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Word A Word B Word C Word D Occurrence Frequency Band MI MI Band Prominent
cause_n body_n cause_v humour_n 1,709 5 7.9545 4 false
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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A47964 A treatise of chirurgical operations after the newest, and most exact method founded on the structure of the parts ... : to which is annex'd A general idea of wounds / written originally by Joseph De la Charier ; and translated into English by R. B. La Charrière, Joseph de, d. 1690.; R. B., fl. ca. 1695. 1696 (1696) Wing L134A; ESTC R43339 135,106 375

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like_o that_o which_o one_o feel_v sometime_o after_o the_o cut_n of_o a_o sword_n this_o do_v not_o proceed_v from_o the_o first_o division_n but_o by_o those_o which_o be_v make_v through_o the_o action_n of_o the_o sharp_a and_o extravasated_a humour_n continuity_n no_o pain_n without_o solution_n of_o continuity_n so_o that_o as_o often_o as_o the_o animal_n feel_v pain_n there_o be_v some_o division_n make_v by_o which_o mean_v the_o soul_n which_o watch_v and_o interest_n itself_o in_o the_o conservation_n of_o the_o part_n of_o our_o body_n be_v afflict_v convulsion_n the_o cause_n of_o convulsion_n these_o sharp_a humour_n come_v to_o shake_v vigorous_o the_o little_a filament_n of_o the_o nerve_n cause_v the_o spirit_n to_o run_v irregular_o into_o the_o muscle_n which_o excite_v the_o convulsion_n the_o spirit_n be_v put_v to_o flight_n instead_o of_o run_v into_o the_o fibre_n of_o the_o heart_n syncopes_fw-la and_o of_o syncopes_fw-la and_o rule_v their_o motion_n be_v 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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 aperture_n be_v make_v you_o put_v your_o finger_n into_o the_o cavity_n of_o the_o breast_n as_o well_o to_o make_v the_o incision_n big_a as_o to_o push_v back_o the_o lung_n and_o diaphragma_n and_o to_o loose_v they_o if_o they_o be_v fasten_v to_o the_o pleura_fw-la particular_o where_o the_o operation_n be_v make_v in_o a_o place_n of_o election_n different_a to_o that_o which_o be_v practise_v in_o a_o place_n of_o necessity_n without_o break_v the_o adherence_n as_o we_o have_v observe_v in_o the_o forego_n chapter_n if_o the_o lung_n strive_v to_o come_v out_o at_o the_o orifice_n of_o the_o wound_n you_o must_v push_v they_o back_o with_o a_o blunt_a hollow_a probe_n for_o to_o help_v the_o run_v out_o of_o the_o matter_n or_o with_o a_o pipe_n of_o a_o thickness_n and_o length_n proportionable_a to_o the_o deepness_n of_o the_o wound_n these_o long_a pipe_n be_v very_o useful_a in_o the_o emphisema_n because_o the_o aperture_n of_o the_o wound_n be_v little_a and_o deep_a it_o be_v very_o difficult_a without_o their_o help_n to_o give_v issue_n to_o the_o matter_n you_o must_v not_o make_v use_n of_o a_o probe_n caution_n caution_n to_o try_v whether_o the_o pleura_fw-la be_v pierce_v for_o in_o pass_v it_o often_o separate_v from_o the_o rib_n and_o there_o be_v a_o vacuum_n make_v where_o some_o blood_n be_v apt_a to_o gather_v which_o produce_v a_o new_a impostume_n matter_n more_o blood_n to_o be_v draw_v at_o a_o time_n than_o matter_n if_o it_o be_v blood_n that_o come_v out_o of_o the_o aperture_n you_o may_v draw_v a_o sufficient_a quantity_n of_o it_o but_o if_o it_o be_v pus_fw-la less_o by_o reason_n it_o contain_v more_o spirit_n and_o the_o patient_n be_v apt_a to_o fall_v into_o a_o syncope_n after_o this_o you_o stop_v the_o wound_n with_o a_o blunt_a tent_n of_o lint_n have_v a_o large_a head_n and_o be_v a_o little_a crooked_a at_o the_o end_n lest_o it_o offend_v the_o lung_n most_o common_o we_o tie_v a_o thread_n to_o it_o fill_v the_o rest_n of_o the_o wound_n with_o little_a dossel_n of_o dry_a lint_n to_o keep_v the_o tent_n in_o and_o absorb_v the_o blood_n and_o lay_v a_o plaster_n on_o it_o with_o compress_v and_o napkin_n about_o the_o body_n with_o the_o scapular_a which_o be_v cut_v in_o two_o at_o one_o end_n and_o put_v cross_a to_o fasten_v the_o napkin_n the_o easy_a when_o the_o patient_n be_v dress_v you_o make_v he_o keep_v his_o bed_n with_o his_o head_n high_a as_o if_o it_o be_v half_o sit_v and_o you_o let_v he_o rest_v till_o he_o find_v himself_o oppress_v with_o the_o weight_n of_o a_o new_a matter_n then_o take_v the_o dress_n off_o and_o have_v make_v the_o matter_n run_v out_o you_o push_v the_o lung_n back_o with_o a_o long_a pipe_n by_o who_o mean_n you_o facilitate_v the_o flow_a of_o the_o matter_n that_o remain_v in_o the_o breast_n you_o continue_v to_o dress_v it_o so_o every_o day_n we_o observe_v often_o that_o the_o first_o three_o or_o four_o