A BREEFE TREATISE OF THE ANATOMIE OF MANS BODY : COMPYLED BY ME THOMAS VYCURIE ESQUIRE , AND SARGEANT CHIRURGION TO KING HENRY THE EYGHT , FOR THE USE AND COMMODITIE OF AL VNLEARNED PRACTICIONERS IN CHIRURGERIE . (VICARY-E1-P1,12.3) In the name of God , (VICARY-E1-P1,12.7) Amen ! (VICARY-E1-P1,12.8) Heere I shal declare vnto you shortly and breefly the sayinges and the determinations of diuers auncient Authors , in three poyntes , very expedient for al men to knowe , that entende to vse or exercise the mysterie or arte of Chirurgerie . (VICARY-E1-P1,12.9) The first is , to knowe what thing Chirurgerie is : (VICARY-E1-P1,12.10) The Second is , how that a Chirurgion should be chosen : (VICARY-E1-P1,12.11) And the thirde is , with what properties a Surgion should be indued . (VICARY-E1-P1,12.12) The fyrst is , to know what thing Chirurgerie is . (VICARY-E1-P1,12.13) Heerein I doe note the saying of Lamfranke , whereas he sayth , Al thinges that man would knowe , may be knowen by one of these three thinges : That is to say , by his name , or by his working , or els by his very being and shewing of his owne properties . (VICARY-E1-P1,12.14) So then it followeth , that in the same manner we may know what Chirurgerie is by three thinges . (VICARY-E1-P1,12.15) First , by his name , as thus , The Interpreters write , that Surgerie is deriued oute of these wordes , Apo tes chiros , cai tou ergou , that is too bee vnderstanded , A hand working , (VICARY-E1-P1,12.16) and so it may be taken for al handy artes . (VICARY-E1-P1,13.18) But noble Ipocras sayth , that Surgerie is hande working in mans body ; (VICARY-E1-P1,13.19) for the very ende and profite of Chirurgerie is hande working . (VICARY-E1-P1,13.20) Nowe the seconde manner of knowing what thing Chirurgerie is , it is the saying of Anicen {COM:sic} to be knowen by his beeing , (VICARY-E1-P1,13.21) for it is verely a medecinal science : (VICARY-E1-P1,13.22) and as Galen sayth , he that wyl knowe the certentie of a thing , let him not busy him selfe to knowe only the name of that thing , but also the working and the effect of the same thing . (VICARY-E1-P1,13.23) Nowe the thirde way to knowe what thing Chirurgerie is , It is also to be knowen by his beeing or declaring of his owne properties , the which teacheth vs to worke in mannes body with handes : as thus , In cutting or opening those partes that be whole , and in healing those partes that be broken or cut , and in taking away that that is superfluous , as warts , wennes , skurfulas , and other lyke . (VICARY-E1-P1,13.24) But further to declare what Galen sayth Surgery is , It is the laste instrument of medecine : That is to say , Dyet , Pocion , and Chirurgerie : of the whiche three , sayth he , Dyet is the noblest and the most vertuous . (VICARY-E1-P1,13.25) And thus he sayth , whereas a man may be cured with Dyet onely , let there be geuen no maner of medicine . (VICARY-E1-P1,13.26) The seconde instrument is Pocion : (VICARY-E1-P1,13.27) for and if a man may be cured with Dyet and Pocion , let there not be ministred any Chirurgerie . (VICARY-E1-P1,13.28) The thirde and laste Instrument is Chirugerie , through whose vertue and goodness is remoued and put away many greeuous infirmities and diseases , which might not have bene remoued , nor yet put away , neither with Diet nor with Pocion . (VICARY-E1-P1,13.29) And by these three meanes it is knowen what thing Chirurgerie is . (VICARY-E1-P1,13.30) And this suffiseth for vs for that poynt . (VICARY-E1-P1,13.31) Nowe it is knowen what thing Chirurgerie is , there must also be chosen a man apt and mete to minister Surgerie , or to be a Chirurgion . (VICARY-E1-P1,13.32) And in this poynt al Authors doo agree , that a Chirurgion should be chosen by his complexion , and that his complexion be very temperate , and al his members wel proportioned . (VICARY-E1-P1,14.33) For Rasis sayth , Whose face is not seemely , it is vnpossible for him for to haue good manners . (VICARY-E1-P1,14.34) And Aristotle , the great Philosopher , writeth in his Epistles to the noble king Alexander as in those Epistles more playnely doth appeare howe hee should choose al suche persons as should serue him , by the forme and shape of the face , and al other members of the body . (VICARY-E1-P1,14.35) And furthermore they say , he that is of an euill complexion , there must needes folowe like conditions . Wherefore it agreeth that a Chirurgion must be both-4 of a good and temperate complexion , as is afore rehearsed . And principally , that he be a good lyuer , and a keeper of the holy commaundaments of God , of whom commeth al cunning and grace , and that his body be not quaking , and his hands stedfast , his fingers long and smal , and not trembling ; and that his left hand be as ready as his right hande , with al his lymmes able to fulfil the good workes of the soule . (VICARY-E1-P1,14.36) Nowe here is a man meete to be made a Chirurgion . (VICARY-E1-P1,14.37) And thoughe he haue al these good qualities before rehersed , yet is he no good Chirurgion , but a man very fitte and meete therfore . (VICARY-E1-P1,14.38) Now then , to knowe what properties and conditions this man must haue before he be a perfect Chirurgion . (VICARY-E1-P1,14.39) And I doo note foure thinges moste specially that euery Chirurgion ought for to haue : (VICARY-E1-P1,14.40) The first , that he be learned ; (VICARY-E1-P1,14.41) the seconde , that he be expert ; (VICARY-E1-P1,14.42) the thirde , that he be ingenious ; (VICARY-E1-P1,14.43) the fourth , that he be wel manered . (VICARY-E1-P1,14.44) The first I sayde , he ought to be learned , and that he knows his principles , not onely in Chirurgerie , but also in Phisicke , that he