adherence_n which_o the_o lung_n contract_n with_o the_o pleura_fw-la so_o that_o they_o can_v communicate_v their_o inflammation_n and_o alteration_n to_o one_o another_o and_o that_o the_o matter_n may_v pass_v from_o the_o lung_n through_o the_o aperture_n of_o the_o wound_n without_o one_o drop_n of_o it_o be_v spill_v in_o the_o cavity_n of_o the_o breast_n which_o be_v to_o be_v well_o examine_v before_o you_o separate_v the_o lung_n from_o the_o pleura_fw-la with_o your_o finger_n or_o probe_n as_o most_o practitioner_n be_v wont_a to_o do_v that_o be_v to_o say_v if_o the_o matter_n run_v with_o ease_n through_o the_o aperture_n and_o without_o the_o diaphragma_n be_v oppress_v with_o it_o you_o must_v no_o way_n break_v the_o adherence_n of_o they_o empiema_n a_o quinsy_n can_v never_o cause_v a_o empiema_n i_o do_v not_o speak_v here_o of_o disease_n of_o the_o throat_n we_o know_v well_o enough_o that_o never_o a_o empiema_n succeed_v a_o quinsy_n the_o reason_n be_v that_o the_o pus_fw-la can_v fall_v upon_o the_o substance_n of_o the_o lung_n without_o cause_v a_o sudden_a suffocation_n because_o the_o pus_fw-la by_o its_o weight_n will_v hinder_v the_o play_n of_o the_o vessel_n that_o compose_v they_o wherefore_o there_o be_v only_a pleurisy_n and_o impostume_n of_o the_o lung_n which_o precede_v the_o empiema_n that_o come_v from_o a_o internal_a cause_n pleurisy_n cause_n of_o a_o pleurisy_n as_o for_o the_o eause_n of_o a_o pleurisy_n some_o say_v it_o be_v form_v by_o a_o boil_a and_o impetuous_a blood_n which_o be_v extravasated_a in_o the_o plura_fw-la other_o pretend_v it_o be_v cause_v by_o a_o bilous_a blood_n which_o gather_v and_o putrefy_v between_o the_o rib_n and_o plura_fw-la some_o other_o maintain_v that_o it_o proceed_v from_o a_o extravasation_n of_o blood_n that_o come_v from_o the_o intercostal_a vein_n and_o the_o aziges_fw-ge which_o be_v discharge_v between_o the_o duplicature_n of_o this_o membrane_n where_o it_o change_v into_o pus_fw-la by_o its_o stay_n there_o though_o this_o last_o opinion_n be_v not_o over-well_a ground_v yet_o it_o be_v the_o most_o common_a and_o most_o receive_v it_o be_v to_o be_v wish_v that_o all_o these_o opinion_n be_v as_o true_a as_o they_o be_v authorize_v by_o their_o partisan_n for_o beside_o that_o the_o blood_n be_v ordinary_o spill_v out_o of_o the_o vessel_n only_o after_o some_o blow_n or_o wound_n it_o be_v evident_a that_o the_o bilous_a particle_n be_v rather_o capable_a to_o dissolve_v a_o matter_n than_o coagulate_v it_o and_o that_o it_o be_v only_o the_o salt_n volatile_a alkaly_n of_o the_o bile_n which_o tend_v to_o the_o exaltation_n but_o there_o must_v needs_o be_v here_o a_o coagulate_a agent_n which_o dispose_v it_o to_o be_v obstruct_v in_o this_o membrane_n there_o be_v nothing_o more_o common_a pleurisy_n a_o common_a cause_n of_o pleurisy_n than_o to_o see_v in_o the_o summer-season_n pleurisy_n affect_v those_o who_o have_v overheat_v themselves_o by_o run_v or_o some_o other_o as_o violent_a exercise_n go_v imprudent_o to_o drink_v ice_v liquor_n or_o in_o a_o cellar_n to_o cool_v themselves_o have_v most_o common_o their_o breast_n open_a you_o must_v consider_v that_o in_o the_o same_o moment_n the_o pore_n be_v much_o dilate_a the_o blood_n be_v in_o a_o extraordinary_a agitation_n and_o furnish_v abundance_n of_o swetts_n this_o be_v so_o it_o happen_v that_o at_o the_o same_o time_n as_o this_o cold_a drink_n chill_v as_o it_o be_v the_o blood_n in_o the_o vessel_n the_o impression_n of_o the_o external_a cold_a air_n suppress_v the_o swetts_n in_o shut_v up_o the_o pore_n and_o they_o be_v quite_o disengage_v from_o the_o rest_n of_o the_o mass_n stop_v in_o the_o duplicature_n of_o this_o membrane_n where_o they_o coagulate_v the_o blood_n by_o the_o mean_n of_o their_o urinous_a volatile_a salt_n analogous_fw-la urine_n and_o swett_n analogous_fw-la experience_n teach_v we_o that_o there_o be_v no_o liquor_n in_o the_o body_n have_v more_o analogy_n with_o the_o urine_n than_o swett_n we_o observe_v also_o that_o it_o have_v the_o same_o taste_n smell_v and_o consistence_n we_o know_v that_o the_o urine_n abound_v in_o a_o urinous_a volatile_a salt_n and_o in_o a_o very_a aetherious_a sulphur_n now_o i_o say_v that_o these_o two_o spirit_n which_o be_v find_v in_o the_o swett_n as_o well_o as_o urine_n who_o nature_n and_o property_n we_o have_v explain_v elsewhere_o happen_v to_o be_v unite_v together_o in_o the_o plura_fw-la in_o the_o time_n of_o the_o suppression_n of_o abundance_n of_o swett_n be_v very_o capable_a to_o condense_a the_o blood_n and_o cause_v the_o pleurisy_n which_o hippocrates_n have_v well_o observe_v 24._o sect._n 5._o aph._n 24._o when_o he_o say_v that_o cold_a thing_n as_o snow_n and_o ice_n be_v enemy_n to_o the_o breast_n and_o that_o they_o excite_v cough_n dysentery_n and_o fluxion_n frigida_fw-la ucluti_fw-la nix_n &_o glacies_fw-la pectori_fw-la inimica_fw-la tusses_fw-la moverit_fw-la &_o sanguines_fw-la fluxiones_fw-la &_o distillationes_fw-la movent_fw-la he_o say_v likewise_o that_o the_o scythian_n do_v not_o live_v long_o because_o they_o drink_v ice_n water_n and_o that_o the_o frequent_a use_n of_o these_o water_n offend_v the_o breast_n for_o the_o same_o reason_n say_v hippocrates_n 23._o sect._n 3_o aph._n 23._o pleurisy_n happen_v most_o common_o in_o the_o wintertime_n as_o also_o peripneumonia_n cough_n pain_n of_o the_o breast_n and_o side_n hyeme_n plureide_n peripneumoniae_fw-la tusses_fw-la &_o pectoris_fw-la laterum_fw-la dolores_fw-la it_o be_v common_o observe_v that_o those_o who_o expose_v their_o breast_n to_o the_o air_n in_o the_o begin_n of_o hot_a weather_n be_v almost_o always_o trouble_v with_o a_o pleurisy_n the_o reason_n of_o it_o be_v evident_a if_o we_o make_v reflection_n that_o no_o part_n of_o the_o body_n be_v so_o deprive_v of_o flesh_n as_o the_o breast_n which_o be_v the_o enclosure_n of_o the_o treasure_n of_o life_n and_o which_o consequent_o be_v soon_o penetrate_v by_o the_o air_n wherefore_o those_o who_o take_v care_n to_o cover_v at_o all_o time_n their_o breast_n well_o be_v much_o less_o subject_a to_o pleurisy_n and_o many_o other_o disease_n air._n a_o pleurisy_n often_o from_o a_o nitrous_a air._n the_o cause_n of_o a_o pleurisy_n do_v not_o always_o come_v from_o have_v put_v yourself_o into_o a_o heat_n or_o expose_v yourself_o to_o too_o great_a a_o cold_a but_o it_o come_v often_o from_o a_o air_n too_o much_o load_v with_o nitrous_a and_o sulphureous_a particle_n which_o we_o attract_v in_o inspiration_n and_o which_o produce_v the_o same_o effect_n as_o the_o principle_n which_o we_o have_v say_v be_v find_v in_o the_o swett_n those_o kind_n of_o pleurisy_n which_o we_o call_v popular_a or_o epidemical_a happen_v often_o in_o country_n where_o the_o earth_n abound_v with_o nitre_n and_o sulphur_n and_o where_o the_o heat_n be_v excessive_a as_o in_o meridional_a region_n pleurisy_n who_o most_o subject_a to_o on_o pleurisy_n the_o constitution_n of_o person_n contribute_v much_o to_o its_o formation_n those_o who_o be_v of_o a_o quick_a wit_n who_o blood_n be_v subtle_a and_o be_v of_o a_o tender_a complexion_n be_v more_o subject_a to_o it_o than_o other_o person_n a_o observation_n on_o the_o blood_n of_o a_o pluretic_n person_n it_o be_v observable_a that_o after_o have_v bleed_v a_o pleuretic_n person_n there_o be_v a_o little_a skin_n form_v on_o his_o blood_n like_o glue_n and_o almost_o of_o the_o same_o consistence_n which_o have_v a_o kind_n of_o spring_n or_o elastic_a virtue_n for_o when_o ever_o you_o handle_v it_o with_o your_o finger_n it_o resist_v a_o little_a and_o return_n into_o its_o first_o posture_n it_o swim_v upon_o the_o blood_n even_o as_o certain_a little_a flank_n swim_v upon_o the_o urine_n of_o those_o trouble_v with_o the_o inflammation_n of_o the_o reins_o as_o for_o the_o prognostic_n of_o this_o disease_n prognostic_n prognostic_n it_o be_v always_o very_o dangerous_a when_o bleed_v and_o general_a remedy_n do_v not_o dissipate_v the_o tumour_n hippocrates_n say_v that_o if_o one_o spit_v from_o the_o beginning_n the_o disease_n will_v be_v short_a but_o if_o one_o spit_v not_o till_o some_o time_n after_o it_o will_v be_v long_o velut_fw-la in_o pluretide_n laborantibus_fw-la si_fw-la sputum_fw-la statim_fw-la appareat_fw-la inter_fw-la initia_fw-la ipsam_fw-la abbreviat_fw-la si_fw-la vero_fw-la postea_fw-la appareat_fw-la producit_fw-la yet_o this_o rule_n be_v not_o always_o true_a because_o there_o be_v some_o that_o do_v not_o spit_v and_o yet_o recover_v in_o a_o very_a short_a time_n whether_o that_o the_o humour_n which_o cause_v the_o obstruction_n be_v dissipate_v by_o insensible_a perspriration_n or_o by_o the_o way_n of_o circulation_n according_a to_o the_o virtue_n and_o operation_n of_o the_o medicine_n which_o be_v use_v in_o this_o disease_n pleurisy_n the_o best_a way_n of_o cure_v a_o pleurisy_n the_o most_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
to_o attack_v be_v in_o a_o very_a little_a time_n drown_v we_o observe_v that_o the_o muscle_n of_o all_o hypocondriac_n be_v deprive_v of_o a_o part_n of_o the_o spirit_n which_o be_v necessary_a to_o they_o for_o their_o natural_a motion_n for_o if_o we_o consider_v that_o the_o sulphur_n which_o we_o have_v suppose_v to_o be_v destroy_v be_v what_o the_o animal_n spirit_n be_v contribute_v only_o to_o the_o generation_n of_o the_o animal_n spirit_n that_o the_o little_a cut_a particle_n which_o this_o sulphur_n wrap_v up_o be_v the_o matter_n of_o they_o and_o the_o residue_n the_o vehicle_n and_o true_a oil_n with_o which_o the_o brain_n be_v imbue_v we_o shall_v agree_v that_o the_o gland_n of_o the_o brain_n furnish_v very_o few_o spirit_n in_o these_o disease_a person_n who_o body_n be_v deprive_v of_o fat_a and_o that_o consequent_o their_o muscle_n must_v lose_v of_o their_o force_n vigour_n and_o motion_n from_o whence_o come_v the_o great_a heaviness_n which_o they_o feel_v you_o must_v also_o observe_v that_o they_o be_v no_o more_o provide_v with_o this_o fat_a which_o before_o make_v their_o fibre_n supple_a flexible_a and_o capable_a of_o activity_n this_o be_v so_o it_o be_v evident_a that_o their_o motion_n must_v be_v weaken_v that_o they_o can_v no_o more_o communicate_v any_o to_o the_o vessel_n the_o course_n of_o the_o liquor_n must_v be_v slacken_v and_o the_o animal_n spirit_n which_o bring_v some_o formality_n to_o every_o part_n be_v no_o more_o in_o a_o condition_n to_o keep_v the_o pore_n open_a or_o at_o least_o so_o wide_a as_o ordinary_o so_o the_o vessel_n be_v as_o it_o be_v sink_v and_o the_o arterial_a blood_n not_o have_v any_o more_o the_o power_n or_o strength_n to_o make_v its_o way_n the_o part_n be_v almost_o defraud_v of_o life_n i_o allege_v all_o these_o reason_n because_o they_o fortify_v our_o system_fw-la of_o the_o formation_n of_o the_o dropsy_n dropsy_n old_a man_n very_a subject_n to_o the_o dropsy_n which_o be_v found_v on_o the_o slowness_n of_o the_o circulation_n of_o the_o blood_n which_o be_v remarkable_a in_o old_a man_n who_o be_v most_o subject_a to_o dropsy_n the_o reason_n be_v because_o their_o blood_n be_v only_o a_o fluid_a indigested_a and_o corrupt_a mass_n have_v lose_v all_o its_o consistence_n and_o unctuosity_n one_o may_v say_v it_o have_v lose_v its_o oil_n and_o consequent_o be_v make_v incapable_a of_o sustain_v its_o fermentation_n i_o add_v that_o those_o who_o inhabit_v boggy_a place_n be_v of_o a_o cold_a temperament_n and_o use_v to_o moist_a food_n will_v be_v more_o liable_a to_o it_o than_o other_o the_o dropsy_n which_o often_o effect_n fat_a and_o full_a people_n who_o nevertheless_o be_v in_o a_o certain_a moderate_a repose_n have_v for_o its_o cause_n only_o the_o slowness_n of_o circulation_n through_o the_o frequent_a obstruction_n which_o ordinary_o happen_v in_o the_o gland_n and_o vessel_n which_o occasion_n the_o lympha_fw-la to_o disengage_v itself_o and_o overflow_v some_o part_n incurable_a when_o the_o dropsy_n be_v incurable_a the_o water_n sometime_o gather_v together_o in_o a_o cystis_n which_o make_v the_o dropsy_n incurable_a this_o cystis_n be_v a_o strange_a covert_n at_o first_o insensible_a but_o by_o degree_n separate_v itself_o from_o some_o other_o cover_v either_o of_o the_o peritonaeum_fw-la or_o elsewhere_o by_o the_o saline_n and_o lixivious_a nutriture_n which_o it_o have_v contract_v or_o by_o the_o too_o great_a humidity_n receive_v after_o the_o same_o manner_n as_o the_o particle_n of_o a_o egg_n or_o seed_n disengage_v or_o unfold_v themselves_o this_o cystis_n be_v sprinkle_v with_o a_o multitude_n of_o gland_n and_o vessel_n which_o it_o receive_v from_o the_o part_n from_o whence_o it_o derive_v its_o origin_n and_o from_o other_o neighbour_a part_n which_o be_v as_o so_o many_o source_n that_o produce_v new_a dropsy_n dropsy_n sign_n of_o the_o dropsy_n the_o sign_n of_o this_o disease_n be_v swell_v of_o the_o belly_n transparency_n of_o the_o water_n and_o fluctuation_n hydropical_a difference_n between_o corpulant_a person_n and_o hydropical_a before_o i_o speak_v of_o the_o accident_n it_o be_v necessary_a to_o give_v a_o idea_n of_o the_o difference_n between_o the_o swell_a of_o the_o dropsy_n and_o a_o good_a habit_n of_o body_n in_o the_o dropsy_n the_o belly_n be_v extreme_o extend_v and_o even_o the_o navel_n rise_v