day_n blood_n come_v out_o the_o next_o day_n water_n and_o afterward_o pus_fw-la that_o grow_v thick_a by_o little_a and_o little_a we_o have_v observe_v already_o that_o in_o case_n the_o empiema_n shall_v afford_v much_o matter_n or_o water_n mix_v with_o pus_fw-la you_o must_v not_o evacuate_v it_o all_o at_o once_o lest_o the_o patient_n shall_v fall_v in_o some_o weakness_n patient_n the_o air_n to_o be_v correct_v when_o you_o dress_v the_o patient_n you_o must_v always_o correct_v the_o intempery_n of_o the_o air_n with_o fire_n when_o you_o dress_v the_o patient_n and_o hinder_v it_o from_o enter_v too_o abundant_o into_o the_o breast_n because_o it_o thicken_v and_o coagulate_v the_o matter_n which_o be_v extravasated_a there_o hinder_v it_o from_o flow_a and_o cause_v it_o to_o come_v forth_o in_o clod_n if_o it_o be_v blood_n the_o serocity_n separate_v from_o it_o as_o after_o let_v blood_n nevertheless_o whether_o the_o pus_fw-la or_o blood_n be_v thick_a or_o mix_v with_o some_o water_n you_o always_o use_v with_o prudence_n injection_n of_o barley_n water_n and_o mel_n rosar_n with_o which_o you_o cleanse_v the_o lung_n and_o breast_n you_o must_v always_o cause_v the_o injected_a liquor_n to_o come_v out_o by_o the_o help_n of_o the_o finger_n or_o hollow_a probe_n and_o if_o the_o lung_n shall_v stick_v you_o must_v loose_v they_o if_o in_o time_n the_o blood_n shall_v grow_v too_o watery_a and_o the_o patient_n be_v oppress_v by_o the_o quantity_n of_o the_o pus_fw-la you_o will_v do_v well_o to_o dress_v he_o three_o or_o four_o time_n a_o day_n the_o matter_n run_v sometime_o for_o the_o space_n of_o three_o or_o four_o month_n and_o as_o soon_o as_o there_o come_v nothing_o out_o but_o what_o come_v from_o the_o wound_n you_o procure_v the_o generation_n of_o flesh_n and_o cicatrise_v you_o must_v observe_v that_o when_o the_o air_n work_v upon_o the_o blood_n that_o be_v in_o the_o breast_n it_o coagulate_v it_o sometime_o without_o change_v it_o into_o pus_fw-la and_o so_o it_o come_v out_o in_o lump_n injection_n bitter_a thing_n not_o to_o be_v use_v in_o injection_n you_o must_v not_o use_v injection_n in_o the_o beginning_n neither_o make_v they_o with_o aloe_n or_o other_o bitter_a thing_n because_o when_o the_o lung_n be_v open_a the_o patient_n cast_v they_o out_o through_o the_o mouth_n but_o after_o the_o vessel_n be_v consolidate_v you_o may_v use_v the_o tincture_n of_o aloe_n or_o wine_n mix_v with_o a_o traumatic_a decoction_n and_o mel_n rosarum_fw-la this_o be_v use_v when_o the_o pus_fw-la come_v out_o in_o a_o small_a quantity_n often_o after_o a_o wound_n of_o a_o sword_n there_o come_v out_o of_o it_o a_o abundance_n of_o blood_n and_o after_o three_o or_o four_o day_n no_o more_o appear_v in_o this_o occasion_n you_o must_v quick_o close_v the_o wound_n and_o you_o have_v all_o the_o reason_n to_o believe_v that_o there_o be_v only_o some_o little_a vessel_n break_v which_o give_v some_o blood_n and_o which_o afterward_o be_v stop_v by_o the_o most_o glutinous_a particle_n of_o the_o blood_n of_o the_o rest_n however_o the_o thing_n happen_v there_o remain_v no_o danger_n chap._n xxiv_o of_o the_o cancer_n i_o look_v upon_o a_o cancer_n as_o the_o most_o inflame_a and_o rebellious_a of_o all_o the_o schirrou_n tumor_n the_o red_a part_n of_o the_o blood_n as_o well_o as_o the_o white_a contribute_v to_o its_o formation_n cause_n principal_a cause_n when_o cancer_n happen_v in_o glandulous_a part_n there_o be_v great_a appearance_n that_o the_o lympha_fw-la be_v the_o principal_a cause_n there_o if_o they_o attack_v any_o other_o part_n it_o be_v to_o be_v presume_v that_o the_o tartarous_a particle_n of_o the_o blood_n have_v the_o great_a share_n therein_o however_o it_o be_v i_o say_v that_o the_o concourse_n of_o these_o two_o humour_n be_v always_o necessary_a for_o the_o production_n of_o a_o cancer_n all_o the_o difficulty_n be_v well_o to_o distinguish_v which_o of_o those_o two_o predominate_a be_v what_o a_o cancer_n be_v i_o say_v a_o cancer_n be_v a_o round_a hard_a unequal_a livid_n and_o painful_a tumour_n cause_v by_o the_o meeting_n of_o abundance_n of_o acid_n and_o of_o the_o tartarous_a particle_n of_o the_o blood_n from_o which_o proceed_v the_o pain_n and_o tention_n of_o the_o vessel_n which_o very_o well_o represent_v the_o claw_n of_o a_o crab._n painful_a cancer_n of_o the_o glandulous_a part_n most_o painful_a those_o cancer_n which_o possess_v the_o glandulous_a part_n be_v much_o more_o painful_a than_o the_o other_o through_o the_o abundance_n of_o nerve_n which_o enter_v into_o their_o composition_n and_o if_o the_o alteration_n of_o the_o lympha_fw-la contribute_v any_o thing_n to_o their_o generation_n