the_o aperture_n be_v make_v you_o put_v your_o finger_n into_o the_o cavity_n of_o the_o breast_n as_o well_o to_o make_v the_o incision_n big_a as_o to_o push_v back_o the_o lung_n and_o diaphragma_n and_o to_o loose_v they_o if_o they_o be_v fasten_v to_o the_o pleura_fw-la particular_o where_o the_o operation_n be_v make_v in_o a_o place_n of_o election_n different_a to_o that_o which_o be_v practise_v in_o a_o place_n of_o necessity_n without_o break_v the_o adherence_n as_o we_o have_v observe_v in_o the_o forego_n chapter_n if_o the_o lung_n strive_v to_o come_v out_o at_o the_o orifice_n of_o the_o wound_n you_o must_v push_v they_o back_o with_o a_o blunt_a hollow_a probe_n for_o to_o help_v the_o run_v out_o of_o the_o matter_n or_o with_o a_o pipe_n of_o a_o thickness_n and_o length_n proportionable_a to_o the_o deepness_n of_o the_o wound_n these_o long_a pipe_n be_v very_o useful_a in_o the_o emphisema_n because_o the_o aperture_n of_o the_o wound_n be_v little_a and_o deep_a it_o be_v very_o difficult_a without_o their_o help_n to_o give_v issue_n to_o the_o matter_n you_o must_v not_o make_v use_n of_o a_o probe_n caution_n caution_n to_o try_v whether_o the_o pleura_fw-la be_v pierce_v for_o in_o pass_v it_o often_o separate_v from_o the_o rib_n and_o there_o be_v a_o vacuum_n make_v where_o some_o blood_n be_v apt_a to_o gather_v which_o produce_v a_o new_a impostume_n matter_n more_o blood_n to_o be_v draw_v at_o a_o time_n than_o matter_n if_o it_o be_v blood_n that_o come_v out_o of_o the_o aperture_n you_o may_v draw_v a_o sufficient_a quantity_n of_o it_o but_o if_o it_o be_v pus_fw-la less_o by_o reason_n it_o contain_v more_o spirit_n and_o the_o patient_n be_v apt_a to_o fall_v into_o a_o syncope_n after_o this_o you_o stop_v the_o wound_n with_o a_o blunt_a tent_n of_o lint_n have_v a_o large_a head_n and_o be_v a_o little_a crooked_a at_o the_o end_n lest_o it_o offend_v the_o lung_n most_o common_o we_o tie_v a_o thread_n to_o it_o fill_v the_o rest_n of_o the_o wound_n with_o little_a dossel_n of_o dry_a lint_n to_o keep_v the_o tent_n in_o and_o absorb_v the_o blood_n and_o lay_v a_o plaster_n on_o it_o with_o compress_v and_o napkin_n about_o the_o body_n with_o the_o scapular_a which_o be_v cut_v in_o two_o at_o one_o end_n and_o put_v cross_a to_o fasten_v the_o napkin_n the_o easy_a when_o the_o patient_n be_v dress_v you_o make_v he_o keep_v his_o bed_n with_o his_o head_n high_a as_o if_o it_o be_v half_o sit_v and_o you_o let_v he_o rest_v till_o he_o find_v himself_o oppress_v with_o the_o weight_n of_o a_o new_a matter_n then_o take_v the_o dress_n off_o and_o have_v make_v the_o matter_n run_v out_o you_o push_v the_o lung_n back_o with_o a_o long_a pipe_n by_o who_o mean_n you_o facilitate_v the_o flow_a of_o the_o matter_n that_o remain_v in_o the_o breast_n you_o continue_v to_o dress_v it_o so_o every_o day_n we_o observe_v often_o that_o the_o first_o three_o or_o four_o day_n blood_n come_v out_o the_o next_o day_n water_n and_o afterward_o pus_fw-la that_o grow_v thick_a by_o little_a and_o little_a we_o have_v observe_v already_o that_o in_o case_n the_o empiema_n shall_v afford_v much_o matter_n or_o water_n mix_v with_o pus_fw-la you_o must_v not_o evacuate_v it_o all_o at_o once_o lest_o the_o patient_n shall_v fall_v in_o some_o weakness_n patient_n the_o air_n to_o be_v correct_v when_o you_o dress_v the_o patient_n you_o must_v always_o correct_v the_o intempery_n of_o the_o air_n with_o fire_n when_o you_o dress_v the_o patient_n and_o hinder_v it_o from_o enter_v too_o abundant_o into_o the_o breast_n because_o it_o thicken_v and_o coagulate_v the_o matter_n which_o be_v extravasated_a there_o hinder_v it_o from_o flow_a and_o cause_v it_o to_o come_v forth_o in_o clod_n if_o it_o be_v blood_n the_o serocity_n separate_v from_o it_o as_o after_o let_v blood_n nevertheless_o whether_o the_o pus_fw-la or_o blood_n be_v thick_a or_o mix_v with_o some_o water_n you_o always_o use_v with_o prudence_n injection_n of_o barley_n water_n and_o mel_n rosar_n with_o which_o you_o cleanse_v the_o lung_n and_o breast_n you_o must_v always_o cause_v the_o injected_a liquor_n to_o come_v out_o by_o the_o help_n of_o the_o finger_n or_o hollow_a probe_n and_o if_o the_o lung_n shall_v stick_v you_o must_v loose_v they_o if_o in_o time_n the_o blood_n shall_v grow_v too_o watery_a and_o the_o patient_n be_v oppress_v by_o the_o quantity_n of_o the_o pus_fw-la you_o will_v do_v well_o to_o dress_v he_o three_o or_o four_o time_n a_o day_n the_o matter_n run_v sometime_o for_o the_o space_n of_o three_o or_o four_o month_n and_o as_o soon_o as_o there_o come_v nothing_o out_o but_o what_o come_v from_o the_o wound_n you_o procure_v the_o generation_n of_o flesh_n and_o cicatrise_v you_o must_v observe_v that_o when_o the_o air_n work_v upon_o the_o blood_n that_o be_v in_o the_o breast_n it_o coagulate_v it_o sometime_o without_o change_v it_o into_o pus_fw-la and_o so_o it_o come_v out_o in_o lump_n injection_n bitter_a thing_n not_o to_o be_v use_v in_o injection_n you_o must_v not_o use_v injection_n in_o the_o beginning_n neither_o make_v they_o with_o aloe_n or_o other_o bitter_a thing_n because_o when_o the_o lung_n be_v open_a the_o patient_n cast_v they_o out_o through_o the_o mouth_n but_o after_o the_o vessel_n be_v consolidate_v you_o may_v use_v the_o tincture_n of_o aloe_n or_o wine_n mix_v with_o a_o traumatic_a decoction_n and_o mel_n rosarum_fw-la this_o be_v use_v when_o the_o pus_fw-la come_v out_o in_o a_o small_a quantity_n often_o after_o a_o wound_n of_o a_o sword_n there_o come_v out_o of_o it_o a_o abundance_n of_o blood_n and_o after_o three_o or_o four_o day_n no_o more_o appear_v in_o this_o occasion_n you_o must_v quick_o close_v the_o wound_n and_o you_o have_v all_o the_o reason_n to_o believe_v that_o there_o be_v only_o some_o little_a vessel_n break_v which_o give_v some_o blood_n and_o which_o afterward_o be_v stop_v by_o the_o most_o glutinous_a particle_n of_o the_o blood_n of_o the_o rest_n however_o the_o thing_n happen_v there_o remain_v no_o danger_n chap._n xxiv_o of_o the_o cancer_n i_o look_v upon_o a_o cancer_n as_o the_o most_o inflame_a and_o rebellious_a of_o all_o the_o schirrou_n tumor_n the_o red_a part_n of_o the_o blood_n as_o well_o as_o the_o white_a contribute_v to_o its_o formation_n cause_n principal_a cause_n when_o cancer_n happen_v in_o glandulous_a part_n there_o be_v great_a appearance_n that_o the_o lympha_fw-la be_v the_o principal_a cause_n there_o if_o they_o attack_v any_o other_o part_n it_o be_v to_o be_v presume_v that_o the_o tartarous_a particle_n of_o the_o blood_n have_v the_o great_a share_n therein_o however_o it_o be_v i_o say_v that_o the_o concourse_n of_o these_o two_o humour_n be_v always_o necessary_a for_o the_o production_n of_o a_o cancer_n all_o the_o difficulty_n be_v well_o to_o distinguish_v which_o of_o those_o two_o predominate_a be_v what_o a_o cancer_n be_v i_o say_v a_o cancer_n be_v a_o round_a hard_a unequal_a livid_n and_o painful_a tumour_n cause_v by_o the_o meeting_n of_o abundance_n of_o acid_n and_o of_o the_o tartarous_a particle_n of_o the_o blood_n from_o which_o proceed_v the_o pain_n and_o tention_n of_o the_o vessel_n which_o very_o well_o represent_v the_o claw_n of_o a_o crab._n painful_a cancer_n of_o the_o glandulous_a part_n most_o painful_a those_o cancer_n which_o possess_v the_o glandulous_a part_n be_v much_o more_o painful_a than_o the_o other_o through_o the_o abundance_n of_o nerve_n which_o enter_v into_o their_o composition_n and_o if_o the_o alteration_n of_o the_o lympha_fw-la contribute_v any_o thing_n to_o their_o generation_n it_o be_v because_o the_o gland_n be_v its_o principal_a reservatory_n roundness_n cause_o of_o the_o roundness_n the_o roundness_n of_o the_o tumour_n come_v from_o the_o round_a figure_n of_o the_o gland_n because_o the_o humour_n which_o cause_n the_o obstruction_n and_o extend_v the_o vessel_n can_v easy_o tumify_v these_o glandulous_a body_n without_o change_v their_o conformation_n etc._n cause_o of_o the_o tention_n etc._n etc._n as_o for_o the_o tention_n and_o fullness_n of_o the_o vessel_n it_o be_v know_v that_o the_o matter_n which_o they_o contain_v be_v nothing_o else_o than_o the_o matter_n which_o form_v the_o tumour_n this_o humour_n be_v tartarous_a fix_v and_o gross_a and_o consequent_o not_o very_o capable_a of_o fermentation_n the_o slow_a progress_n the_o tumour_n make_v in_o the_o beginning_n be_v a_o convince_a proof_n of_o it_o the_o lympha_fw-la be_v acid_n it_o may_v well_o excite_v some_o little_a fermentation_n with_o a_o porous_a and_o terrestrial_a salt_n which_o the_o red_a part_n of_o the_o blood_n furnish_v but_o it_o serve_v rather_o to_o fix_v and_o concentre_v
the_o aperture_n of_o the_o os_fw-la lachrimale_a without_o communicate_v its_o alteration_n to_o the_o neighbour_a part_n i_o will_v not_o call_v this_o indisposition_n a_o fistula_n necessary_a when_o the_o operation_n be_v not_o necessary_a but_o obstruction_n which_o nevertheless_o permit_v the_o serosity_n to_o escape_v involuntary_a which_o must_v be_v well_o distinguish_v because_o the_o operation_n be_v not_o necessary_a if_o the_o lachrimal_a bone_n be_v no_o way_n alter_v for_o the_o operation_n consist_v in_o nothing_o else_o but_o to_o pierce_v the_o bone_n and_o consume_v the_o cariosity_n we_o use_v in_o this_o occasion_n general_a remedy_n and_o all_o colirium_n proper_a to_o deobstruct_v and_o disinflame_v these_o part_n if_o the_o matter_n which_o cause_v the_o obstruction_n excoriate_v and_o slight_o ulcerate_v the_o nigh_o part_n one_o may_v call_v it_o a_o false_a fistula_n which_o yield_v to_o attenuate_a medicine_n and_o those_o which_o be_v proper_a to_o consume_v the_o calosity_n that_o come_v upon_o it_o but_o if_o the_o serosity_n by_o its_o acidity_n excoriate_v the_o little_a tubercle_fw-la of_o flesh_n which_o the_o ancient_n take_v for_o the_o lachrimal_a gland_n and_o the_o other_o nigh_o part_n there_o come_v upon_o it_o a_o ulcer_n which_o soon_o degenerate_v into_o a_o fistula_n by_o the_o action_n of_o the_o most_o pungent_a and_o acid_a particle_n as_o i_o have_v prove_v at_o length_n in_o the_o examination_n of_o the_o fistula_n in_o anc._n so_o that_o this_o impure_a serosity_n be_v capable_a of_o corruption_n rot_v the_o bone_n by_o its_o lie_v there_o be_v what_o a_o true_a fistula_n lachrimalis_n be_v and_o stop_v the_o passage_n of_o the_o tear_n i_o will_v call_v this_o the_o true_a fistula_n where_o the_o operation_n be_v of_o great_a importance_n it_o happen_v often_o that_o the_o same_o humour_n which_o water_n the_o eye_n run_v to_o the_o lachrimal_a sac_n without_o produce_v its_o effect_n the_o reason_n be_v because_o it_o begin_v only_o to_o enter_v into_o its_o first_o degree_n of_o corruption_n but_o this_o sac_n be_v a_o production_n of_o the_o interior_a membrain_n of_o the_o nose_n which_o be_v extreme_o spungy_a and_o penitrable_a the_o humour_n have_v strength_n enough_o to_o penetrate_v it_o and_o so_o cause_v a_o inflammation_n which_o stop_v the_o passage_n of_o the_o tear_n which_o by_o lie_v there_o wax_v sour_a and_o afterward_o grow_v so_o sharp_a that_o they_o cause_v a_o fistulous_a ulcer_n or_o a_o kind_n of_o fistula_n which_o one_o may_v call_v complete_a to_o distinguish_v it_o from_o the_o other_o the_o matter_n of_o the_o tear_n be_v not_o always_o the_o cause_n of_o this_o fistula_n as_o it_o be_v the_o effect_n of_o it_o it_o be_v very_o often_o the_o consequence_n of_o some_o imposthume_n or_o even_o of_o the_o inflammation_n of_o the_o lachrimal_a sac_n without_o this_o pretend_a serosity_n contribute_v any_o way_n towards_o it_o it_o may_v true_o by_o lie_v still_o there_o thicken_v and_o harden_v by_o heat_n or_o it_o may_v degenerate_v mix_v with_o some_o other_o strange_a humour_n and_o so_o contribute_v to_o its_o formation_n you_o must_v observe_v that_o in_o this_o last_o kind_n of_o fistula_n there_o be_v always_o some_o pus_fw-la in_o the_o lachrimal_a sac_n the_o most_o of_o they_o that_o be_v trouble_v with_o it_o press_v every_o day_n the_o fide_fw-la of_o their_o nostril_n to_o squeeze_v out_o the_o matter_n so_o they_o may_v avoid_v the_o pain_n of_o the_o operation_n be_v rather_o content_a to_o have_v it_o as_o long_o as_o they_o live_v chap._n xxviii_o of_o the_o operation_n of_o the_o fistula_n lachrimalis_n operation_n how_o to_o perform_v the_o operation_n we_o have_v already_o say_v that_o the_o operation_n of_o the_o fistula_n lachrimalis_n consist_v in_o pierce_v the_o bone_n and_o make_v the_o matter_n which_o entertain_v it_o flow_v more_o easy_a and_o in_o deobstruct_v the_o passage_n for_o this_o you_o introduce_v the_o probe_n to_o know_v whether_o the_o bone_n be_v discover_v or_o carnous_a but_o particular_o whether_o its_o hole_n be_v stop_v if_o the_o exterior_a orifice_n of_o the_o fistula_n permit_v not_o the_o entry_n of_o the_o probe_n caution_n caution_n you_o must_v dilate_v it_o with_o a_o little_a prepare_a sponge_n or_o make_v a_o incision_n with_o the_o bistory_n take_v care_n not_o to_o cut_v the_o little_a bridle_n which_o make_v the_o reunion_n of_o the_o two_o eyelid_n which_o be_v nothing_o else_o but_o the_o tendon_n of_o the_o orbicule_a muscle_n that_o perform_v the_o office_n of_o a_o ligament_n for_o if_o by_o chance_n it_o shall_v be_v cut_v the_o low_a eyelid_n will_v be_v reverse_v which_o be_v a_o indisposition_n much_o more_o troublesome_a and_o deform_v than_o the_o first_o when_o you_o have_v make_v the_o incision_n you_o fill_v the_o wound_n with_o dry_a lint_n to_o obsorb_v the_o blood_n and_o dilate_v the_o lip_n to_o see_v more_o easy_o the_o bottom_n of_o it_o the_o bone_n be_v lay_v bare_a you_o introduce_v a_o little_a canula_n into_o the_o hole_n of_o the_o os_fw-mi lachrimale_a and_o with_o actual_a cautery_n of_o different_a figure_n you_o pierce_v the_o bone_n which_o be_v very_o thin_a light_o pass_v the_o cautery_n over_o its_o surface_n to_o hasten_v exfoliation_n and_o destroy_v the_o cariosity_n if_o any_o after_o that_o you_o procure_v the_o suppuration_n of_o the_o will_v and_o lay_v in_o the_o bottom_n of_o the_o fistula_n medicine_n proper_a to_o procure_v exfoliation_n of_o the_o bone_n inflammation_n what_o to_o be_v do_v to_o prevent_v inflammation_n you_o must_v observe_v that_o before_o you_o make_v the_o operation_n it_o be_v necessary_a to_o apply_v on_o the_o eye_n some_o defensative_a make_v with_o aque_fw-la plantag_n rosar_n album_fw-la ovi_fw-la ol._n rosar_n &_o tutiae_fw-la you_o continue_v to_o use_v it_o until_o there_o be_v no_o more_o fear_n of_o inflammation_n when_o the_o operation_n be_v finish_v you_o order_v the_o patient_n to_o lie_v on_o his_o back_n that_o the_o matter_n of_o the_o tear_n may_v take_v its_o course_n through_o the_o aperture_n that_o have_v be_v make_v you_o must_v have_v regard_n to_o two_o circumstance_n the_o first_o to_o stay_v till_o the_o rottenness_n be_v destroy_v before_o you_o procure_v the_o generation_n of_o flesh_n the_o second_o to_o hinder_v the_o cicatrise_v from_o rise_v too_o high_a which_o will_v be_v a_o very_a disagreeable_a deformity_n final_o you_o apply_v a_o plaster_n compress_v and_o a_o handkerchief_n across_o or_o the_o lachrimal_a band._n chap._n xxix_o of_o the_o polypus_n for_o to_o have_v a_o idea_n of_o the_o generation_n of_o the_o polypus_n you_o be_v only_o to_o call_v to_o mind_n what_o we_o have_v advance_v when_o we_o speak_v of_o a_o sarcoma_n and_o to_o make_v at_o the_o same_o time_n some_o reflection_n upon_o the_o structure_n of_o the_o part_n viz._n upon_o the_o nature_n of_o the_o inferor_n membrain_n of_o the_o nose_n which_o be_v very_o thick_a spungy_a penitrable_a actual_o water_v and_o imbue_v with_o a_o viscous_a glewy_a humour_n which_o be_v all_o the_o requisite_a and_o necessary_a circumstance_n for_o to_o make_v we_o think_v that_o it_o contribute_v much_o to_o the_o formation_n of_o the_o polypus_n by_o reason_n its_o porosity_n be_v so_o dispose_v that_o they_o let_v pass_v nothing_o but_o the_o most_o crass_a and_o fungous_a particle_n of_o the_o blood_n which_o be_v very_o fit_a to_o produce_v some_o excrescence_n generation_n true_a cause_n of_o its_o generation_n to_o explain_v right_o this_o generation_n we_o must_v only_o admit_v a_o little_a more_o heat_n and_o intempery_n in_o the_o blood_n the_o intempery_n increase_v the_o motion_n and_o exaltation_n of_o those_o viscous_a particle_n and_o the_o heat_n fix_v and_o condense_n they_o by_o dissipate_v their_o humidity_n wherefore_o it_o be_v not_o to_o be_v wonder_v at_o if_o there_o abundance_n and_o profusion_n towards_o a_o spungy_a part_n furnish_v the_o matter_n of_o a_o polypus_n this_o humour_n i_o say_v though_o agitate_a stop_v in_o the_o contexture_n of_o this_o membrain_n it_o the_o contexture_n of_o this_o membrain_n it_o extend_v the_o vessel_n blow_v up_o the_o gland_n dilate_v the_o excressory_a channel_n and_o oblige_v all_o these_o part_n to_o rise_v in_o a_o tumour_n as_o well_o by_o its_o thick_a consistency_n as_o too_o great_a intempery_n which_o make_v it_o be_v no_o more_o in_o a_o condition_n to_o pass_v through_o the_o porosity_n of_o the_o vessel_n that_o contain_v it_o and_o so_o it_o congeal_v and_o by_o a_o strange_a heat_n change_v into_o a_o fungous_a and_o carcinomatous_a substance_n so_o that_o by_o the_o addition_n and_o presence_n of_o a_o new_a matter_n the_o polypus_n grow_v insensible_a until_o it_o be_v entire_o inform_v of_o polypus_n some_o be_v schirrou_n polypus_n difference_n of_o polypus_n some_o be_v schirrou_n and_o some_o painful_a there_o be_v some_o which_o change_v into_o a_o
