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
like_o that_o which_o one_o feel_v sometime_o after_o the_o cut_n of_o a_o sword_n this_o do_v not_o proceed_v from_o the_o first_o division_n but_o by_o those_o which_o be_v make_v through_o the_o action_n of_o the_o sharp_a and_o extravasated_a humour_n continuity_n no_o pain_n without_o solution_n of_o continuity_n so_o that_o as_o often_o as_o the_o animal_n feel_v pain_n there_o be_v some_o division_n make_v by_o which_o mean_v the_o soul_n which_o watch_v and_o interest_n itself_o in_o the_o conservation_n of_o the_o part_n of_o our_o body_n be_v afflict_v convulsion_n the_o cause_n of_o convulsion_n these_o sharp_a humour_n come_v to_o shake_v vigorous_o the_o little_a filament_n of_o the_o nerve_n cause_v the_o spirit_n to_o run_v irregular_o into_o the_o muscle_n which_o excite_v the_o convulsion_n the_o spirit_n be_v put_v to_o flight_n instead_o of_o run_v into_o the_o fibre_n of_o the_o heart_n syncopes_fw-la and_o of_o syncopes_fw-la and_o rule_v their_o motion_n be_v carry_v in_o disorder_n sometime_o to_o one_o part_n sometime_o to_o another_o the_o heart_n be_v deprive_v of_o the_o influx_n of_o the_o spirit_n which_o be_v the_o true_a instrument_n of_o its_o ordinary_a motion_n and_o be_v no_o more_o capable_a of_o contraction_n the_o course_n of_o the_o blood_n must_v be_v suspend_v for_o some_o moment_n from_o whence_o come_v syncopes_fw-la vomit_v and_o of_o vomit_v but_o as_o soon_o as_o they_o retake_v their_o course_n they_o double_v their_o action_n and_o be_v launch_v with_o so_o great_a precipitation_n into_o the_o fleshy_a fibres_fw-fr of_o the_o stomach_n through_o the_o familiar_a commerce_n and_o mutual_a consent_n between_o the_o cardiac_n nerve_n and_o those_o of_o the_o stomach_n that_o they_o oblige_v it_o to_o discharge_v itself_o of_o all_o that_o be_v in_o it_o which_o be_v call_v vomit_v diarrhaea_n and_o diarrhaea_n the_o ventricle_n with_o its_o powerful_a and_o repeat_v contraction_n pass_v so_o hard_a the_o bladder_n of_o gall_n and_o the_o neighbour_a bilous_n and_o pancreatic_a duct_n that_o it_o squeeze_v out_o their_o juice_n into_o the_o cavity_n of_o the_o gut_n which_o present_o cause_v a_o diarrhaea_n fever_n the_o cause_n of_o a_o fever_n these_o two_o liquor_n be_v thus_o press_v out_o of_o their_o vessel_n without_o have_v receive_v all_o the_o preparation_n and_o alteration_n which_o be_v necessary_a for_o they_o fail_v not_o to_o make_v the_o chyle_n acid_n with_o mix_v themselves_o in_o the_o intestine_n they_o serve_v for_o leven_n and_o ferment_n to_o corrupt_v and_o produce_v a_o fever_n sense_n of_o heaviness_n of_o the_o head_n and_o failure_n of_o the_o sense_n the_o blood_n be_v in_o fermentation_n mount_v with_o such_o a_o impetuosity_n to_o the_o brain_n that_o the_o sinew_n thereof_o which_o receive_v all_o the_o rest_n of_o the_o blood_n of_o the_o interior_n head_n can_v discharge_v proportionable_o so_o much_o blood_n into_o the_o jugular_n as_o the_o artery_n furnish_v by_o reason_n of_o the_o slowness_n of_o circulation_n in_o these_o sinew_n so_o that_o the_o nerve_n which_o come_v from_o the_o base_a of_o the_o skull_n to_o be_v distribute_v to_o the_o organ_n of_o the_o sense_n be_v a_o little_a compress_v by_o the_o weight_n of_o the_o blood_n which_o cause_v heaviness_n of_o the_o head_n and_o that_o the_o sense_n do_v receive_v the_o impression_n of_o their_o object_n with_o the_o same_o facility_n as_o before_o through_o the_o obstacle_n that_o the_o spirit_n find_v in_o their_o passage_n accident_n how_o to_o prevent_v those_o ill_a accident_n to_o prevent_v all_o these_o accident_n you_o have_v nothing_o to_o do_v but_o to_o cut_v the_o rest_n of_o the_o tendon_n if_o the_o major_a part_n be_v divide_v but_o if_o the_o loss_n of_o the_o fibre_n be_v not_o so_o considerable_a and_o the_o symptom_n not_o so_o press_v you_o must_v do_v nothing_o rash_o if_o you_o perform_v the_o operation_n you_o must_v stitch_n the_o tendon_n rather_o than_o cut_v it_o so_o that_o the_o surgeon_n intention_n be_v to_o reunite_v the_o two_o extremity_n by_o suture_a if_o it_o happen_v that_o the_o extremity_n of_o one_o part_n be_v so_o far_o shrink_v into_o the_o flesh_n that_o it_o can_v be_v bring_v to_o the_o other_o by_o the_o forceps_n it_o will_v be_v convenient_a to_o mollify_v the_o fibre_n a_o little_a with_o some_o oil_n extract_v without_o fire_n as_o ol._n amygd_v dul._n ovor._fw-la cerae_fw-la etc._n etc._n which_o be_v proper_a to_o relax_v the_o fibre_n and_o facilitate_v their_o union_n for_o if_o the_o oil_n be_v extract_v without_o fire_n the_o heat_n do_v not_o so_o soon_o dissipate_v their_o viscosity_n which_o be_v the_o true_a cement_n beside_o they_o be_v more_o capable_a of_o temper_v the_o acid_n of_o the_o blood_n and_o of_o appease_v pain_n the_o tendon_n be_v mollify_v you_o must_v stitch_n if_o you_o can_v and_o see_v they_o be_v compose_v of_o little_a fibres_n operation_n how_o to_o perform_v the_o operation_n you_o must_v take_v half_a the_o breadth_n of_o a_o finger_n upon_o the_o body_n of_o the_o tendon_n that_o the_o stitch_n may_v better_o resist_v the_o motion_n of_o the_o part_n and_o the_o flow_a of_o the_o matter_n if_o the_o tendon_n be_v not_o discover_v enough_o you_o must_v try_v to_o make_v the_o suture_a without_o unflesh_v it_o because_o the_o flesh_n secure_v it_o from_o all_o alteration_n after_o the_o surgeon_n have_v put_v the_o part_n in_o a_o convenient_a situation_n a_o servant_n must_v uphold_v one_o extremity_n with_o the_o forceps_n whilst_o the_o