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 wound_n with_o bolster_n accompany_v with_o a_o plaster_n embrocation_n of_o ol._n rosar_n defensative_n all_o along_o the_o arm_n with_o compress_n temper_v in_o strong_a warm_a wine_n with_o the_o bandage_n some_o time_n afterward_o you_o must_v bleed_v the_o patient_n if_o his_o strength_n permit_v you_o stay_v two_o or_o three_o day_n without_o take_v off_o the_o dress_n and_o you_o leave_v the_o dossel_n at_o the_o bottom_n of_o the_o sac_n 3_o or_o 4_o day_n long_o lest_o in_o take_v they_o out_o you_o bleed_v afresh_o and_o procure_v a_o fresh_a suppuration_n the_o situation_n of_o the_o arm_n which_o seem_v a_o thing_n of_o little_a consequence_n must_v nevertheless_o be_v regard_v as_o very_o advantageous_a for_o further_a the_o cure_n the_o arm_n must_v be_v a_o little_a bend_a and_o the_o hand_n elevate_v on_o the_o pillow_n that_o the_o circulation_n be_v more_o free_a but_o you_o must_v particular_o recommend_v the_o disease_a to_o bow_n and_o stretch_v it_o from_o time_n 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
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
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
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
the_o cure_n of_o this_o disease_n which_o be_v perform_v by_o the_o help_n of_o medicine_n cure_n cure_n or_o operation_n the_o most_o specific_a remedy_n be_v diuretic_n and_o those_o which_o cause_n insensible_a transpiration_n other_o be_v of_o no_o great_a use_n the_o strong_a diuretic_n be_v rad._n diuretica_fw-la tinctura_fw-la diuretica_fw-la ebul_n irid._n erysimi_fw-la cucum_fw-la agr_n fol._n solda_n nel_fw-it cerefol_n infuse_v in_o spirit_n vin._n mercurisati_n it_o be_v a_o extraordinary_a remedy_n anthydropiens_fw-la infusus_fw-la anthydropiens_fw-la rad._n brusc_n polypond_n gladiol_n medul_a sambuc_fw-la croc._n &_o chryst_n miner_n infuse_v cold_a in_o white_a wine_n make_v a_o wonderful_a remedy_n sal._n rut._n crem_fw-la mercurii_n spirit_n salis_n take_v in_o broth_n without_o common_a slat_n be_v admirable_a there_o be_v several_a other_o medicine_n of_o which_o author_n be_v full_a i_o mention_v here_o only_o those_o which_o i_o have_v experiment_v if_o all_o these_o will_v do_v you_o must_v proceed_v to_o the_o operation_n which_o confist_n in_o punction_n make_v on_o some_o part_n its_o name_n differ_v according_a to_o the_o place_n where_o it_o practise_v be_v call_v when_o make_v in_o the_o belly_n paracentesis_n in_o the_o scrotum_fw-la punction_n and_o in_o the_o leg_n scarification_n chap._n viii_o of_o the_o paracentesis_n omit_v the_o description_n of_o the_o method_n of_o the_o ancient_n i_o proceed_v we_o make_v where_o the_o puncture_n be_v make_v wherein_o we_o use_v the_o trocher_n or_o lancet_n the_o puncture_n be_v ordinary_o make_v on_o the_o side_n four_o finger_n from_o the_o navel_n if_o with_o the_o trocher_n we_o make_v no_o apparatus_n but_o pierce_v the_o belly_n as_o often_o as_o we_o will_v draw_v water_n from_o it_o description_n description_n this_o instrument_n be_v of_o a_o triangular_a figure_n and_o scatter_v only_o the_o fibre_n they_o upon_o its_o be_v withdraw_v exact_o reunite_a again_o it_o must_v always_o be_v accompany_v with_o its_o canula_n when_o the_o punction_n be_v make_v which_o we_o leave_v in_o the_o belly_n as_o long_o as_o the_o water_n be_v to_o be_v draw_v if_o you_o use_v the_o lancet_n you_o must_v arm_v it_o with_o a_o little_a band_n of_o cloth_n before_o hand_n lancet_n method_n of_o use_v the_o lancet_n and_o thrust_v it_o in_o till_o the_o water_n come_v forth_o and_o before_o you_o withdraw_v it_o introduce_v a_o probe_n on_o the_o flat_a of_o it_o to_o facilitate_v the_o passage_n of_o the_o canula_n into_o the_o belly_n then_o have_v draw_v a_o sufficient_a quantity_n according_a to_o the_o strength_n of_o the_o