cancerous_a ulcer_n and_o be_v most_o ordinary_o the_o consequence_n of_o some_o neglect_a venereal_a distemper_n who_o leaven_n retire_v and_o nestles_a in_o diverse_a corner_n of_o the_o body_n where_o it_o lie_v a_o considerable_a time_n without_o manifest_v itself_o or_o produce_v its_o effect_n some_o of_o they_o be_v white_a soft_a and_o some_o red_a the_o latter_a be_v the_o less_o adherent_a and_o easy_a cure_v the_o operation_n be_v never_o practise_v in_o the_o painful_a nor_o schirrou_n the_o painful_a be_v of_o difficult_a cure_n the_o schirrou_n endure_v best_o the_o action_n of_o caustic_a medicine_n those_o that_o ulcerate_v and_o become_v concerous_a be_v sometime_o conquer_v with_o such_o remedy_n as_o be_v employ_v in_o the_o pox._fw-la the_o cure_n of_o the_o soft_a white_z and_o red_a particular_o when_o they_o have_v a_o body_n and_o be_v considerable_o grow_v be_v easy_o bring_v to_o perfection_n by_o the_o operation_n or_o by_o catheretic_n medicine_n operation_n how_o to_o perform_v the_o operation_n the_o operation_n consist_v in_o pinch_v the_o polypus_n by_o the_o root_n with_o a_o particular_a pair_n of_o forceps_fw-la which_o we_o turn_v from_o one_o fide_fw-la to_o another_o and_o pull_v by_o little_a and_o little_a we_o tear_v off_o the_o polypus_n with_o its_o root_n when_o you_o have_v extract_v it_o the_o patient_a snuff_n up_o some_o wine_n into_o his_o nose_n if_o a_o flux_n of_o blood_n follow_v you_o blow_v up_o some_o astringent_a powder_n to_o absorb_v the_o blood_n and_o dry_v up_o the_o ulcer_n they_o be_v sometime_o so_o considerable_a that_o they_o occupy_v partly_o the_o narrow_a of_o the_o throat_n and_o so_o hinder_v the_o respiration_n and_o deglutition_n in_o this_o occasion_n we_o endeavour_v to_o extract_v it_o through_o the_o mouth_n with_o crooked_a forceps_n chap._n xxx_o of_o the_o cataract_n cataract_n several_a opinion_n concern_v the_o cause_n of_o a_o cataract_n those_o that_o have_v treat_v of_o the_o cataract_n be_v divide_v in_o their_o opinion_n concern_v the_o cause_n that_o produce_v it_o the_o one_o have_v maintain_v that_o its_o only_a a_o obstruction_n of_o the_o apple_n of_o the_o eye_n form_v by_o the_o most_o viscous_a part_n of_o the_o watery_a humour_n which_o be_v shut_v up_o between_o the_o cronea_fw-la and_o wea_n other_o think_v to_o hit_v better_o have_v advance_v that_o it_o be_v a_o web_n which_o be_v form_v before_o the_o crystalline_a humour_n however_o i_o conceive_v the_o cataract_n to_o be_v form_v after_o this_o manner_n cataract_n the_o author_n opnion_n concern_v the_o cause_n of_o a_o cataract_n all_o the_o world_n agree_v that_o all_o the_o part_n be_v form_v from_o the_o first_o moment_n of_o conformation_n and_o we_o can_v demonstrate_v by_o these_o incontestable_a principle_n that_o there_o be_v never_o a_o cist_n or_o membrane_n generate_v absolutely-against_a nature_n and_o that_o these_o cist_n and_o cataract_n which_o come_v so_o frequent_o or_o to_o say_v better_o which_o appear_v and_o become_v sensible_a to_o our_o eye_n be_v nothing_o else_o than_o the_o unfolding_n of_o the_o membrane_n and_o the_o little_a pellicles_n which_o compose_v the_o part_n from_o which_o i_o conclude_v that_o the_o cataract_n begin_v only_o to_o be_v form_v by_o a_o little_a pellicle_n which_o separate_v its_o self_n from_o the_o crystalline_a and_o swim_v in_o the_o aqueous_a humour_n which_o carry_v it_o from_o one_o place_n to_o another_o according_a to_o the_o various_a motion_n we_o give_v to_o the_o eye_n humour_n the_o composition_n of_o the_o crystalline_a humour_n which_o we_o may_v without_o pain_n conceive_v if_o we_o consider_v that_o this_o humour_n be_v nothing_o but_o a_o composition_n of_o several_a little_a pellicles_n one_o lay_v upon_o another_o and_o which_o may_v easy_o be_v take_v asunder_o after_o it_o be_v boil_v so_o that_o if_o we_o couch_v the_o cataract_n when_o it_o be_v quite_o frame_v you_o change_v in_o a_o manner_n the_o figure_n of_o the_o crystalline_a that_o be_v to_o say_v of_o convex_a it_o be_v make_v flat_a now_o this_o humour_n be_v no_o more_o so_o convex_a as_o it_o shall_v be_v there_o must_v a_o weak_a refraction_n follow_v from_o it_o and_o consequent_o some_o confusion_n i_o say_v cataract_n a_o inconvenience_n which_o always_o follow_v upon_o the_o couch_a a_o cataract_n that_o the_o beam_n which_o come_v from_o every_o visible_a point_n of_o a_o object_n and_o which_o enter_v into_o the_o eye_n at_o a_o certain_a distance_n be_v never_o soon_o enough_o break_v by_o reason_n of_o the_o flatness_n of_o the_o crystalline_a to_o be_v unite_v when_o they_o come_v to_o the_o retina_fw-la which_o cause_v we_o to_o see_v the_o object_n confuse_o we_o help_v this_o inconvenience_n by_o the_o mean_n of_o a_o convex_a glass_n which_o regulate_v the_o distance_n that_o be_v necessary_a to_o make_v the_o refraction_n more_o favourable_a and_o that_o the_o retina_fw-la may_v stand_v just_a at_o the_o reunion_n of_o the_o beam_n which_o paint_v in_o minature_n upon_o this_o coat_n the_o image_n of_o the_o object_n from_o whence_o it_o follow_v that_o those_o who_o cataract_n have_v be_v couch_v never_o perceive_v object_n so_o distinct_o as_o other_o when_o first_o they_o begin_v to_o be_v form_v and_o keep_v as_o yet_o their_o transparency_n one_o see_v the_o object_n as_o if_o it_o be_v through_o a_o cloud_n and_o then_o we_o call_v they_o suffusion_n this_o little_a pellicle_n change_v colour_n and_o consistence_n and_o come_v to_o be_v more_o or_o less_o thick_a according_a to_o the_o nature_n of_o the_o juice_n with_o which_o it_o be_v water_v and_o the_o mixture_n of_o the_o humour_n which_o render_v it_o opake_v and_o impenetrable_a to_o the_o light_n cataract_n different_a colour_n of_o cataract_n this_o make_v all_o the_o difference_n of_o cataract_n there_o be_v some_o white_a some_o of_o a_o lead_n colour_n some_o green_a yellow_a pearl-coloured_a other_o of_o the_o colour_n of_o sea-water_n or_o of_o burnish_a iron_n cataract_n other_o difference_n of_o cataract_n some_o be_v lactaceous_a as_o the_o white_a one_o some_o be_v more_o harden_v thin_a dry_a and_o consequent_o more_o capable_a to_o bear_v the_o needle_n as_o those_o like_a pearl_n or_o burnish_a iron_n on_o the_o contrary_a the_o black_a green_a and_o yellow_a be_v thick_a extreme_o adherent_a and_o very_o difficult_a to_o couch_v there_o be_v other_o which_o be_v hard_o like_o parchment_n and_o which_o have_v a_o sort_n of_o elastic_a virtue_n which_o be_v the_o cause_n why_o after_o they_o be_v couch_v they_o rise_v present_o again_o the_o lactaceous_a or_o milky_a can_v resist_v the_o needle_n by_o reason_n of_o their_o little_a consistence_n and_o fluidity_n ripe_a to_o know_v when_o a_o cataract's_n ripe_a you_o may_v know_v when_o the_o cataract_n be_v in_o a_o condition_n to_o be_v couch_v when_o in_o dilate_v the_o pupilla_fw-la by_o rub_v the_o eye_n they_o remain_v fix_v without_o any_o motion_n if_o the_o beam_n of_o a_o candle_n that_o pass_v through_o a_o bottle_n full_a of_o water_n or_o a_o crystal_n make_v the_o patient_n perceive_v some_o colour_n it_o be_v a_o sign_n the_o cataract_n be_v not_o quite_o form_v i_o do_v not_o speak_v here_o of_o the_o cause_n of_o the_o alteration_n in_o the_o crystalline_a and_o of_o the_o different_a change_n of_o the_o cataract_n i_o shall_v have_v be_v oblige_v to_o speak_v of_o the_o nature_n of_o colour_n but_o time_n have_v not_o give_v i_o leave_v therefore_o i_o pass_v to_o the_o operation_n operation_n how_o to_o perform_v the_o operation_n you_o place_v the_o patient_n in_o a_o very_a light_a place_n a_o servant_n hold_v his_o head_n behind_o take_v care_n to_o cover_v the_o sound_a eye_n that_o he_o may_v not_o turn_v aside_o then_o bid_v the_o patient_n turn_v his_o eye_n towards_o his_o nose_n the_o operator_n with_o a_o round_a or_o flat_a needle_n have_v a_o handle_n pierce_v the_o conjunctiva_fw-la near_o the_o cornea_n at_o the_o little_a angle_n and_o he_o pass_v through_o it_o the_o point_n of_o the_o needle_n from_o the_o aqueous_a humour_n you_o place_v it_o on_o the_o cataract_n and_o endeavour_v to_o couch_v it_o gentle_o keep_v it_o a_o little_a while_n under_o if_o the_o patient_n distinguish_v the_o object_n it_o be_v a_o sign_n the_o cataract_n be_v couch_v but_o if_o it_o rise_v again_o we_o be_v oblige_v to_o reiterate_v the_o operation_n and_o to_o hold_v it_o long_o down_o with_o the_o needle_n after_o which_o you_o apply_v on_o the_o eye_n a_o medicine_n make_v with_o aque_fw-la plantag_n rosar_n &_o alb_n ovi_fw-la with_o a_o compress_v and_o handkerchief_n across_o chap._n xxxi_o of_o wound_n of_o the_o head_n etc._n a_o simple_a wound_n of_o the_o head_n may_v be_v cure_v by_o suture_a etc._n etc._n we_o have_v make_v you_o observe_v in_o the_o begin_n of_o this_o treatise_n that_o a_o simple_a wound_n of_o
utter_o impede_v in_o the_o part_n the_o tumour_n increase_v the_o part_n retain_v all_o those_o particle_n which_o will_v have_v escape_v through_o the_o pore_n the_o extravasated_a humour_n be_v in_o a_o great_a quantity_n proportionable_a to_o the_o part_n which_o contain_v it_o compress_n the_o flesh_n and_o vessel_n and_o of_o necessity_n cause_v a_o mortification_n behold_v the_o true_a cause_n of_o gangrene_n which_o come_v upon_o inflammation_n contusion_n aneurism_n and_o erisipelas_n all_o these_o cause_n have_v be_v very_o well_o observe_v by_o ettmuller_n when_o he_o say_v hinc_fw-la est_fw-la quod_fw-la vix_fw-la saepius_fw-la oriuntur_fw-la gangrene_n &_o sphaceli_fw-la quam_fw-la ex_fw-la inflammationibus_fw-la male_a curatis_fw-la imprimis_fw-la si_fw-la partis_fw-la inflamatae_n per_fw-la emplastica_fw-la imprudenter_fw-la admota_fw-la impediatur_fw-la insensilis_fw-la transpiratio_fw-la tunc_fw-la sanguis_fw-la extravasatus_fw-la stagnat_fw-la corrumpitur_fw-la ex_fw-la toto_fw-la putrescit_fw-la &_o partis_fw-la inflammate_v gangrenam_fw-la post_fw-la se_fw-la trahit_fw-la in_o primis_fw-la erisipelata_fw-la per_fw-la ungt_fw-fr oleosa_fw-mi ac_fw-la muilaginosa_fw-la insulsae_fw-la tractata_fw-la subito_fw-la serpentem_fw-la inducunt_fw-la gangrenam_fw-la but_o these_o cause_n have_v produce_v their_o effect_n there_o be_v that_o augment_v it_o and_o which_o give_v even_o occasion_n that_o it_o be_v communicate_v to_o the_o nigh_o part_n it_o be_v the_o corruption_n of_o the_o blood_n and_o extravasated_a humour_n in_o a_o simple_a inflammation_n when_o the_o blood_n be_v extravasated_a and_o can_v be_v discuss_v it_o change_v into_o pus_fw-la this_o change_n be_v not_o only_o cause_v by_o the_o action_n of_o the_o principle_n of_o the_o extravasated_a blood_n but_o also_o by_o the_o soft_a influence_n of_o the_o blood_n and_o spirit_n which_o be_v contain_v in_o the_o neighbour_a part_n this_o make_v that_o the_o pus_fw-la be_v not_o altogether_o a_o strange_a substance_n and_o enemy_n to_o nature_n but_o as_o i_o have_v show_v that_o the_o access_n of_o the_o blood_n be_v entire_o press_v towards_o the_o gangrened_a part_n and_o the_o circulation_n very_o often_o intercept_v it_o so_o happen_v that_o the_o extravasated_a blood_n be_v so_o far_o from_o be_v convert_v into_o pus_fw-la that_o it_o degenerate_v into_o a_o virulent_a sanies_fw-la which_o first_o cause_v blister_n upon_o the_o part_n and_o then_o by_o its_o acrimony_n gnaw_v the_o gangren_a part_n and_o insensible_o corrupt_v those_o that_o be_v sound_a which_o make_v the_o gangrene_n become_v so_o angry_a that_o it_o attack_n even_o the_o part_n that_o suffer_v no_o inflammation_n of_o the_o rest_n the_o gangrene_n which_o follow_v upon_o inflammation_n attack_v rather_o the_o soft_a and_o fungous_a part_n than_o other_o other_o why_o the_o soft_a part_n gangrenate_n soon_o than_o other_o as_o the_o gum_n lip_n vulva_fw-la and_o membrum_fw-la virile_a intestine_a and_o brain_n the_o reason_n be_v these_o part_n be_v very_o soft_a and_o spungy_a imbibe_n a_o a_o great_a quantity_n of_o humour_n beside_o the_o most_o of_o they_o have_v no_o muscle_n that_o may_v squeeze_v the_o blood_n which_o make_v it_o easy_o lie_v cake_v there_o gangrene_n ulcer_n wound_n scorbutic_a spot_n and_o sharp_a medicine_n may_v cause_v a_o gangrene_n five_o gangrene_n come_v upon_o ulcer_n wound_n scorbutic_a spot_n and_o upon_o the_o application_n of_o sharp_a and_o corrosive_a medicine_n which_o happen_v two_o way_n 1._o when_o pain_n which_o accompany_v all_o these_o symptom_n cause_n often_o great_a inflammation_n on_o which_o follow_v gangrene_n 2._o from_o the_o actual_a cautery_n from_o pus_fw-la and_o sanies_fw-la come_v from_o gnaw_a ulcer_n from_o scorbutic_a spot_n and_o from_o sharp_a and_o corrosive_a medicine_n which_o cauterise_v the_o cutis_fw-la and_o vessel_n so_o the_o blood_n be_v no_o more_o send_v into_o the_o part_n they_o lose_v their_o motion_n and_o life_n gangrene_n malignity_n may_v cause_v gangrene_n final_o all_o author_n do_v admit_v a_o malign_a and_o occult_a cause_n of_o a_o gangrene_n from_o thence_o they_o say_v come_v the_o gangrene_n in_o the_o plague_n as_o carbuncle_n which_o sometime_o in_o 24_o hour_n time_n cause_v a_o entire_a mortification_n of_o a_o part_n to_o the_o same_o cause_n they_o attribute_v the_o gangrene_n which_o happen_v on_o malignant_a fever_n and_o sometime_o after_o the_o small_a pox_n by_o a_o depositum_fw-la or_o crisis_n of_o the_o matter_n which_o the_o disease_n make_v in_o some_o part_n last_o it_o be_v this_o way_n which_o they_o pretend_v to_o explicate_v the_o action_n of_o poison_n and_o bite_v of_o venomous_a animal_n which_o they_o say_v will_v cause_v a_o gangrene_n but_o without_o have_v recourse_n to_o the_o malign_v and_o occult_a quality_n of_o the_o plague_n be_v we_o to_o wonder_v at_o carbuncle_n cause_v a_o mortification_n in_o any_o part_n mortify_v why_o a_o carbuncle_n mortify_v since_o the_o humour_n which_o produce_v they_o be_v in_o the_o high_a degree_n of_o sharpness_n and_o corrosion_n it_o gnaw_v the_o flesh_n and_o cauterise_n the_o vessel_n so_o it_o be_v evident_a the_o part_n must_v mortify_v the_o same_o thing_n may_v be_v say_v of_o the_o matter_n of_o malign_v fever_n and_o of_o the_o small_a pox_n where_o the_o blood_n be_v load_v with_o sharp_a and_o malign_a particle_n if_o so_o be_v that_o this_o acrimony_n can_v be_v overcome_v by_o nature_n or_o by_o medicine_n there_o be_v a_o depositum_fw-la make_v of_o it_o in_o some_o part_n where_o the_o sharp_a and_o corrosive_a humour_n do_v not_o fail_v to_o gnaw_v the_o flesh_n cauterise_v the_o vessel_n and_o even_o to_o rot_v the_o very_a bone_n as_o we_o have_v see_v in_o many_o example_n i_o say_v the_o same_o thing_n of_o poison_n that_o do_v not_o work_v but_o by_o their_o acrimony_n of_o which_o some_o be_v acid_a and_o other_o abound_v with_o lixivial_a salt_n but_o always_o they_o produce_v the_o same_o effect_n as_o we_o daily_o see_v it_o happen_v by_o the_o application_n of_o acid_n and_o potential_a cautery_n after_o the_o explication_n of_o the_o cause_n we_o must_v pass_v to_o the_o sign_n and_o difference_n of_o a_o gangrene_n as_o for_o the_o difference_n its_o easy_a to_o draw_v they_o from_o their_o cause_n i_o pass_v to_o the_o sign_n which_o be_v of_o more_o importance_n etc._n sign_n of_o a_o gangrene_n from_o want_n of_o spirit_n etc._n etc._n the_o sign_n of_o a_o gangrene_n which_o attack_z old_a people_n and_o which_o come_v from_o the_o want_n of_o spirit_n be_v know_v by_o that_o they_o feel_v neither_o pain_n nor_o have_v inflammation_n the_o part_n fade_v away_o and_o be_v as_o it_o be_v deprive_v of_o sense_n and_o motion_n which_o make_v they_o die_v insensible_o dropsy_n sign_n for_o the_o dropsy_n in_o a_o gangrene_n which_o succeed_v the_o dropsy_n there_o be_v but_o a_o slight_a pain_n in_o the_o beginning_n but_o afterward_o the_o leg_n inflame_v and_o the_o pain_n augment_v cold._n sign_n from_o cold._n if_o it_o be_v cause_v from_o external_n cold_a the_o pain_n be_v present_o sharp_a the_o part_n grow_v red_a livid_n and_o then_o black_a at_o last_o the_o spirit_n forsake_v it_o and_o mortification_n seize_v accompany_v with_o a_o shiver_a like_o that_o in_o a_o ague_n etc._n sign_n from_o compression_n tumor_n luxation_n etc._n etc._n if_o the_o gangrene_n be_v the_o consequence_n of_o some_o compression_n as_o of_o too_o narrow_a ligature_n tumor_n luxation_n fracture_n or_o of_o too_o long_o lie_v on_o the_o back_n it_o be_v know_v by_o the_o benumb_a or_o by_o a_o total_a privation_n of_o feeling_n and_o motion_n according_a as_o the_o compression_n be_v more_o or_o less_o strong_a etc._n sign_n from_o inflammation_n etc._n etc._n if_o it_o be_v cause_v by_o inflammation_n the_o pain_n and_o pulsation_n cease_v the_o part_n which_o be_v red_a grow_v pale_a and_o livid_n there_o be_v some_o little_a blister_n form_v upon_o the_o surface_n of_o the_o skin_n fill_v with_o salt_n water_n like_o muddy_a wine_n the_o heat_n be_v extinguish_v the_o part_n grow_v soft_a and_o wither_v so_o that_o be_v press_v with_o the_o finger_n the_o dent_n remain_v final_o if_o the_o mortification_n be_v perfect_a the_o patient_n fall_v into_o great_a weakness_n accompany_v with_o a_o burn_a malignant_a fever_n with_o vomit_v and_o several_a other_o symptom_n which_o show_n that_o the_o mass_n of_o blood_n be_v very_o much_o oppress_v and_o death_n must_v needs_o follow_v upon_o it_o etc._n sign_n from_o repercussive_n etc._n etc._n the_o gangrene_n which_o be_v produce_v by_o the_o use_n of_o repercussive_n and_o emplastic_a remedy_n be_v accompany_v with_o the_o same_o accident_n medicine_n sign_n from_o caustic_n medicine_n the_o sign_n of_o that_o which_o come_v from_o the_o use_n of_o actual_a cautery_n and_o caustick_a remedy_n be_v almost_o always_o the_o same_o as_o in_o that_o which_o proceed_v from_o too_o strong_a compression_n malignity_n sign_n from_o malignity_n as_o for_o the_o gangrene_n which_o come_v from_o
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
