The works of Ambrose Parey, chyrurgeon to Henry II. Francis II. Charles IX. and Henry III. Kings of France. : Wherein are contained an introduction to chirurgery in general : a discourse of animals, and of the excellency of man. The anatomy of man's body. A treatise of praeternatural tumors ... Illustrated with variety of figures, and the cuts of the most useful instruments in chirurgery. Recommended by the University of Paris to all students in physick and chirurgery, particularly such as practised in camps and the sea.
- Ambroise Paré
- Date:
- M DC XCI. [1691]
Licence: Public Domain Mark
Credit: The works of Ambrose Parey, chyrurgeon to Henry II. Francis II. Charles IX. and Henry III. Kings of France. : Wherein are contained an introduction to chirurgery in general : a discourse of animals, and of the excellency of man. The anatomy of man's body. A treatise of praeternatural tumors ... Illustrated with variety of figures, and the cuts of the most useful instruments in chirurgery. Recommended by the University of Paris to all students in physick and chirurgery, particularly such as practised in camps and the sea. Source: Wellcome Collection.
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![1. 2. its hath the propagations of the hollow vein,receives great plenty of vital fpirits fent over from the heart through the hollow vein. Yet before it enters into the liver, it diiTeminates in the way many furcles, Propagations and thofe partly from its upper fide, partly from its lower : from the upper fide two, firfi, that which its upper I call Pyloricus^ which arifes in the midway, and being divided into many little branches is fcattered into the backlide of the right orifice of the llomach. The outer is called Cyj}k£ gemelU^ the Twin- arteries of the bladder of gall, which are two little branches, and go into the bladder of gall, and prefently are divided into many propagations. From the lower fide likewife two arife. The firft is lower part. Epiplflis dextra^ or the right kail-artery, which is implanted into the right fide of the lower membrane i. of the kali, and part of the colick gut annexed thereunto. The outer is cleft into two branches, of 2. which one is called Intefiinalis^ the gut-artery, palfes on to the dmdenum^znd the beginning of thejej«- or empty gut: the other named the right ftomach and kail-artery, fome- what larger than the former, turns down to the right fide of the bottom of the fiomach, and being fupported by the upper membrane of the kail, iifues out fome (hoots from the upper part to the fore and back-fides of the ftomach i but from the lower to that membrane of the kail upon which it leans. , - The left and greater branch is called Arteria jplemca^ the Spleen artery, which (licking to the lower The left membrane of the kail and the glandules placed therein, palfes on together with the Spleen-vein, to branch. ^ which it is faftned, and in the like manner diftributes its propagations to the Spleen. But in the way Propagations likewife it diftributes branches from both parts of it: from the upper iifues the ftomach artery, its upper which reaches into the middle of the hinder part of the ftomach, or that wherewith it leans upon the ^ back, and afeending from thence it compalfes the left orifice of the ftomach round about like a Crown, and difperfeslittle twigs, partly upward to the end of the Gullet, partly downward, and thofe greater and more numerous, into the ftomach, and fo it makes the Arteria Coronaria or Crown- artery, like to the Crown-vein, which arifes from the Gate-vein, aswehavefaid in the fore-going Treatife. But from its lower fide the Spleen-artery fends out the Epiplois fmijiraot left Kail-artery, From its about that part wherewith it now attains to the Spleen, which runs out into the left fide of the mem- lower pare, brane of the lower part of the Kali. This artery prefently after its rife, is cleft into two branches, which part very far afunder from each other, from which many other arteries arife, that are all con- fumed upon the faid membrane of the Kail, and the Colick gut that is tied thereto. Thefe branches _ being iftUed, the Spleen-artery draws nearer to the Spleen, and j-uft like the vein of the fame name, <lfrifion. which accompanies it all the way, is cleft into two branches like the letter Y, one of which may be! called the upper, the other the