patient_n stop_v the_o canula_n with_o a_o small_a tent_n and_o apply_v good_a compress_v sustain_v with_o napkin_n and_o scapule_a but_o see_v that_o by_o this_o method_n we_o can_v always_o hinder_v the_o rapid_a stream_n of_o the_o water_n we_o must_v prefer_v the_o trocher_n useless_a in_o what_o part_n your_o operation_n be_v useless_a you_o must_v observe_v that_o the_o dropsy_n of_o the_o head_n breast_n and_o stomach_n be_v never_o cure_v by_o operation_n but_o by_o general_a medicine_n chap._n ix_o of_o hernias_fw-la the_o belly_n be_v subject_a to_o certain_a tumour_n call_v in_o greek_a definition_n definition_n cele_n in_o latin_a hernia_n v._o ramex_fw-la it_o be_v define_v a_o preternatural_a tumour_n cause_v by_o the_o fall_n of_o some_o part_n or_o gather_v together_o of_o some_o superfluous_a humour_n signify_v what_o hernia_n signify_v the_o word_n hernia_n signify_v something_o that_o be_v troublesome_a to_o bear_v i_o will_v use_v the_o etymology_n in_o opposition_n to_o their_o opinion_n who_o pretend_v it_o suit_v not_o with_o the_o humeral_a hernia_n and_o i_o believe_v every_o one_o will_v agree_v with_o i_o that_o they_o be_v insupportable_a as_o well_o from_o humour_n as_o part_n hence_o i_o conclude_v the_o word_n hernia_n may_v fit_v all_o kind_n of_o tumour_n which_o happen_v to_o the_o belly_n or_o scrotum_fw-la i_o confess_v the_o word_n rupture_n be_v only_o applicable_a to_o those_o in_o the_o groin_n and_o scrotum_fw-la from_o the_o omentum_fw-la interstines_n or_o some_o other_o part_n but_o omit_v a_o useless_a multiplication_n of_o imaginary_a name_n i_o pass_v to_o its_o species_n and_o difference_n and_o these_o be_v draw_v from_o the_o part_n which_o they_o attack_z and_o the_o different_a cause_n which_o they_o produce_v name_n name_n by_o reason_n of_o the_o part_n they_o be_v call_v exomphales_n viz._n of_o the_o navel_n bubonocele_n of_o the_o groin_n oscheocele_n of_o the_o scrotum_fw-la and_o ventralis_fw-la hernta_fw-la of_o which_o hereafter_o by_o reason_n of_o the_o cause_n which_o produce_v they_o the_o one_o be_v make_v by_o part_n diference_n diference_n the_o other_o by_o the_o humour_n the_o first_o be_v call_v enterocele_n when_o the_o intestine_n come_v forth_o epiplocele_n when_o the_o omentum_fw-la and_o enteropiplocele_v when_o both_o the_o latter_a be_v call_v hydrocele_n pneumatocele_n sarcocele_n varicocele_n and_o circocele_n from_o water_n wind_n flesh_n and_o other_o liquor_n which_o be_v capable_a to_o dilate_v the_o vessel_n those_o make_v by_o the_o part_n be_v call_v true_a the_o humoral_a false_a complete_a true_a or_o lip_n of_o the_o womb_n not_o complete_a when_o they_o do_v pass_v the_o groin_n external_n cause_n external_n cause_n be_v external_a or_o internal_a the_o external_a be_v violent_a blow_n great_a shake_n long_a course_n or_o run_v dance_a leap_v continual_a cry_v vehement_a cough_n excess_n of_o venery_n too_o frequent_a and_o force_v breathe_n and_o general_o all_o the_o exercise_n and_o strong_a effort_n to_o which_o we_o be_v subject_a the_o internal_a come_v first_o from_o the_o influx_n and_o deposition_n of_o a_o great_a many_o serosity_n 1._o internal_a 1._o which_o sometime_o come_v from_o the_o gland_n of_o the_o intestine_n or_o the_o groin_n but_o principal_o from_o those_o gland_n which_o garnish_n the_o interior_a surface_n of_o the_o peritonaeam_n all_o these_o source_n make_v that_o abundance_n of_o lympha_fw-la which_o actual_o humect_v relax_n and_o lubrify_v these_o part_n and_o consequent_o put_v they_o into_o a_o condition_n to_o yield_v the_o more_o to_o the_o frequent_a and_o reiterated_a impulsion_n of_o the_o intestine_n the_o second_o i_o suppose_v depend_v on_o the_o great_a dissipation_n of_o the_o oily_a particle_n for_o if_o we_o consider_v that_o the_o peritoneum_fw-la be_v near_o the_o omentum_fw-la and_o mesentery_n