DUKE HOSPITAL LIBRARY DURHAM, N. C. Rec a (ieor^rift PermATiftrit. DATE DUE f 4 jk y- ■'t- ¥- X I FIRST LINES OF PHYSIOLOGY. Digitized by the Internet Archive in 2016 https://archive.org/details/firstlinesofphys01 h|^ll_0 FIRST LINES O F PHYSIOLOGY, BY THE CELEBRATED I Baron ALBERTUS HALLER, M.D. TRAKSLATED FROM TH£ CORRECT LATIN EDITION Printed under the Inspection of william c u l l e n, m. d. AND COMPARED WITH THE EDITION publiflied by H. A. WRISBERG, M.D.- Professor at Gottingen. TO WHICH ARE ADDED, The valuable INDEX originally compofed for Dr CU L L E N’s Edition 5 AND ALL THE NOTES and ILLUSTRATIONS of Prof. WRISBERG, now firft tranflated into English. IN TWO VOLUMES. VOL. L , EDINBURGH: Printed for CHARLES ELLIOT, Edinburghj And G. G. J. and J. ROBINSON, London. -M.DCC.LXXXVl, T ‘ , ■ ADVERTISEMENT. T he firfl Edition of this Work was publilh- ed in 1747. It was defigned as a correc- tion and improvement of Boerhaave’s Inftitu- tions, bv adding the new difcoverics of Mor- gagni, Window, Albinus, Douglas, 8cc. In 1751, another edition v/as publifhed ; in which ibme things were treated more fully, and others more briefly, than before. The ana- tomical defcriptions, particularly, were here abridged ; feme new phyfiological difeoveries added ; and a great number of typographical errors jcorredted. A third edition was publifhed in 1764. Here the author conformed the order of his fubjeds treated of in his Firfl: Lines to thofe of his larger work, and made the number of books contain- ed in both equal ; but did not think proper to abridge his Firfl: Lines any farther, left they fhould thus have become lefs fit for the purpo- fes of a Text-book. The demand for this Work foon became fo great, that an edition was printed at Edinburgh in 1766, under the infpeciion of the then Pro- feffor of the Inflitutions of Medicine ; who had formed the phyfiological part of his le(flures upon a fimiiar plan. The greateft care was taken to have this Edition as exadt and free from typographical errors as pofTible ; and it was farther improved by the addition of an Index, [ ’vi ] Index, which may be confidered as an elegant compend of the whole. It was thought proper, however, to retain the erroneous numbers of the paragraphs which had efcaped in the original editions, for the more eafy referring from one place to another, and that no confulion might arife from ufing the different editions. Of the laft- mentioned valuable Edition the prefent Editor, a few years ago, publifhed an exa6I tranflation, in which all poflible care had been taken to give the true meaning of the Au- thor, in a plain and eafy manner : An under- taking to which he was incited by the confide- ration, that the tranflation with which Students had been formerly furniflied, not only was done from an old edition, exceedingly imperfedt in comparifon with the lafl one; but. was alfo unneceffarily extended in the printing to double the fize of the original, and of courfe propor- tionably enhanced in the price. The utility of that undertaking was quickly acknowledged by the favourable reception which it met with, and which has already rendered another impreffion neceffary. In preparing this for the prefs, the Editor, felicitous to give it every improvement in his power, refolved to avail himfelf of a new edition of the original recently publifhed, with Notes and llluftrations comprehending the later Difcoverles, by that eminent phyfiologifl ProfefTor Wrifberg of Got- tingen. Accordingly the following tranflation has not only been compared with the text of that edition. edition, but all the Notes, about 200 in num- ber, have likewife been added. At the fame time, the former low price has only been in- creafed by a very fmall addition, not at all pro- portioned to the enlargement of the Work or the expence of the Publiftier, Edinburgh, 7 Feh. 1786. 3 CON- TABLE OF CONTENTS. VOL. I. Chap. Page. I. Of the animal fibres^ Of the cellular fubflance^ 9 ]I. IS m. Of the arteries and veins ^ Of the circulation of the blood. 20 IV. 38 V. Of the heart. 4 (S VI. Of the nature of the blood and juices of VII. the human body. 77 Of the common offices of the arteries. 91 VIII. Of the fecretions. 1 09 3 X. Of refpiration. 134 X. Of the voice and fpeech. 166 XI. Of the brain and nerves. 178 XII. Of mufcular motion. Of the fenfe of touch. 226 XIII. 243 XIV. Of the tajle. 258 XV. Of fmelling. 2^5 XVI. Of hearing, VoL. II. 272 XVII. . Of the fight. 3 XVIII. Of the internal fenfes. 32 XIX. Of majlication, faliva, and deglutition. 55 XX. Of the adion of the flomach on the food. 72 XXL Of the omentum. 89 XXII. Of the fpleen. 98 XXIlI. Of the pancreas. 102 XXIV. Of the liver, gall bladder, and bile. 105 XXV. Of the fmall mlef ines. 1 24 XXVI. Of the large inteflines. 136 XXVII. Of the chyltferoiis vcffels. 145 XXMII. Of the kidneys, bladder, and urine. 151 XXIX. Of the genital parts in man, 167 XXX. Of the virgin uterus 185 XXXI. Of conception. 197 XXXII. Of nutrition, growth, life, and death. 240 FIRST FIRST LINES O F PHYSIOLOGY. C H A P. I. Of a Fibre. Cellular Texture* I. ^ "3 HE human body is compofed either of g fluids or folids. Since the fluid parts Bj are of different kinds, we fliall confider M them afterwards in their moft proper place ; but as the folids form the moft Ample ‘ and true bafts of the body, we fhall begin with their hi- ftory before we enter upon the conftderation of the fluids. II. The folid parts of animals and vegetables have this fabric in common, that their elements, or the fmalleft parts we can fee by the fineft microfeope, are either fibres or an unorganized concrete. VoL.i. B X nr. * The firft elements of ail the parts of animal bodies coofift. of a certain earthy fubftance conjoined by a gelatinous matter, and of a little air; from which, by the mediation of the primary fibres, plates and membranes, veffels and inorganic glue, th chief inftruments of the body, the bones, mufcles, veffels, mem- branes, vifcera, teguments, joints, the whole body, are produced according to the different miscture of the elements, and the va- rious addition of the other parts. 10 ANIMAL FIBRES. Chap.L III. .A fibre ^ in general, may be confidered as re- fenibling a line made of points, having a moderate breadth; or rather as a llender cylinder. And that the more conllant or permanent parts of which it is compofed are earth, is demonftrated from calcination, or long continued putrefa£Uon» IV. Thefe earthy particles poffefs connexion and power of cohefion, not from themfelves or a mere contact, but from the intermediate glue placed be- twixt them. This we know from the experiments mentioned above (IV.); and from the eafy experiment, by which a burnt hair, whole parts yet hang together, recovers a degree of firmnefs when dipped in water or oil. Alfo the remains of ivory or bone fhavings, whofe jelly has been extracted, become friable, like bones, which, by long expofure to the weather, are converted into a true earth very ready to imbibe wa- ter. But even bones rendered friable by having their gluten extracted, will recover their hardnefs when the gluten is reftored. It is this gluten alone ■which conllitutes the morefimple parts of animals (II). V. That this glue is compofed of oil combined with water by the vital attrition in animals, again ap- pears from the chemical analyfis of bones and hair; froni the jelly of bones, ivory, and horns; and from the nature of our aliments themfelves. Nor is there any kind of glue that could more powerfully join the parts of animals together ; as we experience in filh- glue, and that of joiners or cabinet-makers, hz. VI. Earthy particles, then, (HI.) adhering longitu- dinally, and connecled by an intervening cohefive glue (V.), compofe in the firfl place one of the lead or moft fimple fibres, fuch as we underhand rather from reafon than fenfe. VII. * The tender embryos in their ovula, the foft plants ftill latent between the cotyledons, feem to be mere gluten; which, after a greater quantity of each has been added, acquires fo great Ilrengtb, tbat it is able to fupport the due figure of the parts. Among the polypi and fwiming animalcula, the intermediate degrees are very evident. Ckap.L animal fibres. it VII. But the fibres which firfi appear to the fight, are of two lands. The firfi; kind is lineal ; namely, fibres, which have their length confiderably large in proportion to their breadth; and which, by difpofing of the elementary particles in a right line, mufi; of courfe lie parallel generally with the contiguous fibres. Examples of fuch fibres we fee in the bones, and rnofl eafily in thofe of a foetus ^ ; and likewife in the tendons, ligaments, and mufcles: only, we mult always remember, that the eye never reaches to the fmallefi; fibres, but to larger ones made up of the fmalleft, and like to them in flendernefs, adjoining in a rectilineal courfe. That thefe are not different from the fmallefi fibres, we are perfuaded by the mofl ac- curate microfcopes of Muyfe and Leewenhoeck; by which the mufcular fibres, divided even to the laft, appear fimilar to the larger, till at length they feem mere lines. VIII. The fecond kind of fibres (VII.) is thofe in which the breadth is frequently larger than their length. Thefe, when loofely interwoven with each other, are called the cellular tunic ; though the name tunic or 7nembrane is on many accounts very impro- per. IX. This cellular fubflance is made up of an in- finite number of little plates or fcales, which, by their various direftions, intercept fmall cells and web-like fpaces; and join together all parts of the human body in fuch a manner as not only to fuffain, but to allow them a free and ample motion at the fame time. But in this vveb like fubflance there is the greatefi; di- verfity relatively to ’the proportion betwixt the folid parts and intercepted cells, as well as the breadth and flrength of the little plates, and the nature of the contained liquor, which is fometimes more watery, B 2 and 5 They are very fully perceived in the offa bregmatis, fronti?, and temporum, if the child has laboured under a hydrocepha- lus ; and alfo la the teeth of larger animals, when the alveoli are as yet fhut up. 12 ANIMAL FIBRES. Chap.1. and fometimes more oily; and Ukewlfe to the mixture of fibres and threads ; of which in fome parts, as in the coats of the arteries, there is a great number; in other parts, as under the Ikin, fcarce any. X. Out of this net-like cellular fubftance, compac- ted by the little plates, concreting and prefled together by the force of the incumbent mufcles, and diftend- ing fluids, or by other caufes, arife broad and flat plates or fkins in various parts of the body, which, being ge- nerally difpofed in a reftilineal direftion, are more properly called membranes ; or, being convoluted into cones and cylinders, pervaded by a flux of fome juice or liquors through their cavities, put on the name of vejfels; or elfe, being extended round fome fpacc that is in a plane parallel to itfelf, we call it a tunic or coat. But that tunics or coats are formed out of the cellu- lar fubftance is proved by ocular infpeftion, Spe- cially in the aorta, Ikin, pericardium, or dura mater, by maceration; and thus the coats of the mufcles are evidently of a cellular fabric, fimilar to that of other tunics. The fame thing is alfo proved from the eafy change of the dartos, and the nervous membrane of the inteftines, by inflation into a cellular fubftance ; from the hard and thick membranes about encyfted tumors, which have their origin only in the cellular texture; and, laftly, from that membrane, which, being gra- dually moft firmly compacted, forms the true Ikin ly- ing under the epidermis, and being thence continued is partly refolved into the fubcutaneous cellular tex- ture which is filled with fat. XL All the veflcls with which we fee tunics painted, are an addition to the cellular net-work, and in no- wife conftitutc the nature of a membrane, but are fu- peradded to the membrane itfelf, which is firft form- ed of the cellular net-hke fubftance. Betwixt the meflies or fpaces of the iutcftinal net-work of veflels, perfeftly well filled by the Ruyfehian art of injection, we ftill fee, that the white cellular fubftance which remains, greatly exceeds the bulk of the veflcls, al- though. Chap. I. ANIMAL FIBRES. 13 though, by their prrrernatural diftenfion, they take up more room by filling more of the fpace 4. But with regard to membranes compounded of fibres de-' culfacing or interwoven with each other, I know of none fuchj unlefs you will take the ligamentary or tendinous fibres for them, which are fpread over fome true membrane. XII. This cellular web-like fubflance in the human body is found throughout the whole, namely, where- ever any veffcl or moving mufcularfibre can be traced ; and this 5 without the leafl; exception, as far as I know. XI II. The other elementary fubftance of the human body ( 111 .) which cannot be truly called either a fi- brous or cellular plate, is a mere glue evafated and concreted, not within the fibres, but in fpaces betwixt them. In the bones this extravafated fubftance is ma- nifeft enough : for you fee the fibres very diftindl in the bones of a foetus, in the intervals between which you perceive the vefiels running ; fo that every bone in the fkull, on all fides, refembles the teeth of a comb. But this fabric is fo altered in an adult per- fon, that the juice being extravafated in the fpaces be- tween the fibres and the intervals thus filling up, as happens with the juice of madder, plates are then formed of the teeth above mentioned cemented to- gether «. The cartilages feem to be fcarce any thing elfe than this glue concreted, B 3 XIV» 4 Many things ftill remain which by no means can be referred to the nature of the veflels. They arc very fuccefsful injections, which can be thrown into the brain, lungs, glandula thyroidea, heart, thymus, kidneys, liver, gall-bladder, inteftines, tefticle, flein, &c. ; they leave always a great part of the fibres, in filling which the next age will not be more fuccefsful than the prelent ^ This is to be underftood with fome limitation. It is true, in- deed, of feveral parts formed of veflels, membranes, and fibres, that they can berefolved by the knife, inflation, maceration, into cellu- lar texture ; But the diffolution of a recent brain, of the cornea, and lens in water; the deflruflion of the epidermis, hairs, and nails; the ftruCIure of a great part of the bones and catilages, &c. render it probable, that all the animal parts do not fully confift of cellular texture alone. ® The olBfications and preternatural indurations illuftrate this parti- 14 ANIMAL FIBRES. Chap. I. XIV. But here the courfe of nature feems to be fuch, that even the filamentary fibres (III.) are all firft formed of fuch a transfufcd glue. And, that the membranous or fcaly fibres of the cellular fub- ftance (VII.) are thus formed appears from thofe cel- lular fibres produced in the thorax from a concreted vapour, which joins the furface of the lungs to the pleura; for thefe perfectly refemble the true and na- tural cellular fubftance. The fame appears alfo from a comparifon of the foetus with an adult; for the large fubcutaneous cellular fubftance in a foetus has in its Read a mere jelly interpofed betwixt the fkin and mufcles, which lafl: we obferve very firm in a foetus : from the morbid dilfolution of the membranes of the mufcles into a mere glue: and from a fimilar change into glue or fize, made on the fkin, tendons, and li- gaments of animals by means of boiling water. This theory is alfo illuftrated from clots of coagulated blood, the fanguineous membranes of Ruyfch, Albi- nus’s membranes formed of mucus, polypus, filk, and glue. Lallly, that the bones themfelves are formed of compacled gluten, is fhown from difeafes, in which the hardeft bones, by a liquefadlion of their gluten, return into cartilages, flefii, and jelly : fimilar changes are made on the bones of fifhes and other animals by Papin’s digefler. XV. It feems, then, that a gelatinous water, like the vrhite of an egg, with a fmall portion of fine cre- taceous earth, firll runs together into threads, from fome prell'ure, the caufes of which are not our prefent concern. Such a filament, by the mutual attra&ion of Gohefion, intercepting fpaces betwixt itfelf and others, helps to form a part of the cellular net-like fubllance, after having acquired fome toughnefs from the neighbouring earthy particles, w hich remain after an exputfion of the redundant aqueous glue. And in this particular])' ; n hich are obvious every where, as in the vefTels, and piore frequenti)’ the aorta, larynx, glandula pineahs, dura ma ^cr, &c. Chap. II. CELLULAR SUBSTANCE. 15 this net-like fubftance, wherever a greater preffure k impofed on its fcales or fides, they turn into fibres and membranes or tunics ; and in the bones, laftly, they concrete with an unorganifed glue (IV.). Hence, in general, all parts of the body, from the fofteft to the hardcft, feem to differ no otherwife than in this, that the hardeft parts have a greater number of the earthy particles more clofely compacled, with lefs aqueous glue ; whilft in the fofteft parts, there is lefs earth and more glue. C H A P. II. Of the Cellular Substance and its Fat. XVI. H E cellular fabric is madeup of fibres and jL plates (IX.), which are neither hollow nor vafcular, but folid ; although it is painted by an acceffion of veffels. But the principal differences of this fabric are the folIov.'ing ’. In feme parts of the body it is open and loofe, being formed of long and diftant plates ; in others it is thin and compaft, being made up of fhort concreted fibres. I find it fhorteft betwixt the fclerotica and choroides of the eye, and betwixt the arachnoides and pia mater of the brain. I alfo find it tender, but more confpi- cuous, betwixt every two coats of the inteftines, fto- mach, bladder, and ureters ; in the lungs, where it obtains the name of vehicles ; under the pulp of the glans penis ; and between the fmall kernels of the vifeera and glands. It is compofed of longer fibres, where it is extended over the larger veffels, under the name of capfule or 'vagina; as throughout the vifee- ra, and particularly the liver and lungs ; and is vaftly B 4 firmer ’ All the cellular texture may be divided into three clafles : \mo. The loofe and large, whether it comprehends the fat or not; it for the moft; part connedls the larger parts of the body, the mufcles and vifeera : zdo. The fliort and clofe, conjoining the tunic of the membranous vifeera and the glands: ^tio. The coa- fufed, from which various membranes arife, as the nervous coat of the inteftines and veffels, pleura, albuginea teftis, peritonseum, See, 1 6 CELLULAR SUBSTANCE. Chap. II. firmer in the veflels which go to the head and joints. Its principal ufe is to bind togetlier the contiguous membranes, vdTels, and fibres, in fuch a manner as to allow them a due or limited motion. But the cel* lular fubltance, fo far as we have hitherto defcribed it, hardly ever receives any fat ; it is moiftened by a watery vapour, gelatinous and fornewhat oily, ex- haled out of the arteries, and received again into the veins. The truth of this is eafih demonftrable from injeftions of oil and water, either alone or with fifh- glue, made in all parts of the body. When this va- pour is wanting, the final 1 fibres grow one to ano- ther, and the contiguous membranes or plates are ce- mented into one, with a lofs of their motion. XVII. The cellular texture is more lax, and formed of plates rather than fibres, where it divides the mufcles and all their fibres, even to the ultimate fibre ; where it furrounds and luflains the lead velfels with their free motion ; and within the cavities of the bones, where it is alfo ntade up ot bony plates with mem- branous ones intermixed. It is likewiie very lax un- der the furface of the body, being every where irter- pofed betwixt the mufcles and the fkin ; but it is laxeft of all in the genital parts of the male, which are lur- rounded w'ith very vvioe cells, XVIII. Into the empty fpaces of this cellular tex- ture (XVII.) is poured alinoff every w'herc in the fee- tus, firit a gclly, then a grumous, and lallly a clotted fat, all under the fkin, and in its fmall hollows. It is compofed of an infipid inflammable liquid, lighter than water, which in a cold air concretes into a felid cfpecially about the kidneys; ai:d in graminivorous animals, in fiflies, probably alfo in man, while they are alive, it is very nearly fluid, although apt to be indurated. In it, along with the oil, is uniicd an acid fait in quantity almoft equal to the fixih part of the oil. XIX. Through this cellular texture ihe.blood-veflels run and are divided ; from the arterial extremities of w hich Chap.il CFXLULAR substance. 17 which the fat is depofited, and abforbcd by the veins. This paffage, from the arteries into the adipofe cells, is fo free and fliort, that there muft needs be very large mouths by which they open, and by which thev give admittance to injefted mercury, air, water, diifolved fifh-glue or jelly, and oil not exempted, which is always very lluggilh in palling thh rough the velTels even of living animals. Thefe are fecreted not by any long duffs, but tranfude on all Tides through the whole ex- tent of the veffel ; infomuch that, when an artery is filled or injefled with water, there is no part of the furrounding cellular fubftance but what (wells with the moilture. The warm fat, during the pulfation of the arteries, ealily finds out the fame palfages. How quickly it is collected appears from the fpeedy re- novation of it, by a returning fatnefs after acute difeafes. XX. But that this fat is abforbed by the veins, we are taught from the hidden elfefls which exercife of the mufcles more efpecially has in confuming the oil of very fat animals; alfo from the confumption of our fat in fevers; from the cure of dropfies, where the water transfufed into the cellular fubftance is in a manner abforbed and thrown out by the inteftinal tube; and, laftly, from the tranfuding of water and oil from the venous orifices, when injected by the fyringe. Are the nerves fpread out upon the adi- pofe cells? It is certain they in moft parts run through this fubftance, and divide into the minuteft filaments, fo fmall that you can no longer trace them by the knife: that they are loft in it, is not probable®; for thr fat is both infenfible and unirritable. XXL The intervals betwixt the plates of the cel- lular membrane, are every where open, and agree in forming one continuous cavity throughout the whole body. ® It is certain that no nerves remain in the fat. In the very flender delicate lafhes which pierce the foft fat of the orbit, in the infinite diftributions of the crural and fciatic nerve through the fat of the femur, &c, the exit of nerves from the fat to other parts is fully apparent. iB CELLULAR SUBSTANCE. Chap.IL body**. This appears from the inflation which but- chers, and likewife the furgeons of Ethiopia, produce by a wound of the fkin, and which raifcs the fkin all over the body ; alfo from an emphyfema, in which the air received by a wound of the fldn, being re- tained- caufes a fwelling throughout the whole furface of the body ; the paffage of bodies, put under the Ikin, to a place remote from that at which they enter- ed ; the pafiage of pus from an inflamed place to re- mote ulcers ; and, finally, from difeafes, in which a watery or ferous humour is. depofited into all the cells of this net-like fubftance throughout the body, and is emptied from them all by a Tingle incifion. That none of the cellular fabric is excepted from this com- munication, appears from cafes, wherein the vitreous body of the eye has received the flatus of an emphy- fema ; and again from difeafe, in which the gelatinous ferum of a dropfy has been found transfufed even into the cavernous bodies of the penis. XXII. The great importance and ufe of this cellular fubftance in the animal fabric, mu ft be evident to all who conftder, that from this part alone proceeds the due firmnefs and ftability of all the arteries, nerves, and mufcular fibres of the body, and confequently of allfthe flefliy parts and viicera formed from thence; even the figures of the parts, their proper length, curvatures, cavities, and morions, depend entirely on the cel- lular texture, which is in fome places of a lax, in others of a harder fabric ; for when it is cut, the parts lengthen and are relaxed : Of this fubftance, along with the veftels, nerves, mufcular and tendinous fibres (of which it alone compofes a good part), all the vif- cera, mufcles, and glands, with their ligaments and capfules, are compofed. It alone, its various length, ienfion, quantity and proportion, occafions the diffe- rence in the glands and vifeera; and, laftly, it is it alone which makes the greateft part of the body itfelf, if ^ The cellular texture, juft as the utricular fubftance in vege- tables, conamunicates through all the cells of the animal body. Chap. II. CELLULAR SUBSTANCE. if indeed the body is not totally formed of fuch cellu- lar filaments. XXIII. This fubftance hath a contraclile power, dif- ferent from that of irritability, which, though not de- monflrable by experiments, for the moll part difpofes the cellular fibre to fhorten itfelf gradually after it has been lengthened. This power, excited by cold, ren- ders the fkin rigid; raiies the hairs; draws up the fcrotum ; and, after gellation reftores the fkin of the abdomen and the uterus to their former fize The fame force, by a gentle but continual conlraftion, promotes the fecretion both ^f the fat, the liquors of the fubcutaneous and other glands, and of pus: in the veins and receptacles, it refills dilatation; which being taken off, it reftores the part to its former fize. In the foetus, this gentle force is among the principal caufes of the changes that happen to the body. XXIV. The ufes of the fat are various ; as to fa- cilitate the motions of the mufcles, in all^iarts to leffen their attrition againft each other, and to prevent a ftiffnefs or rigidity : it fills up the intermediate fpaces betwixt the mufcles, with the cavities about many of the vifcera, in fuch a manner, that it readily yields to their motions, and yet fupports them when at reft : it principally conftitutes the w^eight of the body; con- ducts and defends the veffels: it gives an uniform ex- tenfion to the fkin ; and, ferving as a cufhion to eafe - the w'eight of the body, renders the whole of a comely, agreeable fhape : probably, by mixing with many of the humours, it abates their acrimony ; it has a prin- cipal fharc in forming the bile ; and by tranfuding through the cartilaginous incruftations of the bones, it mixes with the articular liquid, and by re-abforp- tion it lubricates their fibres : by exhaling through the pores of the fkin, it refifts the inclement drying quality of the air : alfo, by exhaling in a living perfon from And in dropfical cafes, after, a cure has been performed. ” And reftores to the mzmmXf after fuckling, their agreeable form and beauty. no ARTERIES. Chap. III. from the mefentery, mefocolon, omentum, and round the kidneys, it lubricates the furfaces of the vifcera with an oily emollient vapour ; and, by interpofing itfelf between their integuments, prevents their con- cretion. XXV. The fat is depofited into the cells of this fub- flance by deep, reft of body and mind, and a dimi- niftied force of circulation’^: whence, being collefted in too great a quantity, it proves injurious by com- prefting the veins; and, by caufing too great a refift- ance to the heart, it makes a perfon fhort-breathed, and liable to an apoplexy or dropfy. The fame humour is taken up by the veins; and, being rapidly moved along the arteries, is confumed by violent exercife, venrry, watchings, cares of the mind, a falivation, diarrhoea, fever, falling, or fuppuration. When re- itored to the blood, it increafcs acute difeafcs, tinges the urine, and forms a part of its fediment. After a fudden confumption of it, it is foon renewed again from good juices, or healthy humours : but, in a languid habit, a gelly, inftead of fat, is depofited into the cells ; and this caufes the dropfy we call anafar- ca, and an external hydrocele or v/atery fw'elling. CHAP. m. Of the Vessels, XXVI. ^ I ^HE membranes will be better defcribed A fingly. There are feveral common to the arteries. Thefe are long extended cones, whofe dia- meters decreafe as they divide into more numerous branches: but where the arteries run for fome length, without giving off large branches, their convergency, if any, is not very evident : at length they are cylin- drical, or very imperceptibly diminiflied, when they are called capillaries, and wherever they admit only a And difeafes of the liver, fince the circulation i« reroarkable during deep, the increafe of the fat, and the propenhty to dropfy and hepatic afFcftions. Cha?.I1I. arteries. 