elementary_a body_n be_v mix_v so_o that_o a_o simple_a unmixed_a body_n be_v not_o to_o be_v find_v the_o air_n wherein_o we_o live_v and_o which_o we_o breath_n be_v full_a of_o little_a body_n separate_v from_o different_a substance_n and_o contribute_v to_o our_o health_n and_o sickness_n if_o then_o one_o breath_n a_o thick_a and_o gross_a air_n if_o he_o drink_v thick_a and_o rough_a wine_n that_o be_v not_o fine_a muddy_a water_n of_o lake_n into_o which_o several_a brook_n empty_v themselves_o or_o such_o as_o petrifie_v other_o body_n or_o snow-water_n which_o contain_v matter_n that_o be_v frequent_o drink_v may_v lessen_v the_o motion_n of_o the_o humour_n if_o he_o eat_v a_o great_a deal_n of_o unleavened_a bread_n waterfowl_n curd_n pap_n old_a cheese_n hard_a egg_n stony_a fruit_n that_o be_v tart_a and_o not_o full_o ripe_a as_o quince_n medlar_n pear_n if_o he_o feed_v on_o beer_n pork_n or_o the_o leg_n and_o foot_n of_o animal_n eel_n salt_n and_o spice_a meat_n or_o if_o he_o frequent_o make_v use_v of_o medicine_n which_o cause_n the_o more_o subtle_a part_n to_o transpire_v as_o sudorifick_v and_o diuretic_n if_o he_o bestir_v himself_o too_o violent_o at_o any_o time_n and_o especial_o after_o eat_v the_o long_a use_n or_o the_o excess_n of_o these_o thing_n will_v be_v the_o cause_n of_o the_o stone_n as_o likewise_o too_o much_o idleness_n and_o sleep_v too_o long_o upon_o the_o back_n because_o the_o earthy_a part_n of_o gross_a food_n may_v meet_v together_o in_o several_a place_n and_o disturb_v one_o another_o stop_v the_o passage_n if_o those_o who_o take_v the_o great_a care_n of_o their_o health_n be_v not_o exempt_v from_o live_v on_o food_n which_o contain_v slimy_a part_n as_o strong_a broth_n what_o may_v we_o think_v must_v befall_v they_o who_o to_o excess_n eat_v and_o drink_v indifferent_o of_o all_o thing_n or_o indeed_o but_o to_o moderation_n since_o our_o victual_n participate_v of_o a_o terrestrial_a matter_n mingle_v with_o a_o kind_n of_o salt_n and_o chemistry_n teach_v we_o that_o in_o the_o body_n of_o man_n there_o be_v some_o juice_n which_o dissolve_v and_o liquifie_v our_o food_n and_o other_o again_o that_o thicken_v it_o whence_o it_o may_v be_v conclude_v that_o if_o the_o one_o of_o these_o liquor_n by_o mingle_v with_o our_o food_n render_v it_o fluid_a but_o then_o be_v confuse_o hurry_v away_o and_o convey_v by_o straight_a passage_n it_o may_v be_v that_o the_o same_o liquor_n do_v escape_v and_o more_o easy_o glide_v away_o than_o the_o nourishment_n that_o be_v retain_v in_o and_o do_v nourish_v the_o part_n or_o even_o destroy_v it_o according_a to_o the_o proportion_n or_o disproportion_n of_o the_o humour_n which_o in_o general_n may_v be_v call_v alimentary_a it_o be_v much_o the_o same_o if_o a_o terrestrial_a juice_n remain_v with_o the_o food_n after_o chylification_n for_o be_v circulate_v through_o all_o the_o part_n of_o the_o body_n if_o it_o transpire_v not_o it_o will_v clog_v and_o obstruct_v and_o many_o part_n of_o the_o same_o nature_n join_v together_o will_v there_o produce_v a_o stone_n chap._n iu._n of_o the_o consequence_n that_o be_v draw_v from_o the_o forego_n chapter_n and_o how_o the_o stone_n be_v define_v the_o blood_n be_v carry_v to_o all_o the_o part_n of_o the_o body_n but_o if_o its_o motion_n be_v more_o rapid_a than_o be_v usual_a it_o may_v distend_v the_o capsules_a and_o ureter_n and_o make_v some_o drop_n of_o blood_n fall_v into_o the_o bladder_n or_o other_o gross_a particle_n mingle_v with_o the_o urine_n which_o will_v then_o be_v red_a bricky_a and_o gravelly_a people_z do_v not_o always_o make_v water_n so_o soon_o as_o the_o serosity_n be_v separate_v from_o the_o mass_n of_o blood_n if_o there_o be_v a_o small_a stone_n in_o the_o kidney_n it_o may_v ulcerate_v it_o it_o descend_v towards_o the_o head_n of_o the_o ureter_n and_o when_o it_o be_v rough_a or_o of_o a_o excessive_a bigness_n in_o respect_n of_o the_o narrowness_n of_o the_o passage_n it_o stop_v it_o or_o by_o the_o impulse_n and_o force_n of_o the_o urine_n that_o follow_v make_v a_o great_a dilatation_n it_o open_v a_o passage_n for_o itself_o unto_o the_o very_a bladder_n the_o patient_a in_o the_o mean_a time_n suffer_v most_o violent_a nephritick_n colick_n which_o sometime_o be_v the_o cause_n of_o his_o death_n on_o the_o contrary_a every_o soft_a part_n have_v a_o peculiar_a sense_n of_o feeling_n if_o the_o kidney_n have_v no_o exquisite_a feel_n and_o the_o urine_n or_o small_a stone_n have_v by_o little_a and_o little_o dilate_v their_o passage_n the_o glandule_n will_v separate_v and_o retain_v but_o a_o very_a small_a matter_n all_o that_o be_v contain_v with_o the_o blood_n will_v pass_v through_o and_o as_o through_o a_o seive_v several_a sort_n of_o grain_n may_v pass_v after_o that_o the_o hole_n be_v enlarge_v so_o gravel_n and_o little_a stone_n may_v be_v convey_v into_o the_o bladder_n with_o the_o urine_n and_o the_o patient_n hardly_o feel_v any_o pain_n or_o trouble_v it_o be_v to_o no_o purpose_n to_o allege_v that_o the_o dryness_n or_o close_a union_n of_o the_o part_n that_o compose_v the_o kidney_n do_v contribute_v to_o the_o form_n of_o the_o stone_n because_o in_o the_o dead_a body_n of_o those_o that_o have_v be_v trouble_v with_o the_o stone_n it_o be_v to_o be_v observe_v that_o the_o kidney_n be_v moist_a and_o soft_a and_o it_o be_v certain_a that_o in_o live_a body_n they_o be_v continual_o moisten_v with_o some_o liquor_n and_o beside_o it_o can_v be_v say_v that_o their_o bladder_n be_v narrow_a and_o dry_a although_o stone_n be_v more_o frequent_o form_v there_o than_o in_o any_o other_o part_n of_o the_o body_n it_o be_v unjust_a to_o accuse_v our_o parent_n to_o make_v we_o bear_v more_o patient_o the_o pain_n we_o suffer_v because_o in_o every_o body_n the_o cause_n of_o the_o stone_n may_v be_v sufficient_o evince_v without_o impute_v they_o to_o those_o to_o who_o we_o owe_v our_o life_n and_o without_o blame_v of_o they_o reason_n may_v be_v give_v why_o we_o see_v child_n subject_a to_o the_o stone_n who_o father_n and_o mother_n enjoy_v perfect_a health_n we_o be_v to_o conclude_v that_o age_n and_o excess_n render_v the_o part_n weak_a who_o fibre_n be_v relaxate_v give_v occasion_n to_o obstruction_n in_o old_a people_n as_o well_o as_o in_o child_n because_o the_o abundance_n of_o humidity_n slacken_v the_o motion_n and_o the_o earthy_a slimy_a and_o superfluous_a matter_n that_o be_v not_o evacuate_v occasion_n several_a disease_n as_o well_o as_o the_o stone_n many_o distemper_n be_v breed_v according_a to_o the_o diversity_n of_o the_o food_n that_o one_o take_v thus_o a_o man_n shall_v be_v afflict_v with_o the_o stone_n if_o he_o feed_v on_o course_n food_n and_o which_o may_v easy_o coagulate_a in_o the_o body_n there_o be_v not_o want_v sad_a instance_n of_o this_o person_n of_o different_a age_n sex_n and_o condition_n be_v subject_a to_o it_o and_o most_o of_o those_o who_o be_v trouble_v with_o the_o stone_n and_o who_o be_v to_o be_v see_v in_o the_o hospital_n of_o paris_n come_v from_o the_o country_n where_o most_o part_n of_o their_o food_n be_v terrestrial_a and_o course_n and_o many_o little_a child_n who_o live_v in_o that_o manner_n be_v cut_v there_o stone_n be_v form_v in_o all_o the_o part_n of_o the_o body_n and_o according_a to_o their_o dimension_n that_o which_o stop_v the_o passage_n take_v the_o name_n of_o sand_n gravel_n or_o stone_n experience_n confirm_v this_o for_o stone_n be_v find_v in_o the_o lung_n the_o liver_n the_o gall_n the_o spleen_n the_o kidney_n etc._n etc._n paraeus_n lib._n 25._o chap._n 15._o report_n that_o he_o take_v one_o out_o of_o a_o man_n knee_n some_o be_v find_v in_o the_o heart_n those_o which_o be_v find_v in_o the_o nerve_n be_v by_o paulus_n aegynaeta_n name_v nodosae_fw-la nervorum_fw-la concretiones_fw-la knotty_a concretion_n of_o the_o nerve_n it_o be_v likewise_o observe_v that_o stony_a crust_n be_v form_v about_o the_o tooth_n i_o know_v a_o man_n that_o above_o twenty_o year_n ago_o void_v one_o by_o the_o navel_n it_o be_v of_o the_o bigness_n of_o a_o olive_n stone_n and_o the_o man_n be_v still_o alive_a stone_n be_v breed_v most_o frequent_o in_o the_o kidney_n and_o bladder_n because_o these_o part_n be_v appoint_v for_o separate_v and_o contain_v the_o serosity_n which_o always_o carry_v along_o with_o it_o a_o earthy_a sediment_n that_o accompany_v the_o urine_n and_o the_o stone_n of_o the_o kidney_n and_o bladder_n give_v great_a pain_n to_o the_o patient_n because_o they_o stop_v the_o emission_n of_o urine_n or_o irritate_fw-la the_o part_n who_o use_n be_v frequent_a and_o the_o sense_n more_o exquisite_a than_o that_o of_o many_o other_o
