEthmoidalis C anterior, 7 « arteri.i, "l pofterior, J Olfadt'.iry, or firft pair of nerves 227 Orr:"ntum, or cawl, - ici Opthalmic artery, - 180 'lroic vein, —— new-, Ootic, or 2.1 p.ir of nerves 31 Ora!culare, os, Organs ofthe fen.' p, of uiine and general in the male, in the female, - lymphatics of the bl K;d-vettlls of the, nerves of the, Os tincae, Ova Ovana, >,s iK3 2-9 .228 49 3 ion 116 '3- »57 206 261 J34 "35 Palate, -, arches of the, Palatina inferior a-teria, Palmaris profunda arteria, Palmar arch, dee;>, 1 , fuperficial, —— nerve, P.'lpebrr, Pancreas, Panniculus carnofus, P.sp of the throat, Papilla, Pap llae of the tongue, Pai trigeminum, or fifth pai' of nerves, Parotid duct, I gland, S 58 62 177 194 ib. '95 252 *4 114 9 58 69 59 229 61 Pars vaga of the ei.. tii pair of nerves, - 236.254.259 Pathetic, or fourth pair of nerves 228 Pedes hippocampi, - 17 Pedunculi ofthe brain and cerebellum, - 21 Pelvis, lymphatics cf the 158 •-----, blood-veffels of the 211 -----, nerves of the 262 Penis, ; - - 128 -------, lymphatics of the 157 , blood-veffels of the 208 ———, nerves ofthe 261 Pericardium, - 73 Perineum, Peritoneum, Peroneal artery, ■ nerve, Pharyngeal artery, Pharynx, . Phrenic nerve, Pia mater, Pinguedo, Placenta, Plantar artery and arch, Pljura, Pumum Adami, Pons ) Tanni> l ^°nS ) Varolii, i Popliteal attcry, 1-ortse, vena, Portio \ °">1"».J ofthe 7th pair, ; Prepuce of the penis, ■ of the clitoris, Profun :a femoris, arteria, ■, vena, — .umeri arteria, —i enis arteria, Pfalterium fornicis, Pterygoideae arteriae, Pudendum, Pudic artery, -----vein, 138 92 219 266 63 a53 12 8 J45 220 7» 64 21 223 205 233 139 215 222 I92 210 17 179 I38 209 210 INDEX. Pudic nerves, Pulmonary artery and veins, Radial aitery, nerve, Ran.na aneria, •■ vena, Recoptaculum chyli, Rectum, ■ ', lymphatics of the, Sacral artery, ■ lateral arteries, - nerves, Salivary glands, c i C major, Saphaena, vena, < .J ' r ' I minor, Saphaenns, nervus, Scaoular arteries, ■ nerve, Sciatic artery, Sciatic nerve, Sclerotic coat, Scrotum, Sebaceous ducts, page. 261 Pupil of the eye, 174 Pylorus, R 193 Recurrent nerve ofthe eighth pair, -------radial artery, ——— ulnar artery. page. 27 95 194 176 186 90 98 x59 254. J93 194 207 261 3i Renal artery and vein, —— nerves, Retina, S * 211 Spermatic artery and vein, 125.207 I2S 213 265 60 221 264 52 192 248 214 266 28 122 7 Second pair of nerves, or optic, 201 Secundines, - 144 Semicircular canals of the coch- lea, Semilunar ganglion, Seminal veffels, Senses, Organs ofthe, Septum cerebri, or falx, Septum cerebelli, ' lucidum, ■ penis, - 129 —— fcioti, - 122 Seventh pair of nerves, - 233 Sinufes of the dura mater, 12.188 5* 259 126 16 Sixth pair of nerves, Skarf-fkin, Skin, 262 cord, nerves. Sphincter veficae, Spinal Marrow, ofthe, ■ nerves, origin of the, Spinalis dorfi, fee vol. I. Spiral nerve, Splanchnicus nervus, Spleen, -------, lymphatic* of the, Splenic artery, Splenic vein, 1 ' ' nerves, Spongiofum, corpus, urethrae, Stapedius, Stapes, Stomach, - » ——, abforbents ofthe 96.161 ———, blood-veffels of the 95.200 , nerves of the 96.259 176 177 - 245 37 23 199 261 121 241 ib. 86 249 257.259 112 i6t 202 204 260 129 5a 49 93 Sublingual artery, Submental artery, Suboccipital nerves, Superbus, Supercilia, Superior cava, Siirrmon Extremity, , lymphatics of the, ———, blood -veffels of the, ., nerves of the, Supra-orbitar artery, Sympathetic nerve, 165 190 245 182 238 etfcq. Taenia hippocampi, - 17 femicircularis of Haller, 16 Tarfea arteria, - 218 Tarli:.-! of the eye-lids, - 24 Tela clioroidca, - 17 Temporal artery, ——— vein, - Tenlor tymrani, Tentorium cerebelli, Teftes, T79 185 5° 11 122 IXDE.X. page. Teftes, lymphatics of the - 158 ■ , blood-veffels of the 125.206 —-, nerves ofthe 261 Thalami nervorum opticorum 15 Third pair of nerves, or mo- tores oculorum, - 228 Thoracic duel, - 90.163 Thorax, of the, - 68 1 , blood-veflels within the 197 , nerves within the 253 Throat, ofthe, - 62 Thyroidea arteria Hnferi.or' r9° J £ fuperior, 176 Tibial arteries, - 218 ■■ veins, - - 221 — - nerve, - 266 Tomentum cerebri, - 13 Tongue, ofthe, - 59 ~......., lymphatics of the 167 ■ ■ , blood-veflels of the 176 — , nerves of the, Tonfils, Torcular Herophili, Traftus optici, Tragicus, - - Tragus, Tricufpid valve, Trochlearis, Tuber annulare, Tubercula quadrigemina, Tuberculum, Loiveri, Tubes, Euftachian, ——— , Fallopian, Tunica albuginea, ——— arachnoidea, ■ aranea, or vitrea, ' choroides, ■ ■ fclerotica, vaginalis, Vagina, Vaginal artery, - - 209 Valves of the abforbents, 154 of the veins, 173 1 of the heart and arteries 76 Valvula coli, - 104 V.fa brcvia, - 202.201; ■ ' efferentia of the teftes, 126 C efferentia, 7 of the ab- l inferentia, J forbents, 155 ____laftea 5Prirn!» ?gene- ' I fecundi, 3 ris, 160 Vafa vaforum, - 170 Veins, ofthe, - 172 Velum Vieuftenii, - 20 Vena cava, general courfe of the 174 Tympani laxator, Tympanum, - - 232 U & V 136 Vermiform appendix of the ccecum, Vermiform appendages of the cerebellum, Vefica urinaria^ Veficalis ima aitcria, Veficula fellis, Veftible of the labyrinth, ofthe pudendum page. 63 12.188 16 45 - 44 77 37 21 19 76 48 - 135 123 12 35 29 28 123 5° 47 104 lupenor, -, inferior, Vena magna ipfius penis, Vena portae, Ventricles of the brain, ■ of the heart, 199 223 210 205 *5 76 Viscera, of the, Vitreous humour, Ulnar arteries, ■ nerve, Umbilical cord, --------- artery, Volar arches, Vorticofe veins, Urelers, Urethia, Uterus, of the, ——--, appendages of the, Uvula, 120-133 214 110 51 139 3 34 - 194 Zjl 144 208 >9 5 186 119.133 130139 133 134 5» Zonula ciliaris, 43 mo ni7c0 v.* '>)