and_o terminate_v in_o a_o point_n whereas_o in_o the_o latter_a its_o soft_a and_o less_o extend_v be_v more_o elevate_v on_o the_o side_n than_o elsewhere_o where_o the_o fleshy_a portion_n of_o the_o muscle_n lie_v and_o the_o navel_n be_v quite_o hide_a dropsy_n symptom_n of_o the_o dropsy_n the_o symptom_n which_o accompany_v this_o disease_n be_v slow_a fever_n weak_a pulse_n heaviness_n of_o the_o whole_a body_n difficulty_n of_o respiration_n considerable_a swelling_n excessive_a thirst_n and_o difficulty_n of_o urine_n fever_n 1._o slow_a fever_n the_o slow_a fever_n be_v nothing_o else_o but_o a_o effect_n of_o the_o impurity_n of_o the_o chyle_n and_o other_o leven_n which_o intimate_o mix_v with_o it_o this_o mixture_n design_v to_o make_v the_o life_n of_o the_o part_n happy_a be_v impress_v with_o this_o brine_n or_o rather_o charge_v with_o this_o impure_a and_o strange_a matter_n pass_v to_o the_o heart_n how_o corrupt_a soever_o it_o be_v where_o it_o ferment_n and_o disorder_n its_o motion_n the_o heart_n communicate_v its_o unruly_a pulsation_n to_o the_o artery_n excite_v this_o kind_n of_o fever_n which_o be_v only_o feel_v very_o slight_o pulse_n 2._o weakness_n of_o the_o pulse_n the_o pulse_n weakness_n depend_v on_o the_o slow_a influence_n of_o the_o animal_n spirit_n into_o the_o fibre_n of_o the_o heart_n which_o be_v incapable_a to_o augment_v their_o action_n in_o respect_n of_o the_o spirit_n as_o well_o as_o blood_n by_o reason_n of_o their_o scarcity_n maintain_v the_o blood_n in_o that_o little_a degree_n of_o precipitate_a motion_n which_o distinguish_v this_o slow_a fever_n from_o the_o other_o and_o consequent_o cause_v this_o weakness_n of_o the_o pulse_n body_n 3._o heaviness_n of_o the_o body_n the_o pale_a colour_n and_o heaviness_n of_o the_o body_n proceed_v from_o the_o slow_a motion_n of_o the_o blood_n and_o from_o the_o dissipation_n and_o concentration_n of_o the_o spirit_n which_o be_v stifle_v and_o choke_v as_o it_o be_v in_o the_o water_n now_o as_o the_o heat_n and_o vigour_n depend_v on_o the_o presence_n and_o natural_a ferment_n of_o the_o blood_n and_o spirit_n which_o shall_v animate_v these_o part_n and_o be_v carry_v to_o the_o surface_n you_o must_v not_o wonder_v if_o they_o be_v so_o pale_a and_o if_o the_o muscle_n can_v sustain_v the_o weight_n of_o the_o body_n respiration_n 4._o difficulty_n of_o respiration_n the_o difficulty_n of_o respiration_n be_v cause_v by_o the_o swell_a and_o great_a tension_n of_o the_o belly_n which_o press_v the_o diaphragm_n against_o the_o lung_n and_o diminish_v the_o diameter_n of_o the_o breast_n so_o that_o the_o lung_n have_v not_o the_o liberty_n to_o extend_v themselves_o the_o respiration_n grow_v frequent_a and_o force_v the_o excessive_a thirst_n be_v raise_v from_o the_o humour_n that_o be_v separate_v from_o the_o gland_n of_o the_o stomach_n thirst_n 5_o thirst_n oesophagus_n and_o other_o part_n of_o the_o gula_fw-la to_o moisten_v their_o coast_n and_o to_o maintain_v they_o in_o the_o humidity_n which_o be_v requisite_a for_o they_o it_o be_v not_o enough_o either_o through_o the_o frequent_a settle_n which_o be_v make_v in_o other_o part_n or_o that_o the_o invincible_a and_o intemperate_a fire_n which_o the_o fever_n kindle_v in_o all_o part_n dissipate_v consume_v or_o ratify_v it_o which_o cause_n these_o part_n to_o heat_n and_o dry_a and_o that_o saltish_a spirit_n who_o action_n be_v not_o correct_v by_o any_o dissolvent_a rush_v into_o the_o little_a fibres_fw-fr and_o produce_v a_o motion_n in_o the_o nerve_n which_o excite_v thirst_n as_o to_o difficulty_n of_o urine_n i_o suppose_v that_o part_n of_o the_o water_n which_o use_v to_o take_v its_o course_n through_o the_o kidney_n urine_n 6._o difficulty_n of_o urine_n tend_v another_o way_n and_o that_o the_o urinous_a volatile_a and_o other_o fix_a salt_n of_o the_o urine_n be_v deprive_v of_o a_o part_n of_o their_o dissolvent_a stop_n at_o the_o entry_n of_o the_o pore_n of_o the_o gland_n and_o hinder_v the_o urine_n from_o run_v with_o that_o liberty_n into_o its_o conduit_n the_o salt_n thus_o have_v the_o upper_a hand_n and_o find_v nothing_o in_o the_o blood_n capable_a to_o blunt_v their_o point_n irritate_fw-la all_o the_o part_n through_o which_o they_o pass_v particular_o the_o aretery_n and_o oblige_v the_o sphincter_n of_o the_o bladder_n to_o a_o more_o than_o usual_a contraction_n which_o cause_v the_o urine_n to_o flow_v very_o difficult_o and_o by_o turn_n i_o pass_v to_o
the_o aperture_n of_o the_o os_fw-la lachrimale_a without_o communicate_v its_o alteration_n to_o the_o neighbour_a part_n i_o will_v not_o call_v this_o indisposition_n a_o fistula_n necessary_a when_o the_o operation_n be_v not_o necessary_a but_o obstruction_n which_o nevertheless_o permit_v the_o serosity_n to_o escape_v involuntary_a which_o must_v be_v well_o distinguish_v because_o the_o operation_n be_v not_o necessary_a if_o the_o lachrimal_a bone_n be_v no_o way_n alter_v for_o the_o operation_n consist_v in_o nothing_o else_o but_o to_o pierce_v the_o bone_n and_o consume_v the_o cariosity_n we_o use_v in_o this_o occasion_n general_a remedy_n and_o all_o colirium_n proper_a to_o deobstruct_v and_o disinflame_v these_o part_n if_o the_o matter_n which_o cause_v the_o obstruction_n excoriate_v and_o slight_o ulcerate_v the_o nigh_o part_n one_o may_v call_v it_o a_o false_a fistula_n which_o yield_v to_o attenuate_a medicine_n and_o those_o which_o be_v proper_a to_o consume_v the_o calosity_n that_o come_v upon_o it_o but_o if_o the_o serosity_n by_o its_o acidity_n excoriate_v the_o little_a tubercle_fw-la of_o flesh_n which_o the_o ancient_n take_v for_o the_o lachrimal_a gland_n and_o the_o other_o nigh_o part_n there_o come_v upon_o it_o a_o ulcer_n which_o soon_o degenerate_v into_o a_o fistula_n by_o the_o action_n of_o the_o most_o pungent_a and_o acid_a particle_n as_o i_o have_v prove_v at_o length_n in_o the_o examination_n of_o the_o fistula_n in_o anc._n so_o that_o this_o impure_a serosity_n be_v capable_a of_o corruption_n rot_v the_o bone_n by_o its_o lie_v there_o be_v what_o a_o true_a fistula_n lachrimalis_n be_v and_o stop_v the_o passage_n of_o the_o tear_n i_o will_v call_v this_o the_o true_a fistula_n where_o the_o operation_n be_v of_o great_a importance_n it_o happen_v often_o that_o the_o same_o humour_n which_o water_n the_o eye_n run_v to_o the_o lachrimal_a sac_n without_o produce_v its_o effect_n the_o reason_n be_v because_o it_o begin_v only_o to_o enter_v into_o its_o first_o degree_n of_o corruption_n but_o this_o sac_n be_v a_o production_n of_o the_o interior_a membrain_n of_o the_o nose_n which_o be_v extreme_o spungy_a and_o penitrable_a the_o humour_n have_v strength_n enough_o to_o penetrate_v it_o and_o so_o cause_v a_o inflammation_n which_o stop_v the_o passage_n of_o the_o tear_n which_o by_o lie_v there_o wax_v sour_a and_o afterward_o grow_v so_o sharp_a that_o they_o cause_v a_o fistulous_a ulcer_n or_o a_o kind_n of_o fistula_n which_o one_o may_v call_v complete_a to_o distinguish_v it_o from_o the_o other_o the_o matter_n of_o the_o tear_n be_v not_o always_o the_o cause_n of_o this_o fistula_n as_o it_o be_v the_o effect_n of_o it_o it_o be_v very_o often_o the_o consequence_n of_o some_o imposthume_n or_o even_o of_o the_o inflammation_n of_o the_o lachrimal_a sac_n without_o this_o pretend_a serosity_n contribute_v any_o way_n towards_o it_o it_o may_v true_o by_o lie_v still_o there_o thicken_v and_o harden_v by_o heat_n or_o it_o may_v degenerate_v mix_v with_o some_o other_o strange_a humour_n and_o so_o contribute_v to_o its_o formation_n you_o must_v observe_v that_o in_o this_o last_o kind_n of_o fistula_n there_o be_v always_o some_o pus_fw-la in_o the_o lachrimal_a sac_n the_o most_o of_o they_o that_o be_v trouble_v with_o it_o press_v every_o day_n the_o fide_fw-la of_o their_o nostril_n to_o squeeze_v out_o the_o matter_n so_o they_o may_v avoid_v the_o pain_n of_o the_o operation_n be_v rather_o content_a to_o have_v it_o as_o long_o as_o they_o live_v chap._n xxviii_o of_o the_o operation_n of_o the_o fistula_n lachrimalis_n operation_n how_o to_o perform_v the_o operation_n we_o have_v already_o say_v that_o the_o operation_n of_o the_o fistula_n lachrimalis_n consist_v in_o pierce_v the_o bone_n and_o make_v the_o matter_n which_o entertain_v it_o flow_v more_o easy_a and_o in_o deobstruct_v the_o passage_n for_o this_o you_o introduce_v the_o probe_n to_o know_v whether_o the_o bone_n be_v discover_v or_o carnous_a but_o particular_o whether_o its_o hole_n be_v stop_v if_o the_o exterior_a orifice_n of_o the_o fistula_n permit_v not_o the_o entry_n of_o the_o probe_n caution_n caution_n you_o must_v dilate_v it_o with_o a_o little_a prepare_a sponge_n or_o make_v a_o incision_n with_o the_o bistory_n take_v care_n not_o to_o cut_v the_o little_a bridle_n which_o make_v the_o reunion_n of_o the_o two_o eyelid_n which_o be_v nothing_o else_o but_o the_o tendon_n of_o the_o orbicule_a muscle_n that_o perform_v the_o office_n of_o a_o ligament_n for_o if_o by_o chance_n it_o shall_v be_v cut_v the_o low_a eyelid_n will_v be_v reverse_v which_o be_v a_o indisposition_n much_o more_o troublesome_a and_o deform_v than_o the_o first_o when_o you_o have_v make_v the_o incision_n you_o fill_v the_o wound_n with_o dry_a lint_n to_o obsorb_v the_o blood_n and_o dilate_v the_o lip_n to_o see_v more_o easy_o the_o bottom_n of_o it_o the_o bone_n be_v lay_v bare_a you_o introduce_v a_o little_a canula_n into_o the_o hole_n of_o the_o os_fw-mi lachrimale_a and_o with_o actual_a cautery_n of_o different_a figure_n you_o pierce_v the_o bone_n which_o be_v very_o thin_a light_o pass_v the_o cautery_n over_o its_o surface_n to_o hasten_v exfoliation_n and_o destroy_v the_o cariosity_n if_o any_o after_o that_o you_o procure_v the_o suppuration_n of_o the_o will_v and_o lay_v in_o the_o bottom_n of_o the_o fistula_n medicine_n proper_a to_o procure_v exfoliation_n of_o the_o bone_n inflammation_n what_o to_o be_v do_v to_o prevent_v inflammation_n you_o must_v observe_v that_o before_o you_o make_v the_o operation_n it_o be_v necessary_a to_o apply_v on_o the_o eye_n some_o defensative_a make_v with_o aque_fw-la plantag_n rosar_n album_fw-la ovi_fw-la ol._n rosar_n &_o tutiae_fw-la you_o continue_v to_o use_v it_o until_o there_o be_v no_o more_o fear_n of_o inflammation_n when_o the_o operation_n be_v finish_v you_o order_v the_o patient_n to_o lie_v on_o his_o back_n that_o the_o matter_n of_o the_o tear_n may_v take_v its_o course_n through_o the_o aperture_n that_o have_v be_v make_v you_o must_v have_v regard_n to_o two_o circumstance_n the_o first_o to_o stay_v till_o the_o rottenness_n be_v destroy_v before_o you_o procure_v the_o generation_n of_o flesh_n the_o second_o to_o hinder_v the_o cicatrise_v from_o rise_v too_o high_a which_o will_v be_v a_o very_a disagreeable_a deformity_n final_o you_o apply_v a_o plaster_n compress_v and_o a_o handkerchief_n across_o or_o the_o lachrimal_a band._n chap._n xxix_o of_o the_o polypus_n for_o to_o have_v a_o idea_n of_o the_o generation_n of_o the_o polypus_n you_o be_v only_o to_o call_v to_o mind_n what_o we_o have_v advance_v when_o we_o speak_v of_o a_o sarcoma_n and_o to_o make_v at_o the_o same_o time_n some_o reflection_n upon_o the_o structure_n of_o the_o part_n viz._n upon_o the_o nature_n of_o the_o inferor_n membrain_n of_o the_o nose_n which_o be_v very_o thick_a spungy_a penitrable_a actual_o water_v and_o imbue_v with_o a_o viscous_a glewy_a humour_n which_o be_v all_o the_o requisite_a and_o necessary_a circumstance_n for_o to_o make_v we_o think_v that_o it_o contribute_v much_o to_o the_o formation_n of_o the_o polypus_n by_o reason_n its_o porosity_n be_v so_o dispose_v that_o they_o let_v pass_v nothing_o but_o the_o most_o crass_a and_o fungous_a particle_n of_o the_o blood_n which_o be_v very_o fit_a to_o produce_v some_o excrescence_n generation_n true_a cause_n of_o its_o generation_n to_o explain_v right_o this_o generation_n we_o must_v only_o admit_v a_o little_a more_o heat_n and_o intempery_n in_o the_o blood_n the_o intempery_n increase_v the_o motion_n and_o exaltation_n of_o those_o viscous_a particle_n and_o the_o heat_n fix_v and_o condense_n they_o by_o dissipate_v their_o humidity_n wherefore_o it_o be_v not_o to_o be_v wonder_v at_o if_o there_o abundance_n and_o profusion_n towards_o a_o spungy_a part_n furnish_v the_o matter_n of_o a_o polypus_n this_o humour_n i_o say_v though_o agitate_a stop_v in_o the_o contexture_n of_o this_o membrain_n it_o the_o contexture_n of_o this_o membrain_n it_o extend_v the_o vessel_n blow_v up_o the_o gland_n dilate_v the_o excressory_a channel_n and_o oblige_v all_o these_o part_n to_o rise_v in_o a_o tumour_n as_o well_o by_o its_o thick_a consistency_n as_o too_o great_a intempery_n which_o make_v it_o be_v no_o more_o in_o a_o condition_n to_o pass_v through_o the_o porosity_n of_o the_o vessel_n that_o contain_v it_o and_o so_o it_o congeal_v and_o by_o a_o strange_a heat_n change_v into_o a_o fungous_a and_o carcinomatous_a substance_n so_o that_o by_o the_o addition_n and_o presence_n of_o a_o new_a matter_n the_o polypus_n grow_v insensible_a until_o it_o be_v entire_o inform_v of_o polypus_n some_o be_v schirrou_n polypus_n difference_n of_o polypus_n some_o be_v schirrou_n and_o some_o painful_a there_o be_v some_o which_o change_v into_o a_o