ascite_n the_o urinal_n be_v red_a muddy_a and_o lixivious_a the_o patient_n have_v excessive_a thirst_n slow_a fever_n and_o difficulty_n of_o urin._n i_o shall_v not_o trouble_v myself_o to_o tell_v you_o the_o ancient_n opinion_n concern_v the_o cause_n of_o the_o dropsy_n dropsy_n four_o chief_a cause_n of_o the_o dropsy_n but_o suppose_v these_o four_o thing_n contribute_v to_o its_o formation_n viz._n 1._o indigestion_n of_o the_o chyle_n 2._o loose_a texture_n of_o the_o part_n 3._o slowness_n of_o the_o blood_n circulation_n 4._o a_o general_a dissolution_n of_o its_o whole_a mass_n chyle_n 1._o indigestion_n of_o the_o chyle_n i_o begin_v first_o with_o indigestion_n of_o the_o chyle_n which_o almost_o always_o proceed_v from_o the_o alteration_n of_o the_o dissolvent_n that_o serve_v for_o the_o preparation_n and_o the_o consummation_n of_o their_o oil_n and_o viscosity_n when_o the_o chyle_n be_v well_o temper_a prepare_v and_o free_v from_o the_o course_n particle_n it_o be_v nothing_o but_o a_o buttery_n mass_n which_o pass_v into_o the_o venae_fw-la lacteae_fw-la and_o from_o thence_o into_o the_o right_a ventricle_n of_o the_o heart_n to_o be_v unite_v with_o the_o blood_n which_o come_v from_o all_o part_n deprive_v of_o its_o oil_n and_o most_o active_a principle_n and_o serve_v for_o a_o vehicle_n and_o balm_n for_o new_a nourishment_n it_o be_v this_o lactaceous_a liquor_n well_o depurate_v and_o extreme_o fluid_a which_o entertain_v the_o part_n and_o which_o by_o its_o mixture_n unite_v and_o tie_v in_o the_o heart_n the_o two_o substance_n of_o blood_n viz._n the_o white_a part_n to_o the_o red_a which_o substance_n well_o join_v make_v a_o whole_a neither_o too_o fluid_a nor_o solid_a but_o such_o as_o nature_n judge_n most_o proper_a to_o circulate_v without_o obstacle_n in_o the_o vessel_n but_o if_o by_o chance_n the_o oil_n of_o the_o blood_n and_o other_o humour_n with_o which_o it_o be_v furnish_v shall_v happen_v to_o be_v dissipate_v either_o by_o violent_a exercise_n too_o serious_a meditation_n extreme_a grief_n or_o by_o the_o abundance_n and_o exaltation_n of_o the_o salt_n the_o chyle_n must_v of_o necessity_n grow_v sour_a become_v indigested_a serous_a and_o incapable_a of_o any_o union_n then_o it_o be_v so_o far_o from_o preserve_v the_o consistence_n of_o the_o blood_n that_o it_o rather_o dissolve_v liquefy_v and_o dispose_v it_o to_o make_v obstruction_n rheumatism_n dropsy_n etc._n etc._n because_o the_o arterial_a blood_n not_o be_v able_a to_o receive_v through_o this_o indigestion_n and_o the_o preparation_n and_o trituration_n necessary_a for_o the_o life_n of_o the_o part_n it_o be_v course_n must_v be_v in_o a_o manner_n intercept_v pass_v into_o the_o vesicles_n or_o rather_o space_n between_o the_o porosity_n of_o the_o artery_n and_o vein_n where_o the_o little_a oil_n free_v and_o disengage_v its_o self_n from_o the_o other_o principle_n which_o it_o have_v take_v hold_n of_o before_o to_o change_v into_o our_o proper_a substance_n so_o that_o the_o serosity_n of_o the_o blood_n be_v at_o full_a liberty_n and_o have_v lose_v a_o part_n of_o its_o motion_n pour_v itself_o into_o the_o space_n which_o it_o meet_v with_o part_n 2._o loose_a texture_n of_o the_o part_n and_o so_o cause_v the_o dropsy_n according_a to_o the_o texture_n of_o the_o part_n which_o we_o have_v suppose_v more_o or_o less_o lax_n circulation_n 3._o slow_a circulation_n we_o must_v now_o explain_v that_o cause_n which_o proceed_v from_o the_o slow_a circulation_n of_o the_o venal_a blood_n that_o we_o may_v have_v a_o idea_n of_o it_o we_o must_v examine_v by_o what_o mechanism_n this_o blood_n be_v carry_v back_o to_o the_o ventricle_n of_o the_o heart_n which_o be_v the_o focus_n of_o its_o â—â—â—ion_n artery_n how_o the_o venal_a blood_n be_v carry_v to_o the_o artery_n i_o set_v first_o omit_v the_o organ_n of_o respiration_n and_o the_o assistance_n of_o the_o valve_n three_o principal_a mover_n which_o oblige_v the_o venal_a blood_n to_o pass_v through_o the_o heart_n 1._o the_o pulsation_n of_o the_o artery_n 2._o the_o motion_n of_o the_o muscle_n 3._o the_o mixture_n of_o the_o lympha_fw-la if_o the_o pulsation_n of_o the_o artery_n be_v weaken_v blood_n 1._o pulsation_n of_o the_o artery_n help_v the_o motion_n of_o the_o blood_n the_o motion_n of_o the_o venal_a blood_n must_v be_v lessen_v because_o the_o artery_n beat_v and_o actual_o flagellate_v those_o vessel_n and_o so_o oblige_v the_o blood_n which_o they_o contain_v to_o repair_v to_o the_o heart_n with_o a_o wonderful_a facility_n muscle_n 2._o motion_n of_o the_o muscle_n the_o motion_n of_o the_o muscle_n be_v much_o more_o important_a to_o hasten_v the_o circulation_n of_o this_o liquor_n they_o be_v as_o so_o many_o hand_n which_o press_v the_o vessel_n that_o penetrate_v or_o pass_v through_o they_o and_o determine_v the_o liquor_n which_o they_o contain_v to_o a_o quick_a discharge_n into_o their_o recepticle_n so_o that_o if_o they_o have_v lose_v a_o part_n of_o their_o motion_n for_o want_v of_o spirit_n the_o circulation_n of_o this_o course_n blood_n will_v be_v as_o it_o be_v supend_v in_o the_o vein_n lympha_fw-la 3._o the_o lympha_fw-la in_o the_o three_o place_n i_o say_v that_o the_o lympha_fw-la dispose_v itself_o in_o the_o vein_n to_o make_v the_o blood_n more_o fluid_a and_o fit_a to_o circulate_v no_o it_o be_v certain_a if_o its_o course_n be_v impede_v either_o in_o the_o gland_n or_o lymphatic_a vessel_n the_o blood_n will_v circulate_v much_o slow_a for_o want_v of_o a_o dissolvent_a this_o be_v suppose_v that_o indigestion_n of_o the_o blood_n slow_a and_o dull_a pulsation_n of_o the_o artery_n weak_a motion_n of_o the_o muscle_n and_o interruption_n of_o the_o course_n of_o the_o lympha_fw-la be_v cause_n which_o concur_v somewhat_o to_o impede_fw-la the_o circulation_n of_o the_o venal_a blood_n poor_a the_o venal_a blood_n very_o poor_a which_o be_v a_o blood_n deprive_v of_o its_o spirituous_a particle_n have_v no_o consistence_n or_o strait_a union_n between_o they_o then_o the_o serosity_n which_o serve_v the_o rest_n of_o the_o blood_n as_o a_o matrix_fw-la separate_v itself_o from_o it_o as_o the_o serosity_n of_o milk_n from_o the_o curd_n it_o transpire_v between_o the_o interval_n of_o the_o fibre_n or_o pour_v itself_o out_o as_o a_o gentle_a rain_n in_o some_o capacity_n for_o to_o frame_v both_o kind_n of_o dropsy_n two_o experiment_n confirm_v i_o in_o this_o opinion_n the_o first_o be_v that_o if_o we_o make_v the_o ligature_n of_o the_o vein_n in_o some_o part_n and_o that_o one_o hinder_v the_o passage_n of_o the_o blood_n it_o do_v not_o fail_v to_o be_v overflow_v in_o a_o short_a time_n leg_n big_a belly_a woman_n subject_a to_o hydropical_a leg_n the_o second_o be_v we_o observe_v that_o most_o big_a belly_a woman_n have_v hydropic_a leg_n or_o at_o lest_o varices_fw-la this_o be_v a_o matter_n of_o fact_n not_o to_o be_v dispute_v and_o which_o be_v easy_o explain_v only_o by_o the_o disposition_n of_o the_o part_n we_o observe_v that_o as_o the_o foetus_fw-la grow_v big_a it_o enlarge_v the_o matrix_fw-la and_o compress_n so_o much_o the_o iliac_n and_o crurel_n vein_n which_o be_v near_o that_o the_o blood_n which_o come_v from_o the_o inferior_a part_n not_o have_v the_o liberty_n to_o move_v as_o it_o use_v to_o do_v by_o reason_n of_o this_o compression_n there_o must_v a_o dropsy_n follow_v as_o we_o have_v show_v blood_n dissolution_n of_o the_o blood_n what_o belong_v to_o the_o cause_n of_o the_o dropsy_n which_o proceed_v from_o the_o dissolution_n of_o the_o blood_n we_o have_v already_o remark_v when_o he_o speak_v of_o indigestion_n of_o the_o chyle_n that_o nothing_o be_v so_o capable_a of_o destroy_v and_o consume_v the_o oil_n of_o the_o blood_n as_o the_o abundance_n and_o exaltation_n of_o the_o sharp_a and_o tartarous_a salt_n it_o be_v by_o the_o mean_n of_o their_o action_n that_o we_o explain_v how_o scorbutic_a hypocondriac_n lienteric_a person_n and_o those_o who_o lie_v long_o in_o prison_n become_v hydropical_a which_o we_o can_v not_o easy_o demonstrate_v if_o we_o do_v not_o admit_v the_o motion_n and_o agitation_n of_o the_o cut_n and_o corrosive_a particle_n which_o put_v the_o principle_n of_o the_o blood_n to_o the_o rout_n and_o disunite_v they_o so_o that_o the_o sarum_n escape_v on_o all_o side_n and_o give_v way_n for_o the_o dropsy_n to_o seize_v on_o some_o part_n whether_o it_o transpire_v in_o form_n of_o a_o dew_n through_o the_o tunicle_n and_o membrane_n or_o filter_n between_o their_o fibre_n or_o the_o gland_n let_v it_o escape_v or_o it_o be_v spill_v by_o the_o interruption_n of_o its_o most_o insensible_a vessel_n in_o the_o void_a space_n which_o present_v themselves_o at_o their_o passage_n it_o will_v always_o be_v true_o say_v that_o the_o part_n which_o nature_n have_v a_o mind_n
the_o 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
the_o peritonaeum_fw-la come_v only_o a_o clear_a and_o lump_n water_n the_o intestine_a obey_v when_o you_o pull_v it_o provide_v it_o adhere_v not_o to_o the_o neighbour_a part_n different_z from_o the_o peritonaeum_fw-la which_o obey_v very_o little_a and_o the_o patient_n feel_v always_o a_o dull_a pain_n these_o be_v the_o chief_a sign_n which_o ought_v to_o make_v a_o surgeon_n circumspect_a i_o pass_v to_o the_o particular_n of_o the_o operation_n the_o intestine_a be_v discover_v you_o slip_v your_o hollow_a probe_n between_o the_o membrane_n of_o the_o scrotum_fw-la and_o the_o body_n of_o the_o intestine_a for_o to_o widen_v the_o aperture_n and_o to_o discover_v it_o naked_a to_o be_v able_a to_o separate_v it_o the_o easy_a from_o the_o testicle_n a_o servant_n lift_v the_o intestine_a and_o pull_v it_o gentle_o with_o his_o hand_n towards_o the_o pubis_fw-la whilst_o the_o surgeon_n pull_v light_o the_o testicle_n with_o his_o hand_n to_o have_v the_o liberty_n to_o break_v with_o the_o fleam_n or_o point_n of_o the_o bistory_n the_o membranous_a tie_n observe_v always_o to_o cut_v they_o near_o to_o the_o testicle_n than_o intestine_a if_o their_o adherance_n be_v very_o strong_a it_o will_v be_v better_a to_o endamage_v the_o testicle_n because_o it_o be_v not_o so_o necessary_a for_o life_n and_o the_o accident_n not_o so_o dangerous_a you_o must_v always_o avoid_v the_o spermatic_a vessel_n for_o fear_v the_o blood_n trouble_v the_o operation_n have_v free_v the_o intestine_a from_o the_o testicle_n you_o introduce_v your_o hollow_a probe_n between_o the_o cutis_fw-la and_o intestine_a and_o cut_v without_o fear_n to_o the_o ring_n of_o the_o muscle_n where_o consequent_o you_o be_v oblige_v to_o give_v way_n by_o a_o new_a incision_n to_o disengage_v the_o intestine_a from_o the_o strangulation_n in_o case_n there_o be_v any_o you_o pass_v the_o three_o time_n the_o hollow_a probe_n between_o the_o ring_n and_o intestine_a stir_v it_o a_o little_a to_o be_v certain_a that_o the_o gut_n be_v no_o way_n engage_v and_o slip_v a_o crooked_a bistory_n into_o the_o hollowness_n and_o you_o cut_v from_o the_o ring_n about_o two_o line_n and_o a_o portion_n of_o the_o skin_n avoid_v a_o little_a branch_n of_o a_o artery_n which_o run_v by_o the_o aponeurosis_n of_o this_o muscle_n when_o you_o free_v the_o intestine_a by_o the_o dilation_n you_o pull_v it_o out_o a_o little_a for_o to_o disengage_v it_o from_o the_o internal_a ring_n and_o give_v liberty_n to_o the_o excrement_n which_o it_o contain_v to_o spread_v themselves_o by_o this_o mean_v it_o grow_v less_o tumid_a and_o extend_v so_o that_o the_o reduction_n of_o it_o be_v much_o more_o easy_a you_o do_v it_o with_o your_o two_o before_o finger_n and_o press_v not_o the_o intestine_a too_o much_o lest_o you_o bruise_v it_o be_v reduce_v a_o servant_n must_v press_v with_o his_o hand_n the_o neighbour_a part_n to_o hinder_v its_o fall_n out_o again_o some_o make_v several_a little_a incision_n on_o the_o circle_n of_o the_o ring_n all_o along_o the_o purse_n which_o make_v it_o incarn_v and_o cicatrise_v strong_a other_o content_v themselves_o to_o introduce_v into_o the_o ring_n a_o thick_a tent_n of_o lint_n tie_v with_o a_o wax_v thread_n and_o a_o length_n proportionable_a to_o the_o depth_n of_o the_o wound_n to_o bruise_v they_o as_o it_o be_v and_o excite_v a_o speedy_a suppuration_n some_o apply_v they_o dry_a and_o other_o dip_v in_o some_o digestive_a according_a to_o the_o pain_n which_o be_v feel_v or_o humidity_n which_o relax_n these_o part_n but_o the_o true_a method_n to_o hinder_v this_o disease_n from_o relapse_v be_v to_o introduce_v into_o the_o wound_n a_o long_a tent_n of_o lint_n which_o refist_n the_o impulsion_n of_o the_o intestine_a which_o always_o endeavour_v to_o dilate_v the_o ring_n and_o so_o often_o make_v the_o operation_n unsuccessful_a a_o servant_n hold_v it_o on_o whilst_o the_o surgeon_n apply_v the_o rest_n of_o the_o apparatus_fw-la especial_o good_a defensitives_n which_o oppose_v fluxion_n that_o may_v happen_v there_o be_v several_a practitioner_n who_o will_v that_o at_o the_o same_o time_n the_o testicle_n be_v cut_v off_o but_o this_o method_n be_v not_o approve_v of_o because_o it_o contribute_v not_o to_o the_o cure_n of_o the_o hernia_n but_o rather_o as_o experience_n demonstrate_v prolong_v the_o operation_n make_v the_o patient_n suffer_v without_o necessity_n and_o deprive_v he_o of_o the_o proper_a mean_n of_o propagation_n but_o if_o even_o the_o testicle_n shall_v be_v alter_v so_o that_o they_o can_v not_o be_v secure_v it_o will_v be_v always_o more_o advantageous_a to_o defer_v the_o operation_n till_o the_o fluxion_n be_v a_o little_a moderate_v if_o the_o omentum_fw-la be_v in_o the_o part_n and_o alter_v you_o make_v the_o ligature_n in_o the_o sound_a part_n and_o take_v off_o the_o corrupt_a it_o may_v be_v avoid_v if_o the_o tumour_n be_v recent_a and_o preserve_v in_o its_o natural_a state_n if_o it_o be_v strong_o fasten_v to_o the_o gut_n you_o must_v if_o possible_o reduce_v they_o together_o provide_v there_o appear_v no_o sign_n of_o mortification_n whether_o it_o have_v contract_v any_o tie_n with_o the_o intestine_a testicle_n ring_v of_o the_o muscle_n or_o with_o the_o production_n which_o include_v the_o spermatic_a vessel_n it_o be_v always_o better_a to_o take_v away_o some_o of_o its_o substance_n than_o of_o the_o substance_n of_o any_o of_o these_o part_n if_o necessity_n compel_v you_o to_o it_o yet_o i_o own_o if_o it_o shall_v at_o all_o adhere_v to_o the_o sack_n that_o contain_v the_o intestine_a provide_v it_o be_v sound_n it_o will_v be_v better_o to_o hurt_v the_o purse_n than_o epiploon_n but_o as_o it_o can_v remain_v long_o in_o that_o condition_n without_o be_v alter_v we_o be_v always_o force_v to_o cut_v a_o great_a portion_n of_o it_o you_o must_v take_v care_n in_o make_v the_o ligature_n that_o you_o do_v straiten_v the_o part_n too_o much_o because_o it_o be_v of_o a_o loose_a texture_n spungy_a and_o easy_a to_o be_v cut_v you_o pass_v the_o thread_n several_a time_n all_o about_o slight_o straighten_v it_o after_o have_v pass_v the_o needle_n through_o its_o substance_n in_o the_o operation_n of_o the_o bubonocele_n you_o make_v not_o so_o great_a a_o aperture_n but_o make_v it_o according_a to_o the_o extension_n and_o bigness_n of_o the_o tumour_n concern_v the_o rest_n you_o follow_v the_o same_o rule_n and_o observe_v the_o same_o circumstance_n former_o mention_v when_o you_o have_v discover_v the_o purse_n which_o make_v the_o hernia_n you_o tear_v it_o to_o piece_n dexterous_o with_o your_o nail_n or_o the_o fleam_n and_o if_o instead_o of_o the_o intestine_a you_o find_v water_n be_v not_o surprise_v with_o the_o supposal_n that_o you_o have_v hurt_v the_o intestine_a but_o take_v courage_n and_o remember_v only_o the_o sign_n of_o which_o we_o have_v speak_v which_o will_v fortify_v you_o and_o put_v you_o into_o a_o condition_n successful_o to_o perform_v the_o operation_n for_o it_o be_v only_o the_o purse_n which_o be_v full_a of_o water_n in_o which_o the_o intestine_a float_n these_o water_n be_v furnish_v by_o the_o gland_n of_o the_o internal_a surface_n of_o the_o peritonaeum_fw-la and_o by_o those_o of_o the_o intestine_n or_o by_o the_o eruption_n of_o some_o lymphatic_a vessel_n these_o be_v if_o i_o mistake_v not_o most_o of_o the_o particular_n which_o this_o operation_n contain_v after_o have_v embrocate_v with_o oil_n of_o rose_n you_o must_v apply_v good_a defensitives_n over_o the_o part_n and_o hypogastrick_n region_n with_o good_a compress_v moisten_v in_o oxycrate_n and_o sustain_v the_o application_n with_o the_o simple_a spica_fw-la in_o all_o these_o affect_n you_o must_v always_o ease_v the_o purse_n by_o a_o suspensorium_n and_o prefer_v clyster_n before_o other_o general_a medicine_n chap._n xii_o of_o castration_n occasion_v by_o sarcocele_n and_o varicocele_n this_o operation_n be_v not_o always_o to_o be_v practise_v unless_o other_o method_n prove_v ineffectual_a in_o the_o four_o follow_a case_n i_o suppose_v it_o necessary_a perform_v when_o the_o operation_n must_v be_v perform_v 1._o when_o it_o be_v so_o close_o fasten_v to_o the_o intestine_a that_o one_o be_v force_v to_o take_v much_o of_o its_o substance_n off_o the_o 2._o be_v in_o contusion_n when_o the_o vessel_n and_o vesicles_n be_v crush_v together_o and_o the_o course_n of_o the_o blood_n interrupt_v which_o be_v know_v by_o the_o blackness_n of_o the_o testicle_n and_o mortification_n which_o follow_v soon_o after_o if_o the_o progress_n of_o this_o commotion_n be_v not_o hinder_v the_o 3._o be_v when_o the_o testicle_n be_v varicous_a and_o the_o virulent_a humour_n which_o cause_n the_o tension_n and_o dilatation_n of_o the_o vessel_n can_v by_o medicine_n be_v resolve_v this_o case_n be_v not_o so_o press_v as_o
