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.

CHAP. XXIV. The Original and Distribution of the descendent Hollow Vein.

* 1.1BEcause the rest of the natural parts, do almost all depend upon the descendent Hollow Vein, therefore before we go any further, we will shew its original and distribution. We said before that all Veins proceeded from the Liver, but yet in divers places. For the gate-vein goes out of the hollow part, and the hollow vein out of the Gibbous part of the liver, which going forth like the body of a tree, is divided into two great branches; the lesser of which goes to the vital and animal parts, and the extremities of these parts, as we shall shew in their place. The greater, descending from the back-part of the Liver above the Vertebra's of the loins to the parts beneath,* 1.2 goes in the manner following. The first division thereof is to the membranes of the reins, which come from the Peritonaeum. Wherefore there it produces the Venae adiposae, or fatty veins, so called, because they bring forth a great quantity of fat in those places; Of these fatty veins, there is a diverse original; for the right doth oftentimes arise from the right emul∣gent,* 1.3 because it is higher; but the less comes from the very trunk of the hollow vein, because the Emulgent on that side is lower; and you shall scarce see it happen otherwise.

* 1.4The second, being the Kidney or Emulgent veins, go to the Reins, which, at their entrance, or a little before, is divided into two branches, like as the Artery is, the one higher, the other low∣er, and these again into many other through the substance of the Kidneys, as you may learn bet∣ter by ocular inspection, than by book. They are thick and broad, that the serous humour may without impediment have freer passage. Their original is different; for the right Emulgent oftentimes comes forth of the hollow vein somewhat higher than the left; that seeing their office and duty is to purge the mass of blood from the cholerick and serous humour, that if any part thereof slide by the one, it may not so scape, but fall as it were into the other. Which certainly would not have happened, if they had been placed the one just opposite to the other. For the se∣rous or wheyish humour would have stayed as equally ballanced, or poised, by reason of the con∣trariety of the action, and traction or drawing thereof. But, we must remember, that in dissecting of bodies, I have ofttimes found in such as have been troubled with the Stone, seven Emulgent veins, and so many arteries; four from the left side coming from divers places, of which the last came from the Iliack; three from the right hand likewise in divers places.

* 1.5The third division is called the Spermatick, or Seed-vein, it goes to the Testicles; the original thereof is thus, That the right arises on the fore-part of the trunck of the hollow vein; but the left most commonly from the Emulgent. Besides, you shall sometimes find that these have com∣panions with them, to the right Emulgent; but to the left, another from the hollow vein; in some but on one side, in others on both. But also I have sometimes observed the left emulgent to pro∣ceed from the spermatick or Seed-vein.

* 1.6The fourth, because it goes to the Loins, is called Lumbaris; which, in his original and inser∣tion

is wholly like the Artery of the loins. But there are four Lumbares, or Loin-veins,* 1.7 on each side, that is, one in each of the four spaces of the five Vertebra's of the loins.

The fifth division makes the Iliacae, until, passing through the Peritonaeum, they take the names of Crural veins; These are first divided into the musculous, so called, because they goe to the oblique ascendent and transverse muscles, and to the Peritonaeum. Sometimes,* 1.8 they have their ori∣ginal from the end of the Trunk. And the same Iliacae are divided into the Sacrae, or Holy;* 1.9 which go to the spinal marrow of the Holy-bone, through those holes, by which the nerves, ge∣nerated of this marrow, have their passage.

Thirdly, the Iliacae are divided into the Hypogastricae, so called,* 1.10 because they are distributed to all the parts of the Hypogastrium, or lower part of the lower belly, as to the right Gut, the muscles thereof, the musculous skin, (in which place they often make the external Haemorrhoidal, ordained for the purging of such blood as offends in quantity, as those other [that is, the inward Haemorrhoidal] which descend from the right Gut from the Gate-vein by the spleenick branch, serves for cleansing that which offends in quality,) to the bladder, & the neck thereof, even to the end of the Yard, to the Womb, and even to the neck of the womb and utmost part of the privities, from whence it is likely the courses break forth in Women with child, and Virgins. But this same vein also sends a portion also without the Epigastrium by that perforation which is common to the share and haunch-bones, which, strengthened by the meeting of the other internal Crural vein, de∣scends even to the Ham; but in the mean time, by the way, it is communicated to the muscles of the thigh called Obturatores and other parts within. Fourthly, the Iliacae produce the Epigastricae,* 1.11 which on both sides from below ascend according to the length of the right muscles, spreading also by the way some branches to the oblique and transverse muscles, and also to the Peritonaeum. Fifthly, these produce Iliacae, the Pudendae, or veins of the privities;* 1.12 because they go in women to their privities, and in men to the Cods; where they enter that fleshy coat filled with veins, and going to the skin of the Yard, they take their beginning under the Hypogastricae.

Notes

• * 1.1

  The original of the Hollow vein.

  It is divided into two Trunks.
• * 1.2

  The division of the greater branch of the hollow vein.
• * 1.3

  1. Adiposa.
• * 1.4

  2. Emulgens.
• * 1.5

  3. Spermatica.
• * 1.6

  4. Lumbaris.
• * 1.7

  5. Iliacae which are divided into.
• * 1.8

  1. Musculosae.
• * 1.9

  2. Sacrae.
• * 1.10

  3. Hypagastricae, which produce the Haemor∣rhoidales ex∣ternae.
• * 1.11

  4. Epigastricae.
• * 1.12

  5. Pudendae.