lower, which afterward entering by the hollow part of the Spleen are fplintered into an infinite number of little fprigs, fo that there are five times more arteries there than veins. Whence it comes to pafs, that in inflammations of the Spleen, if you lay your hand to the left Hypochondrium^ or place under the Gride of the baftard ribs, it feems to pant. But before this entery of the artery, the lower branch makes ^notdhlo Ana(iotnofis or inoculation with the lower branch of the vein, and propagates at\Vig to the lower membrane of the Kali. But from the upper branch ilTues one called Gajiro-epiploisfmijira^ the left ftomach and Kail-artery, which being faiiened to the upper membrane of the Kail, is derived into the left fide of the bottom ofthe ftomach, bellowing little branches upon the fore and back-fides of it, or alfo upon the upper part of the Kail. Another ilfuing from the upper branch, mzke the voi breve arteriofnm^ or (hort arterial vcffel, carries, like the vein, its name-fake, to the left fide and orifice of the ftomach. The ufe of the right branch which The ufe of the goes to the Liver, befides the common one which it hath, is this, as often as the bladder of Gall is ob- right branch, ftrudted, to carry down the choler to the Guts, and efpecially to the Colon, into which fome of its ulcers branches are implanted. Which is the reafon,that in bloudy fluxes the Ulcers are almoft always found in the great Guts, and efpecially in the Colon, very feldom in the fmall ones. For this artery, when great guts, either the Liver being over hot breeds abundance of choler, or the bladder of Gall is obftruded recei- The ufe of the ving into it felf ftore of choler, carries it diredfly over to the Colon,, or Colick gut. In like manner cleft, the ufe of the left branch, orSpleen artery-, befides the common one, is to throw down choler, melan¬ choly, and wheay humours, if at any time the Spleen abound with them to the Guts. Moreover by this fame way the waterilh humours in fuch as have the Dropfie, are fometimes committed either to the Guts, or to the Kidnies and Bladder. This fame branch is that by which the drink palfes fo fud- denly through the whole body, and by which ill humours are caft out by Vomit. This fame is the caufe,that upon a full ftomach we make little water,but more when the concodion therein is finifticd. For the Stomach being much diftended prefles it, but that once empty, it can perform its office. This fame branch teaches us thata flender diet is to bepreferibed to them who are to take Purges, that the way may be open for the Medicins, as well that by which the excrements are fent over the Stomach, as that by which they are conveyed to the Guts. This fame branch alfo, if you add the two Mefen- tericks, is the feat of the hypochondriacal Melancholy. For this difeafe arifing from the obftrudion of the entrails which are contained in the lowed belly, it is necelfary that the arteries here (hould fuffer very much, which the very fymptoms that happen in this difeafe, may fufficiently inform us. Mefentericafuperior, the upper artery of the Mefentery [y] arifes a little below the Coeliacal, being 4,^ diftributed like the Mefcraick Vein (which is its companion) with numerous propagations in the guts Mefenterka called Ilium and Jejunum, as alfo that Region of the Colon which reaches from the hollow of the Liver as far as the right Kidney, and fo for the moll part into the upper part ot the Mefentery. place it is to be obferved, that the Artery fometimes lies upon the Vein, fometimes on the contrary the Vein upon the Artery, and fo is carried betwixt the membranes of the Mefentery. But thefe Arteries in many places in the Mefentery have glandules, which were made for the free perfpiration of the vef- rels,and efpecially of the Arteries > whereby it comes to pafs,that thefe glandules labouring with a hard tumor or jhirrim, the veffels are compreft, and a pining away of the whole body follows thereupon. The Emulgent arteries are two, one the right, and another the left one. Both iflue out under 5* the fore-mentioned Artery, where the firft and fecond rack-bones ot the loins are coupled together by gfntis* the ligament.But they arife out of cither fide of the trunk,although not diredly over againft one ano¬ ther,](https://iiif.wellcomecollection.org/image/b30342843_0771.jp2/full/800%2C/0/default.jpg)
