those_o which_o cover_v the_o bottom_n four_o or_o five_o day_n before_o you_o take_v they_o out_o to_o the_o end_n that_o by_o their_o stay_n the_o matter_n which_o be_v stop_v become_v more_o sharp_a and_o that_o they_o may_v dissolve_v more_o easy_o the_o tunicle_n which_o contain_v the_o water_n you_o suppurate_a it_o and_o dress_v it_o as_o a_o ordinary_a wound_n before_o you_o go_v further_o you_o must_v also_o observe_v that_o if_o the_o water_n grow_v sharp_a and_o corrosive_a or_o rather_o lixivious_a they_o change_v often_o into_o pus_fw-la which_o make_v the_o testicle_n alter_v and_o corrupt_v so_o that_o you_o be_v force_v to_o take_v it_o out_o pneumatocele_n cure_v of_o pneumatocele_n as_o for_o pneumatocele_v you_o must_v use_v the_o bandage_n and_o all_o the_o carminative_a remedy_n as_o well_o internal_a as_o external_a and_o as_o it_o be_v a_o part_n of_o the_o surgeon_n prudence_n to_o order_v they_o according_a to_o his_o knowledge_n i_o shall_v be_v ridiculous_a if_o i_o shall_v boast_v here_o of_o remedy_n which_o author_n be_v full_a of_o chap._n xvi_o of_o the_o phymosis_n be_v what_o phymosis_n be_v the_o phymosis_n be_v nothing_o else_o but_o a_o shrivel_a and_o contraction_n of_o the_o extremity_n of_o the_o prepuce_fw-la which_o compress_n so_o hard_a the_o glans_fw-la that_o if_o you_o do_v give_v it_o air_n by_o way_n of_o incision_n it_o become_v inflame_v and_o often_o mortify_v this_o incommodity_n be_v either_o natural_a or_o accidental_a the_o natural_a come_v from_o the_o part_n be_v yet_o concentre_v and_o as_o it_o be_v retire_v into_o its_o tunicle_n and_o that_o one_o have_v not_o yet_o betake_v himself_o to_o any_o exercise_n or_o touch_v the_o prepuce_fw-la form_n in_o this_o affect_v wrinkle_n which_o be_v like_o so_o many_o little_a bolster_n venery_n as_o venery_n between_o which_o gather_v and_o stagnate_v a_o tenacious_a matter_n separate_v by_o the_o glans_fw-la with_o which_o the_o inner_a surface_n of_o the_o prepuce_fw-la be_v sprinkle_v which_o thicken_v by_o the_o heat_n and_o grow_v impure_a by_o its_o stay_n there_o be_v as_o it_o be_v a_o kind_n of_o glue_n which_o fasten_v the_o prepuce_fw-la to_o the_o gland_n and_o so_o strait_o press_v it_o that_o it_o will_v not_o let_v the_o urinal_n flow_v the_o surgeon_n therefore_o first_o endeavour_n to_o free_a the_o part_n pull_v to_o he_o the_o extremity_n of_o the_o prepuce_fw-la then_o introduce_v at_o the_o side_n of_o the_o virga_n a_o incision_n knife_n between_o the_o gland_n and_o cutis_fw-la pierce_v the_o prepuce_fw-la without_o danger_n and_o cut_a all_o between_o the_o instrument_n and_o extremity_n of_o the_o glans_fw-la if_o one_o incision_n be_v not_o enough_o to_o discover_v it_o you_o may_v bold_o make_v another_o on_o the_o opposite_a side_n the_o sole_a motion_n of_o the_o part_n be_v capable_a to_o extend_v the_o fibre_n of_o the_o prepuce_fw-la and_o render_v they_o obedient_a and_o make_v they_o that_o they_o restrain_v and_o dilate_v themselves_o according_a to_o thenecessity_n of_o nature_n you_o must_v not_o use_v this_o operation_n till_o you_o have_v try_v fomentation_n caution_n caution_n emollent_a injection_n and_o all_o other_o remedy_n in_o vain_a which_o method_n be_v to_o be_v observe_v in_o all_o operation_n the_o second_o kind_n of_o phymosis_n be_v cause_v by_o some_o inflammation_n shanker_n ulcer_n induration_n callosity_n and_o often_o by_o irritative_a remedy_n misapply_v in_o all_o these_o case_n whether_o the_o sharp_a humour_n which_o come_v from_o the_o ulcer_n irritate_fw-la the_o part_n or_o corrosive_a medicine_n it_o happen_v that_o the_o passage_n of_o the_o blood_n and_o spirit_n be_v hinder_v and_o the_o inflammation_n become_v so_o considerable_a that_o the_o fibre_n be_v no_o more_o in_o a_o condition_n to_o obey_v this_o be_v also_o the_o reason_n why_o this_o virulent_a sanies_fw-la which_o come_v from_o the_o shanker_n excoriate_v these_o part_n excite_v sharp_a pain_n feel_v only_o at_o the_o extremity_n of_o the_o yard_n and_o inflammation_n which_o be_v soon_o follow_v by_o a_o gangreen_n if_o you_o hinder_v not_o its_o progress_n part_n cause_o of_o pulsation_n in_o the_o part_n the_o pulsisick_n pain_n which_o be_v feel_v in_o this_o part_n can_v proceed_v but_o from_o the_o glans_fw-la which_o be_v cover_v with_o a_o thin_a and_o delicate_a membrane_n humect_v by_o a_o great_a number_n of_o vessel_n particular_o of_o nerve_n and_o that_o its_o substance_n be_v of_o a_o very_a fine_a and_o sensible_a texture_n so_o the_o motion_n which_o these_o virulent_a matter_n imprint_v on_o the_o spirit_n not_o be_v able_a to_o communicate_v themselves_o to_o the_o rest_n of_o the_o yard_n because_o of_o the_o force_n and_o thickness_n of_o the_o cover_n of_o the_o cavernous_a body_n the_o pain_n must_v needs_o augment_v and_o become_v much_o more_o sensible_a and_o acute_a in_o this_o part_n but_o before_o you_o resolve_v on_o the_o operation_n use_v bleed_v fomentation_n suppuration_n mix_v with_o some_o prepation_n of_o mercury_n which_o you_o must_v introduce_v with_o the_o end_n of_o your_o probe_n the_o cerot_n of_o galen_n emollient_a injection_n a_o ball_n of_o lint_n put_v between_o the_o glans_fw-la and_o skin_n compress_n wet_a in_o oxycrate_n in_o a_o word_n all_o these_o remedy_n must_v be_v apply_v but_o especial_o the_o situation_n of_o the_o virga_n which_o must_v be_v lay_v on_o the_o belly_n and_o sustain_v with_o a_o little_a bandage_n chap._n xvii_o of_o paraphymosis_n be_v what_o paraphymosis_n be_v paraphymosis_n be_v a_o disease_n quite_o contrary_a to_o a_o phymosis_n in_o one_o the_o glans_fw-la be_v hide_v in_o the_o other_o strangle_v and_o so_o stripe_v of_o its_o prepuce_fw-la that_o you_o can_v cover_v it_o again_o the_o cause_n of_o this_o strangulation_n come_v sometime_o from_o the_o overthrow_n of_o the_o cutis_fw-la cause_n cause_n which_o form_v a_o sort_n of_o bolster_n and_o sometime_o from_o inflammation_n which_o a_o shanker_n or_o some_o other_o tumour_n precede_v if_o the_o strangulation_n be_v considerable_a there_o must_v needs_o follow_v interruption_n of_o the_o course_n of_o blood_n and_o spirit_n in_o these_o part_n and_o consequent_o a_o mortification_n in_o this_o affect_v the_o yard-swells_a so_o hard_a that_o it_o form_n three_o or_o four_o bag_n as_o it_o be_v alternate_o dispose_v half_a a_o finger_n breadth_n one_o from_o another_o these_o pursing_n come_v partly_o from_o the_o obstruction_n and_o partly_o from_o the_o reflux_n of_o blood_n and_o spirit_n in_o the_o body_n of_o the_o virga_n they_o be_v common_o follow_v by_o a_o tumour_n which_o occupy_v the_o neck_n of_o the_o prepuce_fw-la and_o which_o be_v full_a of_o a_o red_a water_n which_o by_o the_o great_a heat_n of_o the_o part_n so_o rarefy_v ordinary_o that_o from_o a_o aqueous_a it_o become_v windy_a this_o tumour_n augment_v so_o considerable_o the_o inflammation_n that_o if_o you_o do_v scarify_v deep_a the_o tumified_a place_n to_o give_v a_o discharge_n the_o penis_n will_v not_o fail_v to_o mortify_v prepuce_fw-la how_o to_o bring_v over_o the_o prepuce_fw-la you_o must_v endeavour_v to_o reduce_v the_o prepuce_fw-la without_o compress_v the_o glans_fw-la or_o put_v your_o thumb_n on_o its_o extremity_n as_o most_o do_v that_o treat_v of_o this_o disease_n the_o reason_n be_v that_o when_o the_o extremity_n of_o the_o glans_fw-la be_v press_v it_o enlarge_v itself_o and_o swell_v more_o which_o instead_o of_o make_v the_o prepuce_fw-la slip_n rather_o fold_v up_o and_o hinder_v its_o reduction_n you_o use_v almost_o the_o same_o remedy_n as_o in_o phymosis_n there_o be_v some_o that_o pour_v cold_a water_n on_o the_o belly_n but_o i_o think_v it_o of_o no_o great_a use_n or_o at_o least_o see_v no_o great_a effect_n of_o it_o for_o want_v of_o these_o remedy_n you_o may_v use_v in_o inflammation_n some_o styptic_a water_n in_o which_o dip_v your_o compress_n and_o apply_v they_o about_o the_o part_n you_o must_v also_o keep_v the_o same_o situation_n and_o bandage_n as_o in_o phymosis_n chap._n xviii_o of_o the_o stone_n and_o lithotomy_n the_o stone_n with_o which_o mankind_n of_o all_o other_o animal_n be_v most_o trouble_a be_v call_v in_o latin_a calculus_fw-la name_n name_n and_o those_o affect_v with_o it_o calculosi_n its_o origin_n will_v have_v be_v always_o unknown_a to_o we_o if_o the_o chemist_n art_n have_v not_o discover_v to_o we_o the_o secret_a of_o its_o formation_n in_o show_v the_o principle_n which_o compose_v it_o by_o the_o just_a analysis_n that_o science_n make_v of_o it_o formation_n the_o opinion_n of_o the_o ancient_n concern_v its_o formation_n all_o the_o ancient_n and_o their_o abettor_n have_v always_o maintain_v with_o great_a heat_n that_o the_o stone_n be_v form_v by_o the_o most_o crass_n course_n and_o viscous_a particle_n of_o blood_n which_o be_v carry_v into_o the_o bladder_n with_o the_o urine_n come_v to_o be_v
like_o that_o which_o one_o feel_v sometime_o after_o the_o cut_n of_o a_o sword_n this_o do_v not_o proceed_v from_o the_o first_o division_n but_o by_o those_o which_o be_v make_v through_o the_o action_n of_o the_o sharp_a and_o extravasated_a humour_n continuity_n no_o pain_n without_o solution_n of_o continuity_n so_o that_o as_o often_o as_o the_o animal_n feel_v pain_n there_o be_v some_o division_n make_v by_o which_o mean_v the_o soul_n which_o watch_v and_o interest_n itself_o in_o the_o conservation_n of_o the_o part_n of_o our_o body_n be_v afflict_v convulsion_n the_o cause_n of_o convulsion_n these_o sharp_a humour_n come_v to_o shake_v vigorous_o the_o little_a filament_n of_o the_o nerve_n cause_v the_o spirit_n to_o run_v irregular_o into_o the_o muscle_n which_o excite_v the_o convulsion_n the_o spirit_n be_v put_v to_o flight_n instead_o of_o run_v into_o the_o fibre_n of_o the_o heart_n syncopes_fw-la and_o of_o syncopes_fw-la and_o rule_v their_o motion_n be_v carry_v in_o disorder_n sometime_o to_o one_o part_n sometime_o to_o another_o the_o heart_n be_v deprive_v of_o the_o influx_n of_o the_o spirit_n which_o be_v the_o true_a instrument_n of_o its_o ordinary_a motion_n and_o be_v no_o more_o capable_a of_o contraction_n the_o course_n of_o the_o blood_n must_v be_v suspend_v for_o some_o moment_n from_o whence_o come_v syncopes_fw-la vomit_v and_o of_o vomit_v but_o as_o soon_o as_o they_o retake_v their_o course_n they_o double_v their_o action_n and_o be_v launch_v with_o so_o great_a precipitation_n into_o the_o fleshy_a fibres_fw-fr of_o the_o stomach_n through_o the_o familiar_a commerce_n and_o mutual_a consent_n between_o the_o cardiac_n nerve_n and_o those_o of_o the_o stomach_n that_o they_o oblige_v it_o to_o discharge_v itself_o of_o all_o that_o be_v in_o it_o which_o be_v call_v vomit_v diarrhaea_n and_o diarrhaea_n the_o ventricle_n with_o its_o powerful_a and_o repeat_v contraction_n pass_v so_o hard_a the_o bladder_n of_o gall_n and_o the_o neighbour_a bilous_n and_o pancreatic_a duct_n that_o it_o squeeze_v out_o their_o juice_n into_o the_o cavity_n of_o the_o gut_n which_o present_o cause_v a_o diarrhaea_n fever_n the_o cause_n of_o a_o fever_n these_o two_o liquor_n be_v thus_o press_v out_o of_o their_o vessel_n without_o have_v receive_v all_o the_o preparation_n and_o alteration_n which_o be_v necessary_a for_o they_o fail_v not_o to_o make_v the_o chyle_n acid_n with_o mix_v themselves_o in_o the_o intestine_n they_o serve_v for_o leven_n and_o ferment_n to_o corrupt_v and_o produce_v a_o fever_n sense_n of_o heaviness_n of_o the_o head_n and_o failure_n of_o the_o sense_n the_o blood_n be_v in_o fermentation_n mount_v with_o such_o a_o impetuosity_n to_o the_o brain_n that_o the_o sinew_n thereof_o which_o receive_v all_o the_o rest_n of_o the_o blood_n of_o the_o interior_n head_n can_v discharge_v proportionable_o so_o much_o blood_n into_o the_o jugular_n as_o the_o artery_n furnish_v by_o reason_n of_o the_o slowness_n of_o circulation_n in_o these_o sinew_n so_o that_o the_o nerve_n which_o come_v from_o the_o base_a of_o the_o skull_n to_o be_v distribute_v to_o the_o organ_n of_o the_o sense_n be_v a_o little_a compress_v by_o the_o weight_n of_o the_o blood_n which_o cause_v heaviness_n of_o the_o head_n and_o that_o the_o sense_n do_v receive_v the_o impression_n of_o their_o object_n with_o the_o same_o facility_n as_o before_o through_o the_o obstacle_n that_o the_o spirit_n find_v in_o their_o passage_n accident_n how_o to_o prevent_v those_o ill_a accident_n to_o prevent_v all_o these_o accident_n you_o have_v nothing_o to_o do_v but_o to_o cut_v the_o rest_n of_o the_o tendon_n if_o the_o major_a part_n be_v divide_v but_o if_o the_o loss_n of_o the_o fibre_n be_v not_o so_o considerable_a and_o the_o symptom_n not_o so_o press_v you_o must_v do_v nothing_o rash_o if_o you_o perform_v the_o operation_n you_o must_v stitch_n the_o tendon_n rather_o than_o cut_v it_o so_o that_o the_o surgeon_n intention_n be_v to_o reunite_v the_o two_o extremity_n by_o suture_a if_o it_o happen_v that_o the_o extremity_n of_o one_o part_n be_v so_o far_o shrink_v into_o the_o flesh_n that_o it_o can_v be_v bring_v to_o the_o other_o by_o the_o forceps_n it_o will_v be_v convenient_a to_o mollify_v the_o fibre_n a_o little_a with_o some_o oil_n extract_v without_o fire_n as_o ol._n amygd_v dul._n ovor._fw-la cerae_fw-la etc._n etc._n which_o be_v proper_a to_o relax_v the_o fibre_n and_o facilitate_v their_o union_n for_o if_o the_o oil_n be_v extract_v without_o fire_n the_o heat_n do_v not_o so_o soon_o dissipate_v their_o viscosity_n which_o be_v the_o true_a cement_n beside_o they_o be_v more_o capable_a of_o temper_v the_o acid_n of_o the_o blood_n and_o of_o appease_v pain_n the_o tendon_n be_v mollify_v you_o must_v stitch_n if_o you_o can_v and_o see_v they_o be_v compose_v of_o little_a fibres_n operation_n how_o to_o perform_v the_o operation_n you_o must_v take_v half_a the_o breadth_n of_o a_o finger_n upon_o the_o body_n of_o the_o tendon_n that_o the_o stitch_n may_v better_o resist_v the_o motion_n of_o the_o part_n and_o the_o flow_a of_o the_o matter_n if_o the_o tendon_n be_v not_o discover_v enough_o you_o must_v try_v to_o make_v the_o suture_a without_o unflesh_v it_o because_o the_o flesh_n secure_v it_o from_o all_o alteration_n after_o the_o surgeon_n have_v put_v the_o part_n in_o a_o convenient_a situation_n a_o servant_n must_v uphold_v one_o extremity_n with_o the_o forceps_n whilst_o the_o surgeon_n with_o his_o left_a hand_n hold_v the_o other_o and_o with_o a_o strait_a needle_n arm_v with_o double_a wax_v thread_n knot_v at_o the_o end_n pierce_v they_o from_o without_o inward_o and_o from_o within_o outward_n bring_v they_o exact_o together_o then_o lay_v away_o your_o needle_n and_o take_v a_o little_a compress_v of_o cloth_n with_o two_o hole_n in_o it_o to_o pass_v the_o two_o end_n of_o the_o thread_n through_o and_o make_v a_o single_a knot_n over_o which_o apply_v another_o little_a compress_v which_o you_o fasten_v with_o the_o surgeon_n knot_n and_o slip_v knot_n you_o must_v observe_v to_o wet_v the_o compress_n in_o some_o spiritous_a liquor_n and_o put_v some_o wax_n candle_n on_o the_o knot_n instead_o of_o lint_n the_o suture_a be_v make_v you_o must_v humect_v the_o first_o day_n with_o some_o oil_n and_o spirit_n of_o wine_n the_o follow_a day_n we_o use_v a_o balsam_n make_v of_o tereh_n tinct_v aloe_n proper_a unctuous_a medicice_n not_o proper_a or_o that_o of_o the_o tinct_v flor._n hyperici_n the_o use_n of_o oil_n or_o fat_n be_v be_v here_o to_o be_v reject_v because_o they_o putrify_v the_o tendon_n in_o the_o begin_n cataplasm_n make_v of_o the_o four_o meal_n wine_n the_o yolk_n of_o a_o egg_n and_o honey_n be_v very_o proper_a it_o must_v be_v observe_v that_o as_o soon_o as_o suppuration_n be_v make_v it_o be_v evident_a that_o the_o tendon_n begin_v to_o be_v unite_v most_o good_a practitioner_n commend_v in_o long_a suppuration_n to_o make_v use_n of_o spirit_n on_o bare_a tendon_n &_o emplas_n andreae_n è_fw-fr cruse_n chap._n v._o of_o the_o hair-lip_n call_v why_o so_o call_v if_o suture_n have_v any_o use_n in_o perform_v operation_n it_o be_v doubtless_o in_o the_o unition_n of_o the_o hair_n lip_n so_o call_v because_o this_o animal_n have_v natural_o the_o upper-lip_n slit_v this_o malady_n come_v sometime_o from_o a_o imperfect_a conformation_n and_o sometime_o by_o accident_n viz._n it_o may_v be_v cause_v by_o some_o blow_n fall_v or_o other_o like_a mischance_n if_o the_o reunion_n be_v then_o neglect_v it_o be_v to_o be_v fear_v lest_o the_o edge_n grow_v callous_a and_o at_o length_n a_o true_a hair_n lip_n be_v form_v it_o be_v very_o often_o a_o hereditary_a deformity_n which_o we_o keep_v as_o long_o as_o we_o live_v unless_o we_o be_v willing_a to_o suffer_v the_o operation_n however_o its_o cure_n can_v be_v accomplish_v but_o by_o suture_a if_o there_o be_v great_a loss_n of_o substance_n you_o must_v not_o hazard_v the_o operation_n because_o the_o cutis_fw-la will_v be_v so_o much_o extend_v that_o it_o will_v be_v very_o hard_a to_o pronounce_v well_o certain_a word_n and_o to_o make_v with_o care_n all_o the_o other_o motion_n which_o this_o part_n be_v capable_a of_o those_o which_o happen_v to_o the_o under-lip_n be_v of_o difficult_a cure_n because_o the_o defluxion_n be_v more-frequent_a and_o the_o lip_n always_o humect_v with_o many_o serosity_n useless_a where_o cut_v hair-lip_n will_v be_v useless_a there_o be_v several_a other_o occasion_n where_o the_o operation_n will_v be_v useless_a as_o in_o child_n by_o reason_n of_o their_o continual_a cry_v in_o the_o old_a scorbutic_n and_o pox_v in_o irregular_a woman_n and_o in_o several_a other_o vitiate_a and_o indispose_a subject_n in_o which_o the_o blood_n
to_o attack_v be_v in_o a_o very_a little_a time_n drown_v we_o observe_v that_o the_o muscle_n of_o all_o hypocondriac_n be_v deprive_v of_o a_o part_n of_o the_o spirit_n which_o be_v necessary_a to_o they_o for_o their_o natural_a motion_n for_o if_o we_o consider_v that_o the_o sulphur_n which_o we_o have_v suppose_v to_o be_v destroy_v be_v what_o the_o animal_n spirit_n be_v contribute_v only_o to_o the_o generation_n of_o the_o animal_n spirit_n that_o the_o little_a cut_a particle_n which_o this_o sulphur_n wrap_v up_o be_v the_o matter_n of_o they_o and_o the_o residue_n the_o vehicle_n and_o true_a oil_n with_o which_o the_o brain_n be_v imbue_v we_o shall_v agree_v that_o the_o gland_n of_o the_o brain_n furnish_v very_o few_o spirit_n in_o these_o disease_a person_n who_o body_n be_v deprive_v of_o fat_a and_o that_o consequent_o their_o muscle_n must_v lose_v of_o their_o force_n vigour_n and_o motion_n from_o whence_o come_v the_o great_a heaviness_n which_o they_o feel_v you_o must_v also_o observe_v that_o they_o be_v no_o more_o provide_v with_o this_o fat_a which_o before_o make_v their_o fibre_n supple_a flexible_a and_o capable_a of_o activity_n this_o be_v so_o it_o be_v evident_a that_o their_o motion_n must_v be_v weaken_v that_o they_o can_v no_o more_o communicate_v any_o to_o the_o vessel_n the_o course_n of_o the_o liquor_n must_v be_v slacken_v and_o the_o animal_n spirit_n which_o bring_v some_o formality_n to_o every_o part_n be_v no_o more_o in_o a_o condition_n to_o keep_v the_o pore_n open_a or_o at_o least_o so_o wide_a as_o ordinary_o so_o the_o vessel_n be_v as_o it_o be_v sink_v and_o the_o arterial_a blood_n not_o have_v any_o more_o the_o power_n or_o strength_n to_o make_v its_o way_n the_o part_n be_v almost_o defraud_v of_o life_n i_o allege_v all_o these_o reason_n because_o they_o fortify_v our_o system_fw-la of_o the_o formation_n of_o the_o dropsy_n dropsy_n old_a man_n very_a subject_n to_o the_o dropsy_n which_o be_v found_v on_o the_o slowness_n of_o the_o circulation_n of_o the_o blood_n which_o be_v remarkable_a in_o old_a man_n who_o be_v most_o subject_a to_o dropsy_n the_o reason_n be_v because_o their_o blood_n be_v only_o a_o fluid_a indigested_a and_o corrupt_a mass_n have_v lose_v all_o its_o consistence_n and_o unctuosity_n one_o may_v say_v it_o have_v lose_v its_o oil_n and_o consequent_o be_v make_v incapable_a of_o sustain_v its_o fermentation_n i_o add_v that_o those_o who_o inhabit_v boggy_a place_n be_v of_o a_o cold_a temperament_n and_o use_v to_o moist_a food_n will_v be_v more_o liable_a to_o it_o than_o other_o the_o dropsy_n which_o often_o effect_n fat_a and_o full_a people_n who_o nevertheless_o be_v in_o a_o certain_a moderate_a repose_n have_v for_o its_o cause_n only_o the_o slowness_n of_o circulation_n through_o the_o frequent_a obstruction_n which_o ordinary_o happen_v in_o the_o gland_n and_o vessel_n which_o occasion_n the_o lympha_fw-la to_o disengage_v itself_o and_o overflow_v some_o part_n incurable_a when_o the_o dropsy_n be_v incurable_a the_o water_n sometime_o gather_v together_o in_o a_o cystis_n which_o make_v the_o dropsy_n incurable_a this_o cystis_n be_v a_o strange_a covert_n at_o first_o insensible_a but_o by_o degree_n separate_v itself_o from_o some_o other_o cover_v either_o of_o the_o peritonaeum_fw-la or_o elsewhere_o by_o the_o saline_n and_o lixivious_a nutriture_n which_o it_o have_v contract_v or_o by_o the_o too_o great_a humidity_n receive_v after_o the_o same_o manner_n as_o the_o particle_n of_o a_o egg_n or_o seed_n disengage_v or_o unfold_v themselves_o this_o cystis_n be_v sprinkle_v with_o a_o multitude_n of_o gland_n and_o vessel_n which_o it_o receive_v from_o the_o part_n from_o whence_o it_o derive_v its_o origin_n and_o from_o other_o neighbour_a part_n which_o be_v as_o so_o many_o source_n that_o produce_v new_a dropsy_n dropsy_n sign_n of_o the_o dropsy_n the_o sign_n of_o this_o disease_n be_v swell_v of_o the_o belly_n transparency_n of_o the_o water_n and_o fluctuation_n hydropical_a difference_n between_o corpulant_a person_n and_o hydropical_a before_o i_o speak_v of_o the_o accident_n it_o be_v necessary_a to_o give_v a_o idea_n of_o the_o difference_n between_o the_o swell_a of_o the_o dropsy_n and_o a_o good_a habit_n of_o body_n in_o the_o dropsy_n the_o belly_n be_v extreme_o extend_v and_o even_o the_o navel_n rise_v and_o terminate_v in_o a_o point_n whereas_o in_o the_o latter_a its_o soft_a and_o less_o extend_v be_v more_o elevate_v on_o the_o side_n than_o elsewhere_o where_o the_o fleshy_a portion_n of_o the_o muscle_n lie_v and_o the_o navel_n be_v quite_o hide_a dropsy_n symptom_n of_o the_o dropsy_n the_o symptom_n which_o accompany_v this_o disease_n be_v slow_a fever_n weak_a pulse_n heaviness_n of_o the_o whole_a body_n difficulty_n of_o respiration_n considerable_a swelling_n excessive_a thirst_n and_o difficulty_n of_o urine_n fever_n 1._o slow_a fever_n the_o slow_a fever_n be_v nothing_o else_o but_o a_o effect_n of_o the_o impurity_n of_o the_o chyle_n and_o other_o leven_n which_o intimate_o mix_v with_o it_o this_o mixture_n design_v to_o make_v the_o life_n of_o the_o part_n happy_a be_v impress_v with_o this_o brine_n or_o rather_o charge_v with_o this_o impure_a and_o strange_a matter_n pass_v to_o the_o heart_n how_o corrupt_a soever_o it_o be_v where_o it_o ferment_n and_o disorder_n its_o motion_n the_o heart_n communicate_v its_o unruly_a pulsation_n to_o the_o artery_n excite_v this_o kind_n of_o fever_n which_o be_v only_o feel_v very_o slight_o pulse_n 2._o weakness_n of_o the_o pulse_n the_o pulse_n weakness_n depend_v on_o the_o slow_a influence_n of_o the_o animal_n spirit_n into_o the_o fibre_n of_o the_o heart_n which_o be_v incapable_a to_o augment_v their_o action_n in_o respect_n of_o the_o spirit_n as_o well_o as_o blood_n by_o reason_n of_o their_o scarcity_n maintain_v the_o blood_n in_o that_o little_a degree_n of_o precipitate_a motion_n which_o distinguish_v this_o slow_a fever_n from_o the_o other_o and_o consequent_o cause_v this_o weakness_n of_o the_o pulse_n body_n 3._o heaviness_n of_o the_o body_n the_o pale_a colour_n and_o heaviness_n of_o the_o body_n proceed_v from_o the_o slow_a motion_n of_o the_o blood_n and_o from_o the_o dissipation_n and_o concentration_n of_o the_o spirit_n which_o be_v stifle_v and_o choke_v as_o it_o be_v in_o the_o water_n now_o as_o the_o heat_n and_o vigour_n depend_v on_o the_o presence_n and_o natural_a ferment_n of_o the_o blood_n and_o spirit_n which_o shall_v animate_v these_o part_n and_o be_v carry_v to_o the_o surface_n you_o must_v not_o wonder_v if_o they_o be_v so_o pale_a and_o if_o the_o muscle_n can_v sustain_v the_o weight_n of_o the_o body_n respiration_n 4._o difficulty_n of_o respiration_n the_o difficulty_n of_o respiration_n be_v cause_v by_o the_o swell_a and_o great_a tension_n of_o the_o belly_n which_o press_v the_o diaphragm_n against_o the_o lung_n and_o diminish_v the_o diameter_n of_o the_o breast_n so_o that_o the_o lung_n have_v not_o the_o liberty_n to_o extend_v themselves_o the_o respiration_n grow_v frequent_a and_o force_v the_o excessive_a thirst_n be_v raise_v from_o the_o humour_n that_o be_v separate_v from_o the_o gland_n of_o the_o stomach_n thirst_n 5_o thirst_n oesophagus_n and_o other_o part_n of_o the_o gula_fw-la to_o moisten_v their_o coast_n and_o to_o maintain_v they_o in_o the_o humidity_n which_o be_v requisite_a for_o they_o it_o be_v not_o enough_o either_o through_o the_o frequent_a settle_n which_o be_v make_v in_o other_o part_n or_o that_o the_o invincible_a and_o intemperate_a fire_n which_o the_o fever_n kindle_v in_o all_o part_n dissipate_v consume_v or_o ratify_v it_o which_o cause_n these_o part_n to_o heat_n and_o dry_a and_o that_o saltish_a spirit_n who_o action_n be_v not_o correct_v by_o any_o dissolvent_a rush_v into_o the_o little_a fibres_fw-fr and_o produce_v a_o motion_n in_o the_o nerve_n which_o excite_v thirst_n as_o to_o difficulty_n of_o urine_n i_o suppose_v that_o part_n of_o the_o water_n which_o use_v to_o take_v its_o course_n through_o the_o kidney_n urine_n 6._o difficulty_n of_o urine_n tend_v another_o way_n and_o that_o the_o urinous_a volatile_a and_o other_o fix_a salt_n of_o the_o urine_n be_v deprive_v of_o a_o part_n of_o their_o dissolvent_a stop_n at_o the_o entry_n of_o the_o pore_n of_o the_o gland_n and_o hinder_v the_o urine_n from_o run_v with_o that_o liberty_n into_o its_o conduit_n the_o salt_n thus_o have_v the_o upper_a hand_n and_o find_v nothing_o in_o the_o blood_n capable_a to_o blunt_v their_o point_n irritate_fw-la all_o the_o part_n through_o which_o they_o pass_v particular_o the_o aretery_n and_o oblige_v the_o sphincter_n of_o the_o bladder_n to_o a_o more_o than_o usual_a contraction_n which_o cause_v the_o urine_n to_o flow_v very_o difficult_o and_o by_o turn_n i_o pass_v to_o
since_o the_o ligament_n of_o the_o liver_n pancreas_n and_o kidney_n be_v relax_v viscera_n also_o the_o other_o viscera_n they_o may_v as_o well_o as_o the_o spleen_n contribute_v to_o its_o formation_n according_a to_o the_o order_n i_o design_v in_o speak_v of_o so_o nice_a a_o operation_n i_o think_v it_o more_o proper_a successive_o to_o describe_v the_o sign_n of_o all_o kind_n of_o hernias_fw-la that_o i_o may_v not_o confound_v they_o hydrocele_n sign_n of_o hydrocele_n i_o begin_v with_o those_o of_o the_o first_o kind_n of_o hydrocele_n in_o which_o the_o water_n be_v spill_v between_o the_o membrane_n of_o the_o scrotum_fw-la which_o be_v light_a tension_n considerable_a largeness_n heaviness_n we_o feel_v a_o undulation_n when_o we_o handle_v the_o tumour_n and_o perceive_v the_o transparency_n of_o the_o water_n when_o we_o hold_v a_o light_n behind_o and_o the_o skin_n become_v tender_a soft_a without_o pain_n and_o look_v extreme_o shine_v in_o those_o of_o the_o second_o kind_n where_o the_o water_n possess_v the_o membrane_n of_o the_o testicle_n be_v great_a tension_n pain_n great_a heaviness_n than_o in_o the_o other_o the_o skin_n of_o the_o scrotum_fw-la be_v not_o so_o much_o extend_v and_o keep_v its_o rugosity_n though_o it_o be_v very_o much_o swell_v through_o it_o be_v very_o much_o swell_v it_o possess_v ordinary_o but_o one_o side_n the_o fluctuation_n deep_a the_o transparency_n more_o obscure_a it_o be_v to_o be_v observe_v that_o these_o two_o sort_n may_v conjunct_o meet_v together_o sarcocele_n sign_n of_o sarcocele_n the_o sign_n of_o sarcocele_n be_v great_a hardness_n insupportable_a weight_n and_o insensible_a augmentation_n of_o the_o tumour_n if_o there_o appear_v no_o elevation_n in_o the_o groin_n it_o be_v a_o sign_n that_o the_o preduction_n of_o the_o peritonaeum_fw-la be_v not_o accompany_v with_o any_o carcinomatous_a substance_n it_o be_v distinguish_v from_o the_o hernia_n intestinalis_fw-la that_o the_o one_o be_v soft_a the_o other_o be_v hard_a this_o tumour_n may_v be_v divide_v into_o scirrhous_n and_o malign_v in_o the_o scirrhous_n we_o feel_v neither_o heat_n nor_o pain_n but_o in_o the_o malign_v a_o excessive_a heat_n and_o sharp_a burn_a pain_n varicoâ—â—…_n varicoâ—â—…_n sign_n of_o varicocele_n be_v great_a inequality_n heaviness_n pain_n and_o inflammation_n particular_o when_o it_o be_v irritate_v with_o some_o medicine_n it_o be_v also_o know_v because_o it_o make_v a_o man_n somewhat_o impotent_a especial_o when_o it_o possess_v both_o testicle_n circoce_fw-la circoce_fw-la sign_n of_o circocele_n which_o be_v cause_v by_o the_o dilatation_n of_o the_o external_a vessel_n different_a from_o the_o varicocele_n which_o come_v from_o the_o internal_a be_v the_o same_o as_o the_o former_a except_o there_o be_v less_o pain_n weight_n and_o inflammation_n add_v that_o the_o membrane_n of_o the_o scrotum_fw-la be_v more_o extend_v and_o the_o tumour_n more_o apparent_a pneumatocele_n of_o pneumatocele_n sign_n of_o pneumatocele_n be_v when_o the_o tumour_n disappear_v from_o time_n to_o time_n it_o sound_v like_o a_o drum_n when_o it_o be_v strike_v without_o pain_n weight_n and_o inflammation_n very_o transparent_a the_o colour_n of_o the_o cutis_fw-la change_v not_o and_o the_o wind_n be_v feel_v sometime_o above_o sometime_o below_o part_n sings_z of_o hernias_fw-la make_v from_o the_o part_n let_v we_o now_o examine_v the_o sign_n of_o those_o hernias_fw-la which_o be_v cause_v by_o the_o part_n and_o inquire_v exact_o into_o they_o because_o it_o be_v of_o the_o great_a importance_n in_o the_o begin_n of_o these_o hernias_fw-la they_o be_v ordinary_o soft_a without_o inflammation_n change_n of_o colour_n disappear_v at_o the_o least_o pressure_n except_o they_o be_v cause_v by_o some_o blow_n fall_v or_o suchlike_a inconvenience_n and_o be_v not_o accompany_v with_o some_o strangulation_n cause_v by_o matter_n stop_v and_o harden_v in_o the_o intestine_n either_o by_o the_o course_n of_o the_o blood_n and_o spirit_n in_o these_o part_n which_o present_o excite_v inflammation_n and_o often_o mortification_n therefore_o you_o must_v do_v no_o violence_n to_o the_o tumour_n by_o rude_a handle_n lest_o it_o occasion_n a_o gangreen_n but_o that_o we_o may_v have_v a_o clear_a notion_n of_o all_o these_o sign_n let_v we_o examine_v they_o in_o particular_a and_o see_v what_o be_v those_o which_o make_v we_o distinguish_v all_o these_o kind_n of_o tumour_n be_v 〈◊〉_d that_o â—…ut_o be_v if_o the_o gut_n be_v engage_v without_o inflammation_n strangulation_n or_o adhere_v to_o any_o part_n the_o tumor_n soft_a plain_a and_o the_o colour_n of_o the_o skin_n not_o change_v it_o disappear_v from_o time_n to_o time_n particular_o when_o the_o party_n lie_v on_o his_o back_n when_o the_o intestine_a be_v reduce_v a_o kind_n of_o whistle_a noise_n be_v hear_v omentum_fw-la sign_n of_o the_o omentum_fw-la but_o if_o it_o be_v in_o omentum_fw-la the_o tumour_n soft_a and_o do_v not_o return_v so_o easy_o it_o be_v unequal_a by_o reason_n of_o the_o band_n and_o fat_a with_o which_o it_o be_v charge_v when_o press_v with_o the_o finger_n there_o remain_v a_o mark_n and_o we_o feel_v the_o same_o resistance_n as_o in_o press_v a_o steatomatous_a tumour_n this_o be_v more_o subject_a to_o mortification_n because_o the_o texture_n of_o the_o part_n of_o which_o it_o be_v form_v be_v loose_a spungy_a and_o more_o subject_a to_o corruption_n so_o that_o at_o the_o least_o impression_n the_o blood_n stop_v more_o easy_o there_o than_o any_o where_o else_o wherefore_o you_o must_v not_o delay_v the_o operation_n in_o certain_a occasion_n as_o we_o shall_v hereafter_o mention_v note_v that_o if_o inflammation_n happen_v it_o be_v always_o at_o the_o intestine_n side_n if_o it_o be_v the_o omentum_fw-la it_o grow_v livid_v at_o the_o least_o alteration_n symptom_n inflammation_n a_o veâ—â—_n severe_a symptom_n as_o for_o the_o accident_n i_o find_v none_o more_o dangerous_a than_o inflammation_n which_o be_v always_o accompany_v with_o pain_n fever_n strangulation_n and_o sometime_o with_o the_o illiac_n passion_n where_o the_o excrement_n be_v often_o force_v against_o their_o own_o weight_n to_o mount_v and_o come_v out_o of_o the_o mouth_n the_o cause_n of_o which_o cruel_a symptom_n proceed_v from_o the_o gut_n be_v inflame_v by_o the_o excrement_n which_o be_v lodge_v there_o it_o communicate_v this_o inflammation_n to_o the_o ring_n of_o the_o muscle_n particular_o to_o those_o of_o the_o external_a oblique_a which_o by_o reason_n of_o its_o tendinous_a nature_n fail_v not_o to_o shut_v up_o the_o gut_n and_o augment_v the_o inflammation_n by_o a_o reciprocal_a action_n which_o cause_v interruption_n of_o the_o course_n of_o the_o blood_n and_o spirit_n in_o that_o part_n from_o thence_o come_v the_o reflux_n of_o the_o excrement_n lividity_n and_o mortification_n it_o be_v easy_a to_o conceive_v that_o have_v lose_v their_o motion_n there_o can_v follow_v nothing_o but_o divulsion_n pain_n and_o loss_n of_o life_n there_o be_v yet_o another_o kind_n of_o lividity_n which_o come_v from_o have_v handle_v and_o press_v the_o tumour_n too_o much_o these_o unprofitable_a touching_n be_v as_o so_o many_o bruise_n which_o be_v imprint_v on_o the_o part_n the_o gut_n and_o omentum_fw-la be_v press_v the_o blood_n stop_v in_o the_o vessel_n which_o cause_v immediate_a mortification_n and_o change_v of_o colour_n operation_n when_o the_o surgeon_n ought_v to_o avoid_v the_o operation_n it_o be_v also_o know_v by_o the_o pain_n which_o be_v great_a as_o we_o have_v say_v the_o surgeon_n see_v all_o these_o bad_a symptom_n ought_v to_o retire_v the_o rest_n of_o the_o accident_n i_o reserve_v till_o i_o describe_v the_o manner_n of_o perform_v the_o operation_n vmbilicus_fw-la a_o idea_n of_o the_o vmbilicus_fw-la i_o begin_v with_o the_o exomphalos_n but_o before_o i_o enter_v on_o the_o operation_n i_o design_v to_o give_v a_o idea_n of_o the_o disposition_n of_o the_o navel_n it_o be_v form_v by_o the_o reunion_n of_o the_o umbilical_a vessel_n which_o slip_v oblique_o into_o the_o thickness_n of_o the_o peritonaeum_fw-la which_o accompany_v they_o and_o pierce_v conjuct_o the_o n1_fw-la alba_fw-la fasten_v themselves_o to_o the_o surface_n of_o the_o cutis_fw-la where_o they_o leave_v a_o little_a tumour_n which_o be_v call_v the_o navel_n after_o the_o birth_n in_o the_o foetus_fw-la the_o way_n through_o which_o these_o vessel_n pass_v be_v as_o manifest_a as_o the_o ring_n of_o the_o muscle_n of_o the_o low_a belly_n be_v in_o adult_n but_o after_o the_o birth_n they_o shrivel_v up_o and_o turn_v into_o ligament_n and_o as_o the_o part_n where_o these_o vessel_n meet_v grow_v big_a they_o oblige_v the_o navel_n by_o their_o own_o weight_n insensible_o from_o which_o i_o conclude_v that_o all_o the_o difference_n between_o the_o passage_n of_o the_o umbilical_a and_o spermatic_a vessel_n be_v that_o the_o latter_a be_v easy_o distinguish_v and_o separate_v one_o