the_o two_o chief_a repository_n of_o the_o fat_a by_o which_o it_o be_v actual_o separate_v from_o the_o part_n by_o the_o heat_n it_o be_v easy_a to_o understand_v that_o these_o part_n continual_o grease_v the_o fibre_n of_o the_o peritonaeum_fw-la so_o soften_v and_o extend_v they_o that_o at_o the_o least_o action_n or_o motion_n they_o give_v way_n very_o easy_o to_o the_o blow_n and_o to_o all_o motion_n which_o may_v contribute_v to_o their_o formation_n hermat_n the_o people_n of_o provence_n mighty_a subject_a to_o hermat_n hence_o the_o people_n of_o provence_n the_o religious_a especial_o who_o eat_v nothing_o but_o oil_n in_o their_o food_n be_v more_o subject_a to_o hernias_fw-la than_o other_o to_o the_o three_o abundance_n of_o wind_n may_v contribute_v whether_o we_o swallow_v it_o with_o our_o food_n or_o it_o be_v contain_v in_o it_o or_o produce_v by_o the_o settle_n and_o heap_n of_o a_o considerable_a quantity_n of_o dissolvent_n which_o by_o a_o excessive_a heat_n rarify_v and_o may_v be_v true_o suppose_v capable_a of_o extend_v the_o intestine_n like_o a_o bladder_n and_o of_o blow_v they_o up_o to_o a_o certain_a degree_n of_o tension_n so_o that_o take_v up_o more_o room_n than_o usual_a they_o impel_v the_o surface_n of_o the_o peritonaeum_fw-la and_o ne_n themselves_o in_o these_o production_n form_v the_o tumour_n for_o the_o four_o the_o dropsy_n and_o fatness_n in_o woman_n may_v be_v admit_v this_o last_o push_v all_o the_o part_n against_o the_o diaphragm_n and_o determinate_v they_o rather_o to_o form_v the_o exomphalos_n than_o bubonocele_n the_o other_o humect_v and_o relax_n the_o peritonaeum_fw-la so_o considerable_o that_o after_o the_o dissipation_n of_o the_o water_n it_o can_v no_o more_o resist_v and_o support_v the_o motion_n of_o the_o intestine_n i_o pass_v to_o the_o consequence_n which_o we_o must_v draw_v from_o the_o cause_n of_o hernias_fw-la relate_v to_o the_o structure_n of_o the_o part_n where_o they_o be_v form_v which_o depend_v as_o well_o on_o the_o disposition_n of_o the_o peritonaeum_fw-la as_o the._n mechanic_n motion_n of_o the_o diaphragm_n muscle_n of_o the_o abdomen_fw-la and_o intestine_n hook_n on_o the_o peritonaeum_fw-la as_o a_o membrane_n of_o a_o considerable_a thinckness_n dispose_v in_o the_o shape_n of_o a_o sack_n contain_v all_o the_o part_n of_o the_o low_a belly_n it_o be_v so_o long_a as_o to_o reach_v to_o the_o navel_n and_o groin_n peritonaeum_fw-la what_o be_v to_o be_v consider_v in_o the_o peritonaeum_fw-la to_o
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
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 of_o those_o excrement_n the_o motion_n of_o the_o heart_n be_v weak_a and_o languish_a only_o for_o want_v of_o these_o same_o spirit_n vomit_v cause_o of_o vomit_v one_o vomit_v at_o the_o very_a instant_n or_o some_o time_n after_o if_o one_o vomit_v present_o it_o be_v a_o sign_n that_o the_o commotion_n have_v not_o be_v one_o of_o the_o great_a and_o the_o course_n of_o the_o spirit_n not_o long_o interrupt_v since_o the_o impulse_n of_o the_o blood_n have_v break_v the_o sluice_n of_o they_o and_o force_v they_o to_o retake_v their_o course_n and_o launch_v with_o so_o much_o quickness_n into_o the_o ventricle_n that_o they_o excite_v this_o first_o vomit_v in_o which_o one_o render_v nothing_o but_o aliment_n but_o if_o the_o spirit_n be_v long_o retard_v it_o be_v a_o sign_n that_o the_o shake_n have_v be_v very_o rude_a and_o that_o the_o figure_n of_o the_o brain_n be_v vitiate_a since_o we_o see_v that_o when_o they_o be_v at_o full_a liberty_n they_o run_v with_o 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
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
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
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
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