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.
785/816 (page 37)
![I, nQi? joined prefcntly after its egrefs with the fixth nerve of the neck, and the hrftof the cheft, and for the greater part is carried with the reft to the arm. The hinder lefler branch [tak 2. //^.i,n.]goQS to themufcles, that’lie upon the neck, and to the fquare one, that draws down the cheeks. CHAP. III. Concerning the Nerves of the marropo of the rach^bones of theCheft, Twelve Conjugations of Nerves iffue forth from the fpinal marrow, whileftitruns through the rack'bones of the back, as the moft learned Vefalius hath rightly opinioned, however there are but eleven holes bored in the twelve rack-bones thereof,as Columbus obje(fted,becaufe the firft pair paffes out between the laft rack-bone of the neck and the hrft of the back, wherefore it ought to be numbred rather among the pairs of the cheft, than thofe of the neck. All thefe conju¬ gations after their egrefs are divided into two i and the one branch which is the greater, always bends forward j the other which is the lefs is bent to the hinder parts, and to the mufcles that lie . ' upon the back. ‘ The hrft pair then [tabA,num.%f\ of the nerves which iffue forth from the marrow of the cheft, The firft pair, goes out of the common hole of the feventh rack-bone of the neck and the hrft of the cheft, in the fame manner as the hve pairs laft mentioned do, and in like fort alfo is forthwith divided into two branches. The forwarder and greater [tab. i. ol is united [tah.i.ff^ partly with the feventh nerve Its forc- of the neck, partly with the fecond of the cheft, in that manner which we have before explained s and branch. ‘ fo afterward is wholly confumed upon the arms, excepting one propagation [tab.i.<f] which arifing at the beginning of it, is joined with the faid nerves, and runs into the fore-parts hear the length of the flrftribof the cheft to the breft-bone, beftowingafprig upon the fubclavian mufcle, after that being refleded upward is fpent upon the mufcles, which take their original from the top of the breft- bone : luch are the mufcle that bends the head called Majhideus ■> that which draws down the bone hyeides ox flernohyoidem^ and the firft of them which extend the buckler-like griftle of the throttle, cal¬ led thyroides^ or the mufde jlernothyroideus. But to the two laft fometimes branches are fent over from the fixth conjugation of the brain, and the third of the cheft. The fame branch alfo when it hath pall the arm-pit, being ready to go to the arm, iffues forth a certain other propagation from its hinder part, which goes to the mufcles feated in the hollowncfs of the (houlder-blade. The hinder Its hinder and lefs branch [tab,2,fg.i.x'] lies hid under the mufcles which grow to the rack-bones, and imparts branch, fome propagations to the fecond bending mufcle of the neck, and to them which extend the head and neck i but when it hath attained to the fpine of the feventh rack-bone, it goes overthwart to the lower fide, and diftributes furcles into the firft mufcle of the Ihoulder-blade, or that like a Monks Cowl, and in the third of the fame, called Rhomboides^ as’ alfo into ^the upper of the hindraoft faw- mufcles. ^ ' The fecond pair [tab. i.num.p.'j breaks out betwixt the firft and fecond rack-bones of the cheft, 'The fecond and is cleft like wife into two branches. The forwarder [tab.i.s'j is united with the firft pair of the fore cheft 5 and thus the firft and fecond pairs of the cheft are^ united by turns, with the fifth, fixth, and branch! feventh of the neck, that the one are not difeerned from the other, but make a net not unlike to thofe things which hang at Cardinals hats’, from which afterward all the nerves that go to the arms, iffue forth and take their original. Thisfpreads'Qut a branch [tab.l.t] which goes forward through the firft diftance betwixt the ribs, according to the courfe of the firft rim, as far as to the breft bone, making the firft Intercoftal nerve, from which furcles [tab.i.\f\ are diftributed into the mufcles that lie upon the cheft. The hinder branch [tab.2 .fig. 1, x] hath the fame diffemination with that of the The hinder foregoing pair. ^ The other ten pairs [tab. i. numb, i o, 11,12. andfo on to 1 p inchifively~\ of the nerves of the cheft, The other teri obftrve the fame manner both of their rife and diftribution. For they all iffue out of the common pairs, holes of the rack-bones at the tides, and prefently after their egrefs are cleft into two branches of unequal bignefs, one of which is the forwarder and greater, the other the inner and lefs. The for- ward branches [tab.i.y] (which make the nerves between the ribs) are carried into the forefide, and each of them affords a little branch in order according to its length, to the inner branch ol the fixth pair, which defeends under the pleura torhe roots ot the rib. Thefe branches are joined with the intercoftal Veins and Arteries, together with which they pafs along the rib of the fore-part through the fmus or channel, which is cut out on the lower and infide of the ribs. But they which belong to the true ribs, go on as far as to the breft-bone i but they which belong to the baftard ones, are carried into the fore-part oi the Abdomen dhovc the Peritoneum or rim of the belly. From thefe nerves many branches are diffeminated into the mufcles between the ribs, not onely in the inner, but the outer ones alfo, as well into the other 1.7] which lie upon the cheft;, fuch as arc the fourth and fifth mufcles of the ftioulder-bladei, or the two foremoft Saw-mufcles, as alfo to the broad one, called L^- tijfimus [tab.i.(if\ that moves the arm backward from the breft. In like manner a propagation goes from the fifth intercoftal nerve, about the middle of the rib paffing through the intercoftal mufcle into the firft pair of the mulles of the abdomen [tab.i.y'] as alfo into the skin of the cheft *, and beingdi¬ vided in four parts is diftributed into the peitoral mufcle that moves the arm forward to the breft, and alfo into the skin, from which fome fprigs do afterward go to the nipples of the breft [tab.i.y] and impart to them a very fliarpfenfe. The hinder branches [tab.2 fig.i.j] go backward to the fpine Their hinder or ridge, between the mufcles going to the rack-bones, which have the charge of extending the cheft. branches. Yet arc they not wholly fpent upon the mufcles, but when they have now attained to the tops of the fpines, they fall out between the mufcles of both fides, whereabout they are joined one to another, and fo afterward they give nerves to all the mufcles which arife out ot the tops of the fpines of the rack- bones.](https://iiif.wellcomecollection.org/image/b30342843_0785.jp2/full/800%2C/0/default.jpg)