it_o be_v because_o the_o gland_n be_v its_o principal_a reservatory_n roundness_n cause_o of_o the_o roundness_n the_o roundness_n of_o the_o tumour_n come_v from_o the_o round_a figure_n of_o the_o gland_n because_o the_o humour_n which_o cause_n the_o obstruction_n and_o extend_v the_o vessel_n can_v easy_o tumify_v these_o glandulous_a body_n without_o change_v their_o conformation_n etc._n cause_o of_o the_o tention_n etc._n etc._n as_o for_o the_o tention_n and_o fullness_n of_o the_o vessel_n it_o be_v know_v that_o the_o matter_n which_o they_o contain_v be_v nothing_o else_o than_o the_o matter_n which_o form_v the_o tumour_n this_o humour_n be_v tartarous_a fix_v and_o gross_a and_o consequent_o not_o very_o capable_a of_o fermentation_n the_o slow_a progress_n the_o tumour_n make_v in_o the_o beginning_n be_v a_o convince_a proof_n of_o it_o the_o lympha_fw-la be_v acid_n it_o may_v well_o excite_v some_o little_a fermentation_n with_o a_o porous_a and_o terrestrial_a salt_n which_o the_o red_a part_n of_o the_o blood_n furnish_v but_o it_o serve_v rather_o to_o fix_v and_o concentre_v
of_o the_o cancer_n cancer_n three_o way_n of_o extirpate_v a_o cancer_n the_o cure_n of_o a_o cancer_n may_v be_v attempt_v by_o incision_n by_o ligature_n or_o by_o actual_a cautery_n if_o you_o undertake_v it_o by_o incision_n incision_n 1_o by_o incision_n you_o must_v cut_v its_o most_o deep_a root_n that_o be_v to_o say_v you_o must_v anticipate_v upon_o the_o nighbour_a part_n and_o have_v take_v it_o off_o you_o must_v squeeze_v the_o adjacent_a vessel_n to_o make_v the_o blood_n and_o humour_n come_v out_o which_o may_v have_v contract_v malignancy_n in_o respect_n of_o the_o ligature_n ligature_n 2_o by_o ligature_n it_o be_v not_o much_o in_o use_n but_o if_o you_o will_v put_v it_o in_o practice_n it_o must_v be_v when_o the_o base_n of_o the_o tumour_n be_v but_o small_a when_o the_o root_n extend_v themselves_o not_o far_o in_o compass_n and_o when_o it_o terminate_v in_o a_o kind_n of_o strangulation_n but_o be_v it_o be_v rare_a not_o to_o say_v impossible_a to_o meet_v with_o such_o a_o disposition_n the_o ligature_n have_v no_o other_o use_n than_o that_o of_o suspend_v the_o tumour_n that_o you_o may_v make_v the_o incision_n more_o commodious_a you_o must_v observe_v that_o if_o you_o apply_v slight_o the_o actual_a cautery_n after_o the_o operation_n it_o be_v to_o stop_v the_o blood_n cautery_n 3_o actual_a cautery_n and_o absorb_n and_o destroy_v some_o portion_n of_o the_o unclean_a matter_n which_o can_v serve_v as_o a_o ferment_n for_o the_o generation_n of_o a_o new_a cancer_n and_o may_v even_o infect_v the_o whole_a mass_n of_o blood_n operation_n how_o to_o perform_v the_o operation_n the_o method_n use_v in_o perform_v the_o operation_n be_v this_o you_o introduce_v into_o the_o top_n of_o the_o tumour_n a_o needle_n arm_v with_o double_a thread_n to_o make_v a_o sort_n of_o loop_n with_o which_o you_o uphold_v the_o tumour_n and_o the_o surgeon_n cut_v it_o round_o about_o the_o base_a till_o to_o the_o rib_n with_o a_o very_a sharp_a knife_n have_v take_v off_o the_o tumour_n you_o squeeze_v the_o blood_n out_o and_o pass_v slight_o over_o it_o a_o actual_a cautery_n you_o dress_v the_o wound_n with_o pledget_n arm_v with_o astringent_a powder_n and_o lay_v a_o plaster_n on_o it_o with_o compress_v napkin_n and_o scapule_a cancer_n the_o best_a way_n of_o oxtirpate_v a_o cancer_n but_o the_o best_a method_n be_v to_o make_v a_o incision_n cross_v over_o the_o tumour_n even_o to_o the_o rib_n and_o separate_v dextrous_o the_o flesh_n from_o the_o skin_n by_o this_o mean_v you_o avoid_v the_o great_a deformity_n and_o pain_n and_o secure_v better_o the_o wound_n from_o the_o air._n if_o the_o disease_a be_v not_o in_o a_o disposition_n proper_a to_o endure_v to_o operation_n either_o through_o fear_n of_o pain_n or_o be_v weak_a and_o the_o surgeon_n not_o make_v a_o favourable_a prognostic_n it_o will_v be_v a_o rashness_n to_o undertake_v it_o beside_o that_o the_o great_a loss_n of_o substance_n and_o dangerous_a accident_n which_o happen_v be_v worthy_a of_o reflection_n which_o break_v often_o the_o measure_n that_o the_o most_o dare_a practitioner_n can_v take_v for_o as_o soon_o as_o the_o tumour_n be_v take_v off_o the_o ulcer_n grow_v often_o malign_a painful_a and_o of_o a_o round_a figure_n which_o be_v a_o mark_n of_o slow_a cicatrisation_n the_o side_n become_v calous_a livid_fw-la high_a black_a and_o invert_v according_a to_o the_o disposition_n of_o the_o juice_n with_o which_o they_o be_v water_v cancer_n a_o extraordinary_a way_n to_o cure_v a_o cancer_n there_o be_v some_o that_o without_o perform_v the_o operation_n do_v assure_v we_o