The workes of that famous chirurgion Ambrose Parey ... / Translated out of Latine and compared with the French by Tho. Johnson [and in part by G. Baker] Whereunto are added three tractates out of Adrianus Spigelius of the veines, arteries, and nerves. With large figures. ; Also a table of the bookes and chapters.

  • Ambroise Paré
Date:
1649
Catalogue details

Licence: Public Domain Mark

Credit: The workes of that famous chirurgion Ambrose Parey ... / Translated out of Latine and compared with the French by Tho. Johnson [and in part by G. Baker] Whereunto are added three tractates out of Adrianus Spigelius of the veines, arteries, and nerves. With large figures. ; Also a table of the bookes and chapters. Source: Wellcome Collection.

    880/902 (page 38)
    I 38 Concerning the Nerves Tract.3. Thç, lefler ncrVc. The greMer nerve,and its propagation. The branches 1. and not with one, butwithmany little nerves fevered from each other, which for al] that are prclently joined together, although they do not clofe fo, as to nuke one only, but two diftinft ones alwaies, yet are they contained in one membrane, arifing from the Vura meninx of the brain, which hath deceived many, fo that they hav e accounted them for one. Being thus joincdjthcydefcend both together out of the skull, through the fé¬ cond and third hole of the nowl bone; through which fame the léffer branch of the fleepy artery, and the greater ot the Jugular vein enter into the skull. There being then two nerves, the one in its egrefle inclines more to the forepart of the faid hole, and is the lefler of the two ; the other to the hinder part, and is the greater, lhat prcfently after its going forth of the skull, tends ftraight downward to the mufcles of the tongue and chops, and to the parts placed in the mouth, upon which it is wholly confumed. Jhis on the contrary fends its firft propagation to the mufcles feated on the backlide of the neck, cfpecially to the firft mufcle of the j[houlder-bladc,callcd CucnllarU or the cowl- mufclc, and then adhering to the feventh pair, and the aforefaid artery and vein, by the benefit of certain membranes, it runs down to the fides of the throtle, to whole mufcles, efpecially thofe feated in the inner cavity, it diftributes furcles overthwart. Here many propagations of nerves meeting together, and parting afunder again, a cer¬ tain texture is made, wherein knots are found not unlike to the glandulesjthat are tyed to the divarications of the vcflels ; which was firft obferved by the moft learned Anato- ml&Fal/ogm, who would have it refemble the body of an olive. But the greater nerve it felf going in the middle betwixt thofe lame veflclls which 1 fpake of, is carried leifurcly from the throtle to the rough artery, and running down at the fide thereof, tends to the cheft. But before it enters thereinto, it is divided over the hollow of the neck into two bran- of the greater ^bes, of which one is the outer and lefle : the other the inner and greater. We ftiall now nerve. fpcak briefly of the diftiibution and propagations of them, but ferthat being the right trunk is difftminated in another manner then the left, we fet down »he hiftory of each by itfelfj and firft of the right, then of the left. The propaga. 7he outer branch then of the right nerve fends out propagations prefently after the divifi- tions of rhe . on to the mufcle that bends the head, called Mafloideus, as alfo to that of the bone hjoides , ft^tnohyoideui) and that of the Larinx or throtle, called flernothyroidemi after this it t erig tncrvc.^^^^j,g to the axillary artery, iflues forth from its infide fometimes three, fbmetimes two furcles one under another which arc returned about the faid axillary artery, as itf were an axel-trce, or ( to fay trulyer ) a kind of pulley, and doling together make one nerve; which being faftned to the right fide of the rough artery,by the benefit of a membranc,runs back from the lower part thereof to the higheft, and hafts to the right fide of the throtle, lea¬ ning upon a glandule, which is placed at the root of the right fide.Having paft this, it is forthwith divided into mamy furcles,which are Ipent upon the mufcles of their own fide, which arc placed in the throtle, and have their heads downward, giving motion to them. And this nerve is called Recurrens^thc returning one from itsprogreflc,and is very current nerve, among all, being fo made by skilfull nature with great wifdome, that it might be infected into the mufcles of the throtle, whofe heads look downward, when all the nerves that give motion, ought to be inlertcd into the heads, and to look towards the end , not on the contrary. And becaufe the throtle is an organ of the voice,but the voice cannot be uttered without motion of the mufcles, that cither open the cartilages of the throtle, or fhut them ; therefore thefe nerves, which impart to the mufcles the power of moving and contrafting themlelves, being either bound hard or cutoff, it happens for that caufe,that the voice is taken away. This may be very handfomely fhewn in dogs,or in a hog, becaufe the one continually makes a noife with barking, the other with grun¬ ting. For one of thefe nerves being cut offjhalfe the voice is taken away; but both being , cut, it is wholly loft.The recurrent propagation being thus conftituted, the outer branch running down obliquely under the hollow of the neck, after that by the way ithath diftributed furcles ot an indifferent bignefle into the Pleura, or membrane of the ribs, and into the coat of the lungs, and given others to the Ÿcricardium or purfe of the heart,and to the heart it felf; it defeends farther within the duplication of the mediajiinum, and near to the rack- bones is divided into two branches, which make the right nerve of the left orifice of the flomach, are carried obliquely, and then piercing through the midriflc,together with the gullet, to which for all that they afford never a branch, are confumed upon the left orifice of the ftomach, with many branches like a little net,and fo cncompafle it together Whence the with the left nerve, that it feems wholly to confift of uerves.Hcnse there is fo great a fym- iCiTthe 'fto-* ftomach, not only with the brain, but with the heart alfo;that fuch difeafes, mach'and heart. upper orifice, feem to be of the heart, and indeed fo they are, the fame heart Propagations fuffcringpain, becaufe of this nerve being pained. And this is the true caufe, to wit, of the inner the communion of this nerve, not the nearneflê of both the entrails, as others fiiy. The branch. branch goes to the inner fide of the root of the firft rib of the cheft, and cleaving to the 2, The right re* 5- 4* 5-