Bartholinus anatomy made from the precepts of his father, and from the observations of all modern anatomists, together with his own ... / published by Nich. Culpeper and Abdiah Cole.

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Bartholinus anatomy made from the precepts of his father, and from the observations of all modern anatomists, together with his own ... / published by Nich. Culpeper and Abdiah Cole.
Author
Bartholin, Thomas, 1616-1680.
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London :: Printed by John Streater,
1668.
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Human anatomy -- Early works to 1800.
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http://name.umdl.umich.edu/A31102.0001.001
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"Bartholinus anatomy made from the precepts of his father, and from the observations of all modern anatomists, together with his own ... / published by Nich. Culpeper and Abdiah Cole." In the digital collection Early English Books Online. https://name.umdl.umich.edu/A31102.0001.001. University of Michigan Library Digital Collections. Accessed June 16, 2024.

Pages

Chap. XVII. Of the Kidneys.

A Threefold Excrement is purged* 1.1 from the Blood; thin Choler into the Gall-bladder, thick Choler into the Canalis bilarius, and Whey into the Kidneys. And because we have already spoken of the Recepta∣cles of the two former Excrements, we shall now also speak of the third.

The Kidneys are termed RENES, from* 1.2 flowing, because the Matter of Urin does flow through them. In Greek they are termed Nephroi, as if you would say Pissers: From which Etymology that taken out of Varro, differs not much. viz. that they are called Rns, as if you would say Rivuli Rivoles or little Springs.

[illustration]
This FIGURE shews the Urinary Instruments, and Parts serving for Generati∣on in Men, in their Natu∣ral Situation.
The XVIII. TABLE.
The Explication of the FIGURE.

  • AAA. The hollow part of the Liver.
  • B. The Gall-bladder.
  • C. The Choler-passage or Ductus bi∣larius.
  • D. The Vena Cystica or Gall-bladder Vein.
  • E. An Artery distributed both into the Liver and the Gall-bladder.
  • F. The Navil-vein turned upwards.
  • GG. The descendent Trunk of Vena cava.
  • HH. The descending Trunk of the Arte∣teria magna.
  • II. The Emulgent Veins.
  • KK. The Kidneys in their Natural Place.
  • LL. The Emulgent Arteries.
  • MM. The Capsulae atrabilariae, with Branches distributed into them from the Emulgens Vein.
  • NN. Ureters descending from the Kid∣neys to the Bladder.
  • O. The bottom of the Piss-bladder.
  • PP. Insertion of the Ureters, into th sides of the Bladder.
  • QQ. A Portion of the Urachus or Piss∣pip.
  • R. A Portion of the right or straight Gut cut off.
  • SS. The preparatorie Vessels, of which that on the right hand is bred▪ out of the Trunk, that on the left out of the Emulgent Vein.
  • T. The Pyramidal Body arising from the Union of the Veins and Arteries preparatorie, expressed on the left ide.
  • V. The Original of the preparatorie Arteries from the Trunk of Aorta.
  • XX. The Stones, the left being laid open from its common Coat.
  • YY. The Vasa deferentia which ascend from the Stones to the Belly.
  • Z. The Yard.
  • aa. The Cod, which covered the left Stone, separated therefrom.
  • bb. The Ilia or Flanks.
  • cc. The Share-bones.
  • dd. The Loins.

page 44▪

The Kidneys are two in number,* 1.3 because among all Excrements, the wheyish is most plentiful, and exceeds the two excre∣mentitious Cholers, by reason of the Blood, whose ve∣hiculum it was to be, until it come into the large Veins of the Cava; and that one being diseased, the other

Page 45

might draw the wheyish Humor;* 1.4 but I am not of the Opinion of Be∣veroviius and of Loselius after him, that one Kidney being diseased, the other draws the wheyish Humor. For the contrary is seen in such as have one Kidney only stopped with a great stone, or consumed by an Ulcer; and the contrary to what he imagines, is seen in other parts, for one Eye being hurt, the other sees; and all the scollups of the Lungs being consumed on one side, that on the other side does further Respirati∣on, unless haply both parts be affected by some com∣mon Cause, for otherwise they must be forced to say, that that happens only somtimes. There is seldom found only one, and then it is a great one placed in the middle, for otherwise the body should not be well bal∣lanced, nor could the Vessels be conveniently carried. Tis monstruous, when both the Kidneys are joyned into one beneath, and cleave together, as I have seen at Padua. Tis more rare to find three or four placed one upon another, or one beneath another.