that_o they_o have_v cure_v ulcerate_v cancer_n with_o great_a red_a snail_n free_v from_o their_o shell_n which_o be_v lay_v upon_o the_o ulcer_n they_o say_v that_o they_o creep_v sometime_o about_o the_o ulcer_n fasten_v to_o it_o and_o leave_v their_o foam_n there_o that_o we_o find_v the_o bottom_n of_o their_o belly_n gnaw_v as_o it_o be_v and_o they_o grow_v so_o monstrous_a that_o in_o a_o short_a time_n they_o burst_v the_o reason_n be_v that_o these_o animal_n contain_v a_o abundance_n of_o volatile_a alkalys_n which_o charge_v themselves_o with_o the_o acid_n that_o entertain_v the_o cancer_n and_o which_o grow_v and_o ulcerate_v the_o belly_n of_o these_o animal_n so_o that_o be_v convey_v through_o the_o little_a branch_n of_o their_o vein_n into_o their_o mass_n of_o blood_n according_a to_o the_o order_n of_o circulation_n they_o excite_v such_o a_o extraordinary_a fermentation_n that_o these_o animal_n must_v needs_o perish_v chap._n xxvi_o of_o bronchotomia_fw-la operation_n bronchotomia_fw-la a_o nice_a operation_n there_o be_v no_o operation_n in_o chirurgery_n of_o a_o more_o nice_a undertake_n than_o the_o bronchotomia_fw-la neither_o be_v there_o any_o more_o press_v or_o useful_a when_o ever_o one_o have_v the_o happiness_n to_o succeed_v in_o it_o the_o cause_n of_o this_o troublesome_a affect_n cause_n cause_n proceed_v ordinary_o from_o some_o wound_n great_a cry_v long_a discourse_n violent_a passion_n or_o the_o alteration_n of_o the_o humour_n if_o a_o simple_a inflammation_n be_v capable_a of_o hinder_v respiration_n what_o will_v not_o happen_v if_o any_o of_o these_o cause_n concur_v to_o increase_v it_o now_o whether_o the_o inflammation_n attack_v the_o muscle_n of_o the_o larynx_n or_o some_o other_o part_n it_o communicate_v itself_o not_o only_o to_o the_o aspera_fw-la arteria_fw-la but_o also_o to_o the_o muscle_n of_o the_o pharinx_n and_o neighbour_a gland_n which_o oblige_v the_o blood_n and_o spirit_n to_o stop_v in_o all_o these_o part_n and_o to_o cause_v great_a obstruction_n then_o do_v the_o blood_n which_o without_o intermission_n press_v on_o not_o find_v its_o passage_n free_a stay_v there_o and_o augment_v both_o inflammation_n and_o tention_n the_o vessel_n be_v after_o this_o manner_n distend_v and_o swell_v up_o take_v up_o more_o space_n than_o before_o and_o must_v needs_o press_v the_o aspera_fw-la arteria_fw-la and_o hinder_v the_o passage_n of_o the_o air_n in_o that_o part_n whence_o follow_v suffocation_n bleed_v clyster_n resolutive_a cataplasm_n gargariem_n make_v with_o strong_a wine_n in_o which_o you_o boil_v in_o b._n mariae_fw-la sanicle_n golden_a rod_n perivincle_n and_o angelico_n with_o many_o other_o remedy_n be_v to_o precede_v the_o operation_n unless_o danger_n of_o suffocation_n oblige_v we_o to_o make_v it_o if_o the_o obstruction_n and_o inflammation_n attack_v only_o the_o amigdal_n or_o glandulae_fw-la tyroide_v you_o must_v endeavour_v to_o open_v they_o by_o the_o mouth_n with_o the_o point_n of_o a_o lancet_n arm_v with_o a_o band_n of_o lint_n if_o all_o part_n of_o the_o throat_n be_v inflame_v and_o all_o remedy_n prove_v without_o success_n you_o must_v betake_v yourself_o to_o the_o operation_n operation_n how_o to_o perform_v the_o operation_n to_o do_v it_o methodical_o the_o patient_n must_v sit_v upon_o a_o bed_n or_o chair_n with_o his_o head_n back_o lean_v on_o a_o servant_n breast_n who_o uphold_v it_o with_o his_o hand_n be_v in_o this_o posture_n the_o surgeon_n choose_v the_o most_o convenient_a and_o less_o dangerous_a place_n where_o he_o may_v make_v the_o operation_n which_o be_v a_o thumb_n breadth_n from_o the_o larynx_n between_o the_o three_o and_o four_o ring_n of_o the_o aspera_fw-la arteria_fw-la he_o pinch_v the_o cutis_fw-la etc._n etc._n cross_n make_v a_o incision_n at_o length_n and_o separate_v very_o gentle_o and_o artificial_o the_o brochale_n and_o musculii_fw-la sternobyoidei_fw-la have_v discover_v the_o aspera_fw-la arteria_fw-la caution_n caution_n you_o incise_v cross-way_n with_o a_o lancet_n arm_v the_o carnous_a membrane_n which_o tie_v the_o cartilaginous_a ring_n together_o avoid_v the_o recurrent_a nerve_n which_o carry_v the_o spirit_n necessary_a for_o the_o function_n of_o the_o organ_n of_o the_o voice_n which_o if_o they_o shall_v chance_v to_o be_v cut_v will_v be_v lose_v the_o incision_n be_v make_v before_o you_o withdraw_v the_o lancet_n introduce_v a_o probe_n which_o facilitate_v the_o entry_n of_o a_o short_a pipe_n which_o must_v be_v crooked_a and_o proportionable_a to_o the_o wound_n there_o must_v be_v a_o hole_n on_o each_o side_n to_o pass_v a_o little_a ribon_n through_o which_o be_v to_o be_v tie_v behind_o the_o neck_n to_o keep_v it_o fast_o we_o put_v a_o little_a cotton_n or_o piece_n of_o sponge_n at_o its_o entry_n for_o to_o modify_v the_o air_n a_o little_a then_o apply_v a_o plaster_n on_o it_o with_o hole_n in_o it_o compress_v and_o a_o pierce_a bandage_n chap._n xxvii_o of_o fistula_n lachrimalis_n the_o fistula_n lachrimalis_n be_v always_o cause_v by_o a_o sharp_a and_o salt_a humour_n if_o the_o matter_n of_o the_o tear_n which_o run_v through_o the_o lachrimal_a passage_n have_v receive_v any_o alteration_n it_o may_v cause_v some_o obstruction_n in_o those_o passage_n which_o terminate_v at_o