the_o other_o unless_o the_o patient_n be_v resolve_v to_o endure_v the_o operation_n the_o 4._o be_v in_o all_o old_a excrescency_n to_o have_v a_o idea_n of_o their_o generation_n you_o must_v consider_v that_o the_o one_o attack_n the_o substance_n itself_o and_o the_o other_o its_o tunicle_n after_o this_o you_o must_v look_v upon_o the_o spermatic_a artery_n as_o the_o true_a source_n and_o channel_n which_o convey_v the_o matter_n of_o which_o the_o carnosity_n be_v form_v and_o that_o the_o arterial_a blood_n furnish_v the_o testicle_n with_o the_o matter_n of_o seed_n to_o be_v prepare_v there_o let_v we_o slip_v in_o this_o elaboration_n its_o most_o greasy_a and_o viscous_a part_n which_o the_o moderate_a heat_n that_o we_o find_v there_o condense_n in_o the_o little_a channel_n which_o compose_v they_o or_o in_o their_o tunicle_n almost_o as_o the_o white_a of_o a_o egg_n harden_v over_o a_o moderate_a fire_n this_o matter_n come_v to_o swell_v and_o extend_v these_o little_a tender_a pipe_n produce_v that_o which_o we_o call_v a_o spungy_a and_o carcinomatous_a excrescence_n it_o be_v only_o a_o swell_n of_o these_o little_a filament_n which_o a_o strange_a humour_n force_v to_o rise_v in_o a_o tumour_n you_o may_v also_o observe_v that_o by_o the_o over-growing_a of_o a_o new_a matter_n it_o become_v very_o often_o so_o remarkable_a that_o one_o can_v long_o carry_v this_o burden_n without_o discharge_v it_o if_o it_o happen_v that_o by_o what_o cause_n soever_o this_o liquor_n shall_v be_v determinate_v rather_o into_o the_o membrane_n of_o the_o testicle_n than_o any_o where_o else_o and_o that_o there_o be_v form_v a_o carcinomatous_a substance_n all_o along_o the_o production_n of_o the_o peritonaeum_fw-la which_o encroach_v sometime_o upon_o the_o interior_n part_n of_o the_o belly_n i_o suppose_v that_o the_o operation_n will_v then_o be_v needless_a because_o this_o carnosity_n occupy_v not_o only_o the_o vaginal_a tunicle_n which_o be_v a_o dilatation_n of_o the_o production_n of_o the_o peritonaeum_fw-la but_o also_o the_o production_n themselves_o you_o will_v ruin_v the._n vessel_n ring_n and_o several_a part_n include_v in_o the_o hypogastrium_fw-la i_o will_v not_o repeat_v here_o the_o sign_n of_o this_o disease_n as_o for_o its_o prognostic_n prognostic_n prognostic_n they_o be_v always_o very_o bad_a because_o it_o cost_v the_o testicle_n if_o any_o carnosity_n possess_v its_o substance_n for_o it_o can_v be_v consume_v without_o destroy_v it_o and_o the_o sare_a way_n be_v the_o operation_n chap._n xiii_o of_o castration_n the_o patient_n be_v lay_v on_o his_o back_n the_o surgeon_n incise_n with_o a_o very_a sharp_a instrument_n the_o membrane_n of_o the_o scrotum_fw-la upon_o the_o body_n of_o the_o testicle_n to_o discover_v the_o carnosity_n which_o must_v be_v separate_v from_o the_o dartos_fw-la without_o offend_v the_o cover_n of_o the_o seminal_a vessel_n be_v free_v from_o the_o neighbour_a part_n you_o make_v the_o ligature_n of_o the_o vessel_n between_o the_o ring_n and_o the_o tumour_n you_o must_v cut_v they_o half_o the_o length_n of_o a_o finger_n from_o the_o ligature_n and_o take_v away_o the_o testicle_n with_o the_o sarcoma_n you_o leave_v a_o end_n of_o the_o thread_n out_o of_o the_o wound_n avoid_v to_o pull_v the_o spermatick_a vessel_n to_o you_o hard_o the_o spermatick_a vessel_n not_o to_o be_v tie_v too_o hard_o or_o compress_v they_o too_o hard_o lest_o the_o patient_n shall_v fall_v into_o a_o convulsion_n that_o they_o may_v not_o slip_v into_o the_o belly_n where_o they_o will_v shed_v blood_n and_o so_o cause_n death_n in_o a_o little_a time_n if_o the_o tumour_n be_v considerable_a scirrhous_a inflame_v painful_a and_o posfess_v both_o the_o testicle_n and_o of_o continuance_n the_o operation_n be_v very_o dangerous_a if_o the_o production_n of_o the_o peritonaeum_fw-la be_v carcinomatous_a and_o you_o have_v a_o design_n to_o make_v the_o operation_n you_o must_v first_o consume_v the_o flesh_n by_o the_o help_n of_o potential_a cautery_n or_o mollify_v they_o by_o a_o powerful_a suppuration_n yet_o it_o must_v be_v avoid_v if_o the_o tumour_n extend_v itself_o into_o the_o cavity_n of_o the_o belly_n for_o the_o reason_n before_o mention_v when_o the_o superfluous_a flesh_n be_v consume_v and_o the_o eschar_n fall_v if_o the_o vessel_n be_v preserve_v you_o make_v the_o ligature_n by_o the_o ring_n of_o the_o muscle_n and_o take_v away_o the_o testicle_n as_o i_o have_v say_v for_o shall_v you_o make_v it_o before_o the_o fall_n of_o the_o eschar_n the_o patient_n will_v suffer_v dangerous_a convulsion_n you_o fill_v the_o wound_n afterward_o with_o dossils_n dip_v in_o some_o digestive_a and_o emborate_v and_o apply_v defensitives_n compress_n with_o a_o suspensorium_fw-la order_v bleed_a clyster_n and_o other_o general_a remedy_n chap._n fourteen_o of_o hydrocele_n ascite_v a_o hydrocele_n from_o ascite_v incurable_a unless_o you_o cure_v the_o ascite_v if_o the_o hydrocele_n be_v the_o consequence_n of_o the_o dropsy_n ascite_v the_o operation_n be_v useless_a because_o there_o run_v always_o new_a matter_n which_o present_o produce_v another_o hydrocele_n so_o that_o unless_o you_o dry_v up_o the_o source_n there_o be_v no_o hope_n of_o cure_n in_o this_o the_o water_n occupy_v always_o the_o tunica_fw-la vaginalis_fw-la and_o run_v from_o the_o capacity_n of_o the_o abdomen_fw-la through_o the_o prolongation_n of_o the_o peritonaeum_fw-la all_o other_o sort_n of_o hydrocele_n proceed_v from_o the_o slow_a motion_n of_o the_o blood_n cure_n other_o cure_n or_o its_o dissolution_n fall_n and_o blow_v may_v also_o contribute_v to_o their_o formation_n the_o reason_n be_v that_o the_o blood_n stagnate_v more_o easy_o in_o these_o part_n which_o cause_v the_o serosity_n to_o separate_v from_o it_o on_o the_o same_o principle_n i_o say_v that_o the_o circumvolution_n and_o serpentine_a turn_n which_o the_o spermatick_a vein_n form_n in_o their_o root_n be_v for_o the_o most_o part_n the_o cause_n of_o it_o if_o the_o blood_n be_v the_o least_o dispose_v to_o it_o for_o see_v it_o do_v not_o circulate_v here_o but_o with_o much_o ado_n the_o serosity_n have_v time_n enough_o to_o separate_v and_o distil_v into_o the_o purse_n have_v examine_v the_o sign_n of_o the_o two_o sort_n of_o hydrocele_n when_o we_o speak_v of_o those_o of_o the_o hernia_n intestinalis_fw-la we_o will_v say_v nothing_o more_o of_o they_o than_o the_o prognostic_n which_o be_v only_o of_o ill_a consequence_n when_o the_o water_n be_v include_v in_o a_o cystis_n we_o must_v now_o examine_v all_o the_o circumstance_n of_o both_o kind_n which_o require_v two_o different_a way_n of_o operate_a we_o have_v observe_v when_o we_o treat_v of_o the_o sign_n that_o the_o first_o kind_n of_o hydrocele_n be_v distinguish_v and_o know_v when_o the_o water_n extraordinary_o swell_v and_o extend_v the_o membrane_n of_o the_o scrotum_fw-la chap._n xv._o of_o the_o operation_n of_o hydrocele_n this_o operation_n consist_v in_o make_v a_o puncture_n into_o the_o scrotum_fw-la with_o the_o trocher_n accompany_v with_o its_o canula_n through_o which_o the_o water_n run_v free_o and_o when_o it_o be_v empty_v you_o withdraw_v your_o instrument_n and_o the_o cutis_fw-la of_o the_o cod_n become_v rugous_a as_o before_o and_o the_o aperture_n stop_v exact_o this_o be_v perform_v without_o trouble_n or_o danger_n but_o omit_v not_o dry_v up_o the_o source_n by_o the_o use_n of_o general_a remedy_n otherwise_o the_o tumour_n will_v not_o fail_v to_o return_v the_o second_o kind_n of_o hydrocele_n which_o general_o possess_v only_o one_o side_n ordinary_o attack_n the_o tunicle_n of_o the_o testicle_n it_o be_v also_o much_o more_o painful_a through_o the_o great_a tension_n of_o its_o membrane_n operation_n the_o method_n of_o the_o operation_n the_o method_n require_v in_o this_o consist_v in_o make_v the_o aperture_n deep_a and_o large_a enough_o as_o well_o to_o give_v vent_n to_o the_o water_n as_o to_o carry_v medicine_n thither_o which_o have_v the_o virtue_n of_o dissipate_v the_o membrane_n that_o be_v imbue_v with_o they_o we_o use_v to_o make_v the_o aperture_n at_o the_o side_n of_o the_o scrotum_fw-la with_o a_o lancet_n lancet_n the_o caustic_n better_a than_o a_o lancet_n or_o a_o potential_a cautery_n to_o avoid_v the_o spermatick_a vessel_n and_o see_v the_o cautery_n make_v a_o great_a eschar_n it_o be_v to_o be_v prefer_v before_o the_o lancet_n because_o you_o be_v in_o less_o danger_n of_o offend_v the_o testicle_n and_o you_o dissipate_v insensible_o the_o membrane_n by_o suppuration_n you_o must_v note_n that_o see_v the_o water_n hinder_v the_o action_n of_o this_o remedy_n in_o blunt_v its_o corrosive_a particle_n if_o the_o first_o that_o be_v apply_v make_v not_o a_o eschar_n deep_o enough_o it_o be_v necessary_a to_o apply_v another_o when_o the_o eschar_n be_v off_o you_o fill_v the_o wound_n with_o dossils_n and_o leave_v
various_a part_n which_o be_v distinguish_v by_o the_o colour_n consistence_n and_o acrimony_n of_o the_o matter_n that_o flow_v from_o they_o which_o make_v all_o the_o difference_n of_o fistula_n general_a cause_o of_o fistula_n in_o general_a the_o cause_n of_o fistula_n in_o general_a almost_o always_o proceed_v from_o a_o wind_a ulcer_n which_o be_v sorm_v and_o nourish_v by_o the_o most_o sharp_a and_o salt_a particle_n of_o the_o blood_n ano._n cause_n of_o fistula_n in_o ano._n the_o cause_n of_o those_o which_o happen_v to_o the_o anus_fw-la who_o nature_n we_o be_v here_o to_o explain_v be_v internal_a or_o external_n cause_n external_n cause_n the_o external_n come_v from_o some_o wound_n as_o from_o leech_n ill_o apply_v or_o from_o some_o bruise_n whether_o by_o ride_v or_o by_o some_o other_o villainous_a exercise_n as_o buggery_n or_o final_o by_o some_o fall_n or_o any_o other_o violent_a motion_n it_o be_v evident_a that_o all_o these_o cause_n must_v hinder_v the_o circulation_n of_o the_o juice_n and_o give_v way_n to_o impostumation_n which_o in_o a_o short_a time_n degenerate_v into_o a_o fistula_n cause_n internal_a cause_n the_o internal_a be_v ordinary_o consequence_n of_o obstruction_n inflammation_n ulcer_n haemorrhoid_v and_o impostumation_n part_n why_o the_o blood_n be_v more_o easy_o obstruct_v here_o than_o in_o other_o part_n now_o our_o business_n be_v to_o give_v reason_n why_o the_o blood_n stop_v more_o at_o this_o part_n than_o at_o any_o other_o to_o produce_v these_o kind_n of_o accident_n of_o which_o fistula_n be_v troublesome_a consequence_n to_o have_v a_o idea_n of_o it_o it_o be_v necessary_a to_o examine_v some_o circumstance_n which_o depend_v on_o the_o structure_n of_o the_o part_n the_o first_o consist_v in_o the_o disposition_n of_o the_o intestinum_fw-la rectum_fw-la first_o first_o and_o in_o the_o temperament_n of_o its_o neighbour_a part_n the_o second_o regard_v the_o nature_n and_o multitude_n of_o vessel_n which_o water_n it_o second_o second_o and_o the_o abundance_n of_o humour_n which_o they_o carry_v along_o with_o they_o rectum_fw-la structure_n etc._n etc._n of_o the_o intestinum_fw-la rectum_fw-la the_o intestinum_fw-la rectum_fw-la be_v every_o where_o encompass_v with_o fat_a two_o or_o three_o finger_n thick_a especial_o in_o full_a and_o fat_a person_n which_o make_v the_o extravasated_a juice_n more_o easy_o penetrate_v these_o part_n to_o attack_v the_o gut_n which_o be_v a_o part_n very_o subject_a to_o alteration_n by_o reason_n of_o its_o great_a humidity_n and_o number_n of_o vessel_n that_o enter_v into_o its_o substance_n rectum_fw-la the_o vessel_n of_o the_o intestinum_fw-la rectum_fw-la we_o know_v that_o the_o artery_n and_o hypogastric_a vein_n furnish_v it_o with_o two_o branch_n each_o the_o aorta_n give_v it_o one_o branch_n of_o a_o artery_n which_o come_v from_o that_o part_n where_o it_o be_v divide_v into_o the_o iliac_n and_o the_o inferior_a mesenteric_a artery_n another_o beside_o the_o hemorrhoidal_a vein_n one_o of_o which_o come_v from_o the_o splenic_n and_o the_o other_o from_o the_o mesenteric_a it_o have_v also_o many_o limphatic_a vessel_n and_o several_a gland_n that_o separate_v a_o white_a and_o viscous_a humour_n which_o line_n its_o interior_a surface_n and_o defend_v it_o against_o the_o acrimony_n of_o the_o excrement_n and_o other_o levens_n these_o be_v the_o different_a vessel_n which_o water_n the_o intestinum_fw-la rectum_fw-la now_o it_o be_v easy_a to_o understand_v from_o all_o i_o have_v say_v that_o the_o circulation_n of_o the_o humour_n must_v be_v very_o slow_a in_o that_o part_n because_o they_o remount_v against_o their_o own_o weight_n and_o be_v deprive_v of_o the_o motion_n of_o the_o muscle_n which_o be_v of_o great_a use_n to_o hasten_v the_o circulation_n of_o all_o the_o juice_n so_o for_o any_o little_a propension_n they_o have_v to_o stop_v and_o be_v corrupt_v there_o if_o by_o chance_n any_o of_o the_o external_n cause_n which_o we_o have_v speak_v of_o contribute_v towards_o it_o they_o never_o fail_v if_o so_o be_v it_o come_v from_o the_o vein_n to_o cause_v the_o haemorrhoid_v inflammation_n and_o impostumation_n if_o from_o the_o artery_n and_o excoriation_n and_o ulcer_n if_o from_o the_o lymphatic_a vessel_n and_o gland_n and_o as_o these_o part_n be_v extreme_a penetrable_a if_o the_o blood_n acquire_v any_o malignity_n or_o ill_a quality_n by_o its_o fermentation_n nothing_o hinder_v but_o it_o open_v itself_o a_o way_n and_o find_v passage_n to_o attack_v sometime_o the_o gut_n sometime_o the_o flesh_n sanguiferous_a vessel_n nervous_a part_n and_o bone_n and_o final_o to_o produce_v the_o diversity_n of_o fistula_n which_o we_o call_v straight_o oblique_a or_o wind_v when_o the_o fistula_n be_v in_o the_o flesh_n part_n sign_n of_o fistula_n in_o divers_a part_n the_o pus_fw-la that_o come_v out_o of_o it_o be_v thick_a muddy_a course_n and_o viscous_a if_o it_o attack_v the_o nervous_a part_n you_o have_v pungent_a and_o violent_a pain_n and_o the_o humour_n which_o flow_v from_o it_o be_v sharp_a and_o serous_a if_o the_o matter_n of_o the_o fistula_n move_v towards_o the_o sanguiferous_a vessel_n and_o break_v any_o of_o they_o by_o its_o acrimony_n its_o colour_n be_v like_o the_o wash_n of_o flesh_n if_o the_o fistula_n penetrate_v to_o the_o bone_n and_o it_o be_v alter_v or_o rot_a the_o matter_n which_o come_v from_o it_o be_v clear_a thin_a and_o in_o its_o high_a degree_n of_o acidity_n calosity_n a_o salt_n and_o sharp_a juice_n the_o cause_n of_o calosity_n we_o likewise_o observe_v that_o in_o these_o kind_n of_o fistula_n the_o calosity_n be_v much_o more_o considerable_a than_o in_o other_o for_o as_o all_o the_o world_n know_v that_o the_o calosity_n of_o a_o fistula_n depend_v only_o on_o the_o presence_n and_o action_n of_o a_o sharp_a and_o salt_n juice-like_a brine_n you_o must_v not_o be_v astonish_v if_o those_o that_o reach_v the_o bone_n which_o be_v nourish_v with_o a_o humour_n that_o be_v extreme_o salt_n and_o pungent_a of_o its_o own_o nature_n be_v so_o calous_a for_o from_o the_o moment_n that_o the_o side_n of_o a_o ulcer_n care_v water_v and_o humect_v with_o a_o humour_n like_o it_o if_o its_o intempery_n be_v not_o correct_v its_o point_n creep_v insensible_o into_o the_o bottom_n of_o the_o ulcer_n and_o after_o several_a punction_n these_o little_a needle_n which_o we_o must_v consider_v as_o so_o many_o wedge_n enter_v and_o fix_v themselves_o so_o into_o the_o porosity_n of_o the_o flesh_n and_o membrane_n that_o they_o render_v the_o ulcer_n so_o hard_a and_o calous_a that_o it_o turn_v into_o a_o fistula_n as_o for_o the_o prognostic_n of_o fistula_n prognostic_n prognostic_n i_o say_v in_o general_a that_o those_o which_o be_v new_a which_o happen_v in_o a_o good_a temparament_n of_o body_n be_v well_o condition_v and_o that_o possess_v such_o part_n where_o medicine_n may_v be_v easy_o apply_v be_v curable_a but_o on_o the_o contrary_a if_o they_o be_v old_a the_o party_n cachectical_a when_o they_o possess_v such_o part_n as_o be_v necessary_a for_o life_n as_o the_o bladder_n and_o intestine_n uncurable_a last_o all_o fistula_n which_z attack_v the_o bone_n tendon_n artery_n vertebra_n of_o the_o back_n breast_n belly_n pap_n axilla_n groin_n and_o joint_n be_v doubtless_o difficult_a to_o overcome_v convenient_a where_o pallative_n be_v convenient_a some_o fistula_n be_v cure_v by_o caustic_a medicine_n other_o by_o iron_n some_o where_o medicine_n be_v not_o able_a to_o vanquish_v need_v only_a palliative_n or_o such_o as_o be_v proper_a to_o stifle_v and_o check_v the_o violence_n of_o the_o effect_n and_o prevent_v more_o troublesome_a accident_n final_o there_o be_v some_o which_o reduce_v the_o part_n to_o such_o a_o languish_a and_o deplorable_a condition_n that_o they_o be_v unable_a to_o perform_v their_o ordinary_a function_n we_o be_v oblige_v to_o amputate_v the_o part_n as_o those_o in_o the_o joint_n unless_o it_o be_v in_o the_o axilla_n or_o other_o part_n where_o the_o operation_n can_v be_v perform_v in_o such_o dangerous_a affect_v we_o be_v to_o have_v no_o other_o aim_n than_o to_o mollify_v by_o all_o mean_v the_o humour_n which_o foment_n and_o nourish_v they_o be_v they_o threaten_v death_n in_o all_o subject_n fistula_n the_o anus_fw-la subject_n to_o several_a sort_n of_o fistula_n the_o anus_fw-la be_v liable_a to_o several_a sort_n of_o fistula_n who_o knowledge_n mighty_o favour_v their_o cure_n the_o first_o be_v when_o it_o pierce_v the_o body_n of_o the_o intestine_a and_o have_v no_o outward_a aperture_n the_o second_o open_v outward_o and_o have_v no_o communication_n with_o the_o intestine_a or_o have_v only_o slight_o touch_v its_o superficies_n the_o three_o which_o be_v call_v complete_a manifest_v itself_o both_o outward_o and_o inward_o the_o four_o be_v of_o several_a burrough_n or_o sinuss_n which_o discharge_v themselves_o into_o a_o