of_o a_o part_n be_v afflict_v the_o inflammation_n happen_v when_o the_o course_n of_o blood_n be_v hinder_v in_o any_o part_n and_o that_o it_o be_v sufficient_a to_o produce_v the_o fever_n which_o be_v a_o consequence_n of_o the_o pain_n and_o inflammation_n if_o a_o drop_n of_o extravasated_a and_o corrupt_a blood_n be_v carry_v to_o the_o heart_n cheek_n cause_o of_o red_a cheek_n one_o have_v red_a cheek_n in_o a_o impostume_n of_o the_o lung_n this_o come_v from_o the_o irregular_a motion_n which_o the_o purulent_a particle_n communicate_v to_o the_o principle_n of_o the_o blood_n and_o from_o the_o great_a number_n of_o blood_n vessel_n which_o irrigate_n the_o cheek_n eye_n cause_o of_o the_o dulness_n of_o the_o eye_n the_o eye_n lose_v their_o vivacity_n and_o sink_v into_o the_o head_n because_o the_o blood_n lose_v its_o consistence_n and_o colour_n in_o lose_v its_o oil_n and_o unctuosity_n which_o make_v the_o eye_n sink_v and_o become_v insensible_o wan_a and_o dull_a proportionable_a as_o the_o sharp_a and_o tartarous_a salt_n dissipate_v the_o oily_a and_o sulphureous_a particle_n corrupt_v in_o all_o disease_n of_o the_o lung_n the_o caule_n and_o mesenterium_fw-la always_o corrupt_v this_o i_o say_v be_v so_o true_a that_o in_o all_o disease_n of_o the_o lung_n we_o always_o find_v the_o epiploon_n and_o mesenterium_fw-la which_o be_v the_o two_o reservatorium_n of_o the_o fat_a corrupt_v it_o be_v for_o the_o same_o reason_n that_o all_o part_n of_o the_o body_n dry_v up_o and_o grow_v lean_a blood_n what_o give_v the_o red_a colour_n to_o the_o blood_n you_o must_v also_o observe_v that_o the_o red_a colour_n of_o the_o blood_n do_v not_o only_o depend_v on_o the_o mixture_n of_o the_o sulphur_n but_o also_o on_o the_o action_n of_o the_o air_n which_o whirl_n about_o its_o particle_n and_o be_v the_o air_n that_o get_v into_o the_o impostumate_v lung_n change_v its_o nature_n it_o be_v no_o more_o capable_a of_o set_v they_o in_o motion_n neither_o to_o excite_v so_o lively_a a_o sensation_n as_o before_o back_o cause_o of_o the_o nail_n bend_v back_o the_o nail_n bend_v backward_o because_o their_o extremity_n be_v irrigate_v with_o a_o serous_a liquor_n deprive_v of_o spirit_n the_o cutis_fw-la mus_fw-la of_o necessity_n fall_v away_o and_o dry_v up_o now_o as_o the_o nail_n be_v only_o a_o production_n of_o it_o it_o pull_v they_o along_o and_o constrain_v they_o to_o bend_v like_a as_o a_o slice_n of_o bread_n hold_v to_o the_o fire_n you_o must_v look_v upon_o all_o these_o sign_n as_o certain_a token_n that_o the_o wound_n penetrate_v into_o the_o breast_n you_o may_v stay_v some_o day_n to_o examine_v its_o progress_n for_o if_o they_o proceed_v from_o a_o not_o penetrate_v wound_n in_o a_o few_o day_n they_o cease_v by_o bleed_v and_o suppuration_n and_o they_o continue_v and_o increase_v when_o the_o lung_n be_v alter_v or_o when_o the_o diaphragma_n be_v oppress_v by_o the_o weight_n of_o some_o extravasated_a matter_n body_n a_o emphisema_n may_v happen_v to_o any_o part_n of_o the_o body_n the_o emphisema_n be_v not_o always_o a_o sign_n that_o the_o wound_n penetrate_v because_o it_o may_v happen_v not_o only_o to_o wound_n of_o the_o breast_n but_o also_o to_o all_o other_o part_n we_o see_v it_o even_o to_o come_v on_o wound_n of_o the_o head_n where_o we_o can_v suppose_v the_o lung_n to_o send_v any_o air_n so_o that_o unless_o the_o oppression_n be_v very_o great_a you_o must_v not_o try_v the_o operation_n these_o sign_n do_v not_o only_o lead_v we_o to_o the_o knowledge_n of_o the_o nature_n of_o the_o empiema_n but_o they_o tell_v we_o also_o whether_o its_o necessary_a to_o practice_v the_o operation_n for_o example_n useless_a where_o the_o operation_n will_v be_v useless_a it_o will_v be_v useless_a in_o the_o empiema_n of_o the_o lung_n by_o reason_n the_o open_n of_o the_o breast_n contribute_v nothing_o at_o all_o to_o the_o evacuation_n of_o the_o matter_n unless_o the_o impostume_n be_v on_o the_o superficies_n of_o the_o lung_n than_o it_o will_v be_v of_o more_o use_n because_o we_o know_v that_o the_o lung_n be_v fasten_v to_o the_o pleura_fw-la and_o the_o impostume_n be_v precise_o where_o one_o feel_v a_o fix_a pain_n but_o if_o so_o be_v the_o impostume_n shall_v be_v deep_a and_o manifest_v itself_o in_o that_o place_n by_o a_o fix_a pain_n it_o will_v be_v fruitless_a if_o the_o effusion_n of_o the_o blood_n shall_v happen_v from_o a_o wound_n and_o that_o by_o good_a luck_n the_o wound_n be_v in_o a_o place_n where_o the_o extravasated_a blood_n can_v easy_o get_v out_o provide_v the_o lung_n be_v not_o adherent_a by_o enlarge_n the_o mouth_n of_o the_o wound_n to_o make_v way_n for_o it_o or_o by_o lay_v the_o patient_n in_o a_o posture_n convenient_a for_o the_o run_v out_o of_o the_o matter_n the_o operation_n will_v be_v useless_a final_o let_v the_o wound_n be_v of_o what_o manner_n soever_o if_o we_o can_v facilitate_v the_o evacuation_n of_o the_o pus_fw-la by_o make_v the_o aperture_n big_a we_o ought_v to_o avoid_v the_o operation_n but_o if_o the_o matter_n can_v have_v its_o free_a course_n you_o must_v make_v use_n of_o it_o for_o to_o deliver_v the_o patient_n from_o suffocation_n and_o the_o chief_a circumstance_n of_o the_o operation_n be_v to_o choose_v a_o proper_a place_n to_o facilitate_v the_o exit_z of_o the_o matter_n necessity_n the_o most_o proper_a place_n to_o perform_v the_o operation_n of_o necessity_n there_o be_v two_o place_n in_o the_o breast_n proper_a to_o make_v the_o operation_n one_o of_o necessity_n the_o other_o of_o election_n of_o necessity_n where_o the_o matter_n appear_v as_o in_o the_o impostumation_n of_o the_o pleura_fw-la or_o in_o that_o of_o the_o superficies_n of_o the_o lung_n adhere_v to_o the_o pleura_fw-la because_o we_o be_v force_v to_o make_v the_o operation_n where_o the_o impostume_n be_v that_o of_o election_n election_n of_o election_n when_o there_o be_v nothing_o that_o oblige_v we_o to_o make_v it_o rather_o in_o one_o place_n than_o another_o in_o this_o case_n you_o must_v choose_v the_o most_o convenient_a place_n which_o be_v between_o the_o second_o and_o three_o of_o the_o true_a rib_n reckon_v from_o below_o upward_o four_o finger_n from_o the_o inferior_a angle_n of_o the_o scapula_fw-la and_o as_o much_o from_o the_o spin_v you_o must_v observe_v that_o in_o those_o who_o have_v be_v trouble_v with_o any_o long_a disease_n of_o the_o breast_n as_o with_o a_o long_a pleurisy_n etc._n etc._n the_o diaphragme_n be_v insensible_o fasten_v to_o the_o rib_n and_o reach_v sometime_o even_o to_o the_o three_o four_o or_o five_o rib_n observe_v a_o caution_n to_o be_v observe_v particular_o when_o the_o breathe_n be_v frequent_a and_o force_v therefore_o you_o must_v inform_v yourself_o which_o be_v the_o place_n where_o the_o disease_a feel_v the_o pain_n if_o it_o be_v about_o the_o second_o of_o the_o true_a rib_n where_o ordinary_o the_o diaphragma_n be_v fasten_v or_o if_o it_o be_v high_a which_o must_v be_v well_o examine_v before_o you_o make_v the_o operation_n chap._n xxiii_o of_o the_o operation_n of_o the_o empiema_n have_v preparel_n all_o that_o must_v precede_v such_o a_o necessary_a operation_n you_o place_v the_o disease_a on_o a_o chair_n or_o bed_n he_o must_v keep_v his_o body_n very_o straight_o and_o be_v hold_v up_o by_o servant_n that_o the_o chirurgeon_n may_v the_o easy_o take_v notice_n of_o the_o place_n where_o he_o be_v to_o make_v the_o incision_n in_o fat_a people_n you_o make_v it_o somewhat_o large_a that_o you_o may_v not_o be_v mistake_v operation_n how_o to_o perform_v the_o operation_n you_o pinch_v up_o the_o tegument_n for_o to_o cut_v they_o at_o length_n with_o a_o bistory_n and_o the_o fibre_n of_o the_o great_a musculus_fw-la dorsalis_fw-la cross_n for_o if_o they_o be_v cut_v otherwise_o they_o will_v stop_v the_o aperture_n of_o the_o pleura_fw-la and_o so_o hinder_v the_o run_v out_o of_o the_o matter_n you_o continue_v to_o incise_v dextrous_o the_o intercostal_n muscle_n some_o incise_v they_o at_o the_o uppermost_a part_n of_o the_o rib_n to_o avoid_v the_o vessel_n that_o lie_v all_o along_o its_o internal_a lower_v sinus_n but_o see_v the_o wound_n which_o be_v near_o the_o bone_n degeneration_n often_o into_o fistula_n caution_n caution_n its_o more_o proper_a to_o make_v it_o in_o the_o middle_n of_o the_o intercostal_n muscle_n when_o you_o be_v come_v to_o the_o pleura_fw-la you_o put_v your_o finger_n there_o all_o along_o which_o you_o slip_v a_o bistory_n for_o to_o incise_v the_o pleura_fw-la mind_v to_o guide_v well_o the_o point_n of_o the_o instrument_n with_o the_o finger_n and_o penetrate_v not_o too_o deep_a lest_o you_o offend_v the_o lung_n or_o diaphragma_n which_o be_v often_o fasten_v to_o the_o pleura_fw-la
spirit_n by_o any_o mishap_n the_o machine_n must_v needs_o fall_v sense_n cause_o of_o loss_n of_o the_o sense_n the_o sense_n be_v lose_v by_o reason_n the_o course_n of_o the_o spirit_n be_v interrupt_v in_o the_o brain_n and_o can_v repair_v to_o the_o organ_n of_o the_o sense_n now_o since_o the_o function_n of_o the_o sense_n depend_v on_o the_o course_n of_o the_o spirit_n in_o the_o nerve_n it_o be_v no_o wonder_n if_o the_o exterior_a object_n make_v no_o more_o impression_n upon_o our_o sense_n and_o we_o be_v no_o more_o in_o a_o condition_n to_o distinguish_v they_o the_o phaenomena_n be_v a_o consequent_a of_o the_o precedent_n ear_n cause_o of_o bleed_v of_o the_o nose_n mouth_n and_o ear_n the_o blood_n flow_v out_o of_o the_o nose_n mouth_n and_o ear_n to_o explain_v which_o symptom_n you_o must_v consider_v that_o these_o part_n be_v rude_o shake_v in_o the_o time_n of_o the_o assault_n that_o the_o blood_n and_o spirit_n be_v stop_v in_o the_o brain_n and_o that_o the_o great_a cord_n of_o the_o nerve_n which_o at_o their_o passage_n out_o of_o the_o skull_n pass_v between_o the_o branch_n of_o the_o carotidal_a and_o vertebral_a artery_n imprint_v there_o such_o a_o violent_a motion_n at_o the_o time_n of_o the_o concussion_n that_o they_o oblige_v the_o arterial_a blood_n to_o turn_v short_a and_o flow_v into_o the_o external_a carotides_n so_o that_o these_o receive_n almost_o all_o the_o blood_n which_o mount_v to_o the_o head_n as_o well_o from_o the_o inflammation_n as_o from_o the_o shake_n of_o the_o nerve_n must_v needs_o break_v some_o capillary_a vessel_n excrement_n the_o cause_n of_o involuntary_a shed_n of_o urine_n and_o excrement_n the_o excrement_n and_o urine_n come_v forth_o against_o one_o will_n because_o the_o spirit_n repair_v no_o more_o in_o such_o case_n to_o the_o sphincter_n of_o the_o anus_fw-la and_o bladder_n than_o to_o other_o part_n which_o cause_v they_o to_o lose_v their_o spring_n and_o permit_v the_o issue_n 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precipitation_n into_o the_o tunicle_n of_o the_o ventricle_n and_o intestine_n which_o by_o their_o irregular_a and_o vermicular_a motion_n oblige_v the_o bile_n which_o run_v into_o their_o cavity_n to_o force_v the_o pylorus_n and_o pass_v into_o the_o stomach_n from_o whence_o it_o be_v drive_v by_o the_o powerful_a contraction_n of_o its_o carnous_a fibre_n you_o must_v observe_v that_o in_o this_o last_o vomit_v where_o one_o render_v bile_n it_o be_v much_o more_o violent_a than_o the_o first_o and_o that_o the_o disease_a lose_v their_o strength_n vigour_n and_o ordinary_a motion_n these_o be_v the_o accident_n which_o immediate_o follow_v concussion_n of_o the_o brian_n now_o it_o be_v very_o important_a to_o examine_v well_o those_o that_o happen_v when_o the_o brain_n be_v hurt_v and_o when_o any_o blood_n or_o pus_fw-la be_v extravasated_a in_o its_o substance_n sometime_o it_o be_v a_o effect_n of_o the_o concussion_n that_o have_v break_v some_o vessel_n and_o sometime_o a_o effect_n of_o the_o blow_n which_o have_v prick_v or_o cut_v the_o dura_fw-la mater_fw-la or_o which_o have_v penetrate_v or_o carry_v off_o some_o portion_n of_o the_o brain_n or_o final_o it_o be_v some_o pus_fw-la between_o the_o dura_fw-la and_o pia_fw-la mater_fw-la which_o be_v shed_v upon_o the_o brian_n in_o all_o these_o cause_n the_o fever_n come_v with_o double_a fit_n and_o shivering_n accompany_v with_o vomit_v convulsion_n delirium_fw-la lethargy_n and_o apoplexy_n and_o beside_o this_o crowd_n of_o symptom_n the_o liver_n and_o lung_n often_o impostumate_v which_o be_v know_v by_o a_o fix_a pain_n on_o the_o breast_n or_o in_o the_o region_n of_o the_o liver_n and_o by_o reiterated_a shivering_n fever_n cause_o of_o the_o redouble_a of_o the_o fever_n as_o for_o the_o fever_n with_o its_o intermitting_n which_o come_v upon_o it_o it_o be_v not_o hard_a to_o give_v reason_n for_o this_o extraordinary_a fermentation_n as_o soon_o as_o we_o be_v a_o little_a attentive_a upon_o the_o change_n of_o corruption_n which_o happen_v to_o the_o matter_n that_o be_v diffuse_v upon_o the_o substance_n of_o the_o brain_n it_o be_v not_o to_o be_v doubt_v but_o that_o it_o grow_v impure_a and_o more_o or_o less_o sour_a according_a to_o the_o time_n it_o lie_v there_o that_o the_o vein_n be_v from_o time_n to_o time_n charge_v with_o it_o and_o that_o a_o part_n pass_v into_o the_o heart_n lung_n and_o all_o the_o other_o organ_n which_o by_o their_o continual_a motion_n form_n and_o grind_v they_o as_o it_o be_v into_o a_o thousand_o little_a part_n which_o lively_o hasten_v the_o impetuous_a course_n of_o the_o blood_n and_o which_o cause_n the_o trouble_n and_o perturbation_n of_o the_o spirit_n which_o march_v in_o disorder_n which_o precipitate_v the_o motion_n of_o the_o heart_n and_o increase_v the_o fever_n and_o when_o ever_o that_o strange_a matter_n which_o be_v offensive_a to_o the_o brian_n have_v get_v some_o degree_n of_o corruption_n and_o make_v itself_o fit_a to_o circulate_v with_o the_o venal_a blood_n this_o matter_n i_o say_v receive_v the_o same_o alteration_n and_o trituration_n which_o we_o have_v suppose_v set_v the_o blood_n more_o sensible_o in_o motion_n and_o put_v it_o in_o a_o much_o great_a effervescency_n on_o which_o depend_v the_o strength_n of_o the_o return_n of_o the_o fever_n after_o this_o manner_n as_o often_o as_o the_o blood_n be_v charge_v with_o it_o the_o returns_z which_o be_v a_o sit_v be_v periodical_a be_v renew_v from_o all_o the_o reason_n which_o i_o have_v allege_v it_o be_v easy_a to_o understand_v that_o there_o be_v few_o part_n or_o corner_n of_o the_o body_n where_o this_o purulent_a matter_n be_v not_o throw_v it_o prick_v the_o nerve_n irritate_v the_o membrane_n transmits_n its_o action_n on_o the_o ventricle_n nest_n its_o self_n sometime_o in_o one_o muscle_n sometime_o in_o another_o and_o cause_n shivering_n vomiting_n and_o the_o vicissitude_n of_o irregular_a and_o convulsive_a motion_n which_o show_v that_o the_o mass_n of_o blood_n be_v mighty_o suppress_v the_o course_n of_o the_o spirit_n much_o agitate_a so_o that_o delirium_fw-la and_o lethargy_n must_v follow_v delirium_fw-la cause_o of_o delirium_fw-la the_o delirium_fw-la be_v a_o effect_n of_o the_o great_a inequality_n of_o the_o course_n of_o the_o blood_n in_o the_o redoubling_n of_o the_o fever_n and_o of_o the_o diffuse_a matter_n which_o begin_v to_o penetrate_v and_o corrupt_v the_o substance_n of_o the_o brain_n the_o inequality_n of_o the_o course_n of_o the_o blood_n in_o the_o time_n of_o the_o redoubling_n rule_v the_o irregularity_n of_o the_o course_n of_o the_o spirit_n in_o the_o part_n and_o the_o extravasated_a matter_n gnaw_v by_o its_o acrimony_n the_o vessel_n and_o nervous_a fibre_n of_o the_o white_a part_n so_o put_v to_o the_o rout_n the_o spirit_n into_o the_o muscle_n organ_n of_o the_o sense_n and_o in_o the_o passage_n of_o the_o brain_n where_o the_o idea_n be_v weaken_v with_o irregularity_n and_o confusion_n lethargy_n cause_o of_o the_o lethargy_n the_o lethargy_n follow_v when_o ever_o there_o be_v much_o blood_n spill_v upon_o the_o brain_n be_v in_o its_o last_o degree_n of_o motion_n and_o exaltation_n the_o weight_n of_o the_o extravasated_a blood_n press_v the_o brain_n and_o the_o quick_a motion_n of_o the_o blood_n cause_v the_o courser_n particle_n to_o separate_v from_o the_o fine_a one_o that_o they_o stick_v to_o the_o pore_n of_o the_o gland_n and_o stop_v the_o passage_n of_o the_o spirit_n so_o that_o the_o brain_n find_v itself_o oppress_v with_o the_o weight_n of_o the_o matter_n the_o patient_n fall_v into_o a_o profound_a drowsiness_n but_o in_o the_o time_n that_o this_o extravasated_a matter_n dissipate_v its_o self_n the_o courser_n particle_n which_o be_v so_o many_o sluice_n be_v put_v out_o of_o order_n by_o the_o impulsion_n of_o new_a blood_n the_o
mortify_a part_n be_v deprive_v of_o motion_n and_o feeling_n as_o because_o a_o great_a pain_n cause_v a_o inflammation_n and_o sometime_o mortification_n do_v not_o consider_v that_o the_o weight_n of_o the_o courser_n particle_n of_o the_o blood_n which_o lie_v in_o a_o part_n press_v the_o nerve_n and_o so_o interrupt_v the_o course_n of_o the_o spirit_n and_o the_o pulsation_n of_o the_o artery_n be_v no_o more_o feel_v for_o as_o nature_n delight_v to_o glue_v the_o artery_n to_o the_o nerve_n nerve_n artery_n for_o the_o most_o part_n join_v with_o nerve_n and_o that_o she_o make_v use_v of_o the_o pulsation_n to_o oblige_v all_o the_o little_a nervous_fw-fr fibres_n to_o discharge_v the_o spirit_n which_o they_o contain_v so_o it_o will_v be_v always_o true_a to_o say_v that_o the_o gangrene_n succeed_v great_a pain_n and_o inflammation_n and_o that_o the_o privation_n of_o motion_n and_o feeling_n come_v chief_o from_o the_o blood_n since_o it_o be_v that_o which_o hinder_v by_o its_o stay_n the_o distribution_n of_o the_o spirit_n i_o deny_v not_o that_o the_o want_n of_o animal_n spirit_n in_o paralytic_n may_v give_v occasion_n to_o a_o gangrene_n to_o seize_v the_o soon_o on_o a_o part_n as_o we_o shall_v see_v in_o the_o follow_a discourse_n after_o all_o i_o have_v say_v it_o be_v easy_a to_o comprehend_v that_o the_o heat_n and_o life_n be_v precise_o contain_v in_o the_o blood_n since_o the_o dissipation_n and_o absence_n of_o its_o spirituous_a and_o nourish_a particle_n cause_v the_o gangrene_n and_o that_o their_o presence_n and_o exaltation_n entertain_v the_o natural_a heat_n gangrene_n true_a and_o only_a cause_n of_o a_o gangrene_n i_o say_v then_o in_o general_a that_o the_o cause_n of_o a_o gangrene_n and_o mortification_n be_v the_o dissipation_n &_o absence_n or_o concentration_n of_o the_o spirituous_a particle_n of_o the_o blood_n which_o must_v vivify_v the_o part_n or_o at_o least_o the_o interruption_n of_o the_o course_n of_o the_o same_o and_o its_o coagulation_n these_o cause_n act_n for_o the_o most_o part_n separately_z it_o may_v also_o happen_v that_o they_o act_v together_o to_o cause_v a_o gangrene_n as_o i_o shall_v make_v you_o observe_v let_v we_o examine_v all_o these_o cause_n and_o first_o see_v what_o be_v this_o alteration_n of_o the_o blood_n that_o be_v deprive_v of_o its_o spirituous_a particle_n from_o which_o follow_v gangrene_n and_o mortification_n to_o give_v a_o just_a idea_n of_o it_o let_v we_o consider_v the_o change_n that_o happen_v to_o wine_n all_o the_o world_n agree_v comparison_n a_o comparison_n that_o the_o good_a condition_n of_o wine_n consist_v in_o the_o exaltation_n of_o its_o most_o subtle_a and_o spirituous_a principle_n as_o long_o as_o these_o principle_n have_v the_o upper_a hand_n the_o wine_n remain_v in_o a_o state_n of_o gentle_a and_o natural_a fermentation_n and_o consequent_o of_o goodness_n but_o if_o it_o happen_v by_o what_o cause_n soever_o that_o they_o be_v weaken_a and_o dissipate_v and_o the_o acid_a salt_n or_o salt_n sulphur_n take_v the_o upperhand_n than_o it_o be_v that_o the_o wine_n grow_v sour_a and_o at_o least_o sharp_a and_o very_a disagreeable_a it_o happen_v also_o very_a often_o that_o after_o the_o loss_n and_o dissipation_n of_o the_o spirit_n there_o remain_v nothing_o in_o the_o wine_n but_o earth_n and_o phlegm_n it_o be_v without_o taste_n and_o be_v nothing_o but_o a_o dead_a mass_n and_o barren_a liquor_n which_o in_o latin_a be_v call_v vappa_fw-la vinum_fw-la pendulum_fw-la which_o be_v as_o it_o be_v the_o cadaver_n of_o the_o wine_n final_o it_o happen_v that_o in_o cold_a wether_n the_o spirit_n of_o the_o wine_n concentre_v in_o the_o midst_n of_o the_o vessel_n which_o contain_v it_o so_o that_o all_o the_o part_n in_o the_o circumference_n be_v deprive_v of_o the_o spirit_n congeal_v i_o say_v that_o when_o the_o spirituous_a particle_n of_o the_o blood_n be_v dissipate_v or_o concentre_v it_o receive_v almost_o the_o same_o alteration_n if_o the_o acid_a salt_n or_o salt_n sulphur_n take_v the_o upper_a hand_n it_o become_v acid_a or_o rank_n willis_n use_v the_o same_o example_n when_o he_o explain_v the_o alteration_n that_o happen_v to_o the_o blood_n 68_o in_o tract_n de_fw-fr ferm_n p._n 68_o in_o comparison_n to_o those_o that_o happen_v to_o wine_n cum_fw-la a_o long_fw-mi fermentatione_n spiritus_fw-la absumi_fw-la actandum_fw-la deficere_fw-la incipiunt_fw-la inducitur_fw-la defectionis_fw-la status_fw-la quo_fw-la vina_fw-la aliique_fw-la liquores_fw-la ant_n in_o vappam_fw-la transeunt_fw-la of_o it_o demum_fw-la sale_n vel_fw-la sulphur_n nimium_fw-la exaltatis_fw-la acetosi_fw-la ant_n rancidi_fw-la fiunt_fw-la pariter_fw-la &_o sanguis_fw-la dum_fw-la in_o vasis_fw-la circulatur_fw-la juxta_fw-la triplicem_fw-la hujusmodi_fw-la diathesin_n considerari_fw-la potest_fw-la etc._n etc._n final_o when_o all_o the_o spirit_n be_v dissipate_v that_o the_o blood_n degenerate_v into_o a_o dead_a inspire_v mass_n incapable_a of_o any_o fermentation_n and_o whenever_o the_o spirit_n be_v concentre_v in_o great_a cold_a they_o abandon_v or_o forsake_v the_o exterior_a part_n which_o be_v then_o only_o irrigate_v with_o blood_n deprive_v of_o vital_a and_o spirituous_a particle_n this_o last_o state_n of_o the_o blood_n answer_v to_o turn_v wine_n whence_o depend_v the_o mortification_n of_o a_o part_n in_o certain_a case_n which_o i_o be_o go_v to_o propose_v people_n cause_o of_o gangrene_n in_o old_a people_n first_o we_o observe_v that_o old_a people_n die_v very_o often_o of_o gangrene_n and_o that_o that_o it_o begin_v by_o the_o extremity_n and_o follow_v through_o the_o whole_a body_n in_o spite_n of_o all_o remedy_n that_o may_v be_v use_v the_o same_o thing_n happen_v through_o long_a abstinence_n and_o after_o all_o sort_n of_o too_o great_a evacuation_n to_o give_v a_o account_n of_o this_o phenomena_n you_o must_v observe_v that_o the_o blood_n can_v no_o more_o than_o other_o liquor_n that_o ferment_n always_o remain_v in_o the_o same_o condition_n it_o be_v active_a principle_n be_v yet_o entangle_v in_o infancy_n they_o get_v loose_a in_o our_o youth_n remain_v in_o a_o state_n of_o exaltation_n during_o a_o certain_a age_n but_o at_o last_o they_o be_v dissipate_v and_o begin_v to_o abandon_v their_o subject_n in_o old_a age_n therefore_o old_a people_n become_v by_o little_a and_o little_a incapable_a of_o their_o ordinary_a motion_n they_o lose_v insensible_o their_o vigour_n till_o at_o last_o their_o life_n in_o lose_v their_o heat_n and_o spirit_n this_o be_v so_o it_o be_v not_o hard_a to_o explain_v why_o old_a people_n who_o die_v after_o this_o manner_n be_v always_o trouble_v with_o gangrene_n in_o their_o last_o day_n the_o reason_n be_v because_o their_o blood_n become_v a_o languid_a mass_n which_o no_o more_o contain_v any_o character_n of_o life_n and_o which_o in_o effect_n be_v no_o more_o than_o a_o cadaver_n of_o blood_n this_o kind_n of_o death_n one_o may_v call_v natural_a because_o it_o happen_v not_o but_o when_o the_o heat_n be_v extinguish_v of_o itself_o and_o by_o degree_n ideoque_fw-la mori_fw-la simul_fw-la dicuntur_fw-la &_o extingui_fw-la in_o this_o manner_n it_o be_v that_o a_o mortification_n of_o the_o blood_n and_o spirit_n happen_v after_o a_o hectic_a fever_n long_a flux_n great_a abstinence_n too_o great_a labour_n and_o general_o after_o all_o sort_n of_o great_a evacuation_n because_o in_o these_o occasion_n the_o matter_n design_v for_o the_o entertain_n of_o natural_a heat_n be_v dissipate_v or_o be_v not_o enough_o furnish_v to_o supply_v the_o loss_n of_o it_o which_o it_o actual_o suffer_v of_o the_o rest_n though_o in_o this_o state_n of_o the_o blood_n the_o gangrene_n be_v almost_o universal_a and_o need_v no_o other_o cause_n to_o manifest_v itself_o yet_o sometime_o it_o happen_v that_o the_o slowness_n of_o the_o circulation_n give_v it_o occasion_n to_o attack_v certain_a part_n there_o be_v a_o very_a particular_a case_n of_o it_o in_o the_o 46th_o chapter_n of_o the_o second_o book_n of_o tulpius_n his_o observation_n observation_n observation_n where_o he_o relate_v that_o a_o old_a man_n be_v reduce_v to_o such_o a_o languish_a condition_n and_o so_o great_a a_o weakness_n that_o the_o least_o impression_n cause_v he_o to_o have_v a_o gangrene_n he_o dare_v not_o so_o much_o as_o sit_v down_o nor_o lean_a on_o a_o elbow_n nor_o even_o set_v a_o foot_n on_o the_o ground_n or_o press_v any_o of_o his_o member_n but_o there_o appear_v some_o mark_n of_o mortification_n which_o follow_v the_o gangrene_n this_o observation_n be_v rare_a and_o singular_a we_o must_v confess_v that_o his_o blood_n be_v mighty_o exhaust_v of_o spirit_n since_o a_o slight_a compression_n only_o be_v capable_a to_o produce_v a_o gangrene_n in_o a_o part_n we_o need_v not_o search_v any_o where_o else_o for_o the_o cause_n of_o a_o gangrene_n which_o happen_v to_o the_o leg_n and_o other_o part_n of_o
hydropic_n what_o i_o have_v say_v explain_v it_o sufficient_o beside_o we_o well_o enough_o conceive_v that_o the_o serous_a blood_n be_v deprive_v of_o spirit_n that_o it_o move_v more_o slow_o in_o the_o extremity_n than_o any_o where_o else_o and_o consequent_o the_o heat_n must_v rather_o be_v lessen_v in_o these_o part_n than_o in_o other_o as_o i_o have_v make_v you_o observe_v when_o i_o speak_v of_o the_o dropsy_n beside_o the_o ferosity_n filter_n in_o so_o great_a a_o quantity_n between_o the_o fibre_n and_o the_o part_n that_o it_o may_v by_o its_o weight_n press_v the_o vessel_n and_o so_o cause_v a_o gangrene_n second_o great_a cold_a cause_v often_o gangrene_n and_o mortification_n in_o the_o extremity_n especial_o the_o foot_n hand_n ear_n and_o nose_n particular_o in_o person_n oblige_v to_o march_v in_o the_o snow_n during_o excessive_a rigour_n of_o winter_n as_o those_o which_o travel_v in_o the_o northern_a region_n gangrene_n how_o cold_a cause_n a_o gangrene_n to_o explain_v this_o phenomena_n you_o must_v only_o remember_v what_o i_o have_v say_v in_o the_o comparison_n of_o wine_n where_o we_o have_v see_v that_o the_o spirit_n of_o wine_n be_v concentre_v by_o the_o cold_a and_o that_o the_o exterior_a part_n find_v themselves_o deprive_v of_o spirit_n freeze_n this_o happen_v to_o a_o bottle_n of_o wine_n expose_v to_o a_o very_a cold_a air_n you_o may_v observe_v in_o break_v the_o bottle_n that_o the_o spirit_n have_v retire_v to_o the_o centre_n and_o preserve_v their_o fluidity_n while_o all_o the_o rest_n be_v congeal_v i_o say_v that_o the_o same_o thing_n happen_v in_o the_o blood_n by_o the_o rigour_n of_o cold_a and_o while_o the_o spirit_n retire_v to_o the_o centre_n of_o the_o animal_n the_o exterior_a part_n remain_v gangrenate_v be_v only_o irrigate_v with_o a_o dead_a and_o insipid_a phlegm_n which_o congeal_v in_o the_o very_a substance_n of_o the_o part_n it_o be_v easy_a to_o comprehend_v that_o at_o the_o same_o time_n the_o part_n feel_v the_o pinch_n of_o the_o cold_a they_o retire_v be_v compress_v by_o the_o action_n of_o the_o air_n which_o first_o cause_v those_o quick_a and_o penetrate_a pain_n and_o hinder_v the_o blood_n from_o continue_v its_o motion_n in_o those_o part_n therefore_o lie_v there_o still_o it_o insensible_o stop_v every_o passage_n and_o cause_v a_o entire_a mortification_n hinc_fw-la interdum_fw-la say_v ettmuller_n ex_fw-la frigore_fw-la extrinsecus_fw-la irruente_fw-la part_n gangrenosae_fw-la fiunt_fw-la so_o much_o for_o what_o regard_v all_o kind_n of_o gangrene_n that_o depend_v on_o the_o dissipation_n and_o concentration_n of_o the_o spirit_n gangrene_n tumour_n fracture_n luxation_n etc._n etc._n may_v cause_v a_o gangrene_n now_o i_o come_v to_o those_o that_o depend_v on_o the_o interruption_n of_o the_o course_n of_o the_o blood_n and_o its_o motion_n first_o tumor_n fracture_n and_o luxation_n may_v cause_v a_o gangrene_n in_o a_o part_n by_o compress_v too_o hard_a the_o vessel_n that_o convey_v the_o blood_n there_o i_o confess_v that_o this_o kind_n of_o gangrene_n be_v rare_a because_o the_o vessel_n communicate_v themselves_o in_o so_o many_o place_n and_o there_o come_v so_o great_a quantity_n of_o different_a branch_n from_o they_o that_o it_o be_v difficult_a that_o all_o the_o supply_n of_o blood_n shall_v be_v hinder_v in_o a_o member_n nevertheless_o fabritius_n hildanus_n assure_v we_o observation_n observation_n that_o he_o have_v see_v a_o man_n who_o be_v attack_v with_o a_o gangrene_n in_o both_o leg_n and_o his_o foot_n be_v always_o cold_a and_o benumb_v so_o he_o die_v without_o a_o fever_n &_o without_o any_o other_o symptom_n his_o body_n be_v open_v there_o be_v find_v a_o schirrou_n tumour_n in_o the_o region_n of_o his_o reins_o over_o the_o division_n of_o his_o iliac_n branch_n this_o tumour_n press_v first_o slight_o the_o vessel_n and_o cause_v the_o cold_a and_o benumb_a of_o the_o leg_n but_o as_o it_o grow_v it_o press_v the_o artery_n and_o vein_n so_o hard_o that_o the_o blood_n can_v no_o more_o descend_v into_o the_o inferior_a part_n to_o vivifie_v they_o concern_v fracture_n of_o dislocation_n it_o may_v happen_v that_o the_o head_n of_o a_o bone_n or_o some_o piece_n may_v compress_v the_o vessel_n so_o hard_o as_o to_o hinder_v the_o passage_n of_o the_o blood_n for_o the_o same_o reason_n bandage_n bandage_n too_o tight_a bandage_n etc._n etc._n use_v in_o fracture_n and_o luxation_n strong_a and_o close_a ligature_n of_o the_o vessel_n may_v cause_v a_o gangrene_n especial_o if_o one_o make_v it_o on_o the_o great_a trunk_n unless_o the_o branch_n which_o communicate_v together_o in_o several_a place_n furnish_v the_o blood_n that_o be_v necessary_a for_o the_o vivification_n of_o the_o part_n ettmuller_n say_v nimis_fw-la firmae_fw-la ligaturae_fw-la externae_fw-la interdum_fw-la hoc_fw-la malum_fw-la inducunt_fw-la in_fw-la quod_fw-la fit_a interdum_fw-la si_fw-la in_o ossium_fw-la fracturis_fw-la locus_fw-la fractus_fw-la orcte_fw-la nimis_fw-la ligetur_fw-la in_o all_o these_o case_n it_o be_v very_o easy_a to_o see_v that_o the_o mortification_n depend_v simple_o on_o the_o interruption_n of_o the_o course_n of_o the_o blood_n without_o the_o concurrence_n of_o any_o other_o cause_n but_o you_o will_v see_v in_o what_o follow_v how_o the_o ill_a disposition_n of_o the_o humour_n may_v augment_v and_o even_o produce_v this_o kind_n of_o gangrene_n etc._n a_o gangrene_n may_v happen_v by_o long_o lie_v on_o the_o buttock_n etc._n etc._n second_o a_o gangrene_n happen_v often_o upon_o the_o buttock_n of_o those_o who_o have_v have_v long_a sickness_n and_o that_o be_v oblige_v to_o lie_v long_o on_o their_o back_n first_o the_o cutis_fw-la begin_v to_o rise_n afterward_o there_o happen_v inflammation_n in_o the_o flesh_n which_o end_v in_o rotteness_n and_o gangrene_n the_o first_o be_v cause_v by_o the_o sole_a compression_n of_o the_o vessel_n in_o the_o part_n but_o if_o at_o the_o same_o time_n the_o patient_a involuntary_a shed_v his_o water_n and_o excrement_n the_o gangrene_n come_v soon_o because_o they_o gall_v and_o heat_v the_o part_n by_o their_o acrimony_n and_o so_o increase_v the_o inflammation_n and_o consequent_o the_o inflammation_n and_o gangrene_n gangrene_n great_a inflammation_n contusion_n etc._n etc._n may_v cause_v a_o gangrene_n in_o the_o three_o place_n nothing_o more_o common_a in_o the_o practice_n of_o chirurgery_n than_o to_o see_v gangrene_n follow_v great_a inflammation_n contusion_n and_o even_a aneurism_n when_o ever_o the_o tunicle_n of_o the_o artery_n be_v break_v and_o the_o blood_n extravasated_a between_o the_o muscle_n i_o say_v that_o in_o all_o these_o occasion_n if_o the_o blood_n be_v extravasated_a in_o great_a abundance_n it_o must_v needs_o lie_v heavy_a on_o the_o part_n and_o press_v at_o the_o same_o time_n the_o blood_n vessel_n so_o that_o it_o entire_o stop_v the_o passage_n to_o the_o new_a blood_n which_o come_v to_o irrigate_n and_o vivifie_v the_o part_n behold_v this_o be_v the_o period_n of_o inflammation_n proper_a to_o produce_v a_o gangrene_n and_o as_o there_o must_v be_v great_a abundance_n of_o blood_n to_o compress_v hard_o the_o vessel_n so_o it_o happen_v only_o upon_o great_a inflammation_n if_o i_o say_v that_o in_o great_a inflammation_n the_o extravasated_a blood_n compress_v the_o vessel_n it_o be_v not_o a_o simple_a imagination_n only_o but_o a_o constant_a truth_n since_o the_o pulse_n cease_v to_o verberate_v at_o the_o same_o time_n the_o part_n begin_v to_o gangrenate_n and_o it_o be_v red_a colour_n grow_v pale_a livid_n and_o black_a which_o clear_o demonstrate_v that_o the_o sanguiferous_a vessel_n be_v compress_v and_o the_o access_n of_o new_a blood_n hinder_v gangrene_n repercussive_a astringent_a medicine_n improper_o apply_v may_v cause_v a_o gangrene_n in_o the_o four_o place_n a_o gangrene_n may_v happen_v upon_o the_o least_o inflammation_n even_o on_o érispielas_n when_o ever_o too_o strong_a repercussive_a astringent_a or_o emplastic_a medicine_n be_v inconsiderate_o apply_v to_o conceive_v this_o well_o you_o must_v observe_v that_o the_o extravasated_a liquor_n transpire_v very_o much_o and_o that_o this_o transpiration_n do_v extreme_o discharge_v the_o disease_a part_n of_o the_o quantity_n of_o humour_n which_o it_o contain_v so_o while_o the_o pore_n be_v open_a in_o phlegmon_n and_o erisipelase_n and_o the_o most_o active_a and_o agitate_a particle_n of_o the_o bile_n and_o blood_n evaporate_v the_o part_n always_o discharge_v itself_o of_o some_o of_o its_o burden_n so_o not_o much_o fear_n of_o gangrene_n this_o be_v the_o reason_n why_o in_o the_o southern_a part_n of_o america_n there_o never_o be_v see_v a_o gangrene_n come_v upon_o wound_n or_o inflammation_n because_o the_o great_a heat_n of_o the_o country_n open_v the_o pore_n of_o the_o body_n but_o when_o the_o pore_n be_v close_v by_o astringent_a repercussive_a or_o emplastic_a medicine_n and_o the_o transpiration_n
be_v not_o apply_v upon_o nervous_a part_n nor_o upon_o the_o great_a vessel_n but_o always_o between_o the_o muscle_n you_o first_o rub_v the_o part_n with_o a_o warm_a cloth_n to_o open_v the_o pore_n and_o to_o make_v the_o part_n in_o a_o manner_n insensible_a you_o put_v a_o plaster_n on_o it_o with_o a_o hole_n in_o the_o middle_n to_o put_v the_o caustic_n in_o which_o you_o cover_v with_o a_o compress_v and_o with_o a_o little_a fillet_n a_o general_z idea_n of_o wound_n chap._n i._o of_o incise_v or_o contuse_v wound_n of_o the_o flesh_n to_o finish_v this_o treatise_n i_o think_v fit_a to_o relate_v the_o most_o important_a observation_n which_o regard_v the_o cure_n of_o wound_n and_o to_o clear_v the_o stiff_a difficulty_n which_o puzzle_v most_o surgeon_n in_o the_o method_n of_o discuss_v they_o well_o without_o which_o we_o can_v obtain_v our_o wish_a for_o end_n those_o that_o hitherto_o have_v treat_v of_o they_o have_v be_v satisfy_v to_o hold_v long_a discourse_n about_o their_o several_a kind_n difference_n and_o prognostic_n but_o see_v these_o sort_n of_o useless_a discourse_n serve_v only_o to_o tire_v the_o memory_n of_o those_o which_o seek_v to_o be_v instruct_v i_o will_v not_o repeat_v they_o i_o begin_v first_o with_o the_o most_o simple_a and_o know_v symptom_n wound_n to_o stop_v the_o hemorrhage_n in_o wound_n be_v the_o hemorrhage_n be_v the_o first_o and_o most_o dangerous_a symptom_n of_o wound_n it_o be_v that_o which_o the_o surgeon_n must_v quick_o correct_v in_o close_v the_o vessel_n from_o whence_o the_o blood_n flow_v for_o if_o you_o stop_v they_o the_o blood_n run_v no_o more_o that_o be_v to_o say_v you_o must_v put_v into_o their_o aperture_n some_o medicine_n which_o hinder_v the_o effusion_n of_o the_o liquor_n they_o contain_v or_o in_o tie_v or_o compress_v they_o these_o two_o last_o method_n be_v the_o sure_a because_o one_o may_v order_v they_o as_o one_o please_v so_o that_o the_o intention_n for_o which_o we_o make_v the_o ligature_n or_o introduce_v lint_n into_o a_o new_a wound_n be_v to_o hinder_v the_o flux_n of_o blood_n in_o press_v the_o lint_n a_o little_a to_o oblige_v the_o side_n of_o the_o vessel_n to_o approach_v and_o resist_v the_o impulsion_n of_o the_o blood_n yet_o so_o that_o the_o compression_n excite_v not_o inflammation_n a_o wound_n have_v be_v so_o dress_v it_o be_v of_o importance_n to_o prevent_v the_o inflammation_n and_o pain_n which_o be_v the_o two_o accident_n which_o always_o accompany_v it_o inflammation_n cause_o of_o inflammation_n the_o inflammation_n or_o tumour_n proceed_v from_o the_o circulation_n in_o the_o part_n be_v impede_v by_o the_o division_n of_o the_o vessel_n the_o grumou_n clode_v blood_n and_o the_o dress_n these_o strange_a body_n be_v as_o so_o many_o sluice_n which_o oppose_v the_o course_n of_o the_o blood_n oblige_v it_o to_o stop_v and_o excite_v inflammation_n pain_n cause_o of_o pulsative_a pain_n i_o conceive_v two_o sort_n of_o pain_n the_o first_o be_v a_o pulsative_a pain_n which_o depend_v on_o the_o artery_n that_o creep_v about_o the_o nerve_n which_o at_o that_o time_n be_v so_o extend_v that_o they_o strike_v the_o nerve_n more_o rude_o than_o they_o use_v to_o do_v and_o make_v they_o suffer_v so_o great_a distention_n that_o they_o break_v and_o it_o be_v this_o plurality_n of_o division_n which_o cause_n the_o pain_n pain_n cause_o of_o the_o quick_a and_o burn_a pain_n the_o second_o be_v a_o quick_a and_o burn_a pain_n cause_v by_o the_o suppression_n of_o the_o course_n of_o the_o blood_n which_o by_o the_o motion_n and_o frequent_a shock_n of_o its_o most_o active_a principle_n burst_v the_o vessel_n and_o extravasate_v between_o the_o porosites_n of_o the_o flesh_n where_o it_o be_v rarify_v by_o the_o great_a quantity_n of_o concentred_a spirit_n which_o penetrate_v the_o most_o insensible_a porosity_n then_o do_v the_o blood_n by_o its_o irregular_a action_n shake_v and_o violent_o prick_v the_o little_a nervous_a fillament_n from_o whence_o proceed_v this_o second_o kind_n of_o burn_a pain_n pain_n 2._o to_o prevent_v pain_n we_o common_o prevent_v these_o two_o accident_n by_o repress_v the_o motion_n of_o the_o blood_n which_o come_v to_o the_o part_n with_o too_o great_a precipitation_n by_o repercussive_n and_o gentle_a astringent_n bandage_n be_v of_o the_o first_o rank_n which_o we_o use_v very_o successful_o in_o bind_v the_o wound_n up_o gentle_o as_o also_o the_o neighbour_a part_n whereas_o too_o tight_a a_o compression_n will_v augment_v the_o inflammation_n it_o be_v for_o this_o end_n we_o ready_o employ_v defensative_n as_o we_o call_v they_o because_o they_o be_v compound_v of_o a_o desiccative_a matter_n which_o insensible_o shut_v up_o the_o porosity_n of_o the_o vessel_n as_o terra_fw-la sigillata_fw-la &_o bole_n mix_v with_o the_o white_a of_o a_o egg_n or_o common_a water_n you_o must_v observe_v never_o to_o leave_v they_o long_o on_o then_o 24_o hour_n caution_n caution_n for_o reason_n which_o we_o shall_v allege_v hereafter_o you_o must_v at_o the_o same_o time_n sweeten_v the_o acrimony_n of_o the_o blood_n and_o empty_a the_o vessel_n by_o phlebotomy_n clyster_n and_o a_o good_a diet._n wound_n a_o thin_a diet_n exceed_v good_a in_o wound_n if_o the_o patient_n will_v be_v prudent_a in_o his_o way_n of_o live_v and_o use_v only_o a_o thin_a spare_a diet_n he_o will_v suffer_v much_o less_o pain_n and_o his_o cure_n will_v be_v quick_a because_o salt_n meat_n be_v capable_a of_o thicken_a the_o blood_n and_o make_v it_o fit_a for_o fermentation_n whereas_o sweet_a liquid_n by_o their_o insipidness_n dissolve_v and_o charge_v themselves_o with_o the_o salt_n and_o precipitate_v it_o by_o urine_n after_o this_o manner_n the_o intempery_n of_o the_o blood_n be_v correct_v and_o the_o affect_a part_n relieve_v clyster_n benefit_n of_o clyster_n clyster_n be_v also_o of_o great_a use_n because_o they_o hinder_v the_o excrement_n from_o heat_n and_o boil_a back_n again_o in_o the_o intestine_n they_o dilate_v the_o matter_n moderate_a the_o heat_n of_o all_o the_o viscera_n and_o contribute_v much_o to_o the_o cure_n of_o wound_n dress_n repercussive_n use_v only_o in_o the_o first_o dress_n you_o must_v observe_v that_o at_o the_o same_o time_n repercussive_n retain_v the_o most_o subtle_a and_o agitate_a salt_n particle_n of_o the_o blood_n they_o grow_v sour_a gnaw_v the_o vessel_n and_o excite_v a_o fermentation_n upon_o which_o a_o fever_n soon_o follow_v they_o be_v therefore_o only_o use_v in_o the_o first_o dress_n and_o prefer_v discutients_n which_o open_v the_o pore_n and_o cause_v the_o volatile_a salt_n to_o perspire_v and_o so_o empty_a the_o part_n it_o be_v easy_a to_o see_v if_o one_o continue_v the_o use_n of_o repercussive_n the_o salt_n endeavour_v to_o escape_v fail_v not_o to_o excite_v inflammation_n and_o to_o corrupt_v the_o nourish_a juice_n of_o the_o part_n in_o disunit_a the_o principle_n of_o the_o blood_n which_o depend_v one_o on_o another_o &_o which_o by_o the_o frequent_a encounter_n and_o shock_n of_o their_o particle_n change_v figure_n from_o which_o depend_v the_o generation_n of_o a_o new_a matter_n and_o all_o the_o change_n which_o happen_v together_o discutient_n and_o suppuration_n must_v work_v together_o if_o in_o such_o a_o occasion_n discutient_n which_o cause_n perspiration_n and_o digestive_n which_o excite_v a_o quick_a suppuration_n shall_v not_o work_v together_o to_o disengage_v the_o part_n it_o will_v tumifie_v so_o much_o as_o to_o fall_v into_o gangrene_n cataplasm_n which_o have_v oil_n and_o fat_n be_v in_o their_o composition_n have_v almost_o the_o same_o effect_n as_o repercussative_n for_o which_o reason_n good_a practitioner_n disapprove_v their_o use_n we_o observe_v that_o in_o great_a wound_n discutient_n excite_v often_o a_o fermentation_n which_o increase_v the_o inflammation_n in_o that_o case_n a_o cataplasm_n make_v with_o crumb_n of_o bread_n milk_n the_o yolk_n of_o a_o egg_n mallow_n root_n etc._n etc._n be_v very_o proper_a we_o ordinary_o blame_v those_o who_o let_v the_o pus_fw-la lie_v too_o long_o in_o the_o wound_n because_o it_o always_o get_v some_o malignity_n &_o corrode_v the_o neighbour_a vessel_n which_o present_o produce_v inflammation_n &_o putrefaction_n or_o else_o the_o vein_n absorb_v it_o &_o carry_v it_o to_o the_o heart_n from_o whence_o it_o diffuse_v itself_o into_o the_o whole_a mass_n of_o blood_n and_o cause_v the_o fever_n and_o according_a to_o the_o different_a alteration_n which_o it_o receive_v in_o pass_v through_o the_o part_n it_o obstruct_v the_o liver_n lung_n or_o some_o other_o part_n so_o cause_v a_o imposthume_n there_o as_o we_o have_v observe_v in_o wound_n of_o the_o head_n this_o demonstrate_v to_o we_o that_o we_o ought_v to_o dry_v up_o all_o the_o matter_n that_o be_v in_o the_o wound_n and_o press_v the_o dossel_n