any_o malignity_n as_o from_o the_o bite_v of_o a_o venomous_a animal_n beside_o the_o sign_n of_o mortification_n which_o appear_v upon_o the_o part_n several_z other_o manifest_v themselves_o as_o carbuncle_n fever_n vomit_v syncope_n and_o frenzy_n sphacel_n sign_n of_o a_o sphacel_n the_o sign_n of_o the_o sphacel_n do_v not_o differ_v from_o those_o of_o the_o gangrene_n but_o secundum_fw-la majus_n and_o minus_n a_o sphacelated_a part_n be_v heavy_a black_a stink_a and_o wither_v feeling_n be_v quite_o lose_v and_o the_o skin_n be_v easy_o separate_v from_o the_o subjacent_a flesh_n final_o from_o be_v soft_a as_o it_o be_v before_o when_o it_o be_v gangrenate_v it_o dri_v up_o when_o it_o be_v entire_o mortify_v you_o must_v observe_v that_o if_o the_o motion_n sometime_o remain_v in_o a_o sphacelated_a part_n as_o in_o the_o foot_n etc._n etc._n it_o proceed_v from_o that_o the_o belly_n of_o the_o muscle_n which_o be_v not_o interest_v make_v their_o contraction_n the_o tendon_n in_o the_o mortify_a part_n be_v oblige_v to_o follow_v their_o motion_n i_o pass_v to_o the_o explication_n of_o the_o chief_a accident_n blister_n cause_o of_o the_o blister_n the_o blister_n that_o come_v upon_o the_o skin_n proceed_v from_o the_o blood_n lie_v cake_v and_o curdle_v in_o its_o part_n there_o separate_v from_o it_o a_o sharp_a and_o corrosive_a serosity_n which_o insinuate_v itself_o under_o the_o skin_n separate_v the_o cuticle_n and_o raise_v it_o almost_o like_a as_o in_o scald_v blackness_n cause_o of_o the_o blackness_n the_o pulsation_n cease_v in_o the_o part_n and_o its_o colour_n grow_v pale_a and_o livid_n i_o have_v show_v that_o the_o pulsation_n cease_v by_o the_o compression_n of_o the_o vessel_n it_o be_v probable_a that_o the_o red_a colour_n disappear_v for_o want_v of_o new_a blood_n and_o that_o which_o lie_v cake_v rot_n in_o the_o part_n give_v a_o violent_a or_o black_a colour_n according_a to_o the_o degree_n of_o corruption_n and_o mortification_n pain_n cause_o of_o the_o pain_n the_o pain_n proceed_v from_o the_o irritation_n and_o great_a impression_n which_o the_o sharp_a and_o malign_a serosity_n make_v upon_o the_o membrane_n and_o on_o the_o nervous_a fibre_n which_o be_v disperse_v in_o the_o part_n the_o pain_n cease_v because_o the_o extravasated_a matter_n lie_v heavy_a upon_o the_o nerve_n as_o well_o as_o upon_o the_o sanguiferous_a vessel_n and_o stop_v entire_o the_o passage_n of_o the_o spirit_n we_o also_o observe_v that_o the_o pain_n give_v soon_o over_o after_o the_o pulsation_n some_o modern_a author_n pretend_v it_o to_o be_v enough_o that_o the_o motion_n of_o the_o blood_n be_v hinder_v in_o a_o part_n to_o abolish_v the_o sensation_n and_o motion_n without_o the_o nerve_n be_v compress_v to_o prove_v it_o they_o tie_v the_o descend_a aorta_n and_o they_o observe_v the_o inferior_a part_n deprive_v of_o sense_n and_o motion_n but_o they_o do_v not_o consider_v that_o these_o part_n be_v no_o more_o irrigate_v nor_o stretch_v by_o the_o arterial_a blood_n they_o must_v needs_o sink_v and_o dry_v up_o and_o the_o nerve_n who_o substance_n be_v very_o soft_a must_v be_v press_v from_o whence_o i_o conclude_v that_o in_o all_o kind_n of_o gangrene_n where_o the_o feel_n be_v entire_o lose_v the_o nerve_n do_v always_o suffer_v some_o compression_n softness_n cause_o of_o the_o softness_n the_o softness_n of_o the_o part_n proceed_v from_o the_o abundance_n of_o serosity_n that_o water_n the_o fibre_n but_o also_o be_v no_o more_o vivify_v by_o the_o blood_n and_o spirit_n the_o relax_v and_o loose_v entire_o their_o spring_n or_o elaftic_a virtue_n gangrene_n cause_o of_o the_o progress_n of_o a_o gangrene_n the_o progress_n of_o the_o gangrene_n come_v sometime_o from_o the_o blood_n which_o cease_v to_o vivifie_v the_o part_n as_o in_o old_a people_n but_o for_o the_o most_o part_n it_o come_v from_o the_o action_n of_o the_o acid_a juice_n which_o gnaw_v and_o successive_o destroy_v the_o neighbour_a part_n it_o be_v doubtless_o this_o malignant_a matter_n which_o cause_v the_o fever_n syncope_n and_o the_o other_o accident_n which_o be_v ordinary_o before_o death_n thus_o have_v speak_v of_o the_o cause_n sign_n and_o accident_n of_o the_o gangrene_n i_o come_v to_o its_o prognostic_n and_o cure_n a_o gangrene_n which_o attack_n old_a people_n and_o hydropic's_n prognostic_n prognostic_n for_o want_v of_o natural_a heat_n be_v always_o mortal_a in_o this_o kind_n of_o gangrene_n where_o the_o spirit_n have_v forsake_v their_o subject_n we_o must_v not_o undertake_v the_o operation_n because_o the_o patient_n will_v infallible_o succumb_v under_o the_o violence_n of_o the_o pain_n that_o which_o possess_v the_o soft_a and_o tender_a part_n especial_o the_o internal_a be_v veâ—â—_n dangerous_a and_o degenerate_v very_o often_o into_o a_o sphacel_n it_o be_v also_o soon_o cure_v in_o young_a than_o old_a in_o strong_a body_n than_o in_o cachochymic_a gold_n cure_v of_o a_o gangrene_n from_o gold_n the_o gangrene_n which_o be_v cause_v by_o cold_a and_o which_o ordinary_o possess_v the_o extremity_n may_v be_v cure_v provide_v the_o part_n be_v not_o entire_o mortify_v you_o bring_v the_o patient_n near_o a_o moderate_a fire_n chafe_v the_o part_n or_o steep_v it_o in_o lukewarm_a water_n and_o when_o the_o great_a cold_a diminish_v and_o the_o spirit_n begin_v to_o spread_v themselves_o upon_o the_o surface_n you_o apply_v fomentation_n &_o similia_fw-la that_o which_o follow_v great_a inflammation_n tumor_n fracture_n luxation_n contusion_n aneurism_n erisipelas_n ulcer_n scald_v scorbutic_a spot_n venomous_a bite_v after_o application_n of_o too_o emplastic_a medicine_n caustic_n and_o actual_a cautery_n and_o general_o upon_o all_o strong_a compression_n may_v be_v cure_v in_o the_o beginning_n which_o make_v we_o consider_v these_o kind_n of_o gangrene_n in_o two_o different_a state_n as_o that_o of_o their_o birth_n and_o that_o of_o their_o perfection_n in_o the_o first_o good_a remedy_n capable_a of_o smother_a and_o stop_v this_o disease_n as_o deep_a scarification_n which_o disengage_v not_o only_o the_o part_n but_o also_o give_v occasion_n for_o the_o medicine_n to_o penetrate_v and_o produce_v a_o more_o sensible_a effect_n if_o in_o spite_n of_o all_o this_o care_n the_o gangrene_n shall_v increase_v and_o encroach_v on_o the_o neighbour_a part_n lay_z aside_o the_o use_n of_o medicine_n and_o proceed_v to_o amputation_n of_o the_o member_n that_o the_o mortification_n may_v not_o be_v communicate_v to_o the_o whole_a body_n chap._n xxxvi_o of_o amputation_n you_o must_v observe_v first_o of_o all_o that_o though_o a_o part_n be_v mortify_v and_o amputation_n the_o only_a help_n to_o save_v a_o man_n life_n yet_o you_o must_v not_o always_o declare_v for_o the_o operation_n for_o example_n attempt_v when_o the_o operation_n be_v not_o to_o be_v attempt_v when_o the_o mortification_n possess_v the_o superior_a part_n of_o the_o arm_n or_o thigh_n it_o will_v be_v a_o profane_v it_o to_o undertake_v it_o be_v too_o near_a part_n so_o necessary_a for_o life_n without_o cause_v the_o ruin_n of_o the_o whole_a subject_n if_o it_o only_o possess_v the_o extremity_n and_o a_o acute_a fever_n syncope_n and_o vomit_v which_o be_v mortal_a symptom_n 〈◊〉_d accompany_v it_o and_o the_o natural_a disposition_n of_o the_o humour_n be_v entire_o pervert_v and_o deprave_v the_o operation_n will_v prove_v very_o dangerous_a and_o hazardous_a every_o one_o know_v that_o this_o operation_n be_v practise_v in_o great_a shattering_n of_o the_o bone_n in_o old_a ulcer_n and_o fistula_n of_o the_o joint_n but_o it_o be_v first_o necessary_a to_o examine_v the_o nature_n of_o the_o wound_n for_o example_n if_o the_o bone_n be_v quite_o break_v to_o piece_n if_o the_o splint_n be_v engage_v and_o as_o it_o be_v force_v down_o into_o the_o flesh_n or_o among_o the_o tendon_n if_o they_o prick_v some_o nerve_n or_o sanguiferous_a vessel_n so_o that_o they_o can_v be_v restore_v to_o their_o natural_a position_n it_o will_v be_v necessary_a to_o try_v the_o operation_n but_o if_o the_o accident_n be_v not_o too_o great_a and_o the_o piece_n can_v be_v bring_v level_a again_o with_o the_o bone_n be_v no_o way_n alter_v nor_o have_v cause_v any_o inflammation_n or_o pain_n one_o may_v hope_v for_o its_o cure_n by_o medicine_n unless_o some_o joint_n be_v concern_v in_o a_o word_n i_o say_v that_o all_o compound_v wound_n be_v of_o difficult_a cure_n how_o inconsiderable_a soever_o the_o complication_n be_v especial_o there_o be_v any_o indisposition_n in_o the_o subject_n in_o this_o occasion_n the_o pain_n and_o inflammation_n the_o two_o accident_n most_o to_o be_v fear_v particular_o when_o they_o continue_v and_o produce_v some_o more_o troublesome_a and_o when_o the_o accident_n be_v press_v it_o be_v dangerous_a to_o delay_v and_o very_o often_o the_o operation_n itself_o be_v not_o able_a to_o
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
the_o intestine_a it_o require_v no_o suture_a if_o it_o be_v big_a use_v the_o interrupt_v for_o the_o skinner_n stitch_n be_v not_o approve_v of_o in_o my_o opinion_n there_o be_v nothing_o that_o soon_o cure_v the_o wound_n of_o the_o gut_n and_o procure_v quick_a unition_n than_o a_o true_a and_o exact_a diet_n and_o i_o find_v nothing_o contribute_v more_o to_o it_o than_o in_o order_v the_o patient_n to_o lie_v on_o his_o belly_n take_v care_n to_o have_v a_o kind_n of_o bolster_n under_o the_o wound_n to_o facilitate_v the_o run_v out_o of_o the_o matter_n every_o one_o know_v use_v in_o wound_n of_o the_o belly_n a_o spare_a diet_n to_o be_v use_v there_o be_v nothing_o more_o contrary_a to_o union_n than_o motion_n by_o the_o diet_n we_o lessen_v the_o action_n of_o the_o intestine_n and_o by_o the_o situation_n that_o of_o the_o muscle_n of_o the_o abdomen_fw-la the_o reason_n be_v that_o in_o this_o situation_n all_o the_o part_n within_o lie_v heavy_a on_o the_o peritonaeum_fw-la and_o muscle_n and_o so_o diminish_v part_n of_o their_o motion_n you_o must_v observe_v that_o wound_v of_o the_o gut_n be_v never_o reunite_v except_o to_o the_o ☜_o neighbour_a gut_n and_o other_o nigh_o part_n as_o peritonaeum_fw-la etc._n etc._n for_o which_o reason_n it_o be_v convenient_a to_o past_a a_o needle_n arm_v with_o wax_v thread_n under_o the_o body_n of_o the_o gut_n through_o the_o mesenterium_fw-la choose_v a_o place_n most_o free_a from_o vessel_n to_o pull_v it_o gentle_o towards_o the_o peritonaeum_fw-la to_o which_o it_o will_v easy_o adhere_v have_v observe_v these_o circumstance_n search_v for_o that_o part_n of_o the_o gut_n which_o be_v near_a the_o mouth_n of_o the_o wound_n gut_n how_o to_o reduce_v the_o gut_n and_o reduce_v it_o with_o your_o forefinger_n into_o the_o cavity_n of_o the_o belly_n and_o before_o you_o pull_v that_o back_n introduce_v the_o other_o and_o after_o this_o manner_n push_v it_o successive_o till_o in_o its_o natural_a place_n the_o ancient_n use_v to_o shake_v to_o the_o patient_n that_o the_o part_n may_v return_v to_o their_o former_a situation_n we_o always_o leave_v out_o of_o the_o wound_v a_o part_n of_o the_o ligature_n of_o the_o omentum_fw-la which_o we_o place_n on_o that_o side_n where_o the_o matter_n run_v least_o and_o we_o make_v the_o interrupt_v suture_a hence_o come_v the_o name_n of_o gastroraphia_fw-la belly_n how_o to_o make_v the_o suture_a of_o the_o belly_n you_o must_v have_v two_o crooked_a needle_n arm_v with_o the_o same_o thread_n then_o with_o your_o left_a hand_n hold_v the_o peritonaeum_fw-la and_o the_o other_o integument_n and_o take_v a_o needle_n with_o your_o right_n pass_v it_o from_o within_o outward_n on_o one_o lip_n and_o without_o lift_v your_o finger_n pass_v the_o other_o on_o the_o opposite_a side_n as_o the_o first_o you_o must_v make_v as_o many_o stitch_n as_o be_v necessary_a leave_v some_o space_n to_o put_v a_o tent_n in_o on_o that_o side_n where_o the_o matter_n take_v its_o course_n if_o there_o be_v any_o appearance_n of_o suppuration_n which_o common_o happen_v if_o the_o omentum_fw-la or_o intestine_a be_v any_o way_n alter_v have_v examine_v all_o these_o circumstance_n you_o begin_v with_o the_o middle_a stitch_n and_o so_o of_o the_o rest_n the_o suture_n be_v make_v you_o must_v apply_v a_o pledgit_fw-la dip_v in_o some_o balm_n or_o spirituous_a liquor_n make_v a_o light_a embrocation_n with_o ol._n ros_n and_o spirit_n vin._n on_o the_o region_n of_o the_o belly_n than_o a_o convenient_a defensative_a sustain_v with_o the_o napkin_n and_o scapule_a the_o next_o day_n instead_o of_o use_v astringent_n it_o be_v good_a to_o use_v emollient_a and_o resolve_v fomentation_n to_o hinder_v tension_n symptom_n tension_n a_o dreadful_a symptom_n which_o be_v a_o dreadful_a symptom_n for_o the_o edge_n of_o the_o wound_n endeavour_v to_o retire_v cause_n extreme_a pain_n and_o often_o break_v the_o thread_n therefore_o you_o must_v dispose_v it_o so_o as_o to_o be_v able_a to_o straiten_v it_o after_o the_o inflammation_n over_o emollient_a clyster_n be_v of_o great_a use_n not_o only_o because_o they_o relax_v the_o fibre_n and_o evacuate_v the_o matter_n but_o also_o because_o they_o refresh_v and_o serve_v as_o a_o balneum_fw-la marie_n to_o calm_v the_o motion_n of_o the_o blood_n and_o spirit_n and_o hinder_v the_o progress_n of_o