for_o man_n to_o use_v it_o a_o right_n the_o girdle_n be_v to_o be_v put_v about_o the_o patient_n body_n and_o one_o end_n of_o it_o be_v carry_v within_o the_o collar_n and_o both_o end_v tie_v one_o of_o the_o end_n of_o the_o tail_n of_o the_o t._n be_v to_o be_v take_v betwixt_o the_o thigh_n and_o make_v it_o pass_v oblique_o upon_o the_o dress_n it_o be_v tie_v to_o the_o girdle_n in_o the_o opposite_a side_n to_o that_o from_o whence_o it_o be_v take_v the_o same_o be_v to_o be_v do_v to_o the_o other_o end_n fasten_v they_o together_o by_o a_o kind_n of_o a_o knot_n call_v the_o mariner_n knot_n have_v a_o care_n not_o to_o stop_v up_o the_o passage_n of_o the_o anus_fw-la faint_v convulsion_n and_o vomit_v go_v often_o hand_n in_o hand_n together_o but_o the_o last_o appear_v more_o frequent_o than_o the_o other_o it_o be_v remedy_v by_o wine_n and_o by_o cordial_a potion_n make_v of_o treacle_n the_o confection_n of_o hyacinth_n alkermes_n coral_n prepare_v pearl_n powder_n of_o viper_n syrup_n of_o pomegranate_n in_o balm_n water_n and_o scorzonera_n water_n carduus_fw-la benedictus_n and_o woodforell_n etc._n etc._n according_a to_o the_o various_a indication_n these_o medicine_n and_o the_o do_v of_o they_o be_v to_o be_v choose_v and_o determine_v according_a to_o the_o advice_n of_o a_o physician_n give_v they_o at_o first_o in_o a_o small_a quantity_n often_o renew_v because_o of_o the_o debility_n of_o the_o stomach_n when_o the_o vomit_v be_v stop_v the_o convulsion_n cease_v and_o the_o faint_a be_v cure_v by_o succulent_a nutriment_n such_o as_o good_a jelly_n strong_a broth_n new_o lay_v egg_n which_o strengthen_v the_o patient_n if_o they_o stay_v with_o he_o the_o reason_n be_v evident_a because_o inanition_n be_v the_o cause_n of_o these_o two_o symptom_n and_o the_o animal_n spirit_n be_v but_o in_o a_o small_a quantity_n prick_v the_o nerve_n which_o contract_n and_o draw_v towards_o their_o origination_n the_o wound_n do_v sometime_o foul_a and_o by_o too_o great_a suppuration_n according_a to_o guy_n of_o chauliac_n it_o be_v observe_v to_o degenerate_a into_o a_o sordid_a ulcer_n and_o most_o common_o virulent_a because_o of_o the_o acrimony_n of_o the_o urine_n and_o irritated_a humour_n that_o grow_v mordicant_a and_o bite_a these_o kind_n of_o ulcer_n be_v never_o without_o inflammation_n itch_a and_o excoriation_n of_o the_o part_n for_o such_o accident_n we_o be_v to_o make_v use_n of_o divert_v restrain_v and_o local_a medicine_n apply_v according_a to_o the_o temperament_n of_o the_o part_n and_o the_o counsel_n of_o the_o same_o author_n in_o the_o chapter_n of_o wound_n with_o hemorrhage_n when_o many_o symptom_n appear_v together_o the_o same_o rule_n be_v to_o be_v observe_v and_o to_o have_v regard_n to_o the_o order_n the_o urgency_n and_o the_o cause_n and_o especial_o to_o that_o which_o be_v most_o urgent_a among_o other_o thing_n careful_o observe_v the_o effect_n of_o topical_a medicine_n wherein_o chirurgery_n do_v most_o consist_v for_o cure_v of_o dilirium_n and_o lightheadedness_a strong_a broth_n be_v give_v mince_a meat_n make_v with_o veal_n pullet_n partridge_n cut_v small_a and_o put_v into_o a_o earthen_a than_o pot_n glaze_v without_o water_n well_o lute_v and_o digest_v in_o balneo_fw-la mariae_fw-la hearty_a food_n that_o be_v full_a of_o good_a juice_n and_o of_o easy_a concoction_n for_o speedy_a repair_n of_o the_o inanition_n and_o temper_v the_o animal_n spirit_n the_o truth_n be_v a_o dilirium_n with_o cold_a in_o the_o extremity_n be_v of_o such_o affinity_n one_o with_o another_o that_o they_o may_v be_v put_v into_o the_o same_o rank_n and_o a_o dilirium_n after_o lithotomy_n be_v as_o it_o be_v the_o last_o degree_n of_o the_o disease_n the_o struggle_a of_o nature_n and_o the_o forerunner_n of_o death_n chap._n xx._n of_o the_o ischuria_n or_o suppression_n of_o urine_n the_o bladder_n be_v a_o membranous_a part_n that_o may_v be_v distend_v and_o enlarge_v by_o the_o quantity_n of_o matter_n contain_v therein_o and_o when_o it_o be_v full_a or_o stimulate_v that_o which_o be_v within_o open_v the_o sphinct_a that_o it_o may_v make_v to_o itself_o a_o passage_n into_o the_o vrethra_n when_o all_o thing_n be_v in_o a_o natural_a state_n man_n suffer_v no_o inconveniency_n because_o the_o thing_n contain_v within_o be_v in_o due_a time_n evacuate_v but_o congeal_a blood_n or_o coagulate_v pus_fw-la condense_v seed_n a_o stone_n a_o fungous_n body_n gross_a humour_n or_o phlegm_n with_o sand_n one_o or_o more_o of_o the_o inferior_a vertebrae_n luxate_v harden_a excrement_n a_o child_n dead_a in_o the_o mother_n womb_n a_o carnosity_n or_o callosity_n sometime_o stop_v the_o sphincter_n of_o the_o bladder_n or_o a_o place_n of_o the_o vrethra_n it_o be_v the_o same_o when_o a_o viscous_a humour_n cause_v a_o numbness_n of_o the_o bladder_n or_o when_o a_o patient_n be_v in_o a_o dull_a and_o drowsy_a fit_n which_o be_v occasion_v by_o a_o diversion_n of_o sensation_n a_o ecstasy_n in_o the_o brain_n or_o a_o convulsion_n of_o the_o nerve_n which_o go_v from_o the_o os_fw-la sacrum_fw-la to_o the_o sphincter_n of_o the_o bladder_n and_o by_o malignant_a fever_n beside_o those_o cause_n of_o suppression_n of_o urine_n which_o we_o have_v reckon_v up_o we_o be_v to_o take_v notice_n of_o the_o shrink_n or_o flag_a of_o the_o vrethra_n to_o which_o old_a man_n be_v subject_a the_o compression_n of_o the_o neck_n of_o the_o bladder_n cause_v by_o the_o fall_n down_o or_o inflammation_n of_o the_o matrix_fw-la or_o the_o prostate_n and_o parastate_n the_o internal_a hemorrhoide_a vein_n or_o by_o a_o great_a quantity_n of_o urine_n which_o distend_v the_o fibre_n of_o the_o bladder_n as_o be_v relate_v by_o pareus_n l._n xvii_o of_o a_o young_a man_n who_o have_v keep_v his_o urine_n too_o long_o fall_v into_o a_o suppression_n though_o he_o have_v no_o stone_n and_o be_v cure_v by_o the_o catheter_n fabrit_fw-mi hild._n say_v l._n the_o lith_o chap._n 3._o col._n i._o that_o that_o excellent_a mathematician_n tychobrahe_a be_v in_o a_o great_a assembly_n at_o prague_n where_o be_v force_v to_o keep_v his_o water_n very_o long_o he_o fall_v into_o so_o violent_a a_o suppression_n that_o he_o can_v not_o be_v cure_v but_o die_v of_o it_o the_o retention_n of_o urine_n from_o what_o cause_n soever_o it_o proceed_v produce_v a_o violent_a pain_n and_o insupportable_a inflammation_n in_o all_o the_o neighbour_a part_n of_o the_o bladder_n from_o whence_o a_o suppression_n be_v occasion_v because_o the_o urine_n be_v not_o void_v and_o that_o it_o be_v continual_o augment_v in_o quantity_n in_o that_o case_n patient_n be_v all_o over_o in_o a_o heat_n their_o eye_n look_v red_a their_o face_n burn_v have_v a_o oppression_n restlessness_n fever_n a_o hard_a painful_a and_o very_a large_a swell_v above_o the_o pubis_fw-la bilious_a vomit_n and_o all_o these_o troublesome_a symptom_n reduce_v they_o to_o such_o a_o state_n that_o without_o speedy_a help_n they_o expect_v nothing_o but_o death_n the_o chirurgeon_n will_v know_v that_o it_o be_v a_o clot_n of_o blood_n that_o be_v the_o cause_n of_o the_o suppression_n if_o the_o patient_n have_v be_v late_o wound_v in_o the_o kidney_n or_o have_v piss_v blood_n if_o a_o ulcer_n in_o the_o kidney_n have_v precede_v and_o the_o patient_n have_v make_v purulent_a water_n he_o may_v conjecture_v that_o a_o collection_n of_o thick_a and_o viscous_a pus_fw-la be_v the_o cause_n of_o it_o if_o the_o sign_n of_o the_o stone_n have_v appear_v he_o be_v to_o acquaint_v the_o bystander_n with_o it_o he_o may_v discern_v it_o from_o a_o fungus_n by_o the_o catheter_n unless_o the_o stone_n be_v wrap_v in_o a_o coat_n he_o may_v know_v if_o it_o be_v a_o carnosity_n or_o callosity_n by_o mean_n of_o the_o catheter_n or_o a_o sear_a candle_n i_o say_v nothing_o of_o the_o patient_n manner_n of_o live_v who_o excess_n may_v have_v be_v the_o cause_n of_o sharp_a humour_n or_o a_o great_a inflammation_n nor_o shall_v i_o neither_o speak_v of_o other_o cause_n which_o manifest_a themselves_o now_o if_o many_o cause_n of_o suppression_n join_v together_o the_o diversity_n of_o symptom_n will_v serve_v for_o a_o sign_n to_o make_v the_o prognostic_n by_o the_o patient_n can_v for_o many_o day_n endure_v a_o suppression_n without_o be_v much_o weaken_v and_o in_o danger_n when_o it_o be_v cause_v by_o a_o fall_n down_o of_o the_o matrix_fw-la there_o be_v no_o more_o to_o be_v do_v but_o to_o reduce_v that_o part_n when_o the_o hemorrhoide_v press_v the_o neck_n of_o the_o bladder_n they_o must_v be_v open_v with_o a_o lancet_n or_o leech_n the_o numbness_n of_o the_o bladder_n be_v remedy_v by_o a_o grain_n of_o salt_n or_o nitre_n put_v into_o the_o passage_n of_o the_o urine_n or_o with_o a_o composition_n