2t a fingle globule ; the fection being every where with- out exception circular, in a diftended artery. Where they fend off large branches, the light or cavity is there fuddenly diminifhed, infomuch that they might be taken for a chaii^f cylinders, of which every one is narrower than the preceding. If you reckon them cones, then the common bafis of the cone in all ar- teries is either in the one or the other ventricle of the heart ; and the apex of the cone terminates either in the beginning of the veins, or in the beginning of the cylindrical part of the artery, or in the exhaling veffel, unlefs it is cylindrical. In fome places they feem to diverge or dilate ; at leaft they become there of a large diameter, after they have been filled or diftended with wax ; which poffibly may arife from fome ftop- page of the wax, by whole impulfe that part of the length of the artery becomes more diftended than the reft. Examples of this kind we have in the vertebral artery, at the bafis of the fkull in the fplenic artery, in the flexure of the carotid artery, according to Mr Cowper’s injeftions; and, laftly, unlefs thefe experi- ments deceive me, in the fpermatic arteries in all places, likewife, where the ramifications between the diameter of the artery is a little increafed. XXVII. There is no external coat proper and per- petual to all the arteries ; but the office of fuch a coat is'fuppli^ed to fome of them by one fingle external and incumbent integument, which in the thorax is the pleura, and in the abdomen the peritonaeum. In the neck, arm, and thigh, a fort of thicker cellular fub- ftance furrounds the arteries. The membrane of the pericardium, which on all fides furrounds the aorta, returns back with the veffels to the heart. The dura mater imparts a capfule, that furrounds the carotid ar- tery as it paffes out through a hole in the fkull. But the firft true external membrane common to the arte- rial tube in all parts of the body, is the cellular fub- ftance, ** In the bsfilar artery, fo called. In the artery of the arm a little above the divlfion. 22 ARTERIES. Chap. III. fiance, which In feme parts (as in the thorax) we fee replenifhed with fat. XXVIII. This cellular coat is, in its external furface, of a more lax texture, painted with a great many fmall arteries and veins ; and it has nerves runnning thro' its fubftance, which are none of the fmalleft. There is foinetimes fo much of this cellular fubflance about the artery, as might occafion one to think it hardly belonged, to it as an external coat or lamella, but ra- ther as fome foreign net-work added to this veflel. Thus we find it in the arteries of the neck, groins, and fubclavians ; in the mefenteric, cteliac, and hepa- tic arteries ; where it is chiefly interwoven with long fibres. And thefe are the vaginas or capfules of the arteries, formerly obferved by fome eminent anato- mifts XXIX. As this cellular coat advances more inward, and nearer to the light and capacity of the artery, it becomes more denfe, folid, and is tied more clofely together by a kind of wool, and may be called the proper coat of the artery. That there is no tendinous coat of the arteries diflincl from this lafl: part of the cellular fubftance, is evident from maceration, where- by the inner ftratuin of this arterious tunic changes into a cellular fabric XXX. Within the former, and nearer the light or capacity of the artery, it has a coat of mufcular fibres^ which are in general imperfect circles: that is to fay, no fibre any where makes a complete circle round the veflel ; but a number of fegments conjoined toge- ther, with their extremities turned off fidewife, feeni to form one ring round the artery. Thefe fibres, in the larger arterial trunks, form many llrata, appear of 2 a Thefe additions of fmaller veffels to the greater, which fome people have mittaken ror a peculiar vafcular tunic, are the more frequent the younger the animal, or if it has laboured under a congeftion, or died of fuffocation. ** Soluble, according to Albinus’s way, almoft into as many lamellas as you choofe, without any evident number or divcrfity. Chap.III. arteries. 23 a reddifh colour, and are remarkably firm and folidj but in the fmaller arteries they are by degrees more difficult to demonftrate, and feem to be wanting in the arteries of fmall animals. I have never obferved them to run along the vefiel lengthwife. Under thefe membranes, but pretty difficult to demonfirate, is an exceeding fliort cellular texture, into which a chalky concreting matter is poured when an artery offifies. XXXI. The innervwjl coat of the artery is thin, and finely poliffied by the influent blood ; fo as to form a Angle incruftation that every where lines the fleflby fibres, which are not very continuous one to the other, and prevents the blood from infinuating into the fpaces betwixt them. It is every where fmooth and without valves; although, from a fort of mechanical neceffity, fometimes certain folds, raifed into a femicircle at the origination of branches, form a projecting eminence ; as we fee at the branches produced by the arch of the aorta. Yet, in arteries of the vifeera, the innermofl: coat is fofter, lax, wrinkled, and almofl: friable, efpe- cially in the dudlus arteriofus. XXXII. The arteries themfelves have arteries which are more particularly fpread through their external cellular coat ; and, fpringing on all fides from the next adjacent fmall arterial trunks, from numerous bran- chy net-works, which arc all of them indeed very minute, but plainly appear, even in the foetus, with- out inje£tion, to be very numerous. There are alfo nerves which defeend for a long way together through the furface of the artery, and at lafl; vanifli in the cel- lular fubftance of the veflel ; of which we have a fpe- cimen in the external and internal carotids and arch of the aorta 'k And from thefe, do not the arteries feem But this is very remarkable in the nerves, fo called, moile* and cardiaci, that they furround the arteries of the head and large veffcls of the heart. In the plexus pulraonfalis arifing from the vagum, the mefenteric from the fplenic, the facial from the du- rum, the frontal from the fifth, the femoral from the anterior cruralis, 24 ARTERIES. Chap. ill. feem to derive a mufcular and convulfive force, very different from that of their fimple elaflicity? Does not this force fhow itfelf plainly enough in fevers^ faintings, palfy, confumption, and paffions of the mind? But the artery is in a manner infenfible and unirritable and if it is conftri6ted by the application of poifons, it has this in common with the dead fkin. XXXIII. The fetl'ions^ or divifionsj of arteries fliow themfelves with a round light or hollow capacity, becaufe they are elaftic ; and this is the reafon why, from the fmall arteries of the teeth, haemorrhaf^ies are fometimes fatal. The aorta, indeed, of the tho- rax and abdomen, the carotids of the neck, and fomc other arteries of the dead body, from heir hlT-ned extenfion, appear fomewhat flat or deprclfed ; Out their round figure, or circular frcfion, is every v^tere reflored by injection. Their ela[licity evident in that powerful compreffure, which 'a fegment of a large artery makes upon the finger that diftends it, and which is -much flronger in a dead than in a li- ving body. In the living body, indeed, this force yields to that of the heart ; but inflantly recovers it- felf when the heart is relaxed,*and reftores the artery to its former diameter; and this makes the pulfe^ whofe full explication ought to be preceded by a hi- ftory of the heart : at prefent it may fuffice to fay, that all the arteries have this pulfation, although the fyflole and diaftole thereof can be perceived by the finger, only in the larger, not in the fmaller ones na- turally; and in the ultimate inflection of the arteries, the pulfe totally vanifhes ; but, by an increafed mo- tion of the blood, even the lefTer arteries make a vio- lent pulfation, as we fee in an inflammation Thefe veflels ftrongly contrad lengthwife, and are rendered Ihorter on diffedion. XXXIV. cruralls, it is manifeft that they accompany the vefiels, and fpread out an infinite number of branches through their tunics. This opinion of the irritability of the veffds has been linsi-: ted from later experiments. Or on preffere depending on cn external caufe. Chap. III. ARTERIES. 25 XXXIV. The Jirength of the arteries is confiderable enough : but as the denfe hard net-work of the outer .cellular coat refufes to yield to a diftending force, it breaks without much difficulty, alinoft eafier than the coats of the veins ; and from thence arife aneurifms. But, in general, the trunks are, in all parts of the body, weaker, and the branches ftronger, in their coats ; whence the impulfe of the blood may exert a confiderable effect upon the former, but lead; of all on thofe of the limbs. From hence it is, that aneurifms are moft frequently formed near the heart ; for, in the lower extremities, the ftrength of the arteries, and of the veins too, is much increafed, as well as in the fe- creting organs. XXXV With regard to the courfe and general du Jlribution of the arteries, nature has every where dif- perfed them through the whole animal body, except in a few membranes. But ffie hath difpofed of the trunks every where in places of fafety ; becaufe wounds cannot happen to the fmaller of them without danger, nor to the larger without lofs of life. The fkin is fpread with numerous ffiort and fmall arterial trunks j but the larger ones, defended by the fkin and muf- cles, creep along near the bones. In general, the arteries are in proportion to the parts of the body to which they are fent. The largeft go to the fecre- tory organs, the brain, and fpleenj the leffer ones to the mufcular parts. XXXVI. The proportion of the light or cavity of the artery to its folid part is not every where the fame, nor is it coriftant even in the fame artery. This proportion, in the fir ft place, is lead; of all at the heart, and increafes as the arteries remove farther from it. Secondly, in a full-fed plethoric animal, whofe blood paffes freely, and with great force thro’ its arteries, the proportion of the folid parts of thele veffels is lefs than in a famiffied extenuated creature, whofe blood hath a feeble motion, XXXVII. From the trunks of all the arteries bran- ches are fent forth, and from thefe again proceed leffer VoL.I. C twigs 2^ ARTERIES. Chap.IIL twigs by a numerous divlfion, of which you can fcarce find the end, though you may perhaps count twenty fubdivifions of this kind. Here the lights or fedions of any two branches taken together, always exceed the light of the trunk from whence they come, in nearly a fefquilateral proportion, or as one and a half to one, or fomewhat Icfs. Alfo every trunk juft above its divifion is fomewhat broader or more ex- panded. The angles, at which the branches go out from their trunks, are generally acute, either half right angles or nearly fo ; to the forming of which angles, as we fee in mechanics, there is required the longed projection. Indances of their going off at right angles, or nearly fo, we have in the lumbal or interco- flal arteries; of their going off in a retrogade or re- flected courfe, we have one indance in the coronaries of the heart, and another indance in the fpinal arte- ries, which are produced by the vertebrals. But, generally fpeaking, thofr which are edeemed retro- gade or reflexed, were fent off, at their origin, in acute angles ; fuch as the afcending artery of the pha- rynx, the dcfcending one of the palate, the umbilical mammary arteries, and the nutritious ones of the large bones. Ladly, we often obferve large branches ari- flng under lefler angles, and fmaller ones under greater angles : but it is rarely that we obferve two arteries of a large diameter run together into one trunk. An example of this, however, we have in that artery which is formed out of the vertebrals : in the fmaller ones it is frequent, as in both the fpinal arteries, and that of the fincipital foramen. In many parts, the ar- teries have repeated alternate undulations or flexures, as they run on in a f'piral courfe, wherein we fee their diameter often confiderably enlarged, as in the large in'"edines, womb, face, fpleen, lips, and iris. Even the flraight arteries in other places, if too much diflenCed, fail into ferpentine flexures, Sometimes they are fuddei '• twided into a kind of circles, as the carotids under the mainiilary procefs. xxxvm. Chap. III. ARTERIES. 27 XXXVIII. The arteries are frequently conjoined by intermediate branches, in fuch a manner, that the twig of fome certain artery fliall run to meet one of the fame kind from another neighbouring artery, and, by joining together with that, form one trunk. In- ftances of this kind we have among the large trunks in the inteftines, among the middling ones in the kidneys, womb, &c. and among the fmaller in all parts of the body ; infomuch that there is no part of the human body, wherein the neighbouring arterial trunks, whether of the fame or of different denomi-^ nations, do not form anaftomofes or joinings one to the other by intermediate branches. Of rings di- verging laterally from the arteries, and returning into themfelves, we have inftances in the eye and brain. The epctremities of the arteries, which are either cy- lindrical or nearly fo, fend off fmaller branches, whichj for their extent, are more numerous and generally difpofed like a net; fo that each branch, by its fmaller twigs, forms anaftomofes with thofeof its neighbouring branches: and thus we find it in all membranes. By this means it happens, that, though the paffage from the heart to any part of an artery is obftrufted, the blood may neverthelefs flow through the neighbouring arte- ries into all the branches of the obftrudted one. Thus a gangrene or languor of the part is very ftrongly prevented, and the obftruftion is more eafily refol- ved by the repulfion of the obftacle into the larger part of the trunk, XXXIX. Laftly, one of the leaft arteries is either changed by a continuation of its canal into a vein, in. fuch a manner, that the ultimate little artery, which is generally reflected, having furpaffed the angle of its re- fledion, becomes now a fmall vein ; or elfe a branch, fent out at right angles from the artery, is inferted under a like angle into the branch, of a fmall vein. Both thefe kinds of mechanifm are demonftrated to us by the microfcope, and the eafy return of injections through the veins into the arteries. And thefe vaf- C 2 cules 28 ARTERIES. CuAP.Iir. cules we fee fometimes large enough to receive only one, and fometimes feveral blood-globules at a time. A large artery is never obferved to open into a vein. XL. In the vi/cera, we find the fmall arteries dif- pofed not fo much in net-works as in a different fa- bricature, wherein the fmall branches defcend very thick, or in clufters, parallel to the trunk, fo as to refemblebrulh-pencils, a variety of little trees or bulli- es, fmall ferpents, or threads, according to the va- rious difpofition of the parts. XLI. Sometimes the arteries end in another man- ner, namely, by being converted into veffcls of the fmaller kinds. 'I'hefe are fometimes continuous to the arteries and real arterial trunks, as will be obfer- ved in the ophthalmic artery, upon tracing the arte- ries of the tunica choroides, or the colourlefs ones of the circle of the uvea and iris. That a net-w'ork of pellucid arteries is continuous with the red branches of the ophthalmic one, is evident from inflammations, and the rednefs of the parts when relaxed by vapour or by cupping ; from repletion, and the microfeopi- cal experiments of Lieberkuhnius upon frogs, in which colourlefs globules were feen to pafs from a red artery into a lateral veflTcl. In a fabric of this kind the red blood is eafily forced into the fmaller velfels. XLII. In other places the fmaller velfels feem to proceed laterally as branches from the trunks of the leall fanguineous arteries, and are drawn out into trunks (till fmaller. Thefe are called excretory du6is‘°. It is with difficulty that thefe vefl'els are filled with red blood ; of this, however, we have examples in the kidneys, the liver, and breafts. Indeed the blood, when *° I would rather call them fccietory ; for they properly carry a liquor to be fecreted from the blood to the ways and places of excretion. I have almoft always feen mercury, diffoived filh-glue, or turpentine, when injefted into the arteries after tying the veins, flow from the biliary, falival, urinary, and laftiferous dufls ; but there is at the fame time an eafy paffage of pure blood through the fame cauals. Chap. III. ARTERIES, 29 when vitiated, penetrates the excretory du£ls of the whole body, even without hurting the veffels ; nor is that aberration found to be productive of any evil con* fequence after the diforder of the blood is cured. XLIII. Another termination of the arterial extre- mities is into the exhaling veffels ; and this is a manner of their ending very fre.quently to be obferved in all parts of the body. The whole (kin, all membranes of the human body, which form any clofe cavity, all the ventricles of the brain, the anterior and polterior chambers of the eyes, all the adipofe cells and puL monary veficles, the whole cavity of the ftoinach and inteftinal tube, through which the air has a palfage, are all of them replenidied with exhaling arteries of this kind. Thefe emit a thin, watery, gelatinous humour, which, being colleded together by handing, fometimes makes no inconfiderable quantity; and, particularly by difeafe or death, is converted into a watery, but coagulable lymph. The truth of this is ealily demonftrable from the watery fweat that enfues after injeCting the arteries with that liquor warm. In fome places, indeed, they exhale not a thin vapour, but blood itfelf, as we fee in the heart, the cellular fabric of the penis, urethra, clitoris, and nipple of the female bread ; in all which the blood itfelf is naturally poured out. Does not every fecretion, that is made in true glands or hollow crypts, bear fome analogy to this exhaling fabric? XLIV. Whether or no, in all parts of the human body, do the pellucid veflels, arifing from the fan- guihe ones, and carrying a humour thinner than blood, again fend out fmalier veffels, to be fubdivided into hill leffer orders? We feem, indeed, not to want examples of this in the manner propofed to us by the moll: celebrated profeffors That the aqueous C 3 humour ** I have feen beyond all difpute, a new rife of blood- vt fit Is, where before they were invifible. This is very clear in the che- raofis ; but I have alfo obferved a net-work of veficls on the inner furface of the dura meninges in a woman, who had a very large glaodula go ARTERIES. Chap. III. humour is feparated by very fine veffels, generated from the colourlefs arteries of the iris, is very probable. That the red-coloured veffels in the cortical fubftance of the brain, feparate a juice pervading the medul- lary fubftance, by the intermedium of another order of veffels, we are almofl: certain. And the like we are perfuaded from an eryfipelas or yellow inflamma- tion, arifing from the yellow or ferous globules im- padted into fmaller veffels. XLV. It may then be afked, if there are not yellow arterious veffels of a fecond order, which fend off lymphatic ones of a third order, from whence by degrees ftill leffer kinds of veffels branch out ? Such a fabric does not feem agreeable to the very eafy tranfition that is made by the blood, mercury, or wax, into the exhaling and perfpiratory veffels, or into the uriniferous tubuli, with the adipofe and pulmo- nary cells ; nor is it very difficult for the blood to fcray into the lactiferous, lymphatic and lachrymal duifts, whither it fliould feem not able to penetrate, if it went through any other intermediate vafcular fy- ftem fmaller than the blood-globules, which make the fame journey. Nor can it be admitted, from the great retardation, which the humours muft, in a third order of veffels, meet with from this mechanifm, and which is continually to increafe in proportion to their diminiflied fize. Xi^VI. The V EiNs, in many particulars, refemble the arteries “ . There are fix, of which two anfwer to the aorta, and the remaining four to the pulmo- nary artery. Their bafis is in the ventricles of the heart, and. their apices in the extremity of each branch, through all parts of the body, excepting one inftance in glandula tliyroidea, which by comprefiing the jugular veins ob- itructed the regrefs of the blood from the cranium : the fame tiling happens upq the longs, liver, and other vifeera. We ought to count feven trunks of veins; for the vena por- tarum, conducing its contents through fo many windings, at length pours them into the venx hepaticas: fo that it is altogethsr |o be reckoned a very fingular trunk. Chap. III. VEINS. 31 in the liver. And, in a great number of parts they run parallel with the arteries, one by the fide of the other; but yet they differ from the arteries in various refpefts. XLVII. The fabric of the veins is flender, every where fmooth, difficultly feparable into diflinft coats or membranes, like the arteries; and the cellular tex- ture furrounding this fabric is very eafily diflended. This fabric, both above and below the heart, is fur- rounded, except in one place, with mufcular fibres. Every where, however, it is lax like the cellular tex- ture of the arteries by which they are joined to the other parts of the body. Notwithftanding this flender fabric, the veins are everywhere fufficiently firm, and do not eafily burft with inflated air; being, in mod inflances, ftronger than the arteries themfelves. But they burfl much more eafily in living than in dead animals, as appears from morbid indances in the arm, face, leg, thigh, Scc.^^ Nor do they fupport themfelves like cylinders after being divided, but they cpllapfe toge- ther, fo as to make their light or capacity appear like a flit; except they are fuftained and hinderedl from thus collapfing by fome dronger cellular fub- ftance placed round them, as we fee in the liver and womb. They are but llightly irritable, unlefs the di- raulus be of the chemical or more acrid claffes ; for, in that cafe, they contraQ: themfelves with a convulfive force greater than that of the arteries. They have no pulfation, if we may trud all accounts, unlefs the ve- nous channel is fomewhere obdrufted; or when, in dying people, the blood is thrown back again from the right auricle into the defcending and afcending cava, or when falling back from the brain. XLVIll. The veins are much larger than their cor- refponding arteries, having the fquare of their dia- meter often double or triple, and almod quadruple; as near as the emulgents and vcffels of the kidneys. In general, however, the diameter of the veins is C 4 to I know very lamentable cafes of ruptured varices in difFei'. CDt places in child-birth. 52 VEINS. Chap. Ill; to that of the arteries as nine to four ; yet the capa- city of the capillary veins but little exceeds that of the arteries which accompany them. They differ like- wife from the arteries in their divifion, having more numerous trunks and branches^-*; for to one artery in the limbs, we ufually meet with two veins. The larger veins are alfo branched in a more net-like difpofition, by forming more frequent anaftomofes one w'ith an- other; for not only the fmaller branches, but even the larger trunks, of the veins, are conjoined one to the other within its neighbourhood, upper with lower, and right with left, by apparent inlets or inofcula- tions. They affeft to run near the furface of the body; and through the limbs, neck, and head : they run a long rvay covered with little more than the bare (kin, which is a circumftance w^e very rarely obferve in arteries ; and, for the fame reafon, they often go out in their courfe, to a confiderable diftancc from the arteries. For, in this cafe, the veins fol- low the furface of the parts next the fkin, without their correfponding artery, w'hich, in the mean time, defcends to a confiderable depth, attended in its courfe by feme fmaller venous branch. In the fmaller branches of the veffels, where they make net- like difpofitions in the membranes and the internal fa- bric of the vifeera, the veins and arteries commonly run contiguous one to the other; but here the veins have generally a lefs ferpentine or infle refponds, only the right is fomething fliorter and larger than the left. Having entered the lungs, the cartilaginous rings change into fragments, which be- come more and more difform, gnomonic, angular, triangular, and intermixed with a larger portion of the membrane, till at length, the cartilage de- creafing, the la(f branches of the bronchia become merely membranous. CCXLII. Its lafl branches are invifible, which ex- hale the air into the cellular fpaces of adult lungs, and likewife receive the watery vapours exhaling from the arteries into the faid fpaces j from whence they are thrown out by exfpiration. CCXLIII. The blood-veffels of the bronchia are the arter 'uz ventz bronchiales. The former are al- moft conffantly two j one coming from the upper in- tercoftal of the aorta, which is diftributed either to the right only, or to both the lungs j the other, from VoL. 1 . K ’ the 138 RESPIRATION.* Ch. IX. the trunk of the aorta itfelf, going to the left lung. Sometimes there are more than two bronchial arteries to be feen ; as, when there are three, by the addition of a fecond from the aorta. But fometimes again there is only one artery in common. The thoracic part of the bronchia fituared without the lungs, has its proper veflels from the aorta, the fubclavian, mam- mary, or intercoftal. The bronchial veins are moll commonly two ; the right from the vena azygos, the left from a peculiar branch of the fubclavian vein and the left fuperior intercoftal. Thefe blood- velfels travel together with the branches of the wind-pipe ; and defcend into their membranes in fuch a manner, that the pulmonary arteries, in their way, inofculate with their contiguous arteries, as the veins likewife com- municate with each other. There are fome inftances w'here the pulmonary vein itfelf has given fmall bran- ches to the lungs, to the wind-pipe, and to the fur- face of the lungs. CCXLIV. But there are other larger velfels be- longing to the lungs, called the pulmonary artery (dc- fcribed CVI. CVllI.), and the pulmonary vein (CX.) The great artery, in the foetus larger than the aorta, and in the adult but little lefs, has two branches ; the right larger but fliort, the left narrower and longer. In the foetus, the trunk itfelf is continued into the de- fcending aorta, and is known by the name of duclus arteriofus. In an adult, that trunk degenerates into a folid ligament. The four pulmonary veins ac- company the arterial branches and the afpera arteria of the windpipe in their courfe through the lungs, furrounded with a good deal of cellular fubllance ; which fubllance, being increafed, at lall compofes the lungs themfelves. Within this cellular fabric, ■and likewife upon the ultimate fpaces or cells, the ■air-veiTels and blood-velfels are Subdivided, fpread, and interwoven like a net ; and here the fmall ar- teries exhale a plentiful vapour into their cells, and the veins abforb a watery vapour from the fame Ch.IX respiration* 1^9 cells. Hence water tin£lurfed, the whey of milk, or a thin waxen injedion, being urged into the pul- monary artery, flows with a froth into the windpipe; or, on the contrary, being urged from the windpipe into the lungs, they penetrate into the pulmonary artery. In like manner, injedions fiafs from the pulmonary vein to the windpipe; or from thence again they may be forced into the veins. Laftly, a liquor injeded by the arteries, readily enters the pul- monary veins ; and the reverfe. CCXLV. The lymphatic velTels, as in other parts, form a net-work upon the furface of the lungs, from whence there are branches conveying the lymph to the cavity at the back part of the mediaftinum, and to the fmall glands which lie behind the oefopha- gus, opening at laft into the thoracic dud. The an- terior pulmonary nerves are fmall, but the poflerior K 2 ones I do not comprehend in what poffible fenfe the lungs can be faid to have neither many nor confiderable nerves: For if I Confider the number and magnitude of the bronchial nerves, I ivould be inclined to fuppofe, that the lungs, of all the human vif- cera, the organs of fenfe excepted, receive, upon comparifon, many nerves, and therefore poffefs fenfibilty. From many obfervaiions, I have found, that the primary fountain of the pulmonary nerves is the eiglith pair, which generates the lefs anterior pulmonary plexus, conlifting for ordinary of three branches ; and the greater jjollerior pulmonary plexus, formed of three or four larger bran- ches, and two, three, and even four, lefs filaments : feveral bran- ches are added to thefe from the recurrent and cardiac nerves; and fometimes fome filaments on the right fide from the phrenic nerve, which intermix with the anterior plexus. But we (hall only de- feribe the elegant fabric of the anterior plexus, being lefs known, as we have obferved it in the right fide in feveral fubjefls. A re- markable branch defeends from the eighth pair behind the egrefs of the recurrent forewards, between the arteria anonyma, or com- mon trunk of the fubclaviaii and right carotid. Here a few bran- ches being given to the coats of the artery, it feparates into two; one of which makes the cardiac ; the other reaches the bronchia, and with it defeends to the lungs, and fends fonie branches more outwardly, which runs on with another larger branch from the trunk of the eighth, and coinpofes an elegant ganglion, which 1^0 RESPIRATION. Ch.Ia. ones fomewhat larger : they come from a nerve of the eighth pair ; and there are alfo fome fmall nerves to the lungs from the recurrent, and likewife from the cardiac plexus, which enter together with the large blood-veffels. Hence the lungs have but little fen- fation ; that of the little nerves, however, divided after the manner of the bronchia, is very acute. Nor are the lungs of an irritable nature. CCXLVI. '1 he quantity of blood which enters into the lungs is exceedingly great, equal to (or even perhaps greater than) that which is fent in the fame time throughout the reft of the body ; which, there- fore, demonftrates fome very confiderable ufe proper to this vilcus. And that this ufe depends manifeftly upon the air, appears from the univerfal confent of nature, in which w^e fcarce find any animal without breathing ; alfo from the ftruclure of the lungs in the foetus, in. which, for want of air, they are ufelefs, receiving only a fmall portion of the blood, which the pulmonary artery conducts from the heart. We come next, therefore, to fpeak of refpiration, by which the air is drawn. into and expelled front the lungs. CCXLVn. The element of air appears, from the principles of philofophy, to be an elaftic and fono- rous fluid, with a fpring which cannot be deftroyed. But the atmofpherical air, which we commonly re- ceive into the lungs, is impure, filled with a great quantity of watery and other vapours, alfo with falts and the univerfal acid, with the feeds of plants and animals, and other foreign matters ; but in very minute particles, having a fpccific gravity 859 times lefs than water, a cubic foot of air weighing between 610 and 694 grains. This air, which furrounds the earth on all fides, being prefled by the incumbent columns of its own mafs, perpendicularly, laterally, and in all di- rections, might be called puhnonary, fituated behind the vena azygos, at its entrance into the cava. From this ganglion come out five or fii: branches, with blood-vefTcls and branches of the bronchia, and are diftributed through the lungs. Chap.IX. respiration. 