drain_v the_o source_n of_o it_o if_o you_o fear_v you_o shall_v not_o succeed_v this_o way_n you_o must_v hinder_v the_o vessel_n from_o shed_v the_o lympha_fw-la into_o the_o bottom_n of_o the_o wound_n by_o dry_v up_o its_o extremity_n and_o procure_v the_o generation_n of_o flesh_n as_o fast_o as_o you_o can_v if_o a_o wound_n be_v accompany_v with_o contusion_n you_o must_v use_v the_o strong_a discutient_n as_o spirit_n vini_n alone_o or_o aromatise_v or_o a_o lixivium_n which_o shall_v be_v describe_v in_o the_o chapter_n of_o wound_n make_v with_o fire-arm_n if_o the_o matter_n discuss_v not_o and_o that_o it_o increase_v you_o must_v disengage_v the_o part_n by_o scarification_n and_o use_v medicine_n which_o awaken_v the_o particle_n of_o the_o blood_n that_o be_v at_o rest_n and_o force_v they_o out_o by_o perspiration_n or_o to_o re-enter_v again_o in_o commerce_n with_o the_o liquor_n this_o be_v the_o method_n which_o you_o must_v follow_v in_o great_a inflammation_n where_o the_o gangrene_n be_v apt_a to_o succeed_v the_o medicine_n be_v the_o decoction_n of_o the_o chief_a vulnerary_n which_o we_o have_v recommend_v afore_o the_o tincture_n of_o aloe_n olibanum_n myrrh_n make_v with_o the_o spirit_n of_o wine_n all_o medicine_n where_o the_o preparation_n of_o mercury_n enter_v urine_n sea_n water_n cataplasm_n make_v with_o meal_n of_o lupin_n bean_n and_o lentile_n top_n of_o wormwood_n and_o scordium_n boil_v in_o oximel_n simp._n these_o be_v the_o chief_a remedy_n which_o be_v to_o be_v employ_v in_o deep_a scarification_n some_o destroy_v and_o blunt_v the_o acid_n some_o sweeten_v and_o correct_v the_o acrimony_n of_o the_o lixivial_a salt_n other_o strengthen_v the_o part_n and_o all_o together_o contribute_v to_o retain_v the_o spirituous_a particle_n which_o be_v ready_a to_o escape_v or_o to_o disengage_v they_o when_o concentred_a and_o produce_v a_o fermentation_n which_o separate_v the_o morbid_v leavens_n and_o restore_v the_o heat_n and_o spirit_n again_o into_o the_o part_n if_o a_o great_a flux_n of_o blood_n follow_v upon_o the_o wound_n or_o if_o any_o considerable_a vessel_n be_v open_v you_o must_v make_v the_o ligature_n if_o the_o place_n permit_v or_o use_v the_o vitriolic_a button_n or_o some_o styptic_a water_n as_o that_o in_o mr._n lemery_n chemistry_n and_o some_o drop_n of_o spirit_n of_o turpentine_n wound_n when_o to_o dilate_v the_o wound_n if_o the_o orifice_n of_o the_o wound_n permit_v not_o the_o entry_n of_o your_o dossel_n you_o must_v dilate_v it_o avoid_v the_o great_a vessel_n and_o tendon_n this_o be_v the_o sure_a and_o most_o important_a practice_n to_o succeed_v in_o all_o wound_n where_o one_o can_v apply_v bolster_n because_o in_o discover_v the_o bottom_n of_o the_o wound_v you_o have_v the_o advantage_n to_o use_v bolster_n and_o reject_v the_o use_n of_o tent_n which_o be_v only_o beneficial_a in_o deep_a wound_n of_o the_o thorax_n and_o belly_n you_o may_v also_o better_o wipe_v the_o lesser_a corner_n of_o the_o wound_n fill_v it_o with_o dossel_n and_o hinder_v the_o matter_n from_o cakeing_n or_o lodging_n itself_o in_o any_o corner_n and_o to_o hinder_v the_o formation_n of_o any_o sinus_n i_o have_v make_v you_o observe_v that_o many_o compress_n and_o too_o narrow_a bandage_n be_v kind_n of_o ligature_n which_o stop_v the_o course_n of_o the_o blood_n and_o which_o increase_n the_o fluxion_n and_o all_o other_o accident_n a_o wound_n ought_v to_o be_v dress_v as_o soon_o as_o possible_a to_o secure_v it_o from_o the_o appulse_n of_o the_o air_n and_o free_a the_o wound_n it_o be_v of_o great_a benefit_n to_o cleanse_v the_o circumference_n of_o wound_n patient_n from_o some_o pain_n you_o must_v also_o take_v care_n to_o cleanse_v well_o its_o circumference_n which_o be_v a_o very_a important_a circumstance_n because_o the_o cataplasm_n and_o emplaster_n which_o be_v apply_v upon_o it_o stick_v to_o the_o skin_n and_o form_v a_o kind_n of_o scab_n which_o hinder_v the_o effect_n of_o the_o remedy_n and_o retain_v those_o particle_n of_o the_o blood_n which_o will_v transpire_v whereas_o if_o you_o free_v the_o skin_n from_o this_o scabbard_n the_o remedy_n present_o enter_v through_o the_o pore_n as_o soon_o as_o they_o feel_v the_o heat_n they_o favour_v the_o transpiration_n the_o part_n empty_v itself_o the_o accident_n diminish_v and_o the_o wound_n unite_v more_o easy_o you_o must_v observe_v that_o emplaster_n compound_v of_o fat_n be_v gum_n and_o powder_n serve_v only_o to_o retain_v the_o dress_n and_o to_o oppose_v the_o exaltation_n of_o the_o juice_n for_o which_o reason_n good_a practitioner_n condemn_v they_o in_o the_o time_n when_o the_o wound_n begin_v to_o cicatrise_v and_o the_o flesh_n grow_v unequal_o we_o let_v it_o increase_v till_o all_o inequality_n be_v fill_v then_o we_o dry_v they_o with_o limewater_n wound_n how_o to_o cicatrise_v wound_n or_o some_o other_o dissicative_a medicine_n to_o cause_v a_o even_a cicatrice_n if_o the_o flesh_n arise_v too_o high_a you_o pass_v gentle_o the_o infernal_a stone_n over_o it_o to_o this_o method_n of_o dress_v a_o wound_n i_o will_v yet_o add_v that_o the_o situation_n must_v favour_v the_o circulation_n of_o the_o humour_n and_o the_o run_v out_o of_o the_o matter_n these_o be_v the_o chief_a circumstance_n which_o must_v be_v observe_v in_o dress_v wound_n in_o the_o fleshy_a part_n where_o the_o inflammation_n aperture_n of_o any_o great_a vessel_n great_a loss_n of_o substance_n and_o the_o contusion_n do_v not_o permit_v we_o to_o practise_v the_o suture_n chap._n ii_o of_o punctured_a wound_n or_o those_o make_v with_o a_o small_a and_o sharp-pointed_a instrument_n wound_n that_o pass_v through_o be_v not_o so_o dangerous_a as_o those_o which_o have_v but_o one_o aperture_n they_o be_v sometime_o cure_v by_o the_o help_n of_o bandage_n apply_v outward_o with_o some_o bolster_n soak_v in_o spirit_n of_o wine_n wound_n sign_n when_v to_o dilate_v the_o wound_n if_o one_o be_v pain_v and_o the_o part_n inflame_v it_o be_v a_o evident_a sign_n that_o there_o be_v some_o obstruction_n extraneous_a body_n which_o hinder_v the_o unition_n these_o two_o accident_n do_v also_o signify_v the_o necessity_n that_o there_o be_v to_o dilate_v it_o for_o to_o carry_v remedy_n to_o the_o part_n and_o give_v a_o great_a vent_n to_o the_o matter_n we_o most_o common_o introduce_v two_o tent_n of_o lint_n of_o a_o length_n and_o thickness_n proportionable_a to_o the_o orifice_n we_o fasten_v thread_n to_o they_o and_o dip_v they_o in_o some_o digestive_a make_v of_o ol._n ovor._n spirit_n vini_n and_o turpentine_n which_o we_o alter_v according_a to_o the_o different_a degree_n of_o inflammation_n if_o the_o suppuration_n be_v plentiful_a the_o spirit_n of_o wine_n must_v predominate_v if_o suppress_v by_o the_o inflammation_n we_o must_v correct_v the_o spirit_n of_o wine_n by_o put_v to_o it_o more_o turpentine_n if_o the_o pus_fw-la be_v good_a and_o the_o most_o intimate_a part_n reunite_v themselves_o you_o must_v continue_v this_o method_n but_o if_o it_o be_v black_a and_o inflammation_n succeed_v phlebotomy_n reiterated_a clyster_n and_o cool_v and_o open_v fisan_n must_v not_o be_v neglect_v we_o correct_v the_o digestive_n with_o ol._n rosar_n traumatic_a injection_n with_o brandy_n in_o this_o occasion_n be_v admirable_a if_o notwithstanding_o these_o precaution_n the_o inflammation_n incroach_v upon_o the_o neighbour_a part_n with_o putrefaction_n you_o must_v dilate_v it_o sufficient_o to_o discover_v the_o place_n where_o the_o matter_n lodge_v by_o this_o mean_v you_o discharge_v the_o part_n and_o dress_v all_o the_o corner_n where_o the_o matter_n former_o be_v nestle_v and_o so_o prevent_v gangrene_n and_o mortification_n incision_n where_o prepare_v sponge_n be_v better_a to_o dilate_v with_o than_o incision_n concern_v the_o dilatation_n of_o wound_n there_o be_v some_o who_o pretend_v that_o the_o prepare_a sponge_n may_v supply_v the_o want_n of_o incision_n i_o own_o that_o in_o place_n where_o much_o dilate_v be_v not_o want_v and_o where_o the_o cicatrice_n will_v deform_v as_o in_o the_o face_n and_o be_o so_o far_o from_o condemn_v the_o use_n of_o it_o that_o i_o say_v it_o be_v very_o necessary_a but_o in_o all_o other_o occasion_n the_o incision_n be_v to_o be_v prefer_v though_o a_o wound_n go_v not_o through_o and_o through_o yet_o if_o the_o probe_n enter_v almost_o through_o the_o part_n you_o must_v without_o delay_n make_v a_o incision_n on_o the_o opposite_a side_n wound_n the_o symptom_n which_o common_o attend_v puncture_v wound_n the_o most_o frequent_a symptom_n that_o happen_v in_o these_o kind_n of_o wound_n be_v fever_n and_o looseness_n upon_o which_o sometime_o follow_v dysentery_n the_o fever_n excite_v inflammation_n and_o retard_v suppuration_n that_o the_o part_n become_v so_o tumify_v that_o a_o gangrene_n often_o follow_v it_o it_o be_v know_v
advantage_n we_o receive_v from_o it_o it_o be_v this_o which_o recommend_v the_o artist_n who_o dexterous_o reunite_v the_o part_n divide_v who_o divide_v those_o discreet_o that_o be_v unite_v who_o draw_v together_o with_o a_o extraordinary_a care_n those_o body_n which_o in_o respect_n one_o to_o another_o be_v strange_a and_o who_o with_o art_n and_o industry_n supply_v whatever_o be_v want_v to_o our_o perfection_n whence_o the_o end_n which_o he_o ought_v to_o propose_v to_o himself_o be_v to_o perform_v well_o these_o four_o operation_n to_o disentangle_v all_o the_o difficulty_n they_o contain_v and_o to_o observe_v all_o the_o circumstance_n which_o be_v precedent_n concomitant_a and_o which_o follow_v in_o order_n to_o maintain_v the_o part_n in_o their_o union_n and_o natural_a situation_n here_o i_o have_v a_o large_a field_n to_o dilate_v myself_n into_o the_o praise_n of_o surgery_n but_o beside_o that_o the_o shortness_n of_o time_n do_v not_o permit_v i_o i_o must_v acknowledge_v i_o dare_v not_o undertake_v it_o lest_o i_o shall_v sink_v under_o the_o weight_n of_o so_o painful_a a_o enterprise_n for_o all_o the_o author_n who_o have_v write_v of_o it_o and_o boast_v of_o their_o excellency_n in_o this_o art_n be_v never_o able_a to_o give_v it_o those_o due_a encomium_n which_o be_v proportionable_a to_o the_o great_a advantage_n we_o find_v in_o it_o wherefore_o i_o shall_v stick_v close_o to_o my_o subject_n and_o i_o dare_v say_v that_o if_o these_o new_a anatomist_n who_o have_v make_v such_o great_a and_o wonderful_a discovery_n have_v make_v a_o due_a and_o just_a application_n of_o they_o to_o the_o art_n of_o surgery_n and_o if_o those_o great_a practitioner_n have_v enrich_v it_o with_o their_o observation_n we_o shall_v have_v find_v such_o advantage_n which_o will_v never_o be_v unless_o they_o change_v their_o principle_n but_o the_o subject_a be_v so_o thorny_a and_o difficult_a we_o find_v very_o few_o who_o be_v willing_a to_o cummunicate_v to_o we_o their_o idea_n and_o particular_a discovery_n most_o do_v but_o treat_v of_o these_o matter_n superficial_o and_o without_o dive_v into_o the_o bottom_n which_o be_v the_o reason_n that_o ofttimes_o we_o cast_v the_o difficulty_n of_o the_o art_n upon_o the_o evil_a disposition_n of_o the_o subject_n i_o acknowledge_v that_o it_o be_v very_o hard_a to_o hit_v always_o right_a because_o nature_n be_v often_o various_a in_o her_o motion_n and_o work_n in_o such_o hide_a corner_n and_o by_o way_n so_o little_o know_v that_o she_o destroy_v by_o some_o unexpected_a stroke_n which_o we_o do_v not_o foresee_v the_o whole_a oeconomy_n of_o her_o operation_n half_n it_o be_v not_o enough_o to_o understand_v the_o practice_n of_o chirurgical_a operation_n by_o half_n it_o be_v not_o sufficient_a to_o undertake_v one_o operation_n only_o we_o must_v have_v a_o perfect_a knowledge_n of_o the_o subject_n on_o which_o we_o be_v to_o exercise_v our_o practice_n that_o be_v to_o say_v its_o temper_n disposition_n and_o the_o part_v afflict_v by_o the_o temper_n i_o mean_v a_o certain_a disposition_n of_o part_n that_o consist_v in_o the_o order_n of_o these_o resort_n or_o spring_n which_o compose_v they_o temper_n what_o the_o temper_n and_o in_o the_o figure_n of_o their_o pore_n proportionable_a to_o the_o nature_n of_o those_o liquor_n which_o pass_v through_o they_o and_o of_o their_o motion_n sometime_o more_o sometime_o less_o rapid_a body_n disposition_n of_o the_o body_n the_o disposition_n of_o our_o body_n relate_v to_o the_o regimen_n of_o life_n inclination_n age_n season_n habit_n and_o strength_n for_o if_o a_o indispose_a person_n observe_v a_o irregular_a way_n of_o live_v if_o he_o be_v of_o a_o spare_a body_n void_a of_o strength_n if_o his_o age_n obstruct_v the_o performance_n of_o the_o operation_n or_o in_o fine_a if_o he_o have_v a_o great_a tendency_n to_o that_o which_o be_v contrary_a and_o hurtful_a to_o he_o than_o to_o what_o will_v be_v profitable_a and_o advantageous_a in_o this_o case_n the_o surgeon_n ought_v to_o suspend_v his_o judgement_n lest_o he_o shall_v run_v the_o risk_a of_o do_v the_o indispose_a person_n more_o harm_n than_o good_a affect_v part_v affect_v touch_v the_o part_n which_o suffer_v the_o operator_n must_v perfect_o understand_v its_o natural_a constitution_n connection_n action_n and_o use_v in_o case_n he_o design_n to_o draw_v any_o advantage_n from_o his_o undertake_n and_o prevent_v the_o emergent_a symptom_n usual_a in_o these_o occasion_n if_o the_o operation_n may_v be_v delay_v it_o be_v convenient_a to_o expect_v a_o favourable_a season_n as_o for_o example_n the_o spring_n and_o autumn_n spring_n nature_n of_o the_o spring_n in_o the_o spring_n the_o blood_n and_o spirit_n which_o the_o cold_a have_v drive_v towards_o the_o centre_n exalt_v themselves_o to_o the_o surface_n and_o with_o a_o great_a heat_n revive_v the_o part_n which_o before_o be_v as_o if_o benumb_a and_o without_o life_n they_o be_v in_o a_o fermentation_n soft_a natural_a and_o by_o consequence_n capable_a of_o all_o the_o good_a effect_n which_o can_v be_v expect_v but_o on_o the_o contrary_a in_o winter_n the_o cold_a obstruct_v the_o pore_n hinder_v transpiration_n change_v the_o oeconomy_n of_o the_o circulation_n and_o the_o blood_n be_v deprive_v of_o that_o vivacity_n which_o be_v capable_a to_o animate_v our_o body_n autumn_n nature_n of_o the_o autumn_n in_o the_o autumn_n the_o action_n of_o the_o salt_n and_o sulphur_n which_o have_v seize_v the_o upper_a part_n and_o which_o be_v in_o a_o continual_a exaltation_n during_o the_o excessive_a heat_n of_o summer_n be_v a_o little_a repress_v the_o blood_n which_o have_v get_v a_o sharp_a and_o bilious_a disposition_n by_o a_o immoderate_a heat_n sweeten_v and_o allay_v the_o extraordinary_a effervescence_n which_o be_v the_o occasion_n of_o a_o continual_a loss_n of_o spirit_n these_o be_v as_o i_o conceive_v the_o chief_a maxim_n which_o be_v to_o be_v observe_v before_o we_o enter_v upon_o the_o particular_a of_o every_o operation_n i_o can_v enlarge_v myself_o more_o upon_o the_o operation_n in_o general_a but_o as_o such_o long_a discourse_n do_v clear_v the_o difficulty_n which_o they_o contain_v and_o according_a to_o the_o order_n which_o i_o have_v propose_v myself_o to_o publish_v nothing_o to_o the_o world_n which_o be_v not_o worthy_a the_o attention_n of_o the_o reader_n i_o conceive_v i_o may_v be_v excuse_v from_o produce_v the_o troublesome_a definition_n division_n and_o subdivision_n which_o make_v up_o the_o principal_a ornament_n of_o the_o great_a part_n of_o chyrurgical_a author_n chap._n ii_o of_o the_o reunion_n of_o wound_n according_a to_o the_o order_n of_o this_o treatise_n we_o begin_v with_o the_o suture_n which_o be_v only_o practise_v to_o reunite_v the_o divide_a part_n but_o first_o we_o must_v say_v something_o concern_v reunion_n to_o be_v inform_v after_o what_o manner_n it_o be_v do_v we_o must_v observe_v two_o thing_n nature_n vnition_n of_o part_n divide_v the_o work_n of_o nature_n the_o first_o be_v that_o the_o reunion_n of_o the_o divide_a part_n be_v only_o the_o work_n of_o nature_n who_o on_o this_o occasion_n make_v use_v of_o her_o natural_a balm_n the_o second_o that_o all_o the_o surgeon_n art_n do_v nothing_o for_o this_o reunion_n but_o as_o he_o be_v the_o imitator_n of_o nature_n he_o must_v to_o second_v her_o design_n and_o to_o procure_v the_o union_n of_o wound_n use_v three_o mean_n wound_n three_o mean_n to_o be_v use_v towards_o the_o vnition_n of_o wound_n first_o to_o cleanse_v the_o wound_n exact_o and_o free_v they_o from_o all_o extraneous_a body_n second_o to_o bring_v the_o lip_n together_o and_z third_z to_o keep_v they_o in_o the_o same_o situation_n for_o to_o satisfy_v these_o three_o intention_n a_o surgeon_n must_v be_v inform_v of_o the_o structure_n of_o the_o part_n and_o of_o the_o nature_n of_o the_o nourish_a juice_n which_o entertain_v they_o vessel_n the_o body_n only_o a_o heap_n of_o fibres_n vesicles_n and_o vessel_n as_o for_o the_o first_o its_o necessary_a to_o know_v that_o all_o the_o part_n of_o our_o body_n be_v only_o a_o heap_n of_o fibres_n vesicle_n and_o vessel_n but_o because_o the_o different_a rank_n they_o keep_v dispose_n in_o every_o one_o of_o they_o space_n and_o pore_n of_o different_a figure_n the_o nourish_a particle_n of_o blood_n must_v needs_o accommodate_v themselves_o different_o according_a to_o the_o various_a configuration_n of_o the_o pore_n and_o conduit_n through_o which_o they_o pass_v white_a pass_v blood_n the_o common_a matter_n of_o nourishment_n yet_o not_o the_o red_a part_n but_o white_a in_o consideration_n of_o the_o nourish_a juice_n one_o must_v imagine_v that_o the_o blood_n which_o be_v the_o common_a matter_n of_o it_o contain_v and_o homogeneous_a liquor_n and_o though_o it_o appear_v to_o our_o eye_n under_o the_o form_n of_o two_o
substance_n notwithstanding_o it_o be_v certain_a that_o all_o the_o part_n be_v nourish_v by_o its_o white_a and_o chilous_a part_n and_o not_o at_o all_o by_o the_o red_a if_o we_o conceive_v that_o this_o white_a part_n be_v sweet_a balsamic_a glewy_a and_o viscous_a which_o be_v all_o the_o requisite_a and_o necessary_a condition_n for_o their_o entertainment_n from_o whence_o we_o may_v conclude_v that_o its_o the_o balsam_n and_o true_a cement_n of_o all_o the_o reunion_n which_o be_v make_v in_o nature_n it_o will_v be_v hard_a to_o understand_v how_o this_o nourish_a juice_n who_o substance_n be_v homogeneal_a can_v be_v employ_v to_o the_o maintain_v so_o great_a a_o number_n of_o different_a part_n if_o by_o what_o we_o have_v say_v of_o their_o structure_n we_o do_v not_o conceive_v that_o this_o juice_n though_o indifferent_a can_v easy_o become_v flesh_n a_o artery_n membrane_n bone_n tendon_n etc._n etc._n according_a as_o it_o be_v modify_v pass_v through_o the_o insensible_a channel_n which_o must_v be_v regard_v as_o so_o many_o little_a thread_n where_o it_o be_v shape_v and_o frame_v different_o according_a to_o the_o configuration_n of_o their_o porosity_n just_a as_o the_o part_n of_o the_o sap_n which_o be_v confound_v and_o as_o it_o be_v indeterminate_v in_o the_o earth_n take_v a_o form_n and_o determinate_a figure_n on_o they_o pass_v through_o the_o different_a pore_n of_o the_o fibre_n which_o compose_v the_o plant_n as_o round_o point_a square_a etc._n etc._n this_o diversity_n of_o figure_n be_v the_o cause_n that_o those_o particle_n can_v produce_v quite_o contrary_a effect_n as_o well_o in_o plant_n as_o in_o animal_n this_o be_v suppose_v and_o well_o understand_v i_o say_v that_o the_o surgeon_n science_n whether_o in_o the_o reunion_n in_o loss_n of_o substance_n or_o final_o in_o what_o occasion_n soever_o serve_v for_o nothing_o but_o to_o rectify_v this_o sap_n by_o the_o way_n of_o general_a medicine_n when_o it_o be_v corrupt_v and_o topic_n which_o have_v the_o virtue_n of_o conserve_n the_o natural_a purity_n of_o the_o nourish_a juice_n which_o the_o artery_n carry_v to_o the_o offend_a part_n and_o to_o defend_v it_o in_o the_o same_o time_n from_o the_o impression_n of_o the_o air_n therefore_o the_o traumaticks_n sarcotic_n carminative_n and_o astringent_n which_o surgeon_n use_v in_o the_o beginning_n progress_n state_n and_o declination_n of_o wound_n do_v produce_v such_o effect_n as_o i_o shall_v prove_v in_o explain_v their_o virtue_n medicine_n the_o virtue_n of_o traumatick_a medicine_n vulneraries_n be_v ordinary_o charge_v with_o oily_a and_o salt_a particle_n which_o cause_n two_o good_a effect_n first_o the_o oily_a particle_n unite_v and_o adjust_a themselves_o easy_o to_o the_o viscous_a and_o nourish_a particle_n of_o the_o blood_n and_o make_v together_o a_o kind_n of_o covert_n which_o resist_v the_o powerful_a attack_n of_o the_o air_n which_o be_v a_o great_a enemy_n to_o wound_n second_o the_o saline_a particle_n divide_v cut_v and_o attenuate_v such_o part_n which_o be_v most_o dispose_v to_o alteration_n and_o help_v they_o forward_o in_o suppuration_n carminative_n sarcotic_n and_o carminative_n the_o sarcotic_n and_o carminative_n which_o only_o differ_v secundum_fw-la majus_fw-la &_o minus_fw-la do_v always_o abound_v in_o fine_a saltish_a sulphur_n and_o fix_v disicative_a alcaly_n the_o saltish_a and_o most_o rarify_v sulphur_n subtilize_n and_o purify_v the_o nourish_a particle_n and_o maintain_v they_o in_o their_o natural_a motion_n and_o consequent_o in_o their_o state_n of_o goodness_n whilst_o the_o fix_a alcaly_n and_o other_o desicative_a particle_n repel_v by_o a_o sort_n of_o caustick_a virtue_n the_o most_o sharp_a and_o malign_a particle_n capable_a of_o produce_v a_o bad_a pus_fw-la and_o beget_v fungous_a flesh_n the_o most_o exalt_a sharp_a particle_n be_v absorb_v the_o flesh_n keep_v unite_v firm_a and_o red_a astringent_n of_o astringent_n concern_v astringent_a remedy_n it_o be_v proper_a to_o give_v a_o reason_n why_o scar_n oftentimes_o be_v so_o deform_v this_o depend_v almost_o common_o on_o the_o surgeon_n either_o because_o he_o have_v not-skill_n enough_o to_o make_v the_o fibres_fw-fr answer_v one_o another_o or_o else_o he_o compress_n the_o wound_n too_o rude_o in_o search_v for_o the_o strange_a body_n or_o because_o he_o sink_v the_o fibre_n of_o the_o part_n of_o which_o some_o tend_v upward_o other_o downward_o in_o their_o intercussade_v one_o another_o deform_v too_o astringent_n make_v scar_n deform_v so_o that_o the_o two_o lip_n of_o the_o wound_n can_v never_o be_v exact_o even_o or_o final_o because_o he_o make_v use_v of_o too_o astringent_a remedy_n all_o these_o contribute_v to_o make_v the_o cicatrix_fw-la defective_a but_o particular_o styptic_a medicine_n because_o be_v fill_v with_o fix_a alcaline_a or_o vitriolic_a particle_n the_o fix_a one_o stop_n the_o pore_n and_o the_o vitriolic_a bourn_n and_o cauterise_n they_o and_o take_v away_o even_o some_o of_o the_o substance_n this_o in_o general_n be_v the_o idea_n one_o must_v have_v of_o the_o effect_n of_o these_o medicine_n i_o pass_v now_o to_o the_o reunion_n of_o the_o tendon_n which_o the_o ancient_n and_o most_o part_n of_o our_o modern_n have_v abandon_v and_o which_o in_o imitation_n of_o they_o will_v have_v be_v neglect_v if_o late_a mr._n bienaise_n to_o who_o we_o be_v oblige_v for_o it_o have_v not_o renew_v it_o practise_v suture_n of_o the_o tendon_n to_o be_v practise_v in_o effect_n there_o be_v no_o more_o danger_n in_o practise_v the_o suture_a of_o a_o tendon_n than_o in_o that_o of_o a_o flesh_n wound_n if_o we_o consider_v that_o the_o liquor_n which_o run_v into_o its_o channel_n be_v no_o way_n differ_v from_o that_o which_o pass_v into_o the_o belly_n of_o the_o muscle_n why_o shall_v it_o not_o be_v allow_v that_o the_o cut_v tendon_n unite_v as_o well_o together_o as_o a_o muscle_n and_o since_o the_o same_o juice_n run_v into_o the_o bone_n to_o serve_v they_o for_o their_o nourishment_n and_o be_v the_o true_a bond_n and_o cement_v which_o reunite_v they_o when_o break_v why_o will_v not_o they_o allow_v that_o it_o shall_v produce_v the_o same_o effect_n in_o respect_n of_o the_o tendon_n which_o be_v continuous_a to_o they_o do_v we_o even_o observe_v in_o plant_n when_o we_o put_v the_o graff_n on_o a_o wild_a stock_n comparison_n a_o paraleâ—…_n comparison_n that_o the_o sap_n pass_v from_o the_o porosity_n of_o the_o longitudinal_n fibres_fw-fr of_o the_o stock_n to_o those_o of_o the_o graff_n that_o its_o salfish_n and_o glewy_a particle_n stop_v and_o fix_v themselves_o at_o every_o circuit_n about_o the_o union_n as_o well_o by_o the_o motion_n and_o action_n of_o the_o subtle_a and_o ethereous_a matter_n as_o by_o encounter_v the_o external_a air_n and_o frame_v a_o callous_a like_o that_o which_o be_v make_v in_o break_a bone_n likewise_o put_v in_o fix_v graff_n of_o different_a kind_n in_o the_o same_o stock_n experiment_n a_o experiment_n you_o will_v have_v the_o pleasure_n to_o see_v they_o bear_v fruit_n of_o as_o different_a kind_n which_o can_v be_v explain_v without_o say_v that_o the_o juice_n which_o pass_v through_o the_o root_n and_o trunk_n of_o the_o stock_n have_v not_o yet_o any_o determinate_a figure_n but_o that_o they_o receive_v one_o pass_v through_o the_o pore_n of_o each_o graff_n this_o be_v a_o experiment_n which_o i_o relate_v by_o the_o by_o because_o it_o fortify_v the_o system_v which_o i_o have_v establish_v concern_v the_o reunion_n callous_a cause_o of_o the_o inequality_n of_o the_o callous_a as_o for_o the_o inequality_n which_o remain_v at_o the_o unition_n after_o the_o formation_n of_o the_o callous_a it_o be_v not_o difficult_a to_o conceive_v that_o it_o proceed_v from_o the_o too_o great_a abundance_n of_o salt_n which_o rise_v up_o to_o the_o surface_n where_o they_o be_v stop_v and_o fix_v by_o the_o action_n of_o the_o external_a air_n as_o we_o have_v remark_v heretofore_o have_v explain_v the_o principal_a difficulty_n that_o regard_v the_o reunion_n i_o conceive_v it_o be_v make_v after_o this_o manner_n after_o the_o surgeon_n have_v cleanse_v the_o wound_n from_o all_o the_o grumou_n blood_n make_v how_o the_o reunion_n of_o wound_n be_v make_v and_o other_o strange_a body_n after_o he_o have_v exact_o bring_v together_o the_o lip_n and_o endeavour_v to_o take_v all_o necessary_a care_n for_o maintain_v they_o in_o the_o same_o situation_n i_o say_v that_o the_o molicule_n of_o the_o blood_n how_o indifferent_a or_o indeterminate_v soever_o they_o be_v passing_z and_o repass_v from_o one_o of_o the_o lip_n of_o the_o wound_n to_o the_o other_o by_o pipe_n which_o i_o look_v upon_o as_o so_o many_o little_a thread_n they_o frame_v and_o figure_n themselves_o different_o according_o to_o the_o configuration_n of_o their_o pore_n it_o happen_v that_o by_o the_o different_a
turn_n and_o return_n of_o the_o most_o glew_v particle_n the_o most_o nourish_v and_o balsamic_a which_o heat_n have_v thicken_v and_o harden_v disengage_v themselves_o from_o the_o other_o rank_a and_o apply_v themselves_o to_o the_o mouth_n of_o the_o little_a fibril_n frame_n as_o it_o be_v a_o million_o of_o little_a chain_n horizontal_o draw_v from_o one_o lip_n of_o the_o wound_n to_o the_o other_o for_o to_o tie_v and_o join_v they_o exact_o together_o after_o this_o manner_n i_o shall_v always_o explain_v the_o reunion_n vegetation_n of_o the_o particle_n and_o progress_n of_o wound_n the_o loss_n of_o which_o be_v sometime_o considerable_a i_o pass_v now_o to_o the_o examination_n of_o the_o suture_n and_o the_o circumstance_n which_o depend_v on_o they_o chap._n iii_o of_o the_o suture_n ancient_n three_o kind_n of_o suture_n use_v by_o the_o ancient_n the_o ancient_n have_v establish_v two_o sort_n of_o suture_n the_o one_o of_o separate_a point_n which_o they_o call_v incarnative_a and_o the_o other_o of_o continuous_a point_n call_v restrictive_a they_o have_v also_o speak_v of_o a_o kind_n of_o conservative_n suture_a which_o they_o use_v in_o great_a wound_n to_o avoid_v deformity_n suture_n five_o kind_n of_o incarnative_a suture_n there_o be_v five_o kind_n of_o incarnative_a suture_n 1._o the_o interfect_v or_o interrupt_v 2._o the_o quilled_a or_o spiral_n 3._o the_o twist_a 4._o hook_a and_o 5._o the_o dry_a suture_a suture_n five_o kind_n of_o restrictive_a suture_n the_o tanner_n shoemaker_n tailor_n be_v stitch_n and_o from_o without_o inward_o and_o that_o of_o celsus_n which_o be_v make_v a_o cross_n be_v the_o five_o kind_n of_o suture_n which_o antiquity_n have_v describe_v to_o we_o under_o the_o name_n of_o restrictive_a but_o without_o insist_v on_o the_o description_n of_o these_o last_o because_o absolute_o useless_a i_o pass_v to_o those_o which_o be_v in_o use_n use_n three_o sort_n of_o suture_n most_o in_o use_n viz._n the_o interrupt_v quilled_a and_o twist_v the_o last_o be_v use_v in_o the_o hare_n lip_n the_o quilled_a in_o deep_a wound_n and_o the_o interrupt_v in_o all_o other_o it_o be_v not_o enough_o to_o entertain_v you_o with_o the_o suture_n i_o be_o also_o oblige_v to_o make_v you_o remark_n all_o the_o circumstance_n which_o accompany_v they_o after_o i_o have_v give_v you_o the_o most_o perfect_a idea_n that_o i_o possible_o can_v of_o wound_n to_o which_o they_o be_v convenient_a and_o to_o which_o not_o use_v where_o suture_n be_v to_o be_v use_v the_o wound_n where_o ordinary_o suture_n be_v practise_v be_v angular_a transverse_a oblique_a in_o a_o word_n every_o where_o the_o bandage_n can_v make_v the_o reunion_n wound_n where_o not_o first_o in_o alter_a wound_n the_o wound_n in_o which_o suture_n be_v reject_v be_v those_o alter_v by_o the_o air._n i_o will_v propose_v my_o conjecture_n about_o its_o malign_v action_n in_o such_o wound_n wound_n the_o malign_a quality_n of_o air_n in_o wound_n i_o say_v that_o the_o air_n be_v a_o fluid_a and_o transparent_a matter_n full_a of_o saline_n nitre_n who_o particle_n be_v branch_v and_o irregular_a this_o be_v suppose_v it_o be_v easy_a to_o draw_v some_o consequence_n concern_v the_o manner_n how_o it_o communicate_v its_o evil_a quality_n to_o wound_n and_o how_o its_o capable_a to_o alter_v the_o nature_n of_o the_o blood_n which_o be_v not_o hard_a to_o conceive_v if_o we_o consider_v that_o it_o rust_v not_o only_a iron_n and_o copper_n etc._n etc._n but_o also_o corrupt_v even_o the_o most_o solid_a body_n i_o consider_v the_o humidity_n of_o the_o air_n and_o the_o nitre_n with_o which_o it_o be_v load_v as_o two_o great_a agent_n which_o have_v the_o power_n to_o consume_v and_o destroy_v the_o most_o oily_a portion_n of_o the_o nutritive_a juice_n of_o the_o part_n part_n how_o the_o air_n destroy_v the_o tone_n of_o wound_a part_n so_o that_o the_o oil_n of_o the_o blood_n which_o be_v the_o true_a balm_n that_o nature_n make_v use_v of_o to_o reunite_a wound_n and_o keep_v the_o vessel_n supple_a be_v dissipate_v by_o the_o humidity_n of_o the_o air_n and_o action_n of_o the_o nitrous_a salt_n which_o be_v disperse_v in_o it_o the_o fibre_n dry_v up_o and_o the_o pore_n contract_n which_o occasion_n very_o frequent_a and_o dangerous_a obstruction_n the_o salt_n thus_o have_v get_v the_o upper_a hand_n and_o unite_a themselves_o with_o those_o salt_n which_o result_n from_o the_o consummation_n of_o the_o oleaginous_a particle_n that_o serve_v they_o as_o a_o vehicle_n change_v into_o a_o vitriolic_a and_o arsenical_a matter_n that_o gnaw_v cuts_z and_o corrode_v the_o vessel_n of_o this_o mixture_n arise_v a_o kind_n of_o verdigrease_n almost_o like_o that_o we_o see_v on_o copper_n after_o the_o action_n of_o this_o powerful_a enemy_n of_o body_n so_o that_o if_o one_o do_v not_o defend_v the_o wound_n from_o its_o ravage_n it_o happen_v that_o the_o obstruction_n and_o inflammation_n increase_v more_o and_o more_o which_o occasion_n fever_n and_o give_v way_n for_o a_o gangreen_n to_o seize_v the_o part._n wound_n 2._o suture_n not_o convenient_a in_o contused_a wound_n the_o suture_n be_v not_o convenient_a in_o contused_a wound_n because_o there_o be_v extravasated_a blood_n between_o the_o fibre_n and_o vesicles_n which_o must_v needs_o turn_v to_o pus_fw-la we_o want_v no_o other_o indication_n to_o show_v we_o that_o we_o must_v give_v it_o vent_v by_o way_n of_o suppuration_n and_o so_o consequent_o the_o suture_a will_v be_v very_o dangerous_a substance_n 3._o where_o there_o be_v loss_n of_o substance_n i_o say_v also_o that_o suture_n be_v not_o use_v in_o wound_n where_o there_o be_v great_a loss_n of_o substance_n as_o in_o gun_n shoot_v or_o in_o those_o who_o lip_n the_o surgeon_n can_v bring_v together_o animal_n 4._o nor_o in_o bite_v of_o venomous_a animal_n nor_o be_v suture_n make_v in_o bite_v of_o of_o venomous_a animal_n for_o without_o doubt_v their_o poison_n present_o irritate_v the_o spirit_n which_o ascend_v to_o the_o brain_n and_o infect_v the_o whole_a mass_n of_o blood_n which_o must_v present_o be_v remedy_v by_o the_o help_n of_o cardiac_n and_o corroborative_n after_o have_v apply_v to_o the_o wound_v strong_a resolutives_n as_o theriaca_n dissolve_v in_o spirit_n vini_n and_o other_o medicine_n of_o the_o same_o nature_n inflammation_n 5._o nor_o in_o great_a inflammation_n they_o be_v also_o reject_v in_o great_a inflammation_n the_o understanding_n of_o which_o suffer_v no_o difficulty_n since_o the_o obstruction_n precede_v always_o the_o inflammation_n it_o be_v necessary_a that_o the_o matter_n which_o be_v stop_v and_o out_o of_o its_o vessel_n be_v evacuate_v wound_v 6._o nor_o where_o large_a vessel_n be_v wound_v they_o be_v of_o no_o use_n where_o considerable_a vessel_n be_v open_v because_o the_o blood_n which_o flow_v from_o they_o the_o bandage_n which_o one_o be_v oblige_v to_o make_v and_o the_o astringent_n which_o be_v strange_a body_n oppose_v the_o reunion_n thorax_n 7._o nor_o in_o wound_n of_o the_o thorax_n they_o must_v also_o be_v avoid_v in_o wound_n of_o the_o thorax_n as_o well_o superficial_a as_o deep_a because_o of_o the_o frequent_a motion_n contrary_a to_o unition_n for_o the_o breast_n be_v force_v to_o dilate_v and_o contract_v the_o muscle_n and_o cutis_fw-la make_v a_o effort_n in_o assist_v the_o elevation_n and_o dilatation_n of_o it_o will_v burst_v and_o be_v tear_v because_o of_o the_o resistance_n which_o the_o suture_n make_v which_o will_v excite_v inflammation_n pain_n ancient_n 8._o in_o discover_v bone_n according_a to_o the_o ancient_n and_o difficulty_n of_o respiration_n final_o the_o ancient_n have_v add_v that_o we_o must_v not_o use_v they_o in_o place_n where_o the_o bone_n be_v discover_v because_o of_o exfoliation_n but_o as_o there_o be_v nothing_o that_o alter_v more_o the_o texture_n of_o the_o bone_n and_o facilitate_v more_o quick_o exfoliation_n than_o the_o appulle_n of_o the_o air_n we_o must_v not_o question_v to_o shelter_v they_o by_o the_o help_n of_o the_o suture_n have_v a_o due_a regard_n to_o the_o contusion_n and_o fracture_n which_o often_o happen_v to_o the_o bone_n however_o be_v it_o as_o it_o will_v we_o hazard_v nothing_o because_o if_o the_o accident_n shall_v be_v urgent_a we_o have_v nothing_o to_o do_v but_o to_o cut_v the_o thread_n so_o that_o one_o may_v without_o danger_n use_v suture_n in_o wound_n of_o the_o head_n which_o penetrate_v even_o to_o the_o bone_n unless_o they_o be_v in_o the_o furthermost_a part_n of_o the_o coronal_z bone_n or_o behind_o the_o head_n or_o in_o a_o direct_a line_n than_o we_o may_v use_v a_o unite_n bandage_n this_o be_v know_v and_o explain_v we_o must_v speak_v now_o of_o the_o circumstance_n which_o accompany_v the_o suture_n that_o we_o practice_v they_o consist_v in_o choose_v needle_n
