Fig. 1.
THE External Muscles and other Parts as they Appear on the Back-part of a Hu∣mane Body, after the Skin, Fat, and Membranes are remov'd.
1, The Musculus Temporalis.
2, The Orbicularis Palpebrarum.
3, Part of the Zygomaticus.
4, The Depressor Labiorum Communis.
5, The Masseter.
6, Part of the Mastoideus.
7, Part of the Elevator Scapulae.
8, Part of the Splenius.
9, The Occipitalis.
10, 10, 10, The Cucularis or Trapezius, on both Sides.
a, The Os Bregmatis;
b, The Occipitis.
c, Part of the Sagittal Suture, or Longitudinal Suture.
d, The Lambdoidal Suture.
e, The Os Iugale.
f, The Parotide Salival Gland.
Under this Parotide Salival Gland, are plac'd divers Lym∣phatick Glands, which receive Lympha from their Importing Lymphe-ducts, Arising from the Neighbouring Parts as well as the Parotide Salival Gland it self. Besides these Lympha∣tick Glands immediately under the Parotides, there are still others of the same kind below them, lying near the Jugular Veins, and are continued to the Claviculae; all these Transmit Lympha (by their Exporting Lymphe-ducts) either to the Subclavian Glands, or to the Upper-part of the Thoracick-duct immediately. These Lymphatick Glands become Tu∣mid in Scrophulous Cases, and may be happily remov'd by Incision, and no great Flux of Blood follow; which Practice is Preferable to the Application of Escharoticks which are commonly made use of. I have at this Time a Patient in whom not only the above mention'd Superior Lymphatick Glands of the Left Side were Distended, but the Parotide Sa∣lival Gland of the same Side was very much Indurated, and not a lit tle Distended also; in the Middle of which Indura∣tion of the Parotide Gland, I found an Aperture whence the Spittle Flow'd in no small Quantity, in Mastication: In Pressing the Part near the Aperture, I found the Spittle Gush out, which had Lodg'd it self between the Skin and the Gland. After the External Skin was Divided, I could plainly see the Spittle Arise from divers Interstices of the Lobuli of the Gland; when he Chaw'd any Thing, the Spittle Flow'd on his Handkerchief (per Stillicidium,) which he was wont to hold under his Ear to receive it. The Sinus's from whence the Spittle was Discharg'd being thus laid Open, the Quantity of Spittle which Flow'd, soon Abated; the Fungous Flesh being remov'd by the Application of Gentle Escharoticks, the Flux of Saliva Lessen'd. He Drinking of a Decoction of Sarsapa∣rila, China, Lig. Guiaci, &c. for his common Drink, and Eating of a very Drying Diet, such as Biskets, Almonds, and the like.
Aquapendens in Treating of the Wounds of the Cheeks, mentions a clear Water not unlike the Tears of the Eyes, which he saw Flow from a very small Hole when the Patient Eat; to which he adds, Vnde & quomodo effluat, Ego certe nescio.
The Accurate Nuck tells us (from Roonhuyse a Dutch Wri∣ter) of a Patient in whom the Spittle Flow'd from an Ulcer in the Cheek, not unlike that above mention'd: Nor was the Flux of Spittle Abated, and the Ulcer brought to a Cicatrix without a Drying Diet, as the Incomparable Nuck takes No∣tice. A Flux of Lympha sometimes happens in Wounds of the Limbs, where the Lymphe-ducts are Wounded. After Letting Blood in the Flexure of the Cubit, I saw (the next Day) a vast Quantity of Lympha had Stain'd the Shirt which lay over the Orifice, and about the Arm; the next Day af∣ter, the Flux of Lympha Abated, and the Orifice soon after Clos'd. Perhaps a great Part of that Thin Matter call'd Gleet, which we find some Days after Amputations, or large Wounds, Flows from the Divided Lymphe-ducts as well as Nutritive Tubes of the Part. When Lymphe-ducts are broken in Old Ulcers, and the Flux of Lympha do's not ea∣sily Abate, tho' the Patient is confin'd to a Drying Diet. The like Difficulty attended the restraining of the Flux of Lym∣pha when a Lymphe-duct was Open'd in an Issue in the Leg, as was Communicated to me by Mr. Bernard and Mr. Guddier both Experienc'd Surgeons of this Town; in which Case a Drying Diet stopt the Flux, and the Ulcer was soon after Ci∣catric'd; tho' many Desicatives Topicks, as well as Actual and Potential Cauteries, had before prov'd Ineffectual. By this we may see (however some endeavour to Disparage Anatomy) how Useful it is in the Practice of Surgery.