accident_n it_o be_v sufficient_o know_v that_o bleed_v and_o general_a remedy_n be_v not_o to_o be_v neglect_v if_o the_o edge_n become_v callous_a digestive_n be_v wonderful_a because_o they_o relax_v the_o fibre_n take_v away_o obstruction_n and_o facilitate_v the_o generation_n of_o the_o fleshy_a vesicles_n and_o consequent_o the_o cure_n of_o the_o wound_n concern_v this_o operation_n it_o will_v not_o be_v amiss_o to_o tell_v you_o further_o that_o a_o wound_a person_n that_o have_v a_o portion_n of_o the_o intestine_a carry_v away_o will_v die_v infallible_o if_o the_o surgeon_n by_o his_o industry_n do_v not_o so_o dispose_v the_o gut_n to_o let_v the_o contain_v matter_n run_v out_o that_o be_v he_o must_v show_v the_o gut_n to_o the_o peritonaeum_fw-la and_o tegument_n which_o make_v a_o kind_n of_o anus_fw-la that_o give_v the_o excrement_n liberty_n to_o come_v forth_o through_o the_o wound_n unless_o nature_n shall_v work_v by_o its_o self_n as_o it_o happen_v to_o a_o soldier_n in_o the_o invalid_n at_o paris_n which_o serve_v we_o for_o a_o example_n chap._n vii_o of_o the_o dropsy_n which_o occasion_n the_o paracentesis_n the_o dropsy_n as_o all_o the_o world_n know_v be_v a_o disease_n definition_n definition_n who_o part_n where_o it_o be_v make_v be_v as_o it_o be_v overflow_v with_o a_o great_a quantity_n of_o serosity_n particular_a division_n into_o general_n and_o particular_a we_o make_v ordinary_o two_o sort_n of_o they_o the_o general_a and_o particular_a the_o particular_a which_o we_o will_v examine_v after_o we_o have_v explain_v the_o universal_a receive_v different_a name_n according_a to_o the_o part_n which_o they_o attack_z as_o the_o hydrocephalus_n of_o the_o head_n hydrocele_n of_o the_o strotum_n etc._n etc._n twofold_a general_n twofold_a the_o universal_a be_v common_o divide_v into_o ascite_n timpanites_n and_o anasarca_fw-la vel_fw-la leucophlegmatia_fw-la we_o will_v not_o speak_v here_o of_o the_o tympanite_n since_o scarce_o ever_o such_o be_v see_v and_o it_o differ_v from_o ascite_n but_o secundum_fw-la majus_fw-la &_o minus_fw-la be_v always_o accompany_v with_o many_o serosity_n i_o shall_v stick_v only_o to_o the_o arscite_v and_o anasarca_n though_o if_o well_o examine_v this_o last_o may_v be_v reduce_v to_o a_o kind_n of_o universal_a ascite_n dropsy_n in_o strictnâ—â—…_n but_o one_o soâ—…_n of_o dropsy_n or_o may_v very_o rational_o be_v comprehend_v under_o the_o general_a notion_n of_o it_o false_a ascite_v true_a or_o false_a ascite_n be_v true_a or_o false_a the_o true_a be_v cause_v by_o a_o great_a quantity_n of_o water_n that_o fill_v the_o whole_a cavity_n of_o the_o belly_n which_o swell_v and_o tumefy_v it_o to_o the_o last_o degree_n of_o tension_n true_a true_a these_o water_n fall_v often_o into_o the_o scrotum_fw-la and_o make_v a_o hydrocele_n and_o when_o they_o grow_v sharp_a and_o pungent_a cause_n several_a troublesome_a accident_n as_o we_o shall_v show_v in_o the_o follow_a discourse_n anasarca_n false_a difference_n between_o false_a ascite_n and_o anasarca_n the_o false_a differ_v from_o the_o anasarca_fw-la in_o this_o that_o the_o last_o affect_v ordinary_o the_o whole_a habit_n of_o the_o body_n and_o the_o other_o be_v only_o confine_v to_o the_o cavity_n of_o the_o belly_n the_o anasarca_n consist_v in_o the_o swell_n of_o the_o whole_a body_n and_o the_o other_o only_o in_o one_o part_n you_o must_v observe_v that_o in_o anasarca_n and_o false_a ascite_n the_o tegument_n only_o be_v alter_v whereas_o the_o true_a ascite_n possess_v the_o whole_a capacity_n of_o the_o belly_n when_o i_o say_v the_o tegument_n be_v only_o alter_v it_o be_v that_o you_o may_v observe_v that_o the_o body_n of_o the_o muscle_n be_v not_o penetrate_v though_o it_o be_v true_a the_o water_n swim_v on_o the_o surface_n and_o it_o be_v observe_v in_o the_o open_n those_o who_o die_v of_o a_o dropsy_n that_o their_o fibre_n be_v whitish_a as_o well_o as_o the_o neighbour_a part_n because_o they_o have_v be_v too_o long_o humect_v with_o the_o water_n but_o the_o rest_n be_v as_o firm_a and_o solid_a as_o those_o which_o have_v not_o be_v touch_v at_o all_o it_o must_v also_o be_v observe_v that_o in_o anasarca_n and_o false_a ascite_n the_o water_n be_v sweet_a unsavoury_a and_o without_o acrimony_n for_o which_o reason_n it_o be_v not_o so_o penetrate_v and_o the_o patient_n be_v without_o thirst_n and_o fever_n his_o urinal_n be_v sweet_a crude_a and_o thin_a but_o contrariwise_o in_o true_a
ascite_n the_o urinal_n be_v red_a muddy_a and_o lixivious_a the_o patient_n have_v excessive_a thirst_n slow_a fever_n and_o difficulty_n of_o urin._n i_o shall_v not_o trouble_v myself_o to_o tell_v you_o the_o ancient_n opinion_n concern_v the_o cause_n of_o the_o dropsy_n dropsy_n four_o chief_a cause_n of_o the_o dropsy_n but_o suppose_v these_o four_o thing_n contribute_v to_o its_o formation_n viz._n 1._o indigestion_n of_o the_o chyle_n 2._o loose_a texture_n of_o the_o part_n 3._o slowness_n of_o the_o blood_n circulation_n 4._o a_o general_a dissolution_n of_o its_o whole_a mass_n chyle_n 1._o indigestion_n of_o the_o chyle_n i_o begin_v first_o with_o indigestion_n of_o the_o chyle_n which_o almost_o always_o proceed_v from_o the_o alteration_n of_o the_o dissolvent_n that_o serve_v for_o the_o preparation_n and_o the_o consummation_n of_o their_o oil_n and_o viscosity_n when_o the_o chyle_n be_v well_o temper_a prepare_v and_o free_v from_o the_o course_n particle_n it_o be_v nothing_o but_o a_o buttery_n mass_n which_o pass_v into_o the_o venae_fw-la lacteae_fw-la and_o from_o thence_o into_o the_o right_a ventricle_n of_o the_o heart_n to_o be_v unite_v with_o the_o blood_n which_o come_v from_o all_o part_n deprive_v of_o its_o oil_n and_o most_o active_a principle_n and_o serve_v for_o a_o vehicle_n and_o balm_n for_o new_a nourishment_n it_o be_v this_o lactaceous_a liquor_n well_o depurate_v and_o extreme_o fluid_a which_o entertain_v the_o part_n and_o which_o by_o its_o mixture_n unite_v and_o tie_v in_o the_o heart_n the_o two_o substance_n of_o blood_n viz._n the_o white_a part_n to_o the_o red_a which_o substance_n well_o join_v make_v a_o whole_a neither_o too_o fluid_a nor_o solid_a but_o such_o as_o nature_n judge_n most_o proper_a to_o circulate_v without_o obstacle_n in_o the_o vessel_n but_o if_o by_o chance_n the_o oil_n of_o the_o blood_n and_o other_o humour_n with_o which_o it_o be_v furnish_v shall_v happen_v to_o be_v dissipate_v either_o by_o violent_a exercise_n too_o serious_a meditation_n extreme_a grief_n or_o by_o the_o abundance_n and_o exaltation_n of_o the_o salt_n the_o chyle_n must_v of_o necessity_n grow_v sour_a become_v indigested_a serous_a and_o incapable_a of_o any_o union_n then_o it_o be_v so_o far_o from_o preserve_v the_o consistence_n of_o the_o blood_n that_o it_o rather_o dissolve_v liquefy_v and_o dispose_v it_o to_o make_v obstruction_n rheumatism_n dropsy_n etc._n etc._n because_o the_o arterial_a blood_n not_o be_v able_a to_o receive_v through_o this_o indigestion_n and_o the_o preparation_n and_o trituration_n necessary_a for_o the_o life_n of_o the_o part_n it_o be_v course_n must_v be_v in_o a_o manner_n intercept_v pass_v into_o the_o vesicles_n or_o rather_o space_n between_o the_o porosity_n of_o the_o artery_n and_o vein_n where_o the_o little_a oil_n free_v and_o disengage_v its_o self_n from_o the_o other_o principle_n which_o it_o have_v take_v hold_n of_o before_o to_o change_v into_o our_o proper_a substance_n so_o that_o the_o serosity_n of_o the_o blood_n be_v at_o full_a liberty_n and_o have_v lose_v a_o part_n of_o its_o motion_n pour_v itself_o into_o the_o space_n which_o it_o meet_v with_o part_n 2._o loose_a texture_n of_o the_o part_n and_o so_o cause_v the_o dropsy_n according_a to_o the_o texture_n of_o the_o part_n which_o we_o have_v suppose_v more_o or_o less_o lax_n circulation_n 3._o slow_a circulation_n we_o must_v now_o explain_v that_o cause_n which_o proceed_v from_o the_o slow_a circulation_n of_o the_o venal_a blood_n that_o we_o may_v have_v a_o idea_n of_o it_o we_o must_v examine_v by_o what_o mechanism_n this_o blood_n be_v carry_v back_o to_o the_o ventricle_n of_o the_o heart_n which_o be_v the_o focus_n of_o its_o â—â—â—ion_n artery_n how_o the_o venal_a blood_n be_v carry_v to_o the_o artery_n i_o set_v first_o omit_v the_o organ_n of_o respiration_n and_o the_o assistance_n of_o the_o valve_n three_o principal_a mover_n which_o oblige_v the_o venal_a blood_n to_o pass_v through_o the_o heart_n 1._o the_o pulsation_n of_o the_o artery_n 2._o the_o motion_n of_o the_o muscle_n 3._o the_o mixture_n of_o the_o lympha_fw-la if_o the_o pulsation_n of_o the_o artery_n be_v weaken_v blood_n 1._o pulsation_n of_o the_o artery_n help_v the_o motion_n of_o the_o blood_n the_o motion_n of_o the_o venal_a blood_n must_v be_v lessen_v because_o the_o artery_n beat_v and_o actual_o flagellate_v those_o vessel_n and_o so_o oblige_v the_o blood_n which_o they_o contain_v to_o repair_v to_o the_o heart_n with_o a_o wonderful_a facility_n muscle_n 2._o motion_n of_o the_o muscle_n the_o motion_n of_o the_o muscle_n be_v much_o more_o important_a to_o hasten_v the_o circulation_n of_o this_o liquor_n they_o be_v as_o so_o many_o hand_n which_o press_v the_o vessel_n that_o penetrate_v or_o pass_v through_o they_o and_o determine_v the_o liquor_n which_o they_o contain_v to_o a_o quick_a discharge_n into_o their_o recepticle_n so_o that_o if_o they_o have_v lose_v a_o part_n of_o their_o motion_n for_o want_v of_o spirit_n the_o circulation_n of_o this_o course_n blood_n will_v be_v as_o it_o be_v supend_v in_o the_o vein_n lympha_fw-la 3._o the_o lympha_fw-la in_o the_o three_o place_n i_o say_v that_o the_o lympha_fw-la dispose_v itself_o in_o the_o vein_n to_o make_v the_o blood_n more_o fluid_a and_o fit_a to_o circulate_v no_o it_o be_v certain_a if_o its_o course_n be_v impede_v either_o in_o the_o gland_n or_o lymphatic_a vessel_n the_o blood_n will_v circulate_v much_o slow_a for_o want_v of_o a_o dissolvent_a this_o be_v suppose_v that_o indigestion_n of_o the_o blood_n slow_a and_o dull_a pulsation_n of_o the_o artery_n weak_a motion_n of_o the_o muscle_n and_o interruption_n of_o the_o course_n of_o the_o lympha_fw-la be_v cause_n which_o concur_v somewhat_o to_o impede_fw-la the_o circulation_n of_o the_o venal_a blood_n poor_a the_o venal_a blood_n very_o poor_a which_o be_v a_o blood_n deprive_v of_o its_o spirituous_a particle_n have_v no_o consistence_n or_o strait_a union_n between_o they_o then_o the_o serosity_n which_o serve_v the_o rest_n of_o the_o blood_n as_o a_o matrix_fw-la separate_v itself_o from_o it_o as_o the_o serosity_n of_o milk_n from_o the_o curd_n it_o transpire_v between_o the_o interval_n of_o the_o fibre_n or_o pour_v itself_o out_o as_o a_o gentle_a rain_n in_o some_o capacity_n for_o to_o frame_v both_o kind_n of_o dropsy_n two_o experiment_n confirm_v i_o in_o this_o opinion_n the_o first_o be_v that_o if_o we_o make_v the_o ligature_n of_o the_o vein_n in_o some_o part_n and_o that_o one_o hinder_v the_o passage_n of_o the_o blood_n it_o do_v not_o fail_v to_o be_v overflow_v in_o a_o short_a time_n leg_n big_a belly_a woman_n subject_a to_o hydropical_a leg_n the_o second_o be_v we_o observe_v that_o most_o big_a belly_a woman_n have_v hydropic_a leg_n or_o at_o lest_o varices_fw-la this_o be_v a_o matter_n of_o fact_n not_o to_o be_v dispute_v and_o which_o be_v easy_o explain_v only_o by_o the_o disposition_n of_o the_o part_n we_o observe_v that_o as_o the_o foetus_fw-la grow_v big_a it_o enlarge_v the_o matrix_fw-la and_o compress_n so_o much_o the_o iliac_n and_o crurel_n vein_n which_o be_v near_o that_o the_o blood_n which_o come_v from_o the_o inferior_a part_n not_o have_v the_o liberty_n to_o move_v as_o it_o use_v to_o do_v by_o reason_n of_o this_o compression_n there_o must_v a_o dropsy_n follow_v as_o we_o have_v show_v blood_n dissolution_n of_o the_o blood_n what_o belong_v to_o the_o cause_n of_o the_o dropsy_n which_o proceed_v from_o the_o dissolution_n of_o the_o blood_n we_o have_v already_o remark_v when_o he_o speak_v of_o indigestion_n of_o the_o chyle_n that_o nothing_o be_v so_o capable_a of_o destroy_v and_o consume_v the_o oil_n of_o the_o blood_n as_o the_o abundance_n and_o exaltation_n of_o the_o sharp_a and_o tartarous_a salt_n it_o be_v by_o the_o mean_n of_o their_o action_n that_o we_o explain_v how_o scorbutic_a hypocondriac_n lienteric_a person_n and_o those_o who_o lie_v long_o in_o prison_n become_v hydropical_a which_o we_o can_v not_o easy_o demonstrate_v if_o we_o do_v not_o admit_v the_o motion_n and_o agitation_n of_o the_o cut_n and_o corrosive_a particle_n which_o put_v the_o principle_n of_o the_o blood_n to_o the_o rout_n and_o disunite_v they_o so_o that_o the_o sarum_n escape_v on_o all_o side_n and_o give_v way_n for_o the_o dropsy_n to_o seize_v on_o some_o part_n whether_o it_o transpire_v in_o form_n of_o a_o dew_n through_o the_o tunicle_n and_o membrane_n or_o filter_n between_o their_o fibre_n or_o the_o gland_n let_v it_o escape_v or_o it_o be_v spill_v by_o the_o interruption_n of_o its_o most_o insensible_a vessel_n in_o the_o void_a space_n which_o present_v themselves_o at_o their_o passage_n it_o will_v always_o be_v true_o say_v that_o the_o part_n which_o nature_n have_v a_o mind_n