a_o treatise_n of_o lithotomy_n or_o of_o the_o extraction_n of_o the_o stone_n out_o of_o the_o bladder_n write_a in_o french_a by_o mr._n tolet_n lithotomist_n in_o the_o hospital_n of_o the_o charity_n at_o paris_n translate_v into_o english_a by_o a._n lovel_n london_n print_v by_o h._n h._n for_o william_n cademan_n at_o the_o pope_n head_n in_o the_o lower-walk_a of_o the_o new-exchange_n in_o the_o strand_n m.dc.lxxxiii_o to_o the_o ingenious_a and_o expert_a chirurgeon_n mr._n tho._n hobbs_n lithotomist_n in_o the_o hospital_n of_o st._n bartholomew_n in_o london_n sir_n i_o confess_v it_o be_v but_o a_o weak_a apology_n for_o my_o confidence_n in_o prefix_v your_o name_n to_o this_o book_n to_o tell_v you_o that_o i_o can_v more_o easy_o satisfy_v the_o world_n than_o yourself_o in_o make_v this_o dedication_n though_o indeed_o it_o be_v all_o that_o i_o have_v to_o say_v for_o myself_o for_o this_o trouble_v i_o give_v you_o the_o truth_n be_v sir_n since_o most_o book_n now_o adays_o do_v court_n what_o but_o a_o few_o deserve_v i_o mean_v protection_n as_o i_o will_v not_o be_v singular_a in_o publish_v this_o translation_n without_o a_o patron_n so_o i_o dare_v not_o be_v so_o unjust_a to_o the_o intrinsic_a value_n of_o the_o treatise_n as_o to_o send_v it_o into_o the_o english_a world_n no_o other_o way_n provide_v than_o with_o the_o credential_n of_o a_o specious_a recommendation_n to_o the_o train_n of_o some_o great_a man_n who_o perhaps_o after_o all_o will_v not_o admit_v it_o into_o his_o family_n without_o your_o approbation_n it_o be_v therefore_o in_o imitation_n of_o the_o ingenious_a author_n of_o this_o book_n who_o give_v i_o a_o precedent_n for_o dedication_n that_o follow_v the_o guidance_n of_o universal_a and_o therefore_o least_o err_a fame_n i_o be_v lead_v to_o your_o door_n there_o to_o leave_v this_o foreign_a child_n which_o i_o have_v teach_v to_o speak_v i_o hope_v intelligible_a english_a to_o be_v by_o you_o dispose_v of_o in_o the_o world_n according_a as_o you_o shall_v think_v it_o deserve_v &_o as_o you_o be_v please_v to_o give_v it_o a_o character_n if_o it_o may_v be_v able_a to_o serve_v those_o that_o serve_v you_o in_o that_o famous_a hospital_n where_o you_o successful_o operate_v or_o prove_v useful_a to_o any_o that_o profess_v lithotomy_n that_o laudable_a but_o difficult_a and_o dangerous_a part_n of_o chirurgery_n you_o be_v in_o the_o judgement_n of_o most_o man_n the_o fit_a judge_n so_o that_o the_o public_a i_o make_v no_o doubt_n will_v justify_v my_o conduct_n in_o submit_v it_o to_o your_o censure_n but_o sir_n how_o you_o yourself_o will_v interpret_v this_o attempt_n of_o i_o i_o dare_v not_o affirm_v see_v fortune_n have_v not_o encourage_v i_o to_o it_o by_o intitle_v i_o to_o those_o freedom_n that_o mutual_a conversation_n &_o long_a friendship_n do_v allow_v however_o sir_n i_o will_v not_o despair_v but_o that_o the_o kind_a acceptance_n my_o endeavour_n shall_v meet_v with_o in_o the_o world_n will_v so_o far_o intercede_v for_o i_o that_o what_o be_v intend_v and_o real_o find_v to_o conduce_v to_o public_a good_a will_v not_o be_v think_v by_o you_o to_o want_v any_o private_a motive_n to_o commend_v it_o to_o your_o patronage_n i_o shall_v say_v no_o more_o lest_o by_o seem_v to_o know_v you_o better_o than_o indeed_o i_o do_v i_o shall_v spoil_v my_o own_o plea_n and_o appear_v to_o be_v a_o intimate_v friend_n when_o in_o reality_n i_o be_o sir_n your_o humble_a servant_n a._n lovel_n london_n sept._n 23._o 1682._o a_o treatise_n of_o lithotomy_n or_o of_o the_o extraction_n of_o the_o stone_n out_o of_o the_o bladder_n chap._n i._n what_o be_v mean_v by_o lithotomy_n lithotomy_n according_a to_o the_o etymology_n of_o the_o word_n signify_v cut_v of_o the_o stone_n it_o have_v be_v a_o more_o proper_a way_n of_o speak_v to_o have_v use_v a_o term_n that_o may_v have_v express_v the_o part_n which_o be_v open_v by_o the_o edge_n of_o the_o instrument_n because_o the_o division_n or_o cut_v of_o the_o stone_n happen_v contrary_a to_o the_o intention_n of_o the_o artist_n however_o i_o shall_v make_v use_n of_o the_o word_n lithotomy_n which_o be_v in_o vogue_n and_o understand_v by_o all_o that_o be_v skilful_a in_o the_o profession_n that_o we_o may_v dive_v into_o the_o meaning_n and_o give_v the_o definition_n of_o the_o thing_n it_o be_v a_o operation_n in_o chirurgery_n practise_v for_o the_o extract_a of_o preternatural_a hard_a body_n which_o be_v retain_v in_o the_o bladder_n by_o preternatural_a body_n be_v to_o be_v understand_v all_o thing_n that_o be_v retain_v within_o the_o body_n of_o man_n contrary_n to_o the_o ordinary_a course_n of_o nature_n and_o see_v sometime_o there_o be_v several_a thing_n in_o the_o bladder_n which_o require_v the_o open_n of_o it_o we_o have_v put_v in_o the_o definition_n preternatural_a body_n rather_o than_o the_o stone_n and_o for_o clear_a distinction_n sake_n we_o have_v subjoin_v that_o lithotomy_n be_v only_o practise_v for_o such_o as_o be_v hard_a and_o retain_v in_o the_o bladder_n chap._n ii_o observation_n upon_o the_o part_n of_o the_o body_n of_o man._n the_o vessel_n and_o pore_n of_o the_o glandule_n be_v the_o usual_a conduit_n through_o which_o the_o corpuscules_n or_o little_a body_n pass_v and_o be_v filtrate_v when_o their_o bigness_n and_o figure_n make_v they_o fit_a to_o be_v receive_v there_o but_o if_o there_o be_v no_o proportion_n betwixt_o the_o conduit-pipe_n and_o the_o liquor_n which_o shall_v pass_v through_o they_o they_o stop_v on_o the_o contrary_a if_o the_o humour_n have_v a_o very_a rapid_a motion_n they_o distend_v the_o passage_n and_o many_o time_n break_v they_o whatever_o the_o impulse_n of_o the_o humour_n may_v be_v their_o motion_n abate_v the_o more_o that_o they_o communicate_v it_o they_o make_v no_o sensible_a attempt_n to_o get_v out_o when_o they_o be_v move_v on_o every_o side_n in_o a_o place_n that_o can_v stretch_v and_o be_v enlarge_v to_o a_o certain_a bigness_n as_o the_o bladder_n and_o the_o basin_n of_o the_o kidney_n but_o when_o the_o place_n wherein_o they_o be_v contain_v be_v full_a if_o they_o be_v not_o evacuate_v they_o be_v the_o cause_n of_o several_a disease_n for_o the_o humour_n consist_v of_o part_n of_o different_a figure_n or_o bigness_n it_o follow_v that_o sometime_o they_o can_v glide_v through_o one_o and_o the_o same_o passage_n it_o be_v true_a that_o body_n of_o the_o like_a or_o different_a extent_n may_v pass_v through_o one_o and_o the_o same_o channel_n the_o contrary_n be_v not_o impossible_a and_o may_v give_v a_o beginning_n to_o those_o tumour_n which_o swell_v outward_o high_o than_o the_o surface_n of_o the_o body_n go_v by_o the_o name_n of_o abscess_n after_o the_o same_o manner_n as_o the_o internal_a collection_n have_v other_o appellation_n and_o if_o the_o same_o humour_n be_v compose_v of_o unequal_a part_n and_o meet_v together_o in_o a_o narrow_a place_n that_o be_v full_a of_o wind_n some_o of_o they_o join_v together_o and_o by_o their_o conjunction_n form_v a_o body_n that_o in_o respect_n of_o the_o rest_n be_v solid_a this_o body_n by_o its_o continuance_n there_o and_o the_o apposition_n of_o other_o corpuscules_n become_v more_o sensible_a to_o we_o it_o harden_v according_a as_o the_o rough_a part_n close_o embrace_v one_o another_o and_o the_o other_o separate_a and_o continue_v their_o motion_n after_o the_o same_o manner_n as_o it_o be_v in_o brook_n and_o rivulet_n where_o the_o small_a stone_n separate_v and_o retain_v the_o mud_n so_o be_v it_o in_o the_o glandule_n through_o which_o the_o humour_n be_v filtrate_v and_o in_o the_o pipe_n where_o water_n run_v in_o great_a quantity_n though_o they_o be_v straight_o earth_n and_o other_o sandy_a substance_n mingle_v with_o the_o water_n cleave_v close_a and_o stick_v together_o and_o there_o form_v a_o stony_a crust_n which_o in_o time_n hinder_v the_o passage_n of_o the_o water_n chap._n iii_o of_o the_o cause_n of_o the_o stone_n our_o food_n liquify_v be_v not_o destroy_v and_o the_o diversity_n of_o aliment_n make_v it_o apparent_a that_o they_o have_v part_n different_a in_o bigness_n figure_n and_o number_n the_o most_o nourish_v as_o jelly_n and_o strong_a broth_n have_v all_o these_o quality_n see_v the_o juice_n of_o animal_n which_o be_v the_o basis_n of_o they_o be_v take_v from_o the_o soft_a and_o hard_a part_n of_o the_o body_n with_o which_o they_o be_v assimilate_v or_o be_v still_o within_o the_o vessel_n and_o among_o the_o glandule_n tend_v to_o that_o assimilation_n or_o from_o those_o body_n that_o be_v to_o be_v retain_v or_o void_v by_o physician_n call_v retenta_fw-la or_o excreta_fw-la other_o kind_n of_o food_n contain_v also_o part_n of_o a_o different_a nature_n because_o