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
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
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
hydropic_n what_o i_o have_v say_v explain_v it_o sufficient_o beside_o we_o well_o enough_o conceive_v that_o the_o serous_a blood_n be_v deprive_v of_o spirit_n that_o it_o move_v more_o slow_o in_o the_o extremity_n than_o any_o where_o else_o and_o consequent_o the_o heat_n must_v rather_o be_v lessen_v in_o these_o part_n than_o in_o other_o as_o i_o have_v make_v you_o observe_v when_o i_o speak_v of_o the_o dropsy_n beside_o the_o ferosity_n filter_n in_o so_o great_a a_o quantity_n between_o the_o fibre_n and_o the_o part_n that_o it_o may_v by_o its_o weight_n press_v the_o vessel_n and_o so_o cause_v a_o gangrene_n second_o great_a cold_a cause_v often_o gangrene_n and_o mortification_n in_o the_o extremity_n especial_o the_o foot_n hand_n ear_n and_o nose_n particular_o in_o person_n oblige_v to_o march_v in_o the_o snow_n during_o excessive_a rigour_n of_o winter_n as_o those_o which_o travel_v in_o the_o northern_a region_n gangrene_n how_o cold_a cause_n a_o gangrene_n to_o explain_v this_o phenomena_n you_o must_v only_o remember_v what_o i_o have_v say_v in_o the_o comparison_n of_o wine_n where_o we_o have_v see_v that_o the_o spirit_n of_o wine_n be_v concentre_v by_o the_o cold_a and_o that_o the_o exterior_a part_n find_v themselves_o deprive_v of_o spirit_n freeze_n this_o happen_v to_o a_o bottle_n of_o wine_n expose_v to_o a_o very_a cold_a air_n you_o may_v observe_v in_o break_v the_o bottle_n that_o the_o spirit_n have_v retire_v to_o the_o centre_n and_o preserve_v their_o fluidity_n while_o all_o the_o rest_n be_v congeal_v i_o say_v that_o the_o same_o thing_n happen_v in_o the_o blood_n by_o the_o rigour_n of_o cold_a and_o while_o the_o spirit_n retire_v to_o the_o centre_n of_o the_o animal_n the_o exterior_a part_n remain_v gangrenate_v be_v only_o irrigate_v with_o a_o dead_a and_o insipid_a phlegm_n which_o congeal_v in_o the_o very_a substance_n of_o the_o part_n it_o be_v easy_a to_o comprehend_v that_o at_o the_o same_o time_n the_o part_n feel_v the_o pinch_n of_o the_o cold_a they_o retire_v be_v compress_v by_o the_o action_n of_o the_o air_n which_o first_o cause_v those_o quick_a and_o penetrate_a pain_n and_o hinder_v the_o blood_n from_o continue_v its_o motion_n in_o those_o part_n therefore_o lie_v there_o still_o it_o insensible_o stop_v every_o passage_n and_o cause_v a_o entire_a mortification_n hinc_fw-la interdum_fw-la say_v ettmuller_n ex_fw-la frigore_fw-la extrinsecus_fw-la irruente_fw-la part_n gangrenosae_fw-la fiunt_fw-la so_o much_o for_o what_o regard_v all_o kind_n of_o gangrene_n that_o depend_v on_o the_o dissipation_n and_o concentration_n of_o the_o spirit_n gangrene_n tumour_n fracture_n luxation_n etc._n etc._n may_v cause_v a_o gangrene_n now_o i_o come_v to_o those_o that_o depend_v on_o the_o interruption_n of_o the_o course_n of_o the_o blood_n and_o its_o motion_n first_o tumor_n fracture_n and_o luxation_n may_v cause_v a_o gangrene_n in_o a_o part_n by_o compress_v too_o hard_a the_o vessel_n that_o convey_v the_o blood_n there_o i_o confess_v that_o this_o kind_n of_o gangrene_n be_v rare_a because_o the_o vessel_n communicate_v themselves_o in_o so_o many_o place_n and_o there_o come_v so_o great_a quantity_n of_o different_a branch_n from_o they_o that_o it_o be_v difficult_a that_o all_o the_o supply_n of_o blood_n shall_v be_v hinder_v in_o a_o member_n nevertheless_o fabritius_n hildanus_n assure_v we_o observation_n observation_n that_o he_o have_v see_v a_o man_n who_o be_v attack_v with_o a_o gangrene_n in_o both_o leg_n and_o his_o foot_n be_v always_o cold_a and_o benumb_v so_o he_o die_v without_o a_o fever_n &_o without_o any_o other_o symptom_n his_o body_n be_v open_v there_o be_v find_v a_o schirrou_n tumour_n in_o the_o region_n of_o his_o reins_o over_o the_o division_n of_o his_o iliac_n branch_n this_o tumour_n press_v first_o slight_o the_o vessel_n and_o cause_v the_o cold_a and_o benumb_a of_o the_o leg_n but_o as_o it_o grow_v it_o press_v the_o