may the better defende his Surgery . (VICARY-E1-P1,14.45) Also he ought to be seene in natural Philosophie , and in Grammar , that he speake congruitie in Logike , that teacheth him to proue his proportions with good reason . In Rethorike , that teacheth him to speake seemely and eloquently : also in Theorike , that teacheth him to knowe thinges natural and not natural , & thinges agaynst nature . (VICARY-E1-P1,15.46) Also he must knowe the Anatomie ; (VICARY-E1-P1,15.47) for al authors write against those Surgions that worke in mans body , not knowing the Anatomie ; (VICARY-E1-P1,15.48) for they be likened to a blind man that cutteth in a vine tree , (VICARY-E1-P1,15.49) for he taketh more or lesse than he ought to doo . (VICARY-E1-P1,15.50) And here note wel the saying of Galen , the prince of Philosophers , in his Estories , that it is as possible for a Surgion not knowing the Anatomie , to worke in mans body without error , as it is for a blind man to carue an Image & make it perfyt . (VICARY-E1-P1,15.51) The .ij. I said , he must be expert ; (VICARY-E1-P1,15.52) for Rasus sayth , he ought to knowe and to see other men work , and after to have vse and exercise . (VICARY-E1-P1,15.53) The thirde , that he be ingenious or wittie , (VICARY-E1-P1,15.54) for al thinges belonging to Chirurgerie may not be written , nor with letters set foorth . (VICARY-E1-P1,15.55) The fourth , I sayde , that he muste be wel manered , and that he haue al these good conditions here folowing : (VICARY-E1-P1,15.56) First , that he be no spous-breaker , nor no drunkarde . (VICARY-E1-P1,15.57) For the Philosophers say , amongst all other thinges beware of those persons that followe dronkennes , (VICARY-E1-P1,15.58) for they be accompted for no men , because they liue a life bestiall : wherfore amongst al other sortes of people , they ought to be sequestred from the ministring of medicine . (VICARY-E1-P1,15.59) Likewise a Chirurgion must take heede that he deceiue no man with his vague promises , for to make of a smal matter a great , because he woulde be counted the more famous . (VICARY-E1-P1,15.60) And amongest other thinges , they maye neither-1 be flatterers , nor mockers , nor priue backbyters of other men . (VICARY-E1-P1,15.61) Likewise they muste not be proude , nor presumptuous , nor detracters of other men . (VICARY-E1-P1,15.62) Likewise they ought not to be too couetous , nor no nigarde , & namely amongst their freendes , or men of worship ; (VICARY-E1-P1,16.63) but let them be honest , curteous , and free , both-1 in worde and deede . (VICARY-E1-P1,16.64) Likewise they shal geue no counsayle except they be asked , and then say their aduise by good deliberation ; (VICARY-E1-P1,16.65) and that they be wel advised afore they speake , chefly in the presence of wise men . (VICARY-E1-P1,16.66) Likewise they muste be as priuie and as secrete as anye Confessour , of al thinges that they shal eyther heare or see in the house of their Pacient . (VICARY-E1-P1,16.67) They shal not take into their cure any maner of person , except he wyl be obedient unto their preceptes ; (VICARY-E1-P1,16.68) for he can not be called a pacient , vnlesse he be a sufferer . (VICARY-E1-P1,16.69) Also that they doo their diligence aswel to the poore as to the riche . (VICARY-E1-P1,16.70) They shal neuer discomfort their patient , (VICARY-E1-P1,16.71) and shall commaunde all that be about him that they doo the same ; but to his freendes , speake truthe , as the case standeth . (VICARY-E1-P1,16.72) They must also be bolde in those thinges whereof they be certayne , and as dreadfull in al perilles . (VICARY-E1-P1,16.73) They may not chide with the sicke , but be alwayes pleasaunt and mery . (VICARY-E1-P1,16.74) They must not couet any woman by wage of vylanie , & specially in the house of their Patient . (VICARY-E1-P1,16.75) They shal not , for couetousnes of money , take in hande those cures that be vncurable , nor neuer set any certaine day of the sickemans health , (VICARY-E1-P1,16.76) for it lyeth not in their power : folowing the distinct counsayle of Galen , in the amphorisme of Ipocras , saying , Oportet seipsum non solum . (VICARY-E1-P1,16.77) By this , Galen meaneth , that to the cure of every sore there belongeth foure thinges ; of which , the first and principal belongeth to God , the second to the Surgion , the thirde to the Medicine , and the fourth to the Patient . Of the whiche foure , and if any one doo fayle , the Pacient can not be healed : (VICARY-E1-P1,16.78) then they , to whom belongeth but the fourth parte , shal not promise the whole , but bee first wel advised . (VICARY-E1-P1,16.79) They must also be gracious and good to the poore ; and of the rich take liberally for bothe . And see they neuer prayse themselues , (VICARY-E1-P1,17.80) for that redoundeth more to their shame and discredite , then to their fame and worship : (VICARY-E1-P1,17.81) For a cunning and skilful Chirurgion neede neuer vaunt of his dooings , (VICARY-E1-P1,17.82) for his works wyll ewer get credite ynough . (VICARY-E1-P1,17.83) Likewise , that they despise no other Chirurgion without a great cause ; (VICARY-E1-P1,17.84) for it is meete that one Chirurgion should loue another , as Christe loueth vs all . (VICARY-E1-P1,17.85) And in thus dooing , they shall increase both-1 in vertue & cunning , to the honour of God and worldly fame . To whome he bring vs al . (VICARY-E1-P1,17.86) Amen ! (VICARY-E1-P1,17.87) Heereafter foloweth the Anathomie of the simple members . (VICARY-E1-P1,17.89) And if it be asked you how many simple members there be , it is to be answered , eleuen , and two that be but superfluities of members ; (VICARY-E1-P1,17.90) and these be they , Bones , Cartylages , Nerves , Pannykles , Lygaments , Cordes , Arteirs , Weines , Fatnes , Fleshe and Skinne : (VICARY-E1-P1,18.91) and the superfluities be the heares & the nayles . (VICARY-E1-P1,18.92) I shal beginne at the Bone , because it is the fundation , and the hardest member of al the body . (VICARY-E1-P1,18.93) The Bone is a consimile member , simple and spermatike , and colde and dry of complexion , insencible , and inflexible ; (VICARY-E1-P1,18.94) and hath diuers formes in mans body , for the diuersitie of helpings . (VICARY-E1-P1,18.95) The cause why there be many bones in mans body , is this : (VICARY-E1-P1,18.96) Sometime it is needeful that one member or one lymme should moue without another . (VICARY-E1-P1,18.97) Another cause is , that some defende the principal members , as dothe the bone of the brest , and of the head : (VICARY-E1-P1,18.98) and some to be the fundation of diuers partes of the body , as the bones of the Ridge , and of the legges : (VICARY-E1-P1,18.99) and some to fulfyll the hollowe places , as in the handes and feete , &c. (VICARY-E1-P1,18.100) The Grystle is a member simple and spermatike , next in hardnes to the bone , (VICARY-E1-P1,18.101) and is of complexion colde and drye , and insencible . (VICARY-E1-P1,18.102) The grystle was ordeyned for sixe causes or profites that I fynd in it : (VICARY-E1-P1,18.103) The first is , that the continual mouing of the hard bone might not be done in a iuncture , but that the grystle should be a meane betweene the Lygament and him : (VICARY-E1-P1,18.104) The seconde is , that in the time of concussion or oppression , the softe members or limmes should not be hurt of the harde : (VICARY-E1-P1,19.105) The thirde is , that the extremitie of bones and Ioyntes that be gristly , might the easelyer be folded and moued together without hurt : (VICARY-E1-P1,19.106) The fourth is , for that it is necessarie in some meane places to put a grystle , as in the throte bowel for the sounde : (VICARY-E1-P1,19.107) The fyfth is , for that it is needeful that some members be holden vp with a grystle , as the liddes of the eyes : (VICARY-E1-P1,19.108) The sixth is , that some limmes haue a sustayning and a drawing abrod , as in the nose and the eares , &c. (VICARY-E1-P1,19.109) The Lygament is a member consimple , simple , and spermatike , next in hardnes to the gristle , and of complexion cold and dry , (VICARY-E1-P1,19.110) and is flexible and insensible , (VICARY-E1-P1,19.111) and byndeth the bones together . (VICARY-E1-P1,19.112) The cause why he is flexible and insencible is this : (VICARY-E1-P1,19.113) If it had bene sensible , he mighte not haue suffred the labour and mouing of the ioynts : (VICARY-E1-P1,19.114) and if it had not ben flexible of his bowing , one lymme should not haue moued without another . (VICARY-E1-P1,19.115) The seconde profite is , that he be ioyned with sinews , for to make Cordes & Brawnes : (VICARY-E1-P1,19.116) The thirde helpe is , that he be a resting place to some sinewes : (VICARY-E1-P1,19.117) The fourth profite is , that by him the members that be within the body be sustayned , as the matrix and kidneys , and diuers other , &c. (VICARY-E1-P1,19.118) The Sinew is a consimiler member , simple and spermatike , meane betweene harde and softe , and in complexion colde and drye , (VICARY-E1-P1,19.119) and he is both flexible and sensible , strong and tough , hauing his beginning from the braine , or from Mynuca , whiche is the marow of the backe . (VICARY-E1-P1,19.120) And from the brayne commeth .vij. payre of Nerues sensatiues ; (VICARY-E1-P1,19.121) and from Mynuca commeth .xxx. payre of Nerues motius , and one that is by him selfe , that springeth of the last spondel . (VICARY-E1-P1,19.122) Al these senews ; haue both feeling and mouing ; (VICARY-E1-P1,19.123) in some more , (VICARY-E1-P1,19.124) and in some lesse , &c. (VICARY-E1-P1,19.125) A Corde or Tendon is a consimple or official member , compounde and spermatike , synowy , strong , and tough , meanly betweene hardenes and softnes , and meanely sensible and flexible , and in complexion colde and dry . (VICARY-E1-P1,20.127) And the Corde or Tendon is thus made : (VICARY-E1-P1,20.128) The synewes that come from the brayne & from Mynuca , and go to moue the members , is intermingled with the Lygamentes ; (VICARY-E1-P1,20.129) and when the Synewes and Lygamentes are intermingled together , then is made a corde . (VICARY-E1-P1,20.130) And three causes I perceyue why the Cordes were made : (VICARY-E1-P1,20.131) The fyrst is , that the Synewe alone is so sensible that he may not suffer the great labour and trauel of mouing , without the felowship and strength of the Lygament that is insencible , and that letteth his great feeling , and bringeth him to a perfect temperaunce , (VICARY-E1-P1,20.132) and so the Cordes moue the limmes to the wil of the soule . (VICARY-E1-P1,20.133) And this Corde is associated with a simple flesh , (VICARY-E1-P1,20.134) and so therof is made a brawne or a muskel , on whom he might rest after his travel . (VICARY-E1-P1,20.135) And this Brawne is called a Muskle . (VICARY-E1-P1,20.136) Then when this Corde is entred into this brawne , he is departed into many smal threeds , the whiche be called ' wylle . ' (VICARY-E1-P1,20.137) And this wyl hath three properties : (VICARY-E1-P1,20.138) The fyrst is in length , by whose vertue that draweth , it hath might : The seconde in breadth , by whome the vertue that casteth out hath might : The third in thwartnes , in whom the vertue that holdeth hath might : (VICARY-E1-P1,20.139) and at the ende of the Brawne those threedes be gathered to make another muskel , &c. (VICARY-E1-P1,20.140) Nowe I wyl begynne at the Artere . (VICARY-E1-P1,20.141) This Artere is a member consimyle , simple and spermatike , hollowe and synowy , hauing his springing from the hart , bringing from the harte to euery member , blood and spirite of lyfe . (VICARY-E1-P1,21.142) It is of complexion cold and drye . (VICARY-E1-P1,21.143) And al these Arteres have two cotes , except one that goth to the Lunges , (VICARY-E1-P1,21.144) and he hath but one cote that spreadeth abrode in the Lungs , and bringeth with him to the Lunges blood , with the spirits of lyfe to nourishe th Lungs withal : (VICARY-E1-P1,21.145) and also that Artere bringeth with him from the lunges ayre to temper the fumous heate that is in the harte . (VICARY-E1-P1,21.146) And this Artere is he that is called Arteria venalis , because he hath but one cote as a vayne , and is more obedient to be delated abrode through al the lunges , because that the blood might the sooner sweate through him : wheras al other Arters have two cotes , because one cote may not withstande the might and power of the spirit of life . (VICARY-E1-P1,21.147) Diuers other causes there be , which shal be declared in the Anathomie of the brest , &c. (VICARY-E1-P1,21.148) The Veyne is a symple member , in complexion colde and drye , and spermatike , like to the Artere , hauing his beginning from the Lyuer , and bringing from the Lyuer nutritiue blood , to nourishe every member of the body with . (VICARY-E1-P1,21.149) And it is so to be vnderstanded , that there is no more difference betweene these two vessels of blood , but that the Artere is a vessel of blood spiritual or vytal . (VICARY-E1-P1,21.150) And the Veyne is a vessel of blood nutrimental , of the which Veynes there is noted two most principal , of the which one is called vena porta ; (VICARY-E1-P1,22.151) the other is called uenacelis , of whom it is too much to treate of now , vntyll we come to the anathomie of the wombe , &c. (VICARY-E1-P1,22.152) The flesh is a consimiler member , simple , not spermatike , (VICARY-E1-P1,22.153) and is ingendred of blood congeled by heate , (VICARY-E1-P1,22.154) and is in complexion hote and moyst . Of the which is noted three kindes of fleshes ; that is to say , one is soft & pure fleshe : (VICARY-E1-P1,22.155) the seconde is muskulus , or hard & brawny flesh : (VICARY-E1-P1,22.156) the thirde is glandulus , knotty , or kurnelly fleshe . (VICARY-E1-P1,22.157) Also the commodities of the fleshe be indifferent , (VICARY-E1-P1,22.158) for some be common to euery kinde of fleshe , (VICARY-E1-P1,22.159) and some be proper to one maner of fleshe alone . (VICARY-E1-P1,22.160) The profytes of the fleshe be many ; (VICARY-E1-P1,22.161) for some defende the bodye from colde , as dothe clothes : (VICARY-E1-P1,22.162) also it defendeth the body from harde thinges comming agaynst it : (VICARY-E1-P1,22.163) also through his moysture he rectifieth the body in sommer , in time of great heate . Wherefore it is to be considered what profitablenes is in euery kinde of fleshe by him selfe . (VICARY-E1-P1,22.164) And fyrst of simple and pure fleshe , whiche fulfylleth the concauities of voyde places , and causeth good forme and shape : (VICARY-E1-P1,22.165) and this fleshe is founde betweene the teeth , and on the ende of the yarde . (VICARY-E1-P1,22.166) The profite of the Brawny fleshe , or muskulus fleshe , shal be spoken of in the Anathomie of the armes . (VICARY-E1-P1,22.167) The profites of the Glandulus fleshe are these : (VICARY-E1-P1,22.168) First , that it turneth the blood into a cullour like to him selfe , as doth the fleshe of a womans paps turne the menstrual blood into mylke : (VICARY-E1-P1,22.169) secondly , the Glandulus fleshe of the Testikles turneth the blood into sparme : (VICARY-E1-P1,22.170) thirdly , the Glandulus flesh of the cheekes , that ingendreth the spittle , &c. (VICARY-E1-P1,22.171) The next is of Fatnes , of the whiche I finde three kindes : (VICARY-E1-P1,23.173) The firste is Pinguedo , (VICARY-E1-P1,23.174) and it is a consimilar member , not spermatike , (VICARY-E1-P1,23.175) and it is made of a subtyl portion of blood congeled by colde : (VICARY-E1-P1,23.176) and it is of complexion colde and moyst , insencible , (VICARY-E1-P1,23.177) and is intermedled amongest the partes of the fleshe . (VICARY-E1-P1,23.178) The seconde is Adeppes , (VICARY-E1-P1,23.179) and is of the same kinde as is Pinguedo , (VICARY-E1-P1,23.180) but it is departed from the fleshe besydes the skinne , (VICARY-E1-P1,23.181) and it is as an oyle , heating and moysting the skinne . (VICARY-E1-P1,23.182) The thirde is Auxingia , (VICARY-E1-P1,23.183) and it is of kinde as the others be , (VICARY-E1-P1,23.184) but he is departed from the fleshe withinforth about the kidneys , and in the intrayles , (VICARY-E1-P1,23.185) and it helpeth both the kidneys and the intrayles from drying by his vnctiositie , &c. (VICARY-E1-P1,23.186) Then come we to the Skinne . (VICARY-E1-P1,23.187) The Skinne is a consimile member or officiall , partely spermatike , strong and tough , flexible and sencible , thinne and temperate , Wherof there be two kindes : (VICARY-E1-P1,23.188) One is the Skinne that couereth the outwarde members : and the other the inner members , whiche is called a Pannicle , the profitablenesse of whome was spoken of in the laste Lesson : (VICARY-E1-P1,23.189) But the Skinne is properlye wouen of Threedes , Nerues , Veynes , and Arteirs . (VICARY-E1-P1,23.190) And he is made temperate , because he should be a good deemer of heate from colde , and of moystnes from drynes , that there shoulde nothing noye nor hurt the body , (VICARY-E1-P1,23.191) but it geueth warning to the common wittes thereof , &c. (VICARY-E1-P1,23.192) The Heyres of euery part