but_o since_o some_o disease_n require_v a_o speedy_a operation_n we_o shall_v not_o speak_v of_o the_o time_n which_o be_v call_v the_o time_n of_o necessity_n but_o only_o of_o that_o of_o election_n which_o be_v lay_v hold_v of_o when_o the_o distemper_n be_v in_o such_o a_o condition_n as_o to_o give_v opportunity_n to_o do_v thing_n in_o order_n and_o without_o precipitation_n the_o spring_n be_v the_o most_o temperate_a season_n of_o the_o year_n wherein_o vitriol_n the_o father_n of_o all_o production_n give_v verdure_n to_o plant_n and_o contribute_v to_o the_o vigour_n and_o strength_n which_o man_n find_v renew_v in_o themselves_o at_o that_o time_n then_o do_v man_n undertake_v what_o be_v interrupt_v by_o the_o excessive_a cold_a or_o heat_n of_o other_o season_n that_o in_o the_o atumne_n they_o may_v enjoy_v the_o fruit_n of_o their_o past_a labour_n with_o great_a reason_n then_o man_n choose_v the_o spring_n time_n for_o many_o operation_n and_o among_o other_o for_o lithotomy_n in_o this_o conutry_n we_o must_v expect_v till_o the_o impression_n of_o the_o winter_n cold_a and_o the_o frequent_a rain_n be_v over_o though_o the_o spring_n begin_v on_o the_o eleaventh_n of_o march_n nevertheless_o according_a to_o the_o temper_n of_o the_o air_n the_o operation_n of_o the_o stone_n be_v accelerate_a or_o retard_v but_o common_o it_o be_v perform_v in_o the_o month_n of_o may_n next_o to_o the_o spring_n the_o autumn_n be_v to_o be_v prefer_v before_o the_o other_o season_n though_o liquor_n and_o menstruum_n for_o dissolve_v of_o stone_n be_v in_o use_n yet_o must_v we_o of_o necessity_n speak_v of_o the_o remedy_n of_o chirurgery_n which_o be_v instrument_n of_o iron_n or_o other_o metal_n proper_a for_o lithotomy_n take_v here_o their_o figure_n and_o the_o name_n of_o their_o part_n 1._o a_o razor_n to_o shave_v off_o the_o hair_n from_o the_o privy_a part_n 2._o common_a scissors_n for_o ordinary_a incision_n 3._o a_o hollow_a sound_n or_o probe_n call_v a_o catheter_n for_o search_v of_o man_n and_o make_v they_o render_v their_o water_n and_o its_o stilet_n or_o wire_n to_o cleanse_v it_o 4._o a_o catheter_n or_o staff_n for_o make_v incision_n in_o man_n furrow_v in_o the_o back_n from_o a._n which_o be_v the_o bill_n or_o bec_fw-la to_o the_o place_n mark_v b._n without_o any_o cavity_n in_o its_o length_n page_n 56_o page_n 56_o 1_o 2_o 3_o 4_o 5_o 6_o 7_o 8_o 9_o 10_o 11_o 6._o a_o straight_a catheter_n or_o staff_n and_o hollow_a or_o furrow_v from_o the_o bill_n to_o the_o place_n mark_v c._n which_o be_v sometime_o make_v use_n of_o for_o make_v incision_n at_o the_o orifice_n of_o the_o vretha_n of_o woman_n it_o be_v requisite_a to_o have_v always_o in_o the_o catheter_n case_n a_o part_n a_o little_a piece_n of_o a_o sponge_n moderate_o moisten_v with_o salad-oyle_n because_o sometime_o it_o may_v be_v want_v when_o there_o be_v need_n of_o it_o to_o anoint_v the_o catheter_n 7._o a_o bistori_n that_o open_v like_o a_o lancet_n with_o a_o point_n and_o edge_n like_o the_o same_o only_a the_o point_n blunt_a at_o the_o head_n whereof_o there_o be_v a_o flat_a tail_n to_o keep_v it_o firm_a against_o the_o handle_n when_o it_o be_v open_v 8._o a_o languette_n or_o roller_n to_o mount_v the_o bistori_n it_o be_v slit_v at_o the_o end_n a_o finger_n broad_a and_o a_o foot_n and_o half_a long_a 9_o a_o bistori_n mount_v that_o be_v to_o say_v arm_v with_o the_o languette_n or_o roller_n 10._o conductor_n or_o probes_fw-la whereof_o a_o pair_n serve_v for_o the_o operation_n that_o which_o be_v next_o to_o the_o bistori_n mount_v be_v fork_v and_o the_o other_o have_v a_o line_n in_o the_o length_n of_o its_o cavity_n for_o guide_v and_o conduct_v the_o former_a nevertheless_o that_o alone_o which_o be_v remote_a from_o the_o bistori_n may_v be_v use_v for_o conduct_v the_o forceps_n or_o tenette_n 11._o another_o kind_n of_o conductor_n compose_v of_o the_o two_o above_o describe_v it_o turn_v with_o a_o elbow_n about_o the_o middle_n and_o have_v a_o spring_n betwixt_o the_o branch_n near_o the_o ring_n it_o be_v invent_v by_o joseph_n covellart_n 1._o another_o kind_n of_o conductor_n call_v in_o french_a a_o gorgeret_n more_o commodious_a and_o more_o in_o use_n it_o be_v hollow_a taper_n and_o grow_v narrow_a at_o the_o end_n where_o there_o be_v a_o bill_n that_o be_v introduce_v into_o the_o furrow_n of_o the_o catheter_n whilst_o it_o be_v hold_v by_o the_o other_o end_n shape_v like_o a_o t._n there_o be_v some_o who_o do_v not_o approve_v of_o this_o conductor_n say_v that_o it_o dilate_v the_o part_n too_o much_o and_o that_o it_o occasion_n fistula_n but_o without_o ground_n for_o it_o be_v narrow_a than_o the_o forceps_n which_o be_v draw_v out_o with_o the_o stone_n and_o possess_v more_o room_n and_o the_o fistula_n be_v only_o occasion_v by_o the_o consequence_n of_o the_o operation_n as_o shall_v be_v explain_v in_o its_o proper_a place_n 2._o sreight_o and_o crooked_a forcipes_fw-la or_o tenette_n a._n their_o tooth_n b._n their_o branch_n c._n their_o ring_n 3._o a_o dilatatory_n for_o men._n it_o be_v name_v a_o compound_v or_o great_a dilatatory_n d._n the_o bill_n or_o bec_fw-la of_o the_o dilatatory_n e._n the_o handle_n 4._o a_o simple_a dilatatory_n for_o woman_n the_o extremity_n of_o it_o be_v blunt_a and_o very_o small_a the_o branch_n be_v join_v in_o such_o a_o manner_n that_o close_v the_o one_o end_n the_o other_z opens_z it_o represent_v the_o letter_n x._o 5._o another_o dilatatory_n that_o may_v serve_v for_o woman_n and_o little_a boy_n it_o have_v a_o spring_n near_o the_o handle_n and_o can_v dilate_v but_o moderate_o it_o may_v be_v use_v when_o one_o fear_n that_o some_o fibre_n have_v be_v leave_v in_o time_n of_o the_o incision_n 6._o a_o hook_n or_o crotchet_n to_o pull_v out_o the_o stone_n that_o be_v in_o the_o passage_n either_o in_o the_o lesser_a operation_n or_o otherways_o some_o cause_n they_o to_o be_v make_v with_o little_a tooth_n in_o the_o cavity_n of_o its_o bend_n but_o there_o be_v no_o necessity_n for_o it_o 7._o a_o button_n a_o scoop_v about_o ten_o inch_n long_o and_o as_o big_a as_o a_o quill_n f._n the_o part_n proper_o call_v the_o button_n g._n the_o body_n of_o the_o button_n h._n the_o other_o end_n which_o be_v hollow_a call_v the_o curette_n or_o scoop_v of_o the_o button_n i._o a_o slight_a line_n to_o conduct_v the_o forceps_fw-la 8._o a_o hollow_a tent_n pipe_n or_o canula_n have_v ring_n at_o one_o end_n call_v the_o head_n the_o other_o end_n be_v call_v the_o point_n where_o there_o be_v two_o hole_n call_v the_o eye_n of_o the_o tent._n 9_o a_o languette_n or_o fillet_n for_o mount_v the_o hollow_a tent_n introduce_v it_o into_o the_o slit_v and_o put_v the_o two_o end_n of_o the_o fillet_n through_o the_o ring_n of_o the_o tent_n than_o it_o be_v call_v a_o tent_n mount_v that_o fillet_n or_o languette_n be_v to_o be_v two_o foot_n long_o and_o a_o finger_n broad_a page_n 62_o 1_o 2_o 3_o 4_o 5_o 6_o 7_o 8_o 9_o 10_o 11_o 12_o 13_o 11._o a_o extractor_n or_o curette_n for_o extract_a stone_n out_o of_o the_o yard_n 1._o a_o chair_n use_v in_o the_o hospital_n of_o the_o charity_n at_o paris_n on_o which_o the_o patient_n be_v set_v for_o the_o more_o commodious_a perform_n of_o the_o operation_n there_o be_v behind_o two_o bar_n or_o rod_n of_o iron_n in_o form_n of_o butteress_n they_o be_v hook_v that_o so_o they_o may_v enter_v into_o the_o ring_n of_o the_o chair_n and_o sharp_a at_o the_o end_n to_o stick_v firm_a in_o the_o floor_n because_o the_o patient_n struggle_v and_o use_v violence_n in_o the_o time_n of_o the_o operation_n the_o chair_n shall_v be_v place_v a_o little_a oblique_o for_o the_o light_n to_o come_v upon_o the_o right_a hand_n of_o the_o chirurgeon_n that_o he_o may_v see_v the_o better_a when_o he_o be_v about_o his_o operation_n instead_o of_o that_o chair_n the_o patient_n may_v be_v seat_v upon_o the_o side_n of_o a_o bed_n or_o on_o a_o table_n with_o a_o mattress_n or_o quilt_n whereof_o one_o part_n cover_v the_o back_n of_o a_o common_a chair_n reverse_v about_o half_a a_o foot_n distant_a from_o the_o edge_n of_o a_o table_n in_o a_o sloap_a manner_n that_o chair_n be_v to_o be_v make_v fast_o with_o many_o strong_a cord_n if_o there_o be_v no_o matteress_n or_o quilt_n it_o will_v be_v sufficient_a to_o lay_v a_o pillow_n or_o any_o other_o thing_n to_o make_v the_o place_n soft_a and_o a_o fold_a sheet_n over_o it_o 2._o a_o sheet_n fold_a length-way_n with_o many_o fold_n to_o cover_v the_o chair_n that_o have_v be_v describe_v or_o the_o matteress_n in_o the_o time_n of_o operation_n