They are situate under the Liver and Spleen, where they rest upon the* 1.5 Muscles of the Loins, between the two Coats of the Peritonaeum, at the sides of the Vena cava and Arteria magna, under which very great Nerves lie hid, both of the Muscle Psoas, and others, which e∣vidently pass this way unto the Thighs. Whence it is that a stone being in the Kidney, a numness is felt in the Thigh of the same side. It is a rare case which Ca∣brolius hath observed, for the Kidneys to rest upon the Back-bone of the Loins. Nor are the Kidneys seated just one against ano∣ther,* 1.6 least there should be some impedi∣ment to attraction, and least some part of the wheyish humor should slip aside. But the right∣side Kidney is lowest in Men, to give way to the Liver, under which it rests immediately, reaching by its end, the third Vertebra of the Loins. It is seldom higher then the left, and seldom are the two Kidneys seated one just against another. The left Kidney for the most part, lies partly under the spleen, but is seldom higher then the spleen. Contrariwise in Brutes, the spleen goes more downwards, and the right Kidney lies higher, and therefore there is a Cavity in the Liver by means of the Kidney, which does not Naturally happen in men. Here some observe that the right Kidney is nearer to the Cava, and the left more remote, by reason of the left Emulgent Vein, which is much longer then the right.

They are not alwaies both just of one bigness, but for the most part they are.* 1.7 They are commonly of the length of four Vertebra's; their latitude for the most part, three fingers, their thickness that of a thumb, yet the right Kidney is very many times larger then the left, because by reason of the heat of the right part, it draws the wheyish blood more vehemently, unless it be fretted by some Disease, for then it grows lean and thin. Al∣so such as are given to fleshy desires, have larger Kid∣neys then ordinary. But their Proportion is not al∣waies alike convenient for the body.

The Surface of the Kidneys, as in the li∣ver is slippery and smooth: It is seldom* 1.8 in Mankind uneven, as if it were compo∣sed of many Kidneys or kernels, which any man may frequently find in a Child yet in the Womb. But the Kidney is alwaies so made, in an Ox and Bear, in a Calf, and most curiously of all in a Sturgeon, in which the Kidneys are made up like bunches of Grapes, of triangular and quadrangular dies or tiles as it were af∣ter an Artificial manner, as I have demonstrated in the Anatomy of that Creature.

The Colour of the Kidneys is a dark* 1.9 red, but seldom intensely red. In dis∣eased persons the Kidneys are variously coloured, even as the Liver and Spleen are.

The Kidney is shaped like a kidney-bean so* 1.10 called, also like an Asarum leaf, if you respect the plane surface. Externally in the Back or about the Flanks, it is of a round, bunching shape▪ beneath to∣wards the upper and lower part it is bossie, but in the middle concave and hollow. Helmont hath seen the left Kidney triangular, and in the same person the right Kidney not so big as an Hazel-nut. Hippocrates com∣pares the kidneys to Apples: Without doubt to the broader sort of red Apples; unless by the word meloi∣sin he intended the likeness of the kidneys in man to o∣ther Creatures.

They are knit by an external Mem∣brane,* 1.11 which is from the Peritonaeum, to the Loins and Midriff, and by the emulgent Vessels to the Cava and Aorta Vessels, by the Ureters to the Blad∣der. And the right kidney, to the blind Gut, somtimes also to the Liver, the left to the Spleen and Colon. Hence pains of the kidneys are exasperated by plenty of Winds and Excrements.

