The workes of that famous chirurgion Ambrose Parey translated out of Latin and compared with the French. by Tho: Johnson. Whereunto are added three tractates our of Adrianus Spigelius of the veines, arteries, & nerves, with large figures. Also a table of the bookes and chapters.

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Title
The workes of that famous chirurgion Ambrose Parey translated out of Latin and compared with the French. by Tho: Johnson. Whereunto are added three tractates our of Adrianus Spigelius of the veines, arteries, & nerves, with large figures. Also a table of the bookes and chapters.
Author
Paré, Ambroise, 1510?-1590.
Publication
London :: printed by E: C: and are to be sold by John Clarke at Mercers Chappell in Cheapeside neare ye great Conduit,
1665.
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Subject terms
Medicine -- Early works to 1800.
Surgery -- Early works to 1800.
Anatomy -- Early works to 1800.
Link to this Item
http://name.umdl.umich.edu/A55895.0001.001
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"The workes of that famous chirurgion Ambrose Parey translated out of Latin and compared with the French. by Tho: Johnson. Whereunto are added three tractates our of Adrianus Spigelius of the veines, arteries, & nerves, with large figures. Also a table of the bookes and chapters." In the digital collection Early English Books Online 2. https://name.umdl.umich.edu/A55895.0001.001. University of Michigan Library Digital Collections. Accessed June 13, 2024.

Pages

CHAP. XIV. Of the Guts.

* 1.1THE Guts the instruments of distribution and expulsion are of the same substance and com∣posure with the Stomach, but that the site of the coats of the Stomach is contrary to those of the guts. For that which is the innermost coat of the Stomach is the outermost of the Guts, and so on the contrary. The figure of the Guts is round, hollow and capacious, some more,* 1.2 some less, according to the divers bigness.

But for the quantity of the Guts, some are small, some great, more or less, according to the variety of bodies.* 1.3 But they are six in number: for there be three small; the Duodenum, the Jejunum or empty Gut, and the Ileon. Three great, the Blind, the Colick, and the Right-gut. All which have had their names for the following reasons; the first, because it is extended the length of twelve fingers, like another stomach, without any turning; or winding, of which great∣ness it is found in great bodied men, such as were more frequently to be met withall in Galen's time, than in this time of ours; in which, this gut is found no longer than seven, eight, or nine fingers at the most. The cause of this length is, that there may be a free passage to the Gate-vein, coming out of the Liver, as also to the Artery and Nerve which run into it. For seeing that this Gut may sometimes rise to the top of the Liver, it would possess the space under the Bladder of the Gall (with which it is often tincture) if it had any revolutions that way, which is the passage for such like vessels. Others give another reason of this figure, which is, That there should be no∣thing to hinder the easie and fit distribution of the perfectly concocted Chylus to the Liver.

* 1.4The second is called Jejunum, or the empty-Gut, not because it is absolutely so, but because it contains little in comparison of the other. There is a triple cause of this emptiness, the first the multitude of the meseraick Veins and Arteries which are about it, whereupon there is a greater and quicker distribution of the Chylus. The second is the vicinity or neighbourhood of the Liver strongly drawing the Chylus contained in it; the third is the flowing down of the Cholerick hu∣mor from the Bladder of the Gall into it, which ever and anon by its acrimony cleanses away the filth, and by continual flowing solicits it to expulsion. The third is called Ileon, because it lies between the Ilia,* 1.5 or flanks; it differs nothing from the rest in substance and magnitude, but in

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this one thing, that there is more matter contained in it than in the rest, by reason of the paucity of the vessels terminated in it, that it is no marvel that there can be no exact demonstration made of them. The fourth is called Caecum, or the Blind,* 1.6 because it hath but one passage to send out and receive in the matter. This Gut hath a long and strait production, which, according to the opini∣on of some (though altogether erroneous) often falls down intO the Scrotum in the rupture, or re∣laxation of the Rim of the Belly; for, that production in the lower Belly strongly sticks to the Peritonaeum, or Rim, which hinders such falling down. But Galen seems by such a Blind-gut to have meant this long and narrow production; and certainly, so thinks the common sort of Anato∣mists: but here Vesalius justly reprehended Galen. Wherefore Sylvius that he might free Galen of this fault, would have us by the Blind-gut to understand the beginning of the Colick-gut. The fifth is called Colon (or Colick-gut) because it is greater and more capacious than the rest.* 1.7 The sixt and last, the Right-gut, by reason of the rightness or straightness of the passage. This, in beasts especially, hath a certain fatness in it to make the passage slippery, and lest the guts should be ex∣ulcerated in the passage, by the sharpness of hard and acrid excrements.

The site of these guts is thus: The Duodenum upon the back-bone bends to the right hand;* 1.8 the Jejunum possesses a great part of the upper umbilical region, & diffuses it self into both sides with windings, like to those of the Gut Ileum, even to the flanks. The gut Ileon is situate at the lower part of the umbilical region, going with many turnings and windings, even to the hollownesses of the holy-bone above the bladder and side parts of the Hypogastrium, they call the flanks.

The Blind bends to the right hand, a little below the Kidney, above the first and fourth Verte∣bra of the loins. The Colon or Colick-gut is crooked and bent, in the form of a Scythian-bow, filling all the space from the Blind-gut, below the right Kidney even to the hollowness of the Li∣ver, and then it goes by the gibbous part of the stomach above the small-guts, even to the hollow∣ness of the Spleen; from whence sliding under the left Kidney, with some turnings, it is termina∣ted upon the Vertebra's of the Loins.