if_o they_o be_v shut_v close_o when_o they_o be_v in_o the_o bladder_n because_o it_o be_v wrinkle_v and_o the_o side_n of_o its_o body_n or_o bottom_n may_v be_v lay_v hold_v on_o without_o the_o stone_n or_o with_o it_o the_o symptom_n that_o follow_v the_o operation_n in_o the_o cure_n by_o lithotomy_n be_v a_o painful_a tension_n of_o the_o belly_n the_o retention_n of_o urine_n watch_n inflammation_n in_o the_o part_n affect_v looseness_n diarrhaea_n worm_n ecchymosis_n fluxion_n abscess_n excoriation_n itch_n and_o putrefaction_n ulcer_n in_o the_o scrotum_fw-la and_o the_o neighbour_a part_n ulcer_n and_o putrefaction_n of_o the_o part_n of_o the_o bladder_n to_o great_a or_o too_o long_a suppuration_n void_v of_o purulent_a matter_n by_o the_o wound_n or_o with_o the_o urine_n by_o the_o yard_n fever_n universal_a or_o particular_a consumption_n or_o marasmus_n hemorrhage_n as_o in_o the_o time_n of_o operation_n syncope_n convulsion_n vomit_n lightheadedness_n or_o delirium_n and_o shivering_n the_o painful_a tension_n of_o the_o belly_n be_v cause_v by_o a_o inflammation_n that_o attract_v a_o fluxion_n because_o the_o ligament_n which_o suspend_v the_o bladder_n and_o the_o other_o part_n to_o which_o it_o adhere_v have_v suffer_v violence_n the_o fever_n and_o restlessness_n proceed_v from_o the_o intempery_n of_o the_o chief_a part_n agitate_a by_o the_o passion_n of_o the_o mind_n and_o the_o hemorrhage_n from_o the_o incision_n or_o erosion_n of_o the_o vessel_n the_o retention_n of_o urine_n be_v occasion_v by_o coagulate_v blood_n or_o the_o inflammation_n of_o the_o part_n during_o suppuration_n or_o by_o some_o little_a stone_n fall_v down_o from_o the_o kidney_n or_o a_o fragment_n remain_v after_o the_o operation_n the_o inflammation_n come_v from_o a_o circulat_v motion_n of_o the_o humour_n the_o scour_n looseness_n of_o the_o belly_n and_o worm_n in_o child_n through_o the_o abundance_n of_o phlegm_n the_o ecchimasis_n be_v a_o effect_n of_o extravasated_a blood_n the_o abscess_n be_v produce_v by_o a_o collection_n and_o continuance_n of_o humour_n in_o the_o interstice_n of_o the_o part_n the_o too_o great_a and_o too_o long_a suppuration_n by_o the_o quantity_n of_o the_o matter_n whereof_o the_o abscess_n be_v form_v or_o by_o the_o ulcerate_v kidney_n and_o by_o the_o liquefaction_n of_o the_o humour_n of_o the_o whole_a body_n of_o which_o part_n do_v suppurate_a whilst_o the_o rest_n be_v disperse_v by_o transpiration_n or_o looseness_n which_o cause_v at_o the_o same_o time_n a_o marasmus_n or_o extenuation_n of_o the_o whole_a body_n the_o ulcer_n of_o the_o bladder_n be_v cause_v by_o contusion_n and_o suppuration_n of_o its_o part_n which_o excite_v the_o run_n of_o purulent_a matter_n by_o the_o yard_n or_o wound_n fungous_a carnosity_n by_o a_o superfluity_n of_o ill_n concoct_v and_o too_o serous_a blood_n the_o itch_a and_o excoriation_n be_v the_o effect_n of_o the_o sharpness_n of_o urine_n or_o of_o too_o strait_a bandage_n the_o putrefaction_n of_o the_o ulcer_n come_v from_o the_o corruption_n of_o the_o humour_n and_o of_o the_o air_n or_o from_o the_o too_o great_a humidity_n of_o medicine_n and_o the_o virulence_n from_o the_o acrimony_n of_o the_o humour_n and_o medicament_n the_o vomit_v happen_v after_o the_o operation_n because_o many_o nervous_a fibre_n of_o the_o six_o pair_n be_v distribute_v and_o insert_v into_o the_o ventricle_n there_o be_v other_o accident_n occasion_v by_o the_o distribution_n of_o the_o nerve_n which_o pass_v through_o the_o hole_n of_o the_o os_fw-la sacrum_fw-la common_a to_o the_o sphincter_n of_o the_o bladder_n and_o anus_fw-la which_o have_v be_v bruise_v or_o lacerate_v by_o the_o forcipes_fw-la or_o by_o the_o asperity_n of_o a_o great_a stone_n especial_o when_o the_o operation_n have_v be_v hard_a and_o laborious_a the_o faint_v or_o syncope_n be_v occasion_v by_o a_o great_a flux_n of_o blood_n and_o the_o dissipation_n of_o the_o spirit_n the_o convulsion_n happen_v by_o vomit_n the_o diarrhea_n &_o hemorrhage_n which_o hinder_v the_o nerve_n from_o receive_v a_o sufficient_a quantity_n of_o spirit_n the_o delirium_fw-la and_o lightheadedness_a superveen_n when_o there_o have_v be_v so_o great_a a_o dissipation_n of_o the_o animal_n spirit_n that_o the_o brain_n retain_v not_o enough_o for_o itself_o and_o for_o supply_v the_o whole_a body_n with_o a_o quantity_n sufficient_a for_o perform_v the_o function_n of_o its_o several_a part_n in_o a_o word_n fate_n put_v and_o end_n to_o all_o these_o accident_n by_o destroy_v the_o machine_n that_o be_v to_o say_v by_o abolish_n of_o motion_n at_o the_o instant_n when_o the_o soul_n be_v separate_v from_o the_o body_n if_o any_o be_v surprise_v that_o we_o have_v speak_v nothing_o of_o pain_n they_o ought_v to_o consider_v that_o that_o be_v a_o symptom_n or_o rather_o a_o essential_a property_n of_o all_o disease_n of_o the_o part_n that_o be_v capable_a of_o feeling_n since_o it_o always_o happen_v where_o there_o be_v a_o intempery_n with_o a_o solution_n of_o continuity_n of_o the_o soft_a part_n and_o by_o consequence_n it_o be_v more_o sensible_a in_o lithotomy_n than_o all_o the_o other_o accident_n that_o we_o have_v be_v speak_v of_o these_o symptom_n have_v their_o cause_n their_o diagnostic_n and_o prognostic_n sign_n some_o be_v the_o cause_n and_o the_o sign_n of_o other_o and_o all_o the_o symptom_n in_o general_a be_v cause_v by_o pain_n fear_v hemorrhage_n contusion_n and_o dilaceration_n of_o the_o part_n the_o prognostic_n be_v take_v from_o the_o time_n the_o violence_n and_o the_o state_n of_o the_o subject_n in_o which_o the_o accident_n happen_v the_o symptom_n that_o appear_v at_o first_o be_v not_o so_o dangerous_a and_o those_o which_o last_v long_o or_o happen_v in_o a_o cacochymick_a body_n be_v more_o to_o be_v fear_v a_o operator_n who_o be_v expert_a in_o perform_v the_o operation_n will_v avoid_v many_o concomitant_a symptom_n there_o be_v some_o nimbleblade_n who_o have_v the_o knack_n of_o feign_v that_o they_o have_v extract_v a_o stone_n and_o convey_v one_o though_o they_o have_v find_v none_o the_o symptom_n that_o follow_v the_o operation_n be_v either_o by_o themselves_o apart_o or_o many_o together_o according_a to_o their_o nature_n correct_v by_o various_a medicine_n the_o first_o care_n be_v to_o assuage_v pain_n by_o imbrocation_n and_o fomentation_n a_o hemorrhageis_n sometime_o to_o be_v fear_v and_o therefore_o astringent_a topic_n be_v to_o be_v employ_v for_o preserve_v the_o treasure_n of_o life_n the_o loss_n of_o blood_n cease_v common_o through_o the_o weakness_n of_o the_o patient_n because_o the_o medicine_n that_o be_v apply_v to_o this_o part_n be_v dissolve_v by_o the_o urine_n and_o beside_o no_o other_o bandage_n but_o the_o contentive_a can_v be_v use_v when_o in_o other_o part_v one_o may_v put_v his_o finger_n upon_o the_o orifice_n or_o open_n of_o the_o vessel_n or_o cut_v it_o in_o two_o apply_v to_o it_o a_o button_n a_o ligature_n pledget_n and_o compress_n it_o be_v common_o observe_v that_o the_o first_o dress_n be_v keep_v on_o for_o the_o space_n of_o twenty_o four_o hour_n at_o most_o it_o be_v tender_o to_o be_v take_v off_o leave_v a_o pledget_n upon_o the_o place_n out_o of_o which_o the_o blood_n do_v issue_n if_o it_o can_v be_v know_v and_o if_o the_o hemorrhage_n recur_n recourse_n be_v have_v to_o astringent_n chap._n xix_o of_o the_o method_n of_o cure_v those_o that_o be_v cut_v and_o remove_v their_o symptom_n we_o come_v insensible_o to_o the_o cure_n by_o lithotomy_n the_o method_n of_o which_o be_v either_o general_a or_o particular_a have_v speak_v of_o the_o cause_n kind_n sign_n and_o prognostic_n of_o the_o symptom_n it_o be_v now_o proper_a to_o give_v you_o a_o notion_n of_o those_o thing_n which_o ought_v to_o be_v observe_v from_o the_o time_n of_o the_o operation_n until_o the_o perfect_a cure_n of_o the_o patient_n by_o that_o mean_v we_o may_v treat_v in_o particular_a of_o the_o remedy_n against_o accident_n since_o they_o happen_v whilst_o the_o patient_n be_v in_o the_o surgeon_n hand_n by_o the_o general_a cure_n by_o lithotomy_n we_o understand_v that_o wherein_o no_o symptom_n happen_v which_o be_v of_o the_o nature_n of_o a_o cause_n and_o by_o the_o particular_a cure_n that_o which_o be_v attend_v by_o troublesome_a accident_n such_o as_o cause_v the_o method_n to_o be_v change_v of_o each_o of_o these_o we_o shall_v speak_v apart_o suppose_v that_o the_o chirurgeon_n have_v successful_o perform_v his_o operation_n he_o must_v dress_v the_o wound_n and_o endeavour_v by_o the_o help_n of_o medicine_n to_o cure_v it_o the_o first_o thing_n that_o be_v to_o be_v observe_v after_o the_o operation_n whilst_o he_o that_o be_v cut_v be_v still_o in_o posture_n and_o that_o with_o all_o expedition_n he_o be_v a_o clear_n of_o the_o ligature_n if_o any_o have_v