specific_a remedy_n to_o hinder_v the_o progress_n of_o this_o disease_n be_v bleed_v which_o keep_v the_o first_o rank_n and_o i_o say_v that_o if_o it_o be_v of_o any_o use_n at_o all_o in_o surgery_n it_o be_v without_o doubt_n in_o this_o occasion_n here_o bleed_v no_o where_n of_o so_o great_a use_n as_o here_o because_o in_o empty_v the_o vessel_n it_o hinder_v the_o blood_n from_o be_v carry_v so_o abundant_o to_o that_o part_n and_o must_v consequent_o lessen_v the_o bigness_n of_o the_o tumour_n in_o diminish_v the_o quantity_n of_o the_o blood_n pleurisy_n approve_a remedy_n in_o a_o pleurisy_n the_o other_o remedy_n be_v those_o which_o rarify_v subtilise_v and_o attenuate_v the_o blood_n as_o horse_n or_o mule_n dung_n infuse_v in_o white-wine_n old_a he-goat_n blood_n in_o powder_n all_o volatile_a salt_n and_o several_a other_o remedy_n of_o that_o nature_n the_o decoction_n of_o nettle_n in_o strong_a wine_n which_o you_o sweeten_v with_o sugar_n be_v also_o excellent_a you_o may_v at_o the_o same_o time_n you_o take_v the_o decoction_n lay_v on_o the_o side_n the_o bruise_a nettle_n in_o form_n of_o a_o cataplasm_n peripneumonia_n of_o a_o peripneumonia_n have_v thus_o in_o general_n explain_v the_o cause_n of_o a_o pleurisy_n i_o be_o oblige_v to_o say_v something_o of_o a_o peripneumonia_n that_o sometime_o proceed_v from_o a_o impostume_n of_o the_o brain_n or_o from_o the_o inflammation_n of_o some_o membrane_n which_o change_v into_o a_o abscess_n as_o experience_n demonstrate_v in_o those_o that_o die_v of_o great_a wound_n of_o the_o head_n but_o for_o the_o most_o part_n it_o be_v cause_v by_o the_o corruption_n of_o the_o blood_n that_o be_v to_o say_v by_o the_o exaltation_n of_o its_o sharp_a particle_n all_o the_o difficulty_n be_v to_o know_v why_o the_o pus_fw-la or_o blood_n stop_v rather_o in_o the_o lung_n than_o in_o any_o part_n else_o for_o to_o make_v a_o impostumation_n i_o say_v that_o three_o cause_n contribute_v to_o its_o formation_n the_o alteration_n of_o the_o blood_n peripneumonia_n cause_n of_o peripneumonia_n long_a and_o slow_a respiration_n and_o the_o structure_n of_o the_o part_n blood_n first_o cause_n alteration_n of_o the_o blood_n concern_v the_o first_o you_o must_v only_o make_v reflection_n on_o the_o nature_n and_o mixture_n of_o the_o chile_n and_o thick_a blood_n which_o the_o right_a ventricle_n of_o the_o heart_n send_v in_o every_o sistole_n to_o the_o lung_n through_o the_o pulmonic_a artery_n we_o know_v that_o these_o two_o liquor_n pass_v through_o the_o heart_n and_o lung_n for_o to_o receive_v some_o necessary_a preparation_n for_o the_o function_n of_o the_o part_n therefore_o we_o may_v say_v that_o they_o be_v the_o two_o receptacle_n of_o all_o that_o be_v most_o thick_a and_o indigested_a in_o the_o mass_n of_o blood_n but_o if_o the_o heart_n have_v the_o strength_n and_o power_n by_o its_o constriction_n to_o subtilise_v and_o cast_v off_o all_o that_o be_v most_o heavy_a and_o material_a in_o the_o mass_n the_o lung_n have_v not_o the_o same_o advantage_n as_o we_o will_v prove_v so_o that_o the_o grosser_n substance_n be_v accompany_v with_o some_o impurity_n and_o have_v only_o feel_v the_o first_o effect_n of_o the_o heart_n for_o its_o perfection_n it_o must_v needs_o stop_v there_o and_o putrefy_v espiration_n second_o cause_n long_o and_o slow_a i_o espiration_n the_o second_o cause_n which_o i_o establish_v be_v a_o long_a and_o slow_a respiration_n it_o be_v certain_a the_o more_o free_a the_o air_n enter_v into_o the_o breast_n and_o the_o more_o the_o vessel_n be_v extend_v they_o be_v in_o a_o more_o fit_a condition_n by_o their_o elastic_a virtue_n or_o spring_n to_o express_v the_o air_n through_o the_o pipe_n of_o the_o trachea_n arteria_fw-la and_o the_o more_o the_o blood_n be_v agitate_a by_o the_o inspiration_n of_o the_o air_n it_o be_v drive_v with_o great_a quickness_n into_o the_o vein_n but_o on_o the_o contrary_a if_o the_o blood_n be_v move_v slow_o by_o a_o long_a respiration_n it_o follow_v that_o the_o vessicle_n be_v not_o so_o extend_v as_o they_o shall_v be_v and_o not_o expel_v the_o blood_n out_o of_o they_o with_o such_o a_o violence_n it_o stop_v and_o corrupt_v there_o gradual_o by_o the_o arrival_n and_o mixture_n of_o some_o ill_a leaven_n or_o by_o the_o exaltation_n of_o its_o salt_n particle_n from_o whence_o it_o come_v that_o those_o who_o have_v a_o long_a neck_n be_v more_o subject_a to_o it_o than_o other_o because_o the_o air_n be_v oblige_v to_o make_v a_o long_a traverse_n before_o it_o come_v to_o the_o lung_n which_o make_v they_o dry_v up_o and_o alter_v insensible_o be_v three_o cause_n on_o the_o structure_n of_o the_o part._n what_o the_o lung_n real_o be_v the_o three_o cause_n be_v ground_v upon_o the_o structure_n of_o the_o part_n the_o lung_n be_v a_o complication_n of_o little_a vessicles_n in_o which_o the_o artery_n pour_v the_o blood_n and_o where_o it_o be_v mingle_v with_o the_o air_n to_o receive_v some_o alteration_n there_o now_o it_o be_v show_v in_o the_o hydravlic's_n that_o a_o liquor_n which_o pass_v from_o a_o little_a pipe_n into_o a_o great_a lose_v much_o of_o its_o motion_n and_o be_v the_o artery_n be_v very_o little_a in_o proportion_n to_o the_o cell_n it_o be_v no_o wonder_n if_o the_o blood_n grow_v slow_a there_o and_o change_v its_o nature_n by_o the_o exaltation_n of_o some_o sharp_a and_o tartarous_a salt_n and_o by_o the_o fermentation_n which_o they_o cause_v there_o wherefore_o the_o alteration_n of_o the_o blood_n the_o irregularity_n of_o respiration_n and_o the_o largeness_n of_o the_o vessicle_n of_o the_o lung_n in_o proportion_n to_o those_o of_o the_o artery_n be_v the_o three_o cause_n that_o concur_v to_o the_o formation_n of_o the_o peripneumonia_n since_o the_o sign_n of_o all_o these_o kind_n of_o disease_n be_v of_o the_o great_a importance_n to_o succeed_v well_o in_o the_o operation_n and_o to_o make_v a_o favourable_a or_o dangerous_a prognostic_n i_o will_v endeavour_v to_o describe_v they_o with_o all_o the_o order_n that_o be_v possible_a pleura_fw-la sign_n of_o pus_fw-la or_o blood_n in_o the_o pleura_fw-la the_o sign_n which_o show_v we_o that_o there_o be_v some_o pus_fw-la or_o blood_n stop_v in_o the_o pleura_fw-la be_v inflammation_n penetrate_v pain_n heaviness_n a_o languish_a and_o continual_a fever_n a_o hard_a thick_a and_o deep_a pulse_n accompany_v with_o shiver_v difficulty_n of_o breathe_v a_o dry_a cough_n and_o thirst_n one_o can_v lie_v on_o the_o sound_a side_n by_o reason_n the_o matter_n lie_v heavy_a on_o the_o pleura_fw-la and_o one_o grow_v lean_a and_o thin_a in_o a_o few_o day_n diaphragma_n sign_n of_o the_o matter_n on_o the_o diaphragma_n but_o if_o the_o impostume_n break_v and_o the_o matter_n fall_v on_o the_o diaphragma_n all_o these_o symptom_n cease_v and_o the_o patient_n find_v some_o ease_n for_o a_o time_n but_o immediate_o there_o come_v other_o not_o less_o dangerous_a and_o insupportable_a beside_o the_o difficulty_n of_o breathe_v which_o be_v common_a to_o every_o empiema_n one_o feel_v a_o heaviness_n upon_o the_o diaphragma_n fluctuation_n a_o great_a uneasiness_n the_o fever_n increase_v and_o become_v burn_v the_o pulse_n rise_v the_o pain_n indeed_o be_v not_o so_o sharp_a it_o be_v feel_v towards_o the_o false_a rib_n one_o can_v lie_v but_o on_o the_o side_n where_o the_o matter_n be_v for_o if_o you_o lie_v on_o the_o opposite_a side_n one_o feel_v a_o twitch_a upon_o the_o mediastinum_fw-la more_o cruel_a pain_n and_o a_o much_o great_a heaviness_n their_o spittle_n be_v sometime_o stink_a and_o there_o follow_v very_o often_o impostume_n of_o the_o liver_n after_o these_o kind_n of_o indisposition_n even_o as_o it_o be_v observe_v after_o great_a wound_n of_o the_o head_n if_o the_o pus_fw-la be_v diffuse_v on_o both_o side_n one_o can_v lie_v on_o either_o by_o reason_n of_o the_o sharp_a pain_n one_o suffer_v to_o be_v ease_v you_o must_v lie_v upon_o the_o back_n or_o belly_n lung_n sign_n of_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o sign_n when_o there_o be_v pus_fw-la in_o the_o substance_n of_o the_o lung_n may_v be_v divide_v into_o equivocal_a and_o convince_a the_o equivocal_a belong_v to_o other_o disease_n of_o the_o lung_n it_o be_v very_o dangerous_a to_o be_v mistake_v therefore_o let_v we_o endeavour_v to_o examine_v they_o well_o that_o we_o may_v draw_v some_o advantage_n and_o that_o we_o may_v not_o undertake_v a_o operation_n who_o effect_n will_v prove_v not_o only_o useless_a but_o fatal_a if_o there_o be_v any_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o disease_v can_v breathe_v without_o pain_n he_o find_v a_o insupportable_a and_o troublesome_a heaviness_n upon_o the_o diaphragma_n because_o the_o weight_n of_o the_o matter_n deprive_v it_o of_o
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
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
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
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
overcome_v they_o as_o for_o old_a rottenness_n and_o fistula_n you_n must_v observe_v the_o same_o circumstance_n and_o have_v regard_n unto_o three_o thing_n to_o the_o nature_n and_o cause_n of_o the_o disease_n to_o the_o part_n affect_v and_o to_o the_o superven_a symptom_n to_o judge_v whether_o the_o fistula_n &c._n &c._n be_v curable_a and_o may_v be_v overcome_v by_o medicine_n it_o be_v necessary_a to_o examine_v whether_o they_o have_v be_v of_o long_a continuance_n the_o cause_n that_o produce_v they_o and_o that_o which_o foment_n they_o if_o the_o cause_n of_o the_o rottenness_n and_o fistula_n proceed_v from_o some_o wound_n or_o contusion_n and_o the_o patient_n have_v not_o be_v long_o trouble_v with_o it_o if_o the_o joint_n be_v no_o way_n alter_v and_o the_o humour_n which_o foment_n they_o be_v not_o malign_v medicine_n may_v terminate_v the_o cure_n but_o if_o the_o cause_n proceed_v from_o scrofulous_a humour_n critical_a imposthumation_n or_o from_o the_o general_a perversion_n of_o the_o humour_n if_o they_o be_v old_a settle_v in_o the_o joint_n and_o final_o if_o the_o rottenness_n callosity_n pain_n and_o inflammation_n be_v considerable_a in_o a_o word_n if_o the_o part_n be_v no_o long_o able_a to_o perform_v its_o function_n you_o must_v have_v recourse_n to_o the_o operation_n provide_v the_o strength_n of_o the_o patient_n give_v leave_v but_o before_o you_o put_v it_o in_o practice_n you_o must_v purify_v the_o mass_n of_o blood_n and_o humour_n by_o general_a remedy_n as_o diaphoretic_n and_o cardiac_n i_o will_v not_o give_v you_o here_o a_o account_n of_o the_o medicine_n which_o be_v employ_v as_o well_o internal_o as_o external_o to_o hinder_v the_o disorder_n of_o the_o gangrene_n be_v oblige_v to_o speak_v of_o they_o in_o a_o treatise_n of_o wound_n and_o as_o every_o kind_n of_o gangrene_n require_v particular_a and_o different_a medicine_n so_o it_o be_v the_o part_n of_o a_o prudent_a chirurgeon_n and_o physician_n to_o order_n and_o use_v they_o according_a to_o their_o idea_n and_o understanding_n observe_v several_a circumstance_n to_o be_v observe_v before_o you_o go_v about_o the_o operation_n you_o must_v observe_v several_a circumstance_n if_o it_o be_v the_o arm_v you_o cut_v off_o you_o must_v cut_v off_o as_o little_a of_o it_o as_o possible_a because_o the_o little_a that_o remain_v serve_v in_o a_o manner_n to_o the_o function_n of_o life_n if_o it_o be_v the_o leg_n though_o only_o the_o foot_n shall_v be_v concern_v you_o must_v amputate_v 3_o finger_n below_o the_o knee_n just_a under_o the_o aponeurosis_n which_o cover_v the_o rotula_n because_o of_o the_o long_a suppuration_n which_o rot_v the_o tendon_n and_o other_o accident_n that_o may_v happen_v and_o to_o put_v on_o a_o artificial_a one_o more_o easy_o joint_n never_o amputate_v in_o the_o joint_n you_o must_v never_o amputate_v in_o the_o joint_n unless_o it_o be_v in_o the_o finger_n or_o toe_n which_o we_o be_v oblige_v to_o take_v off_o if_o it_o be_v the_o thigh_n amputate_v as_o little_a as_o you_o can_v because_o the_o more_o you_o cut_v the_o great_a be_v the_o wound_n suppuration_n long_o and_o the_o cure_n more_o difficult_a and_o consequent_o the_o patient_n strength_n diminish_v and_o grow_v more_o weak_a amputate_v how_o to_o amputate_v have_v choose_v a_o proper_a place_n we_o perform_v the_o operation_n thus_o if_o it_o be_v the_o leg_n you_o place_v the_o patient_n on_o the_o edge_n of_o a_o bed_n lie_v half_o backward_o one_o sustain_v he_o behind_o a_o servant_n clasp_v his_o two_o hand_n about_o the_o inferior_a part_n of_o the_o thigh_n and_o draw_v the_o skin_n upward_o another_o hold_v the_o leg_n whilst_o the_o surgeon_n put_v on_o the_o ham_n a_o compress_v of_o several_a fold_n of_o a_o fit_a bigness_n with_o another_o pretty_a large_a compress_v which_o encompass_n the_o whole_a part_n upon_o which_o you_o place_v a_o ligature_n which_o must_v be_v straighten_v with_o the_o torniket_n but_o be_v it_o must_v be_v tie_v very_o hard_o sufficient_a to_o compress_v the_o great_a vessel_n you_o may_v place_v a_o pasteboard_n under_o the_o ligature_n that_o the_o patient_n may_v feel_v less_o pain_n and_o for_o hinder_v the_o skin_n from_o wrinkle_a then_o you_o make_v two_o other_o ligature_n one_o over_o and_o the_o other_o below_o the_o first_o keep_v the_o skin_n which_o you_o raise_v upward_o and_o the_o other_o fasten_v the_o flesh_n then_o the_o surgeon_n place_n himself_o between_o the_o patient_n leg_n and_o with_o a_o crooked_a knife_n which_o he_o hold_v in_o his_o right_a hand_n flesh_n how_o to_o cut_v the_o flesh_n he_o make_v a_o incision_n about_o the_o member_n even_o to_o the_o bone_n and_o with_o the_o back_n of_o the_o knife_n separate_v the_o periostium_fw-la and_o cut_v at_o the_o same_o time_n the_o flesh_n and_o membrane_n between_o the_o bone_n lest_o you_o rend_v they_o with_o the_o saw_n and_o so_o cause_v new_a accident_n but_o before_o you_o see_v the_o bone_n you_o take_v a_o fillet_n of_o linen_n which_o you_o split_v in_o two_o part_n and_o you_o make_v use_n of_o it_o to_o raise_v the_o flesh_n and_o to_o give_v liberty_n to_o see_v the_o bone_n as_o near_o to_o the_o flesh_n as_o possible_a for_o see_v it_o waste_v and_o consume_v in_o suppuration_n if_o this_o precaution_n be_v not_o take_v there_o will_v stick_v out_o a_o end_n of_o the_o bone_n deprive_v of_o skin_n and_o flesh_n which_o will_v serve_v for_o nothing_o but_o to_o incommode_v the_o patient_n bone_n how_o to_o see_v the_o bone_n this_o be_v do_v you_o take_v the_o saw_n which_o you_o carry_v oblique_o over_o the_o tibia_fw-la which_o also_o serve_v for_o a_o support_n to_o see_v the_o fibula_fw-la which_o be_v the_o weaket_n which_o oblige_v we_o to_o see_v it_o before_o the_o tibia_fw-la to_o avoid_v its_o crack_n or_o shiver_v you_o must_v observe_v that_o in_o the_o time_n of_o saw_v the_o servant_n must_v bend_v the_o leg_n a_o little_a inward_a that_o the_o saw_n may_v pass_v more_o easy_o the_o two_o bone_n be_v saw_v off_o you_o take_v off_o the_o ligature_n above_o which_o hold_v the_o skin_n fast_o you_o lose_v the_o torniket_n to_o find_v out_o the_o artery_n you_o take_v hold_v of_o it_o with_o the_o crow_n bill_n artery_n how_o to_o tie_v the_o artery_n or_o pincer_n with_o a_o ring_n than_o you_o take_v a_o crooked_a needle_n arm_v with_o wax_v thread_n which_o you_o pass_v twice_o into_o the_o flesh_n under_o the_o artery_n that_o it_o may_v be_v engage_v in_o the_o loop_n of_o the_o ligature_n which_o you_o tie_v very_o hard_o you_o make_v a_o knot_n over_o the_o artery_n upon_o the_o knot_n you_o apply_v a_o little_a compress_v which_o you_o fasten_v with_o two_o other_o knot_n you_o again_o loose_a the_o torniket_n if_o the_o blood_n shall_v run_v out_o with_o any_o violence_n from_o any_o other_o artery_n you_o make_v another_o ligature_n as_o the_o first_o some_o to_o stop_v the_o blood_n use_v a_o actual_a cautery_n other_o a_o button_n of_o vitriol_n which_o they_o wrap_v up_o in_o some_o cotton_n some_o tie_v the_o artery_n without_o pass_v the_o ligature_n through_o the_o flesh_n but_o i_o think_v the_o true_a and_o sure_a method_n to_o be_v as_o i_o have_v describe_v the_o ligature_n be_v make_v you_o take_v away_o the_o turnstick_n from_o off_o the_o stump_n stump_n where_o to_o use_v the_o suitche_n how_o to_o dress_v stump_n and_o endeavour_v to_o cover_v it_o again_o with_o the_o cutis_fw-la if_o it_o be_v thigh_n or_o arm_n it_o be_v not_o enough_o to_o cover_v the_o stump_n again_o with_o the_o cutis_fw-la but_o you_o must_v keep_v if_o so_o by_o the_o help_n of_o four_o stitch_n which_o must_v not_o be_v practise_v at_o the_o leg_n or_o below_o the_o elbow_n because_o the_o knee_n or_o elbow_n hinder_v it_o from_o rise_v too_o high_a you_o apply_v little_a compress_n upon_o the_o vessel_n and_o a_o dry_a one_o on_o the_o bone_n or_o soak_v in_o spirit_n of_o wine_n to_o correct_v its_o alteration_n then_o several_a other_o bolster_n arm_v with_o astringent_a powder_n over_o that_o a_o little_a two_o spread_v with_o the_o same_o powder_n a_o defensative_a and_o compress_v like_o a_o maltha_n cross_n two_o longitudinal_n compress_n and_o a_o circular_a one_o sustain_v by_o the_o circular_a bandage_n and_o capling_n some_o day_n after_o you_o use_v only_o the_o circular_a one_o you_o need_v not_o load_v the_o part_n with_o too_o many_o compress_n use_n a_o hog_n bladder_n of_o no_o great_a use_n nor_o apply_v the_o hog_n bladder_n neither_o tie_v the_o bandage_n too_o hard_o for_o beside_o that_o all_o these_o thing_n excite_v only_a obstruction_n and_o inflammation_n &_o if_o by_o chance_n the_o ligature_n shall_v fail_v the_o patient_n will_v infallible_o perish_v unaware_o because_o the_o bladder_n can_v retain_v