They have a double Membrane: The* 1.12 first internal one near and proper, being very thin without Fat and Veins, from the external and common Coat of the ingredient Vessels dilated (for a Vein only goes in with but one Coat) which growing very close, makes the flesh more compact, and being turned back inwards, it accompanies the Vessels, enters into, and invests their Bellies. Another external from the Peritonaeum, which adhaeres but loosely, whence they term it the Swath-band of the kidneys. For it is as it were a coverlid or blanket of the kidneys; and because it is encompassed with much Fat, for the sake thereof, it hath received the Vena adiposa so called, that is to say the Fat-vein, so that in fat persons, the kidneys lie quite hidden. Whence he that knows or searches into hidden things, is said to* 1.13 search the Reins. For the Scripture uses two words Pelaoth and Taoth, the for∣mer of which Mercerus will have to be derived from a word signifying to perfect and finish, because there is in the Kidneys a power of consulting, and finishing things consulted upon: The latter they derive from Tiach a blot, and from the Radical word tivvach to daub, or plaster, and crust over, because the Kidneys are crusted, and hidden as it were with Fat. Some indeed explain the Phrase of searching the Reins to be meant of Concupiscence carnal and venereal De∣lectation, from the word Calah to desire, Witness Rab∣bi David, and Pagnine, or from Celi a Vessel, because in and from the Kidneys is the desire of Venereal plea∣sures. Howbeit this also is a secret Quest, stoln plea∣sures Venereal seeking the night and dark places and secret carriages, which I have largely demonstrated in my Vindicae anatomicae against Hofman. Fat is bestow∣ed upon them to preserve the Heat of the Kidneys in regard of plenty of Serum which would overcool them, and to defend the Vessels. There is less about the right Kidney if we beleive Aristotle, more about the left, because the Heat of the right Kidney, either suf∣fers it not to congeale, or melts it when it is congea∣led.

They have a substance or flesh hard com∣pact* 1.14 and dense. 〈…〉〈…〉 like that of the

[illustration]

Page 46

[illustration]
This TABLE pro∣pounds the Kidneys both whole and cut a∣sunder, that the Ingress and Egress of the Ves∣sels might be discer∣ned.
The XIX. TABLE.
The FIGURES explained.

FIG. I. Shews the Form of the Kidneys and of the E∣mulgent Vessels.

  • AA. The common Membrane of the Kidneys compassed a∣bout with Fat, and here separated.
  • BB. The Capsulae atrabilariae, or auxiliary Kidneys.
  • CC. The Kidneys.
  • D. A Particle of the proper Membrane of the Kidneys separated from the rest.
  • EE. The Trunk of Vena cava descendent.
  • FF. The Trunk of the Arteria magna descendent.
  • GG. The Ureters or Piss-chan∣nels.
  • HH. The Emulgent Veins.
  • II The Emulgent Arteries.
  • KK. The Spermatick Veins, or Seed-veins.
  • LL. The spermatick or Seed-ar∣teries.
  • m. The Vena adiposa or fat Vein from the Emulgent.
  • n. The Arteria adiposa, the fat Artery.

FIG. II. Shews the Entrance of the Emulgent Vessels, into the hollow part of the Kidneys.

  • AAA. The inside of the Kidney cut open,
  • B. The Basin of the Ureter.
  • C. The Emulgent Vein spred by sundry Branches into the Kidney.
  • D. The Emulgent Artery variously divided, joyning it self to the little Branches of the Veins.

The III. FIG. Shews the Rise of the Aorta.

  • AAA. The Kidney cut open.
  • B. A large Cavity, or the Basin of the Ureter, about the Kidney.
  • C. The Ureter looking downwards.
  • DDD. Little Pipes embracing the Caruncles of the Ureter.
  • EEE. The Teat fashion'd Caruncles or Bits of Flesh, which do strain the Urin into the Kidneys.

The IV. FIG. Shews the Caruncles.

  • AAA. The appearance of a Kidney split open.
  • BBB. The Mouths of the Ureters, which compass the Ca∣runcles opened.
  • CCC. The Papillary Caruncles so called, which strain the Urin into the Kidneys.