bed_n then_o lay_v upon_o the_o tent_n a_o thick_a pledget_n cover_v with_o astringent_a a_o little_a plaster_n another_o moderate_a compress_v and_o over_o that_o the_o triangular_a plaster_n cover_v likewise_o with_o astringent_a and_o another_o compress_v still_o upon_o the_o plaster_n a_o truss_n to_o bear_v up_o the_o cod_n and_o the_o frond_n or_o double_a t._n with_o the_o thigh-band_n as_o have_v be_v describe_v the_o bandage_n that_o be_v only_o contentive_a hinder_v not_o but_o that_o a_o little_a urine_n may_v come_v out_o nevertheless_o when_o the_o patient_n have_v rest_v and_o take_v refreshment_n he_o be_v to_o make_v water_n through_o the_o tent_n without_o pull_v of_o it_o out_o in_o dress_v the_o patient_a the_o chirurgeon_n be_v to_o examine_v if_o it_o be_v a_o fungus_n which_o cause_v the_o suppression_n and_o he_o may_v know_v that_o by_o the_o finger_n or_o the_o straight_o catheter_n by_o inspection_n into_o the_o matter_n that_o be_v void_v with_o the_o urine_n or_o by_o the_o injection_n of_o warm_a barley_n water_n detersives_n and_o the_o other_o medicament_n that_o be_v use_v in_o dress_v such_o a_o patient_n if_o a_o stone_n be_v feel_v it_o be_v to_o be_v extract_v with_o the_o scoop_v the_o hook_n or_o the_o forceps_fw-la fungus_n be_v fetch_v off_o by_o injection_n if_o it_o be_v a_o ulcer_n proper_a remedy_n for_o cleanse_v it_o be_v to_o be_v use_v a_o inflammation_n be_v more_o easy_o cure_v than_o any_o other_o distemper_n because_o many_o time_n it_o be_v keep_v in_o be_v by_o the_o retention_n of_o the_o urine_n when_o the_o cause_n of_o the_o suppression_n be_v remove_v the_o intention_n of_o the_o artist_n ought_v to_o be_v the_o reunite_a of_o the_o part_n and_o therefore_o the_o tent_n be_v draw_v out_o and_o the_o patient_n be_v dress_v like_o those_o that_o be_v cut_v of_o the_o stone_n according_a to_o the_o general_a cure_n if_o no_o accident_n appear_v or_o the_o particular_a method_n by_o remedy_v every_o symptom_n page_n 153_o this_o trocart_n may_v be_v make_v of_o various_a kind_n of_o metal_n except_v the_o point_n which_o ought_v to_o be_v of_o steel_n it_o be_v seven_o or_o eight_o inch_n in_o length_n that_o it_o may_v be_v the_o more_o commodious_a for_o use_v and_o as_o big_a as_o a_o ordinary_a quill_n in_o the_o shape_n of_o it_o several_a thing_n be_v to_o be_v consider_v for_o the_o end_n of_o it_o which_o be_v of_o steel_n be_v of_o a_o pyramidal_a and_o triangular_a figure_n this_o point_n be_v about_o a_o finger_n breadth_n in_o length_n in_o one_o side_n of_o it_o there_o be_v a_o furrow_n that_o reach_v from_o the_o point_n or_o very_o near_o it_o to_o the_o other_o end_n of_o the_o trocart_n and_o because_o of_o that_o furrow_n the_o instrument_n in_o its_o length_n represent_v a_o straight_o catheter_n for_o make_v incision_n because_o it_o be_v hollow_a on_o the_o one_o side_n and_o round_a on_o the_o other_o which_o be_v the_o out_o side_n of_o it_o the_o pyramid_n of_o steel_n taper_n and_o grow_v small_a from_o the_o basis_n till_o you_o come_v to_o the_o point_n but_o from_o that_o basis_n to_o the_o other_o end_n of_o the_o trocart_n it_o be_v alike_o in_o bigness_n the_o wire_n or_o stilet_n be_v straight_o indifferent_o small_a of_o the_o same_o bigness_n all_o along_o and_o supple_a and_o pliant_a about_o eight_o inch_n long_o proportionable_a to_o the_o furrow_n of_o the_o trocart_n the_o mount_a tent_n that_o be_v use_v in_o this_o operation_n may_v be_v crooked_a for_o the_o high_a and_o straight_o for_o the_o lesser_a operation_n in_o the_o punction_n of_o the_o bladder_n long_o and_o small_a in_o proportion_n to_o the_o grossness_n and_o age_n of_o the_o patient_n that_o so_o the_o end_n may_v be_v thirst_n into_o the_o bladder_n without_o make_v too_o great_a a_o solutio_fw-la continui_fw-la it_o be_v to_o be_v observe_v that_o the_o end_n of_o the_o tent_n where_o its_o eye_n be_v aught_o to_o be_v proportion_v to_o the_o middle_a part_n of_o the_o pyramid_n of_o the_o trocart_n that_o it_o may_v easy_o enter_v into_o the_o orifice_n of_o the_o punction_n and_o that_o the_o body_n of_o that_o tent_n be_v of_o a_o conic_a figure_n grow_v big_a and_o big_a by_o degree_n as_o it_o come_v near_o the_o head_n where_o the_o ring_n be_v though_o the_o extremity_n of_o the_o tent_n be_v small_a yet_o it_o may_v suffice_v for_o convey_v of_o the_o urine_n but_o it_o will_v be_v useless_a if_o some_o more_o thick_a and_o viscuous_a matter_n be_v contain_v in_o the_o bladder_n in_o use_v of_o these_o three_o instrument_n when_o the_o patient_n be_v situate_v in_o the_o posture_n that_o have_v be_v say_v the_o cod_n be_v lift_v up_o and_o have_v mark_v the_o place_n where_o the_o punction_n be_v to_o be_v make_v in_o the_o perineum_fw-la on_o the_o side_n of_o the_o seam_n or_o suture_a the_o trocart_n be_v thrust_v in_o and_o sink_v the_o end_n by_o which_o it_o be_v hold_v the_o slit_n or_o furrow_n being_n upward_o the_o pyramid_n be_v to_o be_v thrust_v on_o forward_o towards_o the_o body_n of_o the_o bladder_n which_o be_v much_o distend_v be_v therefore_o easy_o open_v so_o soon_o as_o the_o trocart_n be_v within_o the_o urine_n will_v come_v run_v out_o by_o the_o furrow_n and_o the_o wire_n be_v to_o be_v take_v and_o conduct_v into_o the_o bladder_n by_o the_o same_o furrow_n afterward_o the_o trocart_n be_v draw_v out_o in_o place_n whereof_o hold_v the_o wire_n in_o one_o hand_n the_o tent_n mount_v be_v to_o be_v take_v and_o pass_v the_o wire_n into_o its_o cavity_n it_o be_v to_o be_v make_v to_o slide_v along_o the_o same_o when_o the_o tent_n be_v near_o to_o the_o perineum_fw-la the_o wire_n be_v to_o be_v take_v by_o the_o end_n and_o the_o tent_n at_o the_o same_o time_n conduct_v into_o the_o bladder_n we_o may_v know_v that_o it_o be_v in_o when_o the_o urine_n come_v out_o at_o its_o cavity_n and_o then_o the_o wire_n be_v pull_v out_o and_o as_o much_o urine_n suffer_v to_o be_v void_v as_o may_v be_v think_v convenient_a other_o thing_n be_v to_o be_v perform_v as_o in_o the_o other_o manner_n call_v the_o great_a operation_n this_o trocart_n have_v one_o thing_n that_o be_v singular_a which_o be_v that_o so_o soon_o as_o the_o extremity_n of_o its_o slit_n be_v in_o the_o place_n where_o the_o water_n be_v the_o urine_n be_v void_v without_o any_o danger_n of_o be_v thrust_v too_o far_o in_o there_o be_v some_o who_o make_v use_v of_o another_o trocart_n for_o the_o same_o operation_n this_o have_v a_o solid_a and_o round_a point_n of_o steel_n about_o a_o finger_n breadth_n in_o length_n other_o cause_v it_o to_o be_v make_v triangular_a or_o a_o little_a slat_n and_o two-edged_a but_o still_o proportion_v to_o the_o tent_n or_o pipe_n the_o instrument_n in_o its_o length_n be_v straight_o and_o hollow_a and_o have_v two_o open_n near_o the_o basis_n of_o its_o point_n that_o instrument_n be_v pass_v into_o the_o tent_n and_o in_o that_o posture_n the_o punction_n be_v make_v the_o open_n of_o which_o be_v always_o less_o than_o the_o orifice_n of_o the_o tent_n and_o it_o can_v be_v introduce_v without_o great_a pain_n to_o the_o patient_n beside_o this_o trocart_n must_v be_v thrust_v deep_a in_o than_o the_o other_o before_o the_o urine_n can_v be_v perceive_v to_o come_v out_o all_o man_n be_v free_a to_o examine_v and_o try_v those_o thing_n and_o to_o choose_v what_o please_v they_o best_o these_o trocart_n may_v serve_v for_o other_o operation_n as_o in_o a_o kind_n of_o hydrocele_n where_o the_o water_n be_v gather_v together_o without_o be_v still_v into_o the_o very_a substance_n of_o the_o membrane_n in_o the_o parakentesis_n or_o even_o in_o make_v perforation_n through_o the_o skin_n and_o pass_v the_o silk_n and_o stone_n because_o about_o three_o or_o four_o finger_n breadth_n from_o one_o end_n of_o the_o trocart_n that_o be_v first_o describe_v a_o hole_n may_v be_v make_v like_o the_o eye_n of_o a_o great_a needle_n through_o which_o the_o silk_n may_v be_v pass_v every_o time_n that_o it_o have_v be_v use_v it_o must_v be_v new_o set_v for_o the_o urine_n blunt_v the_o edge_n very_o much_o it_o be_v good_a to_o practice_v such_o kind_n of_o operation_n upon_o dead_a body_n for_o that_o end_n one_o must_v with_o a_o syringe_n squirt_n as_o much_o matter_n as_o possible_o he_o can_v into_o the_o bladder_n then_o tie_v a_o ligature_n about_o the_o yard_n and_o make_v the_o punction_n as_o have_v be_v describe_v and_o then_o make_v a_o dissection_n of_o the_o bladder_n to_o observe_v what_o have_v be_v do_v that_o so_o he_o may_v take_v his_o measure_n for_o another_o time_n we_o may_v avoid_v offend_v the_o rectum_fw-la by_o conduct_v