surgeon_n with_o his_o left_a hand_n hold_v the_o other_o and_o with_o a_o strait_a needle_n arm_v with_o double_a wax_v thread_n knot_v at_o the_o end_n pierce_v they_o from_o without_o inward_o and_o from_o within_o outward_n bring_v they_o exact_o together_o then_o lay_v away_o your_o needle_n and_o take_v a_o little_a compress_v of_o cloth_n with_o two_o hole_n in_o it_o to_o pass_v the_o two_o end_n of_o the_o thread_n through_o and_o make_v a_o single_a knot_n over_o which_o apply_v another_o little_a compress_v which_o you_o fasten_v with_o the_o surgeon_n knot_n and_o slip_v knot_n you_o must_v observe_v to_o wet_v the_o compress_n in_o some_o spiritous_a liquor_n and_o put_v some_o wax_n candle_n on_o the_o knot_n instead_o of_o lint_n the_o suture_a be_v make_v you_o must_v humect_v the_o first_o day_n with_o some_o oil_n and_o spirit_n of_o wine_n the_o follow_a day_n we_o use_v a_o balsam_n make_v of_o tereh_n tinct_v aloe_n proper_a unctuous_a medicice_n not_o proper_a or_o that_o of_o the_o tinct_v flor._n hyperici_n the_o use_n of_o oil_n or_o fat_n be_v be_v here_o to_o be_v reject_v because_o they_o putrify_v the_o tendon_n in_o the_o begin_n cataplasm_n make_v of_o the_o four_o meal_n wine_n the_o yolk_n of_o a_o egg_n and_o honey_n be_v very_o proper_a it_o must_v be_v observe_v that_o as_o soon_o as_o suppuration_n be_v make_v it_o be_v evident_a that_o the_o tendon_n begin_v to_o be_v unite_v most_o good_a practitioner_n commend_v in_o long_a suppuration_n to_o make_v use_n of_o spirit_n on_o bare_a tendon_n &_o emplas_n andreae_n è_fw-fr cruse_n chap._n v._o of_o the_o hair-lip_n call_v why_o so_o call_v if_o suture_n have_v any_o use_n in_o perform_v operation_n it_o be_v doubtless_o in_o the_o unition_n of_o the_o hair_n lip_n so_o call_v because_o this_o animal_n have_v natural_o the_o upper-lip_n slit_v this_o malady_n come_v sometime_o from_o a_o imperfect_a conformation_n and_o sometime_o by_o accident_n viz._n it_o may_v be_v cause_v by_o some_o blow_n fall_v or_o other_o like_a mischance_n if_o the_o reunion_n be_v then_o neglect_v it_o be_v to_o be_v fear_v lest_o the_o edge_n grow_v callous_a and_o at_o length_n a_o true_a hair_n lip_n be_v form_v it_o be_v very_o often_o a_o hereditary_a deformity_n which_o we_o keep_v as_o long_o as_o we_o live_v unless_o we_o be_v willing_a to_o suffer_v the_o operation_n however_o its_o cure_n can_v be_v accomplish_v but_o by_o suture_a if_o there_o be_v great_a loss_n of_o substance_n you_o must_v not_o hazard_v the_o operation_n because_o the_o cutis_fw-la will_v be_v so_o much_o extend_v that_o it_o will_v be_v very_o hard_a to_o pronounce_v well_o certain_a word_n and_o to_o make_v with_o care_n all_o the_o other_o motion_n which_o this_o part_n be_v capable_a of_o those_o which_o happen_v to_o the_o under-lip_n be_v of_o difficult_a cure_n because_o the_o defluxion_n be_v more-frequent_a and_o the_o lip_n always_o humect_v with_o many_o serosity_n useless_a where_o cut_v hair-lip_n will_v be_v useless_a there_o be_v several_a other_o occasion_n where_o the_o operation_n will_v be_v useless_a as_o in_o child_n by_o reason_n of_o their_o continual_a cry_v in_o the_o old_a scorbutic_n and_o pox_v in_o irregular_a woman_n and_o in_o several_a other_o vitiate_a and_o indispose_a subject_n in_o which_o the_o blood_n
since_o the_o ligament_n of_o the_o liver_n pancreas_n and_o kidney_n be_v relax_v viscera_n also_o the_o other_o viscera_n they_o may_v as_o well_o as_o the_o spleen_n contribute_v to_o its_o formation_n according_a to_o the_o order_n i_o design_v in_o speak_v of_o so_o nice_a a_o operation_n i_o think_v it_o more_o proper_a successive_o to_o describe_v the_o sign_n of_o all_o kind_n of_o hernias_fw-la that_o i_o may_v not_o confound_v they_o hydrocele_n sign_n of_o hydrocele_n i_o begin_v with_o those_o of_o the_o first_o kind_n of_o hydrocele_n in_o which_o the_o water_n be_v spill_v between_o the_o membrane_n of_o the_o scrotum_fw-la which_o be_v light_a tension_n considerable_a largeness_n heaviness_n we_o feel_v a_o undulation_n when_o we_o handle_v the_o tumour_n and_o perceive_v the_o transparency_n of_o the_o water_n when_o we_o hold_v a_o light_n behind_o and_o the_o skin_n become_v tender_a soft_a without_o pain_n and_o look_v extreme_o shine_v in_o those_o of_o the_o second_o kind_n where_o the_o water_n possess_v the_o membrane_n of_o the_o testicle_n be_v great_a tension_n pain_n great_a heaviness_n than_o in_o the_o other_o the_o skin_n of_o the_o scrotum_fw-la be_v not_o so_o much_o extend_v and_o keep_v its_o rugosity_n though_o it_o be_v very_o much_o swell_v through_o it_o be_v very_o much_o swell_v it_o possess_v ordinary_o but_o one_o side_n the_o fluctuation_n deep_a the_o transparency_n more_o obscure_a it_o be_v to_o be_v observe_v that_o these_o two_o sort_n may_v conjunct_o meet_v together_o sarcocele_n sign_n of_o sarcocele_n the_o sign_n of_o sarcocele_n be_v great_a hardness_n insupportable_a weight_n and_o insensible_a augmentation_n of_o the_o tumour_n if_o there_o appear_v no_o elevation_n in_o the_o groin_n it_o be_v a_o sign_n that_o the_o preduction_n of_o the_o peritonaeum_fw-la be_v not_o accompany_v with_o any_o carcinomatous_a substance_n it_o be_v distinguish_v from_o the_o hernia_n intestinalis_fw-la that_o the_o one_o be_v soft_a the_o other_o be_v hard_a this_o tumour_n may_v be_v divide_v into_o scirrhous_n and_o malign_v in_o the_o scirrhous_n we_o feel_v neither_o heat_n nor_o pain_n but_o in_o the_o malign_v a_o excessive_a heat_n and_o sharp_a burn_a pain_n varicoâ—â—…_n varicoâ—â—…_n sign_n