141 redions, enters wherever it meets a lefs refiftance* and with a confiderable force, as appears from ex- periments made with empty or exhaufted veffels, and by the air-pump; fo that its prefl'ure on the human body is not lefs than 3000 pounds weight. It is re- pelled chiefly by the pores of the membranes, which yet are permeable by water : it likewife penetrates oil or mucus W'ith difficulty. CCXLVIll. This air is excluded from ail parts of the human body by the furrounding clofe fkin, which, even when dried or tanned, is impervious to the air; but more fo, as under the flvin is placed the far, making an equal refiftance to the narrow openings of the abforbing veflels. It, therefore, now remains for us to inquire, why the air enters the lungs of an adult perfon ; for wdth this they are in a manner con- ftantly full, and of courfe are equally prefled, and re- fifting againfl the weight of the whole atmofphere : but that the lungs always contain air, is evident; becaufe, however clofe you comprefs them, they will be flill lighter than water; and even in the foetus, after they have been inflated but a few times, they always fwim ; whereas they link to the bottom of water, if they have not given admittance to the air. CCXLIX. The equilibrium of the air’s prefl'ure being removed in any place, it conftantly defeends or flows that way where it is lead reflfted (CCXLVII.) But air that is denfe and heavy will defeend more eafily than fuch as is light, whole force fcarce over- comes that of the air which is already in the lungs, nor is able by the fame force to overcome the refift- ance of the bronchia, and force by which the lungs comprefs the air contained in them. Hence an ani- mal lives better in a denfe than in a light air ; altho’ that kind of air is always moll; tolerable, which is pure at the fame time that it is light ; fuch as tiiat of the highefl: mountains of the Alps. Therefore, for the air to enter the lungs, they mufl; make a lefs refifl- ance to it than before ; namely, the air, which is al- ready in the cellular fabric of the lungs, mult be ra- S 2 rifled ■. 142 RESPIRATION, Ch.IX. rified ; but this efFedl will follow, if the cavity of the thorax, in which the lungs are contained, and which they exa£Uy fill, be dilated. Thus the air, which is always in the lungs, expands into a larger fpace; by which, being weakened in its fpring, it makes a lefs refifiance to the external air ; and confequently a portion of the faid external air defcends into the lungs, fufficient to reftore the confined and rarefied air, filling the lungs to the fame denfity with that of the external air, CCL. We mud therefore defcribe the powers which dilate the thorax to produce this cirect. The breaft or thorax is a fort of cage made up of bones, mufcles, and cartilages ; being almod of the fliape of an oval tub, fomewhat compreifed before, but behind divided by an eminence, whofe hoops are the ribs, which are of a remarkable flrength. In the lateral parts of this cage are placed the lungs; in the mid- dle and low'er part lie the pericardium and heart ; after which it is taken up by fome of the abdominal vifcera. CCLL The bafis of the thorax is formed by a co- lumn, a little crooked and gibbous on the upper and back part ; and likewife, in that part of the bafis which is uppermoft, the fame is very much behind the others, into which twelve vertebrae coalcfce. T, hey coalefce, however, by the union of their bodies into a fingle column,- which is prominent in the forepart between the two cavities of the breaft ; divides the right from the left ; and is plane in the forepart, and broad towards the fides. A flight finuofity re- ceives the ribs in that place where the arch feparates from the body. They are bound together into one column, as well by the eiaftic plate imerpofed between every two bodies and coalefcing with both, as by other ligaments and fpines lying upon one another, and the joining of the ribs, by which means no mo- tion can happen among them without the greatefl. difficulty. The fides of the breall are made up of Ch.IX. respiration. ^ 143 twelve ribs. Thefe are in general bent in the form of an irregular arch, having a great curvature late- rally and backwards, but extending in their forepart towards a right line. The bony parts of the ribs lie fufficiently parallel with each other ; the greatefl part of the rib is bony, round, and thick backward, but thin and flat forward. The other part forward is com- pleted by a cartilage j which in general continues the figure of the rib, growing in a flat broad concavity of a nature different from the bony part, and which does not change into bone, unlefs in extreme old age. CCLli. The poflerior and bony thick part of each rib terminates in a head ; along from which, in the body of the uppermoft and two lowermoft ribs, runs a ca- vity or groove, formed in the other ribs, betwixt every two adjacent margins, which lie one towards the other. The vertebras are tied to the ribs by ftrong ligaments, of which the principal fpread from each rib' like rays into the next adjacent vertebra, other ligaments tie the tranfverfe procefs to the tu- bercle of the rib, and others tie the ribs one to an- other and to the tranfverfe proceffes at the fame time. Moreover, .betwixt the angle of incurvation and the jundure with the vertebra, each of the ten upper ribs fend out a protuberance, which being articulated with the plain fide of the tranfverfe procefs of each vertebra, are fo tied by fhort and flrong ligaments to that procefs, that the rib has liberty to majee a fmall afeending and defeending motion, but v^ith a con- fiderable degree of firmnefs. CCLIII. Among thefe anterior cartilages, the feven uppermoft reach to the fternum, and enter into the lateral cavities which are incrufted with a cartilage in that bone, to which they are alfo made faff by fhort ligaments. Of the five remaining ribs, the uppermoft is faftened to the feventh preceding, and that to the next lower, by a ftrong cellular texture, by which they form a continuous margin, which is at laft alfo faftened to the fternum. The fame are conneded to K 4 one M4 RESPIRATION. Ch.IX. one another both by proper ligaments, and cartilagi- nous appendices joined with them through the cellu- lofity ; the two lowermofl are free, and connefted only with the mufcles. Thefe inferior cartilages are united to one another and to the fternum by ftrong ligaments. CCLiV. The firfi; rib is the fhortefl:, but more folid than any of the reft. As they follow in fuccef- fion to the feventh and eighth, every two and tw'o ftretch themfelves into longer and more moveable circles. The eighth is the longeft of all ; and from thence, the lower down they are, they grow conti- nually {hotter. CCLV. The direclion of the upper rib is defcend- ing ; but the fecond rib joins the fternum almoft in a right angle, while the others afcend both to the ver- tebrae and to the fternum, but more to the latter. But the bony part of the ribs is placed in fuch a di- reftion, that the uppermoft have their Tides in the forepart very much declined forw'ard, almcft tranf- verfely. In the third ribs it is placed almoft perpen- dicularly ; in the middle ones, it projects a little out- ward in the lower part. Befides, the ftrength of the different ribs is very different. The uppermoft, being {hort, rather grow' into the fternurn than form a joint with it ; and being tranfverfe, and often as it were welded together, they make a very ftrong refiftance. From thence the mobility increafes downwards, till the loweft rib, adhering only to muffles, has the moft eafy motion. CCLVI. The fternum in general is a thin fpungy bone, altogether one in adults, but is variouily divided in the foetus, Its upper and broader part refembles an oiffagon ; and is articulated w'ith the clavicles, which are jointed very clofely with the triangular head of the fternum, and with the firft rib on each fide. The other part which is longer and narrow er, grows broad downwards, and its Tides receive the ribs each- into Its proper angular cavities. The lower part, which is Ch. IX. RESPIRATION. 145 kffer and fhorter, imitates the obtufe figure of a tongue. This is continued into a detached appendix, partly bony and partly cartilaginous, of a changeable figure, which they call the enjiform cartilage ; and which is found of various fhapes, fometimes being obtufe like a little tongue, fometimes pointed like a fword, fometimes cleft, and fometimes perforated. CCLVII. In order, therefore, to dilate the feat of the lungs, and thus to put the body in fuch a ftate that the external air may rulh into the lungs, it i#ne- ceffary for the thorax to be elevated. By this means all the fedllons of the thorax form right angles, and its ca- pacity is increafed. This motion is performed by va- rious mufcles, which either operate conflantly or only at certain times. The intercoftal mufcles, therefore, all of them adl perpetually in elevating the ribs. By this name we underftand 22 mufcles; of which 1 1 are external, or next the fkin; and as many internal, fe- parated from the pleura only by fat or cellular fub- ftance. The begining of the outer intercoflals is at the poflerior articulation of the ribs (CCLII.) ; but the termination of them is in the anterior bony part of each rib, at fome difiance from the cartilage, in fuch a manner, that the remaining fpace betwixt the car- tilage and fternum to the mufcle is filled by a tendi- nous expanfion. The diredion of thefe mufcles is fuch, that the fibres defcend obliquely forward, from the lower edge of the upper rib to the upper edge of the lower rib. And that their adion is to elevate the ribs, all authors unanimoufly agree ; becaufe they thus defcend from the upper lefs moveable to the lov/er and more eafily moveable rib, in fuch a man- ner, that their lower point lies more diftant or re- mote from the hypomochlion, or point of motion, which is in the cofial articulation with the vertebras, confidering the rib as a lever, CCLVIII. But the internal intercoflals arife at fome difiance from the vertebree, almoft at the outer tu- bercles of the ribs beforementioned (CCLII.) From thence 14 ^ RESPIRATION. Ch.IX. thence they proceed as far as the fternum, into which the uppermod of thefe mufcles are inferted above. The direction of thefe is contrary to that of the for- mer, except the anterior part of the. firfl or upper- mod of them; fo that they defcend from the lower margin of the upper rib backward, to the upper edge of the lower rib forwards. Therefore fome doubt of their aftion, becaufe their lower part is inferted into that portion of the rib which is neared its articulation with the vertebrae, and which therefore feems to be the lead moveable ; however, they elevate the ribs notwithdanding this; for the great firmnefs or immo- bility of the upper rib, exceeding that of the lower, is evident from the articulation, weight, and ligaments there formed, which furpafles that mobility, aridng from the greater dillance of the centre ot motion. This appears from the diffedlion of living animals ; in which we fee the inner intercodal mufcles operate in the elevation of the ribs, and red in the deprefhon of them alfo from a flexible thread fixed to the rib of fome human fk. leton, and drawn in the lame direc- tion with that of the fibres of the inner intercoffal mufcles ; by which means the low'er rib will be always approximated towards the upper. The greater firm- nefs alfo of the upper ribs proves this, as they ferve for a fixed point to the lower ones ; for the fird or uppermod ribs are from eight to twelve times firmer and lefs moveable than the lower true ribs; but the difference of diftance in them from the centre of mo- tion, is fcarceiy the twentieth part of the length of their whole lever. Ladly, the elevating power of the internal intercodal mufcles appears plainly by experi- ment in a dead fubjecl ; when, by the thorax being raifed, the mufcles indantly fwell. CCLIX. By the action, therefore, of thefe mufcles, the thorax is elevated, not altogether as one machine, nor would relpiration be affided by fuch a motion; but the ribs turning upon their articulations, thougli behind they are but little moved, yet the fore-part of Ch.IX. respiration. 147 their extremities defcends, and forms larger angles both with the flernum and vertebrm ; but from thence in the middle of their arches, by afcending, their lower edges are drawn upward. At the fame time, the ftcrnum is thruft out forward more from the vertebrae and from the ribs. Thus the ribs are both removed farther from the vertebrae, and the right ribs depart from the left ; and the diameter on both fades, betwixt the right and left ribs, betwixt the flernum and the vertebra, is increafed almofl to two lines : and therefore this enlargement, following in every imaginable fedion of the thorax, will fufficiently dilate the cavity of the breafl. This a£lion of the ribs is more particularly complete in women, and in men who have no fhortnefs of breath. Thefe effecls are produced lead of all by the firft ribs, but more by the following ones. In very flrong infpiration, the ribs defcend both behind and before ; and, along with thefe, the flernum and the fpaces between the carti- lage are leffened. But this dilatation alone is not fuf- cient for healthy breathing : nor is it fo confpicuous or evident in men; although, in them, the intercoflal mufcles, by retaining and elevating the ribs, very much affiift the infpiration in a tacit manner, while they afford a fixed point to the diaphragm, that the whole force of that mufcle may be fpent, not fo much in deprefling the ribs, as in urging down the abdo- men. The greater part, therefore, of the fpace which the thorax gains in infpiration, arifes from the aftion of the diaphragm. CCLX, By the diaphragm we underfland a mufcle expanded in a curvilineal plate; by which, in general, the pulmonary bags are fcparated from the abdomen in fuch a manner, that the middle and tendinous part of the feptum is. nearly the highefl, and/upports the peri- cardium : its lateral pai'ts, which arife from the folid parts of the thorax and loins, are every where lower; but the lowed of all are thofe which lie mod backward. The flefliy portions of this mufcle arife before from the inner T4S RESPIRATION. Ch. IX. inner or poflerior face of the enfiform cartilage, and from the feventh, eighth, ninth, tenth, eleventh, and apex of the twelfth, rib ; after which follows an interval, in which the naked pleura lies contiguous to the peri- tonaeum. From thence the mufcular appendices of the diaphragm, which are much the ftrongefl: part of it, being collefted on each fide into two, three, or four round mufcular portions, arife flefliy from the tranf- verfe procefs on each fide of the firfl vertebra of the loins, and from the fide of th« body of the fecond ; tendinous from the middle of the body of the fecond, third, and fourth, and with cartilages placed between them, always higher up in the left fide, but lower down in the right CCLXl, All thefe fibres (CCLX.), becoming ten- dinous, form the centre of the diaphragm, which re- fembles, in figure, an obtufe index of a fun-dial, ha- ving the middle of the larger angle fupporting the pericardium, while the lateral angles or wings de- feend backward, the left being narrow'cr than the right. This centre of the diaphragm is more move- able and at liberty than the reft; except in the middle of its tendinous part near the flelhy margin, where the incumbent heart makes a refiftance ; but the la- teral parts and the flefhy portions belonging to them are the moft moveable. The fibres of this tendon form a moft beautiful web, principally indeed on the upper part ; which ftretches from the flefhy part of each mufcle to the flefhy part of the oppofite one: thence remarkable inferior fafciculi are fent off tranf-. verfely to the right and left, and alfo backwards, which laft portion is the uppermoft. CCLXlI. There are two holes in the diaphragm ; of which that on the right fide of its tendinous part is fomewhat fquare, and circumferibed by four ftrong ten- dinous ’■s We muft not omit, in talking of the rife of the diaphragm, two tendinous arches on each tide, made over the pfoas and qua- dratus, from which fomc flender mulcular fibres come out, and are interfperfed among the raofcles of the feptum tranfverfum, produced from the rdl of the riba and part of the lumbar ver- tebra. Ch.IX. respiration. 149 dinous portions ; the left, which is elliptical, lies be- twixt the right and left flefhy portions, which arife from the middle of the bodies of the vertebra of the loins : under this opening they deculfate and crofs each other once or twice, but above they end in the tendon. This left opening is therefore drawn clofe together in the contraction of the diaphragm, while it is probable that the other opening remains im- moveable. The tendons are but little changed in the motion of the mufcles. CCLXIII. The ftruClure of the parts, and the dif- feClion of living animals, demonftrate, that the flelhy portions of the diaphragm, which on all fides afcend from the firm parts to the middle and more moveable, do, by their contraction, deprefs the fame, and by that means draw downward the lateral bags of the thorax, which contain the lungs (LXXVH.) ; and, by this means, the perpendicular diameter of the thorax is confiderably increafed. The fiefhy parts are more deprelTed; the tendon lefs, both becaufe it is fixed to the pericardium, and becaufe its own fubflance does not contract. Even the cefophagus and vena cava are contracted, while the diaphragm exerts its aCtion. So that the diaphragm almoft alone performs the office of refpiration in a healthy man who is at reft ; as alfo in that thorax whofe ribs are fraCtured, or the fternum burfi, or where the perfon will not make ufe of his ribs by reafon of pain. The force of the diaphragm alfo, in dilating the breaft, is greater, according to the calculations that have been made, than all the reft of the powers which contribute to refpiration. A llrong infpiration is as yet confined; becaufe^ du- ring the greaceft exertion of the diaphragm, the lowermofl; ribs are brought inwards, and thus far the thorax is ftraitened. Left this fliould always happen, the intercoftal mufcles interfere in ordinary infpirations ; in very great ones they are inferior to the diaphragm. The phrenic nerve, which is more eafily irritated than in moft other mufcles, forces the 3 diaphragm 150 RESPIRATION. Ch. IX. diaphragm to perform its office. The lungs tbem- felves are altogether paffive or obedient to the action of the air, ribs,* and diaphragm; to which they are preffed into clofe comaft on all fides, as through a large wound ; and when the thorax is denudated by the knife, leaving its capacity entire, the lungs appear through the pellucid pleura and diaphragm. CCLXIV. Butin larger infpirations, which receive a greater quantity of blood driven into the lungs, and W'hen there is any obltacle or difficulty oppofed to the adtion of the lungs themfelves ; in thofe cafes, feveral other powers confpire to elevate the thorax: which powers are inferted either into the thorax, clavicles, or fcapute; fuch as the fcaleni mufcles, trapezii, cer- vicales defcendentes, ferrati fuperiores, and peclora- les ; together with the fmall elevators ; of which a more ample defcription may be had from profeffed fyftems of anatomy. CCLXV. We have now furveyed the powers which are able to increafe the capacity of the thorax in all its three diinenfions (CCLXIII. and CCLIX.) By thefe the cavity of the breaft is dilated, fo that it compreffes the lungs lefs than before; the lungs then llrive to diffufe themfelves over that fpace, feeing they are never dcllitute of air, which expands itfelf by its elafticity as foon as the preffure is taken off. Without that mulcular force the lungs have no proper power of their own by which they are capable of at- tracling air: and even when they are moft full of air, by having the afpera arteria clofed, the animal vehe- mently attempts to infpire, by the efforts of its inter- coftal mufcles and diaphragm. It therefore remains, that the air (CCXLVIi.), which is a heavy fluid, and preffed on all Tides by the incumbent columns of the atmofphere, mull now enter the thorax with the greater force the lefs air the lungs contain ; or yet more powerfully, if they contain no air: but with no force at all, if the air admitted through a wound in the breaft preffe^upon the furface of the lungs. In Ch.IX. respiration. 151 this aftion, therefore, which is called infpiration, the bronchia are every way increafed, both in length and diameter ; becaufe all the diameters of the thorax are increafed : but in this aft, the inflated lungs al- ways follow clofely contiguous to the pleura without leaving any intermediate fpace. At the fame time, the pulmonary blood-velTels, which are wrapped up, together with the bronchia, in a covering of the cellular fubftance, are likewife with them extended in length, and fpread out from fmaller into larger angles ; by which means, the circulation through them is rendered eafier. While this is performing, the veficular fubftance, or flefti of the lungs them- felves, filled with air, increafes thofe fpaces through which the capillary blood-veflels of the lungs ad- vance ; whereby the veficular prelTure, upon each other, and upon thofe veflels adjacent, is leflTen- ed : thus, therefore, the blood will flow with greater eafe and celerity into and through the larger and fmaller veflels of the lungs. Hence a dying animal is revived by inflating its lungs, and facilitating the paflage of the blood to the left ventricle of the heart; and thus people, feemingly dead by being kept a long time under water, are again recovered. But as for the preflfure of the air upon the blood in the lungs in this aftion, it is fo inconfidcrable as not to deferve our notice, as being 300 times lefs than the force of the heart ; nor can it ever urge the air into the blood, as it may be eafily forced by art with a fyringe. CCLXVi. It is by fome queftioned. Whether there be not air betwixt the lungs and the thorax? arid whether this air, being rarefied in infpiration, is not afterwards condenfed, fo as to comprefs the lungs, and caufe exfpiration ? And they again alk. Whether this opinion be not confirmed by the inftances of birds, in which v/e find this matter to be truly fo But By Camper’s very elegant difeovery, is certain, that air paffes into almoft all the long bones of birds flying much in the , higher 252 RESPIRATION. Ch. IX. But wc fee every thing concurs to confute this opi- nion : for, immediately behind the pleura, in living quadrupeds, as well as in dead human bodies, the lungs are vifible, -without any intermediate fpace bewixt them ; but the pleura being perforated, the lungs are immediately, by the contiguous air that enters, prelfed together towards the vertebras. In birds, indeed, the lungs, being pervious to the air, admit it into the cavity of the thorax through large holes in their fubftance. But in thefe there is a manileft fpace betwixt the lungs and the pleu- ra. Large wounds, admitting the air only into one cavity of the thorax, diminifh the refpiration j but fuch wounds as let the air into both cavities, quite fulFocate or fupprefs the refpiration. The tho- rax being, opened under water, fends out no bub- bles of air through the faid water”; but in birds it docs, becaufe they have air in their thorax. The ima- ginable fpace betwixt the lungs and the thorax is al- ways filled up by a watery or ferous vapour, or elfe by the fame vapour condenfed into a watery lymph. If the lungs adhere, they injure the refpiration but in a fmall degree ; which ought entirely to ceafe, if it required an intermediate air betwixt the lungs and thorax higher regions, into the cavity of the fternum, the vertebrae, cra- nium, interior maxilla, both from the lungs and through the Euftachian tube, and goes from one cavity into another : fo it does not Teem improbable, that the fame may pals out by the furface of the body. But in birds, who foar not fo high, the air gains admifiion through fewer bones. It is a pretty and I’uffi- ciently agreeable experiment, to perforate the humerus or femur; and the air inflated into the afpera arteria comes out at that foramea with the blood, which it has changed into froth; and vice verfa, the air inflated through the hole dillends the lungs. In like man- ner, I have feen mercury inje<3ed into a foramen of this kind make its appearance in the lungs. Though it is ray defign, neither to renew this difpute, nor to ftart one of my own, it will not be, however, fuperfluous to men- tion an experiment which I have often repeated on dead born in- fants; as oft as 1 have opened under water the thorax of fuch children, not affedled with any mark of putridity, I never obfervet^ any bubbles of air appear. Ch.IX. respiration. 