the_o point_n of_o the_o pyramid_n towards_o the_o bladder_n which_o then_o be_v much_o distend_v and_o we_o need_v not_o fear_v to_o open_v it_o in_o the_o body_n because_o these_o wound_n be_v not_o absolute_o mortal_a and_o though_o they_o be_v say_v to_o be_v hard_a to_o consolidate_v in_o the_o membranous_a part_n thereof_o nevertheless_o we_o shall_v banish_v such_o apprehension_n because_o we_o see_v by_o experience_n that_o they_o be_v cure_v and_o that_o the_o business_n be_v to_o save_v the_o life_n of_o a_o die_a man._n they_o to_o who_o fistula_n do_v remain_v after_o the_o punction_n of_o the_o perineum_fw-la make_v use_n of_o a_o tent_n which_o they_o cause_v to_o be_v open_v and_o stop_v now_o and_o then_o for_o the_o void_a of_o the_o urine_n they_o may_v be_v make_v to_o stop_v with_o a_o screw_n for_o great_a security_n the_o end_n of_o the_o linen_n cloth_n or_o languet_fw-la of_o the_o tent_n be_v tie_v the_o one_o before_o and_o the_o other_o behind_o to_o a_o girdle_n hold_v up_o by_o a_o collar_n like_o those_o which_o have_v be_v describe_v when_o we_o speak_v of_o the_o bandage_n of_o the_o yard_n for_o a_o phimosis_n chap._n x._o if_o some_o symptom_n of_o lithotomy_n succeed_v the_o punction_n of_o the_o perineum_fw-la it_o be_v to_o be_v remedy_v according_a to_o its_o kind_n and_o when_o none_o appear_v or_o if_o they_o be_v cure_v the_o patient_n and_o chirurgeon_n may_v have_v good_a hope_n and_o both_o do_v their_o duty_n with_o external_a assistance_n the_o lithotomy_n and_o punction_n of_o the_o perineum_fw-la be_v bring_v to_o a_o perfect_a cure_n nevertheless_o what_o care_v soever_o the_o chirurgeon_n may_v have_v and_o how_o obedient_a confide_v and_o quiet_a so_o ever_o the_o patient_n may_v prove_v assist_v as_o he_o ought_v to_o be_v by_o those_o who_o attend_v he_o and_o the_o administration_n of_o proper_a medicine_n yet_o sometime_o he_o have_v the_o trouble_n to_o be_v incommode_v by_o the_o other_o distemper_n contain_v in_o the_o follow_a chapter_n chap._n xxii_o of_o disease_n that_o happen_v after_o cut_v for_o the_o stone_n and_o of_o the_o way_n of_o cure_v they_o gvy_n of_o chauliack_n in_o his_o second_o treatise_n say_v that_o if_o there_o be_v no_o metastasis_n of_o the_o humour_n into_o apostemes_n they_o be_v terminate_v by_o discussion_n suppuration_n obduration_n and_o putrefaction_n and_o afterward_o he_o speak_v of_o the_o manner_n of_o treat_v and_o cure_v they_o this_o show_v that_o there_o be_v a_o difference_n betwixt_o their_o term_n their_o cure_n and_o their_o cure_n the_o end_n of_o one_o disease_n may_v be_v the_o beginning_n of_o another_o the_o cure_n have_v a_o uncertain_a end_n though_o heal_a be_v that_o which_o be_v propose_v according_a to_o art_n we_o see_v but_o too_o many_o instance_n of_o this_o in_o those_o that_o be_v trouble_v with_o the_o stone_n that_o evil_n be_v terminate_v by_o the_o extraction_n of_o the_o stone_n and_o that_o stone_n take_v out_o or_o that_o the_o distemper_n end_v by_o the_o operation_n produce_v a_o wound_n or_o other_o accident_n the_o cure_n of_o which_o be_v necessary_a and_o which_o nevertheless_o do_v not_o always_o terminate_v in_o a_o cure_n but_o sometime_o in_o a_o new_a stone_n a_o fistula_n in_o the_o perineum_fw-la a_o involuntary_a spill_n of_o the_o water_n a_o preternatural_a void_a of_o excrement_n or_o in_o many_o disease_n together_o they_o have_v each_o of_o they_o their_o cause_n difference_n sign_n prognostic_n and_o way_n of_o cure_v we_o shall_v say_v nothing_o as_o to_o the_o stone_n which_o may_v be_v observe_v after_o that_o the_o patient_n have_v be_v under_o cure_n we_o must_v only_o take_v notice_n that_o the_o cause_n of_o it_o may_v be_v this_o that_o there_o be_v a_o quarry_n in_o the_o kidney_n which_o from_o time_n to_o time_n furnish_v the_o bladder_n with_o stone_n and_o then_o the_o operation_n ought_v to_o be_v delay_v unless_o the_o patient_n be_v full_o recover_v in_o strength_n the_o season_n be_v favourable_a or_o that_o the_o accident_n be_v remedy_v and_o above_o all_o the_o patient_n have_v need_n of_o a_o very_a great_a stock_n of_o resolution_n to_o endure_v a_o second_o cut_v the_o fistula_n in_o the_o perineum_fw-la whereof_o of_o we_o speak_v be_v a_o sinuous_a ulcer_n below_o the_o scrotum_fw-la with_o a_o callosity_n along_o the_o length_n of_o it_o by_o which_o the_o urine_n issue_v out_o it_o be_v cause_v by_o the_o surgeon_n fault_n or_o by_o the_o patient_n by_o the_o superven_a of_o accident_n or_o indeed_o by_o many_o thing_n concur_v when_o the_o chirurgeon_n and_o patient_n do_v not_o do_v their_o duty_n and_o that_o bad_a and_o violent_a symptom_n appear_v in_o the_o time_n or_o a_o little_a after_o the_o operation_n by_o the_o fault_n of_o the_o chirurgeon_n when_o in_o the_o beginning_n he_o suffer_v the_o lip_n of_o the_o ulcer_n to_o be_v to_o soon_o join_v together_o before_o he_o be_v certain_a that_o the_o bottom_n of_o it_o be_v deterse_v and_o agglutinate_v or_o because_o no_o accident_n appear_v he_o have_v dilate_v the_o bottom_n of_o it_o to_o much_o and_o that_o he_o have_v not_o have_v care_n after_o the_o first_o eight_o or_o ten_o day_n at_o most_o be_v over_o moderate_o to_o compress_v the_o bandage_n and_o to_o make_v use_n of_o small_a and_o very_o narrow_a compress_n lay_v upon_o the_o two_o side_n of_o the_o incision_n on_o the_o part_n of_o the_o patient_n when_o his_o urine_n be_v too_o sharp_a corrode_v the_o vrethra_n and_o hinder_v the_o reunion_n or_o that_o he_o lie_v not_o still_o as_o he_o ought_v not_o observe_v direction_n and_o not_o suffer_v himself_o to_o be_v treat_v according_a to_o the_o rule_n of_o art_n to_o which_o must_v be_v add_v his_o be_v emaciate_v the_o abundance_n of_o urine_n and_o if_o he_o moderate_v not_o his_o passion_n or_o exceed_v in_o his_o food_n the_o superfluity_n whereof_o cause_n a_o too_o long_a suppuration_n the_o most_o remarkable_a accident_n that_o contribute_v to_o the_o fistula_n be_v a_o putrefaction_n which_o cause_v great_a loss_n of_o substance_n in_o the_o vrethra_n and_o adjoin_v part_n a_o ulcer_n in_o the_o bladder_n or_o kidney_n the_o suppuration_n whereof_o require_v that_o the_o part_n be_v keep_v dilate_v the_o difference_n of_o these_o fistula_n be_v draw_v from_o hence_o that_o some_o of_o they_o be_v even_o and_o straight_o from_o the_o skin_n to_o the_o vrethra_n without_o any_o other_o profound_a or_o superficial_a sinuosity_n and_o be_v apparent_a on_o the_o side_n of_o the_o seam_n other_o have_v their_o orifice_n in_o the_o rectum_fw-la some_o be_v accompany_v with_o great_a loss_n of_o substance_n other_o have_v one_o or_o more_o sinuosity_n in_o the_o vrethra_n and_o in_o the_o neighbour_a part_n or_o otherwise_o they_o happen_v in_o a_o bad_a subject_n and_o these_o difference_n be_v discover_v if_o it_o be_v observe_v in_o time_n of_o dress_v the_o patient_n that_o thirty_o or_o forty_o day_n after_o the_o operation_n the_o ulcer_n cicatrise_n except_o one_o or_o more_o little_a passage_n or_o a_o small_a lump_n or_o tubercle_fw-la which_o be_v name_v the_o pullet_n rump_n on_o the_o side_n of_o the_o seam_n through_o which_o the_o urine_n escape_v or_o if_o the_o patient_n be_v much_o extenuate_v the_o superveen_a accident_n have_v cause_v a_o great_a loss_n of_o substance_n in_o the_o vrethra_n or_o that_o new_a flesh_n can_v breed_v the_o issue_v of_o the_o urine_n by_o the_o anus_fw-la make_v it_o apparent_a that_o the_o orifice_n of_o the_o fistula_n be_v in_o the_o rectum_fw-la all_o fistula_n in_o the_o perineum_fw-la be_v not_o alike_o hard_a to_o be_v cure_v for_o the_o first_o kind_n may_v be_v take_v into_o cure_n provide_v there_o be_v no_o great_a loss_n of_o substance_n and_o that_o the_o subject_n be_v good_a the_o rest_n be_v common_o incurable_a some_o of_o those_o who_o be_v trouble_v with_o fistula_n have_v this_o comfort_n that_o they_o do_v not_o always_o run_v if_o the_o subject_n be_v good_a not_o too_o lean_a and_o the_o ulcer_n fill_v with_o well_o condition_a flesh_n the_o cure_n of_o the_o fistula_n may_v without_o interruption_n be_v undertake_v but_o if_o the_o patient_n be_v extenuate_v or_o if_o there_o be_v great_a loss_n of_o substance_n in_o the_o vrethra_n with_o callous_a flesh_n the_o cure_n be_v not_o to_o be_v attempt_v until_o the_o strength_n be_v restore_v that_o it_o may_v be_v try_v if_o new_a flesh_n can_v be_v procure_v in_o that_o case_n he_o must_v be_v comfort_v give_v he_o hope_n that_o at_o another_o time_n he_o may_v be_v cure_v those_o that_o have_v their_o orifice_n in_o the_o rectum_fw-la be_v sometime_o less_o troublesome_a and_o they_o be_v not_o to_o be_v tamper_v with_o for_o cure_v of_o the_o fistula_n we_o shall_v not_o speak_v in_o this_o place_n of_o