of_o varicocele_n be_v great_a inequality_n heaviness_n pain_n and_o inflammation_n particular_o when_o it_o be_v irritate_v with_o some_o medicine_n it_o be_v also_o know_v because_o it_o make_v a_o man_n somewhat_o impotent_a especial_o when_o it_o possess_v both_o testicle_n circoce_fw-la circoce_fw-la sign_n of_o circocele_n which_o be_v cause_v by_o the_o dilatation_n of_o the_o external_a vessel_n different_a from_o the_o varicocele_n which_o come_v from_o the_o internal_a be_v the_o same_o as_o the_o former_a except_o there_o be_v less_o pain_n weight_n and_o inflammation_n add_v that_o the_o membrane_n of_o the_o scrotum_fw-la be_v more_o extend_v and_o the_o tumour_n more_o apparent_a pneumatocele_n of_o pneumatocele_n sign_n of_o pneumatocele_n be_v when_o the_o tumour_n disappear_v from_o time_n to_o time_n it_o sound_v like_o a_o drum_n when_o it_o be_v strike_v without_o pain_n weight_n and_o inflammation_n very_o transparent_a the_o colour_n of_o the_o cutis_fw-la change_v not_o and_o the_o wind_n be_v feel_v sometime_o above_o sometime_o below_o part_n sings_z of_o hernias_fw-la make_v from_o the_o part_n let_v we_o now_o examine_v the_o sign_n of_o those_o hernias_fw-la which_o be_v cause_v by_o the_o part_n and_o inquire_v exact_o into_o they_o because_o it_o be_v of_o the_o great_a importance_n in_o the_o begin_n of_o these_o hernias_fw-la they_o be_v ordinary_o soft_a without_o inflammation_n change_n of_o colour_n disappear_v at_o the_o least_o pressure_n except_o they_o be_v cause_v by_o some_o blow_n fall_v or_o suchlike_a inconvenience_n and_o be_v not_o accompany_v with_o some_o strangulation_n cause_v by_o matter_n stop_v and_o harden_v in_o the_o intestine_n either_o by_o the_o course_n of_o the_o blood_n and_o spirit_n in_o these_o part_n which_o present_o excite_v inflammation_n and_o often_o mortification_n therefore_o you_o must_v do_v no_o violence_n to_o the_o tumour_n by_o rude_a handle_n lest_o it_o occasion_n a_o gangreen_n but_o that_o we_o may_v have_v a_o clear_a notion_n of_o all_o these_o sign_n let_v we_o examine_v they_o in_o particular_a and_o see_v what_o be_v those_o which_o make_v we_o distinguish_v all_o these_o kind_n of_o tumour_n be_v 〈◊〉_d that_o â—…ut_o be_v if_o the_o gut_n be_v engage_v without_o inflammation_n strangulation_n or_o adhere_v to_o any_o part_n the_o tumor_n soft_a plain_a and_o the_o colour_n of_o the_o skin_n not_o change_v it_o disappear_v from_o time_n to_o time_n particular_o when_o the_o party_n lie_v on_o his_o back_n when_o the_o intestine_a be_v reduce_v a_o kind_n of_o whistle_a noise_n be_v hear_v omentum_fw-la sign_n of_o the_o omentum_fw-la but_o if_o it_o be_v in_o omentum_fw-la the_o tumour_n soft_a and_o do_v not_o return_v so_o easy_o it_o be_v unequal_a by_o reason_n of_o the_o band_n and_o fat_a with_o which_o it_o be_v charge_v when_o press_v with_o the_o finger_n there_o remain_v a_o mark_n and_o we_o feel_v the_o same_o resistance_n as_o in_o press_v a_o steatomatous_a tumour_n this_o be_v more_o subject_a to_o mortification_n because_o the_o texture_n of_o the_o part_n of_o which_o it_o be_v form_v be_v loose_a spungy_a and_o more_o subject_a to_o corruption_n so_o that_o at_o the_o least_o impression_n the_o blood_n stop_v more_o easy_o there_o than_o any_o where_o else_o wherefore_o you_o must_v not_o delay_v the_o operation_n in_o certain_a occasion_n as_o we_o shall_v hereafter_o mention_v note_v that_o if_o inflammation_n happen_v it_o be_v always_o at_o the_o intestine_n side_n if_o it_o be_v the_o omentum_fw-la it_o grow_v livid_v at_o the_o least_o alteration_n symptom_n inflammation_n a_o veâ—â—_n severe_a symptom_n as_o for_o the_o accident_n i_o find_v none_o more_o dangerous_a than_o inflammation_n which_o be_v always_o accompany_v with_o pain_n fever_n strangulation_n and_o sometime_o with_o the_o illiac_n passion_n where_o the_o excrement_n be_v often_o force_v against_o their_o own_o weight_n to_o mount_v and_o come_v out_o of_o the_o mouth_n the_o cause_n of_o which_o cruel_a symptom_n proceed_v from_o the_o gut_n be_v inflame_v by_o the_o excrement_n which_o be_v lodge_v there_o it_o communicate_v this_o inflammation_n to_o the_o ring_n of_o the_o muscle_n particular_o to_o those_o of_o the_o external_a oblique_a which_o by_o reason_n of_o its_o tendinous_a nature_n fail_v not_o to_o shut_v up_o the_o gut_n and_o augment_v the_o inflammation_n by_o a_o reciprocal_a action_n which_o cause_v interruption_n of_o the_o course_n of_o the_o blood_n and_o spirit_n in_o that_o part_n from_o thence_o come_v the_o reflux_n of_o the_o excrement_n lividity_n and_o mortification_n it_o be_v easy_a to_o conceive_v that_o have_v lose_v their_o motion_n there_o can_v follow_v nothing_o but_o divulsion_n pain_n and_o loss_n of_o life_n there_o be_v yet_o another_o kind_n of_o lividity_n which_o come_v from_o have_v handle_v and_o press_v the_o tumour_n too_o much_o these_o unprofitable_a touching_n be_v as_o so_o many_o bruise_n which_o be_v imprint_v on_o the_o part_n the_o gut_n and_o omentum_fw-la be_v press_v the_o blood_n stop_v in_o the_o vessel_n which_o cause_v immediate_a mortification_n and_o change_v of_o colour_n operation_n when_o the_o surgeon_n ought_v to_o avoid_v the_o operation_n it_o be_v also_o know_v by_o the_o pain_n which_o be_v great_a as_o we_o have_v say_v the_o surgeon_n see_v all_o these_o bad_a symptom_n ought_v to_o retire_v the_o rest_n of_o the_o accident_n i_o reserve_v till_o i_o describe_v the_o manner_n of_o perform_v the_o operation_n vmbilicus_fw-la a_o idea_n of_o the_o vmbilicus_fw-la i_o