artery_n and_o vein_n so_o hard_o that_o the_o blood_n can_v no_o more_o descend_v into_o the_o inferior_a part_n to_o vivifie_v they_o concern_v fracture_n of_o dislocation_n it_o may_v happen_v that_o the_o head_n of_o a_o bone_n or_o some_o piece_n may_v compress_v the_o vessel_n so_o hard_o as_o to_o hinder_v the_o passage_n of_o the_o blood_n for_o the_o same_o reason_n bandage_n bandage_n too_o tight_a bandage_n etc._n etc._n use_v in_o fracture_n and_o luxation_n strong_a and_o close_a ligature_n of_o the_o vessel_n may_v cause_v a_o gangrene_n especial_o if_o one_o make_v it_o on_o the_o great_a trunk_n unless_o the_o branch_n which_o communicate_v together_o in_o several_a place_n furnish_v the_o blood_n that_o be_v necessary_a for_o the_o vivification_n of_o the_o part_n ettmuller_n say_v nimis_fw-la firmae_fw-la ligaturae_fw-la externae_fw-la interdum_fw-la hoc_fw-la malum_fw-la inducunt_fw-la in_fw-la quod_fw-la fit_a interdum_fw-la si_fw-la in_o ossium_fw-la fracturis_fw-la locus_fw-la fractus_fw-la orcte_fw-la nimis_fw-la ligetur_fw-la in_o all_o these_o case_n it_o be_v very_o easy_a to_o see_v that_o the_o mortification_n depend_v simple_o on_o the_o interruption_n of_o the_o course_n of_o the_o blood_n without_o the_o concurrence_n of_o any_o other_o cause_n but_o you_o will_v see_v in_o what_o follow_v how_o the_o ill_a disposition_n of_o the_o humour_n may_v augment_v and_o even_o produce_v this_o kind_n of_o gangrene_n etc._n a_o gangrene_n may_v happen_v by_o long_o lie_v on_o the_o buttock_n etc._n etc._n second_o a_o gangrene_n happen_v often_o upon_o the_o buttock_n of_o those_o who_o have_v have_v long_a sickness_n and_o that_o be_v oblige_v to_o lie_v long_o on_o their_o back_n first_o the_o cutis_fw-la begin_v to_o rise_n afterward_o there_o happen_v inflammation_n in_o the_o flesh_n which_o end_v in_o rotteness_n and_o gangrene_n the_o first_o be_v cause_v by_o the_o sole_a compression_n of_o the_o vessel_n in_o the_o part_n but_o if_o at_o the_o same_o time_n the_o patient_a involuntary_a shed_v his_o water_n and_o excrement_n the_o gangrene_n come_v soon_o because_o they_o gall_v and_o heat_v the_o part_n by_o their_o acrimony_n and_o so_o increase_v the_o inflammation_n and_o consequent_o the_o inflammation_n and_o gangrene_n gangrene_n great_a inflammation_n contusion_n etc._n etc._n may_v cause_v a_o gangrene_n in_o the_o three_o place_n nothing_o more_o common_a in_o the_o practice_n of_o chirurgery_n than_o to_o see_v gangrene_n follow_v great_a inflammation_n contusion_n and_o even_a aneurism_n when_o ever_o the_o tunicle_n of_o the_o artery_n be_v break_v and_o the_o blood_n extravasated_a between_o the_o muscle_n i_o say_v that_o in_o all_o these_o occasion_n if_o the_o blood_n be_v extravasated_a in_o great_a abundance_n it_o must_v needs_o lie_v heavy_a on_o the_o part_n and_o press_v at_o the_o same_o time_n the_o blood_n vessel_n so_o that_o it_o entire_o stop_v the_o passage_n to_o the_o new_a blood_n which_o come_v to_o irrigate_n and_o vivifie_v the_o part_n behold_v this_o be_v the_o period_n of_o inflammation_n proper_a to_o produce_v a_o gangrene_n and_o as_o there_o must_v be_v great_a abundance_n of_o blood_n to_o compress_v hard_o the_o vessel_n so_o it_o happen_v only_o upon_o great_a inflammation_n if_o i_o say_v that_o in_o great_a inflammation_n the_o extravasated_a blood_n compress_v the_o vessel_n it_o be_v not_o a_o simple_a imagination_n only_o but_o a_o constant_a truth_n since_o the_o pulse_n cease_v to_o verberate_v at_o the_o same_o time_n the_o part_n begin_v to_o gangrenate_n and_o it_o be_v red_a colour_n grow_v pale_a livid_n and_o black_a which_o clear_o demonstrate_v that_o the_o sanguiferous_a vessel_n be_v compress_v and_o the_o access_n of_o new_a blood_n hinder_v gangrene_n repercussive_a astringent_a medicine_n improper_o apply_v may_v cause_v a_o gangrene_n in_o the_o four_o place_n a_o gangrene_n may_v happen_v upon_o the_o least_o inflammation_n even_o on_o érispielas_n when_o ever_o too_o strong_a repercussive_a astringent_a or_o emplastic_a medicine_n be_v inconsiderate_o apply_v to_o conceive_v this_o well_o you_o must_v observe_v that_o the_o extravasated_a liquor_n transpire_v very_o much_o and_o that_o this_o transpiration_n do_v extreme_o discharge_v the_o disease_a part_n of_o the_o quantity_n of_o humour_n which_o it_o contain_v so_o while_o the_o pore_n be_v open_a in_o phlegmon_n and_o erisipelase_n and_o the_o most_o active_a and_o agitate_a particle_n of_o the_o bile_n and_o blood_n evaporate_v the_o part_n always_o discharge_v itself_o of_o some_o of_o its_o burden_n so_o not_o much_o fear_n of_o gangrene_n this_o be_v the_o reason_n why_o in_o the_o southern_a part_n of_o america_n there_o never_o be_v see_v a_o gangrene_n come_v upon_o wound_n or_o inflammation_n because_o the_o great_a heat_n of_o the_o country_n open_v the_o pore_n of_o the_o body_n but_o when_o the_o pore_n be_v close_v by_o astringent_a repercussive_a or_o emplastic_a medicine_n and_o the_o transpiration_n