be_v only_o a_o serous_a mass_n sharp_a and_o corrosive_n have_v lose_v all_o its_o consistence_n and_o unctuosity_n and_o consequent_o incapable_a of_o reunion_n you_o must_v have_v regard_n to_o some_o of_o these_o circumstance_n in_o all_o other_o suture_n therefore_o the_o union_n of_o the_o hair-lip_n be_v not_o to_o be_v undertake_v but_o in_o adult_a person_n who_o have_v no_o other_o incommodity_n and_o be_v willing_a to_o endure_v pain_n perform_v how_o it_o be_v to_o be_v perform_v to_o perform_v this_o methodical_o you_o must_v cut_v a_o little_a filament_n which_o fasten_v the_o upper-lip_n to_o the_o gum_n to_o give_v liberty_n to_o embrace_v with_o your_o instrument_n the_o whole_a breadth_n of_o the_o hair-lip_n it_o be_v a_o particular_a pair_n of_o pincer_n with_o which_o you_o must_v engage_v the_o lip_n towards_o the_o corner_n of_o the_o mouth_n and_o let_v it_o slip_v to_o the_o extremity_n of_o the_o slit_n you_o must_v secure_v and_o fasten_v it_o with_o a_o ring_n to_o have_v the_o liberty_n of_o refresh_v and_o cut_v dexterous_o the_o superfice_n afterward_o you_o must_v unbridle_v the_o upper_a part_n for_o fear_n there_o may_v remain_v a_o little_a swell_n which_o will_v be_v as_o disagreeable_a as_o the_o deformity_n itself_o so_o that_o after_o the_o two_o lip_n of_o the_o wound_n have_v be_v exact_o bring_v together_o and_o that_o they_o be_v in_o a_o just_a level_n you_o must_v pass_v from_o one_o lip_n to_o another_o one_o or_o two_o needle_n arm_v with_o wax_v thread_n according_a to_o the_o length_n of_o the_o hair_n lip_n and_o cross_v the_o thread_n about_o the_o needle_n as_o be_v convenient_a you_o must_v break_v off_o the_o point_n and_o lay_v some_o little_a compress_n underneath_o that_o they_o may_v prick_v the_o patient_n then_o apply_v a_o little_a pledgit_fw-la wet_a in_o some_o balm_n or_o styptic_a liquor_n and_o embrocate_v with_o ol._n rosar_n with_o a_o compress_v dip_v in_o oxyerate_a and_o a_o little_a band_n or_o the_o fourfold_a bandage_n you_o must_v not_o imitate_v certain_a operator_n who_o scarify_v to_o no_o purpose_n the_o side_n of_o the_o wound_n to_o disengage_v the_o part_n which_o always_o suffer_v some_o tension_n since_o we_o can_v remedy_v this_o inconvenience_n by_o lay_v on_o the_o cheek_n some_o compress_n sustain_v by_o the_o bandage_n you_o must_v order_v the_o sick_a a_o very_a exact_a diet_n which_o consist_v in_o use_v the_o first_o three_o or_o four_o day_n nothing_o but_o liquid_n and_o avoid_v all_o sort_n of_o motion_n chap._n vi_o of_o the_o gastroraphia_fw-la of_o all_o part_n of_o the_o body_n there_o be_v none_o more_o subject_a to_o malady_n than_o the_o belly_n and_o that_o consequent_o have_v more_o need_n of_o the_o surgeon_n assistance_n the_o operation_n which_o be_v practise_v there_o depend_v from_o the_o wound_n that_o happen_v to_o it_o from_o the_o tumour_n call_v hernias_fw-la from_o laborious_a childbirth_n from_o dropsy_n fistula_n and_o apostem_n the_o wound_n of_o the_o belly_n be_v either_o big_a or_o little_a superficial_a or_o penetrate_a be_v make_v with_o or_o without_o the_o hurt_n of_o the_o contain_v part_n which_o very_o often_o come_v out_o of_o the_o cavity_n according_a to_o their_o indisposition_n greatness_n of_o the_o wound_n more_o or_o less_o motion_n as_o we_o be_v go_v to_o explain_v we_o conjecture_v there_o be_v some_o part_n damage_v according_a to_o the_o figure_n of_o the_o instrument_n wound_v you_o may_v judge_v what_o part_n be_v hurt_v by_o the_o situation_n of_o the_o wound_n and_o by_o that_o in_o which_o the_o patient_n be_v when_o receive_v viscera_n sign_n of_o the_o wound_a viscera_n but_o the_o true_a sign_n which_o indicate_v the_o division_n of_o some_o internal_a part_n be_v acute_a pain_n inflammation_n fever_n or_o some_o matter_n come_v forth_o nevertheless_o all_o these_o sign_n be_v equivocal_a except_o the_o least_o which_o be_v know_v by_o the_o colour_n smell_v and_o consistence_n of_o the_o matter_n which_o be_v discharge_v out_o of_o the_o wound_n or_o flow_v in_o the_o cavity_n of_o the_o belly_n belly_n after_o what_o manner_n the_o viscera_n get_v out_o of_o the_o belly_n but_o as_o the_o most_o of_o these_o part_n be_v float_v and_o always_o relax_v they_o get_v out_o of_o their_o cavity_n at_o the_o least_o impression_n or_o disorder_n particular_o at_o the_o time_n of_o expiration_n when_o the_o thorax_n contract_v though_o it_o seem_v that_o they_o shall_v rather_o escape_v in_o the_o inspiration_n when_o the_o diaphragm_n be_v level_v push_v back_o as_o the_o antagonist_n of_o the_o muscle_n of_o the_o low_a belly_n all_o the_o part_n that_o be_v under_o it_o yet_o its_o certain_a that_o the_o muscle_n of_o the_o low_a belly_n oblige_v they_o against_o their_o natural_a motion_n and_o inclination_n to_o come_v out_o of_o the_o wound_n in_o time_n of_o expiration_n when_o they_o press_v all_o the_o contain_v part_n of_o the_o belly_n this_o be_v so_o it_o be_v evident_a that_o it_o be_v necessary_a for_o the_o part_n that_o be_v under_o the_o muscle_n and_o out_o of_o action_n to_o regurgitate_v and_o show_v itself_o out_o of_o the_o wound_n as_o a_o piece_n of_o paste_n do_v between_o the_o finger_n when_o squeeze_v with_o the_o hand_n whereof_o depend_v those_o frequent_a strangulation_n and_o dangerous_a inflammation_n you_o must_v also_o remark_n that_o these_o part_n be_v extreme_a spongy_a and_o greezy_a who_o texture_n be_v very_o loose_a humect_v with_o a_o quantity_n of_o humour_n bedew_v with_o a_o infinite_a number_n of_o vessel_n and_o consequent_o very_a subject_n to_o putrefaction_n for_o the_o air_n come_v to_o strike_v and_o penetrate_v their_o substance_n they_o fail_v not_o to_o tumefie_v and_o condense_a the_o blood_n which_o animate_v they_o if_o they_o be_v too_o long_o expose_v to_o it_o these_o part_n be_v therefore_o deprive_v of_o the_o motion_n of_o the_o blood_n in_o which_o consist_v their_o heat_n and_o life_n there_o must_v needs_o happen_v a_o mortification_n beside_o the_o action_n of_o the_o air_n we_o know_v that_o inflammation_n be_v capable_a of_o cause_v the_o strangulation_n and_o mortification_n it_o be_v easy_a to_o conceive_v that_o the_o part_n be_v inflame_v and_o swell_v must_v take_v up_o more_o room_n than_o before_o and_o press_v the_o intestine_a and_o omentum_fw-la which_o be_v common_o find_v in_o the_o passage_n intestia_n cause_o of_o the_o inflation_n of_o the_o intestia_n from_o which_o must_v follow_v interruption_n of_o the_o course_n of_o the_o blood_n and_o spirit_n in_o those_o part_n and_o consequent_o gangrene_n it_o often_o happen_v that_o the_o intestine_a be_v inflate_v the_o cause_n of_o which_o proceed_v from_o the_o inflammation_n which_o the_o wound_n communicate_v to_o the_o gut_n and_o the_o air_n obstruct_v the_o pore_n beside_o the_o return_n of_o the_o venal_a blood_n be_v in_o a_o manner_n stop_v by_o the_o strangulation_n and_o the_o little_a motion_n which_o be_v to_o be_v see_v there_o the_o inflammation_n which_o attack_n the_o gut_n be_v capable_a of_o rarify_n a_o part_n of_o the_o serosity_n and_o the_o other_o juice_n which_o be_v contain_v there_o who_o motion_n be_v make_v more_o slow_a not_o be_v able_a to_o escape_v by_o reason_n of_o the_o air_n which_o stop_v all_o the_o passage_n and_o shut_v the_o pore_n of_o the_o intestine_a so_o that_o it_o be_v impossible_a for_o the_o surgeon_n to_o reduce_v they_o without_o dilate_v the_o wound_n narrow_a how_o to_o dilate_v when_o too_o narrow_a to_o perform_v which_o the_o surgeon_n must_v pass_v a_o hollow_a probe_n between_o the_o lip_n of_o the_o wound_n and_o intestine_a and_o slip_v a_o bistory_n all_o along_o the_o hollow_a of_o the_o probe_n but_o before_o he_o make_v the_o incision_n it_o will_v be_v convenient_a to_o examine_v whether_o the_o gut_n be_v not_o engage_v lest_o he_o wound_v it_o this_o be_v know_v he_o may_v bold_o dilate_v the_o wound_n and_o cut_v as_o much_o off_o the_o peritonaeum_fw-la as_o of_o the_o muscle_n etc._n etc._n because_o the_o strangulation_n be_v every_o where_o equal_a against_o their_o opinion_n who_o pretend_v it_o be_v more_o considerable_a without_o than_z within_z i_o shall_v here_o speak_v of_o the_o precaution_n which_o the_o ancient_n take_v in_o apply_v fomentation_n and_o several_a other_o medicine_n but_o suppose_v it_o necessary_a to_o foment_n and_o warm_v the_o part_n with_o hot_a clothes_n or_o with_o wine_n part_n if_o the_o omentum_fw-la be_v alter_v cut_v off_o the_o mortify_a part_n before_o you_o reduce_v they_o you_o must_v examine_v whether_o they_o be_v hurt_v and_o if_o the_o omentum_fw-la be_v not_o mortify_v which_o be_v know_v by_o its_o lividity_n then_o without_o delay_n cut_v off_o the_o gangrene_v part_n after_o have_v make_v the_o ligature_n of_o that_o which_o be_v sound_a if_o there_o be_v a_o little_a wound_n in_o
ascite_n the_o urinal_n be_v red_a muddy_a and_o lixivious_a the_o patient_n have_v excessive_a thirst_n slow_a fever_n and_o difficulty_n of_o urin._n i_o shall_v not_o trouble_v myself_o to_o tell_v you_o the_o ancient_n opinion_n concern_v the_o cause_n of_o the_o dropsy_n dropsy_n four_o chief_a cause_n of_o the_o dropsy_n but_o suppose_v these_o four_o thing_n contribute_v to_o its_o formation_n viz._n 1._o indigestion_n of_o the_o chyle_n 2._o loose_a texture_n of_o the_o part_n 3._o slowness_n of_o the_o blood_n circulation_n 4._o a_o general_a dissolution_n of_o its_o whole_a mass_n chyle_n 1._o indigestion_n of_o the_o chyle_n i_o begin_v first_o with_o indigestion_n of_o the_o chyle_n which_o almost_o always_o proceed_v from_o the_o alteration_n of_o the_o dissolvent_n that_o serve_v for_o the_o preparation_n and_o the_o consummation_n of_o their_o oil_n and_o viscosity_n when_o the_o chyle_n be_v well_o temper_a prepare_v and_o free_v from_o the_o course_n particle_n it_o be_v nothing_o but_o a_o buttery_n mass_n which_o pass_v into_o the_o venae_fw-la lacteae_fw-la and_o from_o thence_o into_o the_o right_a ventricle_n of_o the_o heart_n to_o be_v unite_v with_o the_o blood_n which_o come_v from_o all_o part_n deprive_v of_o its_o oil_n and_o most_o active_a principle_n and_o serve_v for_o a_o vehicle_n and_o balm_n for_o new_a nourishment_n it_o be_v this_o lactaceous_a liquor_n well_o depurate_v and_o extreme_o fluid_a which_o entertain_v the_o part_n and_o which_o by_o its_o mixture_n unite_v and_o tie_v in_o the_o heart_n the_o two_o substance_n of_o blood_n viz._n the_o white_a part_n to_o the_o red_a which_o substance_n well_o join_v make_v a_o whole_a neither_o too_o fluid_a nor_o solid_a but_o such_o as_o nature_n judge_n most_o proper_a to_o circulate_v without_o obstacle_n in_o the_o vessel_n but_o if_o by_o chance_n the_o oil_n of_o the_o blood_n and_o other_o humour_n with_o which_o it_o be_v furnish_v shall_v happen_v to_o be_v dissipate_v either_o by_o violent_a exercise_n too_o serious_a meditation_n extreme_a grief_n or_o by_o the_o abundance_n and_o exaltation_n of_o the_o salt_n the_o chyle_n must_v of_o necessity_n grow_v sour_a become_v indigested_a serous_a and_o incapable_a of_o any_o union_n then_o it_o be_v so_o far_o from_o preserve_v the_o consistence_n of_o the_o blood_n that_o it_o rather_o dissolve_v liquefy_v and_o dispose_v it_o to_o make_v obstruction_n rheumatism_n dropsy_n etc._n etc._n because_o the_o arterial_a blood_n not_o be_v able_a to_o receive_v through_o this_o indigestion_n and_o the_o preparation_n and_o trituration_n necessary_a for_o the_o life_n of_o the_o part_n it_o be_v course_n must_v be_v in_o a_o manner_n intercept_v pass_v into_o the_o vesicles_n or_o rather_o space_n between_o the_o porosity_n of_o the_o artery_n and_o vein_n where_o the_o little_a oil_n free_v and_o disengage_v its_o self_n from_o the_o other_o principle_n which_o it_o have_v take_v hold_n of_o before_o to_o change_v into_o our_o proper_a substance_n so_o that_o the_o serosity_n of_o the_o blood_n be_v at_o full_a liberty_n and_o have_v lose_v a_o part_n of_o its_o motion_n pour_v itself_o into_o the_o space_n which_o it_o meet_v with_o part_n 2._o loose_a texture_n of_o the_o part_n and_o so_o cause_v the_o dropsy_n according_a to_o the_o texture_n of_o the_o part_n which_o we_o have_v suppose_v more_o or_o less_o lax_n circulation_n 3._o slow_a circulation_n we_o must_v now_o explain_v that_o cause_n which_o proceed_v from_o the_o slow_a circulation_n of_o the_o venal_a blood_n that_o we_o may_v have_v a_o idea_n of_o it_o we_o must_v examine_v by_o what_o mechanism_n this_o blood_n be_v carry_v back_o to_o the_o ventricle_n of_o the_o heart_n which_o be_v the_o focus_n of_o its_o â—â—â—ion_n artery_n how_o the_o venal_a blood_n be_v carry_v to_o the_o artery_n i_o set_v first_o omit_v the_o organ_n of_o respiration_n and_o the_o assistance_n of_o the_o valve_n three_o principal_a mover_n which_o oblige_v the_o venal_a blood_n to_o pass_v through_o the_o heart_n 1._o the_o pulsation_n of_o the_o artery_n 2._o the_o motion_n of_o the_o muscle_n 3._o the_o mixture_n of_o the_o lympha_fw-la if_o the_o pulsation_n of_o the_o artery_n be_v weaken_v blood_n 1._o pulsation_n of_o the_o artery_n help_v the_o motion_n of_o the_o blood_n the_o motion_n of_o the_o venal_a blood_n must_v be_v lessen_v because_o the_o artery_n beat_v and_o actual_o flagellate_v those_o vessel_n and_o so_o oblige_v the_o blood_n which_o they_o contain_v to_o repair_v to_o the_o heart_n with_o a_o wonderful_a facility_n muscle_n 2._o motion_n of_o the_o muscle_n the_o motion_n of_o the_o muscle_n be_v much_o more_o important_a to_o hasten_v the_o circulation_n of_o this_o liquor_n they_o be_v as_o so_o many_o hand_n which_o press_v the_o vessel_n that_o penetrate_v or_o pass_v through_o they_o and_o determine_v the_o liquor_n which_o they_o contain_v to_o a_o quick_a discharge_n into_o their_o recepticle_n so_o that_o if_o they_o have_v lose_v a_o part_n of_o their_o motion_n for_o want_v of_o spirit_n the_o circulation_n of_o this_o course_n blood_n will_v be_v as_o it_o be_v supend_v in_o the_o vein_n lympha_fw-la 3._o the_o lympha_fw-la in_o the_o three_o place_n i_o say_v that_o the_o lympha_fw-la dispose_v itself_o in_o the_o vein_n to_o make_v the_o blood_n more_o fluid_a and_o fit_a to_o circulate_v no_o it_o be_v certain_a if_o its_o course_n be_v impede_v either_o in_o the_o gland_n or_o lymphatic_a vessel_n the_o blood_n will_v circulate_v much_o slow_a for_o want_v of_o a_o dissolvent_a this_o be_v suppose_v that_o indigestion_n of_o the_o blood_n slow_a and_o dull_a pulsation_n of_o the_o artery_n weak_a motion_n of_o the_o muscle_n and_o interruption_n of_o the_o course_n of_o the_o lympha_fw-la be_v cause_n which_o concur_v somewhat_o to_o impede_fw-la the_o circulation_n of_o the_o venal_a blood_n poor_a the_o venal_a blood_n very_o poor_a which_o be_v a_o blood_n deprive_v of_o its_o spirituous_a particle_n have_v no_o consistence_n or_o strait_a union_n between_o they_o then_o the_o serosity_n which_o serve_v the_o rest_n of_o the_o blood_n as_o a_o matrix_fw-la separate_v itself_o from_o it_o as_o the_o serosity_n of_o milk_n from_o the_o curd_n it_o transpire_v between_o the_o interval_n of_o the_o fibre_n or_o pour_v itself_o out_o as_o a_o gentle_a rain_n in_o some_o capacity_n for_o to_o frame_v both_o kind_n of_o dropsy_n two_o experiment_n confirm_v i_o in_o this_o opinion_n the_o first_o be_v that_o if_o we_o make_v the_o ligature_n of_o the_o vein_n in_o some_o part_n and_o that_o one_o hinder_v the_o passage_n of_o the_o blood_n it_o do_v not_o fail_v to_o be_v overflow_v in_o a_o short_a time_n leg_n big_a belly_a woman_n subject_a to_o hydropical_a leg_n the_o second_o be_v we_o observe_v that_o most_o big_a belly_a woman_n have_v hydropic_a leg_n or_o at_o lest_o varices_fw-la this_o be_v a_o matter_n of_o fact_n not_o to_o be_v dispute_v and_o which_o be_v easy_o explain_v only_o by_o the_o disposition_n of_o the_o part_n we_o observe_v that_o as_o the_o foetus_fw-la grow_v big_a it_o enlarge_v the_o matrix_fw-la and_o compress_n so_o much_o the_o iliac_n and_o crurel_n vein_n which_o be_v near_o that_o the_o blood_n which_o come_v from_o the_o inferior_a part_n not_o have_v the_o liberty_n to_o move_v as_o it_o use_v to_o do_v by_o reason_n of_o this_o compression_n there_o must_v a_o dropsy_n follow_v as_o we_o have_v show_v blood_n dissolution_n of_o the_o blood_n what_o belong_v to_o the_o cause_n of_o the_o dropsy_n which_o proceed_v from_o the_o dissolution_n of_o the_o blood_n we_o have_v already_o remark_v when_o he_o speak_v of_o indigestion_n of_o the_o chyle_n that_o nothing_o be_v so_o capable_a of_o destroy_v and_o consume_v the_o oil_n of_o the_o blood_n as_o the_o abundance_n and_o exaltation_n of_o the_o sharp_a and_o tartarous_a salt_n it_o be_v by_o the_o mean_n of_o their_o action_n that_o we_o explain_v how_o scorbutic_a hypocondriac_n lienteric_a person_n and_o those_o who_o lie_v long_o in_o prison_n become_v hydropical_a which_o we_o can_v not_o easy_o demonstrate_v if_o we_o do_v not_o admit_v the_o motion_n and_o agitation_n of_o the_o cut_n and_o corrosive_a particle_n which_o put_v the_o principle_n of_o the_o blood_n to_o the_o rout_n and_o disunite_v they_o so_o that_o the_o sarum_n escape_v on_o all_o side_n and_o give_v way_n for_o the_o dropsy_n to_o seize_v on_o some_o part_n whether_o it_o transpire_v in_o form_n of_o a_o dew_n through_o the_o tunicle_n and_o membrane_n or_o filter_n between_o their_o fibre_n or_o the_o gland_n let_v it_o escape_v or_o it_o be_v spill_v by_o the_o interruption_n of_o its_o most_o insensible_a vessel_n in_o the_o void_a space_n which_o present_v themselves_o at_o their_o passage_n it_o will_v always_o be_v true_o say_v that_o the_o part_n which_o nature_n have_v a_o mind_n
the_o peritonaeum_fw-la come_v only_o a_o clear_a and_o lump_n water_n the_o intestine_a obey_v when_o you_o pull_v it_o provide_v it_o adhere_v not_o to_o the_o neighbour_a part_n different_z from_o the_o peritonaeum_fw-la which_o obey_v very_o little_a and_o the_o patient_n feel_v always_o a_o dull_a pain_n these_o be_v the_o chief_a sign_n which_o ought_v to_o make_v a_o surgeon_n circumspect_a i_o pass_v to_o the_o particular_n of_o the_o operation_n the_o intestine_a be_v discover_v you_o slip_v your_o hollow_a probe_n between_o the_o membrane_n of_o the_o scrotum_fw-la and_o the_o body_n of_o the_o intestine_a for_o to_o widen_v the_o aperture_n and_o to_o discover_v it_o naked_a to_o be_v able_a to_o separate_v it_o the_o easy_a from_o the_o testicle_n a_o servant_n lift_v the_o intestine_a and_o pull_v it_o gentle_o with_o his_o hand_n towards_o the_o pubis_fw-la whilst_o the_o surgeon_n pull_v light_o the_o testicle_n with_o his_o hand_n to_o have_v the_o liberty_n to_o break_v with_o the_o fleam_n or_o point_n of_o the_o bistory_n the_o membranous_a tie_n observe_v always_o to_o cut_v they_o near_o to_o the_o testicle_n than_o intestine_a if_o their_o adherance_n be_v very_o strong_a it_o will_v be_v better_a to_o endamage_v the_o testicle_n because_o it_o be_v not_o so_o necessary_a for_o life_n and_o the_o accident_n not_o so_o dangerous_a you_o must_v always_o avoid_v the_o spermatic_a vessel_n for_o fear_v the_o blood_n trouble_v the_o operation_n have_v free_v the_o intestine_a from_o the_o testicle_n you_o introduce_v your_o hollow_a probe_n between_o the_o cutis_fw-la and_o intestine_a and_o cut_v without_o fear_n to_o the_o ring_n of_o the_o muscle_n where_o consequent_o you_o be_v oblige_v to_o give_v way_n by_o a_o new_a incision_n to_o disengage_v the_o intestine_a from_o the_o strangulation_n in_o case_n there_o be_v any_o you_o pass_v the_o three_o time_n the_o hollow_a probe_n between_o the_o ring_n and_o intestine_a stir_v it_o a_o little_a to_o be_v certain_a that_o the_o gut_n be_v no_o way_n engage_v and_o slip_v a_o crooked_a bistory_n into_o the_o hollowness_n and_o you_o cut_v from_o the_o ring_n about_o two_o line_n and_o a_o portion_n of_o the_o skin_n avoid_v a_o little_a branch_n of_o a_o artery_n which_o run_v by_o the_o aponeurosis_n of_o this_o muscle_n when_o you_o free_v the_o intestine_a by_o the_o dilation_n you_o pull_v it_o out_o a_o little_a for_o to_o disengage_v it_o from_o the_o internal_a ring_n and_o give_v liberty_n to_o the_o excrement_n which_o it_o contain_v to_o spread_v themselves_o by_o this_o mean_v it_o grow_v less_o tumid_a and_o extend_v so_o that_o the_o reduction_n of_o it_o be_v much_o more_o easy_a you_o do_v it_o with_o your_o two_o before_o finger_n and_o press_v not_o the_o intestine_a too_o much_o lest_o you_o bruise_v it_o be_v reduce_v a_o servant_n must_v press_v with_o his_o hand_n the_o neighbour_a part_n to_o hinder_v its_o fall_n out_o again_o some_o make_v several_a little_a incision_n on_o the_o circle_n of_o the_o ring_n all_o along_o the_o purse_n which_o make_v it_o incarn_v and_o cicatrise_v strong_a other_o content_v themselves_o to_o introduce_v into_o the_o ring_n a_o thick_a tent_n of_o lint_n tie_v with_o a_o wax_v thread_n and_o a_o length_n proportionable_a to_o the_o depth_n of_o the_o wound_n to_o bruise_v they_o as_o it_o be_v and_o excite_v a_o speedy_a suppuration_n some_o apply_v they_o dry_a and_o other_o dip_v in_o some_o digestive_a according_a to_o the_o pain_n which_o be_v feel_v or_o humidity_n which_o relax_n these_o part_n but_o the_o true_a method_n to_o hinder_v this_o disease_n from_o relapse_v be_v to_o introduce_v into_o the_o wound_n a_o long_a tent_n of_o lint_n which_o refist_n the_o impulsion_n of_o the_o intestine_a which_o always_o endeavour_v to_o dilate_v the_o ring_n and_o so_o often_o make_v the_o operation_n unsuccessful_a a_o servant_n hold_v it_o on_o whilst_o the_o surgeon_n apply_v the_o rest_n of_o the_o apparatus_fw-la especial_o good_a defensitives_n which_o oppose_v fluxion_n that_o may_v happen_v there_o be_v several_a practitioner_n who_o will_v that_o at_o the_o same_o time_n the_o testicle_n be_v cut_v off_o but_o this_o method_n be_v not_o approve_v of_o because_o it_o contribute_v not_o to_o the_o cure_n of_o the_o hernia_n but_o rather_o as_o experience_n demonstrate_v prolong_v the_o operation_n make_v the_o patient_n suffer_v without_o necessity_n and_o deprive_v he_o of_o the_o proper_a mean_n of_o propagation_n but_o if_o even_o the_o testicle_n shall_v be_v alter_v so_o that_o they_o can_v not_o be_v secure_v it_o will_v be_v always_o more_o advantageous_a to_o defer_v the_o operation_n till_o the_o fluxion_n be_v a_o little_a moderate_v if_o the_o omentum_fw-la be_v in_o the_o part_n and_o alter_v you_o make_v the_o ligature_n in_o the_o sound_a part_n and_o take_v off_o the_o corrupt_a it_o may_v be_v avoid_v if_o the_o tumour_n be_v recent_a and_o preserve_v in_o its_o natural_a state_n if_o it_o be_v strong_o fasten_v to_o the_o gut_n you_o must_v if_o possible_o reduce_v they_o together_o provide_v there_o appear_v no_o sign_n of_o mortification_n whether_o it_o have_v contract_v any_o tie_n with_o the_o intestine_a testicle_n ring_v of_o the_o muscle_n or_o with_o the_o production_n which_o include_v the_o spermatic_a vessel_n it_o be_v always_o better_a to_o take_v away_o some_o of_o its_o substance_n than_o of_o the_o substance_n of_o any_o of_o these_o part_n if_o necessity_n compel_v you_o to_o it_o yet_o i_o own_o if_o it_o shall_v at_o all_o adhere_v to_o the_o sack_n that_o contain_v the_o intestine_a provide_v it_o be_v sound_n it_o will_v be_v better_o to_o hurt_v the_o purse_n than_o epiploon_n but_o as_o it_o can_v remain_v long_o in_o that_o condition_n without_o be_v alter_v we_o be_v always_o force_v to_o cut_v a_o great_a portion_n of_o it_o you_o must_v take_v care_n in_o make_v the_o ligature_n that_o you_o do_v straiten_v the_o part_n too_o much_o because_o it_o be_v of_o a_o loose_a texture_n spungy_a and_o easy_a to_o be_v cut_v you_o pass_v the_o thread_n several_a time_n all_o about_o slight_o straighten_v it_o after_o have_v pass_v the_o needle_n through_o its_o substance_n in_o the_o operation_n of_o the_o bubonocele_n you_o make_v not_o so_o great_a a_o aperture_n but_o make_v it_o according_a to_o the_o extension_n and_o bigness_n of_o the_o tumour_n concern_v the_o rest_n you_o follow_v the_o same_o rule_n and_o observe_v the_o same_o circumstance_n former_o mention_v when_o you_o have_v discover_v the_o purse_n which_o make_v the_o hernia_n you_o tear_v it_o to_o piece_n dexterous_o with_o your_o nail_n or_o the_o fleam_n and_o if_o instead_o of_o the_o intestine_a you_o find_v water_n be_v not_o surprise_v with_o the_o supposal_n that_o you_o have_v hurt_v the_o intestine_a but_o take_v courage_n and_o remember_v only_o the_o sign_n of_o which_o we_o have_v speak_v which_o will_v fortify_v you_o and_o put_v you_o into_o a_o condition_n successful_o to_o perform_v the_o operation_n for_o it_o be_v only_o the_o purse_n which_o be_v full_a of_o water_n in_o which_o the_o intestine_a float_n these_o water_n be_v furnish_v by_o the_o gland_n of_o the_o internal_a surface_n of_o the_o peritonaeum_fw-la and_o by_o those_o of_o the_o intestine_n or_o by_o the_o eruption_n of_o some_o lymphatic_a vessel_n these_o be_v if_o i_o mistake_v not_o most_o of_o the_o particular_n which_o this_o operation_n contain_v after_o have_v embrocate_v with_o oil_n of_o rose_n you_o must_v apply_v good_a defensitives_n over_o the_o part_n and_o hypogastrick_n region_n with_o good_a compress_v moisten_v in_o oxycrate_n and_o sustain_v the_o application_n with_o the_o simple_a spica_fw-la in_o all_o these_o affect_n you_o must_v always_o ease_v the_o purse_n by_o a_o suspensorium_n and_o prefer_v clyster_n before_o other_o general_a medicine_n chap._n xii_o of_o castration_n occasion_v by_o sarcocele_n and_o varicocele_n this_o operation_n be_v not_o always_o to_o be_v practise_v unless_o other_o method_n prove_v ineffectual_a in_o the_o four_o follow_a case_n i_o suppose_v it_o necessary_a perform_v when_o the_o operation_n must_v be_v perform_v 1._o when_o it_o be_v so_o close_o fasten_v to_o the_o intestine_a that_o one_o be_v force_v to_o take_v much_o of_o its_o substance_n off_o the_o 2._o be_v in_o contusion_n when_o the_o vessel_n and_o vesicles_n be_v crush_v together_o and_o the_o course_n of_o the_o blood_n interrupt_v which_o be_v know_v by_o the_o blackness_n of_o the_o testicle_n and_o mortification_n which_o follow_v soon_o after_o if_o the_o progress_n of_o this_o commotion_n be_v not_o hinder_v the_o 3._o be_v when_o the_o testicle_n be_v varicous_a and_o the_o virulent_a humour_n which_o cause_n the_o tension_n and_o dilatation_n of_o the_o vessel_n can_v by_o medicine_n be_v resolve_v this_o case_n be_v not_o so_o press_v as_o
the_o matter_n of_o the_o stone_n hypocrates_n of_o hypocrates_n hypocrates_n imagine_v that_o the_o stone_n be_v form_v by_o the_o urine_v retention_n in_o the_o bladder_n and_o that_o the_o most_o gross_a and_o terrestrious_a particle_n stop_v there_o and_o stick_v to_o the_o bottom_n almost_o in_o the_o same_o manner_n as_o the_o gravel_n gather_v in_o the_o bottom_n of_o a_o pot_n where_o the_o urinal_n have_v be_v long_o retain_v and_o that_o certain_a slimy_a particle_n gather_v there_o which_o serve_v for_o a_o tie_n to_o the_o little_a gravels_n there_o assemble_v and_o that_o after_o this_o manner_n by_o the_o overgrow_a of_o a_o new_a matter_n the_o stone_n become_v insensible_o big_a this_o opinion_n be_v more_o probable_a than_o solid_a for_o it_o be_v evident_a if_o the_o stone_n be_v form_v after_o hipocrates_n way_n suppose_v the_o principle_n which_o he_o admit_v it_o will_v doubtless_o not_o have_v consistence_n strong_a enough_o to_o resist_v the_o hammer_n as_o this_o do_v it_o be_v much_o more_o reasonable_a to_o believe_v that_o what_o we_o see_v in_o the_o urinal_n of_o those_o thus_o disease_a be_v nothing_o else_o but_o the_o volatile_a spirit_n of_o urinal_n which_o take_v its_o flight_n stick_v rather_o to_o the_o side_n of_o the_o urinal_n than_o bottom_n as_o experience_n demonstrate_v fernelius_n the_o opinion_n of_o fernelius_n fernelius_n pretend_v that_o all_o the_o stone_n which_o be_v find_v in_o the_o bladden_n fall_v from_o the_o reins_o by_o nephritical_a pain_n and_o say_v that_o if_o the_o gravel_n which_o pass_v from_o the_o reins_o into_o the_o bladder_n be_v of_o any_o considerable_a bigness_n and_o that_o it_o lie_v there_o for_o some_o time_n the_o stone_n be_v form_v there_o which_o grow_v big_a and_o big_a by_o the_o access_n of_o new_a matter_n which_o come_v to_o it_o without_o intermission_n and_o that_o which_o full_o persuade_v he_o to_o believe_v that_o nephritick_n pain_v excite_v the_o gravel_n to_o fall_v from_o the_o kidney_n into_o the_o bladder_n be_v that_o he_o never_o find_v any_o one_o trouble_v with_o the_o stone_n but_o some_o nephritick_n pain_n go_v before_o he_o say_v also_o that_o when_o you_o break_v the_o stone_n which_o be_v whole_o form_v you_o find_v in_o the_o middle_a a_o little_a kernel_n which_o have_v a_o cover_n different_a in_o colour_n and_o substance_n from_o the_o rest_n of_o the_o stone_n and_o who_o figure_n perfect_o imitate_v the_o pelvis_n of_o the_o kidney_n from_o whence_o he_o conclude_v the_o stone_n be_v form_v in_o it_o before_o it_o fall_v into_o the_o bladder_n fernelius_n want_v nothing_o more_o than_o the_o knowledge_n of_o the_o principle_n of_o the_o stone_n to_o have_v have_v a_o perfect_a idea_n of_o it_o and_o what_o make_v he_o fall_v into_o this_o error_n after_o hipocrates_n be_v that_o he_o found_v himself_o on_o that_o old_a maxim_n of_o the_o ancient_n that_o stone_n be_v form_v by_o the_o terrestrial_a and_o gross_a particle_n of_o the_o blood_n which_o disengage_v themselves_o from_o the_o other_o and_o unite_n together_o form_n calcules_fw-la the_o only_a reason_n which_o they_o give_v for_o it_o be_v that_o these_o gravels_n be_v very_o firm_a and_o massy_a and_o that_o such_o body_n can_v be_v frame_v but_o by_o the_o assemble_v of_o that_o which_o be_v most_o irregular_a and_o heavy_a in_o the_o blood_n they_o pretend_v also_o that_o we_o must_v conceive_v this_o generation_n to_o be_v like_o the_o gross_a and_o massy_a body_n which_o be_v make_v on_o the_o earth_n to_o which_o the_o formation_n of_o the_o stone_n in_o man_n body_n have_v a_o great_a deal_n of_o analogy_n all_o mineral_n have_v no_o other_o principle_n than_o the_o most_o inflexible_a and_o weighty_a particle_n of_o the_o earth_n but_o this_o be_v a_o prejudice_n ground_v only_o on_o the_o impression_n and_o confuse_a idea_n of_o the_o sense_n reason_n and_o experience_n be_v their_o opposite_n for_o this_o latter_a show_n that_o the_o volatile_a spirit_n and_o most_o subtle_a body_n frame_v by_o their_o mixture_n a_o heavy_a and_o solid_a body_n which_o the_o sixth_o salt_n and_o other_o grosser_n body_n more_o incapable_a of_o motion_n can_v do_v as_o chemistry_n demonstrate_v nay_o reason_n convince_v we_o of_o it_o for_o it_o be_v easy_o conceive_v that_o the_o grosser_n and_o more_o irregular_a particle_n can_v adjust_a or_o restrain_v so_o well_o or_o press_v themselves_o with_o so_o much_o strength_n as_o the_o more_o fine_a and_o regular_a in_o order_n to_o the_o frame_v a_o solid_a and_o complete_a body_n stone_n two_o essential_a principle_n towards_o the_o generation_n of_o the_o stone_n chemistry_n discover_v to_o we_o two_o essential_a principle_n in_o the_o urinal_n by_o the_o analysis_n which_o it_o have_v make_v of_o it_o the_o one_o be_v a_o urinous_a and_o volatile_a salt_n which_o much_o resemble_v the_o spirit_n of_o nitre_n and_o the_o other_o a_o very_a aethereal_a sulphur_n which_o be_v like_o spirit_n of_o wine_n experience_n demonstrate_v experiment_n experiment_n that_o if_o we_o mix_v spirit_n of_o wine_n with_o spirit_n of_o nitre_n a_o coagulum_fw-la be_v present_o form_v but_o these_o two_o principle_n be_v engage_v in_o the_o urine_n and_o its_o course_n not_o permit_v they_o to_o unite_n together_o to_o form_v the_o stone_n opinion_n van_n helmont_n opinion_n the_o urine_n as_o van_n helmont_n say_v must_v fall_v into_o some_o disorder_n before_o the_o stone_n be_v form_v and_o although_o the_o essential_a principle_n of_o the_o gravel_n in_o which_o consist_v the_o seed_n of_o the_o stone_n be_v in_o the_o urine_n it_o need_v a_o intermedium_fw-la or_o ferment_n to_o excite_v and_o cause_v the_o seed_n to_o germinate_v like_o as_o in_o other_o generation_n therefore_o it_o be_v a_o corruptive_a ferment_n say_v van_n holmont_n which_o be_v sometime_o engender_v in_o the_o urine_n and_o which_o awake_v and_o vivify_v the_o principle_n of_o putrefaction_n which_o unite_n themselves_o intimate_o form_v the_o stone_n in_o the_o midst_n of_o the_o kidney_n this_o be_v the_o manner_n this_o author_n prove_v it_o and_o we_o may_v say_v to_o his_o credit_n that_o of_o all_o who_o have_v write_v on_o this_o subject_a none_o have_v do_v better_a than_o he_o he_o say_v there_o be_v no_o transmutative_a principle_n in_o nature_n without_o ferment_n the_o urine_n do_v not_o corrupt_a in_o we_o because_o of_o its_o motion_n but_o there_o must_v needs_o be_v find_v in_o it_o a_o corruptive_a ferment_n by_o occasion_n of_o which_o it_o be_v apt_a for_o putrefaction_n so_o that_o the_o putrefaction_n be_v not_o make_v by_o the_o urin_n being_n vitiate_v but_o the_o reins_o suscitate_a the_o vicious_a ferment_n to_o the_o generation_n of_o this_o strange_a body_n and_o he_o suppose_v that_o it_o be_v the_o smell_n alone_o of_o the_o principle_n of_o putrefaction_n which_o stir_v up_o and_o separate_v in_o heterogeneal_a part_n that_o which_o before_o seem_v to_o be_v homogeneal_a like_v as_o the_o smell_n of_o a_o vessel_n wherein_o there_o have_v be_v some_o acidity_n coagulate_v and_o sower_n milk_n only_o the_o ferment_n of_o the_o stone_n consist_v in_o a_o smell_n only_o or_o as_o the_o smell_n of_o leven_n ferment_n and_o infect_v the_o dough_n and_o the_o smell_n of_o a_o musty_a fat_a corrupt_v and_o ferment_n the_o wine_n even_o so_o in_o the_o urine_n do_v the_o ferment_n which_o dispose_v to_o the_o gravel_n consist_v in_o a_o pure_a smell_n only_o it_o be_v also_o observe_v that_o the_o urinal_n putrify_v soon_o in_o a_o stink_a vessel_n in_o which_o urinal_n have_v be_v keep_v a_o long_a time_n than_o in_o one_o which_o be_v clean_a and_o new_a he_o suppose_v that_o the_o coagulation_n of_o the_o stone_n be_v make_v in_o a_o instant_n though_o its_o growth_n be_v make_v by_o degree_n and_o sometime_o all_o at_o once_o in_o the_o distillation_n which_o he_o have_v make_v of_o the_o urinal_n he_o have_v always_o find_v therein_o a_o spirit_n of_o nitre_n which_o he_o call_v a_o coagulate_a spirit_n associate_v with_o the_o spirit_n of_o wine_n and_o though_o they_o be_v both_o very_a volatile_a they_o coagulate_v as_o spirit_n of_o vitriol_n mix_v with_o sal_fw-la ammoniac_a which_o evaporate_v also_o very_o easy_o beside_o this_o coagulate_a spirit_n and_o the_o spirit_n of_o wine_n which_o meet_v together_o in_o the_o urinal_n he_o say_v there_o be_v also_o find_v in_o it_o a_o terrestrial_a styptic_a spirit_n which_o by_o the_o mean_n of_o putrefaction_n become_v volatile_a so_o that_o this_o spirit_n of_o urine_n drink_v up_o the_o terrestrial_a spirit_n excite_v by_o a_o putrid_a ferment_n suscitates_fw-la the_o spirit_n of_o wine_n which_o be_v in_o repose_n and_o concentre_v in_o the_o urine_n which_o mingle_v intimate_o together_o and_o act_v one_o with_o another_o by_o a_o reciprocal_a action_n condense_n in_o the_o middle_n of_o the_o urine_n and_o form_n a_o