By all which turnings and windings of the Colick-gut,* 1.9 it is easie to distinguish the pain of the Stone of the Kidneys, which remain fixt in one certain place, from the Colick wandring through those crooked passages we mentioned. The right-gut tends with an oblique site towards the left hand, upon the holy-bone even to the very fundament. They have all one and a common connexi∣on; for they are all mutually joyned together by their coats, because there is but one way from the gullet even to the fundament; but they are joyned to the principal parts by their nerves, veins, and arteries.

But a more proper connexion is that, where the Duodenum on the upper part of it, is joyned with the Pylorus; but on the lower part to the Jejunum, and the parts lying under it; by the coat of the Peritonaeum. The Jejunum, or Empty-gut, is joyned to the Duodenum and Ileon. The Ile∣on, with the empty blind-guts. The blind with the Ileon and Colon, and with the right side of the back-bone where it is tied more straightly. The Colon with the blind and right-guts,* 1.10 and in his middle part, with the Kidneys and gibbous part of the Stomach; whereby it comes to pass, that be∣ing distended with wind in the colick, it over-turns add presses the stomach, and so causes vomiting.

Lastly, the right-gut is annexed with the Colick-gut and Fundament.* 1.11 At the end whereof there is a muscle fastened, of figure round and circular, called the Sphincter, arising from the lower Ver∣tebra's of the holy-bone and rump, by the benefit of which as of a dore or gate, the excrements are restrained at our will, lest man born for all honest actions, without all shame, in every time and place, should be forced every where to ease his belly. For such as have lost the benefit of this mus∣cle by the Palsie, have their excrements go from them against their wills.* 1.12 There is a body situate at the end of the right-gut, and of a middle substance between the skin and flesh, as it were arising from the mixture of them both, like the extremities of the lips, of the same use with the Sphincter, but that it is not altogether so powerful. But there are also certain veins situate about it called the Haemorrhoidal, of which we will speak in their place.

Besides, there are two other muscles that descend to the end of this gut, being broad and membranous on each side, one arising from the side and inner parts of the share and hip-bones, which inserted above the Sphincter pull up the fundament falling down, wherefore they are cal∣led Levatores Ani, or the lifters up of the Fundament. Wherefore when as either they are too weak, or resolved, or the fundament oppressed with the weight of flegmatick, salt,* 1.13 cholerick and sharp humors, the gut is scarce restored into its place, that there is need of the help of the fin∣gers for that purpose.

The guts follow the temper of the stomach.* 1.14 Their action is the distributing the Chylus by the meseraick veins (which of duty belongs to the three small guts) and the receiving the excre∣ments of the Chylus, and retention of them, till a fit time of expulsion, which belongs to the third quarter. Besides, these small guts finish up the work of concoction, begun in the stomach, al∣though they be not altogether made for that use. But nature is often accustomed to abuse the parts of the body for some better use.

But we must note, that for the composure of the guts, they have only transverse fibers,* 1.15 for ex∣pulsion's sake, unless that at the beginning of the Colon, and the end of the right gut, you may see certain right fibers added to the transverse to strengthen them, lest these guts should chance to be broken and torn by the passage of hard excrements, and the laborious endeavour of expulsion (specially in brute beasts.)

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[illustration]
The fifth figure, of the lower belly.

  • A. The brest-blade, Cartilago Ensiformis.
  • BB. the Rim, with the midrisse and broken ribs bent outwards.
  • CC. the gibbous part of the Liver.
  • D. a ligament tying the Liver to the Midriff.
  • E. part of the umbilical vein.
  • FF. the stomach fild full of meat.
  • G. a part of the spleen.
  • H. the blind gut of the late writers, for the An∣cients took the top of the Colon for it.
  • I. the beginning of the great or thick guts.
  • I. and so to K. sheweth the passages of the colick-gut from the right kidney to the liver. And so the co∣lick and the stone on this side are in one place, and therefore hardly distinguished.
  • K. to L. same colick-gut lyeth under the whole bottom of the stomach, which is the reason that those which are troubled with the colick cast so much.
  • L. to M. the passage of the Colon from the Spleen to the share-bone, by the stone and the Colick on the left side, very hard to distinguish.
  • N. the Colon ending in the right gut.
  • O. the beginning of the right-gut unto the bladder.
  • P. Q. the sunken or fallen side of the Colon at P. and his Chambers or Cells at Q R. S. T. the les∣ser guts especially lying under the Navel.
  • aa. The two umbilical arteries.
  • b. the bottom of the bladder.
  • * the connexcion of the bladder and the Peritonae∣um.

* 1.16But if any ask, how they have retention, being they want oblique fibers; he may know, that the faeces are retained in the right-gut, by the force of the Sphincter-muscle, but oft-times in the blind,* 1.17 by their hardness and abundance, whereby they stick in the passage; but in the rest, by reason of their conformation into many windings and turnings. The length of the guts, is seven times more than the length of the whole body; to this length they have windings, lest the nou∣rishment should quickly slide away, and lest men should be with-drawn by gluttony from action and contemplation. For so we see it comes to pass in most Beasts, which have one Gut, stretched straight out from the stomach to the fundament; as in the Lynx, and such other Beasts of insati∣able gluttony, always, like plants, regarding their food.

Notes

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