153 iliorax. Finally, the external being admitted to any of the internal membranes' of the human body, de* ftroys their texture, if they are not defended by a plentiful mucus ; of which we can find none upon the furface of the pleura. CCLXVIL But refpiration, whether by the admix- ture of a fubputrid vapour, or by fome other method, certainly vitiates the air, and renders it unfit either for inflating the lungs or fupporting flame ; and laftly, it de- prives that element of its elaflicity. We may fuppofe that this happens from putrefadion, feeing the air is ren- dered pefiilential by a crowd, and fevers of the mofl; malignant kind are thus generated in a few hours. But in whatever manner this is produced, we are certain that the air is vitiated in the lungs; lofes its elafticity ; and thus cannot keep the lungs difiended, fo as to tranf- mit an increafed quantity of blood through the dilated pulmonary arteries into the veins. Nor can the will dilate the breafl; beyond certain bounds, or afiifl; that paflage of the blood in an unlimited manner. A flate of body therefore will take place, in which the blood cannot pafs through the lungs. CCLXVIII, Thus h generated a new refiftance to the blood continually coming from the heart: and in long retentions of the breath, as in making violent efforts, the venous blood, efpecially of the head, flag- nates before the right ventricle of the heart being fhut, becaufe it cannot evacuate itfelf into the lungs; and thus fwefls up the face with rednefs, fometimes burfls the veins of the brain, neck, inteftines, kidneys, and laflly of the lungs, and right auricle of the heart. This occafions prodigious anxiety and uncafinefs to the fpirits ; this alfo is the caufe of death in compreffed air, in drowned people, and fuch as are flrangled, which is much more hidden than is commonly imagined. A living perfon therefore, that he may remove thofe in- conveniences which flow from an obflrudlion of the paf- fage of the blood, flackens the powers of infpiration, Yol.I, L and 354 RESPIRATION. Ch.IX. and excites thofe of exfpiration, which free the breaft from an air too greatly rarefied. CCLXIX. Thefe powers are, firfi;, the elaflicity of the ribs, which being drawn upwards out of their na- tural fituacion, as foon as the powers which elevated them ceafe to acl, fpcn'caneoufly place themfclves, fo as to make more acute angles with tlic Iternum and vertebrm. To this end conduces likewife the elaftic force of the bronchia and veficies di [fended with air, which {frive to contract themfelves. Hence exfpira- tion is performed more eafily and quickly than infpira- tion ; and hence it is the lalt adfion of dying people. CCLXX. To this alfo contribute the oblique muf- des of the abdomen, together w'ith the Ifraigiit and tranfverfe ones. The lormer of thefe are, in one part of them, faftened to the lower ribs; and, in another part, they are attached to the os pubis and ilium, as a fixed point with rcfpecl to the breaft. Therefore the ffraight mnfcles, being contracted, deprefs the arch or convexity, into wdiich the abdominal vifeera are thruft by the diaphragm, and bring the fame nearer to a ftraight line ; at the fame time the abdominal vifeera are prclfed by thofe mufcles upward and backw'ard againd the diaphragm, which alone is able to give way; and yield up into the thorax, which at that time is rendered fhorter. The oblique mufcles, for the fame reafons, comprefs the lateral parts of the abdomen, and urge the liver and (tomach backwards, and prefs them towards that place where there is the lead reddance. Ladlv, tliev draw down the ribs which were bef^ore elevated by the intercodals. The tranfverfe mufcles, indeed, do not draw the ribs ; but they pull the cartilages of the falfe ribs a little inward, and render the whole capacity of the abdomen lefs, while at the fame time they prefs the vifeera againil the diaphragm. Along with thefe we may reckon the powers of the dernoccdal and long intercodal mufcles which are called dcpre[fcrs. By this joint force the fuperior ribs defeend; but the middle ones mere. Ch.IX. respiration. 155 more, the uppermoft lefs, the loweft moR of all; and the fame are brought inwards by their margin ; the cartilages afcend, and return into acute angles with the ftcrnum; and the fternum itfelf returns backw^ards with the ribs. By thefe means the thorax, contrary to its former Rate (CCLIX.), is every where rendered narrower and firorter, fo as to expel as much air out of the lungs as. is fufficient to relieve the uneafinefs caufed by its retention (CCLXVIII.) CCLXXl. In more powerful refpirations, when the infpirations are made greater, the exfpirations are likewife increafed by the alTifiiance of fome otlier powers, as ol the facrolumbalis, longiffimus and qua- dratus mufcles of the back and loins. This force, by which the air is blown out of the lungs, is fufficient to carry a leaden bullet, weighing above a dram, to the diftance of 363 feet; which force is equal to a third part of the preffiire of the atmofphere. But, in a healthy perfon, the mufcles of the abdomen alone fuffice to an eafy exfpiration, in which the lungs are not fo much emptied of air as they are by a violent efflation. CCLXXII. The effects of exfpiration are, a com- preffure of the blood-veffels in. the lungs, a redudlion of the bronchia into more acute angles, a preffure of the reticular fmall veffels by the weight and contact of the adjacent larger veffels, and an expulfion of the cor- rupted blood from the lungs; by which means part of the blood hefitating in the capillary arteres, is urged forward through the veins to the left fide of the heart, while at the fame time that part of the blood is re- fifted, which flows in by the artery from the right ventricle. Exfpiration, therefore, will flop the eafy paffage of the blood through the lungs; and when the whole thorax is compreffed together, repels the venous blood into the veins of the head, and fills the brain and its fmufes. CCLXXIII. In this manner a frefh neceffity follows for repeating the refpiration; becaufe the collapfed L 2 veffels IS6 RESPIRATION. Ch.IX. veflels of the lungs refifl the blood repeatedly expelled from the right ventricle of the heart. And this makes another caufe of death in thofe animals which expire in vellels exhaufted of air: for, in fuch, the lungs ha- ving the air drawn out from them, appear denfe, fo- ]id, and heavier than water ; whence they are ren- dered impervious to the blood. Of the fame kind is the death of thofe who are killed by lightning, and ps.'haps by the noxious vapours of caverns. 'I'hus, therefore, by the power of a moll wife fabricature, the organs of exfpiration are relaxed fo foon as that •M.neafinefs is perceived, which arifes from the hin- d ance of the blood’s courfe through the lungs; and hjnce the powers of infpiration are excited into ac- tion, whereby the motion of the blood through the lungs is rendered free and quicker. CCXXIV. It is by feme queltioned, whether or no there are not other caufes of alternate refpiration ? %vhetl5er or no we may hope for any difcovery in this anatter, by comprefling the vena fine pari, the phre- iiic nerve, or intercepting the blood fent to the brain? But thofe are repugnant to comparative anatomy ; by which vve always find the fame alternation in the breathing of the animal, independent of any fuch nerve or vein. Whether or no refpiration is from the alternate contraction of the antagonifl mufcles, among which thofe of exfpiration relax the others of infpiration, and the revcrfe? But in this manner, all the mufcles of the human body are perpetually in an alternate motion. CCLXXV. From what has been hitherto faid, itap- pears, that refpiration is unavoidably and abfoluteiy necelTary to life in a healthy adult perfon; becaufe, whether the lungs remain long in a Hate either of exfpiration or infpiration (CCLXXllI. CCLXXVIIL), we fee death will be the confequence. Therefore no animal that has lungs like ourfelves, after it has once Ssreathed and received the air into the inraofl: parts of ^[iie lungs, and by that means brought a new and Ch.IX. respiration. rs7 than a few' minutes without the ufe and benefit of a free air; but it will either perilh, or at lead: fall into , fuch a ftate as differs from death only in its being recoverable again by certain powers or actions. In an animal lately born, this neceility for air does not take place fo fuddenly. CCLXXVl. But the ufe of refpiratlon is different from this neceffity; which nature might have avoid- ed, either by ufing no lungs' at all, or elfe by difpo- fing them in a manner refembling thofe of the foetus. This ufe, therefore, of refpiration mull be very con- fiderable, 'fince all animals are either made with lungs, or with gills as in fifh, or elfe with a windpipe difperfed through all parts of the body. CCLXXVII. In order to difcover this ufefulnefs of refpiration, let us compare the blood of an adult per- fon to that of a foetus, and alfo with the fame vital fluid in fifh. It appears then in a foetus, that the blood is d^flitute of its florid rednefs and folid denfity ; and in the blood of fifh, we obferve there is no heat, the denfity inconfiderable, and but little craffamentura contained in it; and, therefore, all thefe properties, we are, by the nature of things, perfuaded, the blood acquires in the lungs. CCLXXVIII. It may be afked therefore. Whether the blood does not acquire its heat principally in the . lungs ? But this does not arife from the alternate ex- tenfion and contradlion, relaxation and compreflion,of the pulmonary veffels (CCLXV. and CCLXXIL), by which the folid parts of the blood are perpetually rubbed and clofely compreffed? The lungs therefore will add to the office of the refl of the arteries, be- caufe in them the blood is alternately relaxed and compreffed more than in any other part of the body. But even when the lungs are obflrufted, ulcerated, and almofl deftroyed, a morbid heat feizes upon the body : but in the lungs the cold air very nearly touches the blood. CCLXXIX. The denfity of the blood is, indeed, again' promoted in the lungs, partly by the copious I. 3 difeharge 158 RESPIRATION. Ch.IX. difcharge of the watery vapour which is there fepa- rated, by which the reft of the mafs becomes fpecifi- caily heavier. But the fame efFecl feems to follow here, as in other arteries, namely, from the attrition and preffure which the blood here fuffers in being alternately retarded, accelerated, and figurt d in its courfe through the modulating tubes of the leaft vef- fels, which give a fphericity and denfity to the par- ticles ; hence it becomes denfer, as having more of the weighty globules, and Icfs of the lighter fluid. And. in this refpedt, the pulmonary vein, being fmallcr than its correfponding artery, is of no fmall ufe to- wards increaftng the attraction of cohefion betwixt the parts of the globules, fo as to comprefs and bring them ciofer to each other. Neverthelefs, cold ani- mals, which have very fmall lungs, have denfe and coa- gulable blood ; as alfo a chicken before it is hatched. The blood alfo has a fliort paflage through the lungs ; the paffiige through the whole body is longer, and the artery v;eaker 5 the heart, by which the blood is driven forward, is alfo weaker. CCLXXX. It is therefore queried byfome, WTrether the air itfelf is not received by the blood in the lungs, fo as to excite neceflary vibrations therein? Whe- ther this does not appear from the reftftance of bodies to the heavy external air ; and from the air found in the blood-veflcls, in the cellular fubftance, and in cer- tain cavities of the human body ; alfo from the crack- ing obferved by an extenfion of the joints; to which add, the air manifeftly extravafated from the wind- pipes into the hearts of certain animals, as in the Ic- cuft ; from air coining out of the blood and humours of animals in Mr Boyle’s vacuum; together with a ne- ceflTity of a viial ofcillation in the blood itfelf; and, laftiy, the increafed rednefs of the pulmonary blood ? CCLXXXL But that no elaftic air is here received into the blood, is demonftfated from the impofiibility of forcing air into blood, if it retains its elafticity; from the inutility of its reception, if the fpring of it Ihould Ch.IX. respiration. 1S9 ftould be lofl in the blood ; from the perfect immu- tability of the blood, by cold ; from the minutenefs of the inhaling veffels, with the mucus that perpetually lines the fides of the veficles in the lungs: to which add the nature of the’ elaftic air itfelf, which is /very unapt to pafs through capillary veffels; with a repulfion of it by water, that hinders it from paffing through paper, linen cloth, or fldns that are wetted by water. Again, the air being driven into the wind- pipe, never paifes to the heart ; or whenever it does, it is forced thither by fome great or unnatural vio- lence : but the permanent air in the veffels and hu mours of the human body, from a Rate of inelafticity, may become elaflic by putrefaction, froft, or an ex- ternal vacuum. But fuch permanent unelaftic air is incorporated with all liquors; and taken into our bo- dies with the aliments and with abforbed. vapours, mixing flowly and with fome difficulty. But there never were any elaftic bubbles of air obferved in the blood of a living animal ; and fuch air being inflated into the blood-velfels of any living animal, kills it cer- tainly and fpeedily. Nor is there any great certainty of theblood in the pulmonary veins being of a brighter • red colour. Laftly, though air indeed is abforbed by moflof our humours, yet that abforption is performed flowly, and takes up the fpace of feveral days after the former air has been exhaufted by the pump. It then likewife lays afide its elaftic nature; nor is there any rcafon produced, why the air fhould either be more fpeedily abforbed by the blood, or why it fliould re- tain its elafticity after it is fo abforbed’^. L 4 CCLXXXII. In thefe our times, it is now too much a matter of difpiiie, as if it were a fubjeft entirely new, I mean the different kinds of air; to wit, fixed, inflammable, narcotic, nitrons. See. which were partly known to Helmont, Newton, Boyle, Camerarius, Hales, and feveral others; but the pneumatic theories in general have been remarkably elucidated, increafed, and limited, as occafion required, by the laudable induftry of Drs Brownrigg, Black, - Cavendifli, Prieftley, Spielaian, Erxleben, &c. If, in a few words, I might offer my opinion about the air found in cur bodies, which has been the bafis of fo many difpiues, I am perfuaded, that i6o RESPIRATION. Ch-IS. CCLXXXII. Whether or not is the blood cooled in the lungs ; and whether or not does this feem to be true from the death of animals, in air which is hot to fuch a degree as equals the heat of the hotted breezes in the mod fultry dog-days? Whether the pulmo- nary veins are not, therefore, lefs than the arteries ; and whether the defire of cold in people that are working hard does not arifc from thence ? That the blood is cooled in the lungs is thus far true, as it warms the contiguous air, and therefore lofes fomething of its own heat. But that this w’as not the principal defign of nature, is evident ; fince no one will fay that the venous blood is hotter than the arte- rial, although fome pronounce the former to be fomewhat cooler ; but nobody ever obferved the led ventricle of the heart cooler than the right. But the venous blood enters the lungs ; if it be there cold, it will follow, that the arteries mud receive it in dill a colder date. But then here the degrees of heat which the blood communicated to the air are again recovered by it. And, indeed, a perfon may live in an air much hotter than the blood itfdf; of which we have a familiar example in baths and the warm countries. The pulmonary artery in a fcetus,- which does not refpire, is greater ; and the larger area of the right auricle and ventricle of the heart, is like- wife that the atmofphei-ic air is a very compound fluid, confifting of parts of a very different nature and quality ; which paits, when mixed with any primigeneous fluid as a vehicle, make tCe common air we inhale in infpiration. This primigeneous fluid is, perhaps, that air which we obferve in animals, vegetables, and likewife in the earth itfclf, differing only according to tlie various fubftances with which it is uii ted. If there is mixed in a due pro- portion with this univerfal fluid, any ebftic, etfiereal, eleftric pr.r- ciple, or any particles not yet fully undcrifood, perhaps there will refult falubrious atmofpheric air. But it will become infected and noxious in various degrees, from an admixture of putrefactive fub- ftances, narcotic or inflammable fuffocating elements. For that reafon it feems to me very proper, that onr judgment about the falutary or noxious quality of the air fhould be direfted by thele principles; and hence It will be in our power to correct unwhole- some air, provided we know what qualities the air fhould puffefj which is molt properly Suited to the function of rcrpiralion. Ch.IX. respiration. i^*: wife much greater in a foetus ; which feems necef- fary to referve and retard the blood, as the pulmonary vein being narrower accelerates it. CCLXXXIII. Whether or not is the rednefs of the blood produced from the air ? This is contradicted by what we fee in cold animals, which, though they are almoft entirely deprived of the ufe of air, have blood equally red with that of warm animals; from the cer- tain connedtion of rednefs in the blood of frogs with their having plenty of food, and a palenefs of it with a want of food'; and from the air, as we have juft now faid, being denied accefs to the blood. Neverthelefs, rednefs is produced when the air has -accefs to the blood, by which means it is alfo reftored after it has been loft ; and, on the other hand, it is deftroyed by the denial of the accefs of air. Whether or not may not a more fubtle element from the air penetrate the blood, and be the caufe of its colour, as light is required for the colours of plants ? CCLXXXV. Whether the ufe of the lungs is to abforb a nitre from the air to the blood ? or whether the florid colour, obfervable in the furface of a cake blood, be owing to the fame caufe, while the bot- tom part looks of a dark and blackifh colour? and whether or not this is a prfervative againft the putre- faflion of the animal? remain as queltions with fome. That there is a kind of volatile acid in the air is cer- tain, fince that meeting with a fuitable earth forms nitre ; for a nitrous earth, being exhaufted of its fait, and expofed again to the air, becomes re-impregnated with more nitre. But the fame univerfal acid, we know by certain experiments, meeting with a differ- ent fort of earth, forms a vitriolic fait, or alum, or elfe fea-falt. For the caput mortuum of fea-falt, which remains after the diftillation of the fpirit, recovers fo much ftrength from the air, as enables it to yield more fpirit by diftillation; even in fnow there is a cubical fait: but marcafite perfpires a true vitriol; and colcothar recovers again the acid fpirit, which w’as i 62 respiration. Ch. IX. was drawn from it ; alfo fixed alkali, expofed to the air, turns into a vitriolated tartar. This, therefore, cannot be the ufe of refpiration, becaufe thofe falts abound in too finall a quantity in the air for fuch ufes; and air is fitted: for breathing when pure in high mountains, where thofe falts are the leaft to be found ; nor is there any nitrous fait as yet known to be found in our blood. CCLXXXVI. If it be afked. Why tortoifes, frogs, lizards, fnails, ear-wigs, and other infects, live long without air? we anfwer. That in them the lungs are given not fo much for the preparation of the blood, which they receive but in a very fmall quantity, as for the ufe of fwimming in the water : and from hence it is that their lungs are immediately joined with the vena cava and aorta. But infedts, we know, draw the airin, and exhale it again, through points in the fkin. If it be alked, Why all animals perifh in air that is confined or not renewed, although the animal be fmall, fuch as little birds? we anfwer, Becaufe the air, which has once entered the lungs, and been fouled by watery vapours, is rendered lefs elaflic, and unfit for refpiration, by alkaline vapours; not becaufe it becomes lighter; for the mercury falls but little in air which has not been renew'ed, and which has killed an animal. Hence it is that the animal furvives longer in air that is more compreffed than that of the atmofphere ; for in that cafe there is a greater proportion of the elaflic element, which takes up a longer time to corrupt. But, even in other cafes, confined air is rendered deflruifive only by flag- nation, and filling it with vapours. But the reafon why animals fwcil in an exhaufled vefi'el, is, from the extrication and expanfion of the unelaflic air lodged in the blood and other juices. CCLXXXVH, There is a certain confent or pro- portion between the pulfe and refpiration; fo that, according to the common courfe of nature, there are three or four pulfes counted to one refpiration. But if Ch.IX. respiration. 1^3 if more blood is fent to the heart in a given time, the numbers both of the pulfe and refpiration are in- creafed. This is the reafon of the panting or fhort breathing in a perfon that exercifes his body with any confiderabie motion ; whereby the venous blood is returned falter to the heart (CXLII.) But if the blood meets with a greater refiflance in the lungs, fo that it cannot pafs freely from the right into the left ventricle of the heart; then refpiration is increafed, both in number and magnitude, in order to forward its courfe; and this is the caufe of fighing, yawning, and wheezing; of which the firfl is a deep infpira- tion ; the fecond flow, and very great ; and the third, a frequent and imperfedl one. The number of re- fpirations, however, does not always inereafe with the pulfe ; of which we have an example in thofe fevers where the lungs are not affefted. CCLXXXVllI. The mucus, which lines the fen- fible membranes of the air-veffels in the lungs, may become troublefome both by its quantity and acri- mony; it has been known to caufe even fuffocation in a dropfy of the lungs. Therefore its quantity, ad- hefion, or acrimony, excites a cough ; namely, an ir- ritation of the refpirative fyflem, by alternate large infpirations, fucceeded by large and quick exfpirations, together with hidden fliocks of the abdominal muf- cles ; by which the mucus, and fometimes calculous matters, are expelled from the lungs. CCLXXXIX. Laughter differs from coughing in its caufe, whkh refides commonly in the mind, or at leafh confifls in a certain titillation of fome of the cutaneous nerves ; and, moreover, bccaufe it is made up of imperfefl quick exfpirations through the contrafted glottis, left the air fhould be totally eva- cuated from the lungs. Hence laughter, in a mo- derate degree, conduces to health ; becaufe, in the time of one full infpiration, many fhort infpirations and exfpirations happen, and thus the concuffion is greater. Hence its danger of ftagnating the blood ; 4 becaufe i 64 respiration. Ch.IX, becaufe the exfpiration is not full or entire, whereby the' blood is admitted into the pulmonary artery without being fuffered to pafs through it. Weeping begins with a great infpiration, after which follow fhort alternate infpiraiions and exfpirations ; and the fame is finiflied with a deep exfpiration, that is im- mediately joined by a large infpiration : hence it has nearly the fame good and bad effefts ; and, when moderate, is conduces to relieve the anguHh arifmg from grief. An hickup is a very great, fonorous, and fudden infpiration"®. Sneezing confifts of one large or deep infpiration, which is followed immedi- ately w'ith a powerful and fudden exfpiration •, and the acrid matter is blown out by it in fome quantity from the nodrils. CCXC. The fecondary ufes of refpiration are very many. It exhales, as an emunflory, parts redundant, or even noxious, from the blood, which wmuld fuft'o- cate, if they remained in the air ; and the breath of many people, fhut up in a clofs place, impregnates the air v/ith a fufFocating quality. On the other hand, it abforbs from the air a thin vapour, of which the ufe is perhaps not fulEciently known It is by this 7® In fijckup, which always produces its effeft by refpiration, the oefophagus often fuffers confiderably ; on which account much alleviation is to be hoped for, if we fwallow any thing at difle'ent times. Among the ufes of refpiration, feeing feveral of them are accounted of the fame importance, may be counted the power of reforption; by which the lungs abforb by means of tneir vcfiels, from the air inhaled in infpiration, not only vapours mixed with the air, but mingle with our humours by means of the foramina, tlufls, and proper canals, fome other by far nobler parts, confti- tutlng at the fame lime one of the elements of the air. This fubftance has got no proper name; nor do we know the nature of the part which Is principally referred, in the firft place, to the elements of the air, and, next, to our humours and blood. The once celebrated pabuluvi i-iicc was an ingenious denomina- tion, feeing, as has often happened, many perfons confined in narrow fpaces, unlefs free accefs of air is procured, have run the rifk of their life, from their wanting a proper renewal or pabo- Ch. IX. RESPIRATION. i6^ this force that the abdomen and all its vlfcera are continually compreffed ; by virtue of this, the ftomach, inteftines, gall-bladder, receptacle of the chyle, blad- der of urine, inteflinum redtum, and the womb itfelf, difcbarge their contents ; by this adion the aliments are principally ground or diflblved, and the blood is urged him, of air. But the name of dearie principle, if we confider the whole content of nature, feems more fitly adapted to the fub- jedf. For fince the publication of the famous obfervatiens made by Gilbert, Guerick, Boyle, the Florentine academicians, Hawkf- bce, Du Fay', Mufdienbroeek, Watfon, Ludolph, Winckler, Nol- let, Franklin, Hartman, PrIelUcy, and feveral others, both about the ciedlricity of bodies in general, as well as of the atmofphere in particular, the whole dodlriiie, by means of the new machine, the .eledlromcter, from the expriments of Volta, Wilfon, Wilkenius* his ferene highnefs Galitzin, Lightenberg, &c has received fo great additions, that it might almoft be afierted, that the eledlric matter of the air is colledlcd in the raoft fimple manner by almolt every body. From all thofe experiments we colled, 1. Tliat there is in the air a fluid which, in different ways, may be increafed in one place, and diminifhed in another; which, when collefted fecundum arte 7 n, exhibits eledric fparks; but, when colleded in the clouds, breaks forth in lightning and thunder. 2. If from its too great congeftion in any region of the at- inofphere or in the clouds, the circumambient air wants Its due proportion, our refpiration is Icfs refrefning, our ftrength grows languid ; but they are quickly renewed after a thunder- florm, tl % equilibrum of the eledric matter in the atmofphere being effeded, as it Were, by the flafhes of lightning. 3. Perhaps, too, we learn a method, and the remedies, by ■wh.ch we may artificially remove this defed; it is worth while ac lead to confider of this. ^ 4. This eledric matter pafTes into the blood or lymph by in- numerable pores and foramina, with which the infide of the larynx, afpera arteria, and bronchia, abound. Upon the diver- fity of thefe holes, both with refped to number, condition, and mucus, with which they may be covered, and to the lizc of the lungs, depends the reafoo why all men cannot inhale and ahforb the fame quantity of eledric matter from one and the fame air. 5. It will not be eafy for any perfon, in an affair deftitute of fiifiicient obfervation, to unravel what ufe this fubftance ferves in animal bodies, and what fundions depend upon it. Whether is the tone and Irritability of the fibres of the body principally fup- poited by ili Do the increafe and caufes of animal heat proceed from i66 VOICE AND SPEECH. Ch. X. urged through the fluggilh veffels of the liver, fpleen, and mefentery. It excites a kind of flux and reflux in the blood, fo that it is alternately prefled back to- wards the extremities of the veins, and a little pfter is propelled towards the heart by an accelerated velo- city, as into an empty fpace. Moreover, infpiration ierves to convey odours along with the air to the organs of fmelling. By this, the air is mixed with the ali- ments; which it conduces very much to break and diflblve towards a perfect digeftion. But even fuck- ing, fo neceflary to the new-born infant, is made by the life of refpiraticn, and forming a larger space in the mouth, in which the air is rarefied ; fo that, by the greater prdfure of the outward air, the milk is driven into that part, where it is lefs refifted. Laflly, the voice itfelf is owing to die air which we breathe; and, as it is one ol the principal eft'eefs of refpiration, we think it may be proper to give its defeription here. CHAP. X. Of the Voice and Speech. CCXCI. ' I ^HE larynx is the principal organ of the li voice ; for, that being injured, the air pafles through the windpipe without yielding any found. By the larynx, vve underhand an affemblage of cartilages, joined into a hollow machine, which receives the air from the fauces, and traiifmits it into the windpipe, having its parts connected together by ligaments and mufcular fibres. Among thele carti- lages from it ? I think it is clear, we ought hence to feek the caufe of animal electricity; which is very couipicuous in csts, and hkewife hories, and many men, byithe numerous fparks which may be made to appear iffuing from their bodies. This is perhaps the caule of the greater danger to which fome men are liable of being ftruck with thunder. Tl.e fpontaneous burning of fome bodies in na- ture are undoubtedly to be alcribed to the fame caufe ; and the alacrity and vigour of fome temperaments furely.is wonderfully increafed by the prefence of this fluid. May this fubftance be joined with the acidum pinguc and inflammable principle J Compare note 78. Ch.X. voice and speech. 