stony_a matter_n the_o good_a or_o bad_a use_n of_o food_n contribute_v much_o to_o its_o formation_n we_o observe_v that_o those_o who_o use_v too_o spiritous_a drink_n and_o dirty_a food_n be_v more_o subject_a to_o it_o than_o other_o we_o see_v also_o that_o those_o who_o live_v on_o milk_n meat_n fruit_n pulse_n rye_n bread_n and_o several_a other_o impurity_n be_v often_o torment_v with_o it_o the_o latter_a contribute_v to_o it_o because_o of_o their_o impurity_n and_o the_o other_o by_o reason_n of_o their_o spiritous_a particle_n the_o latter_a furnish_v the_o principle_n of_o the_o stone_n and_o the_o other_o the_o ferment_n which_o dispose_v the_o excrement_n because_o work_v on_o the_o colon_n which_o be_v near_o it_o gnaw_v and_o corrode_v the_o tunicle_n and_o after_o this_o manner_n open_v a_o passage_n to_o come_v out_o this_o way_n vomit_v and_o palsy_n of_o the_o thigh_n and_o leg_n be_v also_o concomitant_a the_o disease_a can_o stand_v straight_o and_o the_o testicle_n of_o the_o same_o side_n retire_v into_o the_o groin_n reins_o cause_o of_o vomit_v in_o inflammation_n of_o the_o reins_o the_o vomit_v proceed_v from_o the_o mutual_a communication_n that_o be_v between_o the_o nerve_n of_o the_o kidney_n and_o stomach_n by_o the_o irritation_n of_o the_o spirit_n in_o the_o carnous_a fibres_fw-fr of_o the_o stomach_n occasion_v by_o the_o inflammation_n of_o the_o reins_o reins_o cause_o of_o the_o palsy_n of_o the_o thigh_n etc._n etc._n in_o inflammation_n of_o the_o reins_o to_o give_v a_o reason_n for_o the_o palsy_n you_o must_v observe_v that_o the_o kidney_n be_v lay_v upon_o the_o head_n of_o the_o muscle_n psoas_n which_o it_o press_v and_o inflame_v this_o muscle_n be_v inflame_v also_o press_v a_o thick_a string_n of_o nerve_n which_o pass_v through_o its_o body_n and_o distribute_v itself_o into_o the_o interior_a part_n of_o the_o thigh_n and_o leg_n from_o whence_o follow_v the_o stupor_n by_o the_o suppression_n or_o obstruction_n of_o the_o spirit_n after_o this_o manner_n the_o muscle_n psoas_n reciprocal_o inflame_v the_o iliac_n to_o which_o it_o be_v join_v and_o see_v these_o two_o muscle_n serve_v to_o bend_v the_o thigh_n it_o can_v no_o more_o obey_v not_o follow_v the_o action_n of_o these_o extensor_n which_o be_v the_o cause_n that_o we_o can_v stand_v upright_o without_o cruel_a pain_n groin_n cause_o of_o the_o contraction_n or_o shrivel_a up_o of_o the_o testicle_n into_o the_o groin_n the_o testicle_n retire_v into_o the_o groin_n by_o reason_n the_o iliac_n muscle_n be_v join_v to_o the_o cremaster_n which_o embrace_v the_o body_n of_o the_o testicle_n so_o that_o its_o fibre_n be_v shorten_v by_o the_o inflammation_n which_o the_o iliac_n communicate_v to_o it_o the_o testicle_n must_v necessary_o mount_v into_o the_o groin_n nevertheless_o all_o these_o sign_n be_v equivocal_a see_v they_o may_v happen_v in_o the_o ordinary_a inflammation_n of_o the_o reins_o that_o be_v to_o say_v in_o the_o nephretic_n colic_n bladder_n sign_n of_o the_o stone_n in_o the_o bladder_n the_o sign_n of_o the_o stone_n in_o the_o bladder_n be_v palsific_a burn_a pain_n in_o the_o time_n of_o make_v water_n the_o urine_n come_v out_o by_o drop_n and_o reiterated_a turn_n as_o in_o stranguria_n and_o as_o the_o bladder_n be_v empty_v and_o diminish_v in_o bigness_n its_o side_n apply_v themselves_o so_o hard_o against_o the_o surface_n of_o the_o stone_n which_o if_o it_o be_v rough_a it_o fail_v not_o to_o cause_v sufficient_a convulsion_n and_o break_v some_o vessel_n in_o which_o consist_v the_o burn_a pain_n one_o feel_v after_o piss_v and_o the_o last_o drop_n be_v often_o bloody_a the_o water_n be_v make_v by_o turn_n because_o the_o stone_n which_o lie_v heavy_a on_o the_o neck_n of_o the_o bladder_n bladder_n cause_n of_o these_o sign_n of_o the_o stone_n in_o the_o bladder_n stop_v partly_o the_o passage_n of_o the_o urine_n but_o the_o worst_a be_v that_o in_o the_o time_n of_o piss_v and_o when_o the_o side_n which_o before_o be_v extend_v come_v to_o touch_v rude_o against_o this_o rough_a body_n its_o nervous_a fibre_n break_v and_o give_v way_n to_o the_o urine_n by_o its_o acrimony_n to_o prick_v they_o so_o cause_v convulsion_n cruel_a and_o pungent_a pain_n and_o imprint_n on_o the_o spirit_n a_o irregular_a motion_n by_o occasion_n of_o which_o the_o carnous_a fibres_fw-fr contract_n and_o embrace_v the_o stone_n fast_o the_o disease_a think_v in_o that_o moment_n to_o ease_v himself_o and_o desire_v to_o suspend_v the_o course_n of_o the_o spirit_n augment_v on_o the_o contrary_a the_o violence_n of_o the_o pain_n and_o retard_v the_o course_n of_o the_o urine_n and_o so_o cause_v some_o of_o it_o to_o remain_v always_o in_o the_o bladder_n which_o grow_v acid_a and_o at_o length_n become_v stink_v by_o its_o stay_n there_o so_o renew_v much_o sharp_a and_o insupportable_a pain_n itch_a cause_o of_o itch_a one_o feel_v a_o itch_a in_o the_o region_n of_o the_o perineum_fw-la which_o irritate_v the_o sphincter_n of_o the_o anus_fw-la excite_v a_o tenesmus_n the_o itch_a continue_v even_o to_o the_o extremity_n of_o the_o gland_n which_o oblige_v the_o patient_n to_o rub_v it_o often_o perineum_fw-la cause_o of_o heaviness_n about_o the_o perineum_fw-la the_o heaviness_n about_o the_o perineum_fw-la can_v proceed_v but_o from_o the_o weight_n of_o the_o stone_n and_o the_o itch_a from_o the_o acrimony_n of_o the_o urinc_fw-la sometime_o there_o happen_v a_o priapism_n or_o a_o involuntary_a erection_n of_o the_o penis_n cause_v by_o the_o irritation_n of_o the_o fibre_n and_o inflammation_n of_o the_o bladder_n and_o urethra_fw-la which_o communicate_v itself_o to_o the_o cavernous_a body_n it_o be_v easy_a to_o see_v that_o the_o irritation_n of_o the_o part_n join_v with_o some_o slight_a indisposition_n can_v awake_v and_o hasten_v the_o course_n of_o the_o blood_n and_o spirit_n design_v for_o the_o function_n of_o the_o yard_n and_o adjacent_a muscle_n which_o be_v swell_v by_o the_o spirit_n compress_v the_o vein_n which_o be_v distribute_v in_o it_o to_o hinder_v the_o return_n of_o the_o blood_n the_o blood_n and_o spirit_n fill_v all_o the_o vacuum_n or_o empty_a space_n of_o the_o hollow_a body_n the_o yard_n must_v needs_o grow_v stiff_a and_o extend_v itself_o we_o observe_v that_o the_o urine_n be_v sometime_o white_a sometime_o bloody_a trouble_a and_o muddy_a and_o be_v charge_v with_o a_o mucous_a and_o sandy_a sediment_n hippocrates_n in_o his_o aphorism_n report_n that_o when_o the_o urine_n be_v extreme_a clear_a and_o you_o find_v sand_n in_o the_o bottom_n of_o the_o urinal_n it_o be_v a_o infallible_a mark_n of_o the_o stone_n be_v existence_n in_o the_o bladder_n bladder_n a_o certain_a sign_n of_o two_o or_o more_o stone_n in_o the_o bladder_n when_o the_o stone_n be_v smooth_a it_o be_v a_o sign_n that_o it_o be_v accompany_v with_o some_o other_o stone_n which_o by_o their_o continual_a atrition_n become_v polish_v and_o smooth_a if_o the_o stone_n be_v big_a and_o lie_v heavy_a on_o the_o neck_n of_o the_o bladder_n it_o dilate_v in_o such_o a_o manner_n that_o in_o time_n it_o grow_v as_o big_a as_o its_o bottom_n if_o it_o adhere_v to_o any_o part_n or_o be_v contain_v in_o a_o cistis_fw-la the_o patient_n may_v carry_v it_o all_o his_o life_n without_o any_o detriment_n or_o manifest_v any_o of_o the_o sign_n which_o we_o have_v speak_v of_o especial_o when_o it_o be_v suspend_v at_o the_o bottom_n of_o the_o bladder_n observation_n a_o observation_n van_n helmont_n assure_v we_o that_o he_o know_v a_o priest_n who_o go_v to_o reach_v a_o book_n in_o his_o library_n at_o the_o same_o moment_n feel_v a_o great_a weight_n in_o the_o hypogastric_a region_n which_o be_v present_o follow_v with_o all_o the_o symptom_n we_o have_v describe_v it_o be_v the_o stone_n which_o be_v then_o separate_v from_o the_o bottom_n of_o the_o bladder_n by_o this_o simple_a effort_n so_o that_o he_o be_v oblige_v to_o come_v to_o the_o operation_n but_o the_o most_o sure_a and_o certain_a sign_n of_o the_o stone_n be_v the_o probe_n which_o convince_v we_o of_o it_o by_o the_o resistance_n it_o make_v and_o noise_n which_o we_o hear_v when_o we_o strike_v upon_o it_o this_o be_v also_o the_o sign_n which_o cause_v the_o necessity_n of_o the_o operation_n if_o the_o age_n season_n and_o strength_n of_o the_o patient_n permit_v stone_n no_o medicine_n so_o powerful_a as_o to_o dissolve_v the_o stone_n here_o it_o be_v where_o mountebank_n triumph_v who_o by_o their_o imposture_n endeavour_v to_o persuade_v people_n that_o they_o have_v infallible_a secret_n to_o dissolve_v the_o stone_n in_o the_o reins_o and_o bladder_n these_o sweet_a hope_n flatter_v the_o mind_n of_o those_o who_o be_v trouble_v with_o it_o but_o when_o we_o show_v they_o by_o evident_a demonstration_n that_o
specific_a remedy_n to_o hinder_v the_o progress_n of_o this_o disease_n be_v bleed_v which_o keep_v the_o first_o rank_n and_o i_o say_v that_o if_o it_o be_v of_o any_o use_n at_o all_o in_o surgery_n it_o be_v without_o doubt_n in_o this_o occasion_n here_o bleed_v no_o where_n of_o so_o great_a use_n as_o here_o because_o in_o empty_v the_o vessel_n it_o hinder_v the_o blood_n from_o be_v carry_v so_o abundant_o to_o that_o part_n and_o must_v consequent_o lessen_v the_o bigness_n of_o the_o tumour_n in_o diminish_v the_o quantity_n of_o the_o blood_n pleurisy_n approve_a remedy_n in_o a_o pleurisy_n the_o other_o remedy_n be_v those_o which_o rarify_v subtilise_v and_o attenuate_v the_o blood_n as_o horse_n or_o mule_n dung_n infuse_v in_o white-wine_n old_a he-goat_n blood_n in_o powder_n all_o volatile_a salt_n and_o several_a other_o remedy_n of_o that_o nature_n the_o decoction_n of_o nettle_n in_o strong_a wine_n which_o you_o sweeten_v with_o sugar_n be_v also_o excellent_a you_o may_v at_o the_o same_o time_n you_o take_v the_o decoction_n lay_v on_o the_o side_n the_o bruise_a nettle_n in_o form_n of_o a_o cataplasm_n peripneumonia_n of_o a_o peripneumonia_n have_v thus_o in_o general_n explain_v the_o cause_n of_o a_o pleurisy_n i_o be_o oblige_v to_o say_v something_o of_o a_o peripneumonia_n that_o sometime_o proceed_v from_o a_o impostume_n of_o the_o brain_n or_o from_o the_o inflammation_n of_o some_o membrane_n which_o change_v into_o a_o abscess_n as_o experience_n demonstrate_v in_o those_o that_o die_v of_o great_a wound_n of_o the_o head_n but_o for_o the_o most_o part_n it_o be_v cause_v by_o the_o corruption_n of_o the_o blood_n that_o be_v to_o say_v by_o the_o exaltation_n of_o its_o sharp_a particle_n all_o the_o difficulty_n be_v to_o know_v why_o the_o pus_fw-la or_o blood_n stop_v rather_o in_o the_o lung_n than_o in_o any_o part_n else_o for_o to_o make_v a_o impostumation_n i_o say_v that_o three_o cause_n contribute_v to_o its_o formation_n the_o alteration_n of_o the_o blood_n peripneumonia_n cause_n of_o peripneumonia_n long_a and_o slow_a respiration_n and_o the_o structure_n of_o the_o part_n blood_n first_o cause_n alteration_n of_o the_o blood_n concern_v the_o first_o you_o must_v only_o make_v reflection_n on_o the_o nature_n and_o mixture_n of_o the_o chile_n and_o thick_a blood_n which_o the_o right_a ventricle_n of_o the_o heart_n send_v in_o every_o sistole_n to_o the_o lung_n through_o the_o pulmonic_a artery_n we_o know_v that_o these_o two_o liquor_n pass_v through_o the_o heart_n and_o lung_n for_o to_o receive_v some_o necessary_a preparation_n for_o the_o function_n of_o the_o part_n therefore_o we_o may_v say_v that_o they_o be_v the_o two_o receptacle_n of_o all_o that_o be_v most_o thick_a and_o indigested_a in_o the_o mass_n of_o blood_n but_o if_o the_o heart_n have_v the_o strength_n and_o power_n by_o its_o constriction_n to_o subtilise_v and_o cast_v off_o all_o that_o be_v most_o heavy_a and_o material_a in_o the_o mass_n the_o lung_n have_v not_o the_o same_o advantage_n as_o we_o will_v prove_v so_o that_o the_o grosser_n substance_n be_v accompany_v with_o some_o impurity_n and_o have_v only_o feel_v the_o first_o effect_n of_o the_o heart_n for_o its_o perfection_n it_o must_v needs_o stop_v there_o and_o putrefy_v espiration_n second_o cause_n long_o and_o slow_a i_o espiration_n the_o second_o cause_n which_o i_o establish_v be_v a_o long_a and_o slow_a respiration_n it_o be_v certain_a the_o more_o free_a the_o air_n enter_v into_o the_o breast_n and_o the_o more_o the_o vessel_n be_v extend_v they_o be_v in_o a_o more_o fit_a condition_n by_o their_o elastic_a virtue_n or_o spring_n to_o express_v the_o air_n through_o the_o pipe_n of_o the_o trachea_n arteria_fw-la and_o the_o more_o the_o blood_n be_v agitate_a by_o the_o inspiration_n of_o the_o air_n it_o be_v drive_v with_o great_a quickness_n into_o the_o vein_n but_o on_o the_o contrary_a if_o the_o blood_n be_v move_v slow_o by_o a_o long_a respiration_n it_o follow_v that_o the_o vessicle_n be_v not_o so_o extend_v as_o they_o shall_v be_v and_o not_o expel_v the_o blood_n out_o of_o they_o with_o such_o a_o violence_n it_o stop_v and_o corrupt_v there_o gradual_o by_o the_o arrival_n and_o mixture_n of_o some_o ill_a leaven_n or_o by_o the_o exaltation_n of_o its_o salt_n particle_n from_o whence_o it_o come_v that_o those_o who_o have_v a_o long_a neck_n be_v more_o subject_a to_o it_o than_o other_o because_o the_o air_n be_v oblige_v to_o make_v a_o long_a traverse_n before_o it_o come_v to_o the_o lung_n which_o make_v they_o dry_v up_o and_o alter_v insensible_o be_v three_o cause_n on_o the_o structure_n of_o the_o part._n what_o the_o lung_n real_o be_v the_o three_o cause_n be_v ground_v upon_o the_o structure_n of_o the_o part_n the_o lung_n be_v a_o complication_n of_o little_a vessicles_n in_o which_o the_o artery_n pour_v the_o blood_n and_o where_o it_o be_v mingle_v with_o the_o air_n to_o receive_v some_o alteration_n there_o now_o it_o be_v show_v in_o the_o hydravlic's_n that_o a_o liquor_n which_o pass_v from_o a_o little_a pipe_n into_o a_o great_a lose_v much_o of_o its_o motion_n and_o be_v the_o artery_n be_v very_o little_a in_o proportion_n to_o the_o cell_n it_o be_v no_o wonder_n if_o the_o blood_n grow_v slow_a there_o and_o change_v its_o nature_n by_o the_o exaltation_n of_o some_o sharp_a and_o tartarous_a salt_n and_o by_o the_o fermentation_n which_o they_o cause_v there_o wherefore_o the_o alteration_n of_o the_o blood_n the_o irregularity_n of_o respiration_n and_o the_o largeness_n of_o the_o vessicle_n of_o the_o lung_n in_o proportion_n to_o those_o of_o the_o artery_n be_v the_o three_o cause_n that_o concur_v to_o the_o formation_n of_o the_o peripneumonia_n since_o the_o sign_n of_o all_o these_o kind_n of_o disease_n be_v of_o the_o great_a importance_n to_o succeed_v well_o in_o the_o operation_n and_o to_o make_v a_o favourable_a or_o dangerous_a prognostic_n i_o will_v endeavour_v to_o describe_v they_o with_o all_o the_o order_n that_o be_v possible_a pleura_fw-la sign_n of_o pus_fw-la or_o blood_n in_o the_o pleura_fw-la the_o sign_n which_o show_v we_o that_o there_o be_v some_o pus_fw-la or_o blood_n stop_v in_o the_o pleura_fw-la be_v inflammation_n penetrate_v pain_n heaviness_n a_o languish_a and_o continual_a fever_n a_o hard_a thick_a and_o deep_a pulse_n accompany_v with_o shiver_v difficulty_n of_o breathe_v a_o dry_a cough_n and_o thirst_n one_o can_v lie_v on_o the_o sound_a side_n by_o reason_n the_o matter_n lie_v heavy_a on_o the_o pleura_fw-la and_o one_o grow_v lean_a and_o thin_a in_o a_o few_o day_n diaphragma_n sign_n of_o the_o matter_n on_o the_o diaphragma_n but_o if_o the_o impostume_n break_v and_o the_o matter_n fall_v on_o the_o diaphragma_n all_o these_o symptom_n cease_v and_o the_o patient_n find_v some_o ease_n for_o a_o time_n but_o immediate_o there_o come_v other_o not_o less_o dangerous_a and_o insupportable_a beside_o the_o difficulty_n of_o breathe_v which_o be_v common_a to_o every_o empiema_n one_o feel_v a_o heaviness_n upon_o the_o diaphragma_n fluctuation_n a_o great_a uneasiness_n the_o fever_n increase_v and_o become_v burn_v the_o pulse_n rise_v the_o pain_n indeed_o be_v not_o so_o sharp_a it_o be_v feel_v towards_o the_o false_a rib_n one_o can_v lie_v but_o on_o the_o side_n where_o the_o matter_n be_v for_o if_o you_o lie_v on_o the_o opposite_a side_n one_o feel_v a_o twitch_a upon_o the_o mediastinum_fw-la more_o cruel_a pain_n and_o a_o much_o great_a heaviness_n their_o spittle_n be_v sometime_o stink_a and_o there_o follow_v very_o often_o impostume_n of_o the_o liver_n after_o these_o kind_n of_o indisposition_n even_o as_o it_o be_v observe_v after_o great_a wound_n of_o the_o head_n if_o the_o pus_fw-la be_v diffuse_v on_o both_o side_n one_o can_v lie_v on_o either_o by_o reason_n of_o the_o sharp_a pain_n one_o suffer_v to_o be_v ease_v you_o must_v lie_v upon_o the_o back_n or_o belly_n lung_n sign_n of_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o sign_n when_o there_o be_v pus_fw-la in_o the_o substance_n of_o the_o lung_n may_v be_v divide_v into_o equivocal_a and_o convince_a the_o equivocal_a belong_v to_o other_o disease_n of_o the_o lung_n it_o be_v very_o dangerous_a to_o be_v mistake_v therefore_o let_v we_o endeavour_v to_o examine_v they_o well_o that_o we_o may_v draw_v some_o advantage_n and_o that_o we_o may_v not_o undertake_v a_o operation_n who_o effect_n will_v prove_v not_o only_o useless_a but_o fatal_a if_o there_o be_v any_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o disease_v can_v breathe_v without_o pain_n he_o find_v a_o insupportable_a and_o troublesome_a heaviness_n upon_o the_o diaphragma_n because_o the_o weight_n of_o the_o matter_n deprive_v it_o of_o
the_o liberty_n of_o move_v he_o suffer_v a_o fix_a and_o dull_a pain_n which_o be_v a_o common_a sign_n of_o a_o pleurisy_n with_o this_o difference_n that_o the_o pluretic_n pain_n be_v pungent_a come_v all_o of_o a_o sudden_a whereas_o the_o pneumonic_a pain_n that_o be_v to_o say_v that_o which_o proceed_v from_o a_o impostume_n of_o the_o lung_n come_v only_o by_o little_a and_o little_a and_o successive_o the_o continue_a fever_n do_v not_o leave_v accompany_v sometime_o with_o a_o immoderate_a thirst_n his_o spittle_n be_v purulent_a his_o mouth_n and_o throat_n dry_a he_o have_v red_a cherry_n cheek_n sink_v and_o hollow_a eye_n have_v lose_v their_o lively_a and_o glitter_a colour_n his_o nail_n bend_v backward_o and_o the_o whole_a body_n grow_v at_o lest_o dry_a and_o emaciate_v and_o if_o the_o fever_n increase_v the_o patient_n fall_v into_o delirium_fw-la and_o his_o spital_n be_v black_a livid_n or_o ash-coloured_a death_n be_v not_o far_o off_o because_o they_o be_v mortal_a symptom_n which_o oftentimes_o accompany_v it_o so_o much_o for_o the_o impostumation_n of_o the_o lung_n which_o come_v from_o a_o internal_a cause_n let_v we_o now_o examine_v those_o that_o follow_v the_o impostume_n of_o the_o lung_n cause_v by_o wound_n the_o difficulty_n of_o breathe_v be_v not_o so_o considerable_a the_o fever_n be_v continual_a accompany_v with_o shiver_a and_o cold_a sweat_v which_o appear_v from_o time_n to_o time_n these_o two_o last_o accident_n be_v depend_v from_o the_o pleura_fw-la the_o patient_n spit_v pretty_a often_o blood_n in_o the_o beginning_n and_o towards_o the_o end_n it_o be_v frothy_a and_o purulent_a when_o the_o spital_n be_v of_o a_o yellow_a colour_n it_o be_v mortal_a he_o can_v lie_v but_o on_o his_o back_n because_o be_v on_o his_o sound_a side_n the_o wound_a loab_n lie_v heavy_a upon_o the_o mediastinum_fw-la and_o cause_v a_o twitch_a and_o cruel_a pain_n and_o when_o he_o turn_v himself_o on_o the_o wound_a side_n the_o lung_n come_v to_o lie_v heavy_a upon_o the_o pleura_fw-la which_o be_v hurt_v do_v not_o fail_v to_o excite_v the_o same_o pain_n wherefore_o he_o dare_v not_o stir_v wound_v sign_n of_o the_o lung_n be_v wound_v in_o the_o beginning_n his_o eye_n be_v brisk_a but_o at_o last_o they_o grow_v dull_a and_o the_o face_n puff_v up_o but_o the_o most_o certain_a sign_n that_o the_o wound_n reach_v to_o the_o capacity_n of_o the_o breast_n and_o of_o the_o lung_n be_v hurt_v be_v the_o probe_n the_o noise_n which_o the_o air_n make_v in_o come_v forth_o and_o the_o emphysema_n when_o you_o probe_n you_o must_v observe_v to_o make_v the_o patient_n put_v himself_o in_o the_o same_o posture_n he_o be_v in_o when_o wound_v that_o the_o extravasated_a blood_n may_v run_v easy_a out_o if_o the_o wound_v penetrate_v to_o the_o substance_n of_o the_o lung_n the_o blood_n which_o flow_v be_v forty_o and_o the_o air_n make_v less_o noise_n and_o come_v not_o out_o with_o such_o impetuosity_n as_o when_o the_o wound_n penetrate_v only_o the_o breast_n without_o touch_v the_o lung_n if_o one_o ask_v objection_n whence_o come_v the_o air_n that_o be_v in_o the_o capacity_n of_o the_o breast_n the_o lung_n not_o be_v alter_v and_o the_o reason_n why_o it_o make_v such_o a_o noise_n you_o may_v answer_v answer_v that_o it_o be_v the_o outward_a air_n which_o be_v get_v in_o through_o the_o mouth_n of_o the_o wound_n and_o endeavour_v to_o escape_v because_o of_o the_o expansion_n of_o the_o lung_n which_o press_v it_o every_o where_n it_o happen_v that_o those_o particle_n which_o appear_v at_o the_o passage_n not_o be_v able_a to_o get_v out_o but_o with_o a_o great_a deal_n of_o pain_n through_o the_o resistance_n of_o the_o external_a air_n and_o the_o smallness_n of_o the_o aperture_n push_n and_o press_v one_o another_o so_o hard_a that_o they_o must_v needs_o make_v a_o noise_n and_o produce_v a_o kind_n of_o whistle_v pass_v out_o of_o the_o breast_n which_o can_v put_v out_o a_o candle_n hold_v to_o the_o mouth_n of_o the_o wound_n emphisema_n cause_o of_o the_o emphisema_n the_o emphisema_n be_v likewise_o only_o cause_v by_o the_o particle_n of_o the_o air_n which_o penetrate_v the_o porosity_n of_o the_o neighbour_a part_n which_o swell_v and_o blow_v they_o up_o so_o that_o often_o one_o can_v find_v the_o mouth_n of_o the_o wound_n nor_o introduce_v a_o probe_n it_o be_v easy_a to_o see_v from_o what_o we_o have_v say_v that_o the_o emphisema_n and_o the_o air_n be_v come_v out_o of_o the_o breast_n be_v not_o always_o convince_a sign_n of_o the_o lung_n be_v hurt_v because_o they_o happen_v when_o the_o wound_n penetrate_v into_o the_o breast_n without_o have_v touch_v the_o lung_n wherefore_o there_o be_v only_o the_o sign_n which_o we_o have_v speak_v of_o that_o can_v give_v we_o afterward_o certain_a mark_n of_o it_o but_o the_o probe_n and_o the_o exit_z of_o the_o air_n be_v two_o true_a sign_n that_o the_o wound_n penetrate_v into_o the_o breast_n you_o must_v observe_v caution_n caution_n that_o if_o the_o breast_n be_v pierce_v through_o and_o through_o you_o must_v never_o let_v both_o the_o orifice_n be_v open_a at_o once_o for_o fear_v you_o choke_v the_o patient_n the_o reason_n of_o it_o be_v evident_a because_o the_o air_n can_v enter_v by_o two_o opposite_a side_n without_o compress_v the_o lung_n and_o hinder_v the_o motion_n of_o the_o breast_n i_o have_v say_v that_o the_o true_a situation_n when_o the_o lung_n be_v alter_v be_v to_o lay_v one_o down_o on_o the_o back_n for_o to_o ease_v the_o patient_n because_o the_o bronchia_fw-la be_v compress_v by_o the_o weight_n of_o the_o extravasated_a blood_n which_o present_o take_v away_o the_o liberty_n of_o breathe_v i_o intend_v to_o speak_v here_o of_o the_o superficial_a wound_n of_o the_o lung_n for_o if_o they_o be_v deep_a and_o that_o any_o great_a vessel_n be_v divide_v one_o feel_v almost_o as_o much_o pain_n lie_v on_o the_o back_n as_o on_o the_o side_n lung_n a_o certain_a sign_n of_o extravasated_a blood_n in_o the_o body_n of_o the_o lung_n but_o one_o of_o the_o most_o certain_a sign_n that_o there_o be_v some_o blood_n extravasated_a into_o the_o body_n of_o the_o lung_n and_o of_o which_o we_o have_v not_o yet_o speak_v be_v that_o if_o we_o put_v our_o finger_n far_o enough_o into_o the_o wound_n provide_v the_o bigness_n or_o diameter_n of_o the_o breast_n permit_v it_o we_o find_v that_o the_o lung_n be_v fasten_v to_o the_o pleura_fw-la round_o about_o the_o wound_n and_o reunite_v themselves_o there_o even_o as_o the_o intestine_a be_v unite_v to_o the_o peritoneum_fw-la pleura_fw-la a_o sign_n that_o the_o wound_n have_v not_o pass_v the_o pleura_fw-la the_o sign_n which_o demonstrate_v that_o the_o wound_n do_v not_o pass_v the_o pleura_fw-la be_v the_o probe_n and_o the_o air_n which_o never_o pass_v through_o the_o wound_n there_o be_v some_o other_o as_o the_o pain_n inflammation_n fever_n heaviness_n and_o difficulty_n of_o breathe_v beside_o the_o thickness_n of_o the_o exterior_a part_n which_o may_v in_o some_o manner_n guide_v we_o for_o to_o be_v sure_a of_o it_o all_o these_o sign_n nevertheless_o do_v not_o always_o show_v that_o the_o wound_n be_v deep_a since_o a_o simple_a inflammation_n of_o the_o intercostical_a muscle_n hinder_v free_a respiration_n if_o we_o consider_v that_o the_o use_n of_o these_o muscle_n be_v to_o raise_v the_o rib_n to_o enlarge_v and_o widen_v the_o cavity_n of_o the_o breast_n and_o that_o inflammation_n and_o tention_n be_v utter_o contrary_a to_o their_o action_n we_o shall_v agree_v that_o the_o lung_n can_v dilate_v themselves_o but_o with_o difficulty_n and_o see_v the_o contraction_n of_o a_o inflame_a muscle_n increase_v the_o tention_n and_o great_a tention_n many_o divulsion_n and_o many_o divulsion_n vehement_a pain_n you_o must_v not_o wonder_v if_o the_o disease_a for_o to_o ease_v himself_o a_o little_a from_o the_o pain_n retard_v the_o course_n of_o the_o spirit_n and_o have_v very_o great_a difficulty_n of_o breathe_v heaviness_n cause_o of_o the_o heaviness_n the_o heaviness_n proceed_v from_o the_o impotency_n of_o the_o muscle_n for_o as_o soon_o as_o a_o part_n be_v out_o of_o action_n it_o seem_v heavy_a to_o we_o for_o it_o be_v a_o burden_n which_o the_o neighbour_a part_n must_v support_v and_o be_v they_o have_v neither_o strength_n nor_o motion_n to_o raise_v what_o offend_v they_o must_v succumb_v under_o the_o weight_n of_o a_o new_a and_o superfluous_a matter_n from_o whence_o depend_v the_o heaviness_n we_o have_v explain_v in_o several_a place_n of_o this_o treatise_n the_o cause_n of_o pain_n inflammation_n and_o fever_n we_o have_v say_v that_o the_o pain_n be_v excite_v by_o some_o actual_a divulsion_n by_o who_o occasion_n the_o soul_n perceive_v the_o destruction_n
the_o aperture_n be_v make_v you_o put_v your_o finger_n into_o the_o cavity_n of_o the_o breast_n as_o well_o to_o make_v the_o incision_n big_a as_o to_o push_v back_o the_o lung_n and_o diaphragma_n and_o to_o loose_v they_o if_o they_o be_v fasten_v to_o the_o pleura_fw-la particular_o where_o the_o operation_n be_v make_v in_o a_o place_n of_o election_n different_a to_o that_o which_o be_v practise_v in_o a_o place_n of_o necessity_n without_o break_v the_o adherence_n as_o we_o have_v observe_v in_o the_o forego_n chapter_n if_o the_o lung_n strive_v to_o come_v out_o at_o the_o orifice_n of_o the_o wound_n you_o must_v push_v they_o back_o with_o a_o blunt_a hollow_a probe_n for_o to_o help_v the_o run_v out_o of_o the_o matter_n or_o with_o a_o pipe_n of_o a_o thickness_n and_o length_n proportionable_a to_o the_o deepness_n of_o the_o wound_n these_o long_a pipe_n be_v very_o useful_a in_o the_o emphisema_n because_o the_o aperture_n of_o the_o wound_n be_v little_a and_o deep_a it_o be_v very_o difficult_a without_o their_o help_n to_o give_v issue_n to_o the_o matter_n you_o must_v not_o make_v use_n of_o a_o probe_n caution_n caution_n to_o try_v whether_o the_o pleura_fw-la be_v pierce_v for_o in_o pass_v it_o often_o separate_v from_o the_o rib_n and_o there_o be_v a_o vacuum_n make_v where_o some_o blood_n be_v apt_a to_o gather_v which_o produce_v a_o new_a impostume_n matter_n more_o blood_n to_o be_v draw_v at_o a_o time_n than_o matter_n if_o it_o be_v blood_n that_o come_v out_o of_o the_o aperture_n you_o may_v draw_v a_o sufficient_a quantity_n of_o it_o but_o if_o it_o be_v pus_fw-la less_o by_o reason_n it_o contain_v more_o spirit_n and_o the_o patient_n be_v apt_a to_o fall_v into_o a_o syncope_n after_o this_o you_o stop_v the_o wound_n with_o a_o blunt_a tent_n of_o lint_n have_v a_o large_a head_n and_o be_v a_o little_a crooked_a at_o the_o end_n lest_o it_o offend_v the_o lung_n most_o common_o we_o tie_v a_o thread_n to_o it_o fill_v the_o rest_n of_o the_o wound_n with_o little_a dossel_n of_o dry_a lint_n to_o keep_v the_o tent_n in_o and_o absorb_v the_o blood_n and_o lay_v a_o plaster_n on_o it_o with_o compress_v and_o napkin_n about_o the_o body_n with_o the_o scapular_a which_o be_v cut_v in_o two_o at_o one_o end_n and_o put_v cross_a to_o fasten_v the_o napkin_n the_o easy_a when_o the_o patient_n be_v dress_v you_o make_v he_o keep_v his_o bed_n with_o his_o head_n high_a as_o if_o it_o be_v half_o sit_v and_o you_o let_v he_o rest_v till_o he_o find_v himself_o oppress_v with_o the_o weight_n of_o a_o new_a matter_n then_o take_v the_o dress_n off_o and_o have_v make_v the_o matter_n run_v out_o you_o push_v the_o lung_n back_o with_o a_o long_a pipe_n by_o who_o mean_n you_o facilitate_v the_o flow_a of_o the_o matter_n that_o remain_v in_o the_o breast_n you_o continue_v to_o dress_v it_o so_o every_o day_n we_o observe_v often_o that_o the_o first_o three_o or_o four_o day_n blood_n come_v out_o the_o next_o day_n water_n and_o afterward_o pus_fw-la that_o grow_v thick_a by_o little_a and_o little_a we_o have_v observe_v already_o that_o in_o case_n the_o empiema_n shall_v afford_v much_o matter_n or_o water_n mix_v with_o pus_fw-la you_o must_v not_o evacuate_v it_o all_o at_o once_o lest_o the_o patient_n shall_v fall_v in_o some_o weakness_n patient_n the_o air_n to_o be_v correct_v when_o you_o dress_v the_o patient_n you_o must_v always_o correct_v the_o intempery_n of_o the_o air_n with_o fire_n when_o you_o dress_v the_o patient_n and_o hinder_v it_o from_o enter_v too_o abundant_o into_o the_o breast_n because_o it_o thicken_v and_o coagulate_v the_o matter_n which_o be_v extravasated_a there_o hinder_v it_o from_o flow_a and_o cause_v it_o to_o come_v forth_o in_o clod_n if_o it_o be_v blood_n the_o serocity_n separate_v from_o it_o as_o after_o let_v blood_n nevertheless_o whether_o the_o pus_fw-la or_o blood_n be_v thick_a or_o mix_v with_o some_o water_n you_o always_o use_v with_o prudence_n injection_n of_o barley_n water_n and_o mel_n rosar_n with_o which_o you_o cleanse_v the_o lung_n and_o breast_n you_o must_v always_o cause_v the_o injected_a liquor_n to_o come_v out_o by_o the_o help_n of_o the_o finger_n or_o hollow_a probe_n and_o if_o the_o lung_n shall_v stick_v you_o must_v loose_v they_o if_o in_o time_n the_o blood_n shall_v grow_v too_o watery_a and_o the_o patient_n be_v oppress_v by_o the_o quantity_n of_o the_o pus_fw-la you_o will_v do_v well_o to_o dress_v he_o three_o or_o four_o time_n a_o day_n the_o matter_n run_v sometime_o for_o the_o space_n of_o three_o or_o four_o month_n and_o as_o soon_o as_o there_o come_v nothing_o out_o but_o what_o come_v from_o the_o wound_n you_o procure_v the_o generation_n of_o flesh_n and_o cicatrise_v you_o must_v observe_v that_o when_o the_o air_n work_v upon_o the_o blood_n that_o be_v in_o the_o breast_n it_o coagulate_v it_o sometime_o without_o change_v it_o into_o pus_fw-la and_o so_o it_o come_v out_o in_o lump_n injection_n bitter_a thing_n not_o to_o be_v use_v in_o injection_n you_o must_v not_o use_v injection_n in_o the_o beginning_n neither_o make_v they_o with_o aloe_n or_o other_o bitter_a thing_n because_o when_o the_o lung_n be_v open_a the_o patient_n cast_v they_o out_o through_o the_o mouth_n but_o after_o the_o vessel_n be_v consolidate_v you_o may_v use_v the_o tincture_n of_o aloe_n or_o wine_n mix_v with_o a_o traumatic_a decoction_n and_o mel_n rosarum_fw-la this_o be_v use_v when_o the_o pus_fw-la come_v out_o in_o a_o small_a quantity_n often_o after_o a_o wound_n of_o a_o sword_n there_o come_v out_o of_o it_o a_o abundance_n of_o blood_n and_o after_o three_o or_o four_o day_n no_o more_o appear_v in_o this_o occasion_n you_o must_v quick_o close_v the_o wound_n and_o you_o have_v all_o the_o reason_n to_o believe_v that_o there_o be_v only_o some_o little_a vessel_n break_v which_o give_v some_o blood_n and_o which_o afterward_o be_v stop_v by_o the_o most_o glutinous_a particle_n of_o the_o blood_n of_o the_o rest_n however_o the_o thing_n happen_v there_o remain_v no_o danger_n chap._n xxiv_o of_o the_o cancer_n i_o look_v upon_o a_o cancer_n as_o the_o most_o inflame_a and_o rebellious_a of_o all_o the_o schirrou_n tumor_n the_o red_a part_n of_o the_o blood_n as_o well_o as_o the_o white_a contribute_v to_o its_o formation_n cause_n principal_a cause_n when_o cancer_n happen_v in_o glandulous_a part_n there_o be_v great_a appearance_n that_o the_o lympha_fw-la be_v the_o principal_a cause_n there_o if_o they_o attack_v any_o other_o part_n it_o be_v to_o be_v presume_v that_o the_o tartarous_a particle_n of_o the_o blood_n have_v the_o great_a share_n therein_o however_o it_o be_v i_o say_v that_o the_o concourse_n of_o these_o two_o humour_n be_v always_o necessary_a for_o the_o production_n of_o a_o cancer_n all_o the_o difficulty_n be_v well_o to_o distinguish_v which_o of_o those_o two_o predominate_a be_v what_o a_o cancer_n be_v i_o say_v a_o cancer_n be_v a_o round_a hard_a unequal_a livid_n and_o painful_a tumour_n cause_v by_o the_o meeting_n of_o abundance_n of_o acid_n and_o of_o the_o tartarous_a particle_n of_o the_o blood_n from_o which_o proceed_v the_o pain_n and_o tention_n of_o the_o vessel_n which_o very_o well_o represent_v the_o claw_n of_o a_o crab._n painful_a cancer_n of_o the_o glandulous_a part_n most_o painful_a those_o cancer_n which_o possess_v the_o glandulous_a part_n be_v much_o more_o painful_a than_o the_o other_o through_o the_o abundance_n of_o nerve_n which_o enter_v into_o their_o composition_n and_o if_o the_o alteration_n of_o the_o lympha_fw-la contribute_v any_o thing_n to_o their_o generation_n it_o be_v because_o the_o gland_n be_v its_o principal_a reservatory_n roundness_n cause_o of_o the_o roundness_n the_o roundness_n of_o the_o tumour_n come_v from_o the_o round_a figure_n of_o the_o gland_n because_o the_o humour_n which_o cause_n the_o obstruction_n and_o extend_v the_o vessel_n can_v easy_o tumify_v these_o glandulous_a body_n without_o change_v their_o conformation_n etc._n cause_o of_o the_o tention_n etc._n etc._n as_o for_o the_o tention_n and_o fullness_n of_o the_o vessel_n it_o be_v know_v that_o the_o matter_n which_o they_o contain_v be_v nothing_o else_o than_o the_o matter_n which_o form_v the_o tumour_n this_o humour_n be_v tartarous_a fix_v and_o gross_a and_o consequent_o not_o very_o capable_a of_o fermentation_n the_o slow_a progress_n the_o tumour_n make_v in_o the_o beginning_n be_v a_o convince_a proof_n of_o it_o the_o lympha_fw-la be_v acid_n it_o may_v well_o excite_v some_o little_a fermentation_n with_o a_o porous_a and_o terrestrial_a salt_n which_o the_o red_a part_n of_o the_o blood_n furnish_v but_o it_o serve_v rather_o to_o fix_v and_o concentre_v