be_v not_o apply_v upon_o nervous_a part_n nor_o upon_o the_o great_a vessel_n but_o always_o between_o the_o muscle_n you_o first_o rub_v the_o part_n with_o a_o warm_a cloth_n to_o open_v the_o pore_n and_o to_o make_v the_o part_n in_o a_o manner_n insensible_a you_o put_v a_o plaster_n on_o it_o with_o a_o hole_n in_o the_o middle_n to_o put_v the_o caustic_n in_o which_o you_o cover_v with_o a_o compress_v and_o with_o a_o little_a fillet_n a_o general_z idea_n of_o wound_n chap._n i._o of_o incise_v or_o contuse_v wound_n of_o the_o flesh_n to_o finish_v this_o treatise_n i_o think_v fit_a to_o relate_v the_o most_o important_a observation_n which_o regard_v the_o cure_n of_o wound_n and_o to_o clear_v the_o stiff_a difficulty_n which_o puzzle_v most_o surgeon_n in_o the_o method_n of_o discuss_v they_o well_o without_o which_o we_o can_v obtain_v our_o wish_a for_o end_n those_o that_o hitherto_o have_v treat_v of_o they_o have_v be_v satisfy_v to_o hold_v long_a discourse_n about_o their_o several_a kind_n difference_n and_o prognostic_n but_o see_v these_o sort_n of_o useless_a discourse_n serve_v only_o to_o tire_v the_o memory_n of_o those_o which_o seek_v to_o be_v instruct_v i_o will_v not_o repeat_v they_o i_o begin_v first_o with_o the_o most_o simple_a and_o know_v symptom_n wound_n to_o stop_v the_o hemorrhage_n in_o wound_n be_v the_o hemorrhage_n be_v the_o first_o and_o most_o dangerous_a symptom_n of_o wound_n it_o be_v that_o which_o the_o surgeon_n must_v quick_o correct_v in_o close_v the_o vessel_n from_o whence_o the_o blood_n flow_v for_o if_o you_o stop_v they_o the_o blood_n run_v no_o more_o that_o be_v to_o say_v you_o must_v put_v into_o their_o aperture_n some_o medicine_n which_o hinder_v the_o effusion_n of_o the_o liquor_n they_o contain_v or_o in_o tie_v or_o compress_v they_o these_o two_o last_o method_n be_v the_o sure_a because_o one_o may_v order_v they_o as_o one_o please_v so_o that_o the_o intention_n for_o which_o we_o make_v the_o ligature_n or_o introduce_v lint_n into_o a_o new_a wound_n be_v to_o hinder_v the_o flux_n of_o blood_n in_o press_v the_o lint_n a_o little_a to_o oblige_v the_o side_n of_o the_o vessel_n to_o approach_v and_o resist_v the_o impulsion_n of_o the_o blood_n yet_o so_o that_o the_o compression_n excite_v not_o inflammation_n a_o wound_n have_v be_v so_o dress_v it_o be_v of_o importance_n to_o prevent_v the_o inflammation_n and_o pain_n which_o be_v the_o two_o accident_n which_o always_o accompany_v it_o inflammation_n cause_o of_o inflammation_n the_o inflammation_n or_o tumour_n proceed_v from_o the_o circulation_n in_o the_o part_n be_v impede_v by_o the_o division_n of_o the_o vessel_n the_o grumou_n clode_v blood_n and_o the_o dress_n these_o strange_a body_n be_v as_o so_o many_o sluice_n which_o oppose_v the_o course_n of_o the_o blood_n oblige_v it_o to_o stop_v and_o excite_v inflammation_n pain_n cause_o of_o pulsative_a pain_n i_o conceive_v two_o sort_n 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make_v with_o crumb_n of_o bread_n milk_n the_o yolk_n of_o a_o egg_n mallow_n root_n etc._n etc._n be_v very_o proper_a we_o ordinary_o blame_v those_o who_o let_v the_o pus_fw-la lie_v too_o long_o in_o the_o wound_n because_o it_o always_o get_v some_o malignity_n &_o corrode_v the_o neighbour_a vessel_n which_o present_o produce_v inflammation_n &_o putrefaction_n or_o else_o the_o vein_n absorb_v it_o &_o carry_v it_o to_o the_o heart_n from_o whence_o it_o diffuse_v itself_o into_o the_o whole_a mass_n of_o blood_n and_o cause_v the_o fever_n and_o according_a to_o the_o different_a alteration_n which_o it_o receive_v in_o pass_v through_o the_o part_n it_o obstruct_v the_o liver_n lung_n or_o some_o other_o part_n so_o cause_v a_o imposthume_n there_o as_o we_o have_v observe_v in_o wound_n of_o the_o head_n this_o demonstrate_v to_o we_o that_o we_o ought_v to_o dry_v up_o all_o the_o matter_n that_o be_v in_o the_o wound_n and_o press_v the_o dossel_n
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it_o contain_v approbation_n the_o faculty_n of_o physic_n in_o the_o university_n of_o paris_n have_v hear_v the_o extraordinary_a character_n that_o mr._n le_fw-fr mien_n and_o mr._n engvehard_n doctor_n regent_n in_o the_o same_o faculty_n give_v of_o a_o book_n of_o chyrurgical_a operation_n compose_v by_o mr._n charrier_n approve_v this_o work_n and_o think_v it_o most_o worthy_a to_o be_v print_v at_o the_o physician_n college_n at_o paris_n thursday_n 19_o october_n 1690._o sign_v legier_n professor_n to_o the_o king_n and_o dean_n of_o the_o faculty_n of_o physic_n approbation_n by_o the_o order_n of_o my_o lord_n chancellor_n i_o have_v examine_v this_o manuscript_n which_o treat_v of_o chyrugical_a operation_n which_o deserve_v to_o be_v print_v be_v enrich_v with_o a_o great_a number_n of_o observation_n which_o will_v be_v exceed_o useful_a to_o surgeon_n this_o i_o certify_v to_o be_v true_a nevertheless_o i_o submit_v to_o the_o gentleman_n physician_n of_o paris_n may_v 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man_n perform_v to_o my_o hand_n who_o most_o ingenious_a footstep_n i_o can_v follow_v and_o those_o only_o at_o a_o distance_n not_o pretend_v in_o the_o least_o to_o imitate_v as_o for_o the_o content_n of_o this_o book_n they_o be_v certain_o praise_v worthy_a the_o author_n be_v so_o famous_a a_o practitioner_n especial_a in_o the_o perform_v chyrurgical_a operation_n his_o work_n show_v he_o to_o be_v a_o man_n of_o sound_a judgement_n and_o learning_n for_o he_o handle_v the_o matter_n with_o such_o strenuous_a argument_n sound_a reason_n and_o so_o home_o that_o i_o great_o admire_v none_o attempt_v before_o now_o to_o give_v it_o a_o english_a garb_n when_o i_o first_o peruse_v it_o and_o find_v it_o applicable_a to_o what_o i_o have_v see_v especial_o of_o late_a by_o a_o ingenious_a gentleman_n of_o that_o nation_n i_o be_v resolve_v to_o make_v it_o speak_v our_o mother_n tongue_n never_o design_v it_o for_o a_o press_n only_o as_o a_o help_n in_o my_o own_o business_n it_o 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ring_n to_o have_v the_o liberty_n of_o refresh_v and_o cut_v dexterous_o the_o superfice_n afterward_o you_o must_v unbridle_v the_o upper_a part_n for_o fear_n there_o may_v remain_v a_o little_a swell_n which_o will_v be_v as_o disagreeable_a as_o the_o deformity_n itself_o so_o that_o after_o the_o two_o lip_n of_o the_o wound_n have_v be_v exact_o bring_v together_o and_o that_o they_o be_v in_o a_o just_a level_n you_o must_v pass_v from_o one_o lip_n to_o another_o one_o or_o two_o needle_n arm_v with_o wax_v thread_n according_a to_o the_o length_n of_o the_o hair_n lip_n and_o cross_v the_o thread_n about_o the_o needle_n as_o be_v convenient_a you_o must_v break_v off_o the_o point_n and_o lay_v some_o little_a compress_n underneath_o that_o they_o may_v prick_v the_o patient_n then_o apply_v a_o little_a pledgit_fw-la wet_a in_o some_o balm_n or_o styptic_a liquor_n and_o embrocate_v with_o ol._n rosar_n with_o a_o compress_v dip_v in_o oxyerate_a and_o a_o little_a band_n 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strangulation_n and_o the_o little_a motion_n which_o be_v to_o be_v see_v there_o the_o inflammation_n which_o attack_n the_o gut_n be_v capable_a of_o rarify_n a_o part_n of_o the_o serosity_n and_o the_o other_o juice_n which_o be_v contain_v there_o who_o motion_n be_v make_v more_o slow_a not_o be_v able_a to_o escape_v by_o reason_n of_o the_o air_n which_o stop_v all_o the_o passage_n and_o shut_v the_o pore_n of_o the_o intestine_a so_o that_o it_o be_v impossible_a for_o the_o surgeon_n to_o reduce_v they_o without_o dilate_v the_o wound_n narrow_a how_o to_o dilate_v when_o too_o narrow_a to_o perform_v which_o the_o surgeon_n must_v pass_v a_o hollow_a probe_n between_o the_o lip_n of_o the_o wound_n and_o intestine_a and_o slip_v a_o bistory_n all_o along_o the_o hollow_a of_o the_o probe_n but_o before_o he_o make_v the_o incision_n it_o will_v be_v convenient_a to_o examine_v whether_o the_o gut_n be_v not_o engage_v lest_o he_o wound_v it_o this_o be_v know_v he_o may_v bold_o dilate_v the_o wound_n and_o cut_v as_o much_o off_o the_o peritonaeum_fw-la as_o of_o the_o muscle_n etc._n etc._n because_o the_o strangulation_n be_v every_o where_o equal_a against_o their_o opinion_n who_o pretend_v it_o be_v more_o considerable_a without_o than_z within_z i_o shall_v here_o speak_v of_o the_o precaution_n which_o the_o ancient_n take_v in_o apply_v fomentation_n and_o several_a other_o medicine_n but_o suppose_v it_o necessary_a to_o foment_n and_o warm_v the_o part_n with_o hot_a clothes_n or_o with_o wine_n part_n if_o the_o omentum_fw-la be_v alter_v cut_v off_o the_o mortify_a part_n before_o you_o reduce_v they_o you_o must_v examine_v whether_o they_o be_v hurt_v and_o if_o the_o omentum_fw-la be_v not_o mortify_v which_o be_v know_v by_o its_o lividity_n then_o without_o delay_n cut_v off_o the_o gangrene_v part_n after_o have_v make_v the_o ligature_n of_o that_o which_o be_v sound_a if_o there_o be_v a_o little_a wound_n in_o
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 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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 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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 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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 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accompany_v the_o umbilical_a and_o spermatick_a vessel_n which_o run_v between_o its_o duplicature_n this_o be_v in_o short_a the_o idea_n you_o must_v have_v of_o it_o muscle_n what_o about_o the_o muscle_n let_v we_o now_o examine_v the_o muscle_n of_o the_o abdomen_fw-la who_o carnous_a portion_n garnish_v the_o lateral_a part_n and_o their_o aponeurosis_n occupy_v the_o forepart_n of_o the_o three_o region_n three_o of_o which_o muscle_n be_v perforate_v towards_o the_o groin_n for_o the_o passage_n of_o the_o spermatic_a vessel_n the_o first_o hole_n be_v of_o a_o oval_a figure_n belong_v to_o that_o aponeurose_n of_o the_o external_a oblique_a and_o be_v dilate_v well_o enough_o represent_v the_o handle_n of_o a_o hamper_n who_o two_o extremity_n be_v fasten_v to_o the_o os_fw-la pubis_fw-la reach_v a_o little_a towards_o the_o crest_n of_o the_o o_o ilium_n this_o hole_n be_v line_v external_o with_o a_o little_a thin_a and_o delicate_a membrane_n which_o accompany_v the_o cremaster_fw-la muscle_n to_o the_o testicle_n and_o be_v nothing_o else_o but_o a_o expansion_n of_o the_o tendinous_a fibres_fw-fr the_o other_o two_o be_v of_o the_o separation_n of_o the_o fleshy_a fibres_fw-fr of_o the_o internal_a oblique_a and_o transverse_v these_o three_o ring_n do_v it_o direct_o answer_v one_o another_o being_z separate_z about_o three_o or_o four_o line_n the_o first_o that_o present_v itself_o to_o we_o in_o perform_v the_o operation_n be_v that_o of_o the_o external_a oblique_a which_o be_v the_o low_a and_o in_o which_o be_v make_v almost_o all_o the_o strangulation_n of_o the_o gut_n because_o the_o tendinous_a fibres_fw-fr do_v obey_v so_o well_o as_o the_o carnous_a and_o be_v more_o subject_n to_o inflammation_n for_o which_o reason_n it_o be_v that_o most_o dont_fw-fr scarify_v this_o ring_n in_o the_o operation_n that_o of_o the_o internal_a oblique_a be_v a_o little_a high_o and_o that_o of_o the_o transver_v high_a of_o all_o it_o be_v easy_o observable_a that_o if_o nature_n have_v place_v they_o one_o against_o another_o there_o will_v at_o the_o least_o effort_n happen_v a_o hernia_n the_o right_a muscle_n reach_v from_o the_o cartilago_n ensiformis_fw-la to_o the_o os_fw-la pubis_fw-la lie_v all_o along_o the_o side_n of_o the_o n1_fw-la alba_n and_o seem_v to_o be_v divide_v into_o four_o muscle_n which_o be_v distinguish_v by_o four_o tendon_n call_v by_o the_o ancient_n enervation_n this_o muscle_n partly_o obscure_v the_o motion_n of_o all_o the_o other_o which_o otherwise_o will_v so_o strong_o compress_v the_o gut_n that_o if_o it_o like_o a_o movable_a bar_n do_v not_o oppose_v their_o powerful_a contraction_n they_o will_v oblige_v the_o part_n every_o where_o to_o regurgitate_v out_o of_o the_o belly_n be_v what_o the_o n1_fw-la alba_n be_v i_o will_v add_v a_o word_n or_o two_o concern_v the_o n1_fw-la alba_fw-la which_o be_v form_v by_o the_o union_n of_o the_o tendinous_a fibres_fw-fr of_o the_o aponeurosis_n of_o the_o oblique_a and_o transvers_a muscle_n which_o aponeurosis_n make_v a_o kind_n of_o separation_n and_o mark_v the_o interval_n between_o the_o right_a muscle_n so_o that_o to_o show_v these_o two_o muscle_n we_o be_v force_v to_o cut_v those_o aponeurosis_n under_o which_o they_o be_v hide_v i_o pass_v now_o to_o the_o action_n of_o every_o muscle_n in_o particular_a the_o external_a oblique_a pass_n oblique_o from_o above_o downward_o according_a to_o the_o disposition_n of_o their_o fibre_n just_a as_o the_o internal_a pass_n from_o below_o upward_o the_o transver_n press_v equal_o the_o flank_n and_o the_o action_n of_o the_o right_n be_v feel_v all_o along_o the_o side_n of_o the_o n1_fw-la alba_fw-la these_o muscle_n so_o dispose_v press_v equal_o all_o part_n of_o the_o belly_n when_o they_o be_v contract_v in_o time_n of_o expiration_n and_o maintain_v it_o in_o a_o level_a always_o unite_v after_o all_o these_o reflection_n if_o we_o make_v a_o just_a application_n of_o the_o cause_n of_o hernias_fw-la according_a to_o the_o mechanism_n of_o the_o part_n where_o they_o be_v feel_v we_o shall_v find_v something_o to_o satisfy_v our_o curiosity_n confider_v that_o violent_a blow_n rude_a shake_n long_a course_n excess_n of_o venery_n dance_v leap_v and_o general_o all_o effort_n be_v capable_a not_o only_o of_o move_v the_o gut_n but_o also_o of_o relax_v their_o connexion_n hence_o post_n postilians_n dancer_n leper_n &c_n &c_n be_v trouble_v often_o with_o they_o to_o these_o we_o have_v add_v cry_v vehement_a cough_n and_o all_o too_o frequent_a expiration_n and_o inspiration_n hence_o musician_n singer_n and_o child_n who_o part_n be_v soft_a and_o spungy_a be_v so_o much_o subject_n to_o they_o in_o all_o these_o effort_n the_o gut_n be_v so_o press_v and_o repel_v on_o all_o side_n by_o the_o diaphragm_n and_o muscle_n of_o the_o abdomen_fw-la which_o as_o so_o many_o hand_n and_o movable_a napkin_n oblige_v the_o omentum_fw-la and_o intestine_n to_o strike_v and_o apply_v themselves_o so_o strong_o against_o the_o surface_n of_o the_o peritonaeum_fw-la that_o they_o be_v constrain_v to_o regurgitate_v through_o the_o weak_a place_n as_o a_o piece_n of_o wax_n between_o the_o finger_n when_o it_o be_v squeeze_v with_o the_o hand_n they_o push_v i_o say_v and_o dilate_v the_o interior_a membrane_n of_o the_o peritonaeum_fw-la where_o it_o be_v least_o assi_v by_o the_o exterior_a and_o sink_v into_o the_o ring_n of_o the_o muscle_n form_v a_o sack_n which_o be_v great_a or_o less_o in_o proportion_n to_o the_o strength_n of_o the_o impulse_n this_o sack_n nest_n its_o self_n all_o along_o and_o at_o the_o side_n of_o the_o production_n of_o the_o peritonaeum_fw-la confute_v a_o ancient_a error_n confute_v which_o be_v form_v by_o its_o exterior_a membrane_n and_o not_o in_o the_o production_n which_o invelop_v the_o spermatic_a vessel_n as_o most_o imagine_v this_o idea_n we_o must_v have_v of_o the_o formation_n of_o the_o purse_n which_o include_v the_o intestine_a and_o which_o make_v the_o hernias_fw-la if_o there_o be_v any_o little_a indisposition_n in_o the_o oil_n water_n wind_n and_o tumor_n which_o we_o have_v establish_v for_o internal_a cause_n the_o ventral_n hernia_n remain_v now_o to_o be_v examine_v mernia_n cause_o of_o a_o ventral_n mernia_n which_o happen_v sometime_o between_o the_o right_a muscle_n sometime_o between_o the_o navel_n and_o flank_n exact_o at_o the_o aponeurosis_n of_o the_o muscle_n to_o be_v convince_v of_o which_o we_o be_v only_o to_o represent_v to_o ourselves_o how_o strong_a the_o move_a force_n of_o every_o muscle_n be_v which_o occupy_v the_o flank_n different_a from_o the_o aponeurosis_n which_o have_v no_o other_o motion_n than_o that_o which_o their_o carnous_a part_n communicate_v to_o they_o for_o though_o it_o be_v true_a that_o all_o the_o muscle_n reunite_v themselves_o to_o one_o sole_a point_n of_o the_o navel_n where_o the_o concourse_n of_o their_o action_n be_v yet_o it_o be_v probable_a that_o their_o carnous_a part_n be_v much_o strong_a and_o more_o vigorous_a and_o by_o that_o mean_n more_o capable_a of_o resist_v divers_a shake_v of_o the_o intestine_n as_o experience_n teach_v we_o unless_o it_o be_v bruise_v or_o cut_v by_o some_o blow_n we_o observe_v also_o that_o that_o the_o ventral_n hernia_n never_o happen_v in_o the_o carnous_a part_n of_o the_o muscle_n but_o always_o in_o the_o aponeurosis_n or_o in_o the_o space_n between_o the_o right_a muscle_n particular_o in_o the_o course_n of_o some_o fatness_n for_o in_o these_o kind_n of_o tumor_n the_o belly_n rise_v so_o that_o it_o oblige_v these_o two_o musculous_a band_n to_o part_n and_o the_o intestine_n find_v weak_a place_n fail_v not_o by_o their_o impulsion_n to_o dilate_v these_o part_n and_o so_o cause_v the_o hernia_n ventralis_fw-la bubonotele_fw-la hernia_n ventralis_fw-la and_o exomphalos_n not_o so_o common_a as_o bubonotele_fw-la if_o this_o and_o exomphales_n be_v not_o so_o common_a as_o bubonocele_v it_o be_v because_o the_o part_n and_o humour_n be_v more_o incline_v to_o be_v carry_v downward_o towards_o the_o groin_n than_o elsewhere_o and_o the_o disposition_n of_o the_o ring_n of_o the_o muscle_n which_o contribute_v the_o more_o to_o it_o as_o their_o overture_n be_v widen_v and_o relax_v so_o that_o if_o the_o part_n be_v put_v in_o motion_n they_o insinuate_v themselves_o and_o slip_v insensible_o through_o the_o open_a passage_n and_o where_o least_o resistance_n be_v make_v fabritius_n hildanus_n relate_v spleen_n hernia_n cause_v by_o the_o descent_n of_o the_o spleen_n that_o he_o have_v see_v a_o hernia_n make_v by_o the_o descent_n of_o the_o spleen_n this_o curious_a remark_n shall_v move_v the_o surgeon_n call_v to_o this_o kind_n of_o disease_n to_o pronounce_v not_o always_o in_o favour_n of_o the_o the_o epiploon_n and_o intestine_n before_o good_a examination_n particular_o when_o the_o tumour_n be_v of_o a_o extraordinary_a bulk_n