167 lages of the larger kind, thcfe called the annular and fcutiform are, in adults, frequently changed into bone. The anterior and larger part of this larynx, which lies almoft immediately next to the Ikin, is compofed of two cartilages; one called thyreoides, the other m- coides ; to which laft, the lateral parts of the larynx are fo joined, that the portions of the cricoide car- tilage are always fo much larger as they are higher feated. The back part of the larynx is firftmade up of the faid annular cartilage, and then the arytaenoides conneded by mufcles. The epiglottis is loofely con necled above the larynx with the thyreoide cartilage in fuch a manner, that it may be able to rife up and diut down. The blood-veilels of this part are from the upper thyrecids ; and the nerves, below, are nu- merous from the recurrents ; as above, alfo, there are nerves coming from the eighth pair varioufly inofculating ; fame alfo from the intercoftal. The former of thefe nerves is remarkably famous for its arifing in the thorax, and being afterwards infleded round the aorta and right fubclavian; and for the origin which it gives to fame of the nerves of the heart as well as for the experiment by which a ligature upon the recurrent is found to deftroy the voice. CCXCII. All thefe cartilages are conneded by various mufcles and ligaments, with a certain degree of firmnefs, to the adjacent parts ; and yet fo that the whole is eafily moveable together, as are alfo its feveral parts upon each other. Particularly the fcuti- form cartilage, or the thyroidea anterior, is compofed of two plates, which are almoft quadrangular, and inclined to each other in an obtule angle, which is foremoft. Upon thefe cartilaginous plates are fome- times Principally the great branch, immediately upon reflexion, afcends behind the larynx, goes in particular to the left fide ; and having become the cardiac, defcends towards the heart, lungs, and their vefTels. I have fometiraes obferved two recurrent nerves in the right fide, which on both Tides gave branches to the osfo- phagus, afpcra arteria, and larynx. VOICE AND SPEECH. Ch.X; dmes found two apertures, one on each fide for the folood-velfels of the larynx; but they are not very often to be obferved. The upper proceffes of this cartilage, terminating without any protuberance, are inclined upward and backward, to their connection with the horns of the os hyoides, by flrong ligaments, fome- times mixed with bone. The lower parts of thefe cartilages are fhorter, and adapted ahnofl; with a flat furface to thofe of the cricoide cartilage ; to which they are connected with a very firm articula- tion, by a ftrongand fhort cellular fubllance, uniting them on each fide. The middle parts before, being perforated with flrong ligaments, are connected by their iniertion to the middle of the annular carti- lage; and like wife by other ligaments above, de- feending from the horn of the feutiform cartilage into the upper part of the annular cartilage. CCXCIII. The cricoide cartilage is before thick, and flrong : it is increafed backw'ards, in form of a ring unequally truncated or cut through ; and, in its middle part, is divided into two cavities by a protu- berant line. This is firmer than the reft of the car- tilages, and, in a manner, the foundation of them : from this there are longitudinal mufcular fibres and ligaments, which defeend into the windpipe (CCXXXVIII.) The pharynx likewife is connected to the furface of thefe cartilages by many mufcular plates, and receives the larynx as it were into its bag. From this a fhort ligament comes on bothfides to the arytaenoide cartilage. CCXCIV. Ihc two arytmnoide cartilages are of a very complex figure, fpontaneoufly dividing into two parts Of thefe the lower is larger ; and is con- The number of cartilages corapofing the larynx, if we flick to a more accurate anatomy, fliould be changed. Five are commonly reckoned ; thyroid, cricoid, two arylEenoidcs, and ppiglottis : But nine mult be numbered. For any arytsenoide, as Haller indeed has remarked, but did not choofe to abandon the c'.d. Ch.X. voice and speech. t < S ^ connefted by a moveable juncture with the protuberant cricoide cartilage, by a bafis moderately hollow; and the fame fends a procefs forwards, which feparates the glottis, and fuftains the inferior part of the ventricle of the larynx. They afcend upwards, of a triangular figure, with the pofterior angle hollow, the anterior convex, divided by three furrows or fulci, and ex- tenuated upwards, till they are at laft finifhed or ter- minated by a pretty thick, oval, cartilaginous head fixed on them. The lower part of thefe cartilages is connefted by numerous mufcular fibres, partly tranf- Verfe, and partly oblique ; of which the different direc- tions are vifible enough, but the feparapon of them impracticable. Thefe are called arytsenoide mufcles. In the upper part, the arytsenoide cartilage departs from its companion or fellow cartilage, leaving a cleft perpendicularly betwixt them, which has been (not very properly) by fome called the glottis. CCXCV. The arytanoide cartilage is connected with the thyroideal by tranfverfe ligaments, fufficiently ftrong and elaftic, but covered with the common mu- cous membrane of the larynx, which ligaments are in- ferred into the flat angle of the thyroide cartilage (CCXCII.) Thefe ligaments may be drawn out or VoL. 1. M ftretched old opinion, has a fmall new one placed above it, larger in pro- portion in the larynx of fome brutes, as the dog and horfe, which is in the fame manner joined to the arytsenoides with the affiftance of a capfular ligament by means of a diftinft articulation, as the ary- tasnoides are connefted with the cricoide. Santorinus has already named them the and fiventh. Befides, I obferved a few years ago, two new cartilages, or bodies fimilar to cartilages, wbicn I thought ihould be taken into the number of the parts of the larynx. Thefe cartilages lie between the epiglottis and arytsenoide in any fide, but nearer the arytsenoides, above the upper ligament of the glottis. They form a round mafs, about the thicknels of a crow quill. ,and three lines long. They are extremely well feen, if, when the cricoide cartilage is difiefied, the pollerior part of the larynx is expanded; for then they are eafily diltinguifhed rifing through the internal tunic. I think they are tolerably expreffed in an elegant table, belonging to the third fet of demonftration^, which I got frota my celebrated fiiend and anatomift M.^Camper, 170 VOICE AND SPEECH. Ch.X!. ftretched from each other, by removing the contaft of their arytaenoide cartilages, and may be again conjoined by placing the cartilages one to another: and this is the true glottis, which is continuous, but at a right angle with the above-mentioned cleft (CCXCIV.) CCXCVI. From the fame angle of the thyroide cartilage, under a notch, from a firm ligament, and an erefl flender (talk, is extended an oval cartilage, in its forepart convex, behind concave, and raifed up in fuch a manner, by its elafticity, as to project confiderably behind the tongue; but is fo flexible or inclinable down- ward, whenever the root of the tongue is preffed back- ward, that, by its tranfverfe pofition, it fhuts up all paflage into the larynx, and defends it in fuch a man- ner, that whatever is contained betwixt this part, called the epiglottis, and the arytsenoide cartilages, paflfes over downward into the pharynx. The epiglottis is con- joined to the tongue by pale membranous fibres, and to the os hyoides it is connefted by many membra- nous expanfions. But as for mufcular fibres from the thyreo-arytaenoidal and arytaenoidal mufcles, it has ei- ther none at all, or elfe fuch as are too minute to have any effeft upon its elafticity. CCXCVII. By the fides of the ligaments of the glottis (CCXCV.), there are two other upper and fofter liga- ments, which go out parallel from the arytaenoide cartilage to the feutiform one, which ligaments are fomewhat lefs tendinous and lefs elaftic. Betwixt thefe two ligaments, on each fide (CCXCV.), a peculiar ca- vity or ventricle defeends, having the figure of a com- preffed parabolic finus extended downward betwixt the double membrane of the larynx, opening conftantly with an elliptical mouth by the fide of the glottis in the larynx CCXCVIII. Laftly, all the internal cavity of the larynx is The facks or receptacles found in fome fpecies of apes, are not to be confounded with thefe ventricles, which may be more or lef* inflated according to the will of the animal. Ch.x. voice and Speech. 17a is lined with the fame foft, fcnfible, or irritable and mu- cous membrane, as we before defcribed in the windpipe (CCXXXIX.) But this membrane is watered by a great number of fmall glands. The uppermofl; are fmall fimple glands, alfembled together in a heap (CCVIII ), feated on the anterior and convex parr cl the epiglottis, upon the hollow furface of which they fend out various openings, large finufes and productions; and others are, in like manner, continued there in fmall hard ker- nels. Moreover, upon the hollow anterior furface and back of the arytgenoide cartilages (CCXCIV ), there are fmall glandules placed on each fide of a loofe conglo- merate fabric, compofed of little round kernels, doubt- lefs muciferous, having fome of their loofer parts ex- tended on each fide as low as the annular cartilage. In the cavity of the ventricles, there are very many mucous finufes. Latlly, all the internal furface of the larynx is full of large mucous pores. All thefe glandules fepa- rate a thin watery mucus, which yet has a confiderable degree of vifcidity. CCXCIX. It may be afked. If the thyroide glandule has a like ufe, and is of the conglomerate kind, but foft and lobular, with many coverings, confiderably large or broad in its extent, but of a more tender fub- ftance than the falival glands, feated upon the thyroide cartilage, and in part upon the cricoide cartilage and windwipe, along their fore-part, fo as to encompafs the lateral horns and fides of the thyroides, joined to its Companion, which is narrower, by an ifthmus, which is emarginated on the lower part, but afcending upwards by a very thin procefs before, in its middle part, as far as the os hyoides? This gland is full of a ferous, yel- lowifh, and fomewhat vifcid humour: but whether it emits the fame into the windpipe or into the oefophagus, is a queftion ; at lead there are no duds ccitainly known to open into either of them. Whether or not the juices are altogether retained in this gland, and afterwards poured into the veins in a manner refembling the fabric of the thymus, or whether it is of the con- M 2 . globats 172 VOICE AND SPEECH. Ch.X. globate kind, is uncertain. Yet that the ufe of this gland is very confiderable, may appear from the largenefs of the arteries which it receives from the carotides and lower fubclavians. The veins thereof return their blood into the jugulars and fubclavians. It has a peculiar mufcle, not conftantly to be found, arifing from the edge of the os hyoides, and fometimes from the lower margin to the left of the thyroide cartilage, which de- fcends without a fellow, fpreading its tendinous fibres over the gland. Upon which alfo the fternohyoidei and fiernothyrodei mufcles are likewife fpread or in- cumbent. CCC. The whole larynx is fufpended from the os hy- oides by the ligaments proceeding towards the fuperior horns of the thyroide cartilage, and perfecling that car- tilage from the middle of its bafis to the conjundion of its plates. The fame, together with the conjoined os hyoides, is capable of being raifed confiderably, at leaft half an inch above its mean altitude. This is performed by the biventer mufcles, together with the geniohyoidei genioglofli, ftyloglofli, ftylohyoidei, ftylopharyngei, thy- reopalatini, hyothyroidei; all or fome of which con- fpire together in that adion. In this elevation the glot- tis is prefled together or made narrower, and the liga- ments beforementioned (CCXCV.) approach nearer to- gether. But thus, by the afliftance of the adion of the arytasnoide mufcles, together with the oblique and tranf- verfe ones, the glottis may be accurately clofed, fo as to refift with an incredible force the preflure of the whole atmofphere. CCCI. The fame larynx may be, in like manner, de- preffed to about half an inch beneath its ordinary fitua- tion, by the fternohyoidei, fternothyroidei, and cora- cohyoidei, as they are called ; and, when thefe are in adion, alfo by the joint force of the anterior and pofte- rior cricothyroidei. In this motion the arytasnoide car- tilages depart from each other, and render the glottis wider, which is alfo drawn open laterally by the muf- des inferted into the fides of the arytasnoide cartilages, together Ch.X. voice and speech. 173 together with the crico-arytasnoidei poftici and laterales, and thyreo-arytsnoidei ; thefe may alfo compiefs the ventricles of the larynx (CCXCVIl.) on which they are incumbent; the particular cartilages which make up the larynx can fcarce be moved feparately. CCCII. From the larynx the air comes into the mouth and noftrils. By the mouth, we mean that large and irregularly lhaped cavity between the foft and hard pa- late, both concave in the middle, and lower down parted between the mufcles which lie under, and the lower jaw. The noftrils afcend forwards above the foft pa- late ; they are two broad cavities intercepted between the feptum medium, the offa cavernofa, and various other bones. They are every where bony and carti- laginous. CCCIII. The tongue lies in the middle of the mouth; and is a broad piece of flelh eafily changeable into any kind of figure, and thus readily moved without delay to every part of the mouth ; moft expeditioufly direfted into every fituation, and made to affume any lhape, by its own flelhy fibres, and by the mufclcs attached either to itfelf or to the os hyoides which is joined to it by many flefliy fibres and membranes. In the fore- part thefe come from the genioglolTi and geniohyoidei muf- cles; backwards from the ftylogloffi, ftylohyoidei, cera- toglofli, bafiogloffi, chondrogloffi, and biventer; down- wards, from the fternohyoidei and ceratohyoidei ; up- wards, from the ftylogloffi, ftylohyoidei, from the bi- venters, and likewife from the mylohyoidei. CCClV. Hitherto we have given the anatomy. It re- mains, therefore, that we deraonftrate, what adion the air produces, when it is driven by the forefaid powers (CCLXIX, CCLXX.) from the lungs in exfpiration through the wdndpipe into the larynx, and from them urged out through the glottis into the mouth, varioufty configured. The confequences or effeds of this are, voice, fpeech, and finging. The voice, indeed, is only formed, when the air is expelled with fo great a velo- city through the contracted glottis, that it fplits or M 3 makes 174 VOICE AND SPEECH. Ch.X. makes a colllfion upon the ligaments of the glottis, fo as to put the larynx into a tremor, which tremor is returned and continued or increafed by the elafticity of thcfe parts. Sound, therefore, arifes from the conjund: trembling of the ligaments (CCXCV.) together with the cartilages of the larynx at one and the fame time, which we then call the voice, and is of a peculiar kind or modulation in every fingle clafs of animals, depend- ing entirely upon the difference of the larynx and glot- tis. But when a trembling is not excited, the exfpired air caufes a whifper. CCCV. The ffrength of the voice is proportionable to the quantity of air blown out, together with the narrow- nefs of the glottis ; and, therefore, a large pair of lungs eafily dilatable, with an ample cartilaginous and elaftic larynx and windpipe, and the free echo of the noftrils, joined with a powerful exfpiration, all conduce to this cffeft. But acute and grave tones of the voice, we ob- ferve to arife from various caufes. The former proceeds from a tenfion and narrownefs of the glottis, and the latter from a relaxation and expanfion of it. For thus, in the former, a greater number of aerial undulations are fplit in the fame time upon the ligaments of the glottis, whence the tremors excited at the fame time arc more numerous ; but when the glottis is dilated, the contrary of all this follows. And from the greater tenfion of the ligaments, the tremors in like manner become more numerous ftom the fame ftroke. Therefore, to pro- duce an acute and fhrill voice, the whole larynx is drawn upwards and forwards ; and fo much the more as the voice is required to be fharper, infomuch that the head itfelf is inclined backwards, by which the powers of the mufcles elevating the larynx are rendered more full and effectual. The truth of this is confirmed by experience, by applying the fingers to the larynx when it forms an acute found ; for then, to raife the voice an oftave, you will eafily perceive it to afeend near half an inch. Alfo the fame is evident from com- parative anatomy, which demonftrate the narroweft glottis Ch.X. voice AND SPEECH. 1 glottis and the clofeft approximation of cartilages in linging birds, but an ample or broad glottis in hoarfe animals and fuch as bellow or bleat. An inftance of this we have in whiftling, where the voice manifeftly becomes more acute by a contraftion or narrownefs at the mouth : alfo in mufical inftruments, in which a nar- rownefs of the mouth or opening that expels the air, with a celerity of the wind blown out, are the caufes of. an acute or fhrill tone. CCCVl. Gravity of the voice, on the contrary, fol- lows from a depreffion of the larynx by the caufes (CCCI.) already deferibed; to which add a broad glottis and a very ample larynx. This is evident to the touch of the finger applied to the larynx when a perfon fings, by which the defeent of it is manifeftly perceived to be about an inch for every odave: hence the voice of males is more grave ; and hence the loweft degrees of the voice degenerate into a mutenefs or whifpering. CCeVil. Is the whole difference of tone owing to the length of the ligaments of the glottis, which is aug- mented when the feutiform cartilage is drawn forward, and the arytsenoide ones backward ? Is it according to this rule, that the moft acute tones are produced, which, arife from the ligaments being exceedingly ftretched, and thus vibrating with great celerity? This has been confirmed by repeated experiments made by eminent men ; and fome late anatomfts have obferved, that, when the chords or ligaments of the glottis are tenfe, the peculiar voice of every kind of animal is produced by blowing air into its larynx: that this voice was more acute as the ligaments were more tenfe, and more grave as they were flackenedj that by Ihutting the whole ligament, the voice was fupprelfed ; by (hutting the half, the voice was rendered an o6tave higher ; by Ihutting a third part, a fifth higher, &c. There are not wanting, however, doubts concerning this new theory, arifing from the cartilaginous and bony ftrudture of the glottis of birds, which of confequence muft be im- moveable, and not extenfible ; from the voice moft cer- M 4 tainly I7<5 V O I CE and S P E E C H. Cn-X-. tainly becoming more acute, in wh idling, from the mere contraction of the lips; from the example of women, in which the larynx is fofter, but the voice more acute, than in men ; from experiments which fhow, that more acute founds are produced by bringiftg the ligaments of the glottis nearer into contact with each other , ^roin the perfect want of machines, by which the iig'e. Mts can be ftretched, and which may bring the fc.,. ;^ >i m cartilage forward from the annular one. But feei .g it appears from experiments, that a tcnfion of the liga- ments fuffices for producing acute founds, without the contraftion of the glottis, we may believe that the dif- ferent tenfion of the glottis contributes more to the di- verfity of voice than the different diameter of it. CCCVlll. Singing h when the voice, modulated thro* various degrees of acutenefs and gravity, is expelled through the larynx, while it is trembling and fufpended betwixt two contrary powers ; and herein lies the prin- cipal difference betwixt the chanting of fiinple notes, and the expreflion of words. Hence it appears to be a laborious aftion, by reafon of the continual contrac- tions of the mufcles, which keep the larynx at an equi- librium : and hence it is, that Tinging makes a perlon hot ; becaufe in acute tones the narrower glottis much retards the exfpiration, while at the fame time a great deal of air is required to give ftrength to the voice (CCeV.); to which, again, deep infpirations are ne- ceffary. Hence likewife the windpipe is rendered very dry, from the quicker paffage or current of air : to pre- vent which, a great deal of mucus is required ; and therefore it is that there are fuch numbers of mucous receptacles in the larynx, amongft which I am firmly of opinion the ventricles before deferibed (CCXCVII.) ought to be numbered. CCCIX. Speech is performed by the larynx at reft, or held in the fame place, in tones of voice differing but little in acutenefs and gravity : but then the voice is varioufty changed or modulated by the organs of the mouth. Singing has a variation in the tone or cadence 3 of Ch. X, VO ICE AND S PEE CH. 177 of the voice, together with a modulation of it by the organs of the mouth at the fame time. CCCX. All fpeech is reducible to the pronounciation of letters, which differ in various nations; but moft of them are alike all the world over. Of thefe, fome arc called vowels, which are made only by an expreffion of the voice through the mouth, without any application of the tongue to certain parts of the mouth. But con- fonants are formed by a collifion of the tongue againfl: certain parts of the mouth, lips, and teeth. But to be more particular in thefe matters is beyond our purpofe, which does not permit us to expatiate upon the beautiful art of pronunciation. That art, as an extraordinary in- ftance of mechanical knowledge, has fo accurately de- termined all the corporeal caufes concurring to each letter, that, by infpeftion only, with the affiltance of touch, letters pronounced are underftood without hear- ing them, and the attentive perfon is thereby taught to imitate the fame fpeech by a like ufe of the organs CHAP. Man’s faculty of fpeech, the prettieft artifice of nature, fo often exadlly imitated by art, involves a double confideration ; the philo- fophical, which has given rife to that academical queftion, particu- larly deferibed in the writings of Maupertuis and Suffrailch ; and the phyfical, or rather phyfiological, which treats of the mechanical caufe of fpeech from the ftrufture and fabric of the parts. With relpeft to the philofophical confideration of fpeech, 1 would never- thelefs not totally refufe this faculty to other animals of exprelling themfelvei by figns, many of which depend upon the voice ; it has been very elegantly, and even in fuch a way handled, by the learned Herder who gained the prize, Tiedman, Tetens, Zobel, Plainer, and others perhaps, that a phyfiologift himfelf reaps a great deal of informa- tion from the reading of their works. But upon confidering the faculty of fpeech without regard to the parts, and comparing man with other animals ; infants with adults; civilized with uncivilized na- tions ; man educated by man, with him brought up amongtl brutes; the learned with the ignorant; the man who hears, with the deaf and dumb; it is very probable, that the elegant phenomenon of the human fpeech as well arifes from the proper fabric of the organs, as depends upon the degree and perfection of knowledge. For there is innate in us even from infancy a ftruggle and defire to exprefs the feelings of the mind by figns; nay, there is that defire in all aniinals; with this difference only, that men, befides the affedions of ' their BRAIN AND NERVES. Cn.Xr. 178 CHAP. XI. Of the Brain and Nerves. CCCXI. '’HE remaining adions of the human body X we fhall confider according to the courfe of the blood. Ihe coronary arteries we fpoke of be- fore, when we gave the hiftory of the heart. Next to thofe, the carotids pafs out from the aorta. CCCXII. their mind, exprefs the want of things neceffary to tlieir life and de- fence, and the impreflions which external objefts make upon the mind, by figns, voice, and fpeech ; which faculty, however, brutes never acquire. Infants fignify their impatience, unlefs we foon under- ftand their figns, by mournful crying. I once faw an Ethiopian in- habitant of Gorea weep fevercly becaufe nobody would take notice that a certain piflure was pleafing to him. The French foldicrs in the late war, notwithdanding the ufual geotlenefs of that nation, were greatly difquieted when they found their language not underftood. Now we fee fpeech fuppofcs a concatenation of various circumftan- ces; the perception of idea ; the neceffity of exprcffing and fignify- ing it by figns; the organs neceffary for performing it; and the rea- foD, cuftom, improvement, and manner of ufing the indrument of fpeech in a proper way. Therefore the primary foundation of fpeech, and of the dore of languages and words, confids in the co- pioufnefs of fails and ideas, and in the extent of knowledge and learning. The pbyfical ratio of fpeech, by w'hich we pronounce vowels and diphthongs, according to the determined condricfion and opening of the tauces and mouth, and according to the fpecific alllfion of the air upon the various parts of the mouth, palate, no- ftrils, and teeth, and by the percuffion of the tongue upon the faid parts, it is that we form the conlonants in general, as well as thofe paticiilar to fome nations ; as //> of the Engllfli, /r of the Chinefe, mr of Malabar, elegantly fhow ; and that the mechanical appHcatioa of the indrumenls of the voice and fpeech is precifely requIGte to the pure and didinA pronunciation of this or that fyllable or word, which Wilkins before, and Vogel lately, and de Brofl'e, have learn- edly demondrated. Heoce were eafy, but not lefs learned and wonderful, the atempts not only of remedying the various vices of the voice, fuch as Codronch and Piijat have recounted; but what merits the greated admiration, of teaching perfons born deaf and dumb to fpeak artificially. The celebrated maders of this famous art, Petrus Pontius, whether he, or, according toothers, Joh. Paul. Bonetus, is reckoned the fird inventor of this art, Wallis, Holder, Amman, Ra- phel, Thumig, Kerger, Arnold, fee. made ufe of a double method and principle. For fome, from the fimplc imitations of the mouth^s ebangesy Ch.XI. brain and nerves. 