of_o the_o cancer_n cancer_n three_o way_n of_o extirpate_v a_o cancer_n the_o cure_n of_o a_o cancer_n may_v be_v attempt_v by_o incision_n by_o ligature_n or_o by_o actual_a cautery_n if_o you_o undertake_v it_o by_o incision_n incision_n 1_o by_o incision_n you_o must_v cut_v its_o most_o deep_a root_n that_o be_v to_o say_v you_o must_v anticipate_v upon_o the_o nighbour_a part_n and_o have_v take_v it_o off_o you_o must_v squeeze_v the_o adjacent_a vessel_n to_o make_v the_o blood_n and_o humour_n come_v out_o which_o may_v have_v contract_v malignancy_n in_o respect_n of_o the_o ligature_n ligature_n 2_o by_o ligature_n it_o be_v not_o much_o in_o use_n but_o if_o you_o will_v put_v it_o in_o practice_n it_o must_v be_v when_o the_o base_n of_o the_o tumour_n be_v but_o small_a when_o the_o root_n extend_v themselves_o not_o far_o in_o compass_n and_o when_o it_o terminate_v in_o a_o kind_n of_o strangulation_n but_o be_v it_o be_v rare_a not_o to_o say_v impossible_a to_o meet_v with_o such_o a_o disposition_n the_o ligature_n have_v no_o other_o use_n than_o that_o of_o suspend_v the_o tumour_n that_o you_o may_v make_v the_o incision_n more_o commodious_a you_o must_v observe_v that_o if_o you_o apply_v slight_o the_o actual_a cautery_n after_o the_o operation_n it_o be_v to_o stop_v the_o blood_n cautery_n 3_o actual_a cautery_n and_o absorb_n and_o destroy_v some_o portion_n of_o the_o unclean_a matter_n which_o can_v serve_v as_o a_o ferment_n for_o the_o generation_n of_o a_o new_a cancer_n and_o may_v even_o infect_v the_o whole_a mass_n of_o blood_n operation_n how_o to_o perform_v the_o operation_n the_o method_n use_v in_o perform_v the_o operation_n be_v this_o you_o introduce_v into_o the_o top_n of_o the_o tumour_n a_o needle_n arm_v with_o double_a thread_n to_o make_v a_o sort_n of_o loop_n with_o which_o you_o uphold_v the_o tumour_n and_o the_o surgeon_n cut_v it_o round_o about_o the_o base_a till_o to_o the_o rib_n with_o a_o very_a sharp_a knife_n have_v take_v off_o the_o tumour_n you_o squeeze_v the_o blood_n out_o and_o pass_v slight_o over_o it_o a_o actual_a cautery_n you_o dress_v the_o wound_n with_o pledget_n arm_v with_o astringent_a powder_n and_o lay_v a_o plaster_n on_o it_o with_o compress_v napkin_n and_o scapule_a cancer_n the_o best_a way_n of_o oxtirpate_v a_o cancer_n but_o the_o best_a method_n be_v to_o make_v a_o incision_n cross_v over_o the_o tumour_n even_o to_o the_o rib_n and_o separate_v dextrous_o the_o flesh_n from_o the_o skin_n by_o this_o mean_v you_o avoid_v the_o great_a deformity_n and_o pain_n and_o secure_v better_o the_o wound_n from_o the_o air._n if_o the_o disease_a be_v not_o in_o a_o disposition_n proper_a to_o endure_v to_o operation_n either_o through_o fear_n of_o pain_n or_o be_v weak_a and_o the_o surgeon_n not_o make_v a_o favourable_a prognostic_n it_o will_v be_v a_o rashness_n to_o undertake_v it_o beside_o that_o the_o great_a loss_n of_o substance_n and_o dangerous_a accident_n which_o happen_v be_v worthy_a of_o reflection_n which_o break_v often_o the_o measure_n that_o the_o most_o dare_a practitioner_n can_v take_v for_o as_o soon_o as_o the_o tumour_n be_v take_v off_o the_o ulcer_n grow_v often_o malign_a painful_a and_o of_o a_o round_a figure_n which_o be_v a_o mark_n of_o slow_a cicatrisation_n the_o side_n become_v calous_a livid_fw-la high_a black_a and_o invert_v according_a to_o the_o disposition_n of_o the_o juice_n with_o which_o they_o be_v water_v cancer_n a_o extraordinary_a way_n to_o cure_v a_o cancer_n there_o be_v some_o that_o without_o perform_v the_o operation_n do_v assure_v we_o that_o they_o have_v cure_v ulcerate_v cancer_n with_o great_a red_a snail_n free_v from_o their_o shell_n which_o be_v lay_v upon_o the_o ulcer_n they_o say_v that_o they_o creep_v sometime_o about_o the_o ulcer_n fasten_v to_o it_o and_o leave_v their_o foam_n there_o that_o we_o find_v the_o bottom_n of_o their_o belly_n gnaw_v as_o it_o be_v and_o they_o grow_v so_o monstrous_a that_o in_o a_o short_a time_n they_o burst_v the_o reason_n be_v that_o these_o animal_n contain_v a_o abundance_n of_o volatile_a alkalys_n which_o charge_v themselves_o with_o the_o acid_n that_o entertain_v the_o cancer_n and_o which_o grow_v and_o ulcerate_v the_o belly_n of_o these_o animal_n so_o that_o be_v convey_v through_o the_o little_a branch_n of_o their_o vein_n into_o their_o mass_n of_o blood_n according_a to_o the_o order_n of_o circulation_n they_o excite_v such_o a_o extraordinary_a fermentation_n that_o these_o animal_n must_v needs_o perish_v chap._n xxvi_o of_o bronchotomia_fw-la operation_n bronchotomia_fw-la a_o nice_a operation_n there_o be_v no_o operation_n in_o chirurgery_n of_o a_o more_o nice_a undertake_n than_o the_o bronchotomia_fw-la neither_o be_v there_o any_o more_o press_v or_o useful_a when_o ever_o one_o have_v the_o happiness_n to_o succeed_v in_o it_o the_o cause_n of_o this_o troublesome_a affect_n cause_n cause_n proceed_v ordinary_o from_o some_o wound_n great_a cry_v long_a discourse_n violent_a passion_n or_o the_o alteration_n of_o the_o humour_n if_o a_o simple_a inflammation_n be_v capable_a of_o hinder_v respiration_n what_o will_v not_o happen_v if_o any_o of_o these_o cause_n concur_v to_o increase_v it_o now_o whether_o the_o inflammation_n attack_v the_o muscle_n of_o the_o larynx_n or_o some_o other_o part_n it_o communicate_v itself_o not_o only_o to_o the_o aspera_fw-la arteria_fw-la but_o also_o to_o the_o muscle_n of_o the_o pharinx_n and_o neighbour_a gland_n which_o oblige_v the_o blood_n and_o spirit_n to_o stop_v in_o all_o these_o part_n and_o to_o cause_v great_a obstruction_n then_o do_v the_o blood_n which_o without_o intermission_n press_v on_o not_o find_v its_o passage_n free_a stay_v there_o and_o augment_v both_o inflammation_n and_o tention_n the_o vessel_n be_v after_o this_o manner_n distend_v and_o swell_v up_o take_v up_o more_o space_n than_o before_o and_o must_v needs_o press_v the_o aspera_fw-la arteria_fw-la and_o hinder_v the_o passage_n of_o the_o air_n in_o that_o part_n whence_o follow_v suffocation_n bleed_v clyster_n resolutive_a cataplasm_n gargariem_n make_v with_o strong_a wine_n in_o which_o you_o boil_v in_o b._n mariae_fw-la sanicle_n golden_a rod_n perivincle_n and_o angelico_n with_o many_o other_o remedy_n be_v to_o precede_v the_o operation_n unless_o danger_n of_o suffocation_n oblige_v we_o to_o make_v it_o if_o the_o obstruction_n and_o inflammation_n attack_v only_o the_o amigdal_n or_o glandulae_fw-la tyroide_v you_o must_v endeavour_v to_o open_v they_o by_o the_o mouth_n with_o the_o point_n of_o a_o lancet_n arm_v with_o a_o band_n of_o lint_n if_o all_o part_n of_o the_o throat_n be_v inflame_v and_o all_o remedy_n prove_v without_o success_n you_o must_v betake_v yourself_o to_o the_o operation_n operation_n how_o to_o perform_v the_o operation_n to_o do_v it_o methodical_o the_o patient_n must_v sit_v upon_o a_o bed_n or_o chair_n with_o his_o head_n back_o lean_v on_o a_o servant_n breast_n who_o uphold_v it_o with_o his_o hand_n be_v in_o this_o posture_n the_o surgeon_n choose_v the_o most_o convenient_a and_o less_o dangerous_a place_n where_o he_o may_v make_v the_o operation_n which_o be_v a_o thumb_n breadth_n from_o the_o larynx_n between_o the_o three_o and_o four_o ring_n of_o the_o aspera_fw-la arteria_fw-la he_o pinch_v the_o cutis_fw-la etc._n etc._n cross_n make_v a_o incision_n at_o length_n and_o separate_v very_o gentle_o and_o artificial_o the_o brochale_n and_o musculii_fw-la sternobyoidei_fw-la have_v discover_v the_o aspera_fw-la arteria_fw-la caution_n caution_n you_o incise_v cross-way_n with_o a_o lancet_n arm_v the_o carnous_a membrane_n which_o tie_v the_o cartilaginous_a ring_n together_o avoid_v the_o recurrent_a nerve_n which_o carry_v the_o spirit_n necessary_a for_o the_o function_n of_o the_o organ_n of_o the_o voice_n which_o if_o they_o shall_v chance_v to_o be_v cut_v will_v be_v lose_v the_o incision_n be_v make_v before_o you_o withdraw_v the_o lancet_n introduce_v a_o probe_n which_o facilitate_v the_o entry_n of_o a_o short_a pipe_n which_o must_v be_v crooked_a and_o proportionable_a to_o the_o wound_n there_o must_v be_v a_o hole_n on_o each_o side_n to_o pass_v a_o little_a ribon_n through_o which_o be_v to_o be_v tie_v behind_o the_o neck_n to_o keep_v it_o fast_o we_o put_v a_o little_a cotton_n or_o piece_n of_o sponge_n at_o its_o entry_n for_o to_o modify_v the_o air_n a_o little_a then_o apply_v a_o plaster_n on_o it_o with_o hole_n in_o it_o compress_v and_o a_o pierce_a bandage_n chap._n xxvii_o of_o fistula_n lachrimalis_n the_o fistula_n lachrimalis_n be_v always_o cause_v by_o a_o sharp_a and_o salt_a humour_n if_o the_o matter_n of_o the_o tear_n which_o run_v through_o the_o lachrimal_a passage_n have_v receive_v any_o alteration_n it_o may_v cause_v some_o obstruction_n in_o those_o passage_n which_o terminate_v at_o
the_o head_n may_v be_v cure_v by_o the_o suture_a or_o by_o the_o unite_n bandage_n unless_o the_o loss_n of_o substance_n be_v considerable_a but_o if_o the_o wound_n be_v compound_v that_o be_v if_o beside_o the_o exterior_a part_n the_o skull_n dura_n mater_n or_o the_o substance_n of_o the_o brain_n itself_o be_v offend_v the_o physician_n and_o chirurgeon_n ought_v to_o suspend_v their_o judgement_n and_o recollect_v at_o the_o same_o time_n their_o idea_n and_o knowledge_n to_o prevent_v the_o ill_a consequence_n of_o any_o accident_n who_o cause_n and_o symptom_n be_v so_o dangerous_a and_o very_o often_o mortal_a the_o skull_n may_v be_v fracture_v the_o dura_n mater_n prick_v cut_v break_a tear_v depress_v and_o the_o brain_n cut_v take_v away_o shake_v or_o file_v with_o some_o extravasated_a matter_n hypocrates_n the_o skull_n may_v be_v hurt_v 2_o way_n 5_o kind_n of_o hypocrates_n the_o skull_n may_v be_v hurt_v two_o way_n by_o incision_n or_o contusion_n hypocrates_n have_v establish_v five_o kind_n of_o fracture_n which_o he_o have_v call_v fissure_v contusion_n incision_n depression_n and_o counterfissure_a whether_o the_o fissure_v be_v oblique_a or_o perpendicular_a fissure_v 1._o fissure_v it_o contain_v one_o only_a difference_n which_o be_v to_o distinguish_v well_o whether_o there_o be_v but_o one_o or_o both_o table_n fracture_v the_o contusion_n be_v of_o two_o sort_n contusion_n 2._o contusion_n the_o one_o do_v not_o destroy_v the_o continuity_n hypocrates_n call_v it_o thlasis_n vel_fw-la phlasis_n it_o be_v nothing_o else_o but_o the_o force_n down_o of_o the_o bone_n without_o be_v break_v child_n most_o incident_a to_o child_n according_a to_o hypocrates_n it_o happen_v on_o the_o skull_n of_o child_n that_o have_v as_o yet_o the_o bone_n very_o soft_a and_o tender_a this_o depression_n be_v after_o the_o same_o manner_n as_o a_o bruise_n in_o a_o pewter_n pot._n the_o other_o kind_n of_o contusion_n destroy_v the_o continuity_n in_o this_o the_o bone_n be_v equal_a and_o contiguous_a it_o be_v a_o single_a fissure_n which_o always_o reach_v beyond_o the_o place_n where_o the_o blow_n be_v give_v if_o it_o be_v apparent_a it_o be_v call_v khegma_n if_o it_o be_v insensible_a it_o be_v call_v trikismos_n or_o capillary_n fissure_v the_o incision_n be_v of_o three_o sort_n incision_n 3._o incision_n eccope_n diacope_n and_o apokeparnismos_n eccope_n be_v a_o perpendicular_a incision_n of_o the_o bone_n without_o carry_v off_o the_o piece_n leave_v nothing_o but_o a_o mark_n hippocrates_n call_v it_o hedra_n the_o latin_n vestigium_fw-la or_o sedes_fw-la diacope_n be_v when_o the_o blow_n light_v oblique_o and_o go_v deep_a into_o the_o substance_n of_o the_o bone_n without_o carry_v it_o off_o and_o apokeparnismos_n be_v when_o the_o piece_n be_v entire_o carry_v off_o the_o depression_n destroy_v both_o the_o equality_n and_o contiguity_n of_o the_o bone_n depression_n 4._o depression_n hippocrates_n call_v it_o esphlasis_n or_o enthlasis_n depression_n or_o fracture_n with_o a_o splint_n he_o have_v establish_v three_o kind_n of_o it_o ecpiesma_n angisoma_n and_o camarosis_n ecpiesma_n in_o greek_a be_v a_o depression_n of_o the_o skull_n where_o the_o splint_n press_v the_o dura_n mater_n angisoma_fw-mi be_v a_o depression_n where_o the_o splint_n separate_v itself_o and_o pass_v under_o the_o sound_a bone_n camarosis_n or_o the_o vault_n be_v the_o three_o kind_n this_o be_v divide_v in_o five_o sort_n in_o the_o first_o a_o part_n of_o the_o bone_n bend_v down_o in_o break_v and_o the_o other_o turn_v up_o in_o the_o second_o the_o bone_n bow_v downward_o without_o any_o slit_n this_o happen_v only_o to_o child_n as_o i_o have_v explain_v heretofore_o the_o three_o be_v a_o depression_n where_o the_o side_n be_v force_v down_o the_o middle_n remain_v bend_v upward_o as_o a_o kind_n of_o vault_n leave_v some_o hollowness_n under_o it_o the_o four_o rise_v of_o itself_o this_o be_v also_o when_o the_o bone_n be_v only_o membranous_a because_o they_o have_v a_o kind_n of_o spring_n or_o elastic_a virtue_n till_o they_o begin_v to_o ossify_v last_o the_o five_o kind_n of_o camarosis_n be_v when_o the_o second_o table_n be_v depress_v and_o the_o outward_a return_v to_o its_o first_o state_n this_o last_o only_o happen_v to_o infant_n for_o reason_n which_o we_o have_v allege_v the_o contra_fw-la fissura_fw-la which_o hippocrates_n have_v establish_v without_o ground_n counterfissure_a 5._o counterfissure_a happen_v in_o the_o same_o bone_n in_o divers_a bone_n and_o in_o different_a table_n in_o the_o same_o bone_n when_o the_o uppermost_a part_n be_v strike_v and_o the_o low_o break_v in_o divers_a bone_n as_o when_o the_o blow_n be_v give_v on_o the_o occipital_n and_o the_o coronal_z be_v break_v in_o different_a table_n when_o the_o first_o be_v strike_v and_o the_o second_o break_v these_o be_v three_o chymeric_n example_n quite_o contrary_a to_o the_o structure_n of_o the_o part_n if_o we_o see_v wound_n of_o the_o head_n of_o this_o nature_n happen_v after_o concussion_n of_o the_o brain_n it_o proceed_v not_o from_o a_o counterfissure_n as_o hippocrates_n pretend_v but_o by_o true_a relapse_n counterfissure_a no_o such_o thing_n as_o a_o counterfissure_a it_o may_v easy_o be_v see_v that_o when_o a_o man_n have_v lose_v his_o sense_n and_o have_v recover_v they_o partly_o again_o he_o be_v yet_o all_o giddy_a and_o may_v after_o this_o manner_n relapse_n twice_o or_o thrice_o and_o get_v new_a wound_n for_o it_o be_v impossible_a that_o a_o machine_n compose_v of_o several_a piece_n as_o the_o skull_n be_v can_v break_v in_o a_o place_n opposite_a to_o that_o where_o it_o receive_v the_o impression_n it_o be_v certain_a that_o the_o blow_n die_v in_o all_o the_o circumference_n of_o the_o assemblage_n and_o that_o the_o diploe_n hinder_v the_o shake_n from_o be_v communicate_v to_o the_o interior_a table_n but_o without_o confound_v and_o mistake_v ourselves_o we_o may_v say_v that_o the_o skull_n may_v be_v slit_v depress_v fracture_v cut_v or_o carry_v off_o if_o it_o be_v slit_v the_o fissure_n be_v visible_a or_o almost_o insensible_a but_o whether_o it_o be_v apparent_a or_o not_o nothing_o be_v capable_a of_o give_v we_o convince_a mark_n that_o it_o penetrate_v and_o that_o there_o be_v blood_n spill_v on_o the_o dura_fw-la mater_fw-la than_o these_o which_o succeed_v the_o use_n of_o ink_n the_o rugine_n and_o the_o handkerchief_n in_o the_o mouth_n keep_v one_o breath_n be_v absolute_o useless_a because_o the_o diploe_n confound_v and_o hinder_v one_o from_o see_v whether_o it_o reach_v to_o the_o dura_fw-la mater_fw-la or_o not_o beside_o the_o practice_n of_o the_o rugine_n will_v never_o be_v approve_v on_o by_o good_a practitioner_n not_o only_o because_o they_o do_v not_o give_v we_o any_o knowledge_n but_o also_o because_o there_o remain_v a_o loss_n of_o substance_n and_o deformity_n of_o the_o part_n if_o it_o be_v depression_n it_o press_v with_o it_o the_o dura_fw-la mater_fw-la and_o cause_v several_a accident_n which_o we_o will_v examine_v if_o it_o be_v fracture_v either_o the_o splinter_n be_v separate_v from_o the_o cranium_fw-la or_o not_o so_o by_o either_o way_n the_o dura_fw-la mater_fw-la may_v be_v compress_v prick_v or_o tear_v and_o the_o brain_n hurt_n or_o at_o least_o some_o blood_n may_v be_v spill_v upon_o these_o part_n in_o all_o these_o occasion_n i_o say_v if_o the_o fracture_n do_v not_o permit_v a_o unition_n of_o the_o shatter_v bone_n and_o vent_v give_v to_o the_o strange_a body_n which_o may_v alter_v the_o dura_fw-la mater_fw-la you_o must_v without_o more_o ado_n perform_v the_o operation_n provide_v some_o ill_a symptom_n precede_v otherwise_o the_o patient_n will_v die_v if_o it_o be_v cut_v or_o carry_v off_o either_o with_o or_o without_o shatter_v the_o bone_n as_o for_o example_n if_o the_o incision_n penetrate_v not_o and_o there_o be_v only_o a_o part_n of_o the_o bone_n separate_v the_o consequence_n be_v not_o dangerous_a but_o if_o it_o go_v deep_a and_o there_o be_v some_o splint_n separate_v that_o offend_v the_o dura_fw-la mater_fw-la if_o we_o do_v not_o soon_o remedy_v it_o the_o patient_n be_v in_o danger_n of_o life_n mater_fw-la sign_n of_o inflame_a dura_fw-la mater_fw-la if_o the_o dura_fw-la mater_fw-la be_v inflame_v either_o by_o diffuse_a blood_n or_o by_o some_o prick_n compression_n tention_n cut_v or_o rapture_n one_o present_o feel_v pain_n and_o heaviness_n in_o that_o part_n the_o eye_n grow_v puff_v up_o and_o inflame_v the_o face_n red_a and_o swell_v the_o disease_a be_v drowsy_a with_o fever_n the_o pulse_n hard_o with_o shivering_n and_o blood_n come_v often_o from_o the_o nose_n ear_n and_o mouth_n just_a as_o in_o great_a concussion_n of_o the_o brain_n we_o know_v that_o the_o dura_fw-la mater_fw-la be_v prick_v or_o tear_v when_o there_o be_v some_o sharp_a point_a splint_n or_o rugged_a piece_n
of_o the_o bone_n which_o press_v it_o we_o be_v persuade_v that_o it_o be_v compress_v etc._n etc._n when_o the_o bone_n be_v depress_v and_o apply_v as_o it_o be_v against_o its_o surface_n or_o that_o the_o break_a piece_n of_o bone_n be_v separate_v or_o final_o that_o there_o be_v some_o extravasated_a blood_n which_o offend_v it_o we_o be_v convince_v that_o it_o be_v cut_v when_o it_o be_v cause_v by_o a_o sharp_a and_o cut_a instrument_n and_o that_o the_o fracture_n be_v of_o a_o great_a length_n but_o if_o the_o bone_n be_v only_o crack_v and_o some_o blood_n be_v extravasated_a upon_o the_o dura_fw-la mater_fw-la only_o those_o sign_n which_o i_o have_v describe_v and_o which_o i_o be_o go_v to_o explain_v can_v give_v we_o certain_a evidence_n of_o it_o i_o need_v not_o here_o repeat_v the_o explication_n of_o the_o pain_n heaviness_n cause_o of_o the_o heaviness_n the_o heaviness_n proceed_v from_o the_o diffuse_a blood_n upon_o the_o dura_fw-la mater_fw-la for_o since_o she_o be_v to_o rise_v and_o follow_v the_o motion_n of_o the_o brain_n if_o the_o weight_n give_v she_o not_o liberty_n to_o obey_v and_o the_o brain_n find_v any_o resistance_n her_o motion_n must_v be_v somewhat_o interrupt_v now_o see_v the_o motion_n of_o the_o brain_n depend_v on_o that_o of_o the_o artery_n the_o impulsion_n of_o the_o blood_n not_o be_v sufficient_a to_o elevate_v the_o substance_n of_o the_o brian_n and_o the_o weight_n upon_o it_o its_o course_n must_v be_v slow_a in_o this_o part_n and_o a_o heaviness_n must_v follow_v thereon_o eye_n cause_o of_o puft-up_a and_o inflame_a eye_n the_o eye_n become_v puff_v up_o a_o inflame_a to_o explain_v this_o phoenomena_fw-la you_o must_v only_o remember_v that_o the_o sinus_n of_o the_o basis_n of_o the_o skull_n be_v only_a production_n of_o the_o dura_fw-la mater_fw-la and_o that_o they_o receive_v all_o the_o residuous_a blood_n that_o come_v from_o the_o vein_n which_o be_v distribute_v about_o the_o globe_n of_o the_o eye_n this_o be_v so_o it_o be_v evident_a that_o if_o the_o dura_fw-la mater_fw-la be_v inflame_v she_o communicate_v it_o to_o the_o sinuss_n and_o so_o oppose_v the_o return_n of_o the_o blood_n which_o the_o vein_n be_v to_o pour_v into_o these_o little_a reservatory_n and_o since_o the_o arterial_a blood_n still_o press_v forward_o the_o globe_n of_o the_o eye_n which_o be_v press_v by_o these_o two_o liquor_n by_o the_o reflux_n of_o one_o and_o arrival_n of_o the_o other_o must_v needs_o tumify_v and_o inflame_v not_o to_o confound_v the_o inflammation_n of_o the_o eye_n with_o that_o of_o the_o eyelid_n you_o must_v consider_v that_o that_o which_o happen_v to_o the_o globe_n of_o the_o eye_n proceed_v from_o the_o inflammation_n of_o the_o dura_fw-la mater_fw-la and_o that_o of_o the_o eyelid_n from_o the_o inflammation_n of_o the_o pericranium_n for_o the_o interior_a membrane_n of_o the_o eyelid_n be_v a_o production_n of_o it_o we_o observe_v that_o inflammation_n of_o the_o eye_n do_v sometime_o not_o appear_v till_o the_o three_o four_o or_o five_o day_n this_o can_v come_v from_o nothing_o else_o but_o from_o the_o long_a passage_n which_o there_o be_v between_o the_o inflammation_n of_o the_o sinuffe_n and_o the_o more_o or_o less_o progress_n it_o make_v during_o that_o time_n etc._n reason_n of_o redness_n of_o the_o face_n etc._n etc._n the_o face_n grow_v red_a and_o puff_v up_o by_o reason_n the_o inflammation_n of_o the_o dura_fw-la mater_fw-la oblige_v one_o part_n of_o the_o blood_n that_o mount_v to_o the_o head_n through_o the_o internal_a carotide_n to_o spread_v on_o the_o place_n where_o they_o pierce_v the_o dura_fw-la mater_fw-la even_o to_o the_o neighbour_a part_n and_o external_a carotides_n which_o be_v so_o much_o the_o more_o true_a since_o we_o know_v that_o all_o part_n of_o the_o face_n swell_v and_o grow_v red_a in_o a_o very_a little_a time_n after_o any_o inflammation_n be_v water_v with_o a_o great_a many_o sanguiferous_a vessel_n for_o the_o same_o reason_n the_o blood_n run_v out_o of_o the_o nose_n mouth_n and_o ear_n and_o beside_o the_o blow_n that_o trouble_v the_o whole_a oeconomy_n of_o the_o brain_n it_o be_v to_o be_v presume_v that_o the_o blood_n which_o flow_v in_o abundance_n some_o little_a cappillary_a vessel_n may_v be_v break_v by_o the_o great_a distention_n they_o endure_v drowsiness_n reason_n of_o drowsiness_n the_o patient_n be_v drowsy_a to_o explain_v this_o kind_n of_o lethargy_n we_o must_v still_o have_v recourse_n to_o the_o inflammation_n of_o the_o dura_fw-la mater_fw-la and_o to_o the_o blood_n which_o be_v stop_v in_o its_o sinuss_n or_o at_o least_o to_o the_o slowness_n of_o its_o motion_n be_v it_o that_o the_o arterial_a blood_n be_v no_o more_o mingle_v with_o the_o grosser_n blood_n which_o they_o contain_v or_o that_o the_o inflammation_n increase_v it_o happen_v that_o the_o weight_n of_o the_o blood_n which_o be_v pen_v up_o in_o these_o sinuss_n press_v the_o corpus_fw-la callosum_fw-la and_o the_o nerve_n which_o be_v distribute_v about_o the_o organ_n of_o the_o sense_n so_o by_o this_o mean_n make_v the_o head_n dull_a and_o heavy_a you_o must_v observe_v that_o this_o kind_n of_o lethargy_n be_v not_o so_o deep_a as_o that_o which_o come_v when_o the_o matter_n be_v diffuse_v upon_o the_o brain_n as_o we_o shall_v speak_v of_o in_o its_o place_n fever_n cause_o of_o the_o fever_n the_o fever_n be_v cause_v by_o the_o inflammation_n and_o pain_n for_o it_o be_v sufficient_a it_o but_o one_o drop_n of_o corrupt_a blood_n be_v convey_v into_o the_o whole_a mass_n to_o produce_v it_o pulse_n cause_o of_o hard_a pulse_n the_o pulse_n be_v hard_a to_o explain_v this_o phoenomena_fw-la you_o must_v consider_v that_o the_o dura_fw-la mater_fw-la accompany_v the_o thick_a cord_n of_o the_o nerve_n be_v their_o passage_n and_o the_o inflammation_n and_o great_a tention_n which_o she_o suffer_v be_v capable_a to_o straiten_v all_o the_o little_a membranous_a sheath_n which_o invelop_v they_o and_o consequent_o to_o hinder_v the_o spirit_n from_o flow_v with_o that_o liberty_n into_o the_o fibre_n of_o the_o heart_n so_o that_o its_o spring_n be_v weaken_v for_o want_n of_o this_o distribution_n you_o must_v not_o wonder_v if_o it_o do_v not_o force_v the_o blood_n into_o the_o artery_n with_o the_o same_o force_n and_o vigour_n as_o before_o and_o if_o the_o pulse_n be_v deep_a in_o this_o occasion_n shivering_n cause_o of_o the_o shivering_n the_o shivering_n which_o accompany_v the_o fever_n can_v proceed_v from_o nothing_o else_o than_o the_o purulent_a matter_n which_o cause_v the_o impostumation_n and_o from_o the_o disposition_n it_o have_v to_o be_v stop_v and_o prick_v the_o membrane_n at_o the_o time_n when_o the_o vein_n be_v charge_v with_o it_o to_o carry_v it_o to_o the_o heart_n and_o from_o thence_o to_o all_o the_o part_n and_o see_v the_o most_o part_n of_o membrane_n be_v carnous_a and_o each_o muscle_n have_v its_o particular_a membrane_n which_o be_v separate_v into_o a_o million_o of_o membranous_a fillet_n which_o spread_v themselves_o into_o the_o body_n of_o the_o muscle_n and_o inchain_v all_o the_o little_a carnous_a fibre_n to_o one_o another_o we_o have_v reason_n to_o believe_v that_o the_o spirit_n run_v tumultuous_o into_o the_o fibre_n occasion_v by_o the_o motion_n which_o be_v imprint_v in_o they_o excit_v shivering_n which_o be_v so_o many_o little_a convulsive_a motion_n way_n the_o brain_n may_v be_v offend_v divers_a way_n the_o brain_n may_v be_v hurt_v by_o a_o great_a commotion_n of_o the_o head_n by_o some_o blood_n diffuse_v into_o its_o substance_n or_o by_o some_o particular_a wound_n brain_n sign_n of_o a_o concussion_n of_o the_o brain_n if_o the_o commotion_n be_v great_a yet_o without_o any_o vessel_n break_v one_o fall_v to_o the_o ground_n with_o loss_n of_o the_o sense_n feel_v and_o motion_n blood_n come_v out_o of_o the_o nose_n mouth_n and_o ear_n the_o excrement_n and_o urine_n come_v out_o involuntary_a with_o often_o swoon_v and_o vomit_v sometime_o soon_o sometime_o late_o down_o cause_o of_o fall_v down_o if_o one_o fall_v down_o it_o be_v a_o evident_a sign_n that_o not_o only_o the_o spirit_n be_v in_o disorder_n but_o also_o that_o the_o commotion_n have_v violate_v the_o nervous_a fillet_n of_o the_o corpus_fw-la callosum_fw-la and_o that_o it_o have_v so_o rude_o shake_v the_o brain_n itself_o that_o the_o course_n of_o the_o animal_n spirit_n have_v be_v suppress_v now_o since_o the_o spring_n and_o tonic_a motion_n of_o the_o muscle_n that_o hold_v perpendicular_o our_o bone_n together_o and_o sustain_v the_o whole_a machine_n depend_v only_o from_o the_o influence_n of_o the_o spirit_n which_o pass_v through_o the_o nerve_n into_o our_o muscle_n if_o by_o any_o misfortune_n these_o cord_n come_v to_o slacken_v and_o to_o lose_v some_o
spirit_n fly_v out_o into_o the_o part_n with_o so_o much_o vivacity_n and_o confusion_n that_o they_o renew_v the_o frenzy_n which_o succeed_v the_o lethargy_n just_a as_o the_o lethargy_n succeed_v the_o delirium_fw-la you_o must_v observe_v that_o in_o this_o kind_n of_o lethargy_n the_o eye_n be_v sometime_o open_a and_o trouble_v last_o it_o happen_v that_o the_o blood_n hasten_v with_o so_o great_a impetuosity_n to_o the_o brain_n and_o that_o the_o extravasated_a matter_n gather_v there_o so_o abundant_o that_o it_o interrupt_v by_o its_o weight_n the_o course_n of_o the_o spirit_n and_o constrain_v the_o sinuss_n of_o the_o dura_fw-la mater_fw-la every_o where_o to_o overflow_v apoplexy_n cause_o of_o apoplexy_n so_o that_o the_o artery_n be_v unable_a to_o empty_v themselves_o either_o into_o the_o vein_n or_o sinuss_n the_o brain_n find_v itself_o so_o press_v on_o all_o side_n that_o the_o wound_a fall_n into_o a_o apoplexy_n which_o make_v we_o know_v that_o death_n be_v not_o far_o off_o and_o that_o there_o be_v no_o more_o help_n head_n how_o the_o liver_n or_o lung_n impostumate_v in_o wound_n of_o the_o head_n the_o liver_n of_o lung_n impostumate_v in_o great_a wound_n of_o the_o head_n by_o the_o arrival_n of_o pus_fw-la which_o come_v from_o the_o brain_n of_o which_o the_o mass_n of_o blood_n have_v get_v some_o impression_n we_o have_v in_o the_o chapter_n of_o the_o empiema_v give_v a_o account_n of_o the_o formation_n of_o a_o impostume_n of_o the_o lung_n for_o to_o have_v a_o idea_n of_o that_o of_o the_o liver_n one_o can_v ground_v upon_o more_o solid_a reason_n than_o to_o examine_v its_o structure_n in_o relation_n to_o that_o of_o other_o viscera_n which_o be_v contain_v in_o the_o abdomen_fw-la be_v what_o the_o liver_n be_v the_o liver_n be_v the_o big_a and_o most_o considerable_a of_o all_o the_o viscera_n it_o be_v a_o conglomerate_v gland_n deprive_v of_o all_o carnous_a fibres_fw-fr water_v by_o a_o prodigious_a number_n of_o sanguiferous_a vessel_n among_o which_o the_o vena_fw-la porta_fw-la do_v the_o office_n of_o a_o artery_n and_o the_o circulation_n consequent_o must_v be_v very_o slow_a there_o beside_o we_o be_v sure_a that_o the_o little_a gland_n which_o compose_v it_o separate_z a_o liquor_n which_o be_v extreme_o glewy_a and_o viscous_a of_o its_o own_o nature_n which_o be_v all_o the_o requisite_a and_o necessary_a condition_n to_o retain_v a_o matter_n which_o already_o have_v a_o great_a tendency_n to_o stop_v and_o cause_v some_o disorder_n so_o that_o after_o the_o heart_n and_o the_o other_o organ_n have_v prepare_v and_o put_v it_o in_o a_o condition_n to_o produce_v its_o effect_n it_o diffuse_v itself_o into_o the_o whole_a mass_n of_o blood_n and_o be_v the_o liver_n receive_v a_o great_a number_n of_o vessel_n it_o follow_v that_o the_o hepatic_a artery_n and_o vena_fw-la porta_n which_o be_v distribute_v through_o its_o whole_a capacity_n have_v cram_v every_o glandulous_a grain_n with_o it_o according_a to_o its_o disposition_n and_o different_a alteration_n which_o it_o receive_v it_o this_o parenchima_fw-la it_o putrefy_v it_o or_o make_v it_o schirrou_n you_o must_v observe_v that_o the_o hydrocephalus_n be_v almost_o always_o follow_v with_o the_o same_o accident_n and_o that_o in_o these_o kind_n of_o impostumation_n the_o shivering_n cease_v most_o common_o some_o day_n before_o death_n we_o suspect_v that_o the_o brain_n be_v alter_v when_o the_o fracture_n be_v big_a and_o some_o of_o the_o animal_n function_n be_v deprave_v for_o since_o our_o action_n depend_v on_o the_o function_n of_o the_o brain_n when_o ever_o those_o be_v hinder_v they_o show_v that_o the_o brian_n be_v offend_v you_o must_v observe_v that_o in_o all_o i_o have_v propose_v concern_v wound_n of_o the_o brain_n i_o have_v not_o comprehend_v the_o hind-part_n of_o the_o brian_n i_o be_o thorough_o persuade_v that_o a_o animal_n die_v present_o mortal_a wound_n of_o the_o hinder_a part_n of_o the_o brain_n inevitable_o mortal_a as_o soon_o as_o the_o cineritious_a substance_n of_o the_o hind_a part_n of_o the_o brian_n be_v prick_v carry_v off_o or_o compress_v because_o the_o nerve_n that_o furnish_v we_o with_o spirit_n for_o the_o function_n of_o the_o vital_a and_o natural_a part_n take_v immediate_o their_o origin_n from_o thence_o this_o be_v doubtless_o the_o reason_n that_o have_v oblige_v nature_n to_o take_v so_o much_o care_n and_o precaution_n to_o preserve_v this_o part_n so_o precious_a to_o life_n she_o have_v place_v it_o under_o two_o posterior_n advance_v of_o the_o brain_n for_o fear_v it_o may_v be_v interest_v in_o the_o great_a havock_n which_o happen_v in_o divers_a place_n of_o the_o head_n she_o have_v separate_v it_o from_o the_o brain_n by_o a_o membranous_a enclosure_n very_o strong_a and_o thick_a to_o hinder_v it_o lest_o in_o any_o concussion_n it_o may_v be_v compress_v by_o its_o two_o posterior_n lobe_n last_o nature_n have_v cover_v it_o behind_o with_o a_o piece_n of_o very_o hard_a thick_a and_o irregular_a bone_n for_o a_o defence_n against_o outward_a injury_n and_o to_o secure_v it_o from_o all_o that_o may_v be_v hurtful_a brain_n prognostic_n of_o wound_n of_o the_o brain_n you_o must_v observe_v that_o the_o more_o wound_n approach_v to_o the_o medulla_n oblongata_fw-la the_o more_o mortal_a they_o be_v because_o all_o the_o nervous_a fillament_n of_o the_o white_a substance_n join_v there_o together_o and_o a_o considerable_a quantity_n of_o they_o be_v divide_v all_o this_o have_v regard_n to_o the_o prognostic_n of_o wound_n of_o the_o head_n but_o to_o speak_v of_o they_o more_o large_o we_o have_v only_o to_o consider_v the_o nature_n of_o the_o wound_n and_o to_o examine_v their_o accident_n if_o the_o fracture_n be_v make_v with_o a_o cut_a instrument_n it_o be_v not_o so_o dangerous_a as_o one_o make_v by_o a_o prick_n or_o that_o which_o be_v cause_v by_o a_o fall_n or_o contuse_v instrument_n which_o can_v break_v the_o skull_n without_o great_a violence_n upon_o which_o follow_v always_o a_o great_a commotion_n but_o if_o it_o be_v make_v with_o gun-shot_n it_o be_v always_o mortal_a unless_o the_o bullet_n carry_v off_o only_o some_o portion_n of_o the_o cranium_fw-la without_o offend_v the_o brain_n we_o know_v that_o contuse_v wound_n of_o the_o head_n be_v simple_a or_o compound_n the_o latter_a be_v more_o dangerous_a because_o accompany_v with_o fracture_n if_o a_o simple_a wound_n with_o contusion_n be_v only_o superficial_a it_o be_v cure_v with_o resolutive_a medicine_n as_o a_o ecchimosis_n if_o it_o penetrate_v it_o require_v superation_n if_o the_o pericranium_n be_v rumple_v and_o that_o it_o suffer_v some_o divulsion_n the_o eyelid_n inflame_v and_o there_o come_v some_o accident_n upon_o it_o as_o upon_o wound_n of_o the_o tendon_n to_o remedy_v this_o inconvenience_n we_o have_v nothing_o more_o to_o do_v but_o to_o cut_v the_o pericranium_n to_o the_o bone_n and_o to_o dress_v the_o wound_n after_o the_o ordinary_a manner_n sometime_o it_o happen_v that_o the_o skull_n be_v fracture_v the_o tegument_n be_v undivided_a the_o reason_n be_v that_o be_v make_v of_o a_o hard_a and_o brittle_a matter_n it_o can_v resist_v the_o fury_n of_o the_o blow_n as_o body_n which_o be_v pliable_a do_v and_o it_o can_v break_v even_o as_o a_o sword_n which_o in_o its_o scabbard_n may_v be_v break_v without_o endanger_v the_o scabbard_n in_o this_o case_n we_o make_v a_o incision_n over_o the_o fracture_n more_o or_o less_o as_o be_v convenient_a with_o this_o circumstance_n that_o we_o lean_v not_o too_o hard_o with_o the_o knife_n upon_o the_o fracture_v part_n especial_o if_o it_o be_v a_o considerable_a one_o lest_o you_o offend_v the_o brain_n the_o prognostic_n also_o of_o wound_n of_o the_o head_n depend_v on_o the_o good_a or_o ill_a disposition_n of_o the_o patient_n the_o violence_n of_o the_o blow_n and_o the_o strength_n of_o he_o that_o give_v it_o with_o more_o or_o less_o force_n a_o fracture_n that_o keep_v its_o equality_n be_v not_o so_o dangerous_a as_o one_o of_o several_a piece_n which_o press_n or_o prick_v the_o part_n that_o be_v under_o they_o particular_o when_o they_o be_v engage_v or_o lie_v one_o upon_o another_o because_o the_o compression_n be_v much_o strong_a and_o the_o dura_n matter_n suffer_v more_o beside_o when_o the_o skull_n be_v so_o break_a it_o be_v always_o a_o sign_n that_o the_o blow_n have_v be_v violent_a enough_o to_o shake_v the_o brain_n dangerous_a wound_n of_o the_o dura_n mater_fw-la very_o dangerous_a if_o the_o dura_n matter_n be_v break_v by_o the_o splint_n the_o wound_n be_v very_o pernicious_a because_o of_o the_o blood_n spill_v upon_o the_o brain_n and_o of_o the_o tention_n and_o inflammation_n it_o suffer_v the_o inflammation_n of_o this_o membrane_n tend_v often_o to_o mortification_n because_o of_o its_o hardness_n and_o
sensibility_n cure_v great_a concussion_n hardly_o cure_v concussion_n of_o the_o brain_n be_v seldom_o cure_v if_o great_a because_o it_o be_v impossible_a to_o make_v the_o extravasated_a matter_n to_o come_v out_o mortal_a vomit_v upon_o dilirium_n and_o lethargy_n mortal_a observe_v that_o if_o vomit_v come_v upon_o it_o in_o time_n of_o the_o dilirium_n and_o lethargy_n it_o be_v a_o mortal_a sign_n and_o if_o irregular_a horror_n or_o shivering_n come_v it_o be_v a_o sign_n that_o the_o extravasated_a blood_n putrify_v and_o corrupt_v the_o white_a substance_n of_o the_o brain_n wound_n of_o the_o cortical_a part_n of_o the_o brain_n be_v not_o always_o mortal_a especial_o when_o the_o bigness_n of_o the_o aperture_n facilitate_v the_o entry_n of_o medicine_n unless_o the_o brain_n have_v be_v too_o rude_o shake_v whereas_o if_o they_o penetrate_v to_o the_o white_a subtance_n they_o be_v always_o mortal_a not_o only_o because_o the_o principle_n of_o the_o nerve_n be_v hurt_v but_o also_o because_o we_o can_v penetrate_v unto_o that_o substance_n without_o cut_v thick_a branch_n of_o artery_n which_o be_v conceal_v in_o the_o anfractuosity_n of_o the_o brain_n from_o thence_o come_v the_o extravasation_n of_o blood_n which_o admit_v of_o no_o cure_n if_o the_o wound_n of_o the_o skull_n consider_v in_o themselves_o have_v any_o indication_n like_o other_o fracture_n it_o will_v be_v reunion_n but_o see_v the_o skull_n can_v be_v break_v without_o the_o inferior_a part_n receive_v some_o troublesome_a impression_n we_o must_v trepan_n there_o to_o introduce_v medicine_n and_o as_o soon_o as_o we_o know_v that_o the_o skull_n be_v break_v we_o ought_v not_o to_o defer_v the_o operation_n therefore_o whether_o it_o be_v split_v or_o break_v it_o be_v always_o true_a to_o say_v that_o the_o dura_n matter_n be_v concern_v the_o fissure_n cause_v a_o tention_n because_o the_o dura_n mater_fw-la be_v ordinary_o adherent_a to_o the_o skull_n by_o all_o the_o vessel_n of_o communication_n and_o those_o which_o carry_v the_o nourishment_n to_o the_o inferior_a table_n beside_o the_o little_a fibre_n which_o pass_v through_o the_o suture_n which_o be_v particular_o observe_v in_o young_a people_n this_o tention_n be_v soon_o follow_v by_o a_o inflammation_n for_o as_o much_o as_o the_o vessel_n can_v long_o remain_v stretch_v without_o break_v and_o spill_v of_o blood_n which_o by_o its_o abode_n inflame_v the_o membrane_n and_o if_o the_o inflammation_n increase_v it_o often_o gangrene_n use_v when_o the_o trepan_n to_o be_v use_v if_o in_o fracture_n of_o the_o skull_n the_o splint_n offend_v the_o dura_n mater_fw-la either_o by_o press_v prick_a or_o rend_v it_o we_o must_v needs_o trepan_n to_o prevent_v accident_n or_o to_o diminish_v they_o to_o take_v away_o the_o extravasated_a blood_n separate_v the_o piece_n which_o hurt_v it_o and_o to_o have_v liberty_n to_o apply_v there_o convenient_a medicine_n it_o be_v therefore_o a_o rule_n which_o we_o must_v follow_v that_o if_o the_o two_o table_n be_v break_v we_o must_v always_o come_v to_o the_o operation_n though_o there_o appear_v no_o accident_n for_o beside_o that_o the_o operation_n be_v not_o dangerous_a dangerous_a the_o operation_n not_o dangerous_a we_o have_v the_o advantage_n to_o hinder_v symptom_n whereas_o if_o the_o skull_n be_v not_o alter_v and_o some_o troublesome_a symptom_n happen_v we_o must_v trepan_n because_o the_o skull_n be_v find_v it_o be_v easy_a to_o see_v that_o the_o symptom_n which_o follow_v be_v the_o consequence_n of_o some_o ill_a concussion_n of_o the_o brain_n beside_o we_o know_v neither_o the_o place_n nor_o existence_n of_o the_o matter_n nor_o where_o the_o brain_n suffer_v however_o some_o say_v that_o provide_v the_o patient_n can_v fix_v with_o his_o hand_n the_o place_n where_o he_o feel_v pain_n and_o heaviness_n we_o ought_v to_o apply_v the_o trepan_n there_o caution_n caution_n which_o nevertheless_o the_o most_o famous_a practitioner_n dare_v not_o undertake_v lest_o they_o shall_v find_v nothing_o there_o and_o so_o pass_v for_o rash_a and_o inconsiderate_a mater_fw-la how_o to_o cure_v wound_n of_o the_o dura_n mater_fw-la to_o cure_v wound_n of_o the_o dura_n mater_fw-la we_o must_v examine_v their_o nature_n and_o cause_n we_o must_v bleed_v to_o diminish_v the_o inflammation_n and_o apply_v upon_o the_o tumified_a and_o inflame_a part_n ol._n amigdal_n dulc._n quor_n violar_n lillior_fw-la aquatic_n which_o we_o must_v mix_v with_o some_o spirit_n vini_n this_o attenuate_v the_o blood_n that_o be_v congeal_v and_o the_o other_o soften_v and_o relax_n the_o fibre_n of_o the_o dura_n mater_fw-la you_o must_v also_o endeavour_v to_o make_v the_o suppuration_n of_o the_o exterior_a wound_n very_o copious_a that_o the_o vessel_n of_o the_o dura_n matter_n which_o have_v communication_n with_o the_o exterior_a part_n may_v easy_o disengage_v themselves_o mortal_a a_o great_a concussion_n mortal_a as_o to_o what_o regard_v the_o affection_n of_o the_o brain_n we_o know_v that_o a_o great_a concussion_n be_v mortal_a and_o a_o little_a one_o cure_v with_o bleed_v and_o other_o universal_a remedy_n extravasation_n of_o the_o blood_n be_v somewhat_o more_o dangerous_a and_o it_o seldom_o happen_v that_o the_o vessel_n be_v break_v without_o the_o brain_n receive_v a_o great_a commotion_n in_o that_o case_n we_o have_v no_o other_o help_n than_o bleed_v and_o general_a medicine_n observe_v a_o very_a exact_a diet._n for_o sometime_o in_o take_v these_o precaution_n nature_n resolve_v the_o extravasated_a blood_n and_o the_o fever_n grow_v less_o it_o be_v not_o the_o same_o thing_n in_o wound_n of_o the_o brain_n where_o the_o skull_n be_v carry_v off_o and_o where_o there_o be_v extravasated_a blood_n i_o have_v say_v its_o necessary_a to_o trepan_n if_o the_o aperture_n permit_v we_o not_o to_o elevate_v the_o piece_n above_o the_o extravasated_a blood_n and_o convenient_o apply_v medicine_n we_o know_v by_o experience_n that_o several_a patient_n have_v be_v cure_v and_o yet_o a_o part_n of_o the_o substance_n of_o the_o brain_n carry_v off_o it_o be_v true_a that_o wound_n which_o enter_v only_o the_o cineritious_a or_o cortical_a part_n of_o the_o brain_n may_v be_v cure_v provide_v the_o patient_n be_v otherwise_o well_o dispose_v whereas_o those_o of_o the_o white_a substance_n of_o the_o brain_n be_v mortal_a for_o reason_n which_o we_o have_v give_v chap._n xxxii_o of_o the_o operation_n of_o the_o trepan_n before_o we_o give_v a_o description_n of_o the_o operation_n it_o be_v important_a to_o examine_v all_o the_o circumstance_n necessary_a to_o render_v the_o operation_n successful_a it_o consist_v in_o pierce_v the_o skull_n and_o to_o make_v a_o aperture_n near_o the_o fractured_a part_n to_o execute_v these_o two_o intention_n it_o be_v necessary_a to_o know_v whether_o all_o the_o part_n of_o the_o head_n can_v endure_v the_o trepan_n i_o speak_v not_o here_o of_o the_o bone_n which_o be_v most_o easy_a to_o break_v those_o that_o know_v the_o asteology_n be_v instruct_v therein_o if_o the_o fissure_v be_v simple_a apply_v your_o trepan_n just_a near_o the_o cleave_v if_o it_o be_v very_o little_a one_o may_v trepan_n upon_o the_o fissure_v itself_o to_o give_v a_o easy_a vent_n to_o the_o matter_n nevertheless_o with_o this_o circumstance_n trepane_v a_o caution_n to_o be_v observe_v in_o trepane_v which_o be_v to_o anticipate_v a_o little_a upon_o the_o side_n that_o have_v the_o most_o strength_n which_o must_v be_v observe_v in_o all_o other_o place_n of_o the_o skull_n if_o you_o shall_v meet_v with_o any_o strange_a body_n that_o be_v force_v down_o into_o the_o body_n of_o the_o bone_n so_o that_o it_o can_v not_o be_v pull_v out_o you_o must_v apply_v the_o crown_n of_o the_o trepan_n upon_o the_o strange_a body_n to_o carry_v off_o the_o piece_n if_o it_o be_v a_o considerable_a fracture_n where_o a_o part_n be_v force_v down_o you_o trepan_n upon_o that_o part_n where_o you_o think_v most_o convenient_a to_o elevate_v the_o bone_n nevertheless_o you_o must_v apply_v the_o trepan_n upon_o a_o part_n that_o be_v firm_a enough_o to_o sustain_v it_o without_o break_v it_o down_o if_o the_o first_o aperture_n be_v not_o sufficient_a to_o lift_v up_o all_o piece_n you_o must_v make_v a_o second_o and_o a_o three_o if_o it_o be_v necessary_a suture_n we_o must_v not_o trepan_n the_o suture_n we_o never_o trepan_n upon_o the_o suture_n especial_o upon_o that_o place_n call_v fontanella_n lest_o we_o break_v the_o vessel_n which_o pass_v a_o cross_n and_o tear_v the_o dura_n matter_n which_o adhere_v to_o the_o skull_n especial_o in_o its_o wind_n so_o that_o the_o blood_n which_o be_v extravasated_a on_o one_o side_n have_v no_o communication_n with_o the_o other_o wherefore_o if_o the_o fracture_n shall_v cross_v a_o suture_a and_o anticipate_v upon_o two_o bone_n you_o must_v trepan_n upon_o both_o side_n trepane_v