begin_v with_o the_o exomphalos_n but_o before_o i_o enter_v on_o the_o operation_n i_o design_v to_o give_v a_o idea_n of_o the_o disposition_n of_o the_o navel_n it_o be_v form_v by_o the_o reunion_n of_o the_o umbilical_a vessel_n which_o slip_v oblique_o into_o the_o thickness_n of_o the_o peritonaeum_fw-la which_o accompany_v they_o and_o pierce_v conjuct_o the_o n1_fw-la alba_fw-la fasten_v themselves_o to_o the_o surface_n of_o the_o cutis_fw-la where_o they_o leave_v a_o little_a tumour_n which_o be_v call_v the_o navel_n after_o the_o birth_n in_o the_o foetus_fw-la the_o way_n through_o which_o these_o vessel_n pass_v be_v as_o manifest_a as_o the_o ring_n of_o the_o muscle_n of_o the_o low_a belly_n be_v in_o adult_n but_o after_o the_o birth_n they_o shrivel_v up_o and_o turn_v into_o ligament_n and_o as_o the_o part_n where_o these_o vessel_n meet_v grow_v big_a they_o oblige_v the_o navel_n by_o their_o own_o weight_n insensible_o from_o which_o i_o conclude_v that_o all_o the_o difference_n between_o the_o passage_n of_o the_o umbilical_a and_o spermatic_a vessel_n be_v that_o the_o latter_a be_v easy_o distinguish_v and_o separate_v one_o
various_a part_n which_o be_v distinguish_v by_o the_o colour_n consistence_n and_o acrimony_n of_o the_o matter_n that_o flow_v from_o they_o which_o make_v all_o the_o difference_n of_o fistula_n general_a cause_o of_o fistula_n in_o general_a the_o cause_n of_o fistula_n in_o general_a almost_o always_o proceed_v from_o a_o wind_a ulcer_n which_o be_v sorm_v and_o nourish_v by_o the_o most_o sharp_a and_o salt_a particle_n of_o the_o blood_n ano._n cause_n of_o fistula_n in_o ano._n the_o cause_n of_o those_o which_o happen_v to_o the_o anus_fw-la who_o nature_n we_o be_v here_o to_o explain_v be_v internal_a or_o external_n cause_n external_n cause_n the_o external_n come_v from_o some_o wound_n as_o from_o leech_n ill_o apply_v or_o from_o some_o bruise_n whether_o by_o ride_v or_o by_o some_o other_o villainous_a exercise_n as_o buggery_n or_o final_o by_o some_o fall_n or_o any_o other_o violent_a motion_n it_o be_v evident_a that_o all_o these_o cause_n must_v hinder_v the_o circulation_n of_o the_o juice_n and_o give_v way_n to_o impostumation_n which_o in_o a_o short_a time_n degenerate_v into_o a_o fistula_n cause_n internal_a cause_n the_o internal_a be_v ordinary_o consequence_n of_o obstruction_n inflammation_n ulcer_n haemorrhoid_v and_o impostumation_n part_n why_o the_o blood_n be_v more_o easy_o obstruct_v here_o than_o in_o other_o part_n now_o our_o business_n be_v to_o give_v reason_n why_o the_o blood_n stop_v more_o at_o this_o part_n than_o at_o any_o other_o to_o produce_v these_o kind_n of_o accident_n of_o which_o fistula_n be_v troublesome_a consequence_n to_o have_v a_o idea_n of_o it_o it_o be_v necessary_a to_o examine_v some_o circumstance_n which_o depend_v on_o the_o structure_n of_o the_o part_n the_o first_o consist_v in_o the_o disposition_n of_o the_o intestinum_fw-la rectum_fw-la first_o first_o and_o in_o the_o temperament_n of_o its_o neighbour_a part_n the_o second_o regard_v the_o nature_n and_o multitude_n of_o vessel_n which_o water_n it_o second_o second_o and_o the_o abundance_n of_o humour_n which_o they_o carry_v along_o with_o they_o rectum_fw-la structure_n etc._n etc._n of_o the_o intestinum_fw-la rectum_fw-la the_o intestinum_fw-la rectum_fw-la be_v every_o where_o encompass_v with_o fat_a two_o or_o three_o finger_n thick_a especial_o in_o full_a and_o fat_a person_n which_o make_v the_o extravasated_a juice_n more_o easy_o penetrate_v these_o part_n to_o attack_v the_o gut_n which_o be_v a_o part_n very_o subject_a to_o alteration_n by_o reason_n of_o its_o great_a humidity_n and_o number_n of_o vessel_n that_o enter_v into_o its_o substance_n rectum_fw-la the_o vessel_n of_o the_o intestinum_fw-la rectum_fw-la we_o know_v that_o the_o artery_n and_o hypogastric_a vein_n furnish_v it_o with_o two_o branch_n each_o the_o aorta_n give_v it_o one_o branch_n of_o a_o artery_n which_o come_v from_o that_o part_n where_o it_o be_v divide_v into_o the_o iliac_n and_o the_o inferior_a mesenteric_a artery_n another_o beside_o the_o hemorrhoidal_a vein_n one_o of_o which_o come_v from_o the_o splenic_n and_o the_o other_o from_o the_o mesenteric_a it_o have_v also_o many_o limphatic_a vessel_n and_o several_a gland_n that_o separate_v a_o white_a and_o viscous_a humour_n which_o line_n its_o interior_a surface_n and_o defend_v it_o against_o the_o acrimony_n of_o the_o excrement_n and_o other_o levens_n these_o be_v the_o different_a vessel_n which_o water_n the_o intestinum_fw-la rectum_fw-la now_o it_o be_v easy_a to_o understand_v from_o all_o i_o have_v say_v that_o the_o circulation_n of_o the_o humour_n must_v be_v very_o slow_a in_o that_o part_n because_o they_o remount_v against_o their_o own_o weight_n and_o be_v deprive_v of_o the_o motion_n of_o the_o muscle_n which_o be_v of_o great_a use_n to_o hasten_v the_o circulation_n of_o all_o the_o juice_n so_o for_o any_o little_a propension_n they_o have_v to_o stop_v and_o be_v corrupt_v there_o if_o by_o chance_n any_o of_o the_o external_n cause_n which_o we_o have_v speak_v of_o contribute_v towards_o it_o they_o never_o fail_v if_o so_o be_v it_o come_v from_o the_o vein_n to_o cause_v the_o haemorrhoid_v inflammation_n and_o impostumation_n if_o from_o the_o artery_n and_o excoriation_n and_o ulcer_n if_o from_o the_o lymphatic_a vessel_n and_o gland_n and_o as_o these_o part_n be_v extreme_a penetrable_a if_o the_o blood_n acquire_v any_o malignity_n or_o ill_a