of mans body are but a superfluitie of members , made of the grosse fume or smoke passing out of the viscoues matter , thickened to the forme of heyre . (VICARY-E1-P1,24.193) The profitablenesse of him is declared in the Anathomie of the head , &c. (VICARY-E1-P1,24.194) The Nayles likewise are a superfluitie of members , engendred of great earthly smoke or fume resolued through the natural heate of humours , (VICARY-E1-P1,24.195) and is softer then the Bone , & harder then the Fleshe . (VICARY-E1-P1,24.196) In comeplexion they be colde and drye , (VICARY-E1-P1,24.197) and are alwayes waxing in the extremitie of the fyngers and toes . (VICARY-E1-P1,24.198) The vtilitie of them are , that by them a man shal take the better holde : (VICARY-E1-P1,24.199) also they helpe to clawe the body when it needeth : (VICARY-E1-P1,24.200) Lastly , they helpe to deuide thinges , for lacke of other tooles , &c. (VICARY-E1-P1,24.201) Heereafter foloweth the Anathomie of the compound members , (VICARY-E1-P1,24.203) and first of the head . (VICARY-E1-P1,24.204) Because the head of man is the habitation or dwelling place of the reasonable some of man , therefore , with the grace of God , I shal fyrst speake of the Anatomie of the head . (VICARY-E1-P1,24.205) Galen saith in the seconde Chapter De iuuamentis , and Auicen rehearseth the same in hys fyrst preposition and third Chapter , prouing that the Head of man was made neither for Wittes , nor yet for the Braynes , but onely for the eyes . (VICARY-E1-P1,24.206) For beastes that haue no heades , haue the orgayne or instrumentes of Wittes in their brests . (VICARY-E1-P1,24.207) Therefore God and nature have reared vp the head of man onely for the eyes , (VICARY-E1-P1,24.208) for it is the hyest member of man : (VICARY-E1-P1,24.209) and as a beholder or watchman standeth in a highe Towre to geue warning of the Enemies , so doth the Eye of man geue warning vnto the common Wittes , for the defence of all other members of the body . (VICARY-E1-P1,25.210) Nowe to our purpose . (VICARY-E1-P1,25.211) If the question be asked , how many things be there conteyning on the head , and howe many thinges conteyned within the head ? As it is rehearsed by Guydo , there bee but fyue conteining , and as many conteined : as thus , The Heyre , the Skinne , the Flesh , the Pannicles , and the Bone , neither-5 rehearsing Veyne nor Artere . The which Anathomie , can not be truly without them both , as thou shalt wel perceive both in this Chapter , but specially in the next . (VICARY-E1-P1,25.212) And nowe in this lesson I shall speake but of Heire , Skinne , Fleshe , Veines , Pannicles , and Bones , what profite they doo to man , every of them in his kinde . (VICARY-E1-P1,25.213) Of the Heire of the head whose creation is knowen in the Anatomie of the simple members I doo note foure vtilities why it was ordeyned : (VICARY-E1-P1,25.214) the fyrst is , that it defendeth the Brayne from too muche heate , and too muche colde , and many other outwarde noyances : (VICARY-E1-P1,25.215) The seconde is , it maketh the forme or shape of the head to seeme more seemelyer or beautyfuller . (VICARY-E1-P1,25.216) For if the head were not heyred , the face and the heade should seeme but one thing ; (VICARY-E1-P1,25.217) and therefore the heyre formeth and shapeth the head from the face : (VICARY-E1-P1,25.218) The thirde is , that by the cullour of the heyre is witnessed & knowen the complexion of the Brayne : (VICARY-E1-P1,25.219) The fourth is , that the fumosities of the brayne might assend and parse lyghtlyer out by them . (VICARY-E1-P1,25.220) For if there were a sad thing , as the skinne or other , of the same nature as the heyre is , the fumosities of the brayne might not haue passed throwe it so lightly , as it doth by the heyre . (VICARY-E1-P1,25.221) The Skinne of the head is more lazartus , thicker , and more porrus than any other Skinne of any other member of the body . (VICARY-E1-P1,25.222) And two causes I note why : (VICARY-E1-P1,25.223) One is , that it keepeth or defendeth the brayne from too muche heat and colde , as doth the heyre : (VICARY-E1-P1,25.224) The other , it discusseth to the common wittes of al thinges that noyeth outwardly , (VICARY-E1-P1,26.225) for the heyre is insencible : (VICARY-E1-P1,26.226) The thirde cause why the skinne of the head is more thicker then any other skinne of the body , is this , that it keepeth the brayne the more warme , and is the better fence for the brayne , (VICARY-E1-P1,26.227) and it bindeth and keepeth the bones of the head the faster together . (VICARY-E1-P1,26.228) Next followeth the Fleshe , the which is al Musculus or Lazartus fleshe , lying vpon pericranium without meane . (VICARY-E1-P1,26.229) And it is made of subtile Wylle , and of simple fleshe , Synewes , Veines , & Arteirs . (VICARY-E1-P1,26.230) And why the fleshe that is al musculus or lazartus in euery member of a mans body was made , is for three causes : (VICARY-E1-P1,26.231) the fyrst is , that by his thicknes he shoulde comforte the digestion of other members that lye by him : (VICARY-E1-P1,26.232) The seconde is , that through him euery member is made the more formelyer , and taketh the better shape : (VICARY-E1-P1,26.233) The thirde is , that by his meanes euery member of the body draweth to him norishing , the which others withholde to put foorth from them : as it shal be more playnlyer spoken of in the Anathomie of the wombe . (VICARY-E1-P1,26.234) Next followeth Pericranium , or the couering of the bones of the head . (VICARY-E1-P1,26.235) But heere it is to be noted of a Veyne and an Artere that commeth betweene the flesh and this Pericranium , that nourisheth the vtter part of the head , and