179 CCCXII. The aorta, which comes out from the an- terior part of the heart (CLVII.), in order to bend itfelf towards the vertebrae of the thorax, forms there a con- fiderable arch, by which it is bent backward, and to- wards the left, in an angle that is round, but not very- large. From the convexity of this arch, three confider- able branches arife. The firft afcends towards the right fide, and is immediately fubdivided into two large ar- teries, of which the lowermoft goes on in the direction of its trunk, under the denomination of the fubclavian. The other afcends according to the courfe of the wind- pipe to the head, and is called the right carotid. The left carotid fprings next from the fame arch, a little in- clined to the left fide; and the third, which is ftill more inclined to that fide, is called the lejt fubclavian, which is fomething lefs than the right. About the origina- tion of thefe arteries, the next continuous margin of the aorta is a little thicker and more protuberant. But va- riations from this courfe are rarely obferved CCCXIIT. changes, when once a word was uttered, and the letter being mark- ed, if they beard a proper articulation, they ufed to bring their pu- pils to the ufe of fpeech with incredible patience. But others in a more natural way firft excited the attention of their pupils to objefts, ideas, affeftions of bodies, and whatever they wifhed or ought to ex- prefs by fpeech ; then the bufinefs being made eafier, they learn to accommodate their voice to the defignation of fuch things. There are examples in infants fufSciently manlfeft, that they exprefs more eafily the name of a thing which they have conceived in their mind, whether it has been agreeable or difagreeablc ; but you will fcarcely learn the dumb, deaf, and ftiipid, without the greatett patience and trouble, to pronounce a fingle letter according to the firft method, becaufe you ought firft to corre^ the duloefj of their fenfes and men- tal faculties. In more than 6©o fubjefts, which 1 have infpefled thefe feventeeo years paft, with refpeft to the branches homing out of the arch of the aorta, I only obferved five varieties : the right fubclavian alone defeending from the aorta, with other three from the arch ; the right fubclavian and right carotid apart from the arch, therefore four branches; again, four branches from the arch ; cvhilft the left vertebral and left fubclavian defeended from the aorta with four branches from the arch, to wit, the vertebral and left mammary; and laftly, between five branches, I obferved the vertebral and inferior thyroid of the left fide came out of the arch. BRAIN AND NERVES. Ch.XL CCCXIII. The carotid artery, furrounded with a great deal of denfe cellulofity, together with the jugular vein and nerve of the eighth pair, commonly afcends as high as the upper part of the thyroide cartilage with- out fending off any branches. There it divides into two trunks. The anterior, called the external carotid, which is rather larger and more in the direftion of its trunk, fends off a branch called the fuperior thyroideUy alfo the inflefted arteria lingualiSy and then the labialis ; and from the pofterior face of the carotid the next ar- tery which arifes is the pharyngea afcendens, which, befides the pharynx and mufcles of the moveable palate, fends iikewife a confiderablc branch in common with the nerve of the eighth pair through the foramen of the jugular Vein to the dura mater, very near to the great foramen of the occiput, at the bafis of the os petrofum, and which is divided at the cuneiform procefs of the multiform bone. CCCXIV. Again, from the edge of the external ca- rotid, fprings the occipital artery ; which fends branches not only to the mufcles which give it a name, but like- wife fends a branch through a peculiar foramen of the dura mater in the angle which the os petrofum forms by departing from the mamillary portion, which artery is fpread through the feat of the cerebellum ; another branch paffes over the atlas to the dura mater under or into the Ikull; and a third fometimes goes through the foffa jugularis to the dura mater. The next artery, which is the auricularis, goes to the back part of the ear, to the temple, and to the membrane of the tympanum. CCCXV. What remains of the external carotid ar- tery, afcends through the parotid gland, to which having given fome branches as well as to the face and eye-lids, it fends out the temporalis^ which is confiderable. The trunk of the carotid, being inclined, conceals itfelf be- hind the lower jaw under the denomination of maxil- laris interna, CCCXVI. In that place, it diredly fends off a large trunk, which paffes to the dura mater through a pecu- liar Ch.XI. brain and nerves. iSi liar opening®'^ of the broad and pterygoide wings, fear- ed at the middle fofla of the brain ; from whence they are largely Ipread through the temples and forehead within the dura mater, as far as the falciform finus. Sometimes this artery is double, and often gives out a branch that is confpicuous to the lachrymal gland of the eye. In the fame place, likew'ife, the maxillary artery enters the upper part of the nares by a threefold trunk, where it is ipent after having given off the branches called maxillares inferior and fuperior to the teeth, with the infra orbitaiis to part of the face and eye-lids, and the paiatina to the bone of the palate, with fmali branches to the dura mater, and others through the fmaller pores of the great wings, with fuch as accom- pany the third and fecond branch of the fifth pair of nerves ; and laltly, together with the dura mater, filling up the low'^er orbital fiffure. CeeXVI. But the other pofterior trunk, commonly called the internal carotid (CCCXill.), afeends without a branch. This artery having firft made a confiderable ferpentine flexure enters through a peculiar foramen in the os petrofum, where it is furrounded with a capfule from the dura mater, like that which comes out through all the openings of the fkull : from thence it afeends upw'ards and mclined forwards, till, having penetrated into the cavity of the fkull, it rifes up infleiTed and in a curvature, according to the direffion of the fella equi- na®’ ; in the middle of which there is a cavernous or hollow finus retarding the blood : from thence, having given fmall branches to the fifth pair of nerves, it fends others to the fundibulum and dura mater, with one larger to the eye; part whereof returns again through a peculiar hole into the dura mater, which lies upon the middle of the orbit. This is the rcte mirabile of beafls, but not of man. CCCXVII. Commonly called the fpinal, tranfmitting the arteria naeningea media. In its paflage through the canal of the os petrofum, it fend* fome twigs, the number not conkant, to the inner ear. i 82 brain and nerves. Ch.XI, CCCXVII. But the trunk of this internal carotid paf- fes over the anterior part of the fella equina; and being incurvated backward, and received by the arachnoide membrane, giving branches to the pons and crura of the brain, with a circle to the choroide plexus, and one that accompanies the optic nerVe, it then divides into an an- terior and pofterior branch. The former, being con- joined with its fellow artery of the other fide by a fhort inofculating branch, which fometimes fprings from the trunk itfelf, is then incurvated backward and Upward, according to the direflion of the os callofum, and fpreads itfelf about the middle and hinder part of the brain ; where it fometimes fends branches to the falciform procefs, and from the very origin of the third ventricle to the fornix and thalami. The latter, being conjoined by a fmall inofculating branch with the ver- tebral artery, unlefs that arifes from the undivided trunk of the carotid artery, afterwards afcends a long way up- on the fide of the brain through the Sylvian fofla ; and the fame fends branches to the choroide plexus. All the branches of the carotid, contained within the fkull, are made up of more thin, folid, and brittle membranes, than the other arteries of the body. CCCXVIll. But the vertebral artery, commonly arifing from the fubclavian of the fame fide, (though the left has been fometimes feen to fpring from the trunk of the aorta,) pafles on without giving branches, through a place ot fecurity, till it enters a foramen in the tranf- verfe procefs of the fixth vertebra of the neck ; after which, it continues with alternate flexures to afeend through the oblique procefles of the other vertebra of the neck; from whence, at each interval, it fends off fmaller branches to the mufclcs of the neck, and com- municates with the lower thyroideal : other branches, again, fomewhat larger, go from it backward, together with each of the nerves, to the pia mater of the fpinal medulla ; but before, the branches are larger, though lefs numerous, to the fame fpinal medulla, and commu- nicate by an anaftomofis with its fpinal artery anterior- Ch.XI. brain and nerves. i8§ ly. Laftly, growing kfs about the fecond vertebra, and being inflected with a large curvature round the tranf- verfe procefs of the firft vertebra, it there fends off con- fiderable branches to two of the mufcles of the neck : alfo finall branches it fends off in its courfe through the great foramen of the occiput or flcull to the dura mater, and the adjacent cavities that contain the cerebellum ; after which it goes on through the faid foramen into the cavity of the fkull. There afcending, according to the courfe of the medulla oblongata, the right trunk by degrees approaches nearer to the left, and is conjoined together with it (in an extraodinary manner, hardly to be found in other parrs) into an artery called the laris^ which is fufpended in the pia mater all along under the pons Varolii. From the vertebral arteries, before they are conjoined together, or from the trunk produ- ced after the common manner, pafs out branches, which go to the lower furface of the cerebellum, and are deep- ly inferted under the fourth ventricle to the inner fub- llance of the cerebellum. Thefe fend off the fpinal ar- teries. But there are fome inftances where they arife conjunftly from a fingle trunk; or from the trunk ia one fide, and a branch in the other. Then the bafila- ris, befides branches to the medulla oblongata and crura of the brain, gives the other lower arteries of the cerebellum. Amongft the forefaid branches alfo arifes an artery, which accompanies the auditory nerve. Finally, the bafilaris, at the forepart of the pons, di- vides into two branches. One of thefe goes to the up- per part of the cerebellum, to the fourth ventricle, to the crura of the medulla of the cerebellum, the nates, tefles, and pineal gland : in place of this, alfo, there are two trunks. The other is divided to the lowed part of the brain at its poderior lobe, the choroide plexus, the plexus incumbent on the pineal g’and, that gland itfelf, the thalami, corpora driata, fornix, and whole anterior ventricle of the brain. CCCXIX. From the foregoing hide y of the arteries belonging to the brain, it appears, that a very great quan- a tity i84 brain and nerves. Ch.XT. tity of blood is in every pulfation fent to this organ, in- fomuch that it makes above a fixth part of the whole blood that goes throughout the body, and derived from trunks that are very near the heart, fpringing from the convexity of the aorta. Frombence it is probable, that the ftrongeft parts of the blood go to the head, and fuch as are mod retentive of motion. Is not this evi- dent from the eftedts of mercurials exerting themfelves al- moft in the head only; from the fudden force and adfion of inebriating fpirits upon the head ; from the fhort ftu- por which camphor excites’^®; from the heat, rednefs, and fweat, which happen oftener in the face than other parts of the body ; to which add, the more eafy erup- tion of volatile and contagious puflules in the face? The well guarded paflage of thefe great and important veffels in their afcent to the head, defends them from any great injury. The frequent inofculations of one trunk, with the other going to the head, as well as the frequent communications of their branches among themfelves, leffen any danger that might enfue from ob- ftrudtion. Hence, when the carotids are tied, the ani- mal neither dies nor feems to be very uneafy. The confiderable flexures of the vertebral and carotid artery ferve to moderate the impulfe of the blood coming to the brain, fmce a great part the velocity, which the blood receives from the heart, is fpent by the various inflections. To which add, that fome authors do not improperly obferve that the arteries here grow larger or fOmewhat wider. CCCXX. The hiftory of the brain defervedly begins from its integuments. Such a tender part, fo neceflary to life, we obferve providently furrourided on all fldes, firft by a fphere of bones, confifting of many diftindt por- tions ; by w'hich means it is rendered extenfible, at the fame time that it is eft'cdually guarded againft external pref- •* All thefe arguments are not of the fame force: for mercury applied in different ways to the body, produces its effeA not in the Iiead alone ; fince it occafijns in fome a diaphorelis, in others » diarrhcea, and in others it ads as a diuretic. tmXl. BRAIN AND NERVES. 155 prdfure. To the internal furface of this bony fphere, on all lides, grows a very ftrong membrane, compofed of two plates fufEciently diftind, which are firmly attached by an infinite number of fmall veflels, as by fo many foot (talks to the whole furface of the faid bones, fo as to be nowhere eafily feparable in a healthy perfon ; thefe, being very thin and fmooth, adhere lefs firmly to the bones, but more ftrongly to the futures^ fo called from their figure, which join the bones of the fkull one to another. In younger fubjedts, the adhefion of the dura mater to the (kull is fuch, that the feparation of it pulls off the. fibres of the bones to which it is con- nected. In adults, many of the velfels being effaced, renders it more eafily feparable ; yet it is not with- out fome force, even in thofe, that the dura mater can be feparated from the (kull From the rupture of thefe veffels, which enter the bones of the fkull, appear thofe bloody drops which are obfervable after removing the cranium. Hence appears the vanity of all that has been advanced concerning the motion of the dura mater. As to the nmtion which is remarked by the writers of obfervations upon wounds in this part ; that, being preternatural, was the confequence of the beating of the arteries (in a part where the refiftance of the bone was now removed, while the reft of the dura mater next to the fkull fuftained the force of the heart without motion) ; or of the brain fwelling during exfpi- ration. Alfo that part, which is properly the dura mater, bas neither nerves, nor fenfation nor irritability CCCXXI. The outer, plate of the dura mater, which adheres to the bones of the fkull, is to them inrtcad of a periofteum, and fupplied wdth fmall nerves and blood- veffels coming through all the holes of the fkull ; from whence, and from its cohcfion with the VoL. III. N peri- That nature has given none, or, what is liker truth, very few nerves to the dura meninges, I am convinced from Lobftein's and my own obfervations; however, both inflammation and furgical phe- nomena forbid my denying, that this membrane is totally deftitute cf fenflbiiity. lB6 BRAIN AND NERVES. Ch.XL perioftea of the head, fpine, and whole body, it has received the name mater. The internal plate of the dura mater is In moft parts continuous w^ith the' for- mer: but, in fome fubjefts,it recedes a little from it, as in the great fphenoidal wings; and at the fides of the fella equina, where a good deal of blood is poured be- twixt them ; and they likewife recede thus upon the fella equina itfelf: the fame plate having left the outer- mofl, adhering firmly to the bones of the fkull, de- fcends doubled together to form the falx, which arifes firft from behind the proceffus criftss galli of the multi- form bone, afterw'ards from the crifta itfelf, and from the whole junctures of the bones of the forehead and the parietais ; and laftly, it arifes from the middle of the back part of the occipital bone, and, growing broader backwards, is interpoied betwixt the hemifpheres of the brain ; the more remote part of it forw^ard hangs over the corpus callofum, and that which is next in the back- part is extenuated to an edge in the fame place. That there are finning fibres in this part, difperfed towards the longitudinal finus from the conjunction of the ten- torium, in the fliape of branches and palm-twigs, is cer- tain ; but it does not therefore follow that they have any mufcular motion ; and betwixt thefe fibres frequent- ly there is no membrane, only natural foramina are in- terpofed. The falx is both joined to, and continued from, the middle tentorium, w’hich is extended laterally. In the fame manner, with fome difference of fituation, the faid falx fends out a fhort plate downward, which divides the cerebellum, together w'ith the flrong tento- ria or lateral productions; which arifing from the cru- ciform protuberance of the occiput, are interpofed tranf- verfely betwixt the brain and cerebellum, extended as far as the limits of the os petrofum, and connected to the anterior clinoide proceffes, leaving an oval aperture for the medulla oblongata to defeend freely. Thefe productions of the dura mater ferve to prevent the parts of the brain from preffing one another, in all fituations and poflures of the body; and they likewife hinder one part Ch.xt. Brain and nerves, . 187 part of the brain from bruifing the other, by any fhock or concuflion. Hence it is, that in the more adive quadrupeds, where a concuffion is more likely to hap- pen, the brain and cerebellum are divided by a bony partition. CCCXXII. In the external furface of the pia mater, not far from the finus of the falx, are placed fmali glandules^ featcd in the reticular texture of the hard membrane, partly looking towards the firms, to whofe cavity they are opppfed, in fuch a manner, that fome of them are contiguous to the hollow of the finus ; others are fo placed at the infertion of the larger veins into the pia mater, that, together with the former, they make up a continued range or feries ; fome are alfo obferved in the tentorium of the cerebellum, which are fometimes foft, oval, and white, fometimes red, hard, and in appear- ance like wrinkles But the vapour, which exhales from the furface of the pia mater, is not feparated by thefe glands : for it is every where exhaled, even into the ventricles, where there are none of thofe' glandules; and it plentifully tranfpires every where from the mouths of the lead arteries, as we fee by experience, when water or fifn-glue are injeded, which fweat out through every point' in the furface of the dura mater. CCCXXIII. The next covering of the brain, which is snore clofe to it, and prelTes the whole furface of the brain, as that does, the cavitv of the fkull, has been denomi- natcd from its tenuity, aracbnoide^ ^ i. e. like a fpider’s w’eb. This very thin or tender membrane, being pel- lucid like water, every way furrounds the brain, whofe inequalities it climbs over, and according to its ex- treme thinnefs is pretty llrong, and furrounds the lar- ger velfels in fuch a manner, that the faid vdfels feem to run between the pia mater and arachnoidcs ; which ' N 2 laft So called glands by Pacchioni ; frequently found in great num- bers between the two layers of the dura meninges, for the moft; part in the duft of the falciform finus ; they occupy a broad furface ; their ufes are not yet fufficiently known ; they belong rather to the con- glomerate, than to the conglobate glands. iPr8 BRAIN AND NERVES. Ch.XL laft is, therefore, no part or lamella of the pia mater, from which it differs by fifuation, and is connected to it by a crllular texture after the manner of the fpinal marrow, although it is refolved into a cellular nature between the hemifpheres of the brain. CCCXXIV. The third or innermoft covering of the brain, which is foft and cellular, is properly the pia ma- ter^^. This immediately inverts the whole furface of the brain and fpinal marrow on all fides, is tender, and made up of a vaffc number of fmall veffels which are joined together by a cellular texture r but thefe veffels it fends into the brain in a regular order, like little roots, hi his defcends betwixt every furrow and fiffure of the brain and cerebellum, and even infinuates itfelf into the fpinal medulla, and is the bond by which the little pro- tuberances of the brain are joined together. This being received into the cavities of the brain, changes its fa- bric, fo as to become foft and almoft of a medullary con- fiftence, more efpecially when the fubjedl that comes under the examination of the knife has lain dead fome confiderable time, yet then it is'cafy enough to demon- Ifrate thp veffels themfelves in its fabric. CCCXXV. The veins of the brain are not difpofed in the fame manner with thofe in other parts of the body. For neither have they any valves, nor do- they run to- gether in company with the arteries, nor have their trunks the ftrufture which is commonly obferved in, the other veins. I he veins, therefore, which come out of the innermoft cavities of the brain, thofe which are fpread upon the flriated bodies, the veins of the cho- tiode plexus, with the lucid feptum and the anterior ventricles, are collected together into trunks which at laft meet in one great vein, or often two, which, being accompanied with many fmall arteries of the choroide plexus, defcends backward to the partition of the brain and cerebellum. In that place, it receives veins arifing from the porterior and lower part of the brain, and fome Deferving the name of vafcular memhrar.e, fince there is n» jnembrane found in the body fo fully fupplied with veffels. Ch.XL brain and nerves. 1S9 fome of the cerebellum, from whence the blood pafles into a finus, which is a kind of vein included in a re- duplication of the inner plate or membrane of the brain, into which the veins, to fhorten their length, are gene- rally inferted ; and this finuous vein generally defcends to the greater finus on the left fide, though fometimes it ends bifurcated, one branch on each fide. This is called the fourth finus. CCCXXVL The upper and fuperficial veins of the brain are large, and fpread in the windings with which the brain on all fides abounds. With thofe veins, thro’ the whole furface of the brain, are inferted other veins • of the dura mater ; and others, which enter by peculiar orifices into the falciform finus. From thence the veins, gradually collefted together, pafs along, moft of them forward, fome few of them in a ftraight diredlion, and others backwards ; of which thofe forward are the largefi, and open themfelves, their extremities being obliquely cut off, into the long falciform firms which is formed by the right and left plate of the internal membrane of the dura mater, which meet together below upon the upper part of the back of the falx. From thence it is of a tri- angular figure, cofiftF.ex in its upper fide, beginning with a flender origin at the feat of the foramen cascum, that is placed above the crifta galli ; from whence it afcends and follows the courfe of the falx until that joins the tentorium : it is generally inclined to the right fide^ and takes the name of the right tranfverfe firms, w’hich then goes by a peculiar channel in the occipital and tempo- ral bone, tranfverfely to its incurvation at the opening of the jugular vein ; in which place being much enlar- ged, it receives the low'er finus petrofus, together with the occipital ones, w'hich are hereby difcharged into the jugular vein. But the left tranfverfe finus refembles the former; and is, like that conveyed in a fimilar courfe to the jugular vein, into which it is rather inferr- ed on the right fide, than continued as it were in a trunk. Into it the fourth finus (CCCXXV.), together with the occipital one, ufually infert themfelves. But N 3 there J^Q BRAIN AND NERVES. Ch.XI there are fome indances, where all thefe are difpofed in a different manner, by an infertion of the longitudinal into the left tranfverfe finus; and then the right tranf- verfe finus receives the fourth and the occipital one. At other times it is equally divided into two tranfverfe trunks ; and fometinies the middle finus joins the tranf- verfe ones. The two fmufes alfo have been found fi- milar and parallel to each other. CCCXXVil. There is a {lender and rounder finus, which runs along the lower and thicker margin of the falx, fomewhat of an irregular figure, more rcfembling a vein, receiving veins from the falx itfelf, and commu- nicating likewdfe with the upper finus ; it alfo receives veins from the adjacent heinifpheres of the brain, and from the corpus caliofum. Where the tentorium joins with the forepart of the falx, this is commonly there iilferted into the fourth finus. CCCXXVIII. The lozver veins of the brain which lie next to the bafis of the flcull, are varioufly inferted. The foremofl of them coming from the folfa fylviana, col- leflcd together into fome trunks, are inferted into the cavernous finus, or triangular interval, that lies at the fide of the fella equina, betwixt the external and inter- nal plate of the dura mater. Other veins, from the pons itfelf, lead into the upper finus petrofu:. Other poftetior veins, which come from the poltcrior lobes of the brain, are inferted in great numbers into the tranf- verfe finus that is feated within the tentorium. CCCXXIX. rhe upper \xins of the cerebellum meet- ing together in large trunks, partly open themfelves into the fourth finus, and in part into the traniVerfe finus. The lower veins ftom the cerebellum and medulla ob- longata, infert themfelves into the upper firms petro- fus ; the later alio into the tranfverfe proceis very near the place where it goes out. CCCXXX. There are many finufes, befides thofe before-mentioned. The moil anterior of them, which is commonly like a circle, is larger behind than in its fore-partj which is flendcrer, and furrounds the pituitary glan- Ch.XT. brain and nerves. 191 glandule betwixt the clinoide proceffes^ communicating with the cavernous and with the lower petrofe finufes ; likewife communicating betwixt thofe proceffes and, the carotid artery, and again, by the way of the fixth pair, with the upper petroie finofes behind the fifth nerve. There are fome inflances where this fmus receives the ophthalmic vein ; and fometimes the tranfverfe, joining to the cavernous finus, fupplies the place of this circular .finus, or elfe is prefent with it at the fame time. CCCXXXI. The upper petrofe firms is convened back- wards in a cavity of the os petrofum, and takes its ori- gin from the extremity of the anterior fulcus of the os petrofum, where it communicates w'ith the cavernous iinus, and receives the infertions of the veins of the dura mater, and fometimes of tb^nterior veins of the brain itfelf, mentioned before (C^fcXXVIII.); then it is in- ferted into the angle of the tranfverfe finus, where it begins to be bent; fometimes alfo it joins the inferior finus of the os petrofum. Another vein, likewife de- feending by the os petrofum, is in like manner inferted into the angle of the tranfverfe finus. The lower firms petrofus, which is larger, goes round the root of the bone of this name, and communicates w’ith its fellow behind the clinoide procefs; alfo twice it communicates with the cavernous finus, and with the upper finus, and is conjoined under the nerve of the fifth pair, being finally inferted into the jugular fofia or cavity. Moreover, it receives fome veins of the dura mater from the bafis of the vertebrae. To the fame outlet alfo the occipital firms leads on each fide, which being pretty large, goes round the margin of the foramen, till arriving at the falx of the cerebellum (CCCXXI.), it is fooner or later inferted together with its fellow, for the moft part into the fourth finus, and with that into the left tranfverfe one, or into the longitudinal finus it- felf, or laftly by a divided extremity into each of the tranfverfe finufes. This finus receives the lower and pofterior veins of the dura mater, and fome others from the vertebree. , N 4 CCCXXXII. 192 BRAIN AND NERVES, Ch. X f. CCCXXXII. The anterior occipital Jtnus is irregular or multiform, partly tranfverfe, and partly dtfcending to the great foramen, being varioufly conjoined with the lower petrofe fmufes : from whence it paffes with the nerves of the ninth pair; and either communicates through a peculiar foramen, by emiffaries into the outer vertebral vein; or other branches, going downwards, open into the venous circles of the fpinal medulla. But the ca- vernous finus of the dura mater (CCCXXV ), being fur- rounded with a good deal of cellular fubitance, receives, befides the forementioned fmus(CCCXXiX,CCCXXX), large veins already defcribed; alfo the ophthalmic, and principal vein of the dura mater; and tranfmits them with peculiar veins, together with the firfl and fecond nerve, and third branch of the fifth pair, with a large artery of the dura mater (CCCXVI.) and the internal carotid (CCCXVI.); alfo it fends out other emifl'aries through a foramen, which is not confiant in the great wing, which form inofculations with veins placed on the outfide of the fkull leading to the jugulars, and efpe- cially w'ith the largell; pterygoidal plexus of veins be- longing to the nofe. In the fame manner, the veins of the pericranium pafs through finall holes in the parietal bones into the longitudinal .finus, as the occipital veins pafs through the maftoide hole into the tranfverfe finus through the anterior channel of the occipital bone, and the external vertebral veins are inferted into the jugular finus; and others of the anterior occipital veins accom- pany the nerve of the ninth pair. Thus there are an infinite number of W'ays open to the blood; by which it may pafs from the finufes, wherein it is often collefil- ed in too great quantity by various directions, according as the part is more lax or has a greater declivity. Hence no violent fvntptcms follow upon tying either or both of the jugulars or other large veins. CCCXXXiii. The great quantity of blood which goes to the brain, the greater impulfe with which it is fent into the caiotid arteries (CCCXIX.), and the fecurity of this part Irom every kind of preiTure by a ftreng bony fence, jcincsi with the f owet niQjion of the blood through Ch.XI. brain and nerves. 