The V. FIG. Shews the Kidney cut open to its Belly.

  • AAA. The Kidney divided through the bossie part.
  • BBB. The Caruncles cut through the middle.
  • CCC. The Pipes of the Ureters.
  • D. A Wound piercing into the Belly of the Kidney.

page 46

Heart, but not so fibrous, because the Fibres of the ves∣sels are there. But on both sides of the internal Cavi∣ty, the Fat being removed, there appears a loose sub∣stance, uneven and hollow. This flesh somtimes is consumed and putrefies, whence comes worms in the kidneys. In a Dog I have seen a worm so great in the right kidney which lay hid like a snail, that beside the external Coat of the kidney, there was none of the flesh left.

The kidneys have two Bellies as it were,* 1.15 the outermost in the hollow part which Fallopius calls Porta; through which the emulgent ves∣sels are carried, and first they enter bipartite or divided into two, and soon after they are commonly divided in∣to four, and so spread abroad into the whole substance of the kidneys, till at last they are consumed and spent into very small and fine threads. The inner Belly is nothing but the large Cavity of the Ureter, that is to

Page 47

say a membranous Cavity, made of the Ureters, spred out and widened in the Cavity of the kidneys. But the Ureters in their progress are not attenuated within, as other Vessels are, but they have the ends of their branches (eight or ten for the most part) broad and open like Pipes, embracing certain Caruncles, or little fleshy Eminences.

These Caruncles are like kernels, less coloured and harder then the rest of* 1.16 the flesh. Carpus was the Finder out of them, though Rondeletius saies that he did first ob∣serve them, and calls them Mammilary productions. Others call them Papillary Caruncles, because they are very like the Nipples upon Womens Duggs: They are as big as Pease, somwhat broad above, convex be∣neath, and they have very little holes bored through them, so that they will hardly permit an hair to enter, which furrows and little channels may be observed, if the kidneys be cut long-wise. I have instead of these found stones in an Ox. The holes were to be excee∣ding small, least the blood which is requisite to nourish the kidneys, should with the Serum and Choler flow into the Ureters, which indeed happens when the kid∣neys are diseased or the Passages too open.

They have Vessels of all kinds. Veins from the Cava. 1. The emulgent or milking Veins so called from their Office, which are great* 1.17 and remarkeable by reason of aboun∣dance of wheyish humor in the Body: In which Baubinus saith there are Val∣ves to be seen, which hinder the return* 1.18 of serum into the Vena cava. But Ex∣perience teaches otherwise, for with their broad end they look towards the Cava, and with their sharp and lunary part they respect the kidneys, by which they are opened, according to the Opinon of Dr. Harvey, which I have found true, and demonstra∣ted by visible Inspection, so that any matter may easily repass, from the kidneys by the Emulgents to the Vena cava, in the solemn Circulation of the Blood. By a short and crooked passage they are carried downwards to the hollow part of the kidneys, as also the emulgent Arteries, which are remarkable and large, derived from the Trunk of the Aorta, unto the kidneys, not so much to furnish vital Heat, to resist coldness, as to nourish the kidneys, and to purge away the wheyish humor, which is most plentifully contained in the Arterial blood. For these emulgent Vessels are seldom one like another, or one in number, somtimes with six, five, four, three, and for the most part two branches, they go distinctly to the kidneys, and that either on the one or both sides, seldom on one alone. And when they have entred the hollow part of the kidney, each branch is suddenly sub∣divided into four or five little ones, which being again divided into other lesser ones, they are at last spent in∣to Veins and Arteries as smal as hairs, which end at the the Heads of the Caruncles, into which they shed their wheyish humor, that it may distil into the little Pipes of the Ureters: Yet are the Emulgents never opened at the Pipes of the Ureters. For wind or water being forced in, it flows indeed through the Emulgents, but it goes not out by the Pipes. Into the left Emulgent in some bodies there is implanted a branch of the Vena azugos so called, which is thought to be the cause of that Consent which is between the Chest and the Kidneys, which the Arteries do not a little further.