utter_o impede_v in_o the_o part_n the_o tumour_n increase_v the_o part_n retain_v all_o those_o particle_n which_o will_v have_v escape_v through_o the_o pore_n the_o extravasated_a humour_n be_v in_o a_o great_a quantity_n proportionable_a to_o the_o part_n which_o contain_v it_o compress_n the_o flesh_n and_o vessel_n and_o of_o necessity_n cause_v a_o mortification_n behold_v the_o true_a cause_n of_o gangrene_n which_o come_v upon_o inflammation_n contusion_n aneurism_n and_o erisipelas_n all_o these_o cause_n have_v be_v very_o well_o observe_v by_o ettmuller_n when_o he_o say_v hinc_fw-la est_fw-la quod_fw-la vix_fw-la saepius_fw-la oriuntur_fw-la gangrene_n &_o sphaceli_fw-la quam_fw-la ex_fw-la inflammationibus_fw-la male_a curatis_fw-la imprimis_fw-la si_fw-la partis_fw-la inflamatae_n per_fw-la emplastica_fw-la imprudenter_fw-la admota_fw-la impediatur_fw-la insensilis_fw-la transpiratio_fw-la tunc_fw-la sanguis_fw-la extravasatus_fw-la stagnat_fw-la corrumpitur_fw-la ex_fw-la toto_fw-la putrescit_fw-la &_o partis_fw-la inflammate_v gangrenam_fw-la post_fw-la se_fw-la trahit_fw-la in_o primis_fw-la erisipelata_fw-la per_fw-la ungt_fw-fr oleosa_fw-mi ac_fw-la muilaginosa_fw-la insulsae_fw-la tractata_fw-la subito_fw-la serpentem_fw-la inducunt_fw-la gangrenam_fw-la but_o these_o cause_n have_v produce_v their_o effect_n there_o be_v that_o augment_v it_o and_o which_o give_v even_o occasion_n that_o it_o be_v communicate_v to_o the_o nigh_o part_n it_o be_v the_o corruption_n of_o the_o blood_n and_o extravasated_a humour_n in_o a_o simple_a inflammation_n when_o the_o blood_n be_v extravasated_a and_o can_v be_v discuss_v it_o change_v into_o pus_fw-la this_o change_n be_v not_o only_o cause_v by_o the_o action_n of_o the_o principle_n of_o the_o extravasated_a blood_n but_o also_o by_o the_o soft_a influence_n of_o the_o blood_n and_o spirit_n which_o be_v contain_v in_o the_o neighbour_a part_n this_o make_v that_o the_o pus_fw-la be_v not_o altogether_o a_o strange_a substance_n and_o enemy_n to_o nature_n but_o as_o i_o have_v show_v that_o the_o access_n of_o the_o blood_n be_v entire_o press_v towards_o the_o gangrened_a part_n and_o the_o circulation_n very_o often_o intercept_v it_o so_o happen_v that_o the_o extravasated_a blood_n be_v so_o far_o from_o be_v convert_v into_o pus_fw-la that_o it_o degenerate_v into_o a_o virulent_a sanies_fw-la which_o first_o cause_v blister_n upon_o the_o part_n and_o then_o by_o its_o acrimony_n gnaw_v the_o gangren_a part_n and_o insensible_o corrupt_v those_o that_o be_v sound_a which_o make_v the_o gangrene_n become_v so_o angry_a that_o it_o attack_n even_o the_o part_n that_o suffer_v no_o inflammation_n of_o the_o rest_n the_o gangrene_n which_o follow_v upon_o inflammation_n attack_v rather_o the_o soft_a and_o fungous_a part_n than_o other_o other_o why_o the_o soft_a part_n gangrenate_n soon_o than_o other_o as_o the_o gum_n lip_n vulva_fw-la and_o membrum_fw-la virile_a intestine_a and_o brain_n the_o reason_n be_v these_o part_n be_v very_o soft_a and_o spungy_a imbibe_n a_o a_o great_a quantity_n of_o humour_n beside_o the_o most_o of_o they_o have_v no_o muscle_n that_o may_v squeeze_v the_o blood_n which_o make_v it_o easy_o lie_v cake_v there_o gangrene_n ulcer_n wound_n scorbutic_a spot_n and_o sharp_a medicine_n may_v cause_v a_o gangrene_n five_o gangrene_n come_v upon_o ulcer_n wound_n scorbutic_a spot_n and_o upon_o the_o application_n of_o sharp_a and_o corrosive_a medicine_n which_o happen_v two_o way_n 1._o when_o pain_n which_o accompany_v all_o these_o symptom_n cause_n often_o great_a inflammation_n on_o which_o follow_v gangrene_n 2._o from_o the_o actual_a cautery_n from_o pus_fw-la and_o sanies_fw-la come_v from_o gnaw_a ulcer_n from_o scorbutic_a spot_n and_o from_o sharp_a and_o corrosive_a medicine_n which_o cauterise_v the_o cutis_fw-la and_o vessel_n so_o the_o blood_n be_v no_o more_o send_v into_o the_o part_n they_o lose_v their_o motion_n and_o life_n gangrene_n malignity_n may_v cause_v gangrene_n final_o all_o author_n do_v admit_v a_o malign_a and_o occult_a cause_n of_o a_o gangrene_n from_o thence_o they_o say_v come_v the_o gangrene_n in_o the_o plague_n as_o carbuncle_n which_o sometime_o in_o 24_o hour_n time_n cause_v a_o entire_a mortification_n of_o a_o part_n to_o the_o same_o cause_n they_o attribute_v the_o gangrene_n which_o happen_v on_o malignant_a fever_n and_o sometime_o after_o