the_o other_o unless_o the_o patient_n be_v resolve_v to_o endure_v the_o operation_n the_o 4._o be_v in_o all_o old_a excrescency_n to_o have_v a_o idea_n of_o their_o generation_n you_o must_v consider_v that_o the_o one_o attack_n the_o substance_n itself_o and_o the_o other_o its_o tunicle_n after_o this_o you_o must_v look_v upon_o the_o spermatic_a artery_n as_o the_o true_a source_n and_o channel_n which_o convey_v the_o matter_n of_o which_o the_o carnosity_n be_v form_v and_o that_o the_o arterial_a blood_n furnish_v the_o testicle_n with_o the_o matter_n of_o seed_n to_o be_v prepare_v there_o let_v we_o slip_v in_o this_o elaboration_n its_o most_o greasy_a and_o viscous_a part_n which_o the_o moderate_a heat_n that_o we_o find_v there_o condense_n in_o the_o little_a channel_n which_o compose_v they_o or_o in_o their_o tunicle_n almost_o as_o the_o white_a of_o a_o egg_n harden_v over_o a_o moderate_a fire_n this_o matter_n come_v to_o swell_v and_o extend_v these_o little_a tender_a pipe_n produce_v that_o which_o we_o call_v a_o spungy_a and_o carcinomatous_a excrescence_n it_o be_v only_o a_o swell_n of_o these_o little_a filament_n which_o a_o strange_a humour_n force_v to_o rise_v in_o a_o tumour_n you_o may_v also_o observe_v that_o by_o the_o over-growing_a of_o a_o new_a matter_n it_o become_v very_o often_o so_o remarkable_a that_o one_o can_v long_o carry_v this_o burden_n without_o discharge_v it_o if_o it_o happen_v that_o by_o what_o cause_n soever_o this_o liquor_n shall_v be_v determinate_v rather_o into_o the_o membrane_n of_o the_o testicle_n than_o any_o where_o else_o and_o that_o there_o be_v form_v a_o carcinomatous_a substance_n all_o along_o the_o production_n of_o the_o peritonaeum_fw-la which_o encroach_v sometime_o upon_o the_o interior_n part_n of_o the_o belly_n i_o suppose_v that_o the_o operation_n will_v then_o be_v needless_a because_o this_o carnosity_n occupy_v not_o only_o the_o vaginal_a tunicle_n which_o be_v a_o dilatation_n of_o the_o production_n of_o the_o peritonaeum_fw-la but_o also_o the_o production_n themselves_o you_o will_v ruin_v the._n vessel_n ring_n and_o several_a part_n include_v in_o the_o hypogastrium_fw-la i_o will_v not_o repeat_v here_o the_o sign_n of_o this_o disease_n as_o for_o its_o prognostic_n prognostic_n prognostic_n they_o be_v always_o very_o bad_a because_o it_o cost_v the_o testicle_n if_o any_o carnosity_n possess_v its_o substance_n for_o it_o can_v be_v consume_v without_o destroy_v it_o and_o the_o sare_a way_n be_v the_o operation_n chap._n xiii_o of_o castration_n the_o patient_n be_v lay_v on_o his_o back_n the_o surgeon_n incise_n with_o a_o very_a sharp_a instrument_n the_o membrane_n of_o the_o scrotum_fw-la upon_o the_o body_n of_o the_o testicle_n to_o discover_v the_o carnosity_n which_o must_v be_v separate_v from_o the_o dartos_fw-la without_o offend_v the_o cover_n of_o the_o seminal_a vessel_n be_v free_v from_o the_o neighbour_a part_n you_o make_v the_o ligature_n of_o the_o vessel_n between_o the_o ring_n and_o the_o tumour_n you_o must_v cut_v they_o half_o the_o length_n of_o a_o finger_n from_o the_o ligature_n and_o take_v away_o the_o testicle_n with_o the_o sarcoma_n you_o leave_v a_o end_n of_o the_o thread_n out_o of_o the_o wound_n avoid_v to_o pull_v the_o spermatick_a vessel_n to_o you_o hard_o the_o spermatick_a vessel_n not_o to_o be_v tie_v too_o hard_o or_o compress_v they_o too_o hard_o lest_o the_o patient_n shall_v fall_v into_o a_o convulsion_n that_o they_o may_v not_o slip_v into_o the_o belly_n where_o they_o will_v shed_v blood_n and_o so_o cause_n death_n in_o a_o little_a time_n if_o the_o tumour_n be_v considerable_a scirrhous_a inflame_v painful_a and_o posfess_v both_o the_o testicle_n and_o of_o continuance_n the_o operation_n be_v very_o dangerous_a if_o the_o production_n of_o the_o peritonaeum_fw-la be_v carcinomatous_a and_o you_o have_v a_o design_n to_o make_v the_o operation_n you_o must_v first_o consume_v the_o flesh_n by_o the_o help_n of_o potential_a cautery_n or_o mollify_v they_o by_o a_o powerful_a suppuration_n yet_o it_o must_v be_v avoid_v if_o the_o tumour_n extend_v itself_o into_o the_o cavity_n of_o the_o belly_n for_o the_o reason_n before_o mention_v when_o the_o superfluous_a flesh_n be_v consume_v and_o the_o eschar_n fall_v if_o the_o vessel_n be_v preserve_v you_o make_v the_o ligature_n by_o the_o ring_n of_o the_o muscle_n and_o take_v away_o the_o testicle_n as_o i_o have_v say_v for_o shall_v you_o make_v it_o before_o the_o fall_n of_o the_o eschar_n the_o patient_n will_v suffer_v dangerous_a convulsion_n you_o fill_v the_o wound_n afterward_o with_o dossils_n dip_v in_o some_o digestive_a and_o emborate_v and_o apply_v defensitives_n compress_n with_o a_o suspensorium_fw-la order_v bleed_a clyster_n and_o other_o general_a remedy_n chap._n fourteen_o of_o hydrocele_n ascite_v a_o hydrocele_n from_o ascite_v incurable_a unless_o you_o cure_v the_o ascite_v if_o the_o hydrocele_n be_v the_o consequence_n of_o the_o dropsy_n ascite_v the_o operation_n be_v useless_a because_o there_o run_v always_o new_a matter_n which_o present_o produce_v another_o hydrocele_n so_o that_o unless_o you_o dry_v up_o the_o source_n there_o be_v no_o hope_n of_o cure_n in_o this_o the_o water_n occupy_v always_o the_o tunica_fw-la vaginalis_fw-la and_o run_v from_o the_o capacity_n of_o the_o abdomen_fw-la through_o the_o prolongation_n of_o the_o peritonaeum_fw-la all_o other_o sort_n of_o hydrocele_n proceed_v from_o the_o slow_a motion_n of_o the_o blood_n cure_n other_o cure_n or_o its_o dissolution_n fall_n and_o blow_v may_v also_o contribute_v to_o their_o formation_n the_o reason_n be_v that_o the_o blood_n stagnate_v more_o easy_o in_o these_o part_n which_o cause_v the_o serosity_n to_o separate_v from_o it_o on_o the_o same_o principle_n i_o say_v that_o the_o circumvolution_n and_o serpentine_a turn_n which_o the_o spermatick_a vein_n form_n in_o their_o root_n be_v for_o the_o most_o part_n the_o cause_n of_o it_o if_o the_o blood_n be_v the_o least_o dispose_v to_o it_o for_o see_v it_o do_v not_o circulate_v here_o but_o with_o much_o ado_n the_o serosity_n have_v time_n enough_o to_o separate_v and_o distil_v into_o the_o purse_n have_v examine_v the_o sign_n of_o the_o two_o sort_n of_o hydrocele_n when_o we_o speak_v of_o those_o of_o the_o hernia_n intestinalis_fw-la we_o will_v say_v nothing_o more_o of_o they_o than_o the_o prognostic_n which_o be_v only_o of_o ill_a consequence_n when_o the_o water_n be_v include_v in_o a_o cystis_n we_o must_v now_o examine_v all_o the_o circumstance_n of_o both_o kind_n which_o require_v two_o different_a way_n of_o operate_a we_o have_v observe_v when_o we_o treat_v of_o the_o sign_n that_o the_o first_o kind_n of_o hydrocele_n be_v distinguish_v and_o know_v when_o the_o water_n extraordinary_o swell_v and_o extend_v the_o membrane_n of_o the_o scrotum_fw-la chap._n xv._o of_o the_o operation_n of_o hydrocele_n this_o operation_n consist_v in_o make_v a_o puncture_n into_o the_o scrotum_fw-la with_o the_o trocher_n accompany_v with_o its_o canula_n through_o which_o the_o water_n run_v free_o and_o when_o it_o be_v empty_v you_o withdraw_v your_o instrument_n and_o the_o cutis_fw-la of_o the_o cod_n become_v rugous_a as_o before_o and_o the_o aperture_n stop_v exact_o this_o be_v perform_v without_o trouble_n or_o danger_n but_o omit_v not_o dry_v up_o the_o source_n by_o the_o use_n of_o general_a remedy_n otherwise_o the_o tumour_n will_v not_o fail_v to_o return_v the_o second_o kind_n of_o hydrocele_n which_o general_o possess_v only_o one_o side_n ordinary_o attack_n the_o tunicle_n of_o the_o testicle_n it_o be_v also_o much_o more_o painful_a through_o the_o great_a tension_n of_o its_o membrane_n operation_n the_o method_n of_o the_o operation_n the_o method_n require_v in_o this_o consist_v in_o make_v the_o aperture_n deep_a and_o large_a enough_o as_o well_o to_o give_v vent_n to_o the_o water_n as_o to_o carry_v medicine_n thither_o which_o have_v the_o virtue_n of_o dissipate_v the_o membrane_n that_o be_v imbue_v with_o they_o we_o use_v to_o make_v the_o aperture_n at_o the_o side_n of_o the_o scrotum_fw-la with_o a_o lancet_n lancet_n the_o caustic_n better_a than_o a_o lancet_n or_o a_o potential_a cautery_n to_o avoid_v the_o spermatick_a vessel_n and_o see_v the_o cautery_n make_v a_o great_a eschar_n it_o be_v to_o be_v prefer_v before_o the_o lancet_n because_o you_o be_v in_o less_o danger_n of_o offend_v the_o testicle_n and_o you_o dissipate_v insensible_o the_o membrane_n by_o suppuration_n you_o must_v note_n that_o see_v the_o water_n hinder_v the_o action_n of_o this_o remedy_n in_o blunt_v its_o corrosive_a particle_n if_o the_o first_o that_o be_v apply_v make_v not_o a_o eschar_n deep_o enough_o it_o be_v necessary_a to_o apply_v another_o when_o the_o eschar_n be_v off_o you_o fill_v the_o wound_n with_o dossils_n and_o leave_v
stony_a matter_n the_o good_a or_o bad_a use_n of_o food_n contribute_v much_o to_o its_o formation_n we_o observe_v that_o those_o who_o use_v too_o spiritous_a drink_n and_o dirty_a food_n be_v more_o subject_a to_o it_o than_o other_o we_o see_v also_o that_o those_o who_o live_v on_o milk_n meat_n fruit_n pulse_n rye_n bread_n and_o several_a other_o impurity_n be_v often_o torment_v with_o it_o the_o latter_a contribute_v to_o it_o because_o of_o their_o impurity_n and_o the_o other_o by_o reason_n of_o their_o spiritous_a particle_n the_o latter_a furnish_v the_o principle_n of_o the_o stone_n and_o the_o other_o the_o ferment_n which_o dispose_v the_o excrement_n because_o work_v on_o the_o colon_n which_o be_v near_o it_o gnaw_v and_o corrode_v the_o tunicle_n and_o after_o this_o manner_n open_v a_o passage_n to_o come_v out_o this_o way_n vomit_v and_o palsy_n of_o the_o thigh_n and_o leg_n be_v also_o concomitant_a the_o disease_a can_o stand_v straight_o and_o the_o testicle_n of_o the_o same_o side_n retire_v into_o the_o groin_n reins_o cause_o of_o vomit_v in_o inflammation_n of_o the_o reins_o the_o vomit_v proceed_v from_o the_o mutual_a communication_n that_o be_v between_o the_o nerve_n of_o the_o kidney_n and_o stomach_n by_o the_o irritation_n of_o the_o spirit_n in_o the_o carnous_a fibres_fw-fr of_o the_o stomach_n occasion_v by_o the_o inflammation_n of_o the_o reins_o reins_o cause_o of_o the_o palsy_n of_o the_o thigh_n etc._n etc._n in_o inflammation_n of_o the_o reins_o to_o give_v a_o reason_n for_o the_o palsy_n you_o must_v observe_v that_o the_o kidney_n be_v lay_v upon_o the_o head_n of_o the_o muscle_n psoas_n which_o it_o press_v and_o inflame_v this_o muscle_n be_v inflame_v also_o press_v a_o thick_a string_n of_o nerve_n which_o pass_v through_o its_o body_n and_o distribute_v itself_o into_o the_o interior_a part_n of_o the_o thigh_n and_o leg_n from_o whence_o follow_v the_o stupor_n by_o the_o suppression_n or_o obstruction_n of_o the_o spirit_n after_o this_o manner_n the_o muscle_n psoas_n reciprocal_o inflame_v the_o iliac_n to_o which_o it_o be_v join_v and_o see_v these_o two_o muscle_n serve_v to_o bend_v the_o thigh_n it_o can_v no_o more_o obey_v not_o follow_v the_o action_n of_o these_o extensor_n which_o be_v the_o cause_n that_o we_o can_v stand_v upright_o without_o cruel_a pain_n groin_n cause_o of_o the_o contraction_n or_o shrivel_a up_o of_o the_o testicle_n into_o the_o groin_n the_o testicle_n retire_v into_o the_o groin_n by_o reason_n the_o iliac_n muscle_n be_v join_v to_o the_o cremaster_n which_o embrace_v the_o body_n of_o the_o testicle_n so_o that_o its_o fibre_n be_v shorten_v by_o the_o inflammation_n which_o the_o iliac_n communicate_v to_o it_o the_o testicle_n must_v necessary_o mount_v into_o the_o groin_n nevertheless_o all_o these_o sign_n be_v equivocal_a see_v they_o may_v happen_v in_o the_o ordinary_a inflammation_n of_o the_o reins_o that_o be_v to_o say_v in_o the_o nephretic_n colic_n bladder_n sign_n of_o the_o stone_n in_o the_o bladder_n the_o sign_n of_o the_o stone_n in_o the_o bladder_n be_v palsific_a burn_a pain_n in_o the_o time_n of_o make_v water_n the_o urine_n come_v out_o by_o drop_n and_o reiterated_a turn_n as_o in_o stranguria_n and_o as_o the_o bladder_n be_v empty_v and_o diminish_v in_o bigness_n its_o side_n apply_v themselves_o so_o hard_o against_o the_o surface_n of_o the_o stone_n which_o if_o it_o be_v rough_a it_o fail_v not_o to_o cause_v sufficient_a convulsion_n and_o break_v some_o vessel_n in_o which_o consist_v the_o burn_a pain_n one_o feel_v after_o piss_v and_o the_o last_o drop_n be_v often_o bloody_a the_o water_n be_v make_v by_o turn_n because_o the_o stone_n which_o lie_v heavy_a on_o the_o neck_n of_o the_o bladder_n bladder_n cause_n of_o these_o sign_n of_o the_o stone_n in_o the_o bladder_n stop_v partly_o the_o passage_n of_o the_o urine_n but_o the_o worst_a be_v that_o in_o the_o time_n of_o piss_v and_o when_o the_o side_n which_o before_o be_v extend_v come_v to_o touch_v rude_o against_o this_o rough_a body_n its_o nervous_a fibre_n break_v and_o give_v way_n to_o the_o urine_n by_o its_o acrimony_n to_o prick_v they_o so_o cause_v convulsion_n cruel_a and_o pungent_a pain_n and_o imprint_n on_o the_o spirit_n a_o irregular_a motion_n by_o occasion_n of_o which_o the_o carnous_a fibres_fw-fr contract_n and_o embrace_v the_o stone_n fast_o the_o disease_a think_v in_o that_o moment_n to_o ease_v