2. The Venae adiposae. The right be∣ing drawn from the Emulgent, seldom* 1.19 from the Trunk, the left from the Cava to the outward Coat, which contain blood to nourish the Fat. Moreover, the kidneys need no other Ves∣sels to nourish them besides the Arteries, as the Vesica bilaria or Choler-bladder, and the Piss-bladder; for they do not draw a pure Excrement as those do.

The Kidney hath one very small Nerve on each side, from the Stomach∣branch* 1.20 of the sixt pare, distributed into its proper Membrane, whence arises* 1.21 the Sympathy between the kidneys and the stomach, as when persons diseased in their kidneys, are troubled with sto∣mach-sickness and vomiting. But there are a few branches of Nerves, which proceed from about the beginnings of the Arte∣ries of the Mesentery, part of which enters into the hollow of the kidneys with the Emulgents, and is dis∣seminated through their substance. Hence persons ha∣ving the stone in their kidneys, have more vehement gravative and stretching pains: But their pain be∣comes more sharp, when the stone enters into the nar∣row and very sensible Ureters.

Now this is the structure of the Kid∣neys* 1.22 in Mankind. For in a Dog it is o∣therwise, in whose kidneys there are o∣ther Cavities; but in the kidneys of a Man there are none, save what are formed by the E∣mulgents and Ureters variously divided.

Also there is a feigned Dream of some* 1.23 of the Ancients, touching the Cribrum benedictum by them so called. For they feigned that there were in the kidneys, two Cavities seated according to their length: The one uppermost, into which the wheyish blood should be poured out of the Emulgents, the other lowermost, which a certain transverse Membrane was thought to sever like a seive bored through with very small holes, which made them call it the Colander, and the blessed seive, through which they would have the Serum strain∣ed into the Ureters, and the good blood to stay behind to nourish the kidneys. These Dreams of the Ancients Vesalius did rightly re∣ject;* 1.24 but he is mean while deceived, while he would have such Cavities in the kidneys of men, as there are in Dogs kidneys, and wil not have the kidneys of a man or sheep to be cut up, because of the Fat. Riolanus defends this Opinion of the Colander or Seive, but he explaines it only of the Caruncles (as I do) which are pierced through with very small holes.

Their Use. Erasistratus and the fol∣lowers* 1.25 of Asclepiades did conceive that Nature had made the kidneys in vain. And Aristotle somtimes saies, that there is no need of them. But

Their Use is to draw the wheyish* 1.26 blood, by the emulgent Arteries, that so the mass of blood may be purged. The blood therefore going out through these Vessels, is alwaies carried through the branches of the Emul∣gents, which are spred abroad through the whole flesh of the kidneys, and go at last into very small passages, so that at last the wheyish Humor is poured right out into the flesh of the kidneys: But the sanguine and laudable portion, does partly remain to nourish the kidneys, and partly returns by little emulgent Veins which are open into the Cava, and so to the Heart. The wheyish and watry part is strained through the Papilla∣ry Caruncles, which have holes into the branches of the Ureters, which grow together into one large Ca∣vity or Expansion of the Ureter, into which the whey∣ish

Page 48

humor is emptied, and through the Ureters into the Bladder, where it becomes urin. And because urin is yellow, a portion of yellow Choler not drawn out by the Gall-bladder, is thought to pass along with the Se∣rum or wheyish humor that the Ureters might be clen∣sed by Choler, as the Guts are.