the_o universal_a regiment_n we_o suppose_v that_o to_o have_v be_v observe_v either_o while_o the_o patient_n be_v under_o cure_n for_o the_o stone_n or_o since_o but_o we_o shall_v only_o treat_v of_o the_o particular_a management_n of_o that_o cure_n author_n speak_v of_o potion_n and_o many_o topical_a medicine_n for_o the_o cure_n of_o fistula_n but_o since_o my_o design_n be_v only_o to_o describe_v what_o i_o have_v observe_v to_o have_v be_v successful_a i_o can_v affirm_v that_o many_o have_v be_v cure_v by_o the_o follow_a mean_n which_o consist_v in_o introduce_v into_o the_o bottom_n of_o the_o fistula_n a_o catheretick_n trochisque_fw-la describe_v in_o the_o last_o chapter_n next_o the_o fall_n off_o of_o the_o escar_n be_v to_o be_v procure_v by_o basilicum_fw-la and_o then_o the_o patient_n be_v to_o be_v dress_v like_o one_o that_o have_v be_v cut_v of_o the_o stone_n after_o the_o seven_o or_o eight_o day_n some_o make_v use_v at_o the_o same_o time_n of_o a_o desiccative_a wax_n candle_n which_o they_o thrust_v into_o the_o yard_n up_o to_o the_o bottom_n of_o the_o fistula_n other_o cure_v they_o without_o the_o use_n of_o wax_n candle_n when_o any_o accident_n appear_v it_o be_v to_o be_v remedy_v as_o have_v be_v say_v chap._n xix_o if_o those_o that_o be_v fistulous_a be_v to_o be_v pity_v they_o who_o be_v trouble_v with_o a_o unvoluntary_a emission_n of_o their_o water_n by_o the_o vrethra_n ought_v also_o to_o be_v rank_v among_o the_o miserable_a as_o those_o also_o who_o piss_v not_o at_o all_o but_o they_o from_o who_o the_o gross_a excrement_n drop_v against_o their_o will_n surpass_v the_o rest_n in_o misery_n what_o may_v be_v say_v then_o if_o one_o shall_v suffer_v many_o of_o these_o inconvenience_n at_o the_o same_o time_n the_o spill_n of_o the_o water_n be_v cause_v by_o a_o palsy_n in_o the_o sphincter_n of_o the_o bladder_n by_o the_o incision_n of_o its_o fibre_n or_o by_o a_o great_a dilaceration_n when_o a_o big_a and_o rough_a stone_n have_v too_o much_o widen_v the_o passage_n and_o have_v cause_v a_o suppuration_n of_o long_a continuance_n the_o kind_n and_n difference_n be_v take_v from_o the_o greatness_n or_o smallness_n of_o the_o emission_n the_o sign_n of_o it_o be_v visible_a or_o rather_o most_o sensible_a and_o uneasy_a to_o the_o patient_n because_o shame_n and_o vexation_n hinder_v they_o sometime_o from_o seek_v a_o remedy_n from_o whence_o the_o prognostic_n may_v be_v make_v that_o all_o of_o they_o be_v extreme_o hard_a to_o be_v cure_v the_o most_o part_n incurable_a and_o that_o the_o cure_n most_o common_o be_v but_o palliative_a woman_n be_v not_o subject_a to_o fistula_n but_o only_o to_o this_o spill_n of_o their_o water_n which_o be_v more_o uneasy_a to_o they_o than_o to_o man_n because_o of_o the_o conformation_n of_o their_o vrethra_n and_o that_o their_o sex_n which_o have_v modesty_n for_o its_o property_n oblige_v they_o to_o a_o great_a reservedness_n hinder_v they_o from_o seek_v relief_n and_o this_o make_v they_o to_o have_v clout_n or_o sponge_n about_o they_o to_o receive_v the_o water_n or_o to_o employ_v something_o else_o that_o necessity_n and_o uneasiness_n suggest_v to_o they_o when_o the_o spill_n of_o urine_n remain_v with_o man_n they_o may_v have_v recourse_n to_o a_o little_a engine_n such_o as_o i_o see_v in_o the_o possession_n of_o a_o person_n who_o character_n and_o quality_n allow_v i_o not_o to_o name_v he_o i_o have_v hear_v he_o say_v that_o it_o be_v very_o useful_a and_o commodious_a for_o he_o that_o engine_n be_v make_v of_o steel_n iron_n or_o any_o other_o convenient_a metal_n it_o be_v compose_v of_o two_o part_n each_o about_o three_o inch_n long_o and_o a_o finger_n breadth_n wide_a one_o of_o the_o two_o piece_n bend_v a_o little_a in_o its_o longitude_n and_o the_o other_o be_v straight_o these_o two_o piece_n join_v together_o at_o one_o end_n with_o a_o turn_a joint_n like_o a_o compass_n and_o at_o the_o other_o end_n both_o be_v bend_v backward_o to_o fasten_v within_o one_o another_o so_o that_o press_v with_o the_o finger_n they_o may_v be_v open_v and_o shut_v these_o two_o piece_n be_v cover_v with_o linen_n as_o much_o or_o as_o little_a as_o one_o please_v afterward_o the_o yard_n be_v put_v into_o that_o instrument_n observe_v to_o keep_v the_o crooked_a part_n uppermost_o and_o when_o one_o have_v make_v water_n it_o be_v shut_v the_o compression_n may_v be_v make_v as_o slight_o as_o one_o please_v cover_v or_o face_v the_o engine_n more_o or_o less_o that_o it_o may_v be_v suffer_v without_o pain_n &_o let_v the_o urine_n pass_v through_o which_o in_o some_o manner_n supply_v the_o action_n of_o the_o sphincter_n of_o the_o bladder_n i_o have_v see_v some_o who_o have_v make_v use_n of_o box_n of_o white_a latin_a or_o other_o vessel_n of_o leather_n make_v in_o form_n of_o a_o urinal_n tie_v to_o a_o girdle_n and_o wherein_o the_o nut_n always_o hang_v which_o be_v not_o do_v without_o pain_n and_o trouble_n there_o be_v another_o instrument_n much_o like_o to_o a_o truss_n for_o rupture_n it_o be_v make_v like_o the_o steel_n truss_n have_v a_o girdle_n of_o the_o same_o fashion_n and_o on_o the_o left_a side_n in_o stead_n of_o a_o bolster_n the_o end_n of_o the_o girdle_n bend_v elbow-way_n downward_o and_o terminate_v in_o the_o shape_n of_o a_o small_a iron_n plate_n which_o be_v cover_v with_o felt_n leather_n or_o cork_n sufficient_o wax_v over_o that_o it_o may_v be_v of_o a_o convex_a figure_n like_o a_o olive_n and_o indifferent_o hard_a that_o it_o may_v exact_o answer_v to_o the_o vrethra_n above_o and_o near_o to_o the_o place_n where_o the_o incision_n have_v be_v make_v when_o the_o bandage_n be_v apply_v the_o little_a eminence_n press_v the_o vrethra_n below_o the_o cod_n and_o to_o keep_v it_o firm_a it_o be_v make_v fast_o by_o the_o other_o end_n where_o there_o be_v a_o strap_n of_o leather_n of_o the_o same_o fashion_n as_o in_o the_o steel_n truss_n for_o rupture_n and_o beside_o if_o a_o man_n be_v trouble_v with_o a_o fall_n down_o of_o the_o intestine_n one_o of_o these_o truss_n may_v be_v make_v on_o purpose_n for_o he_o where_o there_o may_v be_v a_o bolster_n for_o the_o rupture_n and_o the_o little_a eminence_n for_o compress_v the_o vrethra_n and_o hinder_v the_o shed_n of_o the_o water_n though_o this_o bandage_n or_o truss_n be_v in_o effect_n only_o for_o a_o palliative_a cure_n of_o this_o distemper_n yet_o it_o may_v sometime_o serve_v for_o a_o real_a cure_n because_o hereby_o the_o part_n gather_v strength_n and_o be_v corroborate_v there_o be_v another_o kind_n of_o bandage_n still_o the_o girdle_n whereof_o be_v make_v of_o fustian_n and_o that_o part_n which_o be_v to_o pass_v upon_o the_o pubis_fw-la of_o a_o piece_n of_o wood_n of_o the_o length_n and_o bigness_n of_o the_o patient_n finger_n cover_v with_o fustian_n and_o wax_n betwixt_o which_o and_o the_o pubis_fw-la the_o yard_n be_v compress_v lie_v along_o look_v upward_o that_o posture_n hinder_v the_o spill_n of_o the_o water_n the_o same_o bandage_n have_v point_n fasten_v to_o the_o before_o part_n of_o it_o that_o they_o may_v be_v carry_v betwixt_o the_o thigh_n and_o tie_v sideways_o to_o the_o girdle_n that_o so_o the_o bandage_n may_v not_o rise_v too_o high_a involuntary_a void_a of_o the_o excrement_n be_v cause_v sometime_o by_o the_o surgeon_n fault_n if_o in_o time_n of_o lithotomy_n he_o make_v the_o incision_n too_o low_a and_o if_o he_o cut_v the_o rectum_fw-la especial_o in_o the_o lesser_a operation_n if_o he_o take_v not_o good_a heed_n most_o frequent_o the_o violent_a motion_n of_o the_o patient_n contribute_v to_o it_o but_o much_o more_o putrefaction_n abscess_n or_o other_o accident_n that_o follow_v the_o operation_n their_o kind_n sign_n and_o prognostic_n be_v take_v from_o the_o more_o or_o less_o ejection_n of_o the_o excrement_n by_o the_o remain_a fistula_n which_o be_v far_o more_o uneasy_a than_o the_o spill_n of_o the_o water_n or_o the_o fistula_n alone_o the_o cure_n of_o this_o stercoral_a excretion_n be_v impossible_a when_o it_o be_v cause_v by_o incision_n of_o the_o upper_a part_n of_o the_o sphincter_n of_o the_o rectum_fw-la or_o when_o there_o be_v great_a loss_n of_o substance_n if_o any_o pretend_v to_o take_v such_o patient_n into_o cure_n they_o be_v to_o observe_v the_o method_n of_o cure_v fistula_n in_o the_o anus_fw-la we_o need_v not_o enlarge_v to_o prove_v that_o these_o kind_n of_o distemper_n may_v have_v several_a cause_n concur_v at_o the_o same_o time_n when_o many_o of_o these_o indisposition_n happen_v together_o we_o must_v have_v our_o recourse_n to_o the_o method_n of_o cure_v complicate_v distemper_n as_o well_o for_o the_o prognostic_n part_n