the_o small_a pox_n by_o a_o depositum_fw-la or_o crisis_n of_o the_o matter_n which_o the_o disease_n make_v in_o some_o part_n last_o it_o be_v this_o way_n which_o they_o pretend_v to_o explicate_v the_o action_n of_o poison_n and_o bite_v of_o venomous_a animal_n which_o they_o say_v will_v cause_v a_o gangrene_n but_o without_o have_v recourse_n to_o the_o malign_v and_o occult_a quality_n of_o the_o plague_n be_v we_o to_o wonder_v at_o carbuncle_n cause_v a_o mortification_n in_o any_o part_n mortify_v why_o a_o carbuncle_n mortify_v since_o the_o humour_n which_o produce_v they_o be_v in_o the_o high_a degree_n of_o sharpness_n and_o corrosion_n it_o gnaw_v the_o flesh_n and_o cauterise_n the_o vessel_n so_o it_o be_v evident_a the_o part_n must_v mortify_v the_o same_o thing_n may_v be_v say_v of_o the_o matter_n of_o malign_v fever_n and_o of_o the_o small_a pox_n where_o the_o blood_n be_v load_v with_o sharp_a and_o malign_a particle_n if_o so_o be_v that_o this_o acrimony_n can_v be_v overcome_v by_o nature_n or_o by_o medicine_n there_o be_v a_o depositum_fw-la make_v of_o it_o in_o some_o part_n where_o the_o sharp_a and_o corrosive_a humour_n do_v not_o fail_v to_o gnaw_v the_o flesh_n cauterise_v the_o vessel_n and_o even_o to_o rot_v the_o very_a bone_n as_o we_o have_v see_v in_o many_o example_n i_o say_v the_o same_o thing_n of_o poison_n that_o do_v not_o work_v but_o by_o their_o acrimony_n of_o which_o some_o be_v acid_a and_o other_o abound_v with_o lixivial_a salt_n but_o always_o they_o produce_v the_o same_o effect_n as_o we_o daily_o see_v it_o happen_v by_o the_o application_n of_o acid_n and_o potential_a cautery_n after_o the_o explication_n of_o the_o cause_n we_o must_v pass_v to_o the_o sign_n and_o difference_n of_o a_o gangrene_n as_o for_o the_o difference_n its_o easy_a to_o draw_v they_o from_o their_o cause_n i_o pass_v to_o the_o sign_n which_o be_v of_o more_o importance_n etc._n sign_n of_o a_o gangrene_n from_o want_n of_o spirit_n etc._n etc._n the_o sign_n of_o a_o gangrene_n which_o attack_z old_a people_n and_o which_o come_v from_o the_o want_n of_o spirit_n be_v know_v by_o that_o they_o feel_v neither_o pain_n nor_o have_v inflammation_n the_o part_n fade_v away_o and_o be_v as_o it_o be_v deprive_v of_o sense_n and_o motion_n which_o make_v they_o die_v insensible_o dropsy_n sign_n for_o the_o dropsy_n in_o a_o gangrene_n which_o succeed_v the_o dropsy_n there_o be_v but_o a_o slight_a pain_n in_o the_o beginning_n but_o afterward_o the_o leg_n inflame_v and_o the_o pain_n augment_v cold._n sign_n from_o cold._n if_o it_o be_v cause_v from_o external_n cold_a the_o pain_n be_v present_o sharp_a the_o part_n grow_v red_a livid_n and_o then_o black_a at_o last_o the_o spirit_n forsake_v it_o and_o mortification_n seize_v accompany_v with_o a_o shiver_a like_o that_o in_o a_o ague_n etc._n sign_n from_o compression_n tumor_n luxation_n etc._n etc._n if_o the_o gangrene_n be_v the_o consequence_n of_o some_o compression_n as_o of_o too_o narrow_a ligature_n tumor_n luxation_n fracture_n or_o of_o too_o long_o lie_v on_o the_o back_n it_o be_v know_v by_o the_o benumb_a or_o by_o a_o total_a privation_n of_o feeling_n and_o motion_n according_a as_o the_o compression_n be_v more_o or_o less_o strong_a etc._n sign_n from_o inflammation_n etc._n etc._n if_o it_o be_v cause_v by_o inflammation_n the_o pain_n and_o pulsation_n cease_v the_o part_n which_o be_v red_a grow_v pale_a and_o livid_n there_o be_v some_o little_a blister_n form_v upon_o the_o surface_n of_o the_o skin_n fill_v with_o salt_n water_n like_o muddy_a wine_n the_o heat_n be_v extinguish_v the_o part_n grow_v soft_a and_o wither_v so_o that_o be_v press_v with_o the_o finger_n the_o dent_n remain_v final_o if_o the_o mortification_n be_v perfect_a the_o patient_n fall_v into_o great_a weakness_n accompany_v with_o a_o burn_a malignant_a fever_n with_o vomit_v and_o several_a other_o symptom_n which_o show_n that_o the_o mass_n of_o blood_n be_v very_o much_o oppress_v and_o death_n must_v needs_o follow_v upon_o it_o etc._n sign_n from_o repercussive_n etc._n etc._n the_o gangrene_n which_o be_v produce_v by_o the_o use_n of_o repercussive_n and_o emplastic_a remedy_n be_v accompany_v with_o the_o same_o accident_n medicine_n sign_n from_o caustic_n medicine_n the_o sign_n of_o that_o which_o come_v from_o the_o use_n of_o actual_a cautery_n and_o caustick_a remedy_n be_v almost_o always_o the_o same_o as_o in_o that_o which_o proceed_v from_o too_o strong_a compression_n malignity_n sign_n from_o malignity_n as_o for_o the_o gangrene_n which_o come_v from_o
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 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