quality_n by_o its_o fermentation_n nothing_o hinder_v but_o it_o open_v itself_o a_o way_n and_o find_v passage_n to_o attack_v sometime_o the_o gut_n sometime_o the_o flesh_n sanguiferous_a vessel_n nervous_a part_n and_o bone_n and_o final_o to_o produce_v the_o diversity_n of_o fistula_n which_o we_o call_v straight_o oblique_a or_o wind_v when_o the_o fistula_n be_v in_o the_o flesh_n part_n sign_n of_o fistula_n in_o divers_a part_n the_o pus_fw-la that_o come_v out_o of_o it_o be_v thick_a muddy_a course_n and_o viscous_a if_o it_o attack_v the_o nervous_a part_n you_o have_v pungent_a and_o violent_a pain_n and_o the_o humour_n which_o flow_v from_o it_o be_v sharp_a and_o serous_a if_o the_o matter_n of_o the_o fistula_n move_v towards_o the_o sanguiferous_a vessel_n and_o break_v any_o of_o they_o by_o its_o acrimony_n its_o colour_n be_v like_o the_o wash_n of_o flesh_n if_o the_o fistula_n penetrate_v to_o the_o bone_n and_o it_o be_v alter_v or_o rot_a the_o matter_n which_o come_v from_o it_o be_v clear_a thin_a and_o in_o its_o high_a degree_n of_o acidity_n calosity_n a_o salt_n and_o sharp_a juice_n the_o cause_n of_o calosity_n we_o likewise_o observe_v that_o in_o these_o kind_n of_o fistula_n the_o calosity_n be_v much_o more_o considerable_a than_o in_o other_o for_o as_o all_o the_o world_n know_v that_o the_o calosity_n of_o a_o fistula_n depend_v only_o on_o the_o presence_n and_o action_n of_o a_o sharp_a and_o salt_n juice-like_a brine_n you_o must_v not_o be_v astonish_v if_o those_o that_o reach_v the_o bone_n which_o be_v nourish_v with_o a_o humour_n that_o be_v extreme_o salt_n and_o pungent_a of_o its_o own_o nature_n be_v so_o calous_a for_o from_o the_o moment_n that_o the_o side_n of_o a_o ulcer_n care_v water_v and_o humect_v with_o a_o humour_n like_o it_o if_o its_o intempery_n be_v not_o correct_v its_o point_n creep_v insensible_o into_o the_o bottom_n of_o the_o ulcer_n and_o after_o several_a punction_n these_o little_a needle_n which_o we_o must_v consider_v as_o so_o many_o wedge_n enter_v and_o fix_v themselves_o so_o into_o the_o porosity_n of_o the_o flesh_n and_o membrane_n that_o they_o render_v the_o ulcer_n so_o hard_a and_o calous_a that_o it_o turn_v into_o a_o fistula_n as_o for_o the_o prognostic_n of_o fistula_n prognostic_n prognostic_n i_o say_v in_o general_a that_o those_o which_o be_v new_a which_o happen_v in_o a_o good_a temparament_n of_o body_n be_v well_o condition_v and_o that_o possess_v such_o part_n where_o medicine_n may_v be_v easy_o apply_v be_v curable_a but_o on_o the_o contrary_a if_o they_o be_v old_a the_o party_n cachectical_a when_o they_o possess_v such_o part_n as_o be_v necessary_a for_o life_n as_o the_o bladder_n and_o intestine_n uncurable_a last_o all_o fistula_n which_z attack_v the_o bone_n tendon_n artery_n vertebra_n of_o the_o back_n breast_n belly_n pap_n axilla_n groin_n and_o joint_n be_v doubtless_o difficult_a to_o overcome_v convenient_a where_o pallative_n be_v convenient_a some_o fistula_n be_v cure_v by_o caustic_a medicine_n other_o by_o iron_n some_o where_o medicine_n be_v not_o able_a to_o vanquish_v need_v only_a palliative_n or_o such_o as_o be_v proper_a to_o stifle_v and_o check_v the_o violence_n of_o the_o effect_n and_o prevent_v more_o troublesome_a accident_n final_o there_o be_v some_o which_o reduce_v the_o part_n to_o such_o a_o languish_a and_o deplorable_a condition_n that_o they_o be_v unable_a to_o perform_v their_o ordinary_a function_n we_o be_v oblige_v to_o amputate_v the_o part_n as_o those_o in_o the_o joint_n unless_o it_o be_v in_o the_o axilla_n or_o other_o part_n where_o the_o operation_n can_v be_v perform_v in_o such_o dangerous_a affect_v we_o be_v to_o have_v no_o other_o aim_n than_o to_o mollify_v by_o all_o mean_v the_o humour_n which_o foment_n and_o nourish_v they_o be_v they_o threaten_v death_n in_o all_o subject_n fistula_n the_o anus_fw-la subject_n to_o several_a sort_n of_o fistula_n the_o anus_fw-la be_v liable_a to_o several_a sort_n of_o fistula_n who_o knowledge_n mighty_o favour_v their_o cure_n the_o first_o be_v when_o it_o pierce_v the_o body_n of_o the_o intestine_a and_o have_v no_o outward_a aperture_n the_o second_o open_v outward_o and_o have_v no_o communication_n with_o the_o intestine_a or_o have_v only_o slight_o touch_v its_o superficies_n the_o three_o which_o be_v call_v complete_a manifest_v itself_o both_o outward_o and_o inward_o the_o four_o be_v of_o several_a burrough_n or_o sinuss_n which_o discharge_v themselves_o into_o a_o
specific_a remedy_n to_o hinder_v the_o progress_n of_o this_o disease_n be_v bleed_v which_o keep_v the_o first_o rank_n and_o i_o say_v that_o if_o it_o be_v of_o any_o use_n at_o all_o in_o surgery_n it_o be_v without_o doubt_n in_o this_o occasion_n here_o bleed_v no_o where_n of_o so_o great_a use_n as_o here_o because_o in_o empty_v the_o vessel_n it_o hinder_v the_o blood_n from_o be_v carry_v so_o abundant_o to_o that_o part_n and_o must_v consequent_o lessen_v the_o bigness_n of_o the_o tumour_n in_o diminish_v the_o quantity_n of_o the_o blood_n pleurisy_n approve_a remedy_n in_o a_o pleurisy_n the_o other_o remedy_n be_v those_o which_o rarify_v subtilise_v and_o attenuate_v the_o blood_n as_o horse_n or_o mule_n dung_n infuse_v in_o white-wine_n old_a he-goat_n blood_n in_o powder_n all_o volatile_a salt_n and_o several_a other_o remedy_n of_o that_o nature_n the_o decoction_n of_o nettle_n in_o strong_a wine_n which_o you_o sweeten_v with_o sugar_n be_v also_o excellent_a you_o may_v at_o the_o same_o time_n