193 the abdominal vifcera and lower extremities, alfo the per- petual exercife of the brain and fenfes, do all determine a copious flux of blood to thefc parts, and fomc other caufes ferve to fill the head furprifingly with blood. Hence it is that a rednefs of the face, a turgefcence and fparkling of the eyes, with a pain and pulfation or throbbing of the arteries in the head, are fo frequently followed with a bleeding at the nofe, by violent exercifes or motions of the body. From hence, therefore, it is evident, that if the veins were of a thin and round ftruclure in the brain, they would be unavoidably in greater danger of breaking, and confequently apoplexies (to which, in their prefent flate, they are often liable) would be much more frequent. To avoid this, therefore, nature has given a different figure to the veins which carry out the blood from the brain, by which they are more eafily and largely dilatable, becaufe they make an unequal re- fiftance; their texture is likewife very firm, and more difficultly broken, efpecially in the larger finufes, which perform the office of trunks; for as to the finufes of the leflfer fort, they are either round, half cylindrical, or of an irregular figure. Befides this, nature has guarded the finufes by crofs-beams, internally made of ftrong membranes, and detached from the right to the left fide within the finus, which in greater diltenfions they draw towards a more acute angle, which is ca- pable of a larger dilatation, ftrengthening and guarding it from a rupture at the fame time She has likewife, in thefe veins, provided numberlefs inofculation.s, by which they open mutually one into another, and openly com- municate with the external veffels of the head and with thofe of the fpinal medulla, by which means they are capable of freeing themfelves more eafily whenever they are overcharged with blood, (CCCXXXII.) CCCXXXIV. It is by fome queried. Whether a part of the arterial blood is not poured into the finufes of the brain ; and whether they have not a pulfation excited from that blood ? That they have no pulfation, is paft doubt ; becaufe the dura mater every way adheres firm- t9'4 brain and nerves. Ch.XI. ly to the ikull, but much more firmly in thofe parts which are the feats of the finufes. Indeed they receive liquors injedfed by the arteries ; but whether thofe tranfude through the frnall exhaling arterial velTcls, or whether they firfh make a complete circle through the veins, as indeed is much more probable, we are not yet furnifhed with experiments enough to determine. CCCXXXV. Thus all the blood of the brain is finally conveyed into the jugular veins, which are very dilatable, and for that reafon guarded with valves to prevent a return of the venous blood from the right auricle, being at the fame time furrounded with a good deal of cellular fubftance. As to the ‘blood which goes from the head to the vertebral veins, it is a very incon- nderable quantity j but the jugulars anfwer in fuch a manner to the great upper vena cava in a diredt courfe, that they afford the highway for the blood to return back to the heart. The branches of thefe are commonly the fame with thofe of the brain ; namely, the veins of the brain, and thofe of tue face. CCCXXXVI. The external jugular is a cutaneous vein of the neck, which produces the temporal one, and is- united with the internal jugular at the bafis of the lower jaw; and the fame fends a branch through the os inaxillare into the tranfverfe finus. The internal verte- bral empties itfelf through the tranfverfe proceffes of the neck into the tranfverfe finus as often as the canal be- longing to it is opened. CCCXXXVI 1. The twm lateral finufes of the fpinal marrow run along its whole length, are joined to each vertebra by a femicircular arch, and at lalt are united with the jugular and occipital finufes: they fend branches, however, to the fpinal marrow, joined with the anter- rior and pofterior fpinal vein. CCCXXXVIII. The veins form innumerable anafto- mofes with one another, that the blood may return with the greatefl: cafe from the head, of which the repletion is very dangerous. The brain is alfo more eafily eva- cuaf^m in the time of infpiration, and fubfides as we Ch.XI. brain and nerves. 195 fee when the fkull is opened, but fwrells during the time of exfpiration. Hence, blowing the note, fneezing, and coughing, aredangerous to thofe whofe brain is (welled by retained blood. CCCXXXIX. XVhether or not there are lymphatic veffels to be feen in the brain, is by fome quelVtoned. Indeed, we read defcriptions of them in the pia mater, and in the larger choroidal plexus ; but, for iny own part, I have never been able to fee them, and polTibiy there are none to be feen, fince there are no conglobate glands in the brain, which are always near at hand wherever any of thefe velfels are to be found As for the various accounts which are given of the pituitary glandule, of the infundibulum, and of the duffs which lead from thence into the veins of the head, abforbing and tranfmitting a water from the ventricles of the brain, they are not fupported by anatomical experi- ments ; w'hich makes it more probable, that the vapour which is fecreted into the ventricles of a healthy perfoii is, in like proportion, abforbed again by the inhaling veins; or, if any part abounds, that it defcends through the bottom of the ventricles to the bans of the (kull, and from thence into the loofe cavity of the fpinal me- dulla. That this is the cafe, appears from palfies which enfue on one fide of the body after apoplexies ; and ^ from 5*3 In almoft no vifcus has the exiftence of lymphatic veffels been oftener afferied and again denied, chan in the brain. Al- though, indeed, I am fully certain, that a group of lymphatic glands is nowhere found without lymphatic veffels, by no means,- however, could I affert, that there are nowhere lymphatic veffels where glands do not appear. By analogy drawn from the whole body and all the vifeera, I am lead to think, that the brain is not deftitute of its aqueous veffels, and that they run in particular upon the furface, not in the heart of its fubftanee, although I my- felf have never feen any, but tbofe moving on the choroid plexus towards the tentorium, and on the inner furface of ’ the dura mater, in the dud of the fuperior longitudinal finus. But I cannot dif- ejedit the induftry of the celebrated Sommering, who confirms the obfervations of King, Collins, and Pacchioni, who faw them going upon the pia mater. I would allt. May they be joined with the glands of Pacchioni ? May thefe corpufcles fupply the place o£ lymphatic glands ? 39<5 BRAIN AND NERVES. Ch. XI. from the bifid fpines or watery tumours in the lower part of the fpinal medulla, following in thofe who have an hydrocephalus. CCCXL. It now remains for us to fpeak of the en- cephalon itfelf^’. But many are the parts included un- der this general denomination. By the brain, properly fo call'd, we underhand that upper and foft vifcus •w'hich is contained in the flcull, and which is lodged by it'felf in its fore part ; but backward it is incumbent over another confidcrable part, called the cerebellum^ which lies in the poflerior and lower cavities of the oc- cipital bone, under the membranous tentorium, which parts it from the brain, its lower, middle, and white portion. The brain, under which name we comprehend the ccrebtllvm, crur?, pons, and medulla oblongata, has it in common with all the vifcera, that, according to the diverfity of age, the condition and mutability of ftinftions, in the various clafies, genera, and fpecies of animals It has its proportion, which varies prodigioi’fly, to the body. Nobody will queftion that the funflions of the mind, the fcnfual faculties, and the more eafy or difficult rife and impreffion of ideas, both occalioned by ihete taft agents, as well as by cuftom and imitation, owe a depenrlencc upon this different proportion of the brain to the reli of the body. The dignity of fucb dirqmfitions, and a peculiar fondnefs and defire towards medical pfychology, prompted m.e, thele eighteen years, whenever an occafion prefented, in different animals, and in more than three hundred human fubjedfs, to make inquiry in determining tne proportion of the parts of the brain to one another and to the reft of the body, and that of man to various brutes, paying regard to the weight as well as to the fpecific gravity. Since the year 1766, I have feveral times com- municated to my hearers, both in my medico-pfychological, and particularly anatomical Icdlures, many ohfervations, both upon the weight and the increafe of the medullary and diminution of the conical fubftance, and likewife the incrcafcd fpecific gravity of the brain. Hence many of my thoughts, my name, however, fuppreff- td, were copied and inferted in various phllofophical defcriptioqs ; but fome errors crept in amongft them : to amend which, I fliall foon infert a compendium of my obfervations, fince the proper tables! containing m6re than 500 experiments, do cot fuit this placei Halier has given a great catalogue of the weight of the brain/ and its proportion to the whole body, and containing the weight of feveral animals, taken from Schneider, Pezzi, Paris Trani- adlions, the famous Buffon, Chalder, See. but my obfervations^ will come in more properly, chap. xvii. Oh. XL B U A I N AND N E R V ES. T97 portion, defcending before the cerebellum, is in part called the pons, and in part the medulla oblongata. CCCXLI. The figure of the brain refembles that of half an egg, which is deeply divided longitudinally, but not cut through above half way, into hemifpheres refembling the fourth part of an egg. Both the upper and lower furfaces are full of many gyri or convolutions, which pretty deeply cut or divide the brain with round ends or angles into undulated portions. But the largell is that which afcends on both fides outwards from the fides of the fella turcica, and divides the hemifphere into two lobes. Upon the furface of the faid lobuICvS or portions lies the cortex, extremely foft, and inclined from a yellow or red to a grey or afh colour, being the moft tender of all parts in the human body : this in- wardly is filled with the medulla, which is almoft per- feffly white, but redder in the foetus; in many places, it is perforated by red arteries, which are more fimple and perpendicular, or ftraight, than in other parts. This medulla is more folid and more capable of fuftaining its figure, notwithftanding it is very foft, and abounds in a greater quantity than the cortex The greater pofterior branch of the carotid artery (CCCXVII.) firft divides the right and afterwards the left hemifphere of the brain into an interior lobe, which is the larger; and a pofterior lobe, which is the lefs. CCCXLII. The fabric of the cortex has been a long time controverted; but it is now fufficiently evident, from anatomical injedfions, that much the greater pare of it confifts of mere velfels, which are every way in- ferred from the fmall branches of the pia mater, de- tached like little roots into the cortical fubfiance, and conveying a juice much thinner than blood in their natural (fate, although in fome difeafes, and by ftran- gling, thev often receive even the red parts of the blood, more efpecially in brutes and birds. The re- maining Whoever accurately infpefls the human brain, will find a three- fold fubftance, particularly in fuch brains as have been indurated by a mixture of alchohol and nitrous acid. ipS BRAIN AND NE RVES. Ch.XI. maining part of the cortex, v/hich is not filled by any injection, is probably either an afiemblage of veins, or of yet more tender veflels; for no other dilfimilar parts are apparent in the cortex, \shiHl it is in an entire or natural ftate ; from whence one may conjedure fome part of it to be tubular, and the other part folid. As to glandules making the fabric of the brain, that notion has been difcarded by univerfal confent ; nor indeed has there been any other opinion received with lefs pro- bability than this. CCCXLIII. In order to gain, a knowledge of the na- ture of medulla, we are to confider the anatomical flrudure of this part of the human brain, compared with the brains of brute animals andfifh. Therefore this part of -the brain, w'hich follows immediately under the outer gyri or convolutions of the cortex, is of a white colour, and becomes gradually broader and more a- bundant ; fo that, at length, it makes up the whole oval fedion of the brain, except only the gyri in the furface, w^hich makes the cortex. In this part, the tw^o hemifpheres of the brain, as before obferved, are divided but half way through ; which hemifpheres here continue their cohefion with the medulla in the mid- dle. That part of the medulla which is extended un- der the falciform procefs, but at fome diftance from it, is called corpus callofum; in the furface of which run two parallel white ffripes, formed by the pulfation of the arteries : thefe flripes diverging forwards, and termi- nated at the place where they mingle together in the fore-part, are thence divided backwards. But the an- terior extremity of this callous body is loft in the fub- flance of the crura, coming from the anterior lobes of the brain : the pofierior, which is broader, with a Ihorter curvature in the fliape of a nail, is brought in- wards ; and the other column defeends into the inferior horn of the ventricle, whence it is continued along with the longer one into the hippocampus. Moreover, the whole furface of this callous body is ftreaked with tranf- verfe fibres, which are continued, but extenuated, into Ch.XI. brain and nerves. 199 the next adjacent medulla of the brain itfelf. Even the interior fubftance of this body is of a Ifriated nature, and its lower furface has its future and fibres tranf- verfe. CCCXLIV. As to the remaining parts of the brain, a fcrutiny is more difficult to be made into them : for the brain is not a folid body, but begins to be hollow in- ternally from the lower part of its medulla, which is incumbent upon the multiform bone, at which place the greater crus of the brain paffes out from it ; and in this cavity the medulla is only covered with the pia mater, which afcends backward, and then turning continues its courfe forward and upward. Next, the brain divides itfelf near the pofterior extremity of its callous body ; and, at the fame time, fends one of its fhorter pofterior portions into the pofterior lobe of the brain, turning its extremity inwards. But the anterior portion is continued a long way by the fide of the cal- lous body, parallel to the horizon ; and turning its horn outward, which there grov/s broader, it is terminated in the anterior lobe of the brain. This cavity, of which there is one in each hemifphere of the brain is called its triangular or anterior ventricle; and it is naturally filled with a vapour, which is frequently condenfed into water or jelly. CCCXLV. This cavity is full ; fo that the upper and lower parts of the brain meet together. The lower fideor pavement of this part is varioufly figured. In its fore- part, it forms a horn ; below which there is a rifing moderately convex, and of confiderabte length, di- verging backwards, covered with a membrane that is extremely vafcular % and,- being outwardly of an afti or grey colour, is called the corpora jlriata ; becaufe in- W'ardly they exhibit to the view, together with much cortex, alternate white oval ftreaks, parallel to one an- other, longer on the back part; befide's, as it were, leffer me- It is quite joined under the margin of the lower fornix, fo that water and mercury, injedted from the one cavity into the other, has a free tranfition. ^06 BRAIN AND NERVES. Ch. XL medullary fpots and micse. More inwardly and back- ward, there are two other fimilar eminences, more of an egg like fhape, towards the third ventricle and other parts, moftly cineritious omthe outfide, obfcurely ftriat- ed, and fo incumbent together, that they frequently co- here on the upper part, where they are confounded with the cortex : and thefe, continuing their courfe through the horn of each anterior ventricle, defcend to the bafis of the fkull, and there generate the optic nerves, of which they are called the thalami. Betwixt the faid ftriated bodies and thofe thalami, lies an inter- mediate, parallel, white, and ftreaked medullary por- tion, called the double femicircular centre, produced from the anterior commijjure, and frequently from the crura of the fornix ; but efpecially from the medulla it- felf, before the thalami of the brain. This commiffure is broad, ftrong, and joins together the anterior part of the brdn before the thalami. The double centre, which is broadeft behind, arifes with many fibres, from thejundfion of the foot of the hippocampus with the medulla of the brain. But the corpora ffriata, with the thalami, conftitute the medullary crura of the brain; which, in the bafts of the cerebrum, lie over the me- dulla of the cerebellum, and are joined together at the extremity of the bridge above-mentioned. At the place where they approach neareft to one another, each fends out an hemifpherical mamillary eminence. The fibres of the medulla of the brain itfelf, mixed together with the medulla of the cerebellum, defcend into the medulla oblongata ; and, being then coileded into a bundle, they go to the corpora pyramidalia. CCCXLVl. It is to be obferved, that the corpus cal- lofum medium projects or rifes up in the common axis or middle of thofe ventricles. Behind, this body lies contiguous and incumbent on the fornix ; but, before, there are two fimilar medullary partitions, which defcend from this body the whole length of the corpora ffriata ; and this part, which in its middle includes an anony- 3 mous Gh.XL brain and nerves. 201 mous cavity, goes under the name o^Jeptum pellucidum^^^ This feptum is continued to x\\t fornix ; 'hac is to fay, the four- horned medullary trabecula, which takes its an- terior origin from the medulla of the brain, and fome- times from the mamillary protuberances, and the commif- fure which we have mentioned ; and behind that, par- ticularly under the thalami, and often from the double centre and crooked line of the thalami. This fornix is incumbent upon an interval of the (i-lated bodies, and upon another interval of the thalami : from whence it degenerates, partly into a broad thin fimbria; and partly into another tubercle, which is evidently conti- nuous with the fornix and callous body of an half cylindrical figure, and furnifhed with an appofite fim- bria. Thefe defcend into the lower anterior horns of the ventricles ; and at laft terminate outwards by a fort of convex fulcated end, imprinted by the gyri of the brain ; and terminated by a foot, having as it were fouT-furrows, whence the name of hippocampus, which externally are covered by exceeding thin medullary plates, bur are inwardly of a cortical fubftance. At the beginning of the divifion of the foot of the hippocam- pus, the tmnia ends in two white ftris, a long and a fhort one, inferted into this foot and into the brain, or one inferted into the inmoft part of the unguis. A like protuberance is continued in the pofterior horn of the ventricle, crooked inwards at its extremity like the claw of a bird, to which a continuous column occupies the hinder part of the bafis of the horn of the defeending ventricle, which is continued with the corpus callofum. Betwixt the departing pofterior crura of the fornix, the medullary portion, which is behind the middle plexus of the ventricles, and painted with tranfverfe and pal- raated flreaks, is called the pfalterium or harp. CCCXLVII. Within the anterior or lower part of VoL. I. O each This cavity, which I ufe to call vintrkulum ftpti lucieJi, com- tnunicates with no other ventricle of the brain. 1 have feen it won- derfully dilated in an internal hydroccphalui, containing two dramE •f fluid. 202 BRAIN AND NERVES. Ch.XI. each of the ventricles, begins the vafcular plexus, called choroides, included in the pia mater only, it lying naked in the reft of the cavity of the (kull, made up ot a great many fmall arteries CCCXVll, CCCXVIII.), together with little veins originating from the larger trunk (CCCXXV.); all which numerous veffcls, joined to- gether by the pia mater, referable a curtain varioufly folded. With thefe are intermixed many fmall pellu- cid glandules of a round figure, refembling hydatids. It afeends from the bafts of the brain, through the de- fending horn of the ventricle, and thus is dilated as it goes upward ; bur, thence, becoming narrower, it goes on with the optic thalamus, to the pofterior extremity of the feptum lucidum. When thofe plexufes have reached the anterior extremity of the thalami, being afterwards rtflefled and united together into one very large vafcular plexus, they gradually defend through the crevice of the third ventricle as far as the pineal glandula, and then are continued it. to the pia mater of the pofterior lobes of the biain. From this ple’xus, doubtlefs, proceeds the internal warmth of the brain, with its exhalation and inhalation. But the choroidal plexufes become very broad where the anterior ven- tricles of the brain begin to defend ; and thence, con- tratfting gradually downward, they projeft their extre- mities to the ends of the anterior ventricles, covered only W'ith the pia mater. CCCXLVIII. Betw'ixt the thalami, applied one to the other almoft with a plain furface, there is a natural fiffure terminating the crura of the brain, which meet together in the bafts of the fkull ; and this is called the third ventricle. It leads by a declivity, like a funnel, forward into a concave column j which though hollow' in brutes, is yet evidently lefs tubular in man, and con- nected to the pituitary glandule. CCCXLIX. This is comprefied on both ftdes, ftmple, of uncertain ftructure ; on the anterior part almolt, round, and of a reddifh colour j cn the pofterior, cine- ritious, Ch. Xi. BRAIN AND NERVES* 203 ritious, broad tranfvcrfeiy, covered with the pla mater of the brain: it lies upon the proper impreflion of the fella turcica, and fcems to be a kind of appendix to the brain. CCCL. Backward, the thalami are conjoined toge- ther in the bottom of the ventricle, by a medullary faf* cia, or pofterior cdmmiffure, and by a fmaller tranf- verfe chord; from which a crooked white ftreak goes out on both fides in the upper part, which lofes itfelf in the double centre, in the anterior commiflfure, and fometimes in the crus of the fornix. On the fore and upper part, the thalami fpring out of a protuberance, which is formed by the triangular fornix lying between the two thalami. CCCLI. This little eminence feparates the upper triangular cavity of the third ventricle, filled up with the fornix, from the inferior calamus feriptorius, infuch a manner, that the cavity is continued both from the anterior and poflerior extremity of the third ventricle, from the top to the bottom. But even the anterior commifTure is a medullary ftreak which unites the tha- lami before the anterior crura of the fornix. CCCLII. Again, behind the thalami, thofe tranfverfe figured eminences of the medulla meet together, which conjoin the medulla of the right and left poflerior lobes of the brain. In this part, backward, arc cut out four oval eminences, which are outwardly fmaller, called the nates and tejles^ and which are of a fubftance inwardly cortical, but outwardly medullary. Upon thefc is feated a cortical glandule, fomewhat oval and conical, fpread with many Imall vefTels, into which the choroide plexus here degenerates : this is the pineal glandule fo much celebrated, and fo frequently difeafed, and joined to the brain by fmall foot-ftalks fent into the linca alba thro* the thalami in their paffage forwards Between this eminence, on which thefc four protuberances are cut out, and, the crura of the oblong m.- dulla, paffes a groove or channel in the famo direftion from the third to the O '2 fourth 204 BRAIN AND NERVES. Ch.SE fourth ventricle, manlfeftly open, refembling an aque- dua CCCLIII. The whole medulla of the brain is, in its lower part or bafis, colleded together into two very thick comprefled columns, diftinguiftied in their furfacc by a line running according to their length ; w'hich have internally a cortical fubftance, and are the crura of the brain. Thefe, meeting together backwards, are cover- ed by the fubjacent crura of the cerebellum, and are inferred by apparent ftrata of fibres into the pyramidal bodies of the medulla oblongata; and with the other deeper fibres, which feparate the inner tranfvcrfe fibres that come from the cerebellum from the preceding, meet together with the medulla cerebelli to make up the beginning of the medulla oblongata. CCCLIV. The cerebellum, as it is lefs, fo it is more limple than the brain. It has tw'o lobes, but no where deeply parted, united above and below in their centre to a ring of the fame fabric with itfclf, called the ■vermis, at the fide of w^hich there is a fmooth eminence of the fame nature with the cerebellum itfelf. This part of the encephalon contains a great deal of the cortex, with a lefs proportion of medullary fubftance. And here likewife, the cortex is placed in the circumference, but marked with gyri or convolutions, which are rather pa- rallel to each other, fo as to form? circles. Thus the fmall lobules or portions are diftinguilhed, but not deeply, and afterwards fend out each of them their medulla; which is, by degrees, fo collected together in rays or branches, meeting in one trunk, that the whole reiembles the figure of little trees. This medulla, col- lected together into the large crura of the cerebellum, and marked in the inner part with ferrated cortical lines, interwoven with one another, hath a threefold termina- tion. One part afeends towards the bafis of the nates, where it joins with the medulla of the brain under the teftes; bur the right and left parts of it are joined to each So called by Sylvius, as the jugum itfclf, under which runs the pons Sylvii. Ch.XI. brain and nerves. 205 each other by a tranfverfe medullary ftria behind the natv s. From this, fome diftinft fibres afcend outwards, and join themfelves to the tranfverfe ones of the bridge. Brfween thefe firfl procelTes of the cerebellum, is flretched a medullary lamina, behind the fourth ven- tricle, fending forth fibres beyond the procefs. Ano- ther portion defcends into the fpinal medulla, and ter- minates in peculiar nail-like protuberances, which are each anonymous, and have other cortical portions near them. A third portion, which is larger, and finuated in the middle, goes tranfverfely downward under the crura of the brain, which it embraces ; and by twice intermixing alternately with their tranfverfe medullary fibres (CCCLII.), it is in a great meafure confounded together with them. CCCLV. Thus is produced from the crura of the brain defcending above thofe of the cerebellum, and from the medulla of the cerebellum tranfverfely furrounding that of the cerebrum, the pons, at firfl almoft oval, but more blunted on both fides, depreffed in the mid- dle, and inferibed on all fides with tranfverfe fibres. Then the medulla oblongata, continuous to the pons, is internally variegated and ftreaked with a fubflance like the cortex, and defcends of a conical fhape, inclined to the great foramen in the occiput. This medulla has two pair of tubercles before the pons ; the outermofi: of the figure of an olive, and the innermoft of a pyra- midal fhape, for they leffen downward like a cone ; and thefe are immediately divided by a fulcus, through which the pia mater enters. But betwixt that medulla and the wmrm-like procefs of the cerebellum, is formed a cavity, limited by the four leffer proceffes, which as they afcend or defeend is at firfl narrower; but above the tubercle (CCCLIV.) it grows broader, and is of a rhomboidal figure ; it is called the fourth ventricle. It is fhut in its back- part by the valvula magna, or a me- dullary velum, uniting the proceffes going from the cerebellum to the nates and vermis, and tranfverfe ftria lying under the tefles, and fliutting the ventricle O 3 behind, 2o6 brain and nerves. Ch.XI. behind (CC 'I. IV.) This ventricle has a moderately large fulcus or furrow, having fwelled lips on each fide infcribedon the medulla oblongata, andanf^ering to the canal that is covered by the nates and teffes, called the aqueduct (CCCXLVlll.) In this laft ventricle, as well as in the foregoing, is lodged the plexus choroides, only lefs in bulk, together with an upper fulcus called calamus. Each of thefe fulci is continued down along the me- dulla fpinalis, both in its anterior and pofterior fide ; more evidently in the former, but lefs fo in the latter. Tranfverfe fibres are detached in its upoer part from the right to the left fide, both of the medulla oblongata and fpinalis. But two or three of the tranfverfe fircaks that arife from the eminences which intercept a fulcus, are inferred into the foft part of the acouftic nerve ; others go to the eighth pair, and others of the fame kind afeend to the crus of the cerebellum. CCCLVl. All the medulla of the brain and cere- bellum goes out from the fkull, througli particular openings, to the parts to which it is dellined. The fmaller bundles of this medulla we call nerves; but the larger, defeending through the fpine, we call the medulla fpinalis, which is a continuation of th.it called oblongata (CCCLV.) But the nerves, which are bundles of the medulla, and very foft in their origin, are com- pofed of llraight parallel fibres in diliincl threads. Thefe nervous cords, after they have gone forward fome leng:h, covered with the firm pia mater of a red- dilli colour, are afterwards united into a more tough or permanent {fring; and then, conjoined, divided, and in the neighbourhood of others like themfilves, they haften through a cellular texture to their proper open- ing in the dura mater,- and thence tun down through the intervals of the channels formed by that mem- brane, till they meet with an opening in the ikull, out of wfiich they pafs through the membranous funnel of the dura tnater. 