the_o meeting_n and_o mixture_n of_o new_a blood_n who_o motion_n be_v continual_a in_o its_o least_o increase_n or_o bigness_n it_o be_v common_o as_o big_a as_o a_o nut_n or_o egg_n at_o most_o some_o author_n assure_v we_o that_o these_o tumor_n augment_v sometime_o so_o much_o that_o they_o break_v nevertheless_o we_o know_v that_o some_o have_v keep_v they_o all_o their_o life_n and_o that_o in_o most_o person_n who_o be_v trouble_v with_o they_o the_o part_n of_o the_o weaken_a artery_n become_v so_o hard_a and_o callous_a that_o it_o resist_v all_o the_o effort_n one_o can_v make_v artery_n cause_o of_o induration_n of_o the_o artery_n though_o this_o ossification_n of_o the_o artery_n seem_v very_o difficult_a to_o explain_v one_o may_v nevertheless_o believe_v that_o the_o saline_n pungent_a and_o most_o exalt_a particle_n of_o the_o blood_n penetrate_v the_o lesser_a porosites_n of_o the_o fibre_n of_o its_o tunicle_n and_o they_o post_v and_o mingle_v themselves_o with_o the_o nourish_a juice_n of_o the_o artery_n and_o so_o contribute_v towards_o its_o ossification_n but_o the_o reason_n which_o to_o i_o seem_v most_o evident_a and_o best_a ground_v be_v that_o the_o blood_n which_o maintain_v the_o anourism_n and_o which_o be_v in_o a_o continual_a fermentation_n must_v by_o its_o motion_n increase_v the_o heat_n of_o the_o part_n which_o insensible_o dri_v and_o harden_v the_o fibre_n of_o the_o dilate_a part_n in_o dissipate_v and_o rarefy_v the_o humidity_n which_o water_n and_o make_v they_o dull_a that_o which_o fortify_v more_o this_o thought_n be_v that_o the_o aorta_fw-mi grow_v bony_a sometime_o in_o old_a people_n at_o its_o exit_n from_o the_o left_a ventricle_n of_o the_o heart_n either_o through_o the_o little_a heat_n that_o be_v leave_v there_o dry_v it_o or_o because_o their_o blood_n have_v lose_v its_o viscosity_n which_o be_v necessary_a to_o preserve_v its_o spring_n notwithstanding_o experience_v show_v we_o that_o it_o be_v ossify_v in_o some_o person_n aneurism_n sign_n of_o the_o false_a aneurism_n the_o sign_n of_o the_o false_a aneurism_n be_v opposite_a to_o those_o of_o the_o true_a in_o the_o false_a the_o pulsation_n of_o the_o artery_n be_v very_o deep_a the_o skin_n almost_o livid_v the_o tumour_n be_v not_o so_o high_a nor_o round_o as_o in_o the_o true_a one_o but_o it_o take_v up_o more_o room_n it_o give_v not_o way_n so_o easy_o in_o touch_v as_o the_o true_a one_o the_o most_o convince_a sign_n of_o the_o artery_n be_v open_v be_v when_o the_o blood_n come_v out_o impetuous_o and_o by_o jump_n which_o convince_v we_o that_o its_o motion_n be_v continual_a and_o unequal_a this_o inequality_n of_o the_o course_n of_o the_o blood_n proceed_v from_o two_o contrary_a motion_n the_o first_o depend_v on_o the_o strong_a constriction_n of_o the_o ventricles_n of_o the_o heart_n and_o the_o second_o from_o the_o spring_n of_o the_o artery_n but_o be_v the_o impulsion_n of_o the_o one_o be_v much_o strong_a than_o that_o of_o the_o other_o it_o happen_v that_o as_o the_o heart_n drive_v the_o blood_n vigorous_o forward_o in_o the_o time_n of_o the_o systole_n the_o artery_n by_o their_o elastic_a virtue_n beat_v and_o drive_v it_o back_o weekly_a in_o the_o diastole_n which_o prove_v the_o irregularity_n and_o continuation_n of_o its_o motion_n artery_n sign_n of_o a_o wound_a artery_n if_o you_o perceive_v that_o you_o have_v unlucky_o open_v one_o of_o the_o tunicle_n of_o the_o artery_n which_o be_v know_v by_o the_o resistance_n of_o the_o blow_n by_o the_o elevation_n and_o the_o violence_n of_o its_o pulsation_n which_o be_v present_o communicate_v to_o the_o vein_n and_o which_o oblige_v the_o venal_a blood_n to_o come_v out_o by_o jump_n as_o the_o arterial_a blood_n but_o be_v not_o so_o brisk_a lively_a or_o shine_v and_o be_v less_o swift_a you_o must_v have_v recourse_n to_o phlebotomy_n which_o impede_v its_o motion_n and_o by_o this_o mean_n hinder_v the_o progress_n of_o the_o tumour_n you_o apply_v thereon_o a_o little_a compress_v in_o which_o you_o put_v half_o a_o bean_n which_o press_v only_o the_o aperture_n over_o that_o you_o lay_v another_o a_o little_o big_a after_o this_o manner_n you_o apply_v several_a compress_n gradual_o big_a which_o you_o keep_v on_o with_o a_o fit_a bandage_n and_o on_o the_o neighbour_a part_n lay_v good_a defensative_n money_n a_o certain_a piece_n of_o money_n there_o be_v some_o which_o make_v use_v of_o a_o double_a to_o compress_v the_o aperture_n of_o the_o artery_n but_o this_o practice_n be_v not_o approve_v by_o reason_n that_o be_v oblige_v to_o tie_v the_o bandage_n straight_o the_o double_a take_v more_o room_n than_o half_a a_o bean_n which_o only_a compress_n the_o aperture_n it_o be_v to_o be_v fear_v lest_o the_o circumference_n of_o the_o wound_a part_n gangreen_n but_o to_o supply_v the_o want_n of_o this_o strong_a compression_n you_o place_n at_o the_o internal_a part_n of_o the_o arm_n all_o along_o the_o thick_a vessel_n a_o longitudinal_n compress_v which_o you_o secure_v with_o the_o creap_a bandage_n this_o compress_v produce_v very_o good_a effect_n for_o beside_o that_o it_o moderate_v the_o rapid_a stream_n of_o the_o blood_n and_o by_o this_o mean_v you_o may_v avoid_v tie_v the_o band_n too_o right_o it_o help_v also_o the_o reunion_n of_o the_o artery_n because_o the_o impulsion_n of_o the_o blood_n be_v only_o weak_a the_o aperture_n separate_v very_o little_a when_o the_o patient_n begin_v to_o have_v strength_n you_o must_v reiterate_v bleed_v for_o reason_n we_o have_v allege_v you_o take_v off_o the_o dress_n as_o late_a as_o you_o can_v because_o in_o a_o very_a little_a time_n it_o increase_v considerable_o but_o the_o accident_n which_o follow_v upon_o a_o false_a aneurism_n be_v ordinary_o violent_a and_o cruel_a be_v gangreen_n and_o mortification_n be_v its_o mournful_a consequence_n you_o must_v not_o differ_v the_o operation_n unless_o the_o use_n of_o the_o compress_n which_o be_v apply_v there_o and_o other_o precaution_n which_o must_v be_v take_v stop_v its_o progress_n or_o the_o resolutive_a medicine_n which_o we_o use_v make_v the_o extravasated_a blood_n re-enter_v again_o in_o commerce_n with_o the_o liquor_n or_o be_v discuss_v by_o insensible_a perspiration_n in_o attenuate_v and_o rarefy_v its_o molicule_n lie_v between_o the_o porosites_n of_o the_o flesh_n on_o the_o contrary_a a_o true_a aneurism_n may_v be_v keep_v all_fw-mi one_o life_n time_n or_o at_o least_o some_o considerable_a time_n for_o which_o reason_n one_o may_v prolong_v the_o operation_n in_o lay_v on_o the_o tumour_n some_o compress_n fortify_v with_o a_o bandage_n without_o the_o patient_n be_v in_o any_o danger_n unless_o he_o resolve_v to_o endure_v the_o operation_n this_o as_o have_v be_v say_v grow_v to_o a_o certain_a bigness_n whereas_o the_o progress_n of_o the_o false_a be_v not_o limit_v last_o if_o in_o spite_n of_o all_o precaution_n and_o all_o the_o care_n that_o can_v be_v take_v in_o both_o kind_n you_o succeed_v not_o you_o be_v oblige_v to_o perform_v the_o operation_n chap._n xxxiv_o of_o the_o operation_n of_o the_o aneurism_n button_n three_o way_n of_o the_o operation_n of_o a_o aneurism_n 1._o by_o the_o vitriolic_a button_n this_o operation_n be_v practise_v three_o different_a way_n the_o first_o be_v by_o the_o vitriol_n button_n but_o the_o worst_a be_v that_o as_o the_o vitriolic_a particle_n melt_v they_o spread_v themselves_o upon_o the_o ligament_n and_o adjacent_a tendon_n which_o they_o carry_v off_o rend_v and_o cauterise_v till_o at_o last_o the_o patient_n be_v lame_v be_v the_o part_n grow_v incapable_a of_o its_o ordinary_a motion_n the_o second_o be_v to_o disgorge_v the_o tumour_n before_o you_o make_v the_o ligature_n of_o the_o vessel_n but_o behold_v as_o i_o think_v the_o sure_a method_n the_o patient_n be_v place_v you_o lay_v on_o the_o midst_n of_o the_o arm_n a_o strong_a compress_v sustain_v with_o a_o ligature_n through_o which_o you_o pass_v the_o tourniket_n make_v several_a turn_n by_o which_o mean_v you_o benumb_v the_o arm_n stop_v the_o passage_n of_o the_o blood_n and_o spirit_n the_o surgeon_n incise_v with_o a_o lancet_n the_o tumour_n follow_v the_o length_n of_o the_o artery_n which_o must_v be_v separate_v from_o the_o nerve_n to_o have_v the_o liberty_n of_o tie_v the_o artery_n half_a a_o finger_n breadth_n above_o the_o aperture_n with_o a_o little_a strong_a waxed_a thread_n you_o must_v observe_v that_o in_o a_o true_a aneurism_n the_o tumour_n regulate_v the_o place_n where_o you_o must_v make_v the_o ligature_n whereas_o in_o the_o false_a we_o be_v oblige_v to_o loose_v the_o turniket_n to_o know_v positive_o whence_o the_o blood_n come_v which_o be_v the_o most_o important_a circumstance_n of_o the_o operation_n for_o to_o stay_v the_o blood_n and_o to_o avoid_v make_v the_o
utter_o impede_v in_o the_o part_n the_o tumour_n increase_v the_o part_n retain_v all_o those_o particle_n which_o will_v have_v escape_v through_o the_o pore_n the_o extravasated_a humour_n be_v in_o a_o great_a quantity_n proportionable_a to_o the_o part_n which_o contain_v it_o compress_n the_o flesh_n and_o vessel_n and_o of_o necessity_n cause_v a_o mortification_n behold_v the_o true_a cause_n of_o gangrene_n which_o come_v upon_o inflammation_n contusion_n aneurism_n and_o erisipelas_n all_o these_o cause_n have_v be_v very_o well_o observe_v by_o ettmuller_n when_o he_o say_v hinc_fw-la est_fw-la quod_fw-la vix_fw-la saepius_fw-la oriuntur_fw-la gangrene_n &_o sphaceli_fw-la quam_fw-la ex_fw-la inflammationibus_fw-la male_a curatis_fw-la imprimis_fw-la si_fw-la partis_fw-la inflamatae_n per_fw-la emplastica_fw-la imprudenter_fw-la admota_fw-la impediatur_fw-la insensilis_fw-la transpiratio_fw-la tunc_fw-la sanguis_fw-la extravasatus_fw-la stagnat_fw-la corrumpitur_fw-la ex_fw-la toto_fw-la putrescit_fw-la &_o partis_fw-la inflammate_v gangrenam_fw-la post_fw-la se_fw-la trahit_fw-la in_o primis_fw-la erisipelata_fw-la per_fw-la ungt_fw-fr oleosa_fw-mi ac_fw-la muilaginosa_fw-la insulsae_fw-la tractata_fw-la subito_fw-la serpentem_fw-la inducunt_fw-la gangrenam_fw-la but_o these_o cause_n have_v produce_v their_o effect_n there_o be_v that_o augment_v it_o and_o which_o give_v even_o occasion_n that_o it_o be_v communicate_v to_o the_o nigh_o part_n it_o be_v the_o corruption_n of_o the_o blood_n and_o extravasated_a humour_n in_o a_o simple_a inflammation_n when_o the_o blood_n be_v extravasated_a and_o can_v be_v discuss_v it_o change_v into_o pus_fw-la this_o change_n be_v not_o only_o cause_v by_o the_o action_n of_o the_o principle_n of_o the_o extravasated_a blood_n but_o also_o by_o the_o soft_a influence_n of_o the_o blood_n and_o spirit_n which_o be_v contain_v in_o the_o neighbour_a part_n this_o make_v that_o the_o pus_fw-la be_v not_o altogether_o a_o strange_a substance_n and_o enemy_n to_o nature_n but_o as_o i_o have_v show_v that_o the_o access_n of_o the_o blood_n be_v entire_o press_v towards_o the_o gangrened_a part_n and_o the_o circulation_n very_o often_o intercept_v it_o so_o happen_v that_o the_o extravasated_a blood_n be_v so_o far_o from_o be_v convert_v into_o pus_fw-la that_o it_o degenerate_v into_o a_o virulent_a sanies_fw-la which_o first_o cause_v blister_n upon_o the_o part_n and_o then_o by_o its_o acrimony_n gnaw_v the_o gangren_a part_n and_o insensible_o corrupt_v those_o that_o be_v sound_a which_o make_v the_o gangrene_n become_v so_o angry_a that_o it_o attack_n even_o the_o part_n that_o suffer_v no_o inflammation_n of_o the_o rest_n the_o gangrene_n which_o follow_v upon_o inflammation_n attack_v rather_o the_o soft_a and_o fungous_a part_n than_o other_o other_o why_o the_o soft_a part_n gangrenate_n soon_o than_o other_o as_o the_o gum_n lip_n vulva_fw-la and_o membrum_fw-la virile_a intestine_a and_o brain_n the_o reason_n be_v these_o part_n be_v very_o soft_a and_o spungy_a imbibe_n a_o a_o great_a quantity_n of_o humour_n beside_o the_o most_o of_o they_o have_v no_o muscle_n that_o may_v squeeze_v the_o blood_n which_o make_v it_o easy_o lie_v cake_v there_o gangrene_n ulcer_n wound_n scorbutic_a spot_n and_o sharp_a medicine_n may_v cause_v a_o gangrene_n five_o gangrene_n come_v upon_o ulcer_n wound_n scorbutic_a spot_n and_o upon_o the_o application_n of_o sharp_a and_o corrosive_a medicine_n which_o happen_v two_o way_n 1._o when_o pain_n which_o accompany_v all_o these_o symptom_n cause_n often_o great_a inflammation_n on_o which_o follow_v gangrene_n 2._o from_o the_o actual_a cautery_n from_o pus_fw-la and_o sanies_fw-la come_v from_o gnaw_a ulcer_n from_o scorbutic_a spot_n and_o from_o sharp_a and_o corrosive_a medicine_n which_o cauterise_v the_o cutis_fw-la and_o vessel_n so_o the_o blood_n be_v no_o more_o send_v into_o the_o part_n they_o lose_v their_o motion_n and_o life_n gangrene_n malignity_n may_v cause_v gangrene_n final_o all_o author_n do_v admit_v a_o malign_a and_o occult_a cause_n of_o a_o gangrene_n from_o thence_o they_o say_v come_v the_o gangrene_n in_o the_o plague_n as_o carbuncle_n which_o sometime_o in_o 24_o hour_n time_n cause_v a_o entire_a mortification_n of_o a_o part_n to_o the_o same_o cause_n they_o attribute_v the_o gangrene_n which_o happen_v on_o malignant_a fever_n and_o sometime_o after_o the_o small_a pox_n by_o a_o depositum_fw-la or_o crisis_n of_o the_o matter_n which_o the_o disease_n make_v in_o some_o part_n last_o it_o be_v this_o way_n which_o they_o pretend_v to_o explicate_v the_o action_n of_o poison_n and_o bite_v of_o venomous_a animal_n which_o they_o say_v will_v cause_v a_o gangrene_n but_o without_o have_v recourse_n to_o the_o malign_v and_o occult_a quality_n of_o the_o plague_n be_v we_o to_o wonder_v at_o carbuncle_n cause_v a_o mortification_n in_o any_o part_n mortify_v why_o a_o carbuncle_n mortify_v since_o the_o humour_n which_o produce_v they_o be_v in_o the_o high_a degree_n of_o sharpness_n and_o corrosion_n it_o gnaw_v the_o flesh_n and_o cauterise_n the_o vessel_n so_o it_o be_v evident_a the_o part_n must_v mortify_v the_o same_o thing_n may_v be_v say_v of_o the_o matter_n of_o malign_v fever_n and_o of_o the_o small_a pox_n where_o the_o blood_n be_v load_v with_o sharp_a and_o malign_a particle_n if_o so_o be_v that_o this_o acrimony_n can_v be_v overcome_v by_o nature_n or_o by_o medicine_n there_o be_v a_o depositum_fw-la make_v of_o it_o in_o some_o part_n where_o the_o sharp_a and_o corrosive_a humour_n do_v not_o fail_v to_o gnaw_v the_o flesh_n cauterise_v the_o vessel_n and_o even_o to_o rot_v the_o very_a bone_n as_o we_o have_v see_v in_o many_o example_n i_o say_v the_o same_o thing_n of_o poison_n that_o do_v not_o work_v but_o by_o their_o acrimony_n of_o which_o some_o be_v acid_a and_o other_o abound_v with_o lixivial_a salt_n but_o always_o they_o produce_v the_o same_o effect_n as_o we_o daily_o see_v it_o happen_v by_o the_o application_n of_o acid_n and_o potential_a cautery_n after_o the_o explication_n of_o the_o cause_n we_o must_v pass_v to_o the_o sign_n and_o difference_n of_o a_o gangrene_n as_o for_o the_o difference_n its_o easy_a to_o draw_v they_o from_o their_o cause_n i_o pass_v to_o the_o sign_n which_o be_v of_o more_o importance_n etc._n sign_n of_o a_o gangrene_n from_o want_n of_o spirit_n etc._n etc._n the_o sign_n of_o a_o gangrene_n which_o attack_z old_a people_n and_o which_o come_v from_o the_o want_n of_o spirit_n be_v know_v by_o that_o they_o feel_v neither_o pain_n nor_o have_v inflammation_n the_o part_n fade_v away_o and_o be_v as_o it_o be_v deprive_v of_o sense_n and_o motion_n which_o make_v they_o die_v insensible_o dropsy_n sign_n for_o the_o dropsy_n in_o a_o gangrene_n which_o succeed_v the_o dropsy_n there_o be_v but_o a_o slight_a pain_n in_o the_o beginning_n but_o afterward_o the_o leg_n inflame_v and_o the_o pain_n augment_v cold._n sign_n from_o cold._n if_o it_o be_v cause_v from_o external_n cold_a the_o pain_n be_v present_o sharp_a the_o part_n grow_v red_a livid_n and_o then_o black_a at_o last_o the_o spirit_n forsake_v it_o and_o mortification_n seize_v accompany_v with_o a_o shiver_a like_o that_o in_o a_o ague_n etc._n sign_n from_o compression_n tumor_n luxation_n etc._n etc._n if_o the_o gangrene_n be_v the_o consequence_n of_o some_o compression_n as_o of_o too_o narrow_a ligature_n tumor_n luxation_n fracture_n or_o of_o too_o long_o lie_v on_o the_o back_n it_o be_v know_v by_o the_o benumb_a or_o by_o a_o total_a privation_n of_o feeling_n and_o motion_n according_a as_o the_o compression_n be_v more_o or_o less_o strong_a etc._n sign_n from_o inflammation_n etc._n etc._n if_o it_o be_v cause_v by_o inflammation_n the_o pain_n and_o pulsation_n cease_v the_o part_n which_o be_v red_a grow_v pale_a and_o livid_n there_o be_v some_o little_a blister_n form_v upon_o the_o surface_n of_o the_o skin_n fill_v with_o salt_n water_n like_o muddy_a wine_n the_o heat_n be_v extinguish_v the_o part_n grow_v soft_a and_o wither_v so_o that_o be_v press_v with_o the_o finger_n the_o dent_n remain_v final_o if_o the_o mortification_n be_v perfect_a the_o patient_n fall_v into_o great_a weakness_n accompany_v with_o a_o burn_a malignant_a fever_n with_o vomit_v and_o several_a other_o symptom_n which_o show_n that_o the_o mass_n of_o blood_n be_v very_o much_o oppress_v and_o death_n must_v needs_o follow_v upon_o it_o etc._n sign_n from_o repercussive_n etc._n etc._n the_o gangrene_n which_o be_v produce_v by_o the_o use_n of_o repercussive_n and_o emplastic_a remedy_n be_v accompany_v with_o the_o same_o accident_n medicine_n sign_n from_o caustic_n medicine_n the_o sign_n of_o that_o which_o come_v from_o the_o use_n of_o actual_a cautery_n and_o caustick_a remedy_n be_v almost_o always_o the_o same_o as_o in_o that_o which_o proceed_v from_o too_o strong_a compression_n malignity_n sign_n from_o malignity_n as_o for_o the_o gangrene_n which_o come_v from_o
any_o malignity_n as_o from_o the_o bite_v of_o a_o venomous_a animal_n beside_o the_o sign_n of_o mortification_n which_o appear_v upon_o the_o part_n several_z other_o manifest_v themselves_o as_o carbuncle_n fever_n vomit_v syncope_n and_o frenzy_n sphacel_n sign_n of_o a_o sphacel_n the_o sign_n of_o the_o sphacel_n do_v not_o differ_v from_o those_o of_o the_o gangrene_n but_o secundum_fw-la majus_n and_o minus_n a_o sphacelated_a part_n be_v heavy_a black_a stink_a and_o wither_v feeling_n be_v quite_o lose_v and_o the_o skin_n be_v easy_o separate_v from_o the_o subjacent_a flesh_n final_o from_o be_v soft_a as_o it_o be_v before_o when_o it_o be_v gangrenate_v it_o dri_v up_o when_o it_o be_v entire_o mortify_v you_o must_v observe_v that_o if_o the_o motion_n sometime_o remain_v in_o a_o sphacelated_a part_n as_o in_o the_o foot_n etc._n etc._n it_o proceed_v from_o that_o the_o belly_n of_o the_o muscle_n which_o be_v not_o interest_v make_v their_o contraction_n the_o tendon_n in_o the_o mortify_a part_n be_v oblige_v to_o follow_v their_o motion_n i_o pass_v to_o the_o explication_n of_o the_o chief_a accident_n blister_n cause_o of_o the_o blister_n the_o blister_n that_o come_v upon_o the_o skin_n proceed_v from_o the_o blood_n lie_v cake_v and_o curdle_v in_o its_o part_n there_o separate_v from_o it_o a_o sharp_a and_o corrosive_a serosity_n which_o insinuate_v itself_o under_o the_o skin_n separate_v the_o cuticle_n and_o raise_v it_o almost_o like_a as_o in_o scald_v blackness_n cause_o of_o the_o blackness_n the_o pulsation_n cease_v in_o the_o part_n and_o its_o colour_n grow_v pale_a and_o livid_n i_o have_v show_v that_o the_o pulsation_n cease_v by_o the_o compression_n of_o the_o vessel_n it_o be_v probable_a that_o the_o red_a colour_n disappear_v for_o want_v of_o new_a blood_n and_o that_o which_o lie_v cake_v rot_n in_o the_o part_n give_v a_o violent_a or_o black_a colour_n according_a to_o the_o degree_n of_o corruption_n and_o mortification_n pain_n cause_o of_o the_o pain_n the_o pain_n proceed_v from_o the_o irritation_n and_o great_a impression_n which_o the_o sharp_a and_o malign_a serosity_n make_v upon_o the_o membrane_n and_o on_o the_o nervous_a fibre_n which_o be_v disperse_v in_o the_o part_n the_o pain_n cease_v because_o the_o extravasated_a matter_n lie_v heavy_a upon_o the_o nerve_n as_o well_o as_o upon_o the_o sanguiferous_a vessel_n and_o stop_v entire_o the_o passage_n of_o the_o spirit_n we_o also_o observe_v that_o the_o pain_n give_v soon_o over_o after_o the_o pulsation_n some_o modern_a author_n pretend_v it_o to_o be_v enough_o that_o the_o motion_n of_o the_o blood_n be_v hinder_v in_o a_o part_n to_o abolish_v the_o sensation_n and_o motion_n without_o the_o nerve_n be_v compress_v to_o prove_v it_o they_o tie_v the_o descend_a aorta_n and_o they_o observe_v the_o inferior_a part_n deprive_v of_o sense_n and_o motion_n but_o they_o do_v not_o consider_v that_o these_o part_n be_v no_o more_o irrigate_v nor_o stretch_v by_o the_o arterial_a blood_n they_o must_v needs_o sink_v and_o dry_v up_o and_o the_o nerve_n who_o substance_n be_v very_o soft_a must_v be_v press_v from_o whence_o i_o conclude_v that_o in_o all_o kind_n of_o gangrene_n where_o the_o feel_n be_v entire_o lose_v the_o nerve_n do_v always_o suffer_v some_o compression_n softness_n cause_o of_o the_o softness_n the_o softness_n of_o the_o part_n proceed_v from_o the_o abundance_n of_o serosity_n that_o water_n the_o fibre_n but_o also_o be_v no_o more_o vivify_v by_o the_o blood_n and_o spirit_n the_o relax_v and_o loose_v entire_o their_o spring_n or_o elaftic_a virtue_n gangrene_n cause_o of_o the_o progress_n of_o a_o gangrene_n the_o progress_n of_o the_o gangrene_n come_v sometime_o from_o the_o blood_n which_o cease_v to_o vivifie_v the_o part_n as_o in_o old_a people_n but_o for_o the_o most_o part_n it_o come_v from_o the_o action_n of_o the_o acid_a juice_n which_o gnaw_v and_o successive_o destroy_v the_o neighbour_a part_n it_o be_v doubtless_o this_o malignant_a matter_n which_o cause_v the_o fever_n syncope_n and_o the_o other_o accident_n which_o be_v ordinary_o before_o death_n thus_o have_v speak_v of_o the_o cause_n sign_n and_o accident_n of_o the_o gangrene_n i_o come_v to_o its_o prognostic_n and_o cure_n a_o gangrene_n which_o attack_n old_a people_n and_o hydropic's_n prognostic_n prognostic_n for_o want_v of_o natural_a heat_n be_v always_o mortal_a in_o this_o kind_n of_o gangrene_n where_o the_o spirit_n have_v forsake_v their_o subject_n we_o must_v not_o undertake_v the_o operation_n because_o the_o patient_n will_v infallible_o succumb_v under_o the_o violence_n of_o the_o pain_n that_o which_o possess_v the_o soft_a and_o tender_a part_n especial_o the_o internal_a be_v veâ—â—_n dangerous_a and_o degenerate_v very_o often_o into_o a_o sphacel_n it_o be_v also_o soon_o cure_v in_o young_a than_o old_a in_o strong_a body_n than_o in_o cachochymic_a gold_n cure_v of_o a_o gangrene_n from_o gold_n the_o gangrene_n which_o be_v cause_v by_o cold_a and_o which_o ordinary_o possess_v the_o extremity_n may_v be_v cure_v provide_v the_o part_n be_v not_o entire_o mortify_v you_o bring_v the_o patient_n near_o a_o moderate_a fire_n chafe_v the_o part_n or_o steep_v it_o in_o lukewarm_a water_n and_o when_o the_o great_a cold_a diminish_v and_o the_o spirit_n begin_v to_o spread_v themselves_o upon_o the_o surface_n you_o apply_v fomentation_n &_o similia_fw-la that_o which_o follow_v great_a inflammation_n tumor_n fracture_n luxation_n contusion_n aneurism_n erisipelas_n ulcer_n scald_v scorbutic_a spot_n venomous_a bite_v after_o application_n of_o too_o emplastic_a medicine_n caustic_n and_o actual_a cautery_n and_o general_o upon_o all_o strong_a compression_n may_v be_v cure_v in_o the_o beginning_n which_o make_v we_o consider_v these_o kind_n of_o gangrene_n in_o two_o different_a state_n as_o that_o of_o their_o birth_n and_o that_o of_o their_o perfection_n in_o the_o first_o good_a remedy_n capable_a of_o smother_a and_o stop_v this_o disease_n as_o deep_a scarification_n which_o disengage_v not_o only_o the_o part_n but_o also_o give_v occasion_n for_o the_o medicine_n to_o penetrate_v and_o produce_v a_o more_o sensible_a effect_n if_o in_o spite_n of_o all_o this_o care_n the_o gangrene_n shall_v increase_v and_o encroach_v on_o the_o neighbour_a part_n lay_z aside_o the_o use_n of_o medicine_n and_o proceed_v to_o amputation_n of_o the_o member_n that_o the_o mortification_n may_v not_o be_v communicate_v to_o the_o whole_a body_n chap._n xxxvi_o of_o amputation_n you_o must_v observe_v first_o of_o all_o that_o though_o a_o part_n be_v mortify_v and_o amputation_n the_o only_a help_n to_o save_v a_o man_n life_n yet_o you_o must_v not_o always_o declare_v for_o the_o operation_n for_o example_n attempt_v when_o the_o operation_n be_v not_o to_o be_v attempt_v when_o the_o mortification_n possess_v the_o superior_a part_n of_o the_o arm_n or_o thigh_n it_o will_v be_v a_o profane_v it_o to_o undertake_v it_o be_v too_o near_a part_n so_o necessary_a for_o life_n without_o cause_v the_o ruin_n of_o the_o whole_a subject_n if_o it_o only_o possess_v the_o extremity_n and_o a_o acute_a fever_n syncope_n and_o vomit_v which_o be_v mortal_a symptom_n 〈◊〉_d accompany_v it_o and_o the_o natural_a disposition_n of_o the_o humour_n be_v entire_o pervert_v and_o deprave_v the_o operation_n will_v prove_v very_o dangerous_a and_o hazardous_a every_o one_o know_v that_o this_o operation_n be_v practise_v in_o great_a shattering_n of_o the_o bone_n in_o old_a ulcer_n and_o fistula_n of_o the_o joint_n but_o it_o be_v first_o necessary_a to_o examine_v the_o nature_n of_o the_o wound_n for_o example_n if_o the_o bone_n be_v quite_o break_v to_o piece_n if_o the_o splint_n be_v engage_v and_o as_o it_o be_v force_v down_o into_o the_o flesh_n or_o among_o the_o tendon_n if_o they_o prick_v some_o nerve_n or_o sanguiferous_a vessel_n so_o that_o they_o can_v be_v restore_v to_o their_o natural_a position_n it_o will_v be_v necessary_a to_o try_v the_o operation_n but_o if_o the_o accident_n be_v not_o too_o great_a and_o the_o piece_n can_v be_v bring_v level_a again_o with_o the_o bone_n be_v no_o way_n alter_v nor_o have_v cause_v any_o inflammation_n or_o pain_n one_o may_v hope_v for_o its_o cure_n by_o medicine_n unless_o some_o joint_n be_v concern_v in_o a_o word_n i_o say_v that_o all_o compound_v wound_n be_v of_o difficult_a cure_n how_o inconsiderable_a soever_o the_o complication_n be_v especial_o there_o be_v any_o indisposition_n in_o the_o subject_n in_o this_o occasion_n the_o pain_n and_o inflammation_n the_o two_o accident_n most_o to_o be_v fear_v particular_o when_o they_o continue_v and_o produce_v some_o more_o troublesome_a and_o when_o the_o accident_n be_v press_v it_o be_v dangerous_a to_o delay_v and_o very_o often_o the_o operation_n itself_o be_v not_o able_a to_o
all_o the_o blood_n that_o shall_v run_v out_o you_o must_v take_v care_n in_o pull_v off_o the_o dress_n not_o to_o handle_v they_o with_o too_o much_o violence_n lest_o you_o pull_v also_o off_o the_o ligature_n you_o must_v take_v care_n after_o suppuration_n to_o press_v the_o stump_n a_o little_a by_o mean_n of_o the_o compress_v to_o hinder_v the_o generation_n of_o fungeous_a and_o superfluous_a flesh_n which_o ordinary_o happen_v after_o long_a suppuration_n button_n caution_n to_o be_v use_v in_o apply_v the_o vitreol_n button_n those_o that_o use_v the_o vitriol_n button_n must_v precise_o apply_v it_o to_o the_o mouth_n of_o the_o vessel_n and_o take_v care_v it_o do_v not_o fall_v in_o apply_v the_o bolster_n nevertheless_o though_o we_o have_v disapprove_v its_o use_n for_o several_a reason_n yet_o those_o that_o will_v make_v use_n of_o it_o ought_v to_o lift_v the_o stump_n up_o a_o little_a and_o hold_v the_o hand_n upon_o it_o for_o 3_o or_o 4_o hour_n until_o the_o vitriol_n have_v begin_v to_o produce_v its_o effect_n in_o happen_v sometime_o that_o after_o the_o operation_n the_o part_n suffer_v some_o convulsive_a motion_n convulsion_n cause_o of_o after_o convulsion_n occasion_v by_o the_o spirit_n be_v irritate_v by_o sharp_a corrosive_a or_o vitriolic_a matter_n or_o by_o the_o trouble_n of_o the_o spirit_n themselves_o in_o the_o part_n for_o if_o we_o consider_v that_o the_o brain_n actual_o prepare_v a_o certain_a quantity_n of_o spirit_n which_o run_v through_o the_o nerve_n to_o serve_v the_o function_n of_o the_o whole_a body_n we_o shall_v agree_v that_o those_o which_o be_v design_v for_o the_o motion_n and_o sensation_n of_o that_o part_n which_o be_v no_o more_o existent_a but_o separate_v from_o the_o other_o must_v needs_o run_v back_o it_o be_v perhaps_o this_o unlucky_a reflux_n which_o excite_v these_o irregular_a convulsion_n and_o the_o involuntary_a contraction_n pull_v along_o with_o they_o the_o artery_n and_o so_o give_v occasion_n to_o the_o ligature_n to_o break_v and_o the_o part_n to_o bleed_v which_o often_o cause_v death_n therefore_o in_o these_o occasion_n a_o chirurgeon_n must_v not_o stand_v search_v for_o the_o artery_n he_o must_v only_o lay_v upon_o it_o the_o vitriolic_a button_n with_o bolstâ—…â—oaked_a in_o some_o styptic_a liquor_n these_o be_v the_o measure_n which_o you_o must_v take_v in_o such_o occasion_n chap._n xxxvii_o of_o paronychia_fw-la paronychia_fw-la be_v a_o very_a painful_a tumour_n which_o possess_v the_o finger_n end_n cause_v by_o the_o alteration_n and_o effervescency_n of_o the_o bilious_a and_o sulphureous_a particle_n of_o the_o blood_n paronychia_fw-la two_o kind_n of_o paronychia_fw-la they_o ordinary_o make_v two_o kind_n of_o it_o in_o the_o one_o the_o matter_n lie_v between_o the_o periostium_fw-la and_o the_o bone_n accompany_v with_o a_o burn_a heat_n acute_a pain_n and_o deep_a pulsation_n great_a tention_n and_o burn_a fever_n the_o other_o be_v only_o in_o the_o flesh_n with_o less_o heat_n and_o pain_n light_a pulsation_n less_o tention_n and_o hardly_o any_o fever_n at_o all_o pain_n cause_o of_o the_o heat_n and_o pain_n the_o heat_n and_o pain_n come_v from_o the_o strong_a ebullition_n of_o the_o blood_n and_o many_o irritation_n whiâ—â—â—he_v sulphureous_a particle_n that_o â—…elt_v and_o be_v â—â—rned_v into_o sanies_fw-la excite_v at_o the_o fibre_n of_o the_o periostium_fw-la tention_n cause_o of_o the_o tention_n the_o tention_n proceed_v only_o from_o the_o fermentation_n of_o the_o humour_n it_o be_v easy_a to_o comprehend_v that_o when_o a_o liquor_n boil_v it_o extend_v itself_o more_o in_o length_n and_o breadth_n than_o when_o it_o be_v at_o rest_n and_o must_v consequent_o dilate_v the_o vessel_n in_o a_o great_a manner_n that_o contain_v it_o pulsation_n cause_o of_o the_o pulsation_n the_o pulsation_n be_v nothing_o else_o but_o a_o more_o exquisite_a and_o lively_a feeling_n that_o we_o have_v of_o the_o artery_n beat_v in_o the_o inflame_a part_n cause_v by_o a_o great_a tention_n and_o effervescency_n of_o the_o blood_n fever_n cause_o of_o the_o fever_n the_o fever_n come_v from_o the_o mutual_a agitation_n of_o the_o different_a particle_n of_o the_o blood_n that_o fight_n against_o one_o another_o with_o great_a strength_n and_o tear_v one_o another_o in_o a_o thousand_o little_a particle_n of_o a_o different_a bigness_n and_o figure_n which_o be_v move_v in_o the_o mass_n of_o blood_n excite_v the_o fever_n but_o after_o a_o long_o struggle_v the_o pus_fw-la be_v make_v the_o vessel_n burst_v the_o matter_n extravasates_n the_o tumour_n grow_v soft_a the_o fever_n and_o all_o other_o symptom_n diminish_v than_o we_o give_v the_o pus_fw-la issue_n by_o incision_n incision_n where_o to_o make_v the_o incision_n which_o we_o make_v at_o the_o side_n of_o the_o finger_n to_o avoid_v the_o tendon_n we_o then_o use_v those_o medicine_n ordinary_o use_v for_o other_o ulcer_n i_o will_v no_o long_o insist_v upon_o the_o paronychia_fw-la though_o it_o will_v furnish_v we_o with_o matter_n for_o a_o long_a discourse_n and_o see_v most_o author_n have_v give_v their_o opinion_n of_o it_o any_o one_o may_v be_v instruct_v by_o they_o chap._n xxxviii_o of_o the_o use_n of_o cupping-glass_n most_o practitioner_n of_o physic_n be_v wont_v rather_o to_o approve_v the_o use_n of_o cupping-glass_n and_o leech_n than_o condemn_v it_o be_v it_o that_o they_o either_o find_v themselves_o upon_o that_o pretend_a attraction_n of_o the_o ancient_n use_n cupping-glass_n of_o very_a little_a use_n or_o that_o they_o think_v to_o discharge_v soon_o a_o part_n load_v with_o the_o weight_n of_o some_o strange_a matter_n it_o be_v true_a they_o use_v they_o but_o with_o little_a success_n beside_o this_o attraction_n be_v just_a a_o chimaera_n and_o be_v the_o most_o cruel_a and_o temerarious_a practice_n that_o can_v be_v imagine_v what_o appearance_n be_v there_o to_o scarrifie_v the_o back_n to_o dissipate_v inflammation_n of_o the_o eye_n to_o slash_v the_o loin_n to_o hinder_v the_o progress_n of_o malign_a fever_n attraction_n no_o such_o thing_n as_o attraction_n to_o cut_v the_o skin_n and_o flesh_n in_o 20_o different_a place_n to_o draw_v one_o or_o two_o ounce_n of_o blood_n i_o do_v not_o believe_v that_o those_o who_o have_v a_o idea_n of_o the_o circulation_n of_o the_o blood_n can_v show_v i_o by_o experience_n or_o any_o other_o way_n that_o the_o division_n of_o some_o cupillary_a vessel_n be_v capable_a of_o cure_v the_o least_o cutaneous_a affect_v nevertheless_o there_o be_v some_o that_o do_v authorise_v this_o practice_n maintain_v that_o the_o scarification_n do_v determine_v the_o blood_n and_o spirit_n to_o repair_v in_o abundance_n to_o the_o scarify_v part_n and_o that_o in_o move_v the_o humour_n after_o this_o manner_n the_o afflict_a part_n be_v disengage_v and_o the_o inflammation_n lessen_v it_o be_v to_o be_v wish_v for_o the_o partisan_n of_o this_o practice_n that_o the_o inflammation_n will_v favour_v their_o opinion_n for_o we_o can_v believe_v that_o the_o blood_n and_o spirit_n run_v into_o a_o part_n in_o a_o great_a quantity_n than_o the_o use_v to_o do_v without_o cause_v some_o inflammation_n which_o be_v not_o observe_v here_o beside_o blood_n inflammation_n cause_v only_o by_o the_o interruption_n of_o the_o blood_n that_o the_o inflammation_n come_v not_o but_o because_o the_o motion_n of_o the_o blood_n be_v intercept_v by_o the_o divulsion_n of_o the_o vessel_n as_o it_o happen_v in_o all_o new_a wound_n and_o not_o at_o all_o by_o a_o determination_n occasion_v by_o the_o pain_n last_o all_o the_o virtue_n which_o be_v attribute_v to_o cupping-glass_n shall_v not_o hinder_v i_o from_o disapprove_v their_o use_n for_o i_o say_v that_o they_o be_v not_o only_o useless_a in_o many_o disease_n where_o they_o be_v employ_v but_o also_o in_o venereal_a sore_n and_o bite_v of_o venomous_a animal_n since_o it_o be_v certain_a that_o the_o poison_n of_o these_o animal_n which_o consist_v in_o a_o strange_a acid_n manifest_v itself_o in_o a_o moment_n to_o the_o brain_n in_o spite_n of_o the_o influence_n of_o the_o spirit_n and_o that_o the_o mass_n of_o blood_n be_v present_o oppress_v with_o it_o by_o the_o law_n of_o circulation_n from_o whence_o i_o conclude_v that_o once_o bleed_v or_o the_o least_o sudorific_a in_o what_o disease_n soever_o will_v always_o do_v more_o good_a than_o all_o the_o cupping-glass_n you_o can_v apply_v fistula_n leech_n very_o often_o the_o cause_n of_o fistula_n you_o must_v observe_v that_o in_o the_o hemmorhoide_n emollient_a and_o discuss_a remedy_n be_v to_o be_v prefer_v before_o leech_n which_o be_v very_o often_o the_o cause_n of_o imposthume_n and_o fistula_n in_o the_o anus_fw-la as_o i_o have_v show_v you_o in_o the_o treatise_n of_o fistula_n caustic_n where_o and_o how_o to_o make_v a_o issue_n by_o caustic_n i_o also_o say_v by_o the_o bye_n that_o caustic_n