you_o take_v the_o decoction_n lay_v on_o the_o side_n the_o bruise_a nettle_n in_o form_n of_o a_o cataplasm_n peripneumonia_n of_o a_o peripneumonia_n have_v thus_o in_o general_n explain_v the_o cause_n of_o a_o pleurisy_n i_o be_o oblige_v to_o say_v something_o of_o a_o peripneumonia_n that_o sometime_o proceed_v from_o a_o impostume_n of_o the_o brain_n or_o from_o the_o inflammation_n of_o some_o membrane_n which_o change_v into_o a_o abscess_n as_o experience_n demonstrate_v in_o those_o that_o die_v of_o great_a wound_n of_o the_o head_n but_o for_o the_o most_o part_n it_o be_v cause_v by_o the_o corruption_n of_o the_o blood_n that_o be_v to_o say_v by_o the_o exaltation_n of_o its_o sharp_a particle_n all_o the_o difficulty_n be_v to_o know_v why_o the_o pus_fw-la or_o blood_n stop_v rather_o in_o the_o lung_n than_o in_o any_o part_n else_o for_o to_o make_v a_o impostumation_n i_o say_v that_o three_o cause_n contribute_v to_o its_o formation_n the_o alteration_n of_o the_o blood_n peripneumonia_n cause_n of_o peripneumonia_n long_a and_o slow_a respiration_n and_o the_o structure_n of_o the_o part_n blood_n first_o cause_n alteration_n of_o the_o blood_n concern_v the_o first_o you_o must_v only_o make_v reflection_n on_o the_o nature_n and_o mixture_n of_o the_o chile_n and_o thick_a blood_n which_o the_o right_a ventricle_n of_o the_o heart_n send_v in_o every_o sistole_n to_o the_o lung_n through_o the_o pulmonic_a artery_n we_o know_v that_o these_o two_o liquor_n pass_v through_o the_o heart_n and_o lung_n for_o to_o receive_v some_o necessary_a preparation_n for_o the_o function_n of_o the_o part_n therefore_o we_o may_v say_v that_o they_o be_v the_o two_o receptacle_n of_o all_o that_o be_v most_o thick_a and_o indigested_a in_o the_o mass_n of_o blood_n but_o if_o the_o heart_n have_v the_o strength_n and_o power_n by_o its_o constriction_n to_o subtilise_v and_o cast_v off_o all_o that_o be_v most_o heavy_a and_o material_a in_o the_o mass_n the_o lung_n have_v not_o the_o same_o advantage_n as_o we_o will_v prove_v so_o that_o the_o grosser_n substance_n be_v accompany_v with_o some_o impurity_n and_o have_v only_o feel_v the_o first_o effect_n of_o the_o heart_n for_o its_o perfection_n it_o must_v needs_o stop_v there_o and_o putrefy_v espiration_n second_o cause_n long_o and_o slow_a i_o espiration_n the_o second_o cause_n which_o i_o establish_v be_v a_o long_a and_o slow_a respiration_n it_o be_v certain_a the_o more_o free_a the_o air_n enter_v into_o the_o breast_n and_o the_o more_o the_o vessel_n be_v extend_v they_o be_v in_o a_o more_o fit_a condition_n by_o their_o elastic_a virtue_n or_o spring_n to_o express_v the_o air_n through_o the_o pipe_n of_o the_o trachea_n arteria_fw-la and_o the_o more_o the_o blood_n be_v agitate_a by_o the_o inspiration_n of_o the_o air_n it_o be_v drive_v with_o great_a quickness_n into_o the_o vein_n but_o on_o the_o contrary_a if_o the_o blood_n be_v move_v slow_o by_o a_o long_a respiration_n it_o follow_v that_o the_o vessicle_n be_v not_o so_o extend_v as_o they_o shall_v be_v and_o not_o expel_v the_o blood_n out_o of_o they_o with_o such_o a_o violence_n it_o stop_v and_o corrupt_v there_o gradual_o by_o the_o arrival_n and_o mixture_n of_o some_o ill_a leaven_n or_o by_o the_o exaltation_n of_o its_o salt_n particle_n from_o whence_o it_o come_v that_o those_o who_o have_v a_o long_a neck_n be_v more_o subject_a to_o it_o than_o other_o because_o the_o air_n be_v oblige_v to_o make_v a_o long_a traverse_n before_o it_o come_v to_o the_o lung_n which_o make_v they_o dry_v up_o and_o alter_v insensible_o be_v three_o cause_n on_o the_o structure_n of_o the_o part._n what_o the_o lung_n real_o be_v the_o three_o cause_n be_v ground_v upon_o the_o structure_n of_o the_o part_n the_o lung_n be_v a_o complication_n of_o little_a vessicles_n in_o which_o the_o artery_n pour_v the_o blood_n and_o where_o it_o be_v mingle_v with_o the_o air_n to_o receive_v some_o alteration_n there_o now_o it_o be_v show_v in_o the_o hydravlic's_n that_o a_o liquor_n which_o pass_v from_o a_o little_a pipe_n into_o a_o great_a lose_v much_o of_o its_o motion_n and_o be_v the_o artery_n be_v very_o little_a in_o proportion_n to_o the_o cell_n it_o be_v no_o wonder_n if_o the_o blood_n grow_v slow_a there_o and_o change_v its_o nature_n by_o the_o exaltation_n of_o some_o sharp_a and_o tartarous_a salt_n and_o by_o the_o fermentation_n which_o they_o cause_v there_o wherefore_o the_o alteration_n of_o the_o blood_n the_o irregularity_n of_o respiration_n and_o the_o largeness_n of_o the_o vessicle_n of_o the_o lung_n in_o proportion_n to_o those_o of_o the_o artery_n be_v the_o three_o cause_n that_o concur_v to_o the_o formation_n of_o the_o peripneumonia_n since_o the_o sign_n of_o all_o these_o kind_n of_o disease_n be_v of_o the_o great_a importance_n to_o succeed_v well_o in_o the_o operation_n and_o to_o make_v a_o favourable_a or_o dangerous_a prognostic_n i_o will_v endeavour_v to_o describe_v they_o with_o all_o the_o order_n that_o be_v possible_a pleura_fw-la sign_n of_o pus_fw-la or_o blood_n in_o the_o pleura_fw-la the_o sign_n which_o show_v we_o that_o there_o be_v some_o pus_fw-la or_o blood_n stop_v in_o the_o pleura_fw-la be_v inflammation_n penetrate_v pain_n heaviness_n a_o languish_a and_o continual_a fever_n a_o hard_a thick_a and_o deep_a pulse_n accompany_v with_o shiver_v difficulty_n of_o breathe_v a_o dry_a cough_n and_o thirst_n one_o can_v lie_v on_o the_o sound_a side_n by_o reason_n the_o matter_n lie_v heavy_a on_o the_o pleura_fw-la and_o