himself_o and_o desire_v to_o suspend_v the_o course_n of_o the_o spirit_n augment_v on_o the_o contrary_a the_o violence_n of_o the_o pain_n and_o retard_v the_o course_n of_o the_o urine_n and_o so_o cause_v some_o of_o it_o to_o remain_v always_o in_o the_o bladder_n which_o grow_v acid_a and_o at_o length_n become_v stink_v by_o its_o stay_n there_o so_o renew_v much_o sharp_a and_o insupportable_a pain_n itch_a cause_o of_o itch_a one_o feel_v a_o itch_a in_o the_o region_n of_o the_o perineum_fw-la which_o irritate_v the_o sphincter_n of_o the_o anus_fw-la excite_v a_o tenesmus_n the_o itch_a continue_v even_o to_o the_o extremity_n of_o the_o gland_n which_o oblige_v the_o patient_n to_o rub_v it_o often_o perineum_fw-la cause_o of_o heaviness_n about_o the_o perineum_fw-la the_o heaviness_n about_o the_o perineum_fw-la can_v proceed_v but_o from_o the_o weight_n of_o the_o stone_n and_o the_o itch_a from_o the_o acrimony_n of_o the_o urinc_fw-la sometime_o there_o happen_v a_o priapism_n or_o a_o involuntary_a erection_n of_o the_o penis_n cause_v by_o the_o irritation_n of_o the_o fibre_n and_o inflammation_n of_o the_o bladder_n and_o urethra_fw-la which_o communicate_v itself_o to_o the_o cavernous_a body_n it_o be_v easy_a to_o see_v that_o the_o irritation_n of_o the_o part_n join_v with_o some_o slight_a indisposition_n can_v awake_v and_o hasten_v the_o course_n of_o the_o blood_n and_o spirit_n design_v for_o the_o function_n of_o the_o yard_n and_o adjacent_a muscle_n which_o be_v swell_v by_o the_o spirit_n compress_v the_o vein_n which_o be_v distribute_v in_o it_o to_o hinder_v the_o return_n of_o the_o blood_n the_o blood_n and_o spirit_n fill_v all_o the_o vacuum_n or_o empty_a space_n of_o the_o hollow_a body_n the_o yard_n must_v needs_o grow_v stiff_a and_o extend_v itself_o we_o observe_v that_o the_o urine_n be_v sometime_o white_a sometime_o bloody_a trouble_a and_o muddy_a and_o be_v charge_v with_o a_o mucous_a and_o sandy_a sediment_n hippocrates_n in_o his_o aphorism_n report_n that_o when_o the_o urine_n be_v extreme_a clear_a and_o you_o find_v sand_n in_o the_o bottom_n of_o the_o urinal_n it_o be_v a_o infallible_a mark_n of_o the_o stone_n be_v existence_n in_o the_o bladder_n bladder_n a_o certain_a sign_n of_o two_o or_o more_o stone_n in_o the_o bladder_n when_o the_o stone_n be_v smooth_a it_o be_v a_o sign_n that_o it_o be_v accompany_v with_o some_o other_o stone_n which_o by_o their_o continual_a atrition_n become_v polish_v and_o smooth_a if_o the_o stone_n be_v big_a and_o lie_v heavy_a on_o the_o neck_n of_o the_o bladder_n it_o dilate_v in_o such_o a_o manner_n that_o in_o time_n it_o grow_v as_o big_a as_o its_o bottom_n if_o it_o adhere_v to_o any_o part_n or_o be_v contain_v in_o a_o cistis_fw-la the_o patient_n may_v carry_v it_o all_o his_o life_n without_o any_o detriment_n or_o manifest_v any_o of_o the_o sign_n which_o we_o have_v speak_v of_o especial_o when_o it_o be_v suspend_v at_o the_o bottom_n of_o the_o bladder_n observation_n a_o observation_n van_n helmont_n assure_v we_o that_o he_o know_v a_o priest_n who_o go_v to_o reach_v a_o book_n in_o his_o library_n at_o the_o same_o moment_n feel_v a_o great_a weight_n in_o the_o hypogastric_a region_n which_o be_v present_o follow_v with_o all_o the_o symptom_n we_o have_v describe_v it_o be_v the_o stone_n which_o be_v then_o separate_v from_o the_o bottom_n of_o the_o bladder_n by_o this_o simple_a effort_n so_o that_o he_o be_v oblige_v to_o come_v to_o the_o operation_n but_o the_o most_o sure_a and_o certain_a sign_n of_o the_o stone_n be_v the_o probe_n which_o convince_v we_o of_o it_o by_o the_o resistance_n it_o make_v and_o noise_n which_o we_o hear_v when_o we_o strike_v upon_o it_o this_o be_v also_o the_o sign_n which_o cause_v the_o necessity_n of_o the_o operation_n if_o the_o age_n season_n and_o strength_n of_o the_o patient_n permit_v stone_n no_o medicine_n so_o powerful_a as_o to_o dissolve_v the_o stone_n here_o it_o be_v where_o mountebank_n triumph_v who_o by_o their_o imposture_n endeavour_v to_o persuade_v people_n that_o they_o have_v infallible_a secret_n to_o dissolve_v the_o stone_n in_o the_o reins_o and_o bladder_n these_o sweet_a hope_n flatter_v the_o mind_n of_o those_o who_o be_v trouble_v with_o it_o but_o when_o we_o show_v they_o by_o evident_a demonstration_n that_o
specific_a remedy_n to_o hinder_v the_o progress_n of_o this_o disease_n be_v bleed_v which_o keep_v the_o first_o rank_n and_o i_o say_v that_o if_o it_o be_v of_o any_o use_n at_o all_o in_o surgery_n it_o be_v without_o doubt_n in_o this_o occasion_n here_o bleed_v no_o where_n of_o so_o great_a use_n as_o here_o because_o in_o empty_v the_o vessel_n it_o hinder_v the_o blood_n from_o be_v carry_v so_o abundant_o to_o that_o part_n and_o must_v consequent_o lessen_v the_o bigness_n of_o the_o tumour_n in_o diminish_v the_o quantity_n of_o the_o blood_n pleurisy_n approve_a remedy_n in_o a_o pleurisy_n the_o other_o remedy_n be_v those_o which_o rarify_v subtilise_v and_o attenuate_v the_o blood_n as_o horse_n or_o mule_n dung_n infuse_v in_o white-wine_n old_a he-goat_n blood_n in_o powder_n all_o volatile_a salt_n and_o several_a other_o remedy_n of_o that_o nature_n the_o decoction_n of_o nettle_n in_o strong_a wine_n which_o you_o sweeten_v with_o sugar_n be_v also_o excellent_a you_o may_v at_o the_o same_o time_n you_o take_v the_o decoction_n lay_v on_o the_o side_n the_o bruise_a nettle_n in_o form_n of_o a_o cataplasm_n peripneumonia_n of_o a_o peripneumonia_n have_v thus_o in_o general_n explain_v the_o cause_n of_o a_o pleurisy_n i_o be_o oblige_v to_o say_v something_o of_o a_o peripneumonia_n that_o sometime_o proceed_v from_o a_o impostume_n of_o the_o brain_n or_o from_o the_o inflammation_n of_o some_o membrane_n which_o change_v into_o a_o abscess_n as_o experience_n demonstrate_v in_o those_o that_o die_v of_o great_a wound_n of_o the_o head_n but_o for_o the_o most_o part_n it_o be_v cause_v by_o the_o corruption_n of_o the_o blood_n that_o be_v to_o say_v by_o the_o exaltation_n of_o its_o sharp_a particle_n all_o the_o difficulty_n be_v to_o know_v why_o the_o pus_fw-la or_o blood_n stop_v rather_o in_o the_o lung_n than_o in_o any_o part_n else_o for_o to_o make_v a_o impostumation_n i_o say_v that_o three_o cause_n contribute_v to_o its_o formation_n the_o alteration_n of_o the_o blood_n peripneumonia_n cause_n of_o peripneumonia_n long_a and_o slow_a respiration_n and_o the_o structure_n of_o the_o part_n blood_n first_o cause_n alteration_n of_o the_o blood_n concern_v the_o first_o you_o must_v only_o make_v reflection_n on_o the_o nature_n and_o mixture_n of_o the_o chile_n and_o thick_a blood_n which_o the_o right_a ventricle_n of_o the_o heart_n send_v in_o every_o sistole_n to_o the_o lung_n through_o the_o pulmonic_a artery_n we_o know_v that_o these_o two_o liquor_n pass_v through_o the_o heart_n and_o lung_n for_o to_o receive_v some_o necessary_a preparation_n for_o the_o function_n of_o the_o part_n therefore_o we_o may_v say_v that_o they_o be_v the_o two_o receptacle_n of_o all_o that_o be_v most_o thick_a and_o indigested_a in_o the_o mass_n of_o blood_n but_o if_o the_o heart_n have_v the_o strength_n and_o power_n by_o its_o constriction_n to_o subtilise_v and_o cast_v off_o all_o that_o be_v most_o heavy_a and_o material_a in_o the_o mass_n the_o lung_n have_v not_o the_o same_o advantage_n as_o we_o will_v prove_v so_o that_o the_o grosser_n substance_n be_v accompany_v with_o some_o impurity_n and_o have_v only_o feel_v the_o first_o effect_n of_o the_o heart_n for_o its_o perfection_n it_o must_v needs_o stop_v there_o and_o putrefy_v espiration_n second_o cause_n long_o and_o slow_a i_o espiration_n the_o second_o cause_n which_o i_o establish_v be_v a_o long_a and_o slow_a respiration_n it_o be_v certain_a the_o more_o free_a the_o air_n enter_v into_o the_o breast_n and_o the_o more_o the_o vessel_n be_v extend_v they_o be_v in_o a_o more_o fit_a condition_n by_o their_o elastic_a virtue_n or_o spring_n to_o express_v the_o air_n through_o the_o pipe_n of_o the_o trachea_n arteria_fw-la and_o the_o more_o the_o blood_n be_v agitate_a by_o the_o inspiration_n of_o the_o air_n it_o be_v drive_v with_o great_a quickness_n into_o the_o vein_n but_o on_o the_o contrary_a if_o the_o blood_n be_v move_v slow_o by_o a_o long_a respiration_n it_o follow_v that_o the_o vessicle_n be_v not_o so_o extend_v as_o they_o shall_v be_v and_o not_o expel_v the_o blood_n out_o of_o they_o with_o such_o a_o violence_n it_o stop_v and_o corrupt_v there_o gradual_o by_o the_o arrival_n and_o mixture_n of_o some_o ill_a leaven_n or_o by_o the_o exaltation_n of_o its_o salt_n particle_n from_o whence_o it_o come_v that_o those_o who_o have_v a_o long_a neck_n be_v more_o subject_a to_o it_o than_o other_o because_o the_o air_n be_v oblige_v to_o make_v a_o long_a traverse_n before_o it_o come_v to_o the_o lung_n which_o make_v they_o dry_v up_o and_o alter_v insensible_o be_v three_o cause_n on_o the_o structure_n of_o the_o part._n what_o the_o lung_n real_o be_v the_o three_o cause_n be_v ground_v upon_o the_o structure_n of_o the_o part_n the_o lung_n be_v a_o complication_n of_o little_a vessicles_n in_o which_o the_o artery_n pour_v the_o blood_n and_o where_o it_o be_v mingle_v with_o the_o air_n to_o receive_v some_o alteration_n there_o now_o it_o be_v show_v in_o the_o hydravlic's_n that_o a_o liquor_n which_o pass_v from_o a_o little_a pipe_n into_o a_o great_a lose_v much_o of_o its_o motion_n and_o be_v the_o artery_n be_v very_o little_a in_o proportion_n to_o the_o cell_n it_o be_v no_o wonder_n if_o the_o blood_n grow_v slow_a there_o and_o change_v its_o nature_n by_o the_o exaltation_n of_o some_o sharp_a and_o tartarous_a salt_n and_o by_o the_o fermentation_n which_o they_o cause_v there_o wherefore_o the_o alteration_n of_o the_o blood_n the_o irregularity_n of_o respiration_n and_o the_o largeness_n of_o the_o vessicle_n of_o the_o lung_n in_o proportion_n to_o those_o of_o the_o artery_n be_v the_o three_o cause_n that_o concur_v to_o the_o formation_n of_o the_o peripneumonia_n since_o the_o sign_n of_o all_o these_o kind_n of_o disease_n be_v of_o the_o great_a importance_n to_o succeed_v well_o in_o the_o operation_n and_o to_o make_v a_o favourable_a or_o dangerous_a prognostic_n i_o will_v endeavour_v to_o describe_v they_o with_o all_o the_o order_n that_o be_v possible_a pleura_fw-la sign_n of_o pus_fw-la or_o blood_n in_o the_o pleura_fw-la the_o sign_n which_o show_v we_o that_o there_o be_v some_o pus_fw-la or_o blood_n stop_v in_o the_o pleura_fw-la be_v inflammation_n penetrate_v pain_n heaviness_n a_o languish_a and_o continual_a fever_n a_o hard_a thick_a and_o deep_a pulse_n accompany_v with_o shiver_v difficulty_n of_o breathe_v a_o dry_a cough_n and_o thirst_n one_o can_v lie_v on_o the_o sound_a side_n by_o reason_n the_o matter_n lie_v heavy_a on_o the_o pleura_fw-la and_o one_o grow_v lean_a and_o thin_a in_o a_o few_o day_n diaphragma_n sign_n of_o the_o matter_n on_o the_o diaphragma_n but_o if_o the_o impostume_n break_v and_o the_o matter_n fall_v on_o the_o diaphragma_n all_o these_o symptom_n cease_v and_o the_o patient_n find_v some_o ease_n for_o a_o time_n but_o immediate_o there_o come_v other_o not_o less_o dangerous_a and_o insupportable_a beside_o the_o difficulty_n of_o breathe_v which_o be_v common_a to_o every_o empiema_n one_o feel_v a_o heaviness_n upon_o the_o diaphragma_n fluctuation_n a_o great_a uneasiness_n the_o fever_n increase_v and_o become_v burn_v the_o pulse_n rise_v the_o pain_n indeed_o be_v not_o so_o sharp_a it_o be_v feel_v towards_o the_o false_a rib_n one_o can_v lie_v but_o on_o the_o side_n where_o the_o matter_n be_v for_o if_o you_o lie_v on_o the_o opposite_a side_n one_o feel_v a_o twitch_a upon_o the_o mediastinum_fw-la more_o cruel_a pain_n and_o a_o much_o great_a heaviness_n their_o spittle_n be_v sometime_o stink_a and_o there_o follow_v very_o often_o impostume_n of_o the_o liver_n after_o these_o kind_n of_o indisposition_n even_o as_o it_o be_v observe_v after_o great_a wound_n of_o the_o head_n if_o the_o pus_fw-la be_v diffuse_v on_o both_o side_n one_o can_v lie_v on_o either_o by_o reason_n of_o the_o sharp_a pain_n one_o suffer_v to_o be_v ease_v you_o must_v lie_v upon_o the_o back_n or_o belly_n lung_n sign_n of_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o sign_n when_o there_o be_v pus_fw-la in_o the_o substance_n of_o the_o lung_n may_v be_v divide_v into_o equivocal_a and_o convince_a the_o equivocal_a belong_v to_o other_o disease_n of_o the_o lung_n it_o be_v very_o dangerous_a to_o be_v mistake_v therefore_o let_v we_o endeavour_v to_o examine_v they_o well_o that_o we_o may_v draw_v some_o advantage_n and_o that_o we_o may_v not_o undertake_v a_o operation_n who_o effect_n will_v prove_v not_o only_o useless_a but_o fatal_a if_o there_o be_v any_o pus_fw-la in_o the_o substance_n of_o the_o lung_n the_o disease_v can_v breathe_v without_o pain_n he_o find_v a_o insupportable_a and_o troublesome_a heaviness_n upon_o the_o diaphragma_n because_o the_o weight_n of_o the_o matter_n deprive_v it_o of_o
of_o 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