'fhe nerve, having arrived without the flcuU, is commonly furrounded by the dura mater, fo as to become very folid and firm. Thus it is in the optic Ch.XI. B R AIN and nerves. 207 optic nerve, in the fifth pair, and in others ; but in fome again there docs not appear to be any dura mater furrounding the nerve, as in the olfadory nerves, in the foft portion of the auditory nerve, and the interco- ftal. The nerves now dcfcend naked or lefs fenced betwixt the mufcles, detaching their cords or threads of which they are compofcd, and are ftill made up of the medulla covered by the pia mater. Many fmall threads of this kind are joined together into larger, by the union of the celiular fubflance that furrounds them, through which run many fmall arteries and veins intermixed; and fometimes fat itfclf is therein lodged. But in general the outer covering, common to the whole nervous bundle, is either derived from the dura mater, or at leafl is a hard plate of the cellular fub- Itance, wherein all the fmaiier threads are contained and united into one nerve, often rdembling a true membrane. CCCLVII. It is common to all the nerves of the head to arife and pafs out from the lower part of the medulla of the brain or cerebellum®^. Ihe olfactory nerve arife O with The real origin of the nerves of the brain is placed now beyond difpute, fince the elegant tables of Santorinus and of the learned Som- mering were publifhed, with which the celebrated Camper agrees in his Tables, which are not yet come out, and with Mayer alfo. Nature herfelf has divided all the nerves in the animal body mto three'clalTes ; the firft of which contains the nerves, whofe origin is from the brain, coming through the foramina of tite cranium ; I fimply call thefe the nerves of the cranium. The fecond comprehend the greater number of thofe fent from the fpinal marrow, which I call fpinal nerves: and the third contains only a few, which arc compoled of others, and might be called mixt, if there was need of a particular name. To this belongs the accefTorius, which is a true fpinal one ; the great fympathetic, a very complicated nerve ; and the phrenic and fplanch- nic. Nobody will call in queftion the limits and attributes of the fpinal nerves fince the time of the greata natomitc Baron de Afch ; but it is certain, that the real nuinber of the nerves of ilie firll clafs was not determined before the famous Summering, who firft de- vulged the opinion of Itis mafter. For inde'd, if we confider, with- out regard to the parts, the rife, nature, defeent, and termination of the portio duia of the levcnth pair, then the proper pair of nerves, we ought to make the eighth there, and to diftinguiih it by the name of communicant faciei. All which are next in order, be- long 2oS BRAIN AND NERVES. Ch.XI. with lateral fibres from the interval betwixt the anterior lobe of the brain, but with direft fibres from the me- dulla of the anterior lobe itfelf. A great part of the optic nerve fprings from the thalami (CCCXLV.), but fome part likewife from the crus of the brain, while the nerves decuflate through its fubftance. The third arifes from the lo-weft crus of the medulla of the brain be- hind the mammillary bodies. The fourth, which is either fimple or trifid, fends a procefs from the fide of the cerebellum to the teftes. The fifth arifes plainly from the peduncles of the cerebellum itfelf®®. The fixth out of a fulcus (CCCLIV.) deep from the bottom of the pons betwixt that and the medulla oblongata. 'J'he feventh arifes with one part fofter from the me- dulla oblongata, and by two tranfvcrfe ftricE, from the fourth ventricle itfelf; and with another part harder from that portion of the crus of the cerebellum which lies next the pons ‘°°. The eighth nerve arifes from the interval betwixt the olivary and pyramidal bodies or protuberances ; and, according to the obfervation of other eminent anatomifls, from the fourth ventricle like- wife. The ninth arifes from the corpora olivaria and pyramidalia. The tenth, by reafon of its double root, is reckoned a nerve of the neck, going out with an arch, in company with the upper and lower adjacent nerve. There long to tlie medulla oblongata ; the firft pair of wlilch is the glofib- pharyngEeus ; fecond, the vagus ; third, the lingualis medius, and then hegin the piiiales, iurnilhed with a double root and ganglion ; the tirit of vt'hich is the celebrated pair of Afch, denominated the tenth by Willis. By my experiments it confills evidently of a double portion; the minor or anterior, comoofed of trom4to 6 nervous fafcIcuH, and anfing from the upper and higtc part of the foot-ftalk ; the greater, or pofte- nor and interior, made up of 34 to 50 fafciculi, and nfing from the middle line of the fooi-Uaik ; a defeription of which 1 inferied in the GottenburgCi mmentaris, as well as the famousanatomiftSommcring. >00 Tiiere are three portions of nerves, which are commonly taken in under the feventh pair : a, the communicans faciei, or the portio dura, which we may alfo call the fmall fympstlietic ; /, a new intermediate portio; c, the auditory or acoultic properly fo called. They are clearly reprefented by my ingenious pupil Soramcrlng, 'Tab. 2. Ch.XL brain and nerves. 209 There is, therefore, no nervous branch that arifcs pro- perly from the cerebellum, unlefs it be the fifth : for the anterior nerves, the olfadlories, optics, and third nerve, come from the brain only ; anv1 all the reft from thofe parts where the medulla, both of the brain and cerebellum, is conjoined. CCCLVill. The fpinal medulla is a kind of very foft medullary rope or appendix to the encephalon, conti- nued down from the medulla oblongata, as low as the fccond vertebras of the loins. In the neck its anterior and pofterior fides are flat, laterally convex, but in the back it is fquare. It is largeft where it goes out from the head ; from thence it is fmaller in the top of the neck ; in the lower part it is larger j but fmaller again through almoft the w’hole back ; thicker in the lower, oval, and conical part of it ; and laftly it ends in tu- bercles. The pia mater is a proper integument to this part as well as to the brain, fince it enters the foremoft fiflure deeply, and divides the medulla almoft into two. The cortical fubftance which lies within it is obfeure. It has an anterior artery produced in the fkull, from the branches of the vertebrals. This artery is retrograde, and defeends through the whole length of the pia ma- ter, perpetually making alternate finuous flexures, which . form inofculations about many but not all of the nerves, with branches of the vertebral, intercoftal, lumbar, and facrolumbar arteries; till at laft, being covered with a peculiar coat from the pia mater, it goes out and difappears at the coccyx. In like man- ner the two pofterior arteries, which are lefs, arife and are diftributed from the lower arteries of the cerebel- lum, and are more ferpentine, and frequently inofeu- lated among themfelves. The fpinal veins defeend, to- gether with the arteries, from the brain itfelf, fending out branches in like manner on each fide, which ac- company the nerves like fo many circular finufes, fixed in the dura mater, and correfponding to the number of the vertebrae ; all which fo communicate one with another, that each has on all fides a dired confent both 2 10 BRAIN AND NERVES. Ch.XI. both wUh the uppefmofl; and lowermoft ; and, after having fent out branches that join the vertebral, inter- eortal, and lumbar veins, they unite with tbofe of the facrum. '1 he uppcrmoft of thefe finufes inofculates with the anterior occipital finufes (CCCXXXII.) CCCLIX. But there is another covering, not fpread with any veffels, which furrounds the fpinai medulla loofely and at a diflance, and is pretty firm, of a watery elearnefs, called arachno'ides ; and which being longer than the pia mater, is extended to the bottom of the os facrum, where the nerves, only defcending from the medulla, are collected by it into a fafciculus. But in what manner it goes our, together with the nerves, has not hitherto been deferibed. Between that membrane and the dura mater there exhales a vapour, which is frequently condenfed into a reddifh water, and produ- ces a true dropfv. CCCLX. Laflly, the dura mater, belonging to the fpinai medulla, and continued from that of the cerebel- lum, furrounding the arachnoides, and from thence defcending to the bottom of the os facrum, being lar- ger at its beginning, at the bottom of the neck, and at the loins, but flenderer in the back, and being connec- ted ultimately by many ligaments to the os facrum, it at laft difappears in a llender cone. As the nerves pafs cut through this membrane, it gives them an external covering ; and directly thickens or fwells with them in- to a ganglion, or hard, oval, red di Hi -coloured knot. To this hard covering of the dura mater internally ad- heres a ligament denticulated at the interval of each of the nerves, w'hich arifes from the (kull near the courfe or palfage of the ninth pair of nerves, tying the arach- noides to the dura mater by triangular produftions in each of the intervals of the nerves, and betwixt the anterior and pofterior bundles of the fpinai nerves down to the bottom, and twelfth vertebra of the back. Ex- ternally there is a fort of fat furrounds the dura ma- ter, and alfo lines internally the covering of the verte- brae of the fpine ; which by this means are fo adapted like a tube to the medulla fpinalis, that the latter is i not Ch.XI. BRAIN AND NERVES. 211 not liable to be compreffed by the bending of it in any pofuion CCCLXI. The fibres of the fpinal medulla, in drop- fical fubjefls and in brute animals, appear very diftinft. Thefe medullary fibres go out from the whole anterior and pofterior fides of this long apoendix ; after which, the anterior cords are commonly wrapt up in the pia mater, in which they converge together like rays into a larger fafciculus ; to w’hich alfo join fimilar threads in another bundle from the pofitrior fafciculi joining to-< gether into one nerve, which, palling out through the holes of the dura mater, produces a nerve betwixt each two vertebise. I befe vertebrae are about 30 in num- ber. In the neck, numerous radiated nervous fibres compofe one large and almofl; tranfverfe nerve. In the back they defeend, in general, of a fmaller fize ; but fo that the lower and larger ones are commonly joined clofe to one another. The large and long lumbar ones join to form the cauda equina. The lowcft nerves of the os facrurn are the leait, the uppermofl: ones large. Many of the dorfal nerves, together with the lumbar ones, and thofe of the os facrurn, covered with their proper membrane from the pia mater, accompanied with their arteries, and inclofed in the arachnoides, make up that rope which is called the cauda equina. CCCLXIl Thole nerves are afterwards diftributed- to all parts of the body in a manner very complex, and not here to be deferibed. But we muff not omit to ob- ferve, that all the fpinal nerves, except one or two in. the neck, have both an anterior and pofferior trunk. This is only fent to the mufcles. It produces a nervous root; which joining the otner adjacent nerves, and ha- ving given a final! circle that proceeds from the fixth nerve of the brain and the fecond branch of the fifth, comes through the ptcrygoidc canal, and forms one of the principal nerves of ihe human body; which, com- municating with almolt all the other nerves of the whole fyitem, fends out nervous branches to the heart and all the vifeera of the abdomen. The fame has as many ganglia as roots from the medulla, unlefs where many of 212 BRAIN AND NERVES. Ch.XL of them join into one ganglion. It communicates in various places with the crural, brachial, and diaphrag- matical nerves, alfo with the par vagum and ninth pair of nerves. The other primary or capital nerve is the eighth or vague nerve^ arifing from the brain, and join- ing itfdf to the intercoflal in the bottom of the neck, in the thorax, and in the abdomen: this paffes out of the ikull in three cords ; of which the larger fends branches to the larynx, gula, lungs, and the cardiac plexus itfelf (XCIX), alfo to the oefophagus, ftomach, and liver. 'Ihe third of thefe is the phrenic nerve, ari- fing from moll of the lower nerves of the neck and arms ; and fometimes, being increafed from the root of the fpinal nerve, it defcends by the fide of the peri- cardium, and inferts itfelf into the upper face of the diaphragm ; but below it receives nerves from the great plexus of the intercoftal nerve. Laftly, the accejjory nerve, arifing by many fmall roots from the fix or feven iippermoft polterior nerves at the neck, and from the medulla oblongata, joins the nerve of the eighth pair going back again into the Ikull, and feems, by this means, to make a confent betwixt that important nerve and the fpinal medulla. Moreover, the nerves of the limbs have at their origin plexufes or knots, and are, on account of their length, harder and firmer in their lub- llance, and much larger, than the great nerves which go to the vifcera : thole which go to the hand, arife from the four lower nerves of the neck and firit of the back ; but thofe of the lower extremity from the nerves of the loins and os facruin. CCCLXIV. The nerves divide into branches like the blood- veffels, but in acute angles, and often inacourfe rnanlfefily retrograde, growing gradually fofter and lefs in bulk, though fometimes they become thicker as they recede from the brain, till at length their ultimate ex- tremities, v.'hich are feldom vifible, feem to terminate in a pulp, by depofiting the firm integuments with which they were covered, after the manner which we obferve in the optic nerve. But the redfilineal courfe I of Gh.XI. brain and nerves. 213 of the fibres, continued from the brain itfelf, is fuch, that it is never broken off by the clivifion or fplltting of a nerve into fmaller threads, which only recede from each other by an opening of the cellular fubflance that tied them together. This appears from the diforders, whieh are determined not to all, but only to fome fingle parts by injuries of the brain ; as a lofs of the voice, deafnefs, dumbnefs, and palfies of particular mufcles They are connected in their courfe by the cellular fub- ftance to the adjacent parts, but have hardly any clafli- city ; whence they do not fly back after being divided, but only expel, by the contra ever, of this part, in exciting convulfions, is fomewhat greater. CCCLXXII. Concerning the feat of the foul, we mud inquire experimentally. In the fird place, it mud bejn the head, and not in the fpinal marrow. For though this is obdrudled, the condancy of the mind remains the fame. Again, it appears, from the experiment of convulfions arifing, when the inmod parts of the brain are irritated, that it lies not in the cortex, but in the medulla ; and, by a probable conjefture, in the cru- ra of the medulla, the corpora driata, thalami, pons, medulla oblongata^ and cerebellum. And again, by another not abfurd conjecture, where the origin of every nerve lies, as the fird origins of all the nerves taken together make up the fenforium commune. Are VoL.I. P the' 2i8 brain and NE RVES. Ch.XI. the fenfations of the mind reprefented there, or do the voluntary and neceffary motions arife in that place r This feems very probable. For it does not feem pol- fible, that the origin of motion can lie below th.at of the nerve; for although it (hould be alTumed gratis, that fome part of the nerve is immoveable, or infenfible, yet that is altogether fimilar to the remainder of the nerve. Nor can the origin of motion (CCCLXIX.) depend upon the arteries, w'hich have neither the faculty of fenfation nor that of voluntary motion. Ir therefore follows, that the feat of the mind mult be where the nerve firft begins its formation or origin. CCCLXXllI. We come now to explain the manner in which the nerves become the organs of fenfe or mo- tion; w'hich, as it lies hid in the ultimate elementary fabric of the medullary fibres, feems to be placed above the reach both of fenfe and reafon ; but we lhall, not- withftanding, endeavour to make this as plain as experi- ments will enable us. And firO:,' it is demonftrared, that the fenfation docs not come through the mem- branes from the fentient organ to the brain, nor that motion is fent through the coverings from the brain in- to the mufcle. For the brain itfelf lies deeper than thefe membranes, and receives the imprcllions of fenfe, and when hurt throws the mufcles into convulfions. More- over, it is certain, that the nerves arife from the me- dulla of the brain; the truth of which is manifeft to the eye in all the nerves of the brain, more efpecially in the olfaiffory, optic, fourth and feventh pair of nerves, which continue their medullary fabric a long way before they put on the covering'of the pia mater. CCCLXXIV. We muff, therefore, next inquire into this medulla, what it is. It is a very ibft pulp, harder in infeds and foolilh animals; but every where E rnar to itfelf. It allecls, however, to be formed into fif-res or parallel threads, lying upon one another lengtliwife. That the compofition of it is fibrous, appears from in- numerable arguments ; more efpecially to the eye in the corpus callofum, in the ffriatunt, and thalami of the optic nerves; but iliil more evidently in the brains of Ch.XI. brain and nerves. 219 fifh, and efpecialiy In their thalami optici'®'*. Again, that the fibres of the brain are continuous with thofe of the nerves, fo as to form one extended and open conti- nuation, appears, by obfervation, very evidently in the fcventh, fourth, and fifth pair of nerves. There is a great deal of oil in the medulla, upwards of a tenth part of its whole weight. CCCLXXV. But herd a controverfy begins concern- ing the nature of this fibril, which with others of the like kind compofes the fubftance of the medulla and of the nerves. That this is a mere folid thread, and only watered by a vapour exhaling into the cellular fabric which furroiinds the nervous fibres, has been.afferted by many of the moderns; but that, when it is (truck by a fenfible body, a vibration is excited, which is then con- veyed to the brain. CCCLXXVI. But the phenomena of wounded nerves will not allow us to imagine the nervous fibres to be fo- lid. For if an irritated nerve is (haken, (and that happens after the manner of an elaflic cord, which trembles when it is taken hold of,) the nerve ought to be made of hard fibres, and tied by their extremities to hard bo- dies: they ought alfo to be tenfe ; for neither foft cords, nor fuch as are not tenfe, or fuch as are not well fafien- ed, are ever obferved to tremulate. But all the nerves, at their origin, are medullary, and very foft, and ex- ceedingly far from any kind of tenfion : where they pafs through channels, where they are well guarded, they retain the fame foft texture, and are not covered with membranes, as in the intercofta! nerves and the fe- cond nerves of the fifth pair: fome alfo arc foft through- out their whole length, whatever fize they may be ol j for example, the foft olfadfory and acouflic nerves, from which we would moft readily expecf a tremor, as in the cafe of found. Again, though the nerVes a-re hard, P 2 they III no part of the brain does the fibrous nature of the medulla more evidently appear than in the fornix, immeiled in nitrous acid for fome continued time 3 for then I eould divide it into the moS fubtile fibresj 220 BRAIN AND NERVES. Ch.XL they ate foftened i-n the vifeera, mufcles, and fenforia, before they exert their operations. Therefore, the nervous fibres cannot poflibly tremulate in an elaftic manner, neither at their origin, nor where they are tenfe. But the fame, even in the proper and moft fa- vourable cafes, cannot tremulate ; becaufe, through their whole length, they are firmly tied to the folid parts by means of the cellular fabric ; for example, the nerves of the heart arc tied to the great arteries, and to the pericardium. Finally, that the nerves are defti- tute of all elafticity, is demonftrated by experiments, in which the nerves cut in two neither Ihorten nor draw back their divided ends to the folid parts ; but are ra- ther more elongated by their laxity, and expel their contained medulla in form of a protuberance. Again, the extreme foftnefs of the medulla in the brain, with all the phenomena of pain and convulfion, leave no room to fufped any fort of tenfion concerned in the effefts or operations produced by the nerves. CCCLXXVII. Add to this, that the force of an irri- tated nerve is never propagated upward, fo as to con- vulfe the mufcles that are feated above the place of irri- tation. This is a confequence altogether difagreeing wdth elaftacity ; for an elaftic cord propagates its tremors every way, from the point of percuflion to both extre- mities. But if neither the phenomena of fenfe nor mo- tion can be explained from the nature of elafticity, the only probable fuppofition that remains is, that there is a liquor fent through the brain, which, defeending from thence through the nerves, flows out to all the extreme parts of the body, the motion of which liquor, quicken- ened by irritation, operates only according to the direc- tion in which it flows through the nerve ; fo that con- vulfions cannot thereby afeend upwards, becaufe of the refiftance made by the frefli afflux of the fluid from the brain. But the fame liquid being put in motion in an organ of fenfe, can carry that fenfation upwards to the brain ; feeing it is refifted by no fenfitive torrent co- ming from the brain in a contrary diredion. CCCLXXYIII. Ch.XI. brain and nerves. 221 CCCLXXVIll. It is therefore probable, that the ner- vous fibres, and the medullary ones of the brain, which have the fame nature, are hollow. Nor is the objec- tion which arifes from the fmallnefs of thefe tubes, not vifible by any microfcope, of any force againft the pro- pofed arguments ; to which add the abfence of a fwell- ing in a tied nerve, which, in reality, is not fufficiently true; with other arguments of the like kind, which indeed fhow the weaknefs of the fenfes, but have not any validity again fl: the real exiftence of a juice or fpi- rit in the nerves. If they are tubes, it is very pro- bable that they have their humours from the arteries of the brain. CGCLXXIX. But concdrniiig the nature of this ner- vous liquid, there are many doubts. Many of the mo- derns will have it to be extremely elaftic, of an etherial or of an eleftrical matter; but the more reafonable part make it to be incompreffible and watery, but of a lym- phatic or albuminous nature. Indeed it is not to be de- nied, that we have many arguments againft admitting either of thefe opinions. An electrical matter is, in- deed, very powerful, and fit for motion ; but then it is not confinable within the nerves, fince it penetrates throughout the whole animal to which it is communi- cated, exerting its force upon the flefh and fat, as “well as upon the nerves. But, in a living animal, the nerves only, or fuch parts as have nerves running through them, are affefted by irritation ; and, therefore, this li- quid muft be of a nature that will make it flow through, and be contained within, the fmall pipes of the- nerves. And a ligature on the nerve takes away fenfe and mo- tion, but cannot flop the motion of a torrent of elec- trical matter *°^ . P 3 CCCLXXX. There is certainly no phyfiological difpute, in which, without regard to the parts, a more difficult decifion can be offered, than that important queltion. How do the nerves adt in the bodies of animals? The dodfrine of the nervous fluid, or animal fpirits, is confirmed by many arguments drawn from anatomy ; but is fully refuted by as many, if not more, of a ilmilar nature. But ocular demonftration 222 BRAIN AND NERVES. Ch, XI,- CCCLXXX. A watery and albuminous nature is com- mon to moft of the juices in the human body, and may be therefore readily granted to the juice of the nerves ; like the water which exhales into the ventricles of the brain from the fame velfels ; alfo, from the example of a gelatinous or lymphatic juice, which flows out in cut- ting through the brain in fifli, and the nerves of larger animals; to which add, the tumour which arifes in tied nerves. But are thefe properties fufficient to explain the wonderful force of convulfed nerves, obfervable in the diffedfions of diving animals, and even in the leflTcr infedls, with the great ftrength of mad and hyflerical people ? Whether or no is not this difficulty fomewhat ieflTened from the hydroflatical experiments of attrac- tion in fmall tubes ; which although it may explain the hrength and motion, is neverthelefs inconfifl.ent w’ith the celerity ? CCCLXXXI. The nervous liquor then, which is the inftrument of fenfe and motion, mufl: be exceedingly moveable, fo as to carry the impreflions of fenfe, or commands of the will, to the places of their deflination, w'ithout any remarkable delay : nor can it receive i's motions only from the heart. Moreover, it is very thin and invifible, and deflilute of all tafle and fmell ; yet reparable from the aliments. It is carefully to be di- jbnguifiied from that vifible, vifeid liquor exhaling from the vefl'els in the intervals between the nervous cords. CCCEXXXII. That this liquor moves through tubes rather of the nerves proves, that fucli a fluid under tl)e name, and fenfe, ' -svliich determines fluids in our bo(iies, moving in canals and ticllow fi- tlulEe, does notexiif. However, it is therefore not improbable, that that fubftance, which produces the veonderful phenomena in the nerve, is one of the dafs of t!ie more fubiile fluids of nature. I pretend not to give it a name. Since 1766, I have been indined to think, that ft perhaps rcTembles the eleftric and magnetical fluids ; fiiue which time, long before Mlfmer, 1 publicly taugl.t the power of magee- tifm upon our body. For this reafon the nervous principle has be; u in note 67 numbered in the third dafs of fluids. We may rxpecl that this obfcuriiy will be greatly removed by the very celebrated snatomills Drs Monro and Prochafka, who have extended and di- .' tdicd their ftudy to the phyfiology of the nerves. Ch.XI. brain and nerves. 223 rather than through a fpongy folid, we are perfuaded from its celerity, and the analogy of the whole body; of which all the liquids, the fat excepted, run through their proper veffels. CCCLXXXIII. Therefore, upon the v/hole, it feems to be certain, that, from the veffels of the cortex, a li- quor is feparated into the hollow pipies of the medulla, which are continued with the fmall tubes of the nerves, even to their foft pulpy extremities, fo as to be the caufe both of fenfe and motion. But there will be a twofold motion in that humour ; the one flow and conftant, from the heart; the other not' continual, but exceed- ingly fwift, which is excited cither by fenfe or any other caufe of motion arifing in the brain. CCCLXXXIV. The fame nerves mod evidently pre- dde over both fenfe and motion; as we cannot admit a didindlion between the two fydems of motory and fenfiiive nerves. If fenfe fometimes remains after mo- tion is dedroyed, this feems to be becaufe much more flrength is required for the latter. Dying people hear and fee, when they are incapable of motion. CCCLXXXV. If it be allied. What becomes of this nervous juice, which cannot but be feparated and didri- buted in great abundance, from fo large a quantity of blood paffing the brain very fwiftly, in courparifon pf the flower moving blood, from whence the milk is fepa- rated in the bread, and the urine in the lelfer renal artery, or by a comparifon with the mefenteric artery? it may be anfwercd. It exhales probably through the cutaneous nerves; the laffitude both with refpedl to fenfe and motion, which may be overcome by fpiritu- ous medicines, fliows tliat this liquid may be both loft and repaired. Many have judged, that it alfo exhales into the various cavities of the body; as that of the domach and intedines. We may expect fome part of it to be reforbed, that the nobled humour of the body may not be too quickly diffipated. That it nourifiies the body, i-s incredible: It is too moveable to e>:pe