Olhafius, Sennertus, Olaus Wormius, whom a great many others have fol∣lowed,* 1.27 as Hofman, Meybome, Horstius, Loseleus, Eichstadius, Sperlinger, and o∣thers have attributed to the Kidneys the preparation of Seed, because hot Kidneys cause a propensity to fleshy lust, and cold Kidneys indispose to Venery, and because in Creatures that use Venery, the kidneys have a rank smell and tast of Seed, which in guelded Animals they have not. Because in a Go∣norrhaea proceeding from aboundance of Sperm, Re∣medies are successfully applied to the kidneys: because men are said to proceed from the Loins of their Pro∣genitors, and they have been famed for the seat of Lust: Because the Loins being whipped, do raise an Appetite to Venery: And finally because in persons given up to lust, the kidneys are consumed. Which Arguments are indeed of some weight, unless perad∣venture that smell and rast happen to the kidneys, be∣cause they are nourished with such a nutriment as is the matter of Seed, which is carried for the Generation thereof in bordering Vessels. And when the kidneys are hot or cold, the neighbouring places are also hot or cold, through which the matter of Seed is carried, and in which it is altered, and therefore Seed may have af∣finity to the Constitution of the kid∣neys. For Johannes Walaeus conceives* 1.28 that the Circulation of the blood can∣not admit this use of the kidneys, for blood is not carried from the kidneys to the stones, by the Emulgents and Veins: but it falls down only out of the Aorta by the Spermatick Arteries. But this action of the kidneys defended by such Learned men, may be reconciled with the circular motion of the blood, if we shall say. 1. That the more wheyish part of the Arterial blood is drawn by the kidneys through the emulgent Arteries, whereby the rest which descends right along through the Spermatick Arteries, becomes more pure and fitter to make Seed. Of which this is a sign, that when the attraction of the kidneys is weak, and the blood comes to the stones more wheyish then it ought to be, the seed which is voided, is unfit for Generation, though plen∣tiful in quantity. 2. That the neighbouring Sperma∣tick Vessels are irradiated and virtuated by the kidneys, even as the Brain irradiates the lower Parts, by an in∣bred property resembling light. 3. If any thing should be carried from the kidneys to the stones, we might very well say, it is a wheyish substance, which stirs up a sharp titillation and strong provocation and desire to Venery. For I am not perswaded by the Arguments of Helmont, that the salt of the Urin takes away the fruitfulness of the Seed, if it be moderate, seeing it helps the Seed both by its acrimony and fluidity or thinness of substance. Little Birds, indeed, though very lascivi∣ous, have neither kidneys nor bladder; yet they have somwhat that supplies the Office of the kidneys, viz. certain Caruncles or little parcels of flesh, which re∣semble the kidneys, which are continued with the Vena cava and Aorta, Witness Aristotle and others.

Beverovicius artributes a kind of Sanguification or Blood-making to* 1.29 the kidneys. 1. Because they have a Parenchy•••• and very many Ves∣sels. But they might have their Parenchyma because of their Vessels, that they might not be intangled one with another. And it was requisite they should have very many Vessels, to the end they might plentifully purge away the Serum or wheyish part of the Blood, so that through very many and very small outlets, the Whey might be issued out into the Caruncles, without any considerable quantity of Blood therewith. 2. Be∣cause the Kidneys which in healthy persons are red, clear, solid; according to the kind of the Disease, be∣come somtimes obscure and blackish, somtimes white∣ish; otherwhiles loose, brittle, and as it were rotten; and somtimes again, hard and dried. But that might happen, because as some other parts, so the kidneys might be sick, or through sickness of the Body, Con∣coction being somwhere hurt, they could not be nou∣rished with good blood. 3. Because the Urins of per∣sons troubled with the stone are crude: But of that a∣nother cause is commonly rendred. Viz. in that the kidneys being stopped, the thinner part only of the U∣rin can make its way forth. 4. Because persons trou∣bled with the stone are wont to swell and look pale, like those that are termed Leucophlegmatici. But this may easily happen, because the kidneys either through weakness cannot sufficiently draw the wheyish humor out of the blood, or being stopped it cannot be duely expelled. But if he or any other shall affirm, that al∣lowing the Circulation of the blood in these parts, the blood is there somwhat more changed, then it was in its simple Vessel, I shall not disagree with them there∣in. For themselves it is that they change the blood, but it is for the rest of the body only, that they purge out the wheyish Excrement.

Notes

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