ligature_n upon_o the_o aperture_n of_o the_o vessel_n instead_o of_o make_v it_o a_o little_a high_o because_o the_o blood_n by_o its_o impulsion_n will_v not_o fail_v to_o dilate_v the_o weaken_a part_n and_o to_o bleed_v afresh_o for_o this_o purpose_n you_o pass_v a_o needle_n over_o the_o pipe_n of_o the_o artery_n make_v first_o a_o single_a knot_n on_o which_o you_o place_v a_o little_a compress_v which_o you_o fasten_v with_o two_o other_o knot_n most_o make_v another_o knot_n in_o the_o low_a part_n of_o the_o artery_n because_o of_o the_o branch_n of_o communication_n and_o since_o it_o be_v a_o precaution_n not_o to_o be_v despise_v one_o may_v use_v it_o the_o ligature_n be_v make_v you_o lose_v the_o tourniket_n if_o the_o blood_n be_v well_o stop_v you_o open_v the_o tumour_n to_o empty_v the_o blood_n and_o fill_v it_o with_o dorsel_n arm_v with_o astringent_a powder_n as_o vitriol_n alb_fw-la to_o consume_v the_o bag_n more_o easy_o you_o cover_v the_o rest_n of_o the_o wound_n with_o bolster_n accompany_v with_o a_o plaster_n embrocation_n of_o ol._n rosar_n defensative_n all_o along_o the_o arm_n with_o compress_n temper_v in_o strong_a warm_a wine_n with_o the_o bandage_n some_o time_n afterward_o you_o must_v bleed_v the_o patient_n if_o his_o strength_n permit_v you_o stay_v two_o or_o three_o day_n without_o take_v off_o the_o dress_n and_o you_o leave_v the_o dossel_n at_o the_o bottom_n of_o the_o sac_n 3_o or_o 4_o day_n long_o lest_o in_o take_v they_o out_o you_o bleed_v afresh_o and_o procure_v a_o fresh_a suppuration_n the_o situation_n of_o the_o arm_n which_o seem_v a_o thing_n of_o little_a consequence_n must_v nevertheless_o be_v regard_v as_o very_o advantageous_a for_o further_a the_o cure_n the_o arm_n must_v be_v a_o little_a bend_a and_o the_o hand_n elevate_v on_o the_o pillow_n that_o the_o circulation_n be_v more_o free_a but_o you_o must_v particular_o recommend_v the_o disease_a to_o bow_n and_o stretch_v it_o from_o time_n to_o time_n we_o daily_o see_v that_o several_a become_v lame_a for_o not_o have_v move_v the_o arm_n or_o leg_n during_o such_o indisposition_n the_o cause_n of_o this_o accident_n come_v from_o the_o little_a motion_n of_o the_o slimy_a matter_n which_o bedaub_v the_o joint_n this_o slime_n be_v of_o the_o consistence_n of_o the_o white_a of_o a_o egg_n and_o which_o transpire_v from_o the_o ligament_n and_o gland_n of_o the_o joint_n serve_v to_o entertain_v the_o supple_a ligament_n and_o to_o smooth_v the_o shine_a cartilage_n as_o well_o to_o facilitate_v the_o motion_n as_o to_o hinder_v the_o part_n from_o be_v waste_v by_o their_o continual_a attrition_n but_o from_o the_o moment_n that_o this_o matter_n be_v at_o rest_n and_o no_o more_o fluid_a or_o liquid_a by_o the_o diversity_n of_o motion_n it_o grow_v thick_a and_o hard_o by_o the_o heat_n of_o the_o part_n so_o that_o the_o ligament_n and_o cartilage_n be_v no_o more_o humect_v by_o that_o liquor_n they_o dry_v up_o lose_v their_o elastic_a virtue_n and_o humidity_n till_o at_o last_o they_o grow_v incapable_a of_o motion_n sometime_o it_o happen_v in_o old_a rottenness_n and_o fistula_n of_o the_o joint_n that_o the_o purulent_a and_o malign_v matter_n gnaw_v the_o ligament_n and_o cartilage_n and_o give_v occasion_n to_o the_o saline_n juice_n which_o exud_n from_o the_o body_n fibres_fw-fr to_o unite_v the_o extremity_n of_o the_o two_o bone_n and_o frame_v a_o kind_n of_o anchilose_a which_o be_v much_o more_o defectuous_a than_o the_o precedent_n chap._n xxxv_o of_o gangrene_n and_o sphacel_n which_o occasion_n the_o amputation_n several_a author_n have_v treat_v of_o the_o gangrene_n particular_o willis_n etmuller_n and_o silvius_n and_o i_o believe_v no_o body_n doubt_n but_o that_o all_o whatever_o our_o new_a discoverer_n have_v advance_v upon_o this_o subject_a in_o their_o exercise_n be_v nothing_o but_o a_o perpetual_a pillage_n of_o what_o these_o great_a man_n have_v speak_v to_o speak_v of_o it_o methodical_o we_o must_v first_o give_v a_o idea_n of_o the_o vivification_n of_o the_o part_n and_o of_o the_o mortification_n which_o be_v its_o opposite_a we_o must_v relate_v all_o particular_n which_o cause_n a_o gangrene_n and_o seek_v all_o the_o mean_n to_o illuminate_v they_o with_o reason_n ground_v on_o the_o oeconomy_n of_o the_o blood_n and_o upon_o some_o observation_n which_o experience_n authorise_v vivification_n cause_o of_o vivification_n to_o know_v how_o the_o part_n be_v vivify_v you_o must_v consider_v that_o the_o heat_n and_o life_n of_o animal_n consist_v only_o in_o the_o motion_n and_o fermentation_n of_o the_o principle_n of_o the_o blood_n that_o this_o fermentation_n and_o motion_n as_o well_o circular_a as_o intestine_a be_v entertain_v by_o the_o pulsation_n of_o the_o heart_n and_o artery_n by_o the_o motion_n of_o the_o muscle_n and_o action_n of_o the_o subtle_a and_o penetrate_a particle_n of_o the_o air_n which_o we_o breathe_v it_o be_v in_o effect_n the_o spiral_n and_o nitrious_a particle_n of_o the_o air_n which_o attenuate_v and_o subtilise_v the_o particle_n of_o the_o blood_n in_o mingle_v themselves_o intimate_o together_o in_o the_o substance_n of_o the_o lung_n which_o make_v they_o wave_v upon_o their_o centre_n and_o which_o give_v they_o all_o their_o vivacity_n and_o influence_n which_o be_v necessary_a to_o the_o maintain_n of_o their_o intestine_a motion_n and_o consequent_o of_o their_o heat_n and_o life_n it_o be_v certain_a then_o that_o it_o be_v the_o blood_n agitate_a by_o these_o mean_n which_o vivify_v and_o animate_v the_o part_n repair_v the_o continual_a loss_n which_o they_o suffer_v furnish_v the_o matter_n of_o the_o spirit_n and_o of_o all_o the_o different_a liquor_n that_o be_v subtilise_v in_o pass_v through_o a_o 1000_o different_a strainer_n in_o one_o word_n it_o be_v the_o master_n spring_n that_o make_v the_o whole_a machine_n go_v this_o be_v so_o it_o be_v not_o hard_a to_o conceive_v that_o it_o be_v from_o the_o actual_a distribution_n presence_n and_o action_n of_o the_o spirituous_a and_o nourish_a particle_n of_o the_o blood_n in_o a_o part_n on_o which_o entire_o depend_v its_o motion_n and_o life_n mortification_n cause_o of_o mortification_n so_o that_o this_o dispensation_n come_v to_o cease_v or_o be_v interrupt_v for_o some_o moment_n one_o feel_v no_o more_o there_o either_o heat_n motion_n or_o life_n to_o convince_v ourselves_o of_o it_o we_o must_v only_o examine_v that_o which_o happen_v every_o day_n in_o syncop_n where_o we_o see_v that_o the_o pulsation_n of_o the_o heart_n be_v hinder_v and_o the_o circulation_n of_o the_o blood_n stop_v all_o the_o extremity_n grow_v cold_a the_o face_n pale_a and_o sometime_o live_v and_o the_o whole_a body_n deprive_v of_o feeling_n and_o motion_n but_o according_a as_o the_o heart_n recover_v its_o motion_n and_o the_o blood_n convey_v into_o all_o the_o part_n they_o recover_v their_o heat_n motion_n and_o life_n it_o be_v therefore_o evident_a that_o the_o life_n of_o a_o part_n depend_v on_o the_o presence_n and_o motion_n of_o the_o blood_n and_o on_o the_o contrary_n i_o say_v that_o the_o cause_n of_o a_o gangrene_n and_o mortification_n of_o a_o part_n be_v doubtless_o the_o absence_n and_o want_n of_o these_o spirituous_a and_o nutritive_a particle_n in_o the_o same_o part_n this_o be_v the_o explication_n which_o the_o illustrious_a etmuller_n give_v of_o it_o in_o tome_n 1._o operum_fw-la pag._n 587._o where_o he_o say_v causae_fw-la gangrene_n &_o sphaceli_fw-la in_o genere_fw-la sunt_fw-la &_o quae_fw-la quacumque_fw-la ratione_fw-la sanguinis_fw-la &_o spirituum_fw-la vitalium_fw-la distributionem_fw-la inhibere_fw-la valent_fw-la it_o be_v a_o question_n whether_o the_o animal_n spirit_n which_o run_v from_o the_o brain_n through_o the_o nerve_n be_v not_o likewise_o interest_v in_o a_o gangrene_n i_o say_v that_o the_o most_o cause_n which_o work_n upon_o the_o blood_n for_o the_o production_n of_o a_o gangrene_n may_v in_o the_o same_o manner_n work_v upon_o the_o animal_n spirit_n but_o in_o the_o mean_a time_n the_o gangrene_n only_o depend_v on_o the_o alteration_n which_o happen_v unto_o the_o blood_n this_o be_v prove_v because_o a_o gangrene_n be_v a_o privation_n of_o life_n or_o at_o least_o a_o disposition_n next_o to_o a_o mortification_n now_o the_o function_n of_o life_n depend_v chief_o from_o the_o blood_n whereas_o the_o animal_n function_n depend_v on_o the_o animal_n spirit_n the_o nerve_n may_v be_v obstruct_v and_o the_o animal_n function_n cease_v in_o a_o part_n without_o mortification_n as_o be_v see_v in_o paralytic_n it_o be_v true_a then_o to_o conclude_v that_o a_o gangrene_n depend_v only_o on_o the_o default_n of_o the_o vital_a and_o spiritual_a particle_n of_o the_o blood_n those_o that_o will_v have_v the_o animal_n spirit_n to_o have_v much_o share_n in_o the_o gangrene_n as_o well_o because_o a_o
mortify_a part_n be_v deprive_v of_o motion_n and_o feeling_n as_o because_o a_o great_a pain_n cause_v a_o inflammation_n and_o sometime_o mortification_n do_v not_o consider_v that_o the_o weight_n of_o the_o courser_n particle_n of_o the_o blood_n which_o lie_v in_o a_o part_n press_v the_o nerve_n and_o so_o interrupt_v the_o course_n of_o the_o spirit_n and_o the_o pulsation_n of_o the_o artery_n be_v no_o more_o feel_v for_o as_o nature_n delight_v to_o glue_v the_o artery_n to_o the_o nerve_n nerve_n artery_n for_o the_o most_o part_n join_v with_o nerve_n and_o that_o she_o make_v use_v of_o the_o pulsation_n to_o oblige_v all_o the_o little_a nervous_fw-fr fibres_n to_o discharge_v the_o spirit_n which_o they_o contain_v so_o it_o will_v be_v always_o true_a to_o say_v that_o the_o gangrene_n succeed_v great_a pain_n and_o inflammation_n and_o that_o the_o privation_n of_o motion_n and_o feeling_n come_v chief_o from_o the_o blood_n since_o it_o be_v that_o which_o hinder_v by_o its_o stay_n the_o distribution_n of_o the_o spirit_n i_o deny_v not_o that_o the_o want_n of_o animal_n spirit_n in_o paralytic_n may_v give_v occasion_n to_o a_o gangrene_n to_o seize_v the_o soon_o on_o a_o part_n as_o we_o shall_v see_v in_o the_o follow_a discourse_n after_o all_o i_o have_v say_v it_o be_v easy_a to_o comprehend_v that_o the_o heat_n and_o life_n be_v precise_o contain_v in_o the_o blood_n since_o the_o dissipation_n and_o absence_n of_o its_o spirituous_a and_o nourish_a particle_n cause_v the_o gangrene_n and_o that_o their_o presence_n and_o exaltation_n entertain_v the_o natural_a heat_n gangrene_n true_a and_o only_a cause_n of_o a_o gangrene_n i_o say_v then_o in_o general_a that_o the_o cause_n of_o a_o gangrene_n and_o mortification_n be_v the_o dissipation_n &_o absence_n or_o concentration_n of_o the_o spirituous_a particle_n of_o the_o blood_n which_o must_v vivify_v the_o part_n or_o at_o least_o the_o interruption_n of_o the_o course_n of_o the_o same_o and_o its_o coagulation_n these_o cause_n act_n for_o the_o most_o part_n separately_z it_o may_v also_o happen_v that_o they_o act_v together_o to_o cause_v a_o gangrene_n as_o i_o shall_v make_v you_o observe_v let_v we_o examine_v all_o these_o cause_n and_o first_o see_v what_o be_v this_o alteration_n of_o the_o blood_n that_o be_v deprive_v of_o its_o spirituous_a particle_n from_o which_o follow_v gangrene_n and_o mortification_n to_o give_v a_o just_a idea_n of_o it_o let_v we_o consider_v the_o change_n that_o happen_v to_o wine_n all_o the_o world_n agree_v comparison_n a_o comparison_n that_o the_o good_a condition_n of_o wine_n consist_v in_o the_o exaltation_n of_o its_o most_o subtle_a and_o spirituous_a principle_n as_o long_o as_o these_o principle_n have_v the_o upper_a hand_n the_o wine_n remain_v in_o a_o state_n of_o gentle_a and_o natural_a fermentation_n and_o consequent_o of_o goodness_n but_o if_o it_o happen_v by_o what_o cause_n soever_o that_o they_o be_v weaken_a and_o dissipate_v and_o the_o acid_a salt_n or_o salt_n sulphur_n take_v the_o upperhand_n than_o it_o be_v that_o the_o wine_n grow_v sour_a and_o at_o least_o sharp_a and_o very_a disagreeable_a it_o happen_v also_o very_a often_o that_o after_o the_o loss_n and_o dissipation_n of_o the_o spirit_n there_o remain_v nothing_o in_o the_o wine_n but_o earth_n and_o phlegm_n it_o be_v without_o taste_n and_o be_v nothing_o but_o a_o dead_a mass_n and_o barren_a liquor_n which_o in_o latin_a be_v call_v vappa_fw-la vinum_fw-la pendulum_fw-la which_o be_v as_o it_o be_v the_o cadaver_n of_o the_o wine_n final_o it_o happen_v that_o in_o cold_a wether_n the_o spirit_n of_o the_o wine_n concentre_v in_o the_o midst_n of_o the_o vessel_n which_o contain_v it_o so_o that_o all_o the_o part_n in_o the_o circumference_n be_v deprive_v of_o the_o spirit_n congeal_v i_o say_v that_o when_o the_o spirituous_a particle_n of_o the_o blood_n be_v dissipate_v or_o concentre_v it_o receive_v almost_o the_o same_o alteration_n if_o the_o acid_a salt_n or_o salt_n sulphur_n take_v the_o upper_a hand_n it_o become_v acid_a or_o rank_n willis_n use_v the_o same_o example_n when_o he_o explain_v the_o alteration_n that_o happen_v to_o the_o blood_n 68_o in_o tract_n de_fw-fr ferm_n p._n 68_o in_o comparison_n to_o those_o that_o happen_v to_o wine_n cum_fw-la a_o long_fw-mi fermentatione_n spiritus_fw-la absumi_fw-la actandum_fw-la deficere_fw-la incipiunt_fw-la inducitur_fw-la defectionis_fw-la status_fw-la quo_fw-la vina_fw-la aliique_fw-la liquores_fw-la ant_n in_o vappam_fw-la transeunt_fw-la of_o it_o demum_fw-la sale_n vel_fw-la sulphur_n nimium_fw-la