so entreth priuily through the commissaries of the skul , bearing to the Brayne and to his Pannikles nourishing : of whose substaunce is made bothe Duramater , and also Pericranium , as shall be declared in the Partes conteyned in the head . (VICARY-E1-P1,27.236) Here it is to be noted of this Pannikle , Pericranium , that it bindeth or coxnpasseth al the bones of the head , unto whom is adioyned the Duramater , and is also a part of his substaunce , howbeit they be separated , (VICARY-E1-P1,27.237) for Duramater is nerer y=e= brayne , (VICARY-E1-P1,27.238) and is vnder the skull . (VICARY-E1-P1,27.239) This Pericranium was made principally for two causes : (VICARY-E1-P1,27.240) one is , that for his strong bynding together he should make firme and stable the feeble commissaries or seames of the bones of the head : (VICARY-E1-P1,27.241) The other cause is , that it shoulde be a meane betweene the harde bone and the softe fleshe . (VICARY-E1-P1,27.242) Nexte is the Bone of the Pot of the head keeping in the Braynes , of which it were too long to declare their names after al Authors , as they number them and their names ; (VICARY-E1-P1,27.243) for some name them after the Greeke tongue , and some after the Arabian ; (VICARY-E1-P1,27.244) but in conclusion , al is to one purpose . (VICARY-E1-P1,27.245) And they be numbred seuen bones in the pan or skul of the head : (VICARY-E1-P1,27.246) the fyrst is called the Coronal bone , in which is y=e= Orbyts or holes of the Eyes , (VICARY-E1-P1,27.247) and it reacheth from the Browes unto the middest of the head , (VICARY-E1-P1,27.248) and there it meteth with the seconde bone called Occipissial , a bone of the hinder part of the head called the Noddel of the head , which two bones , Coronal and Occipissiale , be deuided by the Commissaries in the middes of the head . (VICARY-E1-P1,27.249) The thirde and fourth bones be called Parietales , (VICARY-E1-P1,27.250) and they be the bones of the sideling parts of the head , (VICARY-E1-P1,27.251) and they be deuided by the Commissories both-1 from the foresayde Coronal and Occipissial . (VICARY-E1-P1,27.252) The fyfth and the syxth bones be called Petrosa or Mendosa : (VICARY-E1-P1,28.253) and these two bones lye ouer the bones called Parietales , on euery side of the head one , lyke skales , in whom be y=e= holes of the eares . (VICARY-E1-P1,28.254) The seuenth and last of the head is called Paxillarie , or Bazillarie ; the whiche bone is , as it were , a wedge vnto all the other seuen bones of the head , and doth fasten them togeather . (VICARY-E1-P1,28.255) And thus be all numbred : (VICARY-E1-P1,28.256) the first is the Coronal bone , (VICARY-E1-P1,28.257) the seconde is the Occipissial , (VICARY-E1-P1,28.258) the thirde and the fourth is Parietales , (VICARY-E1-P1,28.259) the fyfth and the sixth is Petrosa or Mendosa , (VICARY-E1-P1,28.260) and the seuenth is Paxillari , or Bazillari . (VICARY-E1-P1,28.261) And this suffiseth for the fyue thinges conteyning . (VICARY-E1-P1,28.262) The Eare is a member semely and grystlye , able to be folden without , (VICARY-E1-P1,35.264) and is the orgayne or instrument of hearing : (VICARY-E1-P1,35.265) It is of complexion cold and drye . (VICARY-E1-P1,35.266) But why the eare was set vp out of the head , is this , that the soundes that be very fugitiue should lurke and abyde vnder his shadowe , tyl it were taken of the instrumentes of hearing : (VICARY-E1-P1,35.267) Another cause is , that it should keepe the hole that it standeth ouer , from thinges falling in , that might hinder the hearing . (VICARY-E1-P1,35.268) The senewes that are the Orgayns or Instrumentes of hearing , spring from the Brayne , from whence the seuen payre of senewes do spring ; (VICARY-E1-P1,35.269) & when they come to the hole of the Eare , there they writhe lyke a wyne press ; (VICARY-E1-P1,35.270) and at the endes of them there be like the head of a worme , or like a little teat , in whiche is receyued the sounde , and so caried to the common wittes . (VICARY-E1-P1,35.271) The Eyes be nexte of nature vnto the Soule : (VICARY-E1-P1,35.272) for in the Eye is seene and knowen the disturbances & greefes , gladnes and ioyes of the Soule , as loue , wrath , and other passions . (VICARY-E1-P1,35.273) The Eyes be the instrumentes of sight . (VICARY-E1-P1,35.274) And they bee compounde and made of ten things : that is to say , of seuen Tunicles or Cotes , and of three humours . Of the whiche sayth Galen the Brayne and the head were made for the Eye , that they might be in the hyest place , as a beholder in a towre , as it was rehearsed in the Anatomie of the head . (VICARY-E1-P1,36.275) But diuers men holde diuers opinions of the Anatomie of the Eyes : (VICARY-E1-P1,36.276) for some men accompt but three tunikles , and some sixe . (VICARY-E1-P1,36.277) But in conclusion , they meane all one thing : (VICARY-E1-P1,36.278) For the very truth is , that there be counted and reckoned seuen Tunikles , that is to say , Sclirotica , Secondyna , Retyna , Vnia , Cornua , Arania , and Coniunctiva : and these three humours , that is to say , humour Vitrus , humor Albigynus , and humor Crystallinus . (VICARY-E1-P1,36.279) It is be knowen howe and after what maner they spring . (VICARY-E1-P1,36.280) You shal vnderstande , that there springeth of the brayny substaunce of his formost Ventrikles , two senewes , The one from the right side , and the other from the left , (VICARY-E1-P1,36.281) and they be called the fyrst payre , (VICARY-E1-P1,37.282) for in the Anatomie they be the first paire of senewes that appeare of al seuen . (VICARY-E1-P1,37.283) And it is shewed by Galen , that these senews be hollowe as a reede , for two causes . (VICARY-E1-P1,37.284) The fyrst is , that the visible spirit might passe freely to the Eyes : (VICARY-E1-P1,37.285) the second is , that the forme of visible thinges mighte freely be presented to the common wits . (VICARY-E1-P1,37.286) Nowe marke the gooing foorth of these senewes : (VICARY-E1-P1,37.287) When these senewes goo out from the substaunce of the Brayne , he commeth through the Piamater , of whose substaunce he taketh a Pannicle or a Cote : (VICARY-E1-P1,37.288) and the cause why he taketh that Pannicle , is to keepe him from noying ; (VICARY-E1-P1,37.289) and before they enter into the skul , they meete , (VICARY-E1-P1,37.290) and are vnited into one senewe the length of halfe an inche : (VICARY-E1-P1,37.291) and then they depart agayne into two , (VICARY-E1-P1,37.292) and eche goeth into one eye , entring through the brayne panne ; (VICARY-E1-P1,37.293) and these senewes be called Nerui optici . (VICARY-E1-P1,37.294) And three causes I finde why these Nerues are ioyned in one before they passe into the Eye : (VICARY-E1-P1,37.295) First , if it happen any diseases in one eye , the other should receyue all the visible spirite that before came to bothe : (VICARY-E1-P1,37.296) The seconde is , that all thinges that wee see shoulde not seeme two : (VICARY-E1-P1,37.297) for if they had not beene ioyned together , euery thing shoulde haue seemed two , as it doth to a worme , and to other beastes : (VICARY-E1-P1,37.298) The thirde is , that the Senewe might stay and helpe the other . (VICARY-E1-P1,37.299) But herevpon Lamfranke accordeth muche , saying , that these two Senewes come together to the Eyes , and take a Panikle both of Piamater and of Duramater ; (VICARY-E1-P1,37.300) and when they enter into the Orbyt of the Eye , there the extremities are spread abroade , the which are made of three substances : that is to say , of Duramater , of Piamater and of Nerui optici . (VICARY-E1-P1,37.301) There be ingendred three Tunikles or Cotes , as thus : (VICARY-E1-P1,38.302) Of the substance that is taken from Duramater , is ingendred the fyrst cote that is called Secondina : (VICARY-E1-P1,38.303) and of Nerui optici is ingendred the third cote that is called Retina : (VICARY-E1-P1,38.304) and eche of them is more subtiller then other , (VICARY-E1-P1,38.305) & goeth about the humours without meane . (VICARY-E1-P1,38.306) And it is to be vnderstoode , that eche of these three Tunicles be diuided , (VICARY-E1-P1,38.307) and so they make sixe : That is to say , iij. of the partes of the brayne , and three of the parts outwardes , and one of Pericranium that couereth the bones of the head , whiche is called Coniunctiua . (VICARY-E1-P1,38.308) And thus you maye perceyue the springing of them , as thus : (VICARY-E1-P1,38.309) of Duramater springeth Sclirotica and Cornua : (VICARY-E1-P1,38.310) of Piamater springeth Secondina and Vnia : (VICARY-E1-P1,38.311) and of Nerui optici springeth Coniunctiua . (VICARY-E1-P1,38.312) Nowe to speake of the humours , which be three ; (VICARY-E1-P1,38.313) and their places are the middle of the Eyes : Of the whiche the fyrste is Humor Vitrus , because he is lyke glasse , in colour very cleare , redde , liquit , or thinne ; (VICARY-E1-P1,38.314) and he is in the inward side next to the brayne : (VICARY-E1-P1,38.315) and it is thin , because the nutritiue blood of the Crystalline might passe , as water through a sponge should be clensed and made pure , and also that the visible spirite mighte the lightlyer passe through him from the Brayne . (VICARY-E1-P1,38.316) And he goeth about the Crystaline humour , vntil he meete with Albuginus humour , which is set in the vttermost parte of the Eye . (VICARY-E1-P1,38.317) And in the myddest of these humours Vitrus and Albuginus , is set the Crystalline humour , in whiche is set principally the syght of the Eye . (VICARY-E1-P1,38.318) And these humours be separated and involued with the Pannicles aforesayde ; betweene euery Humour a Panicle . (VICARY-E1-P1,38.319) And thus is the eye compound and made . (VICARY-E1-P1,38.320) But to speake of euery Humour and euery Pannicle in his due order and course , it would aske a long processe , and a long Chapter : (VICARY-E1-P1,38.321) and this is sufficient for a Chiurgion . (VICARY-E1-P1,38.322) Nowe to begin at the Nose : (VICARY-E1-P1,38.323) You shall vnderstande that from the Brayne there commeth .ij. Senews to the holes of the brayne pan , where beginneth the concauitie of the Nose ; (VICARY-E1-P1,39.324) and these two be not properly senewes , but organes or instrumentes of smelling , (VICARY-E1-P1,39.325) and haue heades lyke teates or pappes , in whiche is receyued the vertue of smelling , and representing it to the common wittes . (VICARY-E1-P1,39.326) Ouer these two is set Colatorium , that we cal the Nose-thrils : (VICARY-E1-P1,39.327) and it is set betweene the Eyes , vnder the vpper part of the Nose . (VICARY-E1-P1,39.328) And it is to be noted , that this concauitie or ditche was made for two causes : (VICARY-E1-P1,39.329) The fyrst is , that the ayre that bringeth foorth the spirite of smelling , might reste in it tyll it were taken of the organ or instrument of smelling : (VICARY-E1-P1,39.330) The seconde cause is , that the superfluities of the Brayne might be hydden vnder it vntill it were clensed . (VICARY-E1-P1,39.331) And from this concauitie there goeth two holes down into y=e= mouth , of which there is to be noted three profites : (VICARY-E1-P1,39.332) The fyrste is , that when a mans mouth is close , or when he eateth or sleepeth , that then the ayre might come through them to the Lunges , (VICARY-E1-P1,39.333) or els a mans mouth should always be open : (VICARY-E1-P1,39.334) The seconde