that_o the_o different_a dgree_n of_o the_o fever_n rule_v those_o of_o the_o inflammation_n as_o these_o do_v they_o of_o the_o gangrene_n bleed_v clyster_n sweet_a and_o liquid_a food_n emollient_a and_o discutient_fw-la cataplasm_n make_v of_o the_o four_o meal_n honey_n and_o the_o emollient_a herb_n boil_v in_o wine_n as_o fol._n malve_n altheae_fw-la senessionis_fw-la violar_n rarietariae_fw-la candilariae_n chamomillae_fw-la meliot_n etc._n etc._n all_o these_o medicine_n be_v very_o efficacious_a here_o you_o must_v observe_v to_o let_v the_o cataplasm_n be_v very_o moist_a lest_o they_o dry_v up_o and_o so_o instead_o of_o humect_v and_o mollify_a the_o fibre_n they_o obstruct_v the_o pore_n as_o astringent_n and_o hinder_v transpiration_n if_o in_o spite_n of_o all_o this_o care_n the_o inflammation_n go_v not_o off_o you_o relieve_v the_o part_n by_o some_o slight_a scarification_n if_o they_o be_v not_o enough_o you_o make_v other_o deep_a that_o the_o medicine_n may_v have_v room_n to_o work_v if_o the_o wound_n be_v superficial_a you_o must_v dilate_v it_o but_o if_o it_o penetrate_v even_o to_o the_o most_o intimate_a part_n i_o mean_v near_o the_o great_a vessel_n or_o bone_n you_o must_v keep_v to_o scarification_n and_o injection_n make_v of_o traumatic_a plant_n mel._n rosar_n and_o spirit_n of_o wine_n because_o you_o will_v be_v apt_a to_o ruin_v the_o whole_a part_n by_o the_o incision_n which_o must_v afterward_o be_v cut_v off_o it_o often_o happen_v that_o the_o gangrene_n come_v on_o the_o side_n of_o these_o kind_n of_o wound_n where_o the_o obstruction_n be_v always_o most_o considerable_a in_o which_o case_n your_o pleaget_n must_v be_v well_o charge_v with_o digestive_n if_o the_o inflammation_n go_v not_o off_o either_o by_o suppuration_n or_o transpiration_n and_o the_o red_a colour_n of_o the_o skin_n change_v not_o you_o must_v use_v strong_a maturative_a cataplasm_n of_o white_a lily_n root_n sorrel_n leaven_n and_o the_o common_a digestive_a provide_v the_o inflammation_n communicate_v itself_o not_o to_o the_o adjacent_a part_n scarification_n be_v not_o to_o be_v use_v but_o when_o the_o part_n be_v extreme_o stretch_v and_o the_o red_a colour_n change_v into_o a_o livid_n and_o when_o little_a blister_n arise_v which_o signify_v a_o beginning_n mortification_n and_o show_v that_o the_o ferment_n of_o the_o gangrene_n be_v very_o acid_a and_o malignant_a you_o must_v not_o stay_v till_o these_o little_a blister_n increase_v but_o as_o soon_o as_o you_o see_v that_o the_o wound_n do_v not_o suppurate_a and_o the_o skin_n change_v colour_n you_o ought_v to_o scarify_v and_o lay_v compress_n upon_o the_o neighbour_a part_n soak_v in_o warm_a wine_n and_o brandy_n the_o fever_n be_v sometime_o extinguish_v by_o scarification_n because_o the_o agitate_a matter_n of_o the_o acid_n ferment_n have_v room_n to_o escape_v so_o the_o inflammation_n be_v diminish_v suppuration_n procure_v and_o the_o progress_n of_o putrefaction_n stop_v if_o the_o lip_n of_o the_o wound_n be_v of_o a_o vermilion_a colour_n it_o be_v a_o token_n that_o the_o salt_n particle_n prick_v the_o membrane_n and_o increase_v the_o fluxion_n it_o excite_v the_o fever_n anew_o for_o some_o time_n and_o the_o edge_n of_o the_o wound_n grow_v white_a and_o dry_a this_o change_n proceed_v from_o the_o salt_n juice_n which_o by_o their_o too_o great_a motion_n separate_v themselves_o from_o the_o sulphurous_a one_o so_o that_o they_o irrigate_n the_o fibre_n and_o cause_v a_o new_a obstruction_n which_o afterward_o make_v the_o flesh_n foggy_a and_o white_a we_o often_o observe_v that_o though_o the_o wound_n be_v often_o ready_a to_o cicatrise_v yet_o if_o the_o fever_n arise_v anew_o it_o grow_v big_a and_o more_o dangerous_a than_o it_o be_v before_o because_o the_o inflammation_n make_v a_o great_a progress_n in_o this_o case_n you_o touch_v the_o new_a form_a skin_n with_o aq._n calcis_fw-la in_o which_o some_o mercurius_n sublimat_n have_v be_v dissolve_v but_o without_o use_v any_o remedy_n you_o may_v cut_v it_o off_o for_o the_o ferment_n of_o that_o membrane_n infect_v the_o neighbour_a part_n balsam_n of_o sulphur_n be_v very_o good_a in_o this_o occasion_n especial_o in_o small_a putrefaction_n symptom_n flux_n a_o dangerous_a symptom_n if_o a_o flux_n come_v upon_o a_o flesh_n wound_n it_o be_v a_o very_a dangerous_a symptom_n because_o it_o only_o happen_v when_o the_o salt_n particle_n have_v leave_v the_o part_n and_o enter_v into_o the_o mass_n of_o liquor_n now_o as_o the_o volatile_a salt_n maintain_v the_o motion_n of_o the_o blood_n and_o other_o humour_n and_o have_v a_o virtue_n of_o dissolve_v and_o make_v they_o fluid_a we_o be_v to_o search_v no_o where_o else_o the_o cause_n of_o this_o symptom_n this_o flux_n hinder_v suppuration_n and_o weaken_v the_o sick_a more_o than_o all_o other_o accident_n together_o because_o of_o the_o great_a dissipation_n of_o spirit_n that_o be_v make_v by_o the_o stool_n we_o also_o observe_v that_o the_o wound_n dry_v shrivel_v and_o become_v as_o it_o be_v mortify_v according_a as_o the_o spirit_n abandon_v it_o and_o the_o strong_a the_o flux_n be_v the_o more_o the_o inflammation_n lessen_v the_o flesh_n dry_v up_o and_o the_o part_n become_v more_o faint_a adust_a and_o putrid_a you_o must_v foment_n it_o with_o aromatic_a wine_n and_o hinder_v the_o disunion_n of_o the_o salt_n by_o the_o help_n of_o balsam_n of_o sulphur_n but_o from_o the_o moment_n that_o the_o spirit_n exalt_v themselves_o towards_o the_o surface_n the_o motion_n of_o the_o blood_n slacken_v the_o flux_n cease_v and_o the_o wound_n which_o before_o be_v inanimate_a as_o it_o be_v revive_v again_o this_o flux_n must_v be_v stop_v with_o great_a circumspection_n for_o it_o be_v a_o sign_n that_o the_o salt_n be_v become_v very_o acid_a since_o they_o offend_v every_o part_n where_o they_o lie_v you_o must_v always_o stop_v it_o by_o degree_n for_o fear_v a_o sudden_a suppression_n may_v again_o revive_v the_o fever_n and_o render_v it_o more_o malignant_a and_o pernicious_a which_o will_v present_o unite_v putrefaction_n with_o inflammation_n the_o flux_n be_v stop_v the_o patient_n must_v be_v feed_v with_o sweet_a and_o thick_a food_n the_o proper_a medicine_n for_o stop_v a_o flux_n be_v clyster_n make_v of_o white_a broth_n mallow_n bran_n lettuce_n knotgrass_n and_o the_o yolk_n of_o eggs._n tisan_n make_v of_o bugle_n sanicle_n lemon_n and_o liquorish_a be_v also_o of_o great_a help_n we_o observe_v that_o this_o flux_n happen_v often_o in_o great_a hospital_n than_o any_o where_o else_o especial_o in_o great_a wound_n because_o the_o wound_a receive_v there_o a_o air_n load_v with_o malign_v and_o pestilential_a vapour_n which_o not_o only_o cause_v the_o looseness_n but_o all_o the_o other_o troublesome_a accident_n which_o follow_v upon_o it_o we_o observe_v that_o the_o wound_n which_o happen_v to_o the_o leg_n be_v most_o dangerous_a or_o of_o difficult_a cure_n but_o since_o the_o circulation_n be_v more_o flow_n in_o they_o their_o tendon_n and_o membrane_n stretch_v and_o their_o vesicles_n more_o narrow_a this_o disposition_n of_o part_n cause_v the_o humour_n to_o settle_v and_o employ_v themselves_o more_o easy_o and_o that_o only_o the_o serosity_n be_v able_a to_o disengage_v itself_o in_o time_n of_o their_o settling_n by_o its_o abode_n change_v into_o a_o virulent_a sanies_fw-la which_o entertain_v the_o wound_n of_o these_o hard_a and_o callous_a part_n they_o also_o require_v some_o medicine_n capable_a of_o carry_v off_o and_o melt_v the_o callosity_n and_o destroy_v the_o sanies_fw-la which_o be_v the_o chief_a cause_n of_o it_o when_o wound_n be_v of_o difficult_a cure_n and_o as_o it_o be_v unconquerable_a with_o medicine_n it_o be_v the_o evil_a disposition_n of_o the_o subject_a for_o the_o most_o part_n which_o contribute_v to_o it_o some_o be_v natural_o of_o a_o ill_a habit_n other_o affect_v with_o some_o venerial_a disease_n or_o some_o other_o as_o bad_a final_o other_o do_v not_o govern_v themselves_o and_o have_v a_o great_a inclination_n for_o that_o which_o be_v hurtful_a to_o they_o and_o which_o be_v capable_a of_o heat_n and_o alter_v their_o blood_n if_o in_o these_o kind_n of_o inconvenience_n the_o medicine_n which_o we_o have_v use_v produce_v not_o any_o effect_n cardiac_n and_n medicine_n of_o a_o purify_n quality_n favour_n their_o cure_n wound_n what_o to_o be_v use_v in_o venomous_a wound_n as_o all_o aromatic_n cordial_a potion_n all_o preparation_n of_o mercury_n and_o antimony_n theriac_n confection_n powder_n of_o viper_n with_o their_o volatile_a salt_n volatile_a salt_n of_o hearts-horn_n and_o several_a medicine_n of_o the_o same_o nature_n which_o different_o according_a to_o the_o different_a degree_n of_o corruption_n this_o be_v the_o practice_n which_o must_v be_v follow_v in_o venomous_a wound_n have_v apply_v upon_o the_o part_n all_o thing_n that_o resist_v
supple_a the_o ligament_n and_o gland_n be_v not_o entertain_v in_o their_o ordinary_a fluidity_n and_o as_o i_o have_v show_v in_o thâ—_n aneurism_n that_o it_o condense_n at_o the_o least_o heat_n by_o the_o repose_n of_o its_o particle_n and_o it_o form_v a_o anchilose_a so_o i_o say_v its_o formation_n must_v be_v much_o quick_a here_o the_o heat_n be_v more_o excessive_a now_o it_o be_v evident_a that_o a_o concatenation_n of_o accident_n of_o this_o nature_n may_v utter_o destroy_v the_o part_n for_o if_o the_o anchilose_a which_o grow_v about_o the_o joint_n and_o ganglion_n which_o be_v form_v upon_o the_o ligament_n by_o the_o thicken_a and_o coagulation_n of_o the_o nutritive_a juice_n cause_n the_o loss_n of_o motion_n the_o alteration_n and_o mixture_n of_o several_a liquor_n of_o different_a nature_n be_v very_o fit_a to_o putrify_v it_o by_o their_o purulancy_n and_o acidity_n the_o purulent_a hmour_n corrupt_v and_o infect_v it_o the_o acid_n prick_v and_o gnaw_v it_o and_o the_o viscous_a obstruct_v and_o make_v it_o immovable_a it_o be_v doubtless_o by_o reason_n of_o the_o contrariety_n of_o their_o principle_n which_o destroy_v one_o another_o in_o the_o action_n of_o the_o medicament_n which_o cause_v they_o to_o be_v of_o so_o difficult_a a_o cure_n and_o so_o hard_a to_o prevent_v the_o ligament_n from_o rot_v we_o have_v make_v you_o observe_v in_o the_o examination_n of_o the_o fistula_n in_o ano_fw-la that_o wound_v of_o the_o joint_n often_o degenerate_a into_o fistula_n because_o the_o salt_n juice_n abound_v there_o from_o every_o part_n and_o the_o pus_fw-la change_v into_o a_o sharp_a and_o malignant_a sanies_fw-la which_o filter_n into_o the_o porosity_n of_o the_o nervous_a fibres_fw-fr of_o the_o part_n make_v the_o ulcer_n callous_a and_o fistulous_a this_o humour_n become_v sometime_o so_o bite_v that_o it_o destroy_v not_o only_o the_o tendon_n and_o ligament_n but_o gnaw_v also_o the_o cartilage_n and_o cause_v a_o cariosity_n of_o the_o bone_n to_o prevent_v all_o this_o you_o must_v follow_v the_o same_o method_n which_o we_o have_v prescribe_v in_o wound_n of_o the_o tendon_n that_o be_v to_o say_v you_o must_v use_v every_o thing_n that_o temper_n sweeten_v and_o be_v capable_a to_o correct_v the_o acrimony_n of_o the_o salt_n when_o the_o wound_n have_v run_v well_o for_o some_o day_n and_o the_o swell_a of_o the_o part_n a_o little_a go_v down_o you_o use_v a_o balm_n make_v of_o oxgall_n etc._n a_o extraordinary_a medicine_n in_o wound_n of_o the_o joint_n etc._n etc._n spirit_n of_o wine_n and_o mel._n rosat_n which_o have_v the_o faculty_n of_o discuss_v and_o resolve_v the_o coagulate_a matter_n after_o this_o manner_n you_o prevent_v the_o callosity_n of_o the_o wound_n and_o all_o other_o accident_n we_o common_o cicatrise_v with_o humect_v medicament_n because_o dissicatives_n make_v it_o deform_v the_o bone_n differ_v from_o the_o tendon_n and_o ligament_n in_o that_o their_o contexture_n be_v more_o thick_a close_o and_o compact_a and_o be_v nourish_v with_o a_o more_o salt_n and_o subtle_a juice_n if_o the_o wound_n which_o happen_v to_o they_o be_v simple_a the_o sole_a reduction_n of_o the_o piece_n maintain_v by_o bandage_n be_v sufficient_a to_o cure_v they_o if_o the_o fractured_a bone_n press_v some_o vessel_n or_o tendon_n and_o the_o contusion_n be_v considerable_a if_o you_o differ_v the_o reduction_n the_o part_n fall_v into_o a_o gangrene_n and_o mortify_v if_o some_o piece_n of_o the_o bone_n be_v separate_v so_o that_o you_o can_v reduce_v they_o you_o must_v make_v a_o incision_n to_o pull_v they_o out_o i_o know_v that_o this_o happen_v very_o seldom_o and_o the_o splinter_n must_v the_o very_a much_o entangle_v in_o the_o flesh_n if_o they_o can_v be_v reduce_v without_o incision_n if_o the_o bone_n be_v quite_o break_v to_o piece_n and_o some_o great_a vessel_n lacerate_v you_o must_v cut_v off_o the_o limb._n i_o speak_v not_o here_o of_o the_o dress_n which_o be_v use_v in_o all_o sort_n of_o fracture_n i_o only_o recommend_v to_o you_o that_o the_o bone_n be_v tie_v hard_a where_n break_v than_o any_o where_o else_o to_o keep_v they_o reduce_v and_o to_o hinder_v the_o callus_fw-la from_o grow_v too_o abundant_o we_o know_v that_o compound_v wound_n comprehend_v both_o those_o of_o the_o flesh_n and_o bone_n and_o that_o beside_o the_o 18_o tail_n bandage_n they_o require_v the_o application_n of_o several_a different_a remedy_n we_o use_v in_o the_o beginning_n discutient_fw-la cataplasm_n to_o evacuate_v part_n of_o the_o matter_n by_o transpiration_n you_o must_v by_o all_o mean_v suppurate_a because_o we_o be_v oblige_v to_o wait_v for_o the_o generation_n of_o the_o callus_fw-la and_o exfoliation_n of_o the_o bone_n beside_o a_o great_a suppuration_n alter_v the_o bone_n in_o a_o very_a little_a time_n it_o be_v therefore_o necessary_a that_o discutient_n be_v use_v in_o stead_n of_o suppurative_n and_o if_o in_o the_o first_o day_n we_o use_v digestive_n spirit_n of_o wine_n and_o hony_n must_v exceed_v you_o apply_v dry_a lint_n upon_o the_o bone_n till_o the_o callus_fw-la be_v form_v and_o after_o its_o generation_n you_o apply_v bolster_n on_o it_o soak_v in_o spirit_n of_o wine_n in_o which_o sal._n ammoniac_a and_o camphire_n have_v be_v dissolve_v which_o be_v a_o most_o excellent_a medicine_n to_o cure_v ulcer_n of_o the_o bone_n and_o to_o hasten_v exfoliation_n you_o must_v observe_v that_o there_o never_o grow_v good_a flesh_n upon_o a_o rot_a bone_n or_o that_o which_o be_v ready_a to_o exfoliate_v it_o be_v always_o spungy_a and_o one_o may_v say_v that_o whenever_o they_o be_v of_o such_o a_o nature_n it_o be_v a_o certain_a sign_n that_o the_o bone_n must_v needs_o exfoliate_v which_o most_o ordinary_o happen_v in_o long_a suppuration_n the_o formation_n of_o the_o callus_fw-la grow_v according_a to_o the_o patient_n way_n of_o live_v it_o be_v observe_v that_o it_o grow_v too_o much_o and_o render_v the_o part_n unequal_a when_o the_o patient_n eat_v too_o plentiful_o and_o when_o they_o use_v too_o spare_v a_o diet_n it_o grow_v not_o sufficient_a to_o reunite_v the_o part_n the_o prognostic_n of_o compound_v wound_n be_v always_o very_o dangerous_a to_o cachectical_a person_n old_a and_o pox_v who_o bone_n rot_v oftentimes_o without_o any_o wound_n come_v upon_o they_o chap._n v._o of_o gunshot_n wound_n gunshot_n wound_n be_v always_o very_o dangerous_a as_o well_o by_o reason_n of_o the_o great_a contusion_n which_o accompany_v they_o for_o the_o most_o part_n as_o because_o the_o passage_n of_o the_o blood_n be_v utter_o stop_v we_o know_v that_o the_o bullet_n pass_v through_o a_o part_n scatter_v the_o substance_n and_o break_v the_o vessel_n without_o any_o hemorrhagy_n or_o suppuration_n before_o three_o four_o five_o or_o sometime_o six_o day_n the_o age_n temperament_n and_o nature_n of_o the_o part_n regulate_v these_o accident_n the_o reason_n of_o it_o be_v ground_v upon_o the_o great_a agitation_n of_o the_o bullet_n and_o upon_o its_o round_a and_o blunt_a figure_n that_o enter_v with_o so_o much_o force_n and_o swiftness_n into_o the_o flesh_n bruise_v and_o crush_v the_o vessel_n so_o that_o it_o force_v their_o tunicle_n to_o glue_v themselves_o to_o one_o another_o and_o so_o oppose_v the_o flux_n of_o blood_n unless_o some_o great_a vessel_n be_v break_v and_o the_o blood_n force_v a_o passage_n by_o its_o impulsion_n wound_v obstruction_n great_a in_o gunshot_n wound_v of_o all_o wound_n there_o be_v none_o where_o the_o obstruction_n be_v great_a than_o in_o these_o and_o which_o consequent_o be_v more_o capable_a of_o inflammation_n and_o gangrene_n the_o contain_v several_a particularity_n to_o which_o the_o chirurgeon_n ought_v to_o give_v his_o attention_n the_o first_o be_v to_o consider_v whether_o they_o be_v in_o any_o of_o the_o venture_n or_o the_o limb_n if_o superficial_a or_o penetrate_a if_o the_o bullet_n have_v pass_v through_o and_o through_o if_o it_o have_v touch_v some_o important_a part_n tend_v to_o the_o function_n of_o life_n in_o its_o passage_n which_o may_v be_v know_v by_o the_o succeed_a symptom_n but_o whether_o it_o have_v pass_v through_o or_o find_v some_o obstacle_n in_o its_o passage_n it_o be_v well_o know_v that_o these_o kind_n of_o wound_n be_v almost_o always_o accompany_v with_o troublesome_a accident_n wound_v accident_n accompany_v gunshot_n wound_v as_o rapture_n of_o some_o vessel_n fracture_n of_o a_o bone_n or_o contusion_n which_o be_v of_o least_o consequence_n if_o the_o orifice_n of_o the_o wound_n be_v of_o a_o round_a figure_n and_o grow_v less_o by_o the_o fluxion_n the_o first_o intention_n which_o you_o must_v satisfy_v be_v to_o dilate_v it_o you_o excite_v by_o that_o mean_v suppuration_n and_o procure_v a_o more_o equal_a cicatrice_n you_o discharge_v the_o part_n in_o let_v the_o wound_n bleed_v as_o much_o
as_o be_v convenient_a and_o prevent_v accident_n but_o first_o it_o be_v important_a to_o extract_v the_o bullet_n if_o you_o can_v since_o it_o be_v its_o progress_n which_o mark_v the_o place_n which_o be_v to_o be_v dilate_v if_o you_o can_v follow_v the_o tract_n which_o it_o have_v take_v without_o make_v a_o incision_n bullet_n how_o to_o extract_v the_o bullet_n you_o put_v the_o patient_n into_o the_o same_o posture_n he_o be_v in_o when_o wound_v that_o you_o may_v easy_o trace_v the_o bullet_n and_o observe_v the_o place_n where_o it_o stop_v you_o afterward_o dilate_v the_o wound_n mind_v two_o circumstance_n 1._o you_o must_v avoid_v the_o great_a vessel_n 2._o you_o must_v not_o discover_v the_o tendon_n of_o the_o joint_n without_o necessity_n if_o the_o bullet_n be_v engage_v near_o some_o great_a vessel_n in_o when_o to_o leave_v the_o bullet_n in_o or_o in_o the_o middle_n of_o the_o muscle_n so_o that_o it_o can_v be_v extract_v without_o cause_v some_o ill_a effect_n you_o may_v leave_v it_o in_o the_o part_n provide_v the_o patient_n be_v not_o much_o incommode_v with_o it_o if_o it_o be_v in_o any_o of_o the_o venture_n you_o must_v leave_v it_o to_o nature_n if_o it_o stick_v in_o the_o bone_n you_o must_v gentle_o move_v it_o to_o draw_v it_o out_o more_o easy_o because_o the_o bone_n will_v of_o necessity_n putrify_v if_o it_o be_v in_o the_o nervous_a part_n as_o in_o the_o joint_n you_o must_v hasten_v its_o extraction_n particular_o when_o it_o be_v sharp_a or_o of_o any_o corruptible_a matter_n for_o than_o you_o must_v not_o only_o extract_v it_o from_o the_o nervous_a part_n but_o every_o part_n whatever_o you_o extract_v the_o strong_a body_n by_o attraction_n or_o by_o impulsion_n with_o the_o hand_n instrument_n or_o medicine_n according_a to_o the_o part_n they_o lie_v in_o if_o for_o example_n a_o bullet_n be_v pass_v the_o great_a vessel_n you_o will_v be_v oblige_v to_o extract_v it_o from_o the_o opposite_a part_n but_o if_o it_o be_v on_o this_o side_n you_o extract_v it_o through_o its_o entrance_n nevertheless_o that_o general_a rule_n have_v its_o exception_n for_o if_o some_o strange_a body_n be_v upon_o the_o carpus_n or_o tarsus_n force_v from_o without_o inward_a and_o shall_v have_v pass_v the_o bone_n it_o will_v be_v a_o great_a temerity_n to_o incise_v the_o bend_a tendon_n of_o the_o finger_n to_o force_v a_o passage_n through_o the_o opposite_a in_o that_o case_n you_o must_v extract_v it_o by_o the_o same_o way_n it_o go_v it_o if_o the_o bullet_n have_v ruin_v a_o joint_n you_o must_v cut_v off_o the_o part_n because_o the_o ligament_n and_o bone_n be_v quite_o split_v to_o piece_n and_o their_o splinter_n irritate_v the_o tendon_n it_o cause_v a_o gangrene_n to_o seize_v present_o on_o the_o part_n if_o the_o bone_n of_o the_o thigh_n be_v break_v you_o must_v dilate_v the_o wound_n as_o much_o as_o be_v convenient_a and_o advance_v the_o suppuration_n that_o you_o may_v have_v the_o liberty_n of_o extract_v some_o piece_n of_o the_o separate_a bone_n if_o there_o be_v any_o of_o the_o rest_n you_o follow_v the_o same_o method_n as_o in_o other_o compound_v wound_n if_o there_o be_v any_o vessel_n open_v as_o the_o subclavian_n vessel_n you_o make_v the_o ligature_n and_o if_o some_o blood_n be_v diffuse_v upon_o the_o diaphragm_n you_o must_v come_v to_o the_o operation_n of_o empiema_n if_o the_o bullet_n have_v carry_v off_o a_o great_a part_n of_o the_o bone_n as_o we_o can_v cut_v proportionable_o so_o much_o flesh_n as_o the_o substance_n of_o the_o bone_n lose_v for_o to_o convey_v remedy_n thither_o it_o happen_v that_o the_o flesh_n that_o grow_v over_o it_o become_v callous_a and_o sometime_o ossify_v forasmuch_o as_o the_o salt_n juice_n which_o run_v this_o way_n harden_v it_o by_o little_a and_o little_a if_o the_o trunk_n of_o a_o great_a vessel_n be_v open_v we_o be_v often_o oblige_v to_o amputate_v the_o part_n because_o the_o part_n which_o receive_v no_o more_o blood_n for_o its_o nourishment_n gangrenates_n if_o the_o wound_v be_v only_o in_o the_o flesh_n you_o may_v bathe_v it_o present_o after_o the_o first_o dress_n with_o brandy_n you_o soak_v bolster_n in_o it_o and_o bound_v up_o the_o part_n with_o compress_n soak_v in_o warm_a wine_n strengthen_v with_o spirit_n of_o wine_n attend_v accident_n which_o attend_v the_o chief_a accident_n that_o accompany_v gunshot_n wound_n be_v tumor_n putrefaction_n and_o hemorrhagy_n to_o dissipate_v the_o swell_a we_o successful_o use_v traumatic_a fomentation_n mix_v with_o spirit_n of_o wine_n or_o cataplasm_n make_v of_o urine_n rye_n meal_n honey_n and_o infusion_n of_o rose_n or_o a_o lie_v make_v of_o vine-ash_n in_o which_o you_o dissolve_v sal_fw-la ammoniac_a and_o brandy_n if_o the_o tumour_n be_v not_o big_a suppuration_n be_v enough_o to_o carry_v it_o off_o if_o it_o be_v accompany_v with_o hardness_n you_o make_v some_o slight_a scarification_n to_o excite_v suppuration_n in_o these_o kind_n of_o wound_n you_o use_v a_o digestive_a make_v of_o vngt_fw-fr basilicon_fw-la linament_n arcei_n ol._n ovor_fw-la &_o spirit_n vini_n if_o corruption_n be_v join_v you_o add_v theriac_n myrrh_n aloe_n shall_v ammoniac_a ol._n absinth_n &_o anthi_n as_o you_o fear_v the_o corruption_n you_o animate_v they_o the_o more_o if_o the_o putrefaction_n happen_v to_o a_o fleshy_a and_o spungy_a part_n you_o dissolve_v egyptiac_n in_o spirit_n of_o wine_n and_o mix_v it_o with_o the_o digestive_a part_n egyptiac_n not_o to_o be_v use_v in_o nervous_a part_n for_o egyptiac_n be_v entire_o a_o dissicative_a if_o it_o be_v use_v in_o nervous_a part_n that_o be_v wont_a to_o dry_v up_o it_o will_v dissipate_v the_o little_a humidity_n that_o remain_v there_o if_o you_o use_v injection_n it_o be_v best_o to_o use_v the_o two_o aristolochias_n boil_v in_o white_a wine_n in_o which_o you_o dissolve_v sugar_n candy_n camphire_n myrrh_n and_o theriac_n breast_n 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effect_n of_o all_o these_o remedy_n you_o use_v detorsive_n decoction_n make_v of_o red_a rose_n consolid_n maj._n quinquesolium_fw-la plantain_n agrimony_n nettle_n pimpernell_n periwinkle_n st._n john_n wort_n purslain_a plantain_n and_o poppy_n seed_n with_o which_o you_o slight_o syringe_n the_o wound_n so_o separate_v the_o rest_n of_o the_o impurity_n that_o be_v there_o when_o you_o use_v detersives_n you_o ordinary_o join_v suppurative_n with_o they_o as_o turpentine_n unguent_n ex_fw-la apto_fw-la balsam_n arcei_n &_o ol._n hyperici_n if_o the_o wound_n have_v long_o suppurate_v and_o the_o flesh_n grow_v luxuriant_a you_o consume_v it_o with_o the_o spirit_n of_o sulphur_n put_v in_o the_o mundificative_a if_o it_o be_v the_o humidity_n of_o the_o part_n which_o cause_v this_o proud_a flesh_n to_o grow_v instead_o of_o the_o mundificative_a you_o use_v allom_n water_n or_o the_o aq._n phagedenica_n or_o the_o decoction_n of_o the_o traumatic_a plant_n make_v with_o lime_n water_n or_o last_o linamentum_fw-la arcei_n mix_v with_o myrrh_n and_o fine_a bowl_n in_o powder_n the_o end_n book_n print_v for_o and_o sell_v by_o daniel_n brown_n at_o the_o black-swan_n and_o bible_n without_o temple-bar_n the_o secret_n of_o the_o famous_a lazarus_n riverius_n councillor_n and_o physician_n to_o the_o french_a king_n and_o professor_n of_o physic_n in_o the_o university_n of_o montpelier_n new_o transsated_a from_o the_o latin_a by_o e._n p._n m._n d._n a_o physico-medical_n essay_n concern_v the_o late_a frequency_n of_o apoplexy_n together_o with_o a_o general_a method_n of_o their_o prevention_n and_o cure_n in_o a_o letter_n to_o a_o physician_n by_o william_n cole_n m._n d._n nova_fw-la hypotheseos_fw-la ad_fw-la explicanda_fw-la febrium_fw-la intermittentium_fw-la symptomata_n &_o typos_fw-la excogitatae_fw-la hypotyposis_n una_fw-la cum_fw-la aetiologia_fw-la remediorum_fw-la speciatim_fw-la vero_fw-la de_fw-la curatione_fw-la per_fw-la gorticem_fw-la 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trinity-college_n in_o cambridge_n rule_n for_o explain_v and_o decipher_n all_o manner_n of_o secret_n write_v plain_a and_o demonstrative_a with_o exact_a method_n for_o understand_a intimation_n by_o sign_n gesture_n or_o speech_n also_o a_o account_n of_o the_o secret_a way_n of_o convey_v write_a message_n discover_v by_o trithemius_n schottus_n lord_n fran._n bacon_n bishop_n wilkins_n etc._n etc._n with_o exact_a table_n and_o example_n by_o j._n f._n the_o traveller_n guide_n and_o the_o country_n safety_n be_v a_o declaration_n of_o the_o law_n of_o england_n against_o highwayman_n or_o robber_n upon_o the_o road_n what_o be_v necessary_a and_o requisite_a to_o be_v do_v by_o such_o person_n as_o be_v rob_v in_o order_n to_o the_o recover_v their_o damage_n against_o who_o they_o be_v to_o bring_v their_o action_n and_o the_o manner_n how_o it_o ought_v to_o be_v bring_v illustrate_v with_o variety_n of_o lawcase_n historical_a remark_n custom_n usage_n antiquity_n and_o authentic_a authority_n by_o j._n m._n the_o clerk_n grammar_n wherein_o be_v lay_v down_o plain_a and_o easy_a rule_n for_o the_o make_v any_o bond_n or_o bill_n obligatory_a or_o single_a with_o the_o several_a condition_n in_o most_o case_n also_o instruction_n how_o to_o place_v the_o name_n sum_n and_o date_n of_o the_o same_o in_o true_a proper_a latin_a likewise_o a_o exact_a method_n of_o draw_v all_o manner_n of_o deed_n of_o common_a use_n with_o instruction_n how_o to_o raise_v any_o consideration_n habendum_fw-la redendum_fw-la preservation_n or_o covenant_n use_v therein_o make_v more_o plain_a and_o intelligible_a to_o the_o mean_a capacity_n than_o scarron_n novel_n vix_fw-la the_o fruitless_a precaution_n the_o hypocrite_n the_o innocent_a adultery_n the_o judge_n in_o his_o own_o cause_n the_o rival_n brother_n the_o invisible_a mistress_n the_o chastisement_n of_o avarice_n the_o unexpected_a choice_n do_v into_o english_a with_o addition_n by_o j._n d._n esq_n all_o sort_n of_o physic_n book_n latin_n and_o english_a
ligature_n upon_o the_o aperture_n of_o the_o vessel_n instead_o of_o make_v it_o a_o little_a high_o because_o the_o blood_n by_o its_o impulsion_n will_v not_o fail_v to_o dilate_v the_o weaken_a part_n and_o to_o bleed_v afresh_o for_o this_o purpose_n you_o pass_v a_o needle_n over_o the_o pipe_n of_o the_o artery_n make_v first_o a_o single_a knot_n on_o which_o you_o place_v a_o little_a compress_v which_o you_o fasten_v with_o two_o other_o knot_n most_o make_v another_o knot_n in_o the_o low_a part_n of_o the_o artery_n because_o of_o the_o branch_n of_o communication_n and_o since_o it_o be_v a_o precaution_n not_o to_o be_v despise_v one_o may_v use_v it_o the_o ligature_n be_v make_v you_o lose_v the_o tourniket_n if_o the_o blood_n be_v well_o stop_v you_o open_v the_o tumour_n to_o empty_v the_o blood_n and_o fill_v it_o with_o dorsel_n arm_v with_o astringent_a powder_n as_o vitriol_n alb_fw-la to_o consume_v the_o bag_n more_o easy_o you_o cover_v the_o rest_n of_o the_o 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to_o time_n we_o daily_o see_v that_o several_a become_v lame_a for_o not_o have_v move_v the_o arm_n or_o leg_n during_o such_o indisposition_n the_o cause_n of_o this_o accident_n come_v from_o the_o little_a motion_n of_o the_o slimy_a matter_n which_o bedaub_v the_o joint_n this_o slime_n be_v of_o the_o consistence_n of_o the_o white_a of_o a_o egg_n and_o which_o transpire_v from_o the_o ligament_n and_o gland_n of_o the_o joint_n serve_v to_o entertain_v the_o supple_a ligament_n and_o to_o smooth_v the_o shine_a cartilage_n as_o well_o to_o facilitate_v the_o motion_n as_o to_o hinder_v the_o part_n from_o be_v waste_v by_o their_o continual_a attrition_n but_o from_o the_o moment_n that_o this_o matter_n be_v at_o rest_n and_o no_o more_o fluid_a or_o liquid_a by_o the_o diversity_n of_o motion_n it_o grow_v thick_a and_o hard_o by_o the_o heat_n of_o the_o part_n so_o that_o the_o ligament_n and_o cartilage_n be_v no_o more_o humect_v by_o that_o liquor_n they_o dry_v up_o lose_v their_o elastic_a virtue_n and_o humidity_n till_o at_o last_o they_o grow_v incapable_a of_o motion_n sometime_o it_o happen_v in_o old_a rottenness_n and_o fistula_n of_o the_o joint_n that_o the_o purulent_a and_o malign_v matter_n gnaw_v the_o ligament_n and_o cartilage_n and_o give_v occasion_n to_o the_o saline_n juice_n which_o exud_n from_o the_o body_n fibres_fw-fr to_o unite_v the_o extremity_n of_o the_o two_o bone_n and_o frame_v a_o kind_n of_o anchilose_a which_o be_v much_o more_o defectuous_a than_o the_o precedent_n chap._n xxxv_o of_o gangrene_n and_o sphacel_n which_o occasion_n the_o amputation_n several_a author_n have_v treat_v of_o the_o gangrene_n particular_o willis_n etmuller_n and_o silvius_n and_o i_o believe_v no_o body_n doubt_n but_o that_o all_o whatever_o our_o new_a discoverer_n have_v advance_v upon_o this_o subject_a in_o their_o exercise_n be_v nothing_o but_o a_o perpetual_a pillage_n of_o what_o these_o great_a man_n have_v speak_v to_o speak_v of_o it_o methodical_o we_o must_v first_o give_v a_o idea_n of_o the_o vivification_n of_o the_o part_n and_o of_o the_o mortification_n which_o be_v its_o opposite_a we_o must_v relate_v all_o particular_n which_o cause_n a_o gangrene_n and_o seek_v all_o the_o mean_n to_o illuminate_v they_o with_o reason_n ground_v on_o the_o oeconomy_n of_o the_o blood_n and_o upon_o some_o observation_n which_o experience_n authorise_v vivification_n cause_o of_o vivification_n to_o know_v how_o the_o part_n be_v vivify_v you_o must_v consider_v that_o the_o heat_n and_o life_n of_o animal_n consist_v only_o in_o the_o motion_n and_o fermentation_n of_o the_o principle_n of_o the_o blood_n that_o this_o fermentation_n and_o motion_n as_o well_o circular_a as_o intestine_a be_v entertain_v by_o the_o pulsation_n of_o the_o heart_n and_o artery_n by_o the_o motion_n of_o the_o muscle_n and_o action_n of_o the_o subtle_a and_o penetrate_a particle_n of_o the_o air_n which_o we_o breathe_v it_o be_v in_o effect_n the_o spiral_n and_o nitrious_a particle_n of_o the_o air_n which_o attenuate_v and_o subtilise_v the_o particle_n of_o the_o blood_n in_o mingle_v themselves_o intimate_o together_o in_o the_o substance_n of_o the_o lung_n which_o make_v they_o wave_v upon_o their_o centre_n and_o which_o give_v they_o all_o their_o vivacity_n and_o influence_n which_o be_v necessary_a to_o the_o maintain_n of_o their_o intestine_a motion_n and_o consequent_o of_o their_o heat_n and_o life_n it_o be_v certain_a then_o that_o it_o be_v the_o blood_n agitate_a by_o these_o mean_n which_o vivify_v and_o animate_v the_o part_n repair_v the_o continual_a loss_n which_o they_o suffer_v furnish_v the_o matter_n of_o the_o spirit_n and_o of_o all_o the_o different_a liquor_n that_o be_v subtilise_v in_o pass_v through_o a_o 1000_o different_a strainer_n in_o one_o word_n it_o be_v the_o master_n spring_n that_o make_v the_o whole_a machine_n go_v this_o be_v so_o it_o be_v not_o hard_a to_o conceive_v that_o it_o be_v from_o the_o actual_a distribution_n presence_n and_o action_n of_o the_o spirituous_a and_o nourish_a particle_n of_o the_o blood_n in_o a_o part_n on_o which_o entire_o depend_v its_o motion_n and_o life_n mortification_n cause_o of_o mortification_n so_o that_o this_o dispensation_n come_v to_o cease_v or_o be_v interrupt_v for_o some_o moment_n one_o feel_v no_o more_o there_o either_o heat_n motion_n or_o life_n to_o convince_v ourselves_o of_o it_o we_o must_v only_o examine_v that_o which_o happen_v every_o day_n in_o syncop_n where_o we_o see_v that_o the_o pulsation_n of_o the_o heart_n be_v hinder_v and_o the_o circulation_n of_o the_o blood_n stop_v all_o the_o extremity_n grow_v cold_a the_o face_n pale_a and_o sometime_o live_v and_o the_o whole_a body_n deprive_v of_o feeling_n and_o motion_n but_o according_a as_o the_o heart_n recover_v its_o motion_n and_o the_o blood_n convey_v into_o all_o the_o part_n they_o recover_v their_o heat_n motion_n and_o life_n it_o be_v therefore_o evident_a that_o the_o life_n of_o a_o part_n depend_v on_o the_o presence_n and_o motion_n of_o the_o blood_n and_o on_o the_o contrary_n i_o say_v that_o the_o cause_n of_o a_o gangrene_n and_o mortification_n of_o a_o part_n be_v doubtless_o the_o absence_n and_o want_n of_o these_o spirituous_a and_o nutritive_a particle_n in_o the_o same_o part_n this_o be_v the_o explication_n which_o the_o illustrious_a etmuller_n give_v of_o it_o in_o tome_n 1._o operum_fw-la pag._n 587._o where_o he_o say_v causae_fw-la gangrene_n &_o sphaceli_fw-la in_o genere_fw-la sunt_fw-la &_o quae_fw-la quacumque_fw-la ratione_fw-la sanguinis_fw-la &_o spirituum_fw-la vitalium_fw-la distributionem_fw-la inhibere_fw-la valent_fw-la it_o be_v a_o question_n whether_o the_o animal_n spirit_n which_o run_v from_o the_o brain_n through_o the_o nerve_n be_v not_o likewise_o interest_v in_o a_o gangrene_n i_o say_v that_o the_o most_o cause_n which_o work_n upon_o the_o blood_n for_o the_o production_n of_o a_o gangrene_n may_v in_o the_o same_o manner_n work_v upon_o the_o animal_n spirit_n but_o in_o the_o mean_a time_n the_o gangrene_n only_o depend_v on_o the_o alteration_n which_o happen_v unto_o the_o blood_n this_o be_v prove_v because_o a_o gangrene_n be_v a_o privation_n of_o life_n or_o at_o least_o a_o disposition_n next_o to_o a_o mortification_n now_o the_o function_n of_o life_n depend_v chief_o from_o the_o blood_n whereas_o the_o animal_n function_n depend_v on_o the_o animal_n spirit_n the_o nerve_n may_v be_v obstruct_v and_o the_o animal_n function_n cease_v in_o a_o part_n without_o mortification_n as_o be_v see_v in_o paralytic_n it_o be_v true_a then_o to_o conclude_v that_o a_o gangrene_n depend_v only_o on_o the_o default_n of_o the_o vital_a and_o spiritual_a particle_n of_o the_o blood_n those_o that_o will_v have_v the_o animal_n spirit_n to_o have_v much_o share_n in_o the_o gangrene_n as_o well_o because_o a_o