exaltatis_fw-la acetosi_fw-la ant_n rancidi_fw-la fiunt_fw-la pariter_fw-la &_o sanguis_fw-la dum_fw-la in_o vasis_fw-la circulatur_fw-la juxta_fw-la triplicem_fw-la hujusmodi_fw-la diathesin_n considerari_fw-la potest_fw-la etc._n etc._n final_o when_o all_o the_o spirit_n be_v dissipate_v that_o the_o blood_n degenerate_v into_o a_o dead_a inspire_v mass_n incapable_a of_o any_o fermentation_n and_o whenever_o the_o spirit_n be_v concentre_v in_o great_a cold_a they_o abandon_v or_o forsake_v the_o exterior_a part_n which_o be_v then_o only_o irrigate_v with_o blood_n deprive_v of_o vital_a and_o spirituous_a particle_n this_o last_o state_n of_o the_o blood_n answer_v to_o turn_v wine_n whence_o depend_v the_o mortification_n of_o a_o part_n in_o certain_a case_n which_o i_o be_o go_v to_o propose_v people_n cause_o of_o gangrene_n in_o old_a people_n first_o we_o observe_v that_o old_a people_n die_v very_o often_o of_o gangrene_n and_o that_o that_o it_o begin_v by_o the_o extremity_n and_o follow_v through_o the_o whole_a body_n in_o spite_n of_o all_o remedy_n that_o may_v be_v use_v the_o same_o thing_n happen_v through_o long_a abstinence_n and_o after_o all_o sort_n of_o too_o great_a evacuation_n to_o give_v a_o account_n of_o this_o phenomena_n you_o must_v observe_v that_o the_o blood_n can_v no_o more_o than_o other_o liquor_n that_o ferment_n always_o remain_v in_o the_o same_o condition_n it_o be_v active_a principle_n be_v yet_o entangle_v in_o infancy_n they_o get_v loose_a in_o our_o youth_n remain_v in_o a_o state_n of_o exaltation_n during_o a_o certain_a age_n but_o at_o last_o they_o be_v dissipate_v and_o begin_v to_o abandon_v their_o subject_n in_o old_a age_n therefore_o old_a people_n become_v by_o little_a and_o little_a incapable_a of_o their_o ordinary_a motion_n they_o lose_v insensible_o their_o vigour_n till_o at_o last_o their_o life_n in_o lose_v their_o heat_n and_o spirit_n this_o be_v so_o it_o be_v not_o hard_a to_o explain_v why_o old_a people_n who_o die_v after_o this_o manner_n be_v always_o trouble_v with_o gangrene_n in_o their_o last_o day_n the_o reason_n be_v because_o their_o blood_n become_v a_o languid_a mass_n which_o no_o more_o contain_v any_o character_n of_o life_n and_o which_o in_o effect_n be_v no_o more_o than_o a_o cadaver_n of_o blood_n this_o kind_n of_o death_n one_o may_v call_v natural_a because_o it_o happen_v not_o but_o when_o the_o heat_n be_v extinguish_v of_o itself_o and_o by_o degree_n ideoque_fw-la mori_fw-la simul_fw-la dicuntur_fw-la &_o extingui_fw-la in_o this_o manner_n it_o be_v that_o a_o mortification_n of_o the_o blood_n and_o spirit_n happen_v after_o a_o hectic_a fever_n long_a flux_n great_a abstinence_n too_o great_a labour_n and_o general_o after_o all_o sort_n of_o great_a evacuation_n because_o in_o these_o occasion_n the_o matter_n design_v for_o the_o entertain_n of_o natural_a heat_n be_v dissipate_v or_o be_v not_o enough_o furnish_v to_o supply_v the_o loss_n of_o it_o which_o it_o actual_o suffer_v of_o the_o rest_n though_o in_o this_o state_n of_o the_o blood_n the_o gangrene_n be_v almost_o universal_a and_o need_v no_o other_o cause_n to_o manifest_v itself_o yet_o sometime_o it_o happen_v that_o the_o slowness_n of_o the_o circulation_n give_v it_o occasion_n to_o attack_v certain_a part_n there_o be_v a_o very_a particular_a case_n of_o it_o in_o the_o 46th_o chapter_n of_o the_o second_o book_n of_o tulpius_n his_o observation_n observation_n observation_n where_o he_o relate_v that_o a_o old_a man_n be_v reduce_v to_o such_o a_o languish_a condition_n and_o so_o great_a a_o weakness_n that_o the_o least_o impression_n cause_v he_o to_o have_v a_o gangrene_n he_o dare_v not_o so_o much_o as_o sit_v down_o nor_o lean_a on_o a_o elbow_n nor_o even_o set_v a_o foot_n on_o the_o ground_n or_o press_v any_o of_o his_o member_n but_o there_o appear_v some_o mark_n of_o mortification_n which_o follow_v the_o gangrene_n this_o observation_n be_v rare_a and_o singular_a we_o must_v confess_v that_o his_o blood_n be_v mighty_o exhaust_v of_o spirit_n since_o a_o slight_a compression_n only_o be_v capable_a to_o produce_v a_o gangrene_n in_o a_o part_n we_o need_v not_o search_v any_o where_o else_o for_o the_o cause_n of_o a_o gangrene_n which_o happen_v to_o the_o leg_n and_o other_o part_n of_o
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
the_o cure_n of_o this_o disease_n which_o be_v perform_v by_o the_o help_n of_o medicine_n cure_n cure_n or_o operation_n the_o most_o specific_a remedy_n be_v diuretic_n and_o those_o which_o cause_n insensible_a transpiration_n other_o be_v of_o no_o great_a use_n the_o strong_a diuretic_n be_v rad._n diuretica_fw-la tinctura_fw-la diuretica_fw-la ebul_n irid._n erysimi_fw-la cucum_fw-la agr_n fol._n solda_n nel_fw-it cerefol_n infuse_v in_o spirit_n vin._n mercurisati_n it_o be_v a_o extraordinary_a remedy_n anthydropiens_fw-la infusus_fw-la anthydropiens_fw-la rad._n brusc_n polypond_n gladiol_n medul_a sambuc_fw-la croc._n &_o chryst_n miner_n infuse_v cold_a in_o white_a wine_n make_v a_o wonderful_a remedy_n sal._n rut._n crem_fw-la mercurii_n spirit_n salis_n take_v in_o broth_n without_o common_a slat_n be_v admirable_a there_o be_v several_a other_o medicine_n of_o which_o author_n be_v full_a i_o mention_v here_o only_o those_o which_o i_o have_v experiment_v if_o all_o these_o will_v do_v you_o must_v proceed_v to_o the_o operation_n which_o confist_n in_o punction_n make_v on_o some_o part_n its_o name_n differ_v according_a to_o the_o place_n where_o it_o practise_v be_v call_v when_o make_v in_o the_o belly_n paracentesis_n in_o the_o scrotum_fw-la punction_n and_o in_o the_o leg_n scarification_n chap._n viii_o of_o the_o paracentesis_n omit_v the_o description_n of_o the_o method_n of_o the_o ancient_n i_o proceed_v we_o make_v where_o the_o puncture_n be_v make_v wherein_o we_o use_v the_o trocher_n or_o lancet_n the_o puncture_n be_v ordinary_o make_v on_o the_o side_n four_o finger_n from_o the_o navel_n if_o with_o the_o trocher_n we_o make_v no_o apparatus_n but_o pierce_v the_o belly_n as_o often_o as_o we_o will_v draw_v water_n from_o it_o description_n description_n this_o instrument_n be_v of_o a_o triangular_a figure_n and_o scatter_v only_o the_o fibre_n they_o upon_o its_o be_v withdraw_v exact_o reunite_a again_o it_o must_v always_o be_v accompany_v with_o its_o canula_n when_o the_o punction_n be_v make_v which_o we_o leave_v in_o the_o belly_n as_o long_o as_o the_o water_n be_v to_o be_v draw_v if_o you_o use_v the_o lancet_n you_o must_v arm_v it_o with_o a_o little_a band_n of_o cloth_n before_o hand_n lancet_n method_n of_o use_v the_o lancet_n and_o thrust_v it_o in_o till_o the_o water_n come_v forth_o and_o before_o you_o withdraw_v it_o introduce_v a_o probe_n on_o the_o flat_a of_o it_o to_o facilitate_v the_o passage_n of_o the_o canula_n into_o the_o belly_n then_o have_v draw_v a_o sufficient_a quantity_n according_a to_o the_o strength_n of_o the_o patient_n stop_v the_o canula_n with_o a_o small_a tent_n and_o apply_v good_a compress_v sustain_v with_o napkin_n and_o scapule_a but_o see_v that_o by_o this_o method_n we_o can_v always_o hinder_v the_o rapid_a stream_n of_o the_o water_n we_o must_v prefer_v the_o trocher_n useless_a in_o what_o part_n your_o operation_n be_v useless_a you_o must_v observe_v that_o the_o dropsy_n of_o the_o head_n breast_n and_o stomach_n be_v never_o cure_v by_o operation_n but_o by_o general_a medicine_n chap._n ix_o of_o hernias_fw-la the_o belly_n be_v subject_a to_o certain_a tumour_n call_v in_o greek_a definition_n definition_n cele_n in_o latin_a hernia_n v._o ramex_fw-la it_o be_v define_v a_o preternatural_a tumour_n cause_v by_o the_o fall_n of_o some_o part_n or_o gather_v together_o of_o some_o superfluous_a humour_n signify_v what_o hernia_n signify_v the_o word_n hernia_n signify_v something_o that_o be_v troublesome_a to_o bear_v i_o will_v use_v the_o etymology_n in_o opposition_n to_o their_o opinion_n who_o pretend_v it_o suit_v not_o with_o the_o humeral_a hernia_n and_o i_o believe_v every_o one_o will_v agree_v with_o i_o that_o they_o be_v insupportable_a as_o well_o from_o humour_n as_o part_n hence_o i_o conclude_v the_o word_n hernia_n may_v fit_v all_o kind_n of_o tumour_n which_o happen_v to_o the_o belly_n or_o scrotum_fw-la i_o confess_v the_o word_n rupture_n be_v only_o applicable_a to_o those_o in_o the_o groin_n and_o scrotum_fw-la from_o the_o omentum_fw-la interstines_n or_o some_o other_o part_n but_o omit_v a_o useless_a multiplication_n of_o imaginary_a name_n i_o pass_v to_o its_o species_n and_o difference_n and_o these_o be_v draw_v from_o the_o part_n which_o they_o attack_z and_o the_o different_a cause_n which_o they_o produce_v name_n name_n by_o reason_n of_o the_o part_n they_o be_v call_v exomphales_n viz._n of_o the_o navel_n bubonocele_n of_o the_o groin_n oscheocele_n of_o the_o scrotum_fw-la and_o ventralis_fw-la hernta_fw-la of_o which_o hereafter_o by_o reason_n of_o the_o cause_n which_o produce_v they_o the_o one_o be_v make_v by_o part_n diference_n diference_n the_o other_o by_o the_o humour_n the_o first_o be_v call_v enterocele_n when_o the_o intestine_n come_v forth_o epiplocele_n when_o the_o omentum_fw-la and_o enteropiplocele_v when_o both_o the_o latter_a be_v call_v hydrocele_n pneumatocele_n sarcocele_n varicocele_n and_o circocele_n from_o water_n wind_n flesh_n and_o other_o liquor_n which_o be_v capable_a to_o dilate_v the_o vessel_n those_o make_v by_o the_o part_n be_v call_v true_a the_o humoral_a false_a complete_a true_a or_o lip_n of_o the_o womb_n not_o complete_a when_o they_o do_v pass_v the_o groin_n external_n cause_n external_n cause_n be_v external_a or_o internal_a the_o external_a be_v violent_a blow_n great_a shake_n long_a course_n or_o run_v dance_a leap_v continual_a cry_v vehement_a cough_n excess_n of_o venery_n too_o frequent_a and_o force_v breathe_n and_o general_o all_o the_o exercise_n and_o strong_a effort_n to_o which_o we_o be_v subject_a the_o internal_a come_v first_o from_o the_o influx_n and_o deposition_n of_o a_o great_a many_o serosity_n 1._o internal_a 1._o which_o sometime_o come_v from_o the_o gland_n of_o the_o intestine_n or_o the_o groin_n but_o principal_o from_o those_o gland_n which_o garnish_n the_o interior_a surface_n of_o the_o peritonaeam_n all_o these_o source_n make_v that_o abundance_n of_o lympha_fw-la which_o actual_o humect_v relax_n and_o lubrify_v these_o part_n and_o consequent_o put_v they_o into_o a_o condition_n to_o yield_v the_o more_o to_o the_o frequent_a and_o reiterated_a impulsion_n of_o the_o intestine_n the_o second_o i_o suppose_v depend_v on_o the_o great_a dissipation_n of_o the_o oily_a particle_n for_o if_o we_o consider_v that_o the_o peritoneum_fw-la be_v near_o the_o omentum_fw-la and_o mesentery_n the_o two_o chief_a repository_n of_o the_o fat_a by_o which_o it_o be_v actual_o separate_v from_o the_o part_n by_o the_o heat_n it_o be_v easy_a to_o understand_v that_o these_o part_n continual_o grease_v the_o fibre_n of_o the_o peritonaeum_fw-la so_o soften_v and_o extend_v they_o that_o at_o the_o least_o action_n or_o motion_n they_o give_v way_n very_o easy_o to_o the_o blow_n and_o to_o all_o motion_n which_o may_v contribute_v to_o their_o formation_n hermat_n the_o people_n of_o provence_n mighty_a subject_a to_o hermat_n hence_o the_o people_n of_o provence_n the_o religious_a especial_o who_o eat_v nothing_o but_o oil_n in_o their_o food_n be_v more_o subject_a to_o hernias_fw-la than_o other_o to_o the_o three_o abundance_n of_o wind_n may_v contribute_v whether_o we_o swallow_v it_o with_o our_o food_n or_o it_o be_v contain_v in_o it_o or_o produce_v by_o the_o settle_n and_o heap_n of_o a_o considerable_a quantity_n of_o dissolvent_n which_o by_o a_o excessive_a heat_n rarify_v and_o may_v be_v true_o suppose_v capable_a of_o extend_v the_o intestine_n like_o a_o bladder_n and_o of_o blow_v they_o up_o to_o a_o certain_a degree_n of_o tension_n so_o that_o take_v up_o more_o room_n than_o usual_a they_o impel_v the_o surface_n of_o the_o peritonaeum_fw-la and_o ne_n themselves_o in_o these_o production_n form_v the_o tumour_n for_o the_o four_o the_o dropsy_n and_o fatness_n in_o woman_n may_v be_v admit_v this_o last_o push_v all_o the_o part_n against_o the_o diaphragm_n and_o determinate_v they_o rather_o to_o form_v the_o exomphalos_n than_o bubonocele_n the_o other_o humect_v and_o relax_n the_o peritonaeum_fw-la so_o considerable_o that_o after_o the_o dissipation_n of_o the_o water_n it_o can_v no_o more_o resist_v and_o support_v the_o motion_n of_o the_o intestine_n i_o pass_v to_o the_o consequence_n which_o we_o must_v draw_v from_o the_o cause_n of_o hernias_fw-la relate_v to_o the_o structure_n of_o the_o part_n where_o they_o be_v form_v which_o depend_v as_o well_o on_o the_o disposition_n of_o the_o peritonaeum_fw-la as_o the._n mechanic_n motion_n of_o the_o diaphragm_n muscle_n of_o the_o abdomen_fw-la and_o intestine_n hook_n on_o the_o peritonaeum_fw-la as_o a_o membrane_n of_o a_o considerable_a thinckness_n dispose_v in_o the_o shape_n of_o a_o sack_n contain_v all_o the_o part_n of_o the_o low_a belly_n it_o be_v so_o long_a as_o to_o reach_v to_o the_o navel_n and_o groin_n peritonaeum_fw-la what_o be_v to_o be_v consider_v in_o the_o peritonaeum_fw-la to_o