g, The Spine of the Seventh Vertebra of the Neck.
h, h, The Tendons of the Cucularis on both Sides Inserted to the Spines of the Scapulae.
i, i, The Extremities of the Spines of the Scapulae, to which the Claviculae are Connected.
k k, The Lower Angles of the Scapulae.
l l, The Basis Scapulae.
m m, The Upper Appendices of the Vlnae, call'd Olecrani.
n n, The External Protuberance of the Ossa Humerum, where the Radii are Articulated, and the Muscles Extending the Carpi and Fingers do Arise.
o o, The Inferior Appendix of the Vlna next the Carpus.
11, The Musculus Deltoides of the Right Side.
12, 12, The Infraspinatus on both Sides.
13, 13, Parts of the Rotundi Minores.
14, 14, The Rotundi Majores.
15, 15, 15, The Latissimi Dorsi.
* * Their Tendinous Parts passing over the Sacrolumbales and Dorsi Longissimi.
16, 16, Parts of the Rhomboides on both Sides, near their In∣sertions to the Basis of the Shoulder-blades, ll.
17, 17, The Gemellus, or Biceps Externus on both Arms.
18, 18, Parts of the Brachiales.
19, 19, Parts of the Supinator Radii Longus on both Sides.
20, 20, The Anconeus:
21, 21, The Radialis Extensor on either Cubit.
22, 22, The Extensor Digitorum Communis:
23, 23, The Extensor Minimi Digiti:
24, 24, The Vlnaris Extensor:
25, 25, Parts of the Perforatus or Flexor Secundi Internodii Digitorum.
26, 26, The Vlnaris Flexor on both Cubits.
27, Parts of the Tendons of the Radialis Flexor & Palmaris.
28, 28, The Abductores Minimi Digiti on either Hand.
29, The Adductor Pollicis ad Dorsum Manus.
30, The Extending Muscles of the Thumb.
31, 31, Parts of the Oblique Descending Muscles of the Abdomen on both Sides.
32, The Glutaeus Major.
33, 33, Parts of the Glutaeus Medius on both Sides.
34, The Fleshy Part of the Membranosus or Musculus Com∣munis Membranosi.
p p, The Back-part of the Spines of the Ossa Ilii.
q, The Os Sacrum.
r, A Prominence made by the Great Trochanter under the Tendinous Expansion of the Glutaeus Major.
f, f, The Great Crural Nerves as they Descend in the Ham.
t, The Upper Appendix of the Fibula.
u u, The Lower Appendix of the Fibula, call'd Malleolus Ex∣ternus.
w, The Lower Appendix of the Tibia or Malleolus Inter∣nus.
x, The Tendon of the Gasterocnemii.
y, The Os Calcis.
35, 35, Parts of the Vasti Externi.
36, 36, The Biceps Femoris on both Sides.
37, 37, The Seminervosi or Semitendinosi.
38, 38, The Semimembranosi.
39, 39, Parts of the Triceps Femoris on both Sides.
40▪ Part of the Gracilis on the Left Thigh.
41, Part of the Sartorius on the same Thigh.
42, Part of the Vastus Internus on the same Thigh also.
43, 43, The Gasterocnemii Externi.
44, 44, The Gasterocnemii Interni Cover'd with the Ten∣dons of the Externi.
45, The Peroneus Longus.
46, 46, The Abductor Minimi Digiti on both Feet.
47, Part of the Tendon of the Extensor Digitorum Longus on the Right Foot.