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
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
of_o it_o a_o thread_n which_o keep_v it_o from_o go_v too_o far_o under_o this_o be_v call_v sindon_n it_o must_v be_v somewhat_o big_a than_o the_o aperture_n that_o the_o medicine_n may_v have_v room_n to_o extend_v themselves_o on_o the_o neighbour_a part_n and_o the_o dura_n matter_n not_o to_o be_v hurt_v in_o the_o motion_n of_o the_o brain_n against_o the_o edge_n of_o the_o skull_n upon_o this_o sindon_n you_o put_v another_o of_o lint_n dip_v in_o the_o same_o medicine_n you_o fill_v the_o rest_n of_o the_o hole_n with_o dry_a lint_n and_o cover_v the_o bone_n with_o it_o and_o the_o rest_n of_o the_o wound_n for_o the_o first_o day_n be_v dress_v with_o digestives_n able_a to_o procure_v a_o strong_a suppuration_n convenient_a great_a suppuration_n very_o convenient_a we_o have_v already_o make_v you_o observe_v that_o great_a suppuration_n of_o the_o exterior_a wound_n very_o much_o contribute_v towards_o the_o ease_n of_o the_o dura_n mater_fw-la through_o the_o frequent_a commerce_n that_o be_v between_o the_o exterior_a and_o inferior_a vessel_n you_o shave_v the_o head_n for_o to_o embiocate_v with_o ol._n rosat_n &_o spirit_n vini_n you_o make_v use_v of_o emplast_n de_fw-fr betonica_n or_o andreas_n e_o cruse_n of_o a_o compress_v temper_v in_o strong_a wine_n and_o useful_a bandage_n you_o dress_v the_o wound_n the_o follow_a day_n with_o the_o same_o care_n if_o the_o splint_n be_v separate_v you_o take_v they_o away_o if_o they_o stick_v to_o the_o skull_n and_o can_v be_v replace_v you_o cut_v they_o off_o with_o the_o incisive_a pincer_n the_o dura_n matter_n be_v sometime_o so_o inflame_v that_o it_o rise_v beyond_o the_o aperture_n of_o the_o skull_n in_o spite_n of_o all_o the_o precaution_n that_o one_o can_v take_v and_o see_v it_o be_v dangerous_a to_o trepan_n too_o much_o nothing_o but_o bleed_v clyster_n and_o a_o exact_a diet_n can_v stop_v the_o progress_n of_o the_o inflammation_n if_o blood_n or_o matter_n be_v get_v between_o the_o membrane_n there_o be_v no_o other_o remedy_n than_o to_o give_v vent_n to_o the_o matter_n to_o execute_v which_o design_n with_o prudence_n you_o arm_v a_o lancet_n mater_fw-la how_o to_o penetrate_v the_o dura_n mater_fw-la and_o dexterous_o open_v the_o dura_n matter_n without_o the_o knowledge_n of_o the_o bystander_n when_o the_o dura_n mater_fw-la and_o the_o brain_n be_v hurt_v there_o arise_v very_o often_o in_o the_o last_o day_n upon_o it_o a_o fungus_n like_o a_o mushroom_n which_o increase_v more_o or_o less_o according_a as_o the_o matter_n which_o contribute_v to_o its_o generation_n be_v more_o or_o less_o unctuous_a opinion_n malpigius_n be_v opinion_n the_o famous_a malpigius_n pretend_v that_o the_o displace_v the_o gland_n of_o the_o brain_n and_o the_o little_a nervous_a pipe_n frame_v this_o excrescence_n but_o without_o run_v to_o the_o disorder_v of_o the_o gland_n be_v it_o not_o more_o reasonable_a to_o believe_v that_o it_o be_v breed_v from_o the_o abundance_n of_o the_o fat_a fungus_n cause_o of_o a_o fungus_n and_o oleaginous_a matter_n with_o which_o the_o brain_n be_v actual_o water_v as_o we_o have_v sufficient_o prove_v in_o several_a place_n of_o this_o treatise_n which_o experience_n also_o every_o day_n show_v we_o in_o those_o upon_o who_o dura_n mater_fw-la oil_n be_v outward_o apply_v in_o this_o inconvenience_n you_o must_v dry_v it_o with_o spirit_n of_o wine_n or_o tinct_v aloe_n which_o dissipate_v its_o humidity_n and_o forsake_v the_o use_n of_o ointment_n fungus_n how_o to_o consume_v a_o fungus_n if_o these_o remedy_n be_v not_o sufficient_a to_o extirpate_v the_o fungus_n use_v the_o soft_a catheretic_n as_o turpentine_n in_o powder_n pul._n irid._n florent_fw-la alurn_v ustum_fw-la some_o time_n you_o may_v apply_v precept_n rub._n in_o use_v these_o powder_n the_o flesh_n must_v be_v also_o a_o little_a compress_v or_o it_o will_v not_o be_v consume_v after_o these_o medicine_n have_v perform_v their_o virtue_n a_o decoct_v of_o traumatic_a herb_n in_o white_a wine_n be_v very_o advantageous_a to_o which_o add_v mel._n rosat_n more_fw-it or_o less_o according_a as_o its_o necessary_a to_o humect_v or_o dry_v up_o you_o must_v correct_v the_o air_n of_o the_o patient_n chamber_n by_o the_o use_n of_o fire_n especial_o when_o you_o dress_v he_o &_o apply_v the_o medicine_n as_o warm_a as_o you_o can_v when_o the_o flesh_n be_v quick_a and_o firm_a you_o must_v maintain_v it_o in_o that_o condition_n but_o when_o it_o be_v too_o soft_a you_o must_v compress_v it_o or_o use_v more_o dry_a remedy_n whilst_o you_o be_v cure_v the_o interior_n after_o this_o manner_n you_o must_v external_o use_v the_o best_a traumatics_n and_o apply_v upon_o the_o bone_n such_o remedy_n as_o hasten_v the_o exfoliation_n as_o spirit_n vini_n in_o which_o euphorb_n be_v infuse_v which_o be_v admirable_a to_o hasten_v exfoliation_n it_o must_v be_v always_o use_v before_o the_o flesh_n which_o grow_v upon_o the_o brain_n surmount_v the_o aperture_n and_o according_a to_o the_o nature_n of_o the_o accident_n which_o happen_v general_a medicine_n ought_v to_o accompany_v the_o topic_n chap._n xxxiii_o of_o the_o aneurisma_n anevrisma_n two_o sort_n of_o anevrisma_n a_fw-la aneurisma_n be_v a_o preternatural_a tumour_n form_v by_o the_o dilatation_n of_o the_o artery_n or_o by_o the_o rupture_n of_o its_o tumicle_n which_o make_v two_o kind_n of_o anevrisma_n the_o true_a and_o false_a the_o true_a one_o be_v that_o which_o do_v not_o abandon_v the_o pipe_n of_o the_o artery_n false_a true_a and_o false_a and_o which_o have_v correspondence_n with_o the_o blood_n which_o the_o heart_n send_v continual_o there_o on_o the_o contrary_a the_o false_a possess_v the_o nigh_o part_n and_o have_v no_o communication_n at_o all_o with_o the_o arterial_a blood_n aneurisma_n internal_a cause_n of_o a_o true_a aneurisma_n concern_v the_o internal_a cause_n of_o the_o true_a aneurisma_n we_o can_v attribute_v it_o to_o nothing_o but_o to_o the_o action_n of_o a_o sharp_a and_o corrosive_a humour_n which_o be_v separate_v from_o the_o gland_n that_o be_v spread_v about_o the_o vessel_n and_o which_o insensible_o gnaw_v the_o outward_a coat_n of_o the_o artery_n so_o that_o the_o blood_n by_o reiterated_a shake_n dispose_v the_o inferior_a tunicle_n to_o extend_v and_o dilate_v itself_o and_o after_o several_a impulsion_n not_o be_v in_o a_o condition_n of_o resist_v its_o motion_n it_o give_v way_n and_o obey_v till_o at_o last_o a_o tumour_n be_v form_v which_o be_v call_v a_o aneurism_n thus_o i_o conceive_v all_o sort_n of_o anevrism_n to_o be_v form_v which_o natural_o happen_v on_o the_o neck_n arm_n and_o several_a other_o part_n we_o also_o observe_v that_o these_o kind_n of_o tumor_n possess_v rather_o lean_a and_o atrophiated_a person_n who_o blood_n be_v load_v with_o salt_n than_o those_o that_o be_v fat_a and_o pamper_a aneurisma_n external_n cause_v of_o a_o true_a aneurisma_n the_o external_n cause_n of_o a_o true_a aneurisma_n come_v from_o a_o punction_n make_v on_o the_o exterior_a coat_n of_o the_o artery_n with_o a_o lancet_n sword_n or_o other_o like_a instrument_n or_o from_o some_o blow_n etc._n etc._n or_o final_o from_o the_o strong_a impression_n which_o sharp_a and_o corrosive_a medicine_n or_o humour_n which_o lurk_v about_o the_o vessel_n make_v upon_o the_o same_o exterior_a coat_n it_o be_v easy_a to_o comprehend_v that_o all_o these_o cause_n be_v capable_a of_o weaken_v the_o pipe_n of_o the_o artery_n and_o the_o blood_n beat_v without_o intermission_n extend_v and_o force_v outward_o the_o pipe_n and_o so_o produce_v a_o tumour_n aneurisma_n cause_o of_o the_o false_a aneurisma_n the_o false_a aneurisma_n be_v cause_v by_o the_o total_a ruption_n of_o the_o tunicle_n of_o the_o artery_n which_o give_v vent_v to_o the_o blood_n to_o extravasate_n itself_o between_o the_o porosity_n of_o the_o flesh_n and_o skin_n and_o so_o form_v a_o tumour_n which_o be_v follow_v by_o troublesome_a accident_n because_o the_o extravasated_a blood_n be_v no_o more_o in_o motion_n ferment_n and_o suffer_v alteration_n which_o be_v almost_o always_o follow_v by_o the_o mark_v of_o mortification_n these_o two_o kind_n of_o anevrisma_n increase_n more_o or_o less_o according_a as_o the_o action_n of_o the_o sharp_a juice_n contusion_n aperture_n of_o the_o vessel_n and_o impulsion_n of_o the_o blood_n be_v more_o or_o less_o considerable_a aneurisma_n sign_n of_o a_o true_a aneurisma_n the_o sign_n of_o the_o true_a aneurisma_n be_v sensible_a pulsation_n of_o the_o tumour_n and_o its_o softness_n when_o it_o be_v press_v with_o the_o finger_n it_o disappear_v at_o the_o same_o time_n but_o as_o soon_o as_o you_o give_v over_o press_v it_o come_v again_o into_o its_o first_o state_n the_o colour_n of_o the_o skin_n be_v not_o change_v because_o the_o blood_n which_o maintain_v the_o tumour_n keep_v its_o liquidness_n by_o
all_o the_o blood_n that_o shall_v run_v out_o you_o must_v take_v care_n in_o pull_v off_o the_o dress_n not_o to_o handle_v they_o with_o too_o much_o violence_n lest_o you_o pull_v also_o off_o the_o ligature_n you_o must_v take_v care_n after_o suppuration_n to_o press_v the_o stump_n a_o little_a by_o mean_n of_o the_o compress_v to_o hinder_v the_o generation_n of_o fungeous_a and_o superfluous_a flesh_n which_o ordinary_o happen_v after_o long_a suppuration_n button_n caution_n to_o be_v use_v in_o apply_v the_o vitreol_n button_n those_o that_o use_v the_o vitriol_n button_n must_v precise_o apply_v it_o to_o the_o mouth_n of_o the_o vessel_n and_o take_v care_v it_o do_v not_o fall_v in_o apply_v the_o bolster_n nevertheless_o though_o we_o have_v disapprove_v its_o use_n for_o several_a reason_n yet_o those_o that_o will_v make_v use_n of_o it_o ought_v to_o lift_v the_o stump_n up_o a_o little_a and_o hold_v the_o hand_n upon_o it_o for_o 3_o or_o 4_o hour_n until_o the_o vitriol_n have_v begin_v to_o produce_v its_o effect_n in_o happen_v sometime_o that_o after_o the_o operation_n the_o part_n suffer_v some_o convulsive_a motion_n convulsion_n cause_o of_o after_o convulsion_n occasion_v by_o the_o spirit_n be_v irritate_v by_o sharp_a corrosive_a or_o vitriolic_a matter_n or_o by_o the_o trouble_n of_o the_o spirit_n themselves_o in_o the_o part_n for_o if_o we_o consider_v that_o the_o brain_n actual_o prepare_v a_o certain_a quantity_n of_o spirit_n which_o run_v through_o the_o nerve_n to_o serve_v the_o function_n of_o the_o whole_a body_n we_o shall_v agree_v that_o those_o which_o be_v design_v for_o the_o motion_n and_o sensation_n of_o that_o part_n which_o be_v no_o more_o existent_a but_o separate_v from_o the_o other_o must_v needs_o run_v back_o it_o be_v perhaps_o this_o unlucky_a reflux_n which_o excite_v these_o irregular_a convulsion_n and_o the_o involuntary_a contraction_n pull_v along_o with_o they_o the_o artery_n and_o so_o give_v occasion_n to_o the_o ligature_n to_o break_v and_o the_o part_n to_o bleed_v which_o often_o cause_v death_n therefore_o in_o these_o occasion_n a_o chirurgeon_n must_v not_o stand_v search_v for_o the_o artery_n he_o must_v only_o lay_v upon_o it_o the_o vitriolic_a button_n with_o bolstâ—…â—oaked_a in_o some_o styptic_a liquor_n these_o be_v the_o measure_n which_o you_o must_v take_v in_o such_o occasion_n chap._n xxxvii_o of_o paronychia_fw-la paronychia_fw-la be_v a_o very_a painful_a tumour_n which_o possess_v the_o finger_n end_n cause_v by_o the_o alteration_n and_o effervescency_n of_o the_o bilious_a and_o sulphureous_a particle_n of_o the_o blood_n paronychia_fw-la two_o kind_n of_o paronychia_fw-la they_o ordinary_o make_v two_o kind_n of_o it_o in_o the_o one_o the_o matter_n lie_v between_o the_o periostium_fw-la and_o the_o bone_n accompany_v with_o a_o burn_a heat_n acute_a pain_n and_o deep_a pulsation_n great_a tention_n and_o burn_a fever_n the_o other_o be_v only_o in_o the_o flesh_n with_o less_o heat_n and_o pain_n light_a pulsation_n less_o tention_n and_o hardly_o any_o fever_n at_o all_o pain_n cause_o of_o the_o heat_n and_o pain_n the_o heat_n and_o pain_n come_v from_o the_o strong_a ebullition_n of_o the_o blood_n and_o many_o irritation_n whiâ—â—â—he_v sulphureous_a particle_n that_o â—…elt_v and_o be_v â—â—rned_v into_o sanies_fw-la excite_v at_o the_o fibre_n of_o the_o periostium_fw-la tention_n cause_o of_o the_o tention_n the_o tention_n proceed_v only_o from_o the_o fermentation_n of_o the_o humour_n it_o be_v easy_a to_o comprehend_v that_o when_o a_o liquor_n boil_v it_o extend_v itself_o more_o in_o length_n and_o breadth_n than_o when_o it_o be_v at_o rest_n and_o must_v consequent_o dilate_v the_o vessel_n in_o a_o great_a manner_n that_o contain_v it_o pulsation_n cause_o of_o the_o pulsation_n the_o pulsation_n be_v nothing_o else_o but_o a_o more_o exquisite_a and_o lively_a feeling_n that_o we_o have_v of_o the_o artery_n beat_v in_o the_o inflame_a part_n cause_v by_o a_o great_a tention_n and_o effervescency_n of_o the_o blood_n fever_n cause_o of_o the_o fever_n the_o fever_n come_v from_o the_o mutual_a agitation_n of_o the_o different_a particle_n of_o the_o blood_n that_o fight_n against_o one_o another_o with_o great_a strength_n and_o tear_v one_o another_o in_o a_o thousand_o little_a particle_n of_o a_o different_a bigness_n and_o figure_n which_o be_v move_v in_o the_o mass_n of_o blood_n excite_v the_o fever_n but_o after_o a_o long_o struggle_v the_o pus_fw-la be_v make_v the_o vessel_n burst_v the_o matter_n extravasates_n the_o tumour_n grow_v soft_a the_o fever_n and_o all_o other_o symptom_n diminish_v than_o we_o give_v the_o pus_fw-la issue_n by_o incision_n incision_n where_o to_o make_v the_o incision_n which_o we_o make_v at_o the_o side_n of_o the_o finger_n to_o avoid_v the_o tendon_n we_o then_o use_v those_o medicine_n ordinary_o use_v for_o other_o ulcer_n i_o will_v no_o long_o insist_v upon_o the_o paronychia_fw-la though_o it_o will_v furnish_v we_o with_o matter_n for_o a_o long_a discourse_n and_o see_v most_o author_n have_v give_v their_o opinion_n of_o it_o any_o one_o may_v be_v instruct_v by_o they_o chap._n xxxviii_o of_o the_o use_n of_o cupping-glass_n most_o practitioner_n of_o physic_n be_v wont_v rather_o to_o approve_v the_o use_n of_o cupping-glass_n and_o leech_n than_o condemn_v it_o be_v it_o that_o they_o either_o find_v themselves_o upon_o that_o pretend_a attraction_n of_o the_o ancient_n use_n cupping-glass_n of_o very_a little_a use_n or_o that_o they_o think_v to_o discharge_v soon_o a_o part_n load_v with_o the_o weight_n of_o some_o strange_a matter_n it_o be_v true_a they_o use_v they_o but_o with_o little_a success_n beside_o this_o attraction_n be_v just_a a_o chimaera_n and_o be_v the_o most_o cruel_a and_o temerarious_a practice_n that_o can_v be_v imagine_v what_o appearance_n be_v there_o to_o scarrifie_v the_o back_n to_o dissipate_v inflammation_n of_o the_o eye_n to_o slash_v the_o loin_n to_o hinder_v the_o progress_n of_o malign_a fever_n attraction_n no_o such_o thing_n as_o attraction_n to_o cut_v the_o skin_n and_o flesh_n in_o 20_o different_a place_n to_o draw_v one_o or_o two_o ounce_n of_o blood_n i_o do_v not_o believe_v that_o those_o who_o have_v a_o idea_n of_o the_o circulation_n of_o the_o blood_n can_v show_v i_o by_o experience_n or_o any_o other_o way_n that_o the_o division_n of_o some_o cupillary_a vessel_n be_v capable_a of_o cure_v the_o least_o cutaneous_a affect_v nevertheless_o there_o be_v some_o that_o do_v authorise_v this_o practice_n maintain_v that_o the_o scarification_n do_v determine_v the_o blood_n and_o spirit_n to_o repair_v in_o abundance_n to_o the_o scarify_v part_n and_o that_o in_o move_v the_o humour_n after_o this_o manner_n the_o afflict_a part_n be_v disengage_v and_o the_o inflammation_n lessen_v it_o be_v to_o be_v wish_v for_o the_o partisan_n of_o this_o practice_n that_o the_o inflammation_n will_v favour_v their_o opinion_n for_o we_o can_v believe_v that_o the_o blood_n and_o spirit_n run_v into_o a_o part_n in_o a_o great_a quantity_n than_o the_o use_v to_o do_v without_o cause_v some_o inflammation_n which_o be_v not_o observe_v here_o beside_o blood_n inflammation_n cause_v only_o by_o the_o interruption_n of_o the_o blood_n that_o the_o inflammation_n come_v not_o but_o because_o the_o motion_n of_o the_o blood_n be_v intercept_v by_o the_o divulsion_n of_o the_o vessel_n as_o it_o happen_v in_o all_o new_a wound_n and_o not_o at_o all_o by_o a_o determination_n occasion_v by_o the_o pain_n last_o all_o the_o virtue_n which_o be_v attribute_v to_o cupping-glass_n shall_v not_o hinder_v i_o from_o disapprove_v their_o use_n for_o i_o say_v that_o they_o be_v not_o only_o useless_a in_o many_o disease_n where_o they_o be_v employ_v but_o also_o in_o venereal_a sore_n and_o bite_v of_o venomous_a animal_n since_o it_o be_v certain_a that_o the_o poison_n of_o these_o animal_n which_o consist_v in_o a_o strange_a acid_n manifest_v itself_o in_o a_o moment_n to_o the_o brain_n in_o spite_n of_o the_o influence_n of_o the_o spirit_n and_o that_o the_o mass_n of_o blood_n be_v present_o oppress_v with_o it_o by_o the_o law_n of_o circulation_n from_o whence_o i_o conclude_v that_o once_o bleed_v or_o the_o least_o sudorific_a in_o what_o disease_n soever_o will_v always_o do_v more_o good_a than_o all_o the_o cupping-glass_n you_o can_v apply_v fistula_n leech_n very_o often_o the_o cause_n of_o fistula_n you_o must_v observe_v that_o in_o the_o hemmorhoide_n emollient_a and_o discuss_a remedy_n be_v to_o be_v prefer_v before_o leech_n which_o be_v very_o often_o the_o cause_n of_o imposthume_n and_o fistula_n in_o the_o anus_fw-la as_o i_o have_v show_v you_o in_o the_o treatise_n of_o fistula_n caustic_n where_o and_o how_o to_o make_v a_o issue_n by_o caustic_n i_o also_o say_v by_o the_o bye_n that_o caustic_n