one_o grow_v lean_a and_o thin_a in_o a_o few_o day_n diaphragma_n sign_n of_o the_o matter_n on_o the_o diaphragma_n but_o if_o the_o impostume_n break_v and_o the_o matter_n fall_v on_o the_o diaphragma_n all_o these_o symptom_n cease_v and_o the_o patient_n find_v some_o ease_n for_o a_o time_n but_o immediate_o there_o come_v other_o not_o less_o dangerous_a and_o insupportable_a beside_o the_o difficulty_n of_o breathe_v which_o be_v common_a to_o every_o empiema_n one_o feel_v a_o heaviness_n upon_o the_o diaphragma_n fluctuation_n a_o great_a uneasiness_n the_o fever_n increase_v and_o become_v burn_v the_o pulse_n rise_v the_o pain_n indeed_o be_v not_o so_o sharp_a it_o be_v feel_v towards_o the_o false_a rib_n one_o can_v lie_v but_o on_o the_o side_n where_o the_o matter_n be_v for_o if_o you_o lie_v on_o the_o opposite_a side_n one_o feel_v a_o twitch_a upon_o the_o mediastinum_fw-la more_o cruel_a pain_n and_o a_o much_o great_a heaviness_n their_o spittle_n be_v sometime_o stink_a and_o there_o follow_v very_o often_o impostume_n of_o the_o liver_n after_o these_o kind_n of_o indisposition_n even_o as_o it_o be_v observe_v after_o great_a wound_n of_o the_o head_n if_o the_o pus_fw-la be_v diffuse_v on_o both_o side_n one_o can_v lie_v on_o either_o by_o reason_n of_o the_o sharp_a pain_n one_o suffer_v to_o be_v ease_v you_o must_v lie_v upon_o the_o back_n or_o belly_n lung_n sign_n of_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o sign_n when_o there_o be_v pus_fw-la in_o the_o substance_n of_o the_o lung_n may_v be_v divide_v into_o equivocal_a and_o convince_a the_o equivocal_a belong_v to_o other_o disease_n of_o the_o lung_n it_o be_v very_o dangerous_a to_o be_v mistake_v therefore_o let_v we_o endeavour_v to_o examine_v they_o well_o that_o we_o may_v draw_v some_o advantage_n and_o that_o we_o may_v not_o undertake_v a_o operation_n who_o effect_n will_v prove_v not_o only_o useless_a but_o fatal_a if_o there_o be_v any_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o disease_v can_v breathe_v without_o pain_n he_o find_v a_o insupportable_a and_o troublesome_a heaviness_n upon_o the_o diaphragma_n because_o the_o weight_n of_o the_o matter_n deprive_v it_o of_o
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
supple_a the_o ligament_n and_o gland_n be_v not_o entertain_v in_o their_o ordinary_a fluidity_n and_o as_o i_o have_v show_v in_o thâ—_n aneurism_n that_o it_o condense_n at_o the_o least_o heat_n by_o the_o repose_n of_o its_o particle_n and_o it_o form_v a_o anchilose_a so_o i_o say_v its_o formation_n must_v be_v much_o quick_a here_o the_o heat_n be_v more_o excessive_a now_o it_o be_v evident_a that_o a_o concatenation_n of_o accident_n of_o this_o nature_n may_v utter_o destroy_v the_o part_n for_o if_o the_o anchilose_a which_o grow_v about_o the_o joint_n and_o ganglion_n which_o be_v form_v upon_o the_o ligament_n by_o the_o thicken_a and_o coagulation_n of_o the_o nutritive_a juice_n cause_n the_o loss_n of_o motion_n the_o alteration_n and_o mixture_n of_o several_a liquor_n of_o different_a nature_n be_v very_o fit_a to_o putrify_v it_o by_o their_o purulancy_n and_o acidity_n the_o purulent_a hmour_n corrupt_v and_o infect_v it_o the_o acid_n prick_v and_o gnaw_v it_o and_o the_o viscous_a obstruct_v and_o make_v it_o immovable_a it_o be_v doubtless_o by_o reason_n of_o the_o contrariety_n of_o their_o principle_n which_o destroy_v one_o another_o in_o the_o action_n of_o the_o medicament_n which_o cause_v they_o to_o be_v of_o so_o difficult_a a_o cure_n and_o so_o hard_a to_o prevent_v the_o ligament_n from_o rot_v we_o have_v make_v you_o observe_v in_o the_o examination_n of_o the_o fistula_n in_o ano_fw-la that_o wound_v of_o the_o joint_n often_o degenerate_a into_o fistula_n because_o the_o salt_n juice_n abound_v there_o from_o every_o part_n and_o the_o pus_fw-la change_v into_o a_o sharp_a and_o malignant_a sanies_fw-la which_o filter_n into_o the_o porosity_n of_o the_o nervous_a fibres_fw-fr of_o the_o part_n make_v the_o ulcer_n callous_a and_o fistulous_a this_o humour_n become_v sometime_o so_o bite_v that_o it_o destroy_v not_o only_o the_o tendon_n and_o ligament_n but_o gnaw_v also_o the_o cartilage_n and_o cause_v a_o cariosity_n of_o the_o bone_n to_o prevent_v all_o this_o you_o must_v follow_v the_o same_o method_n which_o we_o have_v prescribe_v in_o wound_n of_o the_o tendon_n that_o be_v to_o say_v you_o must_v use_v every_o thing_n that_o temper_n sweeten_v and_o be_v capable_a to_o correct_v the_o acrimony_n of_o the_o salt_n when_o the_o wound_n have_v run_v well_o for_o some_o day_n and_o the_o swell_a of_o the_o part_n a_o little_a go_v down_o you_o use_v a_o balm_n make_v of_o oxgall_n etc._n a_o extraordinary_a medicine_n in_o wound_n of_o the_o joint_n etc._n etc._n spirit_n of_o wine_n and_o mel._n rosat_n which_o have_v the_o faculty_n of_o discuss_v and_o resolve_v the_o coagulate_a matter_n after_o this_o manner_n you_o prevent_v the_o callosity_n of_o the_o wound_n and_o all_o other_o accident_n we_o common_o cicatrise_v with_o humect_v medicament_n because_o dissicatives_n make_v it_o deform_v the_o bone_n differ_v from_o the_o tendon_n and_o ligament_n in_o that_o their_o contexture_n be_v more_o thick_a close_o and_o compact_a and_o be_v nourish_v with_o a_o more_o salt_n and_o subtle_a juice_n if_o the_o wound_n which_o happen_v to_o they_o be_v simple_a the_o sole_a reduction_n of_o the_o piece_n maintain_v by_o bandage_n be_v sufficient_a to_o cure_v they_o if_o the_o fractured_a bone_n press_v some_o vessel_n