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A51662 A rational practice of chyrurgery, or, Chyrurgical observations resolved according to the solid fundamentals of true philosophy by John Muys : in five decades. Muys, John, b. 1654. 1686 (1686) Wing M3165; ESTC R32112 102,986 270

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or giving Suck because the matter fit is withdrawn by the young in the Womb or by the Infant sucking So Fabritius Hildanus relates in the 87th Observation of his Fifth Century that for this cause in a Fracture of the Tibia with a wound the Bones were yet loose the 23d week after the hurt received In a Fracture as well Simple as Compound when a Callus hath again conjoyned the broken Bone the Patients are commonly sensible of some trouble in motion which happens because the newly-generated Callus occupies the place of some Muscles moving this or that part Before I put an end to this Observation two very intricate Problems seem very fit to be here unfolded by me The one is why Bones in clear Frosty-weather are more easily and sooner broken than at any other time The other whence proceeds the Terrour that generally invades the Sick afflicted with a Simple or Compounded Fracture presently after a short sleep To the First Some perhaps will answer the slipperiness of the Ice is the cause that men often fall to the Earth and so the Bones may happen to be easily broken But this doth not untye the Knot this removes not the Difficulty For not onely Bones but also Iron Wood and other hard Bodies are more easily broken in the Winter-season than at any other time Whence then doth this happen Attend a while and I will tell you The more pertinaciously and firmly the parts of hard Bodies are conjoyned each with other the more difficultly they are broken This is certain But what is that which effects coherency in the parts of hard Bodies Not Rest as some think because that is not any thing positive in the Body but onely a privation of motion Therefore Rest proproduceth not this Effect but the Air compressing the parts of hard Bodies conjoyns and causeth them to cohere as is evident by the Experiment cited in the Seventh Observation of the Third Decade The Air whilst Summer's Heat is most vehement presseth more than in Mid-winter partly because at that time it is more forcibly agitated by the heat of the Sun partly because then it is more heavy by reason it is mixt with very many gross Vapours forced upwards by the Solar heat Hence it is now manifest why Bones and other hard Bodies are more easily broken in Winter than in Summer Hence also it may readily be understood why Wood is much sooner consumed by burning in the extream cold Winter-season than whilst we enjoy the pleasant Summer The Winter-Air by its more weak pressure cannot very pertinaciously conjoyn the Particles of the Wood whence these Particles are easily separated from the Wood when they suffer violence by certain terrestrial Particles floating upon the onely most subtile matter of the World therefore most swiftly agitated Hence it is that the Winter-Air as being less pressing and containing fewer Vapours permits the Flame freely to enlarge it self We now come to the other Problem by which it is asked Whence ariseth Terrour invading the sick suffering a Fracture of the Bone in sleep and not while waking and often again distorting the broken Bones Parey a man endowed with great Experience in the Chyrurgic Art who himself once suffered a Fracture of the Tibia and Fibula with a Wound and in his own Body plainly enough experienced this Terrour as he saith a reason of which he endeavours to render in the 26th Chapter of his Book of Fractures but he there miserably philosophizeth producing nothing but Impertinencies and Chimoera's Therefore let us see whether we can give a more probable Reason that may come nearer to the truth We will at least attempt it When the Sick are not sleeping they see they hear they eat they drink and stir their Arms and by this means consume much of the Nervous Juice so that that cannot flow in so great abundance into the parts irritated c. but when the Sick indulge their Members with sleep the matter is far otherwise The Ears at that time hear not the Eyes are closed the Nosethrils perform not their wonted Office the Tongue is silent and the Arms rest Therefore when at such a time the Humors stagnizing and waxing acid about the Fracture with their distention molest the Fibrils and by their cutting property irritate them then I say the Nervous Juice which in the time of the Patients waking is not imployed in great abundance falls down upon the irritated Muscles which by this means swollen vehemently move the Leg and miserably distort the Extremities of the broken Bone one to this part the other to another whence ariseth pain cruel enough by which the Patient after a short sleep is awakened with terrour But that you may more readily give credit to the reason of this Phoenomenon I judge it fit to advise you to attend to these few Words following When you are awake and not sleepy and when your Semenary Vessels contain much fruitful Seed imagine to your self as strongly as you can some beautiful Maid yet as I judge you shall not by this means eject your Seed unless you use some other excitation But if whilst in a sound and pleasant sleep a very beautiful young Woman be by imagination presented to your Phantasie and if in the mean while your Semenary Vessels be sufficiently distended with the Seed the Seed not seldom by such means flows out with very great pleasure viz. because the Seminary Vessels are very much contracted by the Nervous Juice which in great abundance whilst you sleep is carried from the Brain into the Seminary Vessels distended and very much irritated by the Seed because it is not now imployed about other works to be done whilst waking So I knew two Epileptick Persons who never had Fit whilst awake but always when they soundly slept which doth not a little confirm my Opinion OBSERVAT. VI. Of Dislocation of the Talus or Ankle-bone with a Wound A Man aged Forty years fell from on high to the Ground and suffered a Dislocation in the interior Ankle-bone of his Left-leg conjoyned with a vast Wound out of which the Bone was prominent the breadth of three fingers and the dolour was almost intolerable This case is very perilous For not without great danger of life a Gangrene sometimes invades the great Toe infected by the Dislocation and Wound concomitant as I remember not long since to have happened But such horrid Symptomes are not to be feared if in the great Article of the Talus a Dislocation also be with a very large Wound This Affect is not onely perilous but also rare so that Parey Pigreus Aquapendens Barbette and other scarcely so much as mention the same in their Books although Scultetus in his Chyrurgic Armory speaks of it but whether credit is to be given to his Words or his Counsel followed we shall see after we have pondered the following Words written by himself If an Article be luxuriant so as it is either uncovered or be a little