the_o liberty_n of_o move_v he_o suffer_v a_o fix_a and_o dull_a pain_n which_o be_v a_o common_a sign_n of_o a_o pleurisy_n with_o this_o difference_n that_o the_o pluretic_n pain_n be_v pungent_a come_v all_o of_o a_o sudden_a whereas_o the_o pneumonic_a pain_n that_o be_v to_o say_v that_o which_o proceed_v from_o a_o impostume_n of_o the_o lung_n come_v only_o by_o little_a and_o little_a and_o successive_o the_o continue_a fever_n do_v not_o leave_v accompany_v sometime_o with_o a_o immoderate_a thirst_n his_o spittle_n be_v purulent_a his_o mouth_n and_o throat_n dry_a he_o have_v red_a cherry_n cheek_n sink_v and_o hollow_a eye_n have_v lose_v their_o lively_a and_o glitter_a colour_n his_o nail_n bend_v backward_o and_o the_o whole_a body_n grow_v at_o lest_o dry_a and_o emaciate_v and_o if_o the_o fever_n increase_v the_o patient_n fall_v into_o delirium_fw-la and_o his_o spital_n be_v black_a livid_n or_o ash-coloured_a death_n be_v not_o far_o off_o because_o they_o be_v mortal_a symptom_n which_o oftentimes_o accompany_v it_o so_o much_o for_o the_o impostumation_n of_o the_o lung_n which_o come_v from_o a_o internal_a cause_n let_v we_o now_o examine_v those_o that_o follow_v the_o impostume_n of_o the_o lung_n cause_v by_o wound_n the_o difficulty_n of_o breathe_v be_v not_o so_o considerable_a the_o fever_n be_v continual_a accompany_v with_o shiver_a and_o cold_a sweat_v which_o appear_v from_o time_n to_o time_n these_o two_o last_o accident_n be_v depend_v from_o the_o pleura_fw-la the_o patient_n spit_v pretty_a often_o blood_n in_o the_o beginning_n and_o towards_o the_o end_n it_o be_v frothy_a and_o purulent_a when_o the_o spital_n be_v of_o a_o yellow_a colour_n it_o be_v mortal_a he_o can_v lie_v but_o on_o his_o back_n because_o be_v on_o his_o sound_a side_n the_o wound_a loab_n lie_v heavy_a upon_o the_o mediastinum_fw-la and_o cause_v a_o twitch_a and_o cruel_a pain_n and_o when_o he_o turn_v himself_o on_o the_o wound_a side_n the_o lung_n come_v to_o lie_v heavy_a upon_o the_o pleura_fw-la which_o be_v hurt_v do_v not_o fail_v to_o excite_v the_o same_o pain_n wherefore_o he_o dare_v not_o stir_v wound_v sign_n of_o the_o lung_n be_v wound_v in_o the_o beginning_n his_o eye_n be_v brisk_a but_o at_o last_o they_o grow_v dull_a and_o the_o face_n puff_v up_o but_o the_o most_o certain_a sign_n that_o the_o wound_n reach_v to_o the_o capacity_n of_o the_o breast_n and_o of_o the_o lung_n be_v hurt_v be_v the_o probe_n the_o noise_n which_o the_o air_n make_v in_o come_v forth_o and_o the_o emphysema_n when_o you_o probe_n you_o must_v observe_v to_o make_v the_o patient_n put_v himself_o in_o the_o same_o posture_n he_o be_v in_o when_o wound_v that_o the_o extravasated_a blood_n may_v run_v easy_a out_o if_o the_o wound_v penetrate_v to_o the_o substance_n of_o the_o lung_n the_o blood_n which_o flow_v be_v forty_o and_o the_o air_n make_v less_o noise_n and_o come_v not_o out_o with_o such_o impetuosity_n as_o when_o the_o wound_n penetrate_v only_o the_o breast_n without_o touch_v the_o lung_n if_o one_o ask_v objection_n whence_o come_v the_o air_n that_o be_v in_o the_o capacity_n of_o the_o breast_n the_o lung_n not_o be_v alter_v and_o the_o reason_n why_o it_o make_v such_o a_o noise_n you_o may_v answer_v answer_v that_o it_o be_v the_o outward_a air_n which_o be_v get_v in_o through_o the_o mouth_n of_o the_o wound_n and_o endeavour_v to_o escape_v because_o of_o the_o expansion_n of_o the_o lung_n which_o press_v it_o every_o where_n it_o happen_v that_o those_o particle_n which_o appear_v at_o the_o passage_n not_o be_v able_a to_o get_v out_o but_o with_o a_o great_a deal_n of_o pain_n through_o the_o resistance_n of_o the_o external_a air_n and_o the_o smallness_n of_o the_o aperture_n push_n and_o press_v one_o another_o so_o hard_a that_o they_o must_v needs_o make_v a_o noise_n and_o produce_v a_o kind_n of_o whistle_v pass_v out_o of_o the_o breast_n which_o can_v put_v out_o a_o candle_n hold_v to_o the_o mouth_n of_o the_o wound_n emphisema_n cause_o of_o the_o emphisema_n the_o emphisema_n be_v likewise_o only_o cause_v by_o the_o particle_n of_o the_o air_n which_o penetrate_v the_o porosity_n of_o the_o neighbour_a part_n which_o swell_v and_o blow_v they_o up_o so_o that_o often_o one_o can_v find_v the_o mouth_n of_o the_o wound_n nor_o introduce_v a_o probe_n it_o be_v easy_a to_o see_v from_o what_o we_o have_v say_v that_o the_o emphisema_n and_o the_o air_n be_v come_v out_o of_o the_o breast_n be_v not_o always_o convince_a sign_n of_o the_o lung_n be_v hurt_v because_o they_o happen_v when_o the_o wound_n penetrate_v into_o the_o breast_n without_o have_v touch_v the_o lung_n wherefore_o there_o be_v only_o the_o sign_n which_o we_o have_v speak_v of_o that_o can_v give_v we_o afterward_o certain_a mark_n of_o it_o but_o the_o probe_n and_o the_o exit_z of_o the_o air_n be_v two_o true_a sign_n that_o the_o wound_n penetrate_v into_o the_o breast_n you_o must_v observe_v caution_n caution_n that_o if_o the_o breast_n be_v pierce_v through_o and_o through_o you_o must_v never_o let_v both_o the_o orifice_n be_v open_a at_o once_o for_o fear_v you_o choke_v the_o patient_n the_o reason_n of_o it_o be_v evident_a because_o the_o air_n can_v enter_v by_o two_o opposite_a side_n without_o compress_v the_o lung_n and_o hinder_v the_o motion_n of_o the_o breast_n i_o have_v say_v that_o the_o true_a situation_n when_o the_o lung_n be_v alter_v be_v to_o lay_v one_o down_o on_o the_o back_n for_o to_o ease_v the_o patient_n because_o the_o bronchia_fw-la be_v compress_v by_o the_o weight_n of_o the_o extravasated_a blood_n which_o present_o take_v away_o the_o liberty_n of_o breathe_v i_o intend_v to_o speak_v here_o of_o the_o superficial_a wound_n of_o the_o lung_n for_o if_o they_o be_v deep_a and_o that_o any_o great_a vessel_n be_v divide_v one_o feel_v almost_o as_o much_o pain_n lie_v on_o the_o back_n as_o on_o the_o side_n lung_n a_o certain_a sign_n of_o extravasated_a blood_n in_o the_o body_n of_o the_o lung_n but_o one_o of_o the_o most_o certain_a sign_n that_o there_o be_v some_o blood_n extravasated_a into_o the_o body_n of_o the_o lung_n and_o of_o which_o we_o have_v not_o yet_o speak_v be_v that_o if_o we_o put_v our_o finger_n far_o enough_o into_o the_o wound_n provide_v the_o bigness_n or_o diameter_n of_o the_o breast_n permit_v it_o we_o find_v that_o the_o lung_n be_v fasten_v to_o the_o pleura_fw-la round_o about_o the_o wound_n and_o reunite_v themselves_o there_o even_o as_o the_o intestine_a be_v unite_v to_o the_o peritoneum_fw-la pleura_fw-la a_o sign_n that_o the_o wound_n have_v not_o pass_v the_o pleura_fw-la the_o sign_n which_o demonstrate_v that_o the_o wound_n do_v not_o pass_v the_o pleura_fw-la be_v the_o probe_n and_o the_o air_n which_o never_o pass_v through_o the_o wound_n there_o be_v some_o other_o as_o the_o pain_n inflammation_n fever_n heaviness_n and_o difficulty_n of_o breathe_v beside_o the_o thickness_n of_o the_o exterior_a part_n which_o may_v in_o some_o manner_n guide_v we_o for_o to_o be_v sure_a of_o it_o all_o these_o sign_n nevertheless_o do_v not_o always_o show_v that_o the_o wound_n be_v deep_a since_o a_o simple_a inflammation_n of_o the_o intercostical_a muscle_n hinder_v free_a respiration_n if_o we_o consider_v that_o the_o use_n of_o these_o muscle_n be_v to_o raise_v the_o rib_n to_o enlarge_v and_o widen_v the_o cavity_n of_o the_o breast_n and_o that_o inflammation_n and_o tention_n be_v utter_o contrary_a to_o their_o action_n we_o shall_v agree_v that_o the_o lung_n can_v dilate_v themselves_o but_o with_o difficulty_n and_o see_v the_o contraction_n of_o a_o inflame_a muscle_n increase_v the_o tention_n and_o great_a tention_n many_o divulsion_n and_o many_o divulsion_n vehement_a pain_n you_o must_v not_o wonder_v if_o the_o disease_a for_o to_o ease_v himself_o a_o little_a from_o the_o pain_n retard_v the_o course_n of_o the_o spirit_n and_o have_v very_o great_a difficulty_n of_o breathe_v heaviness_n cause_o of_o the_o heaviness_n the_o heaviness_n proceed_v from_o the_o impotency_n of_o the_o muscle_n for_o as_o soon_o as_o a_o part_n be_v out_o of_o action_n it_o seem_v heavy_a to_o we_o for_o it_o be_v a_o burden_n which_o the_o neighbour_a part_n must_v support_v and_o be_v they_o have_v neither_o strength_n nor_o motion_n to_o raise_v what_o offend_v they_o must_v succumb_v under_o the_o weight_n of_o a_o new_a and_o superfluous_a matter_n from_o whence_o depend_v the_o heaviness_n we_o have_v explain_v in_o several_a place_n of_o this_o treatise_n the_o cause_n of_o pain_n inflammation_n and_o fever_n we_o have_v say_v that_o the_o pain_n be_v excite_v by_o some_o actual_a divulsion_n by_o who_o occasion_n the_o soul_n perceive_v the_o destruction_n
of_o a_o part_n be_v afflict_v the_o inflammation_n happen_v when_o the_o course_n of_o blood_n be_v hinder_v in_o any_o part_n and_o that_o it_o be_v sufficient_a to_o produce_v the_o fever_n which_o be_v a_o consequence_n of_o the_o pain_n and_o inflammation_n if_o a_o drop_n of_o extravasated_a and_o corrupt_a blood_n be_v carry_v to_o the_o heart_n cheek_n cause_o of_o red_a cheek_n one_o have_v red_a cheek_n in_o a_o impostume_n of_o the_o lung_n this_o come_v from_o the_o irregular_a motion_n which_o the_o purulent_a particle_n communicate_v to_o the_o principle_n of_o the_o blood_n and_o from_o the_o great_a number_n of_o blood_n vessel_n which_o irrigate_n the_o cheek_n eye_n cause_o of_o the_o dulness_n of_o the_o eye_n the_o eye_n lose_v their_o vivacity_n and_o sink_v into_o the_o head_n because_o the_o blood_n lose_v its_o consistence_n and_o colour_n in_o lose_v its_o oil_n and_o unctuosity_n which_o make_v the_o eye_n sink_v and_o become_v insensible_o wan_a and_o dull_a proportionable_a as_o the_o sharp_a and_o tartarous_a salt_n dissipate_v the_o oily_a and_o sulphureous_a particle_n corrupt_v in_o all_o disease_n of_o the_o lung_n the_o caule_n and_o mesenterium_fw-la always_o corrupt_v this_o i_o say_v be_v so_o true_a that_o in_o all_o disease_n of_o the_o lung_n we_o always_o find_v the_o epiploon_n and_o mesenterium_fw-la which_o be_v the_o two_o reservatorium_n of_o the_o fat_a corrupt_v it_o be_v for_o the_o same_o reason_n that_o all_o part_n of_o the_o body_n dry_v up_o and_o grow_v lean_a blood_n what_o give_v the_o red_a colour_n to_o the_o blood_n you_o must_v also_o observe_v that_o the_o red_a colour_n of_o the_o blood_n do_v not_o only_o depend_v on_o the_o mixture_n of_o the_o sulphur_n but_o also_o on_o the_o action_n of_o the_o air_n which_o whirl_n about_o its_o particle_n and_o be_v the_o air_n that_o get_v into_o the_o impostumate_v lung_n change_v its_o nature_n it_o be_v no_o more_o capable_a of_o set_v they_o in_o motion_n neither_o to_o excite_v so_o lively_a a_o sensation_n as_o before_o back_o cause_o of_o the_o nail_n bend_v back_o the_o nail_n bend_v backward_o because_o their_o extremity_n be_v irrigate_v with_o a_o serous_a liquor_n deprive_v of_o spirit_n the_o cutis_fw-la mus_fw-la of_o necessity_n fall_v away_o and_o dry_v up_o now_o as_o the_o nail_n be_v only_o a_o production_n of_o it_o it_o pull_v they_o along_o and_o constrain_v they_o to_o bend_v like_a as_o a_o slice_n of_o bread_n hold_v to_o the_o fire_n you_o must_v look_v upon_o all_o these_o sign_n as_o certain_a token_n that_o the_o wound_n penetrate_v into_o the_o breast_n you_o may_v stay_v some_o day_n to_o examine_v its_o progress_n for_o if_o they_o proceed_v from_o a_o not_o penetrate_v wound_n in_o a_o few_o day_n they_o cease_v by_o bleed_v and_o suppuration_n and_o they_o continue_v and_o increase_v when_o the_o lung_n be_v alter_v or_o when_o the_o diaphragma_n be_v oppress_v by_o the_o weight_n of_o some_o extravasated_a matter_n body_n a_o emphisema_n may_v happen_v to_o any_o part_n of_o the_o body_n the_o emphisema_n be_v not_o always_o a_o sign_n that_o the_o wound_n penetrate_v because_o it_o may_v happen_v not_o only_o to_o wound_n of_o the_o breast_n but_o also_o to_o all_o other_o part_n we_o see_v it_o even_o to_o come_v on_o wound_n of_o the_o head_n where_o we_o can_v suppose_v the_o lung_n to_o send_v any_o air_n so_o that_o unless_o the_o oppression_n be_v very_o great_a you_o must_v not_o try_v the_o operation_n these_o sign_n do_v not_o only_o lead_v we_o to_o the_o knowledge_n of_o the_o nature_n of_o the_o empiema_n but_o they_o tell_v we_o also_o whether_o its_o necessary_a to_o practice_v the_o operation_n for_o example_n useless_a where_o the_o operation_n will_v be_v useless_a it_o will_v be_v useless_a in_o the_o empiema_n of_o the_o lung_n by_o reason_n the_o open_n of_o the_o breast_n contribute_v nothing_o at_o all_o to_o the_o evacuation_n of_o the_o matter_n unless_o the_o impostume_n be_v on_o the_o superficies_n of_o the_o lung_n than_o it_o will_v be_v of_o more_o use_n because_o we_o know_v that_o the_o lung_n be_v fasten_v to_o the_o pleura_fw-la and_o the_o impostume_n be_v precise_o where_o one_o feel_v a_o fix_a pain_n but_o if_o so_o be_v the_o impostume_n shall_v be_v deep_a and_o manifest_v itself_o in_o that_o place_n by_o a_o fix_a pain_n it_o will_v be_v fruitless_a if_o the_o effusion_n of_o the_o blood_n shall_v happen_v from_o a_o wound_n and_o that_o by_o good_a luck_n the_o wound_n be_v in_o a_o place_n where_o the_o extravasated_a blood_n can_v easy_o get_v out_o provide_v the_o lung_n be_v not_o adherent_a by_o enlarge_n the_o mouth_n of_o the_o wound_n to_o make_v way_n for_o it_o or_o by_o lay_v the_o patient_n in_o a_o posture_n convenient_a for_o the_o run_v out_o of_o the_o matter_n the_o operation_n will_v be_v useless_a final_o let_v the_o wound_n be_v of_o what_o manner_n soever_o if_o we_o can_v facilitate_v the_o evacuation_n of_o the_o pus_fw-la by_o make_v the_o aperture_n big_a we_o ought_v to_o avoid_v the_o operation_n but_o if_o the_o matter_n can_v have_v its_o free_a course_n you_o must_v make_v use_n of_o it_o for_o to_o deliver_v the_o patient_n from_o suffocation_n and_o the_o chief_a circumstance_n of_o the_o operation_n be_v to_o choose_v a_o proper_a place_n to_o facilitate_v the_o exit_z of_o the_o matter_n necessity_n the_o most_o proper_a place_n to_o perform_v the_o operation_n of_o necessity_n there_o be_v two_o place_n in_o the_o breast_n proper_a to_o make_v the_o operation_n one_o of_o necessity_n the_o other_o of_o election_n of_o necessity_n where_o the_o matter_n appear_v as_o in_o the_o impostumation_n of_o the_o pleura_fw-la or_o in_o that_o of_o the_o superficies_n of_o the_o lung_n adhere_v to_o the_o pleura_fw-la because_o we_o be_v force_v to_o make_v the_o operation_n where_o the_o impostume_n be_v that_o of_o election_n election_n of_o election_n when_o there_o be_v nothing_o that_o oblige_v we_o to_o make_v it_o rather_o in_o one_o place_n than_o another_o in_o this_o case_n you_o must_v choose_v the_o most_o convenient_a place_n which_o be_v between_o the_o second_o and_o three_o of_o the_o true_a rib_n reckon_v from_o below_o upward_o four_o finger_n from_o the_o inferior_a angle_n of_o the_o scapula_fw-la and_o as_o much_o from_o the_o spin_v you_o must_v observe_v that_o in_o those_o who_o have_v be_v trouble_v with_o any_o long_a disease_n of_o the_o breast_n as_o with_o a_o long_a pleurisy_n etc._n etc._n the_o diaphragme_n be_v insensible_o fasten_v to_o the_o rib_n and_o reach_v sometime_o even_o to_o the_o three_o four_o or_o five_o rib_n observe_v a_o caution_n to_o be_v observe_v particular_o when_o the_o breathe_n be_v frequent_a and_o force_v therefore_o you_o must_v inform_v yourself_o which_o be_v the_o place_n where_o the_o disease_a feel_v the_o pain_n if_o it_o be_v about_o the_o second_o of_o the_o true_a rib_n where_o ordinary_o the_o diaphragma_n be_v fasten_v or_o if_o it_o be_v high_a which_o must_v be_v well_o examine_v before_o you_o make_v the_o operation_n chap._n xxiii_o of_o the_o operation_n of_o the_o empiema_n have_v preparel_n all_o that_o must_v precede_v such_o a_o necessary_a operation_n you_o place_v the_o disease_a on_o a_o chair_n or_o bed_n he_o must_v keep_v his_o body_n very_o straight_o and_o be_v hold_v up_o by_o servant_n that_o the_o chirurgeon_n may_v the_o easy_o take_v notice_n of_o the_o place_n where_o he_o be_v to_o make_v the_o incision_n in_o fat_a people_n you_o make_v it_o somewhat_o large_a that_o you_o may_v not_o be_v mistake_v operation_n how_o to_o perform_v the_o operation_n you_o pinch_v up_o the_o tegument_n for_o to_o cut_v they_o at_o length_n with_o a_o bistory_n and_o the_o fibre_n of_o the_o great_a musculus_fw-la dorsalis_fw-la cross_n for_o if_o they_o be_v cut_v otherwise_o they_o will_v stop_v the_o aperture_n of_o the_o pleura_fw-la and_o so_o hinder_v the_o run_v out_o of_o the_o matter_n you_o continue_v to_o incise_v dextrous_o the_o intercostal_n muscle_n some_o incise_v they_o at_o the_o uppermost_a part_n of_o the_o rib_n to_o avoid_v the_o vessel_n that_o lie_v all_o along_o its_o internal_a lower_v sinus_n but_o see_v the_o wound_n which_o be_v near_o the_o bone_n degeneration_n often_o into_o fistula_n caution_n caution_n its_o more_o proper_a to_o make_v it_o in_o the_o middle_n of_o the_o intercostal_n muscle_n when_o you_o be_v come_v to_o the_o pleura_fw-la you_o put_v your_o finger_n there_o all_o along_o which_o you_o slip_v a_o bistory_n for_o to_o incise_v the_o pleura_fw-la mind_v to_o guide_v well_o the_o point_n of_o the_o instrument_n with_o the_o finger_n and_o penetrate_v not_o too_o deep_a lest_o you_o offend_v the_o lung_n or_o diaphragma_n which_o be_v often_o fasten_v to_o the_o pleura_fw-la