cause is , that they helpe to the relation of the forme of the Nose : (VICARY-E1-P1,39.335) for it is sayd , ' a man speaketh in his Nose , ' when any of these holes be stopped : (VICARY-E1-P1,39.336) The thirde cause is , that the concauitie might be clensed by them when a man snuffeth the Nose , or draweth into his mouth inwardly . (VICARY-E1-P1,39.337) The Nose is a member consimple or official , appearing without the face , somewhat plicable , because it shoulde the better be clensed . (VICARY-E1-P1,39.338) And it is to be perceyued that it is compounde and made of skinne and Lazartus fleshe , and of two bones standing in maner triangle-wise , whose extremities be ioyned in one part of the Nose with the Coronal bone , (VICARY-E1-P1,39.339) and the nether extremities are ioyned with two grystles , and another that diuideth the Nose-thrilles within , and holdeth vp the nose : (VICARY-E1-P1,40.340) Also there be two concauities or holes , that if one were stopped the other should serue : (VICARY-E1-P1,40.341) Also there is in the Nose two Muskles to helpe the working of hys office . (VICARY-E1-P1,40.342) And Galen sayth , that the Nose shapeth the Face moste ; (VICARY-E1-P1,40.343) for where the Nose lacketh sayth he , al the rest of the face is more vnseemly . (VICARY-E1-P1,40.344) The Nose should be of a meane bignes , and not to exceede in length or breadth , nor in highnesse . (VICARY-E1-P1,40.345) For Aristotle sayeth , yf the Nose-thrills be too thinne or to wyde , by great drawing in of ayre , it betokeneth great straightnes of hart and indignation of thought . (VICARY-E1-P1,40.346) And therefore it is to be noted , that the shape of the members of the body betokneth and iudgeth the affections and wyll of the Soule of man , as the Philosopher sayth . (VICARY-E1-P1,40.347) The temples be called the members of the head , (VICARY-E1-P1,40.348) and they haue that name because of continuall mouing . (VICARY-E1-P1,40.349) And as the science of the Anatomie meaneth , the spirite vital is sente from the hart to the brayne by Arteirs ; and by veynes and nutritional blood , where the vessels pulsatiues be lightly hurt . (VICARY-E1-P1,40.350) Also the temples haue dentes or holes inwardely , wherin he taketh the humour that commeth from the brayne , and bringeth the eyes asleepe ; (VICARY-E1-P1,40.351) and if the sayde holes or dentes be pressed and wroung , then by trapping of the humour that continueth , he maketh the teares to fal from the Eye . (VICARY-E1-P1,40.352) The Cheekes are the sideling partes of the face ; (VICARY-E1-P1,40.353) and they conteyne in them Musculus fleshe , with Veynes and Arteirs ; (VICARY-E1-P1,40.354) and aboute these partes be many Muscles . (VICARY-E1-P1,40.355) Guydo maketh mention of .vij. about the chekes & ouer lyp . (VICARY-E1-P1,40.356) And Haly Abbas sayth , there be .xij. Muscles that moue the nether Iawe , some of them in opening , and other some in closing or shutting , passing vnder the bones of y=e= temples , (VICARY-E1-P1,40.357) And they be called Temporales . (VICARY-E1-P1,41.358) And they be right noble and sensatiue ; of whose hurte is muche peril . (VICARY-E1-P1,41.359) Also there be other Muskles for to grinde and to chewe . (VICARY-E1-P1,41.360) And to al these Muscles commeth Nerues from the brayne , to geue them feeling and mouing : (VICARY-E1-P1,41.361) and also there commeth to them many Arteirs and Veines , and cheefly about the temples , and the angles or corners of the Eyes , and the Lippes . (VICARY-E1-P1,41.362) And as the Philosophers say , the cheefe beautie in man is in the cheekes ; (VICARY-E1-P1,41.363) and there the complexion of man is most knowen : (VICARY-E1-P1,41.364) as thus , if they be full , ruddy , and meddled with temperate whitenes , and not fat in substaunce , but meanely fleshly , it betokeneth hotte and moyst of $complexion , that is , sanguin and temperate in culler . (VICARY-E1-P1,41.365) And if they be white coloured , without medling of rednes , and in substaunce fat and soft , quauering , it betokeneth excesse and superfluitie of colde and moyst , that is flematike : (VICARY-E1-P1,41.366) And if they be browne in colour , or cytrin , yelowe , redde , and thin , and leane in substaunce , betokeneth great drying and heate , that is cholerike : (VICARY-E1-P1,41.367) And if they be as it were blowen in colour , and of little fleshe in substaunce , it betokeneth excess and superfluitie of dryness and colde ; (VICARY-E1-P1,41.368) and that is melancholie . (VICARY-E1-P1,41.369) And as Auicen sayth , the Cheekes doo not-2 only-3 shewe the diuersities of complexions , but also the affection and wil of the hart : (VICARY-E1-P1,41.370) for by the affection of the hart , by sodaine ioy or dreede , he waxeth eyther pale or redde . (VICARY-E1-P1,41.371) The bones or bony partes , fyrste of the Cheekes , be two : of the Nose outwardely , two : of the vpper Mandibile , two : within the Nose , three : as thus : one diuiding the Nosethrilles within ; and in ech Nosethril one ; (VICARY-E1-P1,42.372) and they seeme to be rowled like a wafer , (VICARY-E1-P1,42.373) and haue a holownesse in them , by which the ayre is respyred and drawen to the lunges , (VICARY-E1-P1,42.374) and the superfluition of the brayne is purged into the mouthwardes , as is before rehearsed . (VICARY-E1-P1,42.375) But Guydo and Galen say , that there be in the face nyne bones ; (VICARY-E1-P1,42.376) yet I can not finde that the nether Mandible should be of y=e= number of those nyne , (VICARY-E1-P1,42.377) for the nether Mandible accompted there , proveth them to be ten in number ; Of which thing I wyl holde no argument , but remit it to the sighte of your Eyes . (VICARY-E1-P1,42.378)