or_o tendon_n and_o the_o contusion_n be_v considerable_a if_o you_o differ_v the_o reduction_n the_o part_n fall_v into_o a_o gangrene_n and_o mortify_v if_o some_o piece_n of_o the_o bone_n be_v separate_v so_o that_o you_o can_v reduce_v they_o you_o must_v make_v a_o incision_n to_o pull_v they_o out_o i_o know_v that_o this_o happen_v very_o seldom_o and_o the_o splinter_n must_v the_o very_a much_o entangle_v in_o the_o flesh_n if_o they_o can_v be_v reduce_v without_o incision_n if_o the_o bone_n be_v quite_o break_v to_o piece_n and_o some_o great_a vessel_n lacerate_v you_o must_v cut_v off_o the_o limb._n i_o speak_v not_o here_o of_o the_o dress_n which_o be_v use_v in_o all_o sort_n of_o fracture_n i_o only_o recommend_v to_o you_o that_o the_o bone_n be_v tie_v hard_a where_n break_v than_o any_o where_o else_o to_o keep_v they_o reduce_v and_o to_o hinder_v the_o callus_fw-la from_o grow_v too_o abundant_o we_o know_v that_o compound_v wound_n comprehend_v both_o those_o of_o the_o flesh_n and_o bone_n and_o that_o beside_o the_o 18_o tail_n bandage_n they_o require_v the_o application_n of_o several_a different_a remedy_n we_o use_v in_o the_o beginning_n discutient_fw-la cataplasm_n to_o evacuate_v part_n of_o the_o matter_n by_o transpiration_n you_o must_v by_o all_o mean_v suppurate_a because_o we_o be_v oblige_v to_o wait_v for_o the_o generation_n of_o the_o callus_fw-la and_o exfoliation_n of_o the_o bone_n beside_o a_o great_a suppuration_n alter_v the_o bone_n in_o a_o very_a little_a time_n it_o be_v therefore_o necessary_a that_o discutient_n be_v use_v in_o stead_n of_o suppurative_n and_o if_o in_o the_o first_o day_n we_o use_v digestive_n spirit_n of_o wine_n and_o hony_n must_v exceed_v you_o apply_v dry_a lint_n upon_o the_o bone_n till_o the_o callus_fw-la be_v form_v and_o after_o its_o generation_n you_o apply_v bolster_n on_o it_o soak_v in_o spirit_n of_o wine_n in_o which_o sal._n ammoniac_a and_o camphire_n have_v be_v dissolve_v which_o be_v a_o most_o excellent_a medicine_n to_o cure_v ulcer_n of_o the_o bone_n and_o to_o hasten_v exfoliation_n you_o must_v observe_v that_o there_o never_o grow_v good_a flesh_n upon_o a_o rot_a bone_n or_o that_o which_o be_v ready_a to_o exfoliate_v it_o be_v always_o spungy_a and_o one_o may_v say_v that_o whenever_o they_o be_v of_o such_o a_o nature_n it_o be_v a_o certain_a sign_n that_o the_o bone_n must_v needs_o exfoliate_v which_o most_o ordinary_o happen_v in_o long_a suppuration_n the_o formation_n of_o the_o callus_fw-la grow_v according_a to_o the_o patient_n way_n of_o live_v it_o be_v observe_v that_o it_o grow_v too_o much_o and_o render_v the_o part_n unequal_a when_o the_o patient_n eat_v too_o plentiful_o and_o when_o they_o use_v too_o spare_v a_o diet_n it_o grow_v not_o sufficient_a to_o reunite_v the_o part_n the_o prognostic_n of_o compound_v wound_n be_v always_o very_o dangerous_a to_o cachectical_a person_n old_a and_o pox_v who_o bone_n rot_v oftentimes_o without_o any_o wound_n come_v upon_o they_o chap._n v._o of_o gunshot_n wound_n gunshot_n wound_n be_v always_o very_o dangerous_a as_o well_o by_o reason_n of_o the_o great_a contusion_n which_o accompany_v they_o for_o the_o most_o part_n as_o because_o the_o passage_n of_o the_o blood_n be_v utter_o stop_v we_o know_v that_o the_o bullet_n pass_v through_o a_o part_n scatter_v the_o substance_n and_o break_v the_o vessel_n without_o any_o hemorrhagy_n or_o suppuration_n before_o three_o four_o five_o or_o sometime_o six_o day_n the_o age_n temperament_n and_o nature_n of_o the_o part_n regulate_v these_o accident_n the_o reason_n of_o it_o be_v ground_v upon_o the_o great_a agitation_n of_o the_o bullet_n and_o upon_o its_o round_a and_o blunt_a figure_n that_o enter_v with_o so_o much_o force_n and_o swiftness_n into_o the_o flesh_n bruise_v and_o crush_v the_o vessel_n so_o that_o it_o force_v their_o tunicle_n to_o glue_v themselves_o to_o one_o another_o and_o so_o oppose_v the_o flux_n of_o blood_n unless_o some_o great_a vessel_n be_v break_v and_o the_o blood_n force_v a_o passage_n by_o its_o impulsion_n wound_v obstruction_n great_a in_o gunshot_n wound_v of_o all_o wound_n there_o be_v none_o where_o the_o obstruction_n be_v great_a than_o in_o these_o and_o which_o consequent_o be_v more_o capable_a of_o inflammation_n and_o gangrene_n the_o contain_v several_a particularity_n to_o which_o the_o chirurgeon_n ought_v to_o give_v his_o attention_n the_o first_o be_v to_o consider_v whether_o they_o be_v in_o any_o of_o the_o venture_n or_o the_o limb_n if_o superficial_a or_o penetrate_a if_o the_o bullet_n have_v pass_v through_o and_o through_o if_o it_o have_v touch_v some_o important_a part_n tend_v to_o the_o function_n of_o life_n in_o its_o passage_n which_o may_v be_v know_v by_o the_o succeed_a symptom_n but_o whether_o it_o have_v pass_v through_o or_o find_v some_o obstacle_n in_o its_o passage_n it_o be_v well_o know_v that_o these_o kind_n of_o wound_n be_v almost_o always_o accompany_v with_o troublesome_a accident_n wound_v accident_n accompany_v gunshot_n wound_v as_o rapture_n of_o some_o vessel_n fracture_n of_o a_o bone_n or_o contusion_n which_o be_v of_o least_o consequence_n if_o the_o orifice_n of_o the_o wound_n be_v of_o a_o round_a figure_n and_o grow_v less_o by_o the_o fluxion_n the_o first_o intention_n which_o you_o must_v satisfy_v be_v to_o dilate_v it_o you_o excite_v by_o that_o mean_v suppuration_n and_o procure_v a_o more_o equal_a cicatrice_n you_